Mercy Wellness Coronavirus Response
The COVID19 pandemic has thrown the world into disarray for many reasons. Many patients and friends have asked me to comment on details pertaining to the efficacy and safety of the vaccine. After further research, it is my recommendation to receive the COVID19 vaccine. I received the Moderna vaccine on Monday (Dec 28, 2020). The vaccine is a 2 dose series, and I will receive the second dose in 28 days. Although I recommend getting the vaccine, there are side effects that I experienced after receiving the injection such as bodyaches, chills and arm soreness. However, all of those symptoms have subsided after 2 days. My staff members have received the Pfizer vaccine last week and experienced similar symptoms. However, Pfizer vaccine is 21 days between each dose. Both of the vaccines are not a live virus. I strongly encourage my family and friends to receive the vaccine when it becomes available to you. Once more information is available, I will give another update.
At this time we have been approved by the Texas Department of State Health Services as a Pandemic Provider for the COVID19 vaccine. We have not, however, been allocated any of the doses as of yet and will notify our patients once we have obtained them. For patients under 16 years of age, the vaccine has not be approved. We will follow the THHS guidelines in administering the vaccine to individuals in both Phase 1A and Phase 1B. For more information on the guidelines please visit the following website:
At Mercy Wellness Clinic, your health and safety are our highest priority. As we continue to monitor the spread of COVID19, we are taking measures to ensure the health and safety of all our patients. As a response to a recent spike in COVID19 pandemic, Mercy Wellness Clinic would like our patients to know the plan in place to ensure the safety of our patients. We encourage everyone to read the following procedures listed below:
- When making appointments via telephone or online, please inform our staff if any signs or symptoms are present. We will ask everyone to fill out a questionnaire pertaining to symptoms prior to being seen by a provider.
- We are asking all patients to return to their vehicles to wait after informing our front desk that they have arrived. We will call you when we are ready for you and you will be taken directly to your exam room.
- Patients that possess symptoms are going to be recommended to complete a telemedicine visit if possible. If being tested for COVID19, patient will be seen outside in their vehicle to avoid exposure.
- Please refrain from bringing any additional guests with you to your visit for the time being. One parent may accompany minor children.
- We are disinfecting frequently touched surfaces after every patient. Providers and staff will be wearing masks and will be frequently washing their hands.
- As always, patients experiencing severe symptoms should go directly to the ER.
- In addition, you may wish to review the CDC’s guidelines for preventing the spread of the virus in different settings
Moving forward, several factors will be considered; therefore, symptoms, co-morbidities and health history will be evaluated with each patient. If you have symptoms, a COVID19 test may not be necessary; however, we do offer COVID testing at the office. Treatment for COVID19 is primarily treating the symptoms present. We have recommended a few medications listed below:
Body aches, muscle/joint aches, headaches, fever: Acetaminophen and/or ibuprofen
Runny nose, sneezing: Flonase, cetirizine
Nasal Congestion: pseudoephedrine; if history of high blood pressure use Coricidin
Diarrhea: Imodium, oral probiotic
Cough: Dextromethorphan (Robitussin)
People with higher risk of developing COVID19 or have more severe symptoms will be treated per the CDC guidelines and protocols in place.
High Risk VS Low Risk
- Respiratory System (Asthma, COPD, etc…)
- Age, 65 and older
- Quarantine for 14 days
- Wait and Watch/ Treatment 1-2 puffs inhaled PO every 4-6 hours PRN for wheezing or shortness of breath
- Aspirin 325mg daily
- Albuterol Inhaler 90mcg/inh, take 1-2 puffs inhaled every 4-6 hours PRN
- Azithromycin 500mg, 1 tab PO daily for 3 days
- Budesonide OR Fluticasone Inhaled
- Prednisone OR dexamethasone orally
Hydroxychloroquine (Plaquenil) is not recommended at this time. The medication has not been proven to help with prophylaxis or treatment of COVID19. Therefore, it will not be used during the plan of care for COVID19 patients. There are many reasons for this medication to be used including lupus, rheumatoid arthritis, and malaria; however, there is now a national shortage. Listed below are the possible side effects of the medication:
- Irreversible retinopathy
- Suicidal behavior
- Psychosis/ nightmares