graybill.orgGraybill Medical Group | North County San Diego

COVID-19 Symptom Self-Checker Facebook Twitter English Español 760-291-6700 (Local) 866-228-2236 (Toll free) Menu Find a Physician Choosing the Right Doctor Doctor Ratings and Reviews Patient Resources Your First Appointment (Establish Care) Your Annual Routine Preventive Exam Your Right to Privacy Service Animal Policy Notice of Nondiscrimination Access Standards Accepted Insurance Case Management Frequently Asked Questions Services & Programs Urgent Care Primary Care Family Medicine Internal Medicine Pediatrics Well Woman Geriatrics Specialty Care Cardiology Ear, Nose & Throat Functional Medicine Gastroenterology General Surgery Orthopedic Surgery Sports Medicine Urology Hospitalist Program Radiology Escondido Fallbrook Medical Aesthetics Laboratory Services Classes and Events Important Forms NextGen Patient Portal About the NextGen Patient Portal Sign Up (First-time Members) Log In (Existing Members) Online Bill Pay Contact Us Careers Caring and compassionate physicians Find a Physician Quality health care for every family member View a List of Services Achieve your best health—at any age Learn More About Internal Medicine Latest Updates See our Latest Updates How May We Assist You? Find a Physician Meet our team of highly talented and caring physicians and advanced practitioners Make an Appointment Graybill offers Telehealth and in-person appointments. To make an appointment, call (760) 291-6700 (local) or (866) 228-2236 (toll-free) and speak to a Call Center Representative. Find a Location Graybill offices are located throughout North San Diego County plus Temecula and Murrieta. Urgent Care Need care now? Walk-ins are accepted 7 days a week at our Escondido Urgent Care clinic Important Information for Our Patients Telehealth Most Graybill physicians and advanced practitioners now offer telehealth, so you can meet with your doctor from any location using your smart device. Find Out More Accountable Care Organization (ACO) For Medicare fee-for-service (FFS) beneficiaries, learn how an ACO can improve the quality and experience of your care. Find Out More COVID-19 Update As the healthcare response to the coronavirus continues to evolve, we are mindful that you are concerned and looking for answers. Find answers to important questions regarding Coronavirus and COVID-19 here. Find Out More LATEST UPDATES Virtual Medicare Presentation November 21 @ 10 a.m. The Medicare Annual Election Period ends midnight December 7. Medicare benefits and costs are subject to change every year. To find out the latest changes, we invite you to attend “Clarity”, a virtual presentation from UnitedHealthcare. See our Events Calendar for login instructions. California Department of Public Health: Responses to Questions About Flu During COVID-19 Pandemic Why is getting a flu shot especially important during the COVID pandemic? Now more than ever, getting a flu shot is the most important way for you and your loved ones to protect against getting very sick, being hospitalized, or even dying from influenza. During the 2019-2020 flu season, the CDC estimates that between 410,000 – 740,000 Americans were hospitalized because of flu (CDC, 2020). More people getting flu vaccine means fewer hospitalizations, allowing patients with COVID019 to get the immediate care they need. Also, flu and COVID-19 look very similar, and catching either could mean having to get tested for both. Delays in testing and diagnosis could lead to delays in getting appropriate treatment. Will a flu shot prevent COVID-19? Getting a flu vaccine will not protect against COVID-19, however flu vaccination has many other important benefits . Flu vaccines have been shown to reduce the risk of flu illness, hospitalization and death. Also, a study from Brazil suggests that flu vaccine offers about 27% protection against death from COVID-19 (Fink et al. 2020). So it’s possible that if you catch COVID-19, a flu shot could give you some extra protection. Since I’m social distancing and wearing a mask, do I still need a flu shot? Yes. In addition to wearing a mask, social distancing and washing your hands, getting a flu shot is another easy thing you can do to protect yourself and others around you from respiratory diseases. I’m not worried about flu (only about COVID-19) Severe flu is very unpredictable. It is most dangerous for young children, older adults, smokers, or persons with asthma, diabetes, or heart disease, but can also strike healthy people. I get a flu shot and so do my (kids, spouse, insert other loved ones, as applicable) If you catch the flu, it could weaken your body’s immune system and increase your risk of other infections, including COVID-19. This was one of the reasons why I got my flu shot, and I urge you to get a flu shot, too. Also, if you become infected with COVID-19, you’ll have to wait until you’re well to get your flu vaccine (CDC, 2020). At that point, your body’s defenses are down, and you could be more vulnerable to the flu. Do flu vaccines even work? Flu vaccine effectiveness varies by age group, health status, and by season. The latest from the CDC estimates that flu vaccine is about 40-60% effective (CDC, Jan 2020)–far better than just not getting one and taking your chances. Beware of early flu vaccine effectiveness forecasts . We really don’t know how effective any year’s flu vaccine will be until the Spring or Summer. For example, news stories in autumn 2017 that predicted a “terrible match” (around 10% effective) turned out not to be true—it was 40%, even up to 65% effective that year. But unfortunately, a lot of people wondered if a flu shot was even worth it. I’m here to say yes, it’s worth it. It can save your life. For children: Flu vaccine makes it 74% less likely your child will end up in a hospital intensive care (Ferdinands et al., 2014), and 65% less likely to die from flu .(Flannery, 2017) Flu vaccine protects over half (55%) of children who get it, so it is much less likely for you to have to bring your child back in to the doctor after getting a flu vaccination . (AAP Feb 2020) For adults: Research studies show that flu vaccinations can significantly lessen the severity of the flu if you do get it. For example, if you do catch the flu, you’re much less likely (59% reduction) to need hospital or ICU care , (Thompson, 2018) and much less likely to die (52% -79% reduction) (Arriola, 2017) Dr. Gosalia & Amazing Staff 8/16/18 - I know that every time I go to Dr. Gosalia, all of my questions will be answered. She is a plethora of knowledge, and leaves no stone un-turned, Thank you Dr. Gosalia! -- Lisa C. Milligan I will forever be grateful 7/6/17 - I wish to thank Dr. Sarina Adhikary Sharma for being such a caring, patient and compassionate doctor for my elderly mother, and for being so helpful in advising and guiding me as I transitioned into the role of primary care giver during the last few years of my mother's life. Mother and I met many fine doctors during her final years, but non of them--not one--showed as much compassion for Mother's well-being as Dr. Sharma did. Dr. Sharma poured her heart into my mother's care, and I will forever be grateful.-- VB Love the good customer service! 7/27/17 - Love the good customer service! Michelle you are my shining star!-- Graybill Patient 5 Stars for Dr. Luu! 7/12/17 - Dr. Luu has been more than any ordinary doctor. Her heart is in her work and she is always, always concerned about my problems. Thank you Dr. Luu for being an EXCELLENT doctor. Also the front desk worker Robin was great and helped me immediately.-- Melissa Hernandez Always exceeds expectations 3/31/17 - Wonderful doctor (Dr. Cueva)! Always exceeds expectations. Great staff, always a pleasure to deal with Robin at the front desk.-- Graybill Patient Best of all they listen 4/11/17 - Everyone here is always pleasant and comforting. Best of all, they listen.-- Graybill Patient Read More   AWARD-WINNING HEALTHCARE OUR AFFILIATIONS Patient Self-Service Nex...