COVID practice update
Long Covid Clinic:
Northern Light Mercy Hospital launches post-COVID care
Northern Light Mercy Hospital has launched a new effort to help those who are experiencing lingering symptoms even after they have recovered from COVID-19 infection. The hospital has brought together a select group of providers to focus on the evaluation and treatment of post-COVID patients. This approach will help Mercy clinicians work efficiently with Massachusetts General Hospital on developing evolving clinical guidelines to provide the most up to date care for these patients.
Post-COVID patients may have a range of symptoms that could require evaluation from a variety of specialists. During the initial visit, each patient undergoes a comprehensive intake and physical evaluation. A patient navigator then arranges additional imaging, testing, and/or referrals to specialists as needed.
Those seeking evaluations can call 207-857-8375 to schedule an appointment. Northern Light Mercy Hospital – Northern Light Health
OK to have flu shot and COVID vaccine at the same time:
The U.S. CDC and the Advisory Committee on Immunizations Practices recommend that if a patient is eligible, both the flu and COVID-19 vaccines can be administered at the same visit. In addition to flu vaccine, the COVID-19 vaccine can be given with other vaccines as well. Even though both vaccines can be given at the same visit, people should follow the recommended schedule for either vaccine. Previously, CDC guidance recommended healthcare professionals administer COVID-19 vaccine alone. This recommendation was out of an abundance of caution during a period when these vaccines were new and not based on known safety or immunogenicity concerns. However, substantial data have now been collected regarding the safety of COVID-19 vaccines currently approved or authorized by FDA.
Coadministration of Influenza and COVID-19 Vaccines.pdf (govdelivery.com)
The following information was accurate as of 9/23/21.
As a hospitalist currently facing the difficulty of trying to get hospitalized patients the care they need with essentially no hospital beds available in the state, I ask that you consider referring qualifying patients for monoclonal antibody treatment, both to help the patient by potentially preventing the disease from progressing, and also to help keep patients out of the hospital if possible.
While there are currently no FDA approved therapies for the management of patients with COVID-19 in the outpatient setting, the FDA has provided Emergency Use Authorization for some monoclonal antibodies. The approved options include both Bamlanivimab-etesevimab and carisirivimab-imdevimab. Both are given by IV infusion.
Inclusion criteria are either age 18 or older, or age 12-17 and weight 40kg or more, and not hospitalized for COVID-19, and not requiring supplemental oxygen (or not greater than baseline if on supplemental oxygen at baseline), and high risk of progression to Severe Covid-19, hospitalization, or death. In addition to the above inclusion criteria, patients also have to meet the following eligibility criteria: presenting within 10 days of symptoms, confirmed COVID-19 via laboratory testing in the previous 10 days, and mild to moderate COVID-19.
There previously was an indication for prophylaxis, however, due to shortages, monoclonal antibodies are not available for prophylactic use at this time.
Infusion center sites include NL-EMMC (207-973-8286), St. Joseph’s Hospital in Bangor (207-907-3000), NL-Mercy (207-879-3355), NL-Inland (207-861-3380), NL- Sebasticook Valley Hospital (207-487-4089), NL-Mayo (207-564-4283), NL-AR Gould (207-768-4158), NL CA Dean (207-695-5270), NL Maine Coast (207-664-5470), NL Blue Hill (207-374-3996), NL Acadia (207-973-6160), Down East Community (207-255-0435), Cary Medical Center (207-762-0457), NL monoclonal antibody team (207-400-8790). This may not be an all inclusive list.
Additional contact numbers follow, but are not confirmed to provide monoclonal antibody treatment.
Maine Health Scarborough (207-396-7705), Maine Health Biddeford (207-294-5820), Maine Health Sanford (207-459-1640), Central Maine Medical Center (207-795-0111), Maine General Medical Center (207-626-1000).