• News from Public Health Agencies

DEPARTMENT OF PUBLIC HEALTH NEWS
The California Department of Public Health issues daily press releases on the most recent statistics on COVID-19. The most recent press releases can be found at https://www.cdph.ca.gov/Programs/OPA/Pages/New-Release-2020.aspx.

SAN DIEGO COUNTY NEWS

San Diego County opens appointment-only COVID-19 testing sites in Chula Vista, Escondido. Patients are to call 2-1-1 Option 1 and speak to a triage nurse. Individuals must have symptoms of COVID-19 in order to be tested; a referral from a Primary Care Physician is not required.

Latest health order changes announced, including guidelines on face coverings, which types of businesses or attractions are open or closed, and more.
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RIVERSIDE COUNTY NEWS

Riverside County expands COVID-19 testing capacity in western Riverside County as part of California Community-Based Testing Program Online appointments now available for drive-up

Those living within 50 miles of Riverside, CA can now screen symptoms and risk factors online and if eligible, participate in testing at the Diamond Stadium, which has been designated as a Community-Based Testing Site (CBTS). CBTS are California state directed, and federally supported testing centers.

LATEST UPDATES FROM GRAYBILL (as of April 30, 2020)

As the coronavirus pandemic continues to impact our daily lives, we understand you may have questions about your health and how to access care. This message contains current information regarding services, temporary office hours, office closures, enhanced visitor restrictions, telehealth options, and more. Please help us in our efforts to protect you and others as we work to stop the spread of this virus.

We are working hard to keep you apprised of changes that may affect your care in this rapidly evolving situation.

Telehealth services
We are pleased to announce that we offer telehealth, also known as telemedicine, for most types of health concerns. Telehealth offers a practical alternative to in-office visits, and lets you meet with your physician or advanced practitioner from any location using your SmartPhone, tablet, laptop or other smart device. Please visit www.graybill.org/telehealth for more information on this exciting service. To schedule a telehealth visit, call our Patient Communications Center at 866-228-2236 and let the Representative know that you prefer telehealth.

Expanded services
In addition to seeing patients who have immediate and urgent care needs, effective May 4, 2020, we will expand our services to include:

  • Preventive care, such as routine physical examinations, Women’s health, and Men’s health.
    • For patients age 60 and under, routine physical examinations, annual physicals, and women’s/men’s physical examinations, are available via in-office appointments.
    • For patients who are covered by original Fee-for-Service Medicare, their Annual Wellness Visits (AWV) are available via telehealth.
  • Follow-up care for patients with chronic health conditions, such as diabetes, hypertension, respiratory issues, etc.
  • General check-ups for patients typically seen 3 or more times a year to maintain their health status.

All Graybill physicians have expanded their available appointment hours to meet these additional needs.

Changes in Office hours, closures
Most Graybill Offices remain open, with temporary hours of operation. The current hours are shown below; please check www.graybill.org in case further changes are made.

Office Name/Location Current hours:
Urgent Care Monday through Friday 2 p.m. to 8 p.m. Saturday/Sunday 10 a.m. to 4 p.m.
Escondido (Second Avenue) Primary care: Monday through Friday 9 a.m. to 5 p.m.

Specialist care: Varies by department

Escondido (Grand Avenue and El Norte), Oceanside, Melrose, San Marcos, Temecula Monday through Friday, 9 a.m. to 5 p.m.

 

Fallbrook Monday through Thursday 8 a.m. to 6 p.m., Friday 8 a.m. to 5 p.m.
Murrieta, Ramona, Sabre Springs, Valley Center Temporarily closed*

*Patients who normally go to Murrieta, Ramona, Sabre Springs or Valley Center may ask to see their Graybill physician at another location. Alternatively, they can request a telehealth appointment and have a virtual visit with their doctor.

High risk and pregnant patients
COVID-19 is a new disease and there is limited information regarding risk factors for severe illness. Based on currently available information and clinical expertise, older adults and people of any age who have serious underlying medical conditions might be at higher risk for severe illness from COVID-19. We advise you to contact your doctor’s office for further guidance.

What to do if you are sick
If you suspect that you have been infected with the coronavirus or have COVID-19, PLEASE CALL AHEAD. DO NOT come directly to a Graybill Office. Instead, call our Patient Customer Service Center at 866-228-2236 and tell them your symptoms. Our Representative will connect you to an Advanced Practitioner (Physician Assistant or Nurse Practitioner) who can evaluate your situation and advise you on the most appropriate arrangements for your care and on how to keep others safe as well.

Onsite appointments
At Graybill, we are working to protect the health and safety of our patients, staff and clinicians. If you scheduled an onsite appointment, please be aware of the following: 1) you must wear a mask as required by San Diego and Riverside County health authorities; 2) we must take your temperature before you enter our waiting room; 3) you must come unattended (exception: pediatric patients or those needing assistance may arrive with one companion or attendant).

COVID-19 Testing
At this time, Graybill is not conducting either diagnostic (genetic) or antibody (serological) COVID-19 testing.

Many commercial labs are advertising their ability to do antibody (also called serology) testing. Currently, the Food and Drug Administration states that it is not aware of an antibody test that has been validated for diagnosis of COVID-19 infection. The FDA states that, “while FDA remains open to submissions of these tests for such use, based on the underlying scientific principles of antibody tests, we do not expect that an antibody test can be shown to definitively diagnose or exclude COVID-19 infection.”

Due to this Graybill is not promoting any antibody testing for our patients at a commercial lab. In the future, this may potentially be used to help determine, together with other clinical data, whether these individuals may be less susceptible to infection.

 

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