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Woman Getting Tested

-NEGATIVE

ANTIBODY

TEST

What does it mean if your Antibody test came back NEGATIVE?

A negative test result with this Antibody test means that SARS-CoV-2 specific antibodies were not present in your sample. However, a negative result does not rule out an active COVID-19 infection and should not be used as the sole basis for treatment, patient management decisions, or to rule out active infection. 

Patients tested early after infection may not have detectable levels of IgM antibody despite active infection; in addition, not all patients will develop a detectable IgM and/or IgG response to SARS-CoV-2 infection.  

Negative IgM ( - )

The IgM antibody is the first antibody produced by the immune system when responding to a viral infection.

Your antibody test is showing negative for that antibody right now. Our providers do not diagnose a patient with COVID-19 just based off an antibody test (as there is some variability in that test result). Therefore it is important to come back in for further testing should you start to develop any symptoms or have a new COVID-19 exposure.

If you have a negative IgM antibody test but start to develop symptoms, it is recommended that you return to the clinic for a nasal swab test, as this the most accurate way of diagnosing COVID-19.

Negative IgG ( - )

A negative IgG antibody indicates that you probably have not been exposed to COVID-19 in the past.

Due the volume of patients that we are testing and having positive results come back on, it is very challenging for our providers to go over individual results with you.  If you would like dedicated time with a provider to discuss additional concerns, you may schedule a telemedicine visit with by calling our clinic at 424-249-3038. We are having a longer than normal wait times for our phone operators as they are filtering continuous COVID question calls from the community. 

Negative Antibody Test
Man with Mask

+POSITIVE

ANTIBODY

TEST

What does it mean if your Antibody test came back positive?

A negative test result with this Antibody test means that SARS-CoV-2 specific antibodies were not present in your sample. However, a negative result does not rule out an active COVID-19 infection and should not be used as the sole basis for treatment, patient management decisions, or to rule out active infection. 

Patients tested early after infection may not have detectable levels of IgM antibody despite active infection; in addition, not all patients will develop a detectable IgM and/or IgG response to SARS-CoV-2 infection.  

Positive IgM ( + )

IgM is usually the first antibody produced by the immune system when a virus attacks.

A positive IgM antibody tests indicates that you may have been infected and that your immune system has started responding to the virus. This means you may still be infectious or just starting to recover from the COVID virus. To confirm or rule out an active COVID-19 infection, we will need to run a PCR Nasal swab Test. We recommend that you maintain strict isolation guidelines, wear a mask, and lots of hand washing. You will need to stay isolated until we get your nasal swab results back, as that is considered the gold standard of COVID testing right now to see if you are actively infected.

Positive IgG ( + )

IgG antibodies develop in most patients within 7 to 10 days after symptoms of COVID-19 begin.

IgG antibodies remain in the blood after an infection has passed. These antibodies indicate that you may have had COVID-19 in the past and have developed antibodies that may protect you from future infection. It is unknown at this point how much protection antibodies might provide against reinfection, so it is recommended that you follow all social distancing guidelines and wear a mask when in close contact with people. Moreover, the only way to rule out active COVID-19 infection is through a PCR Nasal Swab Test that is sent to the lab for further testing.

Due the volume of patients that we are testing and having positive results come back on, it is very challenging for our providers to go over individual results with you.  If you would like dedicated time with a provider to discuss additional concerns, you may schedule a telemedicine visit with by calling our clinic at 424-249-3038. We are having a longer than normal wait times for our phone operators as they are filtering continuous COVID question calls from the community. 

Positive Antibody Test
Woman Getting Tested

-NEGATIVE

PCR NASAL SWAB TEST

What does it mean if your Nasal Swab test came back negative for COVID-19?

Persons with possible exposure, a NEGATIVE COVID-19 test and

who have not had any symptoms

  • Self-monitor under the supervision of their employer’s occupational health program.

  • Wear a face mask at all times while in the workplace for 14 days after last exposure.

