Image by United Nations COVID-19 Respons

COVID-19 TESTING

We are pleased to offer COVID-19 PCR swab testing at our facility with 24-48 hour turnaround!

Testing FAQ:

What kind of COVID-19 testing is offered?

  • We perform nasopharyngeal swabs, which are sent for PCR testing to identify active COVID-19 infection. This is the most reliable test available, which involves passing a swab into the back of the nose.

  • The test is performed by our skilled and compassionate nurse.

  • Swabs take place outside of our office in the back parking lot. The lot is accessible from the alleyway on Islay St, between State St and Chapala St. 

Who can get a test?

  • We test all ages, including children. Young children should be kept in their car seats for the test.

  • Testing is available for symptomatic patients, recent exposures, for work requirements, and for recent or upcoming travel.

  • We now offer after-hours or on-site group testing for additional fees; please contact the office to discuss further if interested.

​When can I get a test?

  • We offer appointments Monday through Friday. 

  • Please complete our secure online intake form and call our office to schedule.

  • If it is your FIRST SWAB with us, click HERE to complete the form. For RETURNING SWABS, click HERE. You may also use the links below.

  • Because of the overwhelming demand for COVID-19 testing, we will not be able to call every patient completing forms. Please call us to schedule an appointment.  

Does the test cost any money?

  • There is a $75 nonrefundable convenience fee per test, payable to Riviera ENT by credit card or cash.

  • Payment must be collected before the test is performed.  

  • Currently, most insurances are covering the laboratory costs. For those without insurance, the laboratory costs are typically covered by the county, but driver's license is required by the lab to process this.

Where do I go for my swab?

  • Please arrive on time for your appointment to prevent delays for other patients

  • If you have not yet paid for your swab, please come to the door to pay with our front office before your appointment time

  • We ask that patients park in our back lot. See our main page for directions and instructions

  • Please call the office when you arrive to indicate you are here. We will provide further instructions at that time

  • Swabs are performed in a sheltered area outside our office. The area is sanitized between each patient

Where are the swabs sent for testing and when can I expect my results?

  • COVID-19 tests will be sent daily to Pacific Diagnostic Labs for analysis. 

  • Results presently are currently taking 24-48 hours to return, but this timeframe is subject to change depending on the testing capacity and the numbers of samples the lab receives. 

  • The labs require that we include your insurance information with your sample.

How do I find out my results?

  •  Due to high volume and demand, the fastest and easiest way to see your results is to check your Epic My Chart (same as Cottage Hospital)

  • Patients will be contacted by a staff member when results are available. Please be sure your voicemail is not full in case you are not able to answer.

  • Positive results will be contacted by phone and reported to the County Public Health Dept in accordance with state law.

 

COVID-19 UPDATE 12/7/2020

Dear patients,


Santa Barbara County along with all of Southern California is under new stay-at-home restrictions as a result of a recent significant increase in the number of COVID-19 cases in the area.  A return to what we considered to be "normal" is not part of our collective foreseeable future.  Our community's practice of medicine has been forced to change in light of this major world event, and we will continue to evolve and change policies as time goes on in order to keep our patients and our community safe. At this time elective surgeries are still being scheduled. Patients will be tested for COVID-19 prior to surgery.

For now our best advice to stay healthy:

1. SEEK MEDICAL CARE IF YOU NEED IT

2. Wash your hands often. Alcohol-based gels work well, but so does soap and water.

3. Avoid touching your eyes, nose, or mouth.

4. Stay away from any large group or gathering. More contacts mean more exposures. Recognize that these efforts to #flattenthecurve may be to save others and not yourself. 

5. Wear a mask in public. Be sure it covers your nose and mouth.

6. Preparation is better than panic. Knowledge is power. The website https://publichealthsbc.org/ has excellent information on this problem that is catered to Santa Barbara County.

7. Remember that epidemics come and go. This will be a difficult period for many, and we will suffer tragic losses, but with the community cooperating, we can save lives and get through this stronger than ever.


We stand with you, and wish you an abundance of health and happiness.


