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Urgent Care 24/7
CORONAVIRUS,
COLD & FLU CARE
COVID-19 Coronavirus 2020-06-11T16:52:25-04:00

CORONAVIRUS / COVID-19 TESTING AVAILABLE AT URGENT CARE 24/7 ORLANDO

OPEN 7 Days a Week, 365 Days of the Year, Walk-ins Welcome

OPEN 7 Days a Week
365 Days of the Year
Walk-ins Welcome

COVID-19 (Coronavirus)

So what, exactly is all the panic about? We have a pandemic! – as declared by the World Health Organization (WHO) caused by a new strain of a coronavirus.

The WHOs website states that there has never been a pandemic caused by a coronavirus. This isn’t exactly true, since the “Common cold” affects the world pandemically every year, and it too is a coronavirus. If that is true, why is the entire world in an absolute melt down over this pandemic and what is the correct response?

Washing hands and staying home, away from large groups is a rational response. Avoiding public altogether and hording toilet paper IS NOT. Cancellation of large gatherings of people is a rational response. Hanging out with a bunch of people who’ve come from endemic areas is NOT. Having a cough and fever means coming to Urgent Care 24/7 and getting treatment, then go home. Stay home, avoiding public, especially elderly populations, is a rational response. If difficulty breathing becomes an issue, getting additional help is rational.

As this is a new virus, no one has natural immunity. So this may be akin to our visit from the legendary conquistador Desoto in the current day. We have no immunity for this virus. We catch it, we get flu-like symptoms and fever and maybe a cough. While this sounds simple, intensity of symptoms varies from person to person, can end in complications and recovery time can be much longer than your typical cold or flu.

WHO states in a report today that symptoms are non-specific and disease presentation can range from no symptoms to severe pneumonia and death. People with COVID-19 infection typically develop signs and symptoms on an average of 5-6 days with a range of 1-14 days. MOST PEOPLE HAVE MILD DISEASE AND RECOVER. Approximately 80% of people with laboratory confirmed disease, had mild to moderate symptoms. Only 13.8% have severe disease of which 6.1% are critical. Disease in children appears to be rare, with approximately 2.4% of the total reported cases under age 19. As of Feb 20, 2114 of 55,924 laboratory confirmed cases have dies (crude fatality ratio [CFR] of 3.8%). Initial infections in China were much higher in Wuhan in early stages of the outbreak with a CFR of 17.3%. This high rate understandably fed into some of the international fears that continue into today, albeit the rate has decreased to 3.8 world-wide. Mortality increases with age, with the highest mortality in people over 80 years of age with a CFR at 21.9%1.

With these statistics in mind, should we be concerned with infection? Absolutely. More importantly we should avoid the elderly and immune compromised population if we are not feeling well.

So what is this virus, and what does it mean to our community? In simple terms, it is a community spread virus that is appearing to be deadly to our elderly population. Unlike the influenza, it appears to be sparing younger children. While that is the case, children can still be carriers and spread the disease.

It is a virus that is spread by droplet contamination. It is not airborne2.

Several weeks ago, we at Urgent Care 24/7 saw what has happening in Wuhan and that it was spreading. We began stocking up on sensible items like Nebulizer kits and medicines so that we can treat people and help them recover. We offer a variety of testing including for COVID-19 and influenza. We have fluids infusion capabilities, breathing treatment and antivirals found to be effective in treatment of both diseases. We started working on obtaining another effective medication in COVID-19, Chloroquine Phosphate, a medication found to be effective the treatment of Malaria. More on that medication later in this discussion.

COVID-19s main feature appear to be pneumonia in some people. The pathophysiology in this virus has a coat (or a corona) of proteins that interact with an enzyme called Angiotensin-Converting Enzyme 2, or ACE2 in humans. When the virus inters specific cells containing ACE2, it injects its RNA and hijacks the cell, and uses the cell to create more viruses. These cells that contain ACE2 include the lung, the stomach, intestines, kidneys, the heart2. As these cells are hijacked and are turned away from their normal function by the viruses, they burst and die, causing a release in inflammatory markers. This cellular death causes the disease, and results in a inflammation reaction and in some additional disease. This explains, for a large part, for the problems in the lungs, especially in an elderly person whose immune response may not be adequate.

