Bryan R. Fine, MD, MPH’s Post

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‘Thought Leader’ | Entrepreneur | Physician | Health Tech

Real world example, COVID return-to-work: An employee reports at-home an evening fever of 101.2 A runny nose the night before that has now resolved. Some described body aches. Otherwise healthy overall, denies exposures other than work. This comes after several screenings that day at work - taken multiple times via forehead b/c employee 'felt hot' - were below 100. (Note: From a medical perspective, generally speaking, a fever is defined as > 100.4.) Employee reports no fever in morning, feeling 'pretty good', with no anti-fever medicine (ibuprofen / acetaminophen) on-board since night before. Should this employee be required to get tested, where testing a) will cost employee time [& money], b) could be a false-negative if taken too early, c) will keep employee out-of-work for 5-7 days given current turn-around-time for testing results, and d) would be based only on self-reported symptoms that could not / have not been objectively confirmed? Interested in thoughts. I've provided my guidance and will edit this post with those by end-of-day. I used the attached algorithm to help coordinate with employer. [Hint: This is a good example of...the 'tricky' space.] BFineMD #doctorbytext #covid19 #humanresources

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