Coronavirus


During these unprecedented times, we are changing a lot:  Hours, Office arrangements, Check-in Procedures, Masks.

What remains a constant?   The smiles, brains, and love behind the masks.

Adjusted Hours:

Well Child visits/ Newborn checks                 Mon - Fri: 8 am- 5 pm
Sick Child evaluations                                      Mon - Fri: 8 am - 5 pm; Sat/Sun 10-2 (scheduled by RN)
Telemedicine visits                                           Mon - Fri: 10 - 6 pm

We are currently NOT doing Early Morning Walk-in clinic (7-8:30 am).

Office Arrangement:

We have the office physically divided into a subsection for potentially contagious patients, and the remaining 80% of the building is for well child visits and non-contagious visits (headaches, injuries, developmental concerns etc.).

For Sick Visits: After checking in by phone (call the number printed on the building wall: 919-828-4747 during regular business hours, and 919-828-7563 during after-hours), your nurse will phone you to meet her at the Sick Entrance (our former front door).   She will check the parent's temperature before entering the building, and if the parent has a fever then a different adult will need to return with the patient.  ONE adult may accompany the child.

For Well Child visits: Don't call-- just follow the sidewalk AROUND the building.   At the white tent outside of the new Well Child entrance, your nurse will check the temperature of the child and parent, and ask COVID screening questions.   
Effective June 1st 2021 - All Well Child Visits may be accompanied by 2 parents/guardians if:  
               1. Child is 2 years or under in age   -OR-
               2. Both adults are post 2 weeks from COVID Vaccination

All of our staff will be masked.   We require that you wear a mask from home and that children > age 2 wear a mask.

COVID-19 testing:

ORP physicians will work with local and state health departments and CDC to determine if testing is required based on your child’s symptoms and potential exposures.   We offer both an accurate send-out PCR test (turn around time approximately 24-48 hours), and on on-site rapid antigen test.   

1. What is considered a "close contact" for COVID-19 exposure?
For COVID-19, a close contact is defined as any individual who was within 6 feet of an infected person for at least 15 minutes starting from 2 days before illness onset (or, for asymptomatic patients, 2 days prior to positive specimen collection) until the time the patient is isolated.   Currently, the CDC does not modify this definition if the people were or were not wearing cloth masks.

2. My unvaccinated child had a close contact with a person that is COVID+ (or with a person who started to have symptoms in the 48 hours after the time together).  What should we do?  Should we get my child tested, and when?
The most important thing to do is to quarantine your child (and your family, if your child is not of an age to essentially isolate alone) for the 14 day observation period.   The average time before presentation of symptoms is often 5-7 days after the exposure.   Testing for COVID can be inaccurate before about day 4-5 after the exposure.   The CDC website says that testing is recommended for all unvaccinated close contacts of confirmed or probable COVID+ cases, and is best done around day 5-7 after contact.  

3.  My child has symptoms that are concerning for COVID-19.   What should we do?
Call us to talk to a nurse about your situation.  In the meanwhile, consider the child infectious and all unvaccinated household members as close contacts and start isolation/quarantine.     

4.  My child or I have tested POSITIVE for COVID-19.   Now what?
Following CDC guidelines, if your test comes back positive, you should stay home and, as much as possible, avoid others in your household until you can say yes to ALL THREE of the following questions:

• Has it been at least 10 days since you first had symptoms (or since the time of the test, if asymptomatic then)?
• Has it been at least 72 hours (3 days) since you have had a fever without using fever-reducing medicine?
• Has it been at least 72 hours (3 days) since your other symptoms have improved (such as coughing and shortness of breath)?
Following CDC guidelines, if your test comes back positive and you did not have symptoms, you should stay home and isolate (avoid anyone in your household) until 10 days have passed since the  date of your first positive COVID-19 diagnostic test, assuming you did not develop symptoms since your positive test.

Life in the time of COVID:

1.  What do the ORP physicians advise about sending my child to school or daycare?
This is a question we are getting from a lot of concerned ORP parents, so the doctors met and developed a consensus statement to share with you.  We agree with the American Academy of Pediatrics advice that children learn best when they are in school.  However, it is important that this be done following careful safety guidelines and with each individual's health history, and that of immediate family members taken into consideration.  We strongly encourage that all adults in the house, and adult contacts with kids, get vaccinated. 

2. I am pregnancy or breastfeeding.   Should I still get a COVID vaccine?   Is that safe for my baby?
We do support getting the vaccine to protect the health of the pregnant/breastfeeding mother, to reduce the spread of COVID to susceptible people, to "cocoon" protection around the breastfeeding infant, and to share protective antibodies to the baby.   For further discussion, here is the link from the American College of Obstetrics and Gynecologists.

Coronavirus (COVID-19), Pregnancy, and Breastfeeding: A Message for Patients | ACOG

Vaccination
1.  Do we feel that COVID vaccine is safe for kids?  Yes. 
We have been listening to our colleagues that are tops in research and infectious disease, experts like the pros in the AAP, Duke, UNC, NC public health and yes, Little Ouchie Fauci.  The research is solid.  We are vaccinating our own kids with enthusiasms (see Facebook for photos).

2.  Do we recommend this vaccine for all patients 12+?  Yes.  Your teen is safer when vaccinated, and can be allowed some more freedoms safely.   Your family is safer if you can "close your ring" and vaccinate everyone.   Schools and summer camps are safer and more likely to succeed when people are vaccinated and can't spread COVID.  Younger siblings, not yet eligible for vaccine are safer (and less likely to have to do a 14 day quarantine after exposures) if teen siblings don't get COVID.

3. Can my 12+ teen get their shot at ORP?  YES!!!!  Starting 5/19, we will start scheduling patients for Pfizer vaccine.   Whoop!   CALL for an appointment.   If you child got the #1 vaccine at another location, you can still schedule the #2 shot at ORP.

4. Can adults get Pfizer vaccine at ORP, like we do for "family flu clinic"?   Starting June 1, YES!!!  Give us a call.   

5. What should we expect for side effects after vaccination?   Just like in adults, about 90% of teens get a sore arm.   Just like in adults, most kids feel fine to slightly crummy the day after it, and the day after #2 they may have headache, sore muscles, fevers and feel crummy.   We recommend taking some Tylenol or ibuprofen if you feel crummy.


Medical questions about COVID-19:  
This remains an evolving situation and the Centers for Disease Control and Prevention (CDC) will provide updated information as it becomes available.  


Last updated 6/4/21.