Dale Amanda Tylor, MD, MPH

Stephanie Culver, MD

Riviera ENT

 
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COVID-19 SYMPTOMS

Know what to look for:

COVID-19 affects different people in different ways. Infected people have had a wide range of symptoms reported – from mild symptoms to severe illness.  Symptoms may appear 2-14 days after exposure to the virus.


People with these symptoms may have COVID-19:

  • Fever or chills

  • Cough

  • Shortness of breath or difficulty breathing

  • Fatigue

  • Muscle or body aches

  • Headache

  • New loss of taste or smell

  • Sore throat

  • Congestion or runny nose

  • Nausea or vomiting

  • Diarrhea


Look for emergency warning signs for COVID-19. If someone is showing any of these signs, seek emergency medical care immediately:

  • Trouble breathing

  • Persistent pain or pressure in the chest

  • New confusion

  • Inability to wake or stay awake

  • Bluish lips or face


Call your doctor or go to the emergency department for any other symptoms that are severe or concerning to you.

(https://www.cdc.gov/coronavirus/2019-ncov/symptoms-testing/symptoms.html)

 
Cough%2C%20know%20the%20symptoms%2C%20help%20flatten%20the%20curve.%20%20Image%20created%20by%20Jack

SÍNTOMAS DE LA ENFERMEDAD DEL CORONAVIRUS

Esté atento a los síntomas

Los síntomas notificados por personas con COVID-19 varían desde aquellos que presentan síntomas leves hasta quienes se enferman gravemente.


Los síntomas pueden aparecer 2 a 14 días después de la exposición al virus. 


Las personas con estos síntomas podrían tener COVID-19:

  • Fiebre o escalofríos

  • Tos

  • Dificultad para respirar (sentir que le falta el aire)

  • Fatiga

  • Dolores musculares y corporales

  • Dolor de cabeza

  • Pérdida reciente del olfato o el gusto

  • Dolor de garganta

  • Congestión o moqueo

  • Náuseas o vómitos

  • Diarrea


Esta lista no incluye todos los síntomas posibles. Los CDC seguirán actualizando esta lista a medida que aprendamos más acerca del COVID-19.

Cuándo buscar atención médica de emergencia

Esté atento a los signos de advertencia de emergencia* del COVID-19. Si alguien presenta alguno de estos signos, busque atención de servicios médicos de emergencia de inmediato:

  • Dificultad para respirar

  • Dolor o presión persistente en el pecho

  • Confusión

  • Incapacidad de despertarse o permanecer despierto

  • Coloración azulada en los labios o el rostro 

*Esta lista no incluye todos los síntomas posibles. Llame a su proveedor de servicios médicos por cualquier otro síntoma grave o que le preocupe.

Llame al 911 o llame antes a su centro de emergencias local: notifique al operador que necesita atención para alguien que tiene o podría tener COVID-19.

(https://espanol.cdc.gov/coronavirus/2019-ncov/symptoms-testing/symptoms.html)

 

COVID-19 RESOURCES

Information to help you stay safe

PUBLIC HEALTH INFORMATION

Stay up-to-date on what impact COVID-19 is having in Santa Barbara County, and how to stay safe at the Santa Barbara Public Health Department website

  • County-wide statistics

  • Public health orders and recommendations

  • Testing info

  • Holiday guidance

  • Facts and FAQs

  • Other important COVID-19 safety information

Image by CDC
Image by United Nations COVID-19 Respons

QUARANTINE INSTRUCTIONS FOR PEOPLE WITH COVID-19 INFECTION

The following instructions are for people who have positive tests for COVID-19.


It also includes quarantine information for their close contacts, families, or caregivers.


If you are a health care worker or first responder, please refer to guidance from your employer.


If you test positive at a community testing site, urgent care or hospital, inform your medical provider of your positive result.

INSTRUCCIONES DE AISLAMIENTO EN EL
HOGAR PARA PERSONAS CON COVID-19

Las siguientes instrucciones son para personas que tienen pruebas positivas con COVID-19.