Urgent Care 24/7 has always been a leader in the community for lower cost care and ability to treat all times of the day. Treatment for this disease for mild to moderate symptoms can be symptomatic. We provide breathing treatments, fluids and antivirals/antibiotics as may be indicated. In severe disease, one may try the combination of medications that has been termed “the Thai cocktail”. That is essentially the use of anti-RNA antivirals.

Another combination used, is the combination of Tamiflu and Chloroquine Phosphate. This is one of the treatments we are working on making available if needed. Tamiflu is a common RNA antiviral, that is used in Influenza A and B. COVIS-19–like Influenza, HIV and other viral infections—is an RNA virus. As such, it has been found to respond to medications of other RNA viruses.

Another finding in the Corona virus is the Use of Zinc. Zinc decreases the infectiveness in the cell by inhibiting the cellular mechanisms that reproduce the viral material. The problem with Zinc is its’ 2+ charge that makes it very difficult to get into cells. Research also shows that by just increasing large amounts of zinc into a system does not get large increases in the cell where it is needed to fight the disease. This problem can be overcome if there is a mechanism to pull it through the cell wall, and this mechanism is called an Ionophore. Think of ionophore’s as a door that is very specific to what it lets through the door4.

The anti-malarial medication, Chloroquine Phosphate has been found to be that very ionophore that allows zinc into the cell5. So, the use of Zinc and Chloroquine can reduce the replication of the RNA in the cell along with the anti-RNA medication; the combo of which has seen success in treatment of this COVID-19 infection.

In summary, the preferred way to prevent infection and spread of COVID-19 is simple practices we should all have been doing in the first place. Washing hands, staying home when sick and avoiding those who are sick. Avoid touching face, eyes and mouth. Always cover one’s mouth when coughing, preferably into one’s sleeve. Frequently disinfecting commonly toughed surfaces like doorknobs will also decrease transmission.

Drink plenty of fluids and rest. Seek help if you’re not feeling well. We’d be happy to help. We are genuinely interesting in the health and welfare of our communities! We offer testing at all of our clinics 7 days a week. No appointment is necessary but we ask that you call ahead if possible. You do not need your doctor’s approval or a special letter to get testing for the novel coronavirus / COVID-19 at Urgent Care 24/7. You can be assured that we are taking every measure possible to ensure the health and safety of our staff and patients. Anyone that has symptoms of coronavirus or suspects they might have it due to exposure or travel will be cared for in an area separate from the clinic to avoid potential transmission of the virus.

If you are experiencing any of the symptoms of COVID-19, please feel free to come to any one of our clinics at Urgent Care 24/7. We have locations in Atlanta, Athens, Midtown Savannah, Historic Savannah, Pooler, and Whitemarsh Island, GA and in Orlando/Celebration, FL. Urgent Care 24/7 Tampa will be opening in May 2020.

Stay up to date on Coronavirus by following World Health Organization (WHO) or the Center for Disease Control (CDC). If you want an in depth understanding of COVID-19 (Coronavirus), this is a good video: https://www.youtube.com/watch?v=U7F1cnWup9M&t=9s.

