Recent Announcements

Stay up-to-date on the most current news at Brandywine Pediatrics. We will post office closings, vaccine availability, and more as news is available.

Now: COVID-19 vaccine for all patients 16 years & older

The state has lifted restrictions on which patients we may vaccinate, so we are now happy to vaccinate any patient 16 years of age and older.
If you would like to receive vaccine (we have been receiving Pfizer’s so far), please email us at the below address and you will be added to our list and contacted once a vaccine appointment is available:
Raenepa@gmail.com    
Please include patient’s name, DOB, primary physician, and best contact number.
                       ** Please use this address only for COVID-19 vaccine appointments.**
Please note, it is important to answer when Rae calls or to call back promptly.  Unfortunately, she cannot hold spots waiting for call backs and continues to move down her list, if someone does not answer.  (This is due to logistical restrictions on administration of vaccine.  We must schedule people back-to-back, without gaps.)
Prior to your appointment, in order to improve overall efficiency, please print out the attached pre-vaccination questionnaire and bring it to your appointment.
You may also still register to be vaccinated by the Delaware Department of Health.
https://de.gov/covidvaccine  —   to register.

Farewell, Dr. Ray

Sadly, Dr. Ray left Brandywine Pediatrics at the end of March.  We are hoping to announce her replacement in the very near future.  Please be assured that we will continue to take excellent care of your children in the interim.  And, Tiffany is still with us to answer your calls.

We wish Dr. Ray good luck in her new endeavors.

Physical Exams 2021

Please call Michelle to schedule your child’s physical @ 302-478-2604.

Quarantine Rules Changed

The CDC has put out new guidance regarding quarantine.  The long quarantine period, based on the best understanding of contagion, has placed a huge burden on those who cannot afford to miss in-person work or school.

The CDC continues to recommend a 14 day quarantine after a known exposure* to COVID-19 for the lowest chance of spreading the virus.  But new acceptable minimal quarantine limits are:

  • 10 day quarantine, if completely without symptoms     OR
  • 7 day quarantine, if completely without symptoms and with a negative COVID-19 test on day 5, 6, or 7.

Quarantine still begins on the last day of contact with infected person.  10 day isolation minimum is still necessary for COVID-19 infection.  Again, a 14 day quarantine is still superior for decreasing risk of being contagious to others.

https://www.cdc.gov/coronavirus/2019-ncov/if-you-are-sick/quarantine.html

* The CDC defines exposure or close contact as:
    • You were within 6 feet of someone who has COVID-19 for a total of 15 minutes or more (15 minutes do not need to be a single block)
    • You provided care at home to someone who is sick with COVID-19
    • You had direct physical contact with the person (e.g., hugged or kissed them)
    • You shared eating or drinking utensils
    • You were with someone who sneezed, coughed, or somehow got respiratory droplets on you

 

Awaiting COVID-19 Results

Until the COVID-19 test is resulted, we advise that your child and all family members remain out of work/school/camp. If a negative test is confirmed, your child will be cleared to return to camp/school once fever free for 24 hours and with improving symptoms.
If your child if COVID-19 positive or should you decide to defer COVID-19 testing (ie, assume COVID-19), your child will need to remain out of school/camps/work until the child is fever free for 24 hours AND 10 days have passed since the onset of symptoms and all symptoms are improving.

All contacts in the household will need to quarantine for an additional 7-14 days from their last exposures to the sick contact (in most cases, the day that the child is cleared for return), which could be as long 24 days total.  Once a 10-14 day quarantine is completed, there is no need for a negative test as well.

Treat your child’s symptoms as you are used to with other viral illness. We encourage plenty of fluids, use of Tylenol (and Ibuprofen if you need it ) to improve symptoms of fever/achiness/headache and close monitoring.
Please call us immediately or seek care in the Emergency room if your child:
-spikes a temperature of 105.
-looks unwell
-experiences chest pain/trouble breathing or if you observe signs of difficulty breathing
-your child fails to void (urinate) every 6-8 hours
-is lethargic and not improving with Tylenol (acetaminophen) or Motrin/Advil (ibuprofen).

