People want to *know* they're no longer contagious before resuming normal activities- but there are certain scenarios that make it very difficult to conclude that.
Ed- so difficult to negotiate the public and these issues. The even once receptive individuals have forgotten Covid19 and it makes it a careful tap dance encouraging testing and then compliance w at a minimum common sense.
I am convinced that we are seeing so many teens testing negative for Covid right now w symptoms, but as we cannot test in office outpatient for rhino/entero, adeno, mycoplasma, we don’t know. Of course the overlap is large and I am left uncertain. Some we can send PCR, which do return within 24-36h now, but many refuse; and the cost is still high.
I appreciate your work.
We have a staff right now, shockingly her first time after being a “Novid” for so long, with fulminant Covid, and trying to figure out how to bring her back in is a struggle- CDC? Too liberal, 10 days? Feels restrictive, some testing? 2 rapid 48 hrs apart, at least 48h after fever, resolving symptoms? It’s hard. We’ll have to play it day by day. I suspect she may test positive rapid Ag for a bit, so likely will land closer to 10 days…
Ed- so difficult to negotiate the public and these issues. The even once receptive individuals have forgotten Covid19 and it makes it a careful tap dance encouraging testing and then compliance w at a minimum common sense.
I am convinced that we are seeing so many teens testing negative for Covid right now w symptoms, but as we cannot test in office outpatient for rhino/entero, adeno, mycoplasma, we don’t know. Of course the overlap is large and I am left uncertain. Some we can send PCR, which do return within 24-36h now, but many refuse; and the cost is still high.
I appreciate your work.
We have a staff right now, shockingly her first time after being a “Novid” for so long, with fulminant Covid, and trying to figure out how to bring her back in is a struggle- CDC? Too liberal, 10 days? Feels restrictive, some testing? 2 rapid 48 hrs apart, at least 48h after fever, resolving symptoms? It’s hard. We’ll have to play it day by day. I suspect she may test positive rapid Ag for a bit, so likely will land closer to 10 days…
Dr N - Your remarks on test characteristics and disease prevalence were spot on. It is a lesson we clinicians must learn over and over . Thanks .
Appreciate your comments; just want to clarify that I don’t hold a doctorate. Edward (or Ed) is fine.