References

  1. WHO. “Report of the WHO-China Joint Mission on Coronavirus Disease 2019 (COVID-19)”. 16-24 February 2020.
    https://www.who.int/docs/default-source/coronaviruse/who-china-joint-mission-on-covid-19-final-report.pdf
  2. WHO. “WHO Director-General’s opening remarks at the media briefing on COVID-19” – 3 March 2020.
    https://www.who.int/dg/speeches/detail/who-director-general-s-opening-remarks-at-the-media-briefing-on-covid-19—3-march-2020.
  3. Bernard. “3 COVID-19 cases as Described by Doctors in Wuhan”. Medpage today. March 11, 2020.
  4. Velthuis, VanDenWorm, Sims, Baric, Snijder, Hemert. “Zn Inhibits Coronavirus and Arterivirus RNA Polymerase Activity In Vitro and Zinc Ionophores Block the Replication of These Viruses in Cell Culture TY PLoS pathogens. 6. e1001176. 10.1371/journal.ppat.1001176.
  5. Xue J, Moyer A, Peng B, Wu J, Hannafon BN, Ding W-Q (2014) Chloroquine Is a Zinc Ionophore. PLoS ONE 9(10): e109180. https://doi.org/10.1371/journal.pone.0109180
Urgent Care 24 / 7orEmergency Room
 

Urgent Care 24/7
Tampa

13039 Summerfield Square Dr, Ste A

Riverview, FL 33578

phone: (813) 616-5722

24 HOURS, 7 DAYS A WEEK
Video Visits Available Online 24/7

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Testimonials

Experience was great! Parking was available on the street up-front. Their "check-in" person/professional was a nurse or paramedic (not just a business major or medical clerk) who was able to screen at a pretty advanced level (and just a cool dude). The paperwork wasn't so bad. They don't take insurance, but the administrative overhead that comes with insurance (government regulations, etc). makes it a wise move to avoid. I just used an HSA. The doctor/PA came into the exam room within a reasonable time period and purposely seemed to linger to ensure his body language was conveying "i'm here for you" which was helpful. I'm a bit against antibiotics, due to bad experiences and medical tendency to over-prescribe them, but the doctor was receptive to my concerns. The "check in" medical professional intelligently answered my questions. I took some shots and selfishly would have wanted to hit the road, but they advised me to stick around for 15 minutes. This advice was critical since my body had a "pain response" for 10 mins (lightheaded/cold/hot/sweat)... which would have been a dangerous drive, but I suddenly felt MUCH better. As someone with an entrepreneurial itch, I was very impressed with the lean, efficient, and effective shop they run! It's not "cheap", but it's on the high-end of "fair" for the quality they deliver... assuming you budget for some medical expenses throughout the year (which I do).

Sam Mammen

Fantastic experience, parking was extremely convenient for the location and I was seen right away. Even when they're not busy they're on top of their game. Great clinic, wonderful staff, they get a very strong recommendation.

Eric Blumenschein

This place is great! I felt like I've had the cold for almost a month and they treated me right away. I was in there for no more than an hour. The staff, Raymond and Melissa, were super patient with explaining what could be making me feel bad, medications and really nice/approachable overall. They really go out of the way to make you feel comfortable in a medical setting

Christina Wai

The staff here is amazing. Very warm and personable. Took very good care of me. I wish I lived in Atlanta just so I could always return to them whenever I’m not feeling well.

Morgan Mceachin

Absolutely wonderful service. I’m a nurse myself, and the care I received at this facility from Tori and the PA who saw me (I can’t remember his name) was beyond excellent. It was my wedding rehearsal day, and I came in in pretty bad shape. Both providers showed so much concern and compassion, I felt immediate relief just knowing I was in good hands. Thank you for all you do! I’d recommend anyone and everyone to this facility!

Rachel Steeb

I took my boyfriend here after he cut himself badly on a school project. We were greeted immediately and taken to a room where the nurse explained very clearly the price and process of the visit. It was absolutely one of the fastest visits to a doctor either one of us has ever experienced. Staff was incredibly friendly and helpful. Definitely recommend this urgent care to anyone for quick and thorough care.

Lucy Phipps-Kaye

Great service and convenient location! Always rely on urgent care for any health concern I have. They never fail to give the best service and always call back to check up on how you are doing. Best clinic in town!

Isabella Yidi
$99 Office Visit includes evaluation by a Provider. Tests, procedures, and medications may be extra. After hours fee of $29 applies 6PM-8AM.
Payment is due at time of service. Visa, Mastercard, Discover, American Express, HSA Cards, CareCredit and Cash accepted. Financing may be available.