If you obtain a COVID-19 test for screening purposes only, you do not need to quarantine while waiting for results.

COVID-19 Testing in Office

We have COVID-19 antigen tests in the office, giving results w/in 15-30 minutes.  These tests require interpretation for each patient and at times may need to be verified by PCR.

We can still obtain samples for COVID-19 PCR testing in our office.  PCR testing gives the most accurate result.  Samples are picked up by LabCorp from our office that day and results sent to us within 1-3 days.  We are thrilled with how well this has been working so far.

We use a soft swab in the front part of the nose only.  Lots of kids think it tickles.

COVID-19 testing is still available through the Delaware Department of Health at multiple locations and at several private and hospital labs.  See COVID-19 Testing under Announcements.

COVID-19 Testing

If your child is experiencing symptoms that could suggest COVID-19, we are advising that (s)he be tested. If your child undergoes testing at out office, Christiana Hospital, St Francis Hospital, or DE Diagnostic Labs, you will hear from our office with results within 5 days. Otherwise, the testing sites should inform you directly of the results.  AI DuPont Hospital is providing no public testing. Current testing options include:

  • Delaware Department of Public Health (DPH) offers daily testing at sites throughout all counties. Prescription/referral not needed. https://coronavirus.delaware.gov/testing-events/
  • Walgreens is pairing with DE DPH to provide free testing (self administered nasal swab) at one site per county 7 days/week. Refer to Walgreens or DPH website for further details. https://www.walgreens.com/findcare/covid19/testing
  • CVS is testing at some sites in New Jersey & Pennsylvania.  Register online in advance. https://cvshealth.com/covid-19/testing-locations
  • Christiana Hospital Provider Referral Centers (200 Hygeia Drive): M-F 9-3, Sat 8-12; paper or email prescription required; set up appointment on website: Christianacare.org/coronavirus-testing.
  • Christiana Care (CCHS) also will operate from 8 a.m. to 4 p.m. each Wednesday, alternating weekly between the Newark campus and the Wilmington campus.  The hours of noon to 4 p.m. will be open to the general public.  Pre-registration is required  at http://delaware.curativeinc.com. Links for the Wilmington location will be announced next week.
  • CCHS also runs community-based testing sites which don’t require a prescription:
    -Latin American Community Center, M&F 10am-1pm; 302-320-6439 for
    appointments
    -Kingswood Community Center: Tuesday/Thursday: 10am-1pm: 302-428-6586 for appointments-St Francis Hospital: By appointment. M-F 9a-3pm, Pt schedules at 302-421-4949 (order to be faxed to 302-421-6916, Attn St Francis COVID-19 Center)
  • BayHealth (Dover). By Appointment. M-F, 8:15-6pm.No order needed. 302-310-8477 for appointments.
  • BeeBee (Sussex Co). By Appt. M-F 8am-4pm. Order must be faxed by our office (302)644-7016); phone: 302-645-3200 for appointments
  • PA DPH testing: http://www.health.pa.gov/topics/disease/coronavirus/Pages/Sympoms-Testing.aspx
  • Drive through testing site at CHOP Brandywine Valley (M/W/Sat). Requires physician order. Once order accepted, you will receive an email to schedule. Results will be conveyed via CHOP Portal. https://www.chop.edu/covid-19-testing-kids
  • Delaware Diagnostic Labs: 1 Centurian Dr Suite- #103, Newark, DE 19713
    script needed. phone 302-407-5903; fax (888)777-9197
  • CHOP Urgent Care at Brandywine Valley (must be symptomatic).
  • Nemours Urgent Care at Brandywine Valley (must be symptomatic).
    —————————–
    Until the COVID-19 test is resulted, we advise that your child and all family members remain out of work/school/camp. If a negative test is confirmed, your child will be cleared to return to camp/school once fever free for 24 hours and with improving symptoms.
    If your child if COVID-19 positive or should you decide to defer COVID-19 testing (ie, assume COVID-19), your child will need to remain out of school/camps/work until the child is fever free for 24 hours AND 10 days have passed since the onset of symptoms and all symptoms are improving. All contacts of the household will need to quarantine for an additional 14 days from their last exposure to the sick contact (in most cases, the day that the child is cleared for return) which could be as long 24 days.
    You should treat your child’s symptoms as you are used to with other viral illness. We encourage plenty of fluids, use of Tylenol (and Ibuprofen if you need it ) to improve symptoms of fever/achiness/headache and close monitoring.
    Please call us immediately or seek care in the Emergency room if your child:
    -spikes a temperature of 105.
    -looks unwell
    -experiences chest pain/trouble breathing or if you observe signs of difficulty breathing
    -your child fails to void (urinate) every 6-8 hours
    -is lethargic and not improving with Tylenol (acetaminophen) or Motrin/Advil (ibuprofen).
    Respectfully,
    Brandywine Pediatrics

