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COVID 10.0

Posted by on Mar 24, 2020 in Blog | 0 comments

The COVID epidemic is proving to be very hard to stop. I was not real sure we had a good shot at it. This is related to its ability to spread from the mostly mildly ill or even non affected to the more vulnerable or more rarely healthy young people to cause sometimes severe harm. A tragic irony really. One we saw coming as the reports of majority mild illness were reassuring while being ominous in the minds of epidemiologists everywhere. COVID is a lot like RSV (Respiratory Syncytial Virus) in that regard though its much harder on children than COVID. RSV is another viral enemy lost in the COVID narrative that some people have never even heard of before. In the US alone the CDC estimates there are 100-500 deaths, 57K hospitalizations, 500k ED visits and 1.5 million...

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COVID Policy Updated 3/21/2020

Posted by on Mar 21, 2020 in News | 0 comments

We are remaining open to continue to serve our families. We realize fully how stressful these times are but also know that there are other health issues besides COVID that continue to need to be addressed, including wellness. We are maintaining every precaution advised to assure a safe environment. This includes a reduced staff that is screened daily for signs of COVID. We have widely scattered appointments and devoted examination rooms, thoroughly disinfected after each visit. For any one who requests it we are able to use a separate entrance and wear protective masks when you are being seen. You may call us from your vehicle to assure a minimal time in the office as to complete the visit. Doing office visits in a vehicle is possible but discouraged as it is generally impractical and hard to do a...

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Coronavirus 9.0

Posted by on Mar 15, 2020 in Blog | 0 comments

We have now implemented extreme measures. Normal life has been disrupted and we don’t know when it will return. It has been a very strange week in America. Schools closing, major sporting events and seasons cancelled, store shelves emptying, financial markets and retirement accounts decimated as a result of an enemy perhaps as bad as the virus, fear of the virus. The solace we should have is that there have been declining rates in other countries. That’s not being widely publicized. Neither are recovery rates and negative test results. In addition treatments are showing some efficacy in helping some of our sickest patients. That might ease some of the fear. A good example of putting such a negative spin on things was the study that showed the virus survives in air for a short period and on surfaces for...

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New Policy Regarding COVID 19

Posted by on Mar 14, 2020 in News | 0 comments

Starting Monday, March 16th we will institute a new temporary policy. All children who are not ill and pose no exposure risk to COVID 19 will be seen exclusively in the morning from 9 AM to 1 PM. The afternoon hours will be reserved for sick patients. We will be using an algorithm to determine which patients we can safely see in the office so as not to put our staff and other patients at risk for exposure and need to be quarantined. Those that we asses to be at risk will be given instruction to stay home. If needed, will contact the DPH for guidance and possible testing. All others we will continue to see as we always...

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Coronavirus 8.0

Posted by on Mar 11, 2020 in Blog | 0 comments

I think we can successfully stem this out break by the actions we are taking now. With time we will learn more about the virus and that data can further guide policy. The ability to quickly disseminate information, find “hotspots” of activity and comply with recommendations will be the most important reasons it can work. The key interventions still are on the individual level (good hand washing, self quarantine if ill, avoiding travel and public places if at higher risk, cough covering, smart social distancing etc.). I think we need to do them within the parameters of a semblance of normalcy though. We are starting to go over that line into becoming a paralyzed, panic stricken, socially isolating, scared nation. That level of stress can have a real negative medical impact as well, especially on those with anxiety disorders....

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