También incluye información de cuarentena para sus contactos cercanos, familias o cuidadores.


Si usted es un trabajador de atención médica o personal de primera respuesta, consulte la guía de su empleador.

Si su resultado es positivo en un sitio de pruebas comunitarias, atención de urgencia u hospital, informe a su proveedor médico de su resultado positivo.

Image by Brian Wangenheim
Doctor's Appointment

COVID CARE IF YOU DON'T HAVE INSURANCE OR CAN'T PAY

If you have COVID and no primary care provider, you can receive COVID-related health care even if you don’t have insurance or can’t afford insurance or care!

COVID-related health care can be obtained through the Health Care Centers of the Public Health Department of Santa Barbara.  

https://countyofsb.org/phd/health-care-centers.sbc

Health Care Centers (HCC) Main Office Lines

·       Carpinteria HCC (805) 560-1050  

·       Franklin HCC/PATH/Rescue Mission (805) 568-2099

·       Lompoc HCC (805) 737-6400

·       Santa Barbara HCC (805) 681-5488  

·       Santa Maria HCC/Good Samaritan (805) 346-7230

CUIDADO DE COVID SI NO TIENE SEGURO O NO PUEDE PAGAR

Si tiene COVID y no tiene un proveedor de atención primaria, puede recibir atención médica relacionada con COVID, incluso si no tiene seguro o no puede pagar un seguro o atención.

La atención médica relacionada con COVID se puede obtener a través de los Centros de Atención Médica del Departamento de Salud Pública de Santa Bárbara.

https://countyofsb.org/phd/health-care-centers.sbc

Centros de Atención médica (HCC) Líneas Principales de la Oficina

·       Carpinteria HCC (805) 560-1050  

·       Franklin HCC/PATH/Rescue Mission (805) 568-2099

·       Lompoc HCC (805) 737-6400

·       Santa Barbara HCC (805) 681-5488  

·       Santa Maria HCC/Good Samaritan (805) 346-7230

Image by Creators Collective
Crowd with Masks

HARVARD MEDICAL SCHOOL CORONAVIRUS RESOURCE CENTER

This is an excellent set of articles to answer many of the questions you might have about COVID-19.

 

POSSIBLE PREVENTION/TREATMENT TO CONSIDER FOR COVID

Eastern Virginia Medical School (EVMS) Protocols for Prevention and Treatment (https://www.evms.edu/media/evms_public/departments/internal_medicine/EVMS_Critical_Care_COVID-19_Protocol.pdf

Herbal Medicine

PROPHYLAXIS OF COVID

While there is no “Level 1 evidence” that this “cocktail” will prevent/mitigate against COVID-19 we believe there is significant supportive evidence indicating the efficacy of these agents. Furthermore, there is emerging data that ivermectin may be highly effective in the prevention and treatment of COVID-19. It is important to emphasize that ALL of the medications included in our prophylactic regimen are inexpensive, extremely safe, and widely available.
• Vitamin D3 1000-3000 IU/day. Note RDA (Recommended Daily Allowance) is 800-1000 iu/day. The safe upper-dose daily limit is likely < 4000 iu/day.
Vitamin D insufficiency has been associated with an increased risk of acquiring COVID-19 and from dying from the disease. Vitamin D supplementation may therefore prove to be an effective and cheap intervention to lessen the impact of this disease, particularly in vulnerable populations, i.e. the elderly, those of color, obese and those living > 45o latitude.
• Vitamin C 500 mg BID (twice daily) and Quercetin 250 mg daily.  Note that prolonged high dose quercetin has very rarely been associated with hypothyroidism. Quercetin should be used with caution in patients with hypothyroidism and TSH levels should be monitored.
• Melatonin (slow release): Begin with 0.3mg and increase as tolerated to 2 mg at night. 
• Zinc 30-50 mg/day (elemental zinc).
• B complex vitamins 
• Optional: Famotidine 20-40 mg/day. Low-level evidence suggests that famotidine MAY reduce disease severity and mortality. However, the findings of some studies are contradictory. While it was postulated that famotidine inhibits the SARS-CoV-2 papain-like protease (PLpro) as well as the main protease (3CLpro) this mechanism has been disputed. Furthermore, a single study suggested that users of PPI’s had a significantly increased odds for reporting a positive COVID-19 test when compared with those not taking PPIs, while individuals taking histamine-2 receptor antagonists were not at elevated risk. This data suggest that famotidine may be the drug of choice when acid suppressive therapy is required.
• Ivermectin for pre- and postexposure prophylaxis (see ClinTrials.gov NCT04422561 & NCT04425850). 200ug/kg immediately then repeat in 72 hours.
• Ivermectin for prophylaxis in high risk individuals. 150-200ug/kg (or 12 mg) ivermectin weekly.
• Optional/Experimental: Interferon-α nasal spray for health care workers.

