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CPCMG NEWS

Baby 101: What to Expect with Your Newborn

November 24, 2020

Come meet the best pediatricians in your neighborhood at a free virtual class hosted by Children’s Primary Care Medical Group and get all of your questions answered about:
• Pre- and postnatal care
• Breast-feeding support
• Establishing a sleep schedule, diapers, bathing, bowel movements, colic, newborn skin care, feeding, COVID-19 and your baby and more
• What’s normal…and when to call your pediatrician

THE DETAILS
This virtual class is free and open to all expectant parents. The Zoom link will be emailed to all registered participants. Participants must have a digital device, valid email address, access to the Internet and WiFi in order to see the class slides.

TO REGISTER, CALL 858-636-4300
We look forward to meeting you!

COVID-19 & CPCMG:
What you need to know

November 23, 2020

While it is important to stay home and practice social distancing, it is also important to maintain your family’s health. This includes your child’s well visits, immunizations and preventative screenings.

COVID-19 Vaccinations (updated June 30, 2021):  The FDA continues the review and emergency use approval process of several COVID-19 vaccines. After having the vaccine eligibility process rolled out in phases, all persons 12 years and older are now eligible to receive the COVID-19 vaccine (currently, only the Pfizer COVID-19 vaccine is approved for children 12-17 years-old).  For children less than 12 years-old, we do not expect approval until at least the fall of 2021.

CPCMG has begun scheduling for regional, weekend COVID-19 clinics at select sites. Invitations to schedule an appointment will be sent out via MyChart. At this time, CPCMG does NOT have any COVID-19 vaccines in stock to offer for routine, in-clinic vaccination. Those with eligibility should register at CA My Turn or schedule vaccination in San Diego County at this link, in Riverside County at this link, or at a retail pharmacy in either county.

Our pediatricians strongly recommend that all eligible adults and children are vaccinated against COVID-19; research indicates that COVID-19 vaccines are effective and safe. While children in general do not get as seriously ill as adults, many of the children hospitalized with COVID have been adolescents who are now authorized to receive vaccines. Immunizing children will not only protect them, but keep them from spreading infection to older family members who are at risk for serious illness. For general questions about COVID-19 vaccines, we suggest that you visit the following California For All COVID-19 webpage.

Frequently Asked Questions: Find answers to your questions about the COVD vaccine here.

Masks: The use of face coverings among the general public is still required at health facilities by the State of California regardless of vaccination status. As such, it is our policy that all patients and families must wear cloth or non-medical face coverings (i.e. bandanas, scarves, etc.) in our offices. For children 2 years and younger, alternative coverings such as a blanket over the carrier or stroller are recommended. We respectfully ask that families bring their own face covering for their children and themselves. In some cases, we may provide masks to patients when they come to our offices based on individual needs.

Background & Symptoms: The novel coronavirus (which causes a disease known as COVID-19) was declared a pandemic by the World Health Organization on March 11, 2020. Patients with COVID-19 have had a wide range of symptoms reported-ranging from mild symptoms to severe illness. Symptoms may appear 2-14 days after exposure to the virus. People with the following symptoms may have COVID-19:

  • Cough
  • Shortness of breath or difficulty breathing
  • Fever or chills
  • Fatigue
  • Headache
  • Congestion or runny nose
  • Muscle or body aches
  • Sore throat
  • New loss of taste or smell

This list does not include all possible symptoms. Other less common symptoms have been reported, including gastrointestinal symptoms like nausea, vomiting, or diarrhea.

To date, most cases of COVID-19 in children are asymptomatic or mild. There have been some rare, well publicized cases in children having an inflammatory condition presenting with a persistent fever several weeks after a COVID-19 infection.

Higher Risks: Older adults, smokers and patients with conditions such as heart disease, lung disease, diabetes or weakened immune systems are felt to be at higher risk. Public health agencies are recommending that people at higher risk of severe illness should stay home unless medical care is needed.

Video Visits: Many mild medical problems can be treated with a CPCMG Video Visit. These visits are available 7 days per week and can be scheduled on MyChart. We encourage you to consider this option. Detailed information is available here.

Testing:

Standard COVID-19 PCR Tests
For patients having a known exposure, risk factors or symptoms concerning for COVID-19, we are able to offer fast testing at one of our health centers by appointment. Results are usually available in 24-48 hours.

Alternatively, please visit the following websites to find a testing location near you:
State of CA COVID-19 Testing Sites
San Diego County Testing Sites
Riverside County Public Health Testing Sites
County of Riverside Funded Testing Locations

Antibody Tests
Many hospitals and large labs such as Quest and LabCorp offer antibody testing. The tests can be used to detect a past suspected infection, which may be helpful for some patients and families with increased risks of complications from COVID-19. Timing of testing is best after 2-3 weeks of having had a suspected infection. It is not known how much protection (immunity) that antibodies to the virus might provide against getting infected again. Confirmed and suspected cases of reinfection have been reported, but remain rare. Scientists are working to better understand this.

