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Posted by on Nov 12, 2020 in Blog | 0 comments

Unionville Pediatrics Opens Acute Care Center (ACC) New Farmington Location Dedicated To Treating Potentially Contagious Illness, Unionville Office To See Only Well Patients Unionville Pediatrics (U Peds) is opening a second site! We are thrilled to announce that we will now treat well and unwell patients in two different locations. This helps ensure the safety of healthy patients while reducing the potential spread of illnesses in the community. Our main U Peds office at 101 Main Street in Unionville will welcome well visits, consults, and non-contagious issues. This includes medical checks and behavioral health concerns. The new office, U Peds Acute Care Center (ACC), is located in Round Hill Square at 1027 Farmington Avenue. (Route 4 in Farmington, across from the Tunxis driving range and next to Claudia’s sandwich shop). It will provide care for children who are feeling...

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Coronavirus 13.0

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

There have been 4 pediatric deaths from a new syndrome first reported last week. It’s being called Pediatric Multi Inflammatory Disorder. Always so tragic losing children. Three in NY and one in NJ. One of the deaths from Westchester county is being re-evaluated for other causes. It’s still not entirely clear if the syndrome is COVID related. Not all children with the syndrome have a history of COVID and the illness is occurring at a later point from when those who did have it were infected. It may be from the immune response to COVID but it’s really strange it would be that far out from date of onset or exposure. Some as long as 4-6 weeks later. At least one child that died had a significant medical history. It resembles two syndromes we are familiar with. One is...

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COVID 12.0

Posted by on Mar 29, 2020 in Blog | 0 comments

As the cases explode up it’s critical to remember that this is not all exponential growth. It’s more like getting a census of where we are. That’s what mass testing does for you. The US leads the world in testing and therefore leads the world in cases. Makes perfect sense. When the H1N1 pandemic started we did the same thing. Once we realized it was so prevalent we stopped testing and began using estimates. This disease is prevalent but likely has been for weeks, maybe months. We will never find all cases because mild and asymptomatic people escape notice altogether. Probably thousands of recovered people walking around now as well. If we use estimates like we do for flu our denominator is more reflective of how the death and severity rates actually play out. As Dr Fauci said likely...

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Coronavirus 11.0

Posted by on Mar 28, 2020 in Blog | 0 comments

Anthony Fauci, lead author and others wrote in an editorial in the New England Journal of Medicine, March 26th “if one assumes the number of asymptomatic or mildly symptomatic cases is several times as high as the number of reported cases the case fatality rate may be considerably less than 1%. This suggests that the overall clinical impact of COVID 19 may be more akin to that of a severe seasonal influenza (which has a case fatality rate of 0.1%) That’s Dr. Fauci. In the New England Journal. Not me. It’s not an unreasonable assumption either. You can’t read that and still be as terrified of this as most people are. It will be interesting to see how the media does or does not pick this up. Further in this article, it’s estimated to spread from 1 person to...

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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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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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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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Coronavirus 7.0

Posted by on Mar 8, 2020 in Blog | 0 comments

As of next week there will be expanded screening ability for COVID-19 though not with unlimited capacity. The problem will be if possible but mild cases all flock to get screened they expose all those doing the screening and quickly exhaust testing kits. Most will be negative but what do you do while waiting for results? If someone is positive but well, they will be told to quarantine at home which they should be doing anyway. A better idea would be to have mildly ill people at risk stay home and quarantine there or ideally send teams to them to do the testing, fully prepared to do so. If you think about it, the people we need most if this gets bad are those in health care. Exposing them, their staff and their other patients just to get tested...

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Coronavirus 6.0

Posted by on Mar 6, 2020 in Blog | 0 comments

As the weeks roll on we are gathering more information about the virus. It seems more contagious than we thought at the outset but the spread in the US is fairly limited so far. As more testing occurs we will get a better picture of the extent of spread. Even more clear is that there are defined groups at risk. If you are not in those categories you are not at all likely to have a problem should you get infected. The data set from China is illuminating. There have been ZERO deaths in children up to age 9 and that is the case worldwide so far. Young adults up to age 40 the death rate is 0.2%, ages 40-50, 0.4%. After that the rate becomes increased to almost 21.9% if you are older than 80. This also is...

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Coronavirus 5.0

Posted by on Mar 2, 2020 in Blog | 0 comments

As predicted by the CDC there are more cases popping up around the country and the US has had our first 2 fatalities. So far though there has been only 4 cases of “community spread” where there was no known exposure that could be identified. Should that start to happen consistently then we will have a much larger outbreak. The trend of mostly mild cases is continuing and children seem to be rather under represented as an at risk group for even getting the illness. No one is sure why but my own belief is that there may be a lot more exposure to minor Coronavirus groups in their age range that serves to protect them against this one. I wanted to emphasize today that the stated mortality rate is around 3%. That seems rather alarming however we must...

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Coronavirus 4.0

Posted by on Feb 27, 2020 in Blog | 0 comments

The epidemic is evolving and following a pattern of spread similar to when the new flu virus (at the time) H1N1 hit in 2009 though so far it is nowhere near as prevalent. Also that illness started in Mexico on our own continent. The issue will be if sustained transmission occurs in communities. The first case of that type was reported yesterday. There are several factors working in our favor. First, the US is out ahead of this, second its starting late in the flu season not in October like H1N1 did. Third, they are rapidly developing treatments and vaccine strategies. There is a remote possibility though that this virus is more wide spread in the US than we think. I say that because we have had many people return to the US from zones of concern and the...

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Coronavirus Update 3.0

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

The epidemic continues though it is certainly the worst in China. It would seem it will continue there for a sustained period. The issue of course now being recognized is the spectrum of severity is vast. Many people are hardly ill at all and some have no symptoms despite testing positive. As a result, numbers are climbing quickly. In addition, the Chinese are now using different criteria for diagnosis with no confirmation testing. That makes control much more difficult but also means that the vast majority of people with the virus will be fine. This epidemic is very similar to the H1N1 swine flu and for that matter seasonal influenza, it’s just being caused by a different type of virus, now officially named CoVID-19. The amount of US cases is still amazingly low at 15 total. The CDC estimates...

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Coronavirus Update

Posted by on Jan 31, 2020 in Blog | 0 comments