New Office Infection Precautions

Due to COVID-19 pandemic and the highly contagious and unpredictable course of the novel coronavirus, Brandywine Pediatrics has changed its procedures for seeing more potentially contagious patients.  All patients with fevers, respiratory symptoms (such as coughing, wheezing, shortness of breath), GI symptoms (such as vomiting, diarrhea), or other suspicion for COVID-19 will be seen by their own physicians at the end of the day or in an isolation room, with no overlap with routine healthy visits.  We know that there may be contagion from healthy or mildly sick appearing patients, so we are striving to separate families from others as much as possible.  We are minimizing waiting room times and cleaning all furniture as well as exam rooms between patients.  To accomplish this, we may ask you to wait in your car until your appointment time or use a different entrance than previously.  You will receive instructions when you schedule your visit.  Thank you for understanding and for helping us keep everyone as healthy as possible!

Telemedicine Available

In response to the COVID-19 pandemic, Brandywine Pediatrics’ providers offer Telemedicine visits WHEN APPLICABLE.  While some issues (for example, rashes & medication checks) are generally doable via telemedicine, some visits are unable to be conducted effectively by remote exam.  Our preference, of course, is always to see your child in person when able.  Please look under “Links and Forms” to download a consent form for telemedicine visits.

New Physician!

Brandywine Pediatrics is excited to announce that Dr. Madison Houff has joined our team this month (July 2020), inheriting Dr. Eng’s practice.  Dr. Eng is a founding member of our practice and has been beloved by his patients and those of us who have had the pleasure to work with him. He will be missed by all but we wish him a wonderful retirement.  Dr. Houff is a Delaware native, born and raised here in Wilmington.  She graduated with honors from Bryn Mawr College in nearby Pennsylvania with a degree in Biology.  She then attended the Philadelphia College of Osteopathic Medicine. Afterwards, she completed her internship and residency training at Nemours/AI duPont Hospital for Children where she was honored to be awarded the Dr. McDermott Award for Excellence in Primary Care at the end of her training.  [This is particularly symbolic to us, as Dr. McDermott was also one of the founding members of our practice.]  In her free time, she enjoys reading, hiking, and theater. She is thrilled to be joining Brandywine Pediatrics and practicing in her hometown.

Office remains open

As Delaware and surrounding states begin slowly to lift restrictions, we want to remind you again that our office is open.  We are adhering to the guidance issued from the American Academy of Pediatrics.  Reduced vaccination rates during this pandemic could lead to a compounding outbreak of vaccine preventable disease.  The AAP is advising that all well visits be attended to in a timely fashion. Please call and make your child’s routine visit today.  Remember that we are splitting all well visits from sick visits and implementing multiple measures to limit any unnecessary exposure to you and your family.

Guidance on providing pediatric well care during COVID-19

In the midst of an already stressful time, the media is providing substantial coverage of MIS-C, a severe COVID-19-associated condition being observed in children.  Like the novel coronavirus, this condition is new and information about it is evolving.  We want families to be aware of symptoms to monitor but also want to remind you that it remains an extremely rare condition. Additionally, because aspects of the syndrome have been observed in similar conditions that we have been treating for many years, there are effective therapies and the vast majority of children are recovering.

Coronavirus (COVID-19) and Multisystem Inflammatory Syndrome in Children (MIS-C)