  • Maintain 6 feet and practice social distancing as work duties permit in the workplace.

  • Retest if symptoms become present.

Persons who tested NEGATIVE for COVID-19 and have had symptoms and were directed to care for themselves at home may discontinue isolation under the following conditions: 

  • At least 3 days (72 hours) have passed since recovery (defined as resolution of fever without the use of fever-reducing medications) 

  • AND improvement in respiratory symptoms (e.g., cough, shortness of breath)

  • At least 10 days have passed since symptoms first appeared

DoctorNow encourages you to wear a mask, practice social distancing, and use good hand washing techniques. 

Due the volume of patients that we are testing and having positive results come back on, it is very challenging for our providers to go over individual results with you.  If you would like dedicated time with a provider to discuss additional concerns, you may schedule a telemedicine visit with by calling our clinic at 424-249-3038. We are having a longer than normal wait times for our phone operators as they are filtering continuous COVID question calls from the community. 

Negative PCR Nasal Swab Test
Man with Mask

+POSITIVE

PCR NASAL SWAB TEST

What does it mean if your Nasal Swab test came back positive for COVID-19?

PLEASE FOLLOW THE INSTRUCTIONS

BASED ON YOUR CURRENT SITUATION:

Positive PCR Nasal Swab Test

If You ARE NOT Having Symptoms:

Discontinue isolation after: ● 10 days have passed since the date of your first positive COVID-19 diagnostic test
● AND you have had no subsequent illness and remain asymptomatic.

If You ARE Having Symptoms:

Discontinue isolation after: ● Improvement occurs in respiratory symptoms (e.g., cough, shortness of breath) ● 24 hours have passed since you have been fever-free without the use of fever- reducing medications ● AND at least 10 days have passed since symptoms first appeared

When To Seek Emergency Medical Care For COVID-19:
If Someone Is Showing Any Of These Signs, Seek Emergency Care Immediately: 
● Trouble Breathing
● Persistent Pain Or Pressure In The Chest
● New Confusion
● Inability To Wake Or Stay Awake

* This List Is Not All Possible Symptoms. Please Call Your Medical Provider For Any Other Symptoms That Are Severe Or Concerning To You. *
DO I NEED TO RETEST?
Retesting Is Not Recommended Within 3 Months After The Date Of Symptom Onset For The Initial COVID-19 Infection.

Contact Tracing Best Practices: Make Sure To Notify Everyone In Your Household, Employers, As Well As: Any Person You Have Come Into Close Contact With, Starting 2 Days Before You Were Tested Or When You First Started Feeling Sick. A Close Contact Is Defined As Someone You Were Within 6 Feet For A Duration Of 15 Minutes Or More. Those Individuals Are Now Possibly At Risk Of Having COVID. 

Information For

Returning To Work

 

Below is the Los Angeles Public Health Guidance for Employers Responding to COVID-19 in the Workplace.

We suggest you print this document to present to your employer regarding a work note for your positive COVID test. 

Workplace Guidance Response

  • During the pandemic, employees who meet the above criteria for returning to work should NOT be required by employers to provide a healthcare provider’s note to return to work.

  • The Equal Employment Opportunity Commission (EEOC) as well as the Centers for Disease Control (CDC) have issued guidance, stating that while employers “may require employees who have been away from the workplace during a pandemic to provide a doctor’s note certifying fitness to return to work,” it is not recommended to do so. 

  • The EEOC & the CDC advise that, practically speaking, doctors and other healthcare providers may be too busy to provide such documentation, so employers should consider allowing these employees to return to work as they see fit.

  • Because of this, the CDC does not recommend that employers require their employees to provide communication from a physician or healthcare provider, “clearing,” them to return to work. 

For Further Information:

CDC: https://www.cdc.gov/coronavirus/2019-ncov/index.html

LA County Dept. of Health: http://www.publichealth.lacounty.gov/media/Coronavirus/

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