Prevention Tips:  The same practices recommended during cold and flu season should be practiced:

  • Stay home except for essential needs/activities.
  • Wash your hands often with soap and water for at least 20 seconds or wash with alcohol-based hand sanitizers.
  • Avoid touching your eyes, nose, or mouth with unwashed hands.
  • Avoid close contact with people who are sick.
  • Stay home and away from people if you become sick.
  • Stay home from work and keep children home from school or daycare if you or your child is sick (except to get medical care).
  • Cover your mouth and nose with a tissue or with your arm when you cough or sneeze. Throw the tissue away and wash your hands.
  • Clean and disinfect frequently touched objects and surfaces (like doorknobs and light switches).
  • Get plenty of rest, drink plenty of fluids, eat healthy foods, and manage your stress.
  • Follow public health guidelines with regards to face coverings.
  • Get vaccinated against COVID-19.
  • If you smoke or vape, consider quitting as you are likely at increased risk for developing severe COVID-19 complications.

Hours & Appointments: We’re here to keep kids healthy. All CPCMG offices are open and ready to see all patients.

Commitment to Patient Safety: The safety and well-being of our patients and community members is our highest priority.  We have taken the following steps to ensure an optimal patient experience.

  • All staff and providers are screened for COVID-19 risks on arrival to their workplace each day.
  • The vast majority of clinical staff and providers have been vaccinated against COVID-19.
  • All staff and providers follow strict protective equipment standards.
  • All patients are being screened for risks at the time of their appointments so that we can direct them to the appropriate level of care.
  • We continue routine cleaning between patient visits and enhanced “deep cleanings” nightly at all of our offices.
  • After review of clinical data, we have determined that the following is safe:
    • To use clinic exam rooms for both well visits and sick child visits utilizing a direct rooming process when warranted.
    • It is no longer necessary to provide fever or symptom screenings upon arrival outside of our offices.  We will be migrating to advanced texting screening and/or at check-in when appropriate.

Visitors: While providing an enhanced safety experience, we have new visitor guidelines to protect you, your families, other CPCMG families, staff and providers. We appreciate your cooperation during this challenging time.

  • Every individual entering a CPCMG office (2 years of age and older) shall wear a face covering.
  • Absent extenuating circumstances, only two adults (18 and older, parent or caregiver) are allowed to accompany your child to their appointment, although less is preferred for social distancing considerations particularly in waiting rooms.
  • No one under the age of 18 may accompany a patient to any appointment at a CPCMG office unless they also have an appointment.
  • Unless as noted above, please do not bring other children or family members to the appointment. This includes bringing another adult family member to supervise children (who don’t have an appointment) in CPCMG waiting rooms.

Treatment/Evaluation: There is no specific outpatient treatment for COVID-19. The great majority of infected children ages birth to 19 are either asymptomatic or have mild symptoms and will recover on their own. However, if your child is having persistent fever, appears especially ill, trouble breathing (breathing fast, short of breath, noise heard with breathing, or using extra muscles between the ribs), persistent pain or pressure in the chest, bluish lips/face, or difficult to arouse, this should be reported immediately.

Call Ahead: If you are experiencing symptoms of COVID-19 and may have had contact with a person with COVID-19, please call your primary care office. It’s important to call us before you come in. Calling ahead helps us direct you to the most appropriate care and take precautions to protect other patients, their families, and employees.

If your family has lost health insurance coverage due to job loss or reduced hours, don’t worry. You’ve got options.
Covered California, the state’s health insurance marketplace, is a free service that will connect you to insurance options that will work for your family. CPCMG accepts most HMO, PPO, EPO, indemnity, fee-for-service and Medi-Cal health plans including many offered through Covered California. Visit our web site to find an office near you. To see which plans have CPCMG physicians in the Covered CA network, enter the CPCMG physician names when prompted in the Shop and Compare feature on the Covered California website.

Visit the CDC website for the latest COVID-19 information.

 

Video Visits: Convenient Care for Your Family

April 20, 2020

Connect with CPCMG by scheduling a convenient Video Visit using your smart phone! CPCMG offers two options for virtual appointments:

Children’s Virtual Care
– Your child will be seen by a board-certified CPCMG pediatrician or pediatric nurse practitioner (this will mostly likely not be your usual CPCMG pediatrician).
– Appointments are available Monday through Friday, 7am to 9pm and on weekends from 8am to 8pm.
– To schedule a Children’s Virtual Care visit, use your MyChart account.

My Pediatrician Video Visits
– You choose the CPCMG pediatrician for your child’s appointment.
– Appointments will be available during the provider’s schedule.
– To schedule your child’s My Pediatrician Video Visit, call your CPCMG office.

How to Schedule and Start a Video Visit
You must have an active MyChart account to participate in a Video Visit. If you do not have an account, please call your CPCMG office. They will give you an activation code to set up your MyChart account.