Daily dose of vitamins

SYMPTOMATIC PATIENTS (AT HOME)

While there is extremely limited data, the following “cocktail” may have a role in the prevention/mitigation of COVID-19 disease:

  • Vitamin C 500 mg BID and Quercetin 250-500 mg BID

  • Zinc 75-100 mg/day (elemental zinc)

  • Melatonin 10 mg at night (the optimal dose is unknown)

  • Vitamin D3 2000-4000 iu/day

  • Ivermectin 150-200 ug/kg orally (repeat on day 2). Alternative strategy is a dose of 12 mg within 24 hours of symptom onset and then repeated 24 hours later.

  • ASA 81 -325 mg/day (unless contraindicated). ASA has antiinflammatory, antithrombotic, and antiviral effects.  Platelet activation may play a major role in propagating the prothrombotic state associated with COVID-19.

  • B complex vitamins

  • Optional: Famotidine 40 mg BID (reduce dose in patients with renal dysfunction)

  • Optional: Vascepa (Ethyl eicosapentaenoic acid) 4g daily or Lovaza (EPA/DHA) 4g daily; alternative DHA/EPA 4g daily. Vascepa and Lovaza tablets must be swallowed and cannot be crushed, dissolved or chewed. Omega-3 fatty acids have anti-inflammatory properties and play an important role in the resolution of inflammation. In addition, omega-3 fatty acids may have antiviral properties.

  • Optional: Interferon-α/β s/c, nasal spray or inhalation. It should be noted that Zinc potentiates the effects of interferon.

  • In symptomatic patients, monitoring with home pulse oximetry is recommended (due to asymptomatic hypoxia). The limitations of home pulse oximeters should be recognized, and validated devices are preferred.  Multiple readings should be taken over the course of the day, and a downward trend should be regarded as ominous. Baseline or ambulatory desaturation < 94% should prompt hospital admission. The following guidance is suggested: 1. Use the index or middle finger; avoid the toes or ear lobe, 2. Only accept values associated with a strong pulse signal, 3. Observe readings for 30-60 seconds to identify the most common value, 4. Remove nail polish from the finger on which measurements are made, 5. Warm cold extremities prior to measurement

  • Not recommended: Hydroxychloroquine (HCQ). The use of HCQ is extremely controversial. The best scientific evidence to date suggests that HCQ has no proven benefit for post exposure prophylaxis, for the early symptomatic phase and in hospitalized patients. Considering the unique pharmacokinetics of HCQ, it is unlikely that HCQ would be of benefit in patients with COVID-19 infection (it takes 5-10 days to achieve adequate plasma and lung concentrations). Finally, it should be recognized that those studies which are widely promoted to support the use of HCQ are severely methodologically flawed.

  • Not recommended: Systemic or inhaled corticosteroids (budesonide). In the early symptomatic (viral replicative phase), corticosteroids may increase viral replication and disease severity. An OpenSAFELY analysis in patients with COVID-19 demonstrated a higher risk of death in COPD and asthmatic patients using high dose ICS. The role of ICS in the pulmonary phase is unclear as patients require systemic corticosteroids to dampen the cytokine storm, with ICS having little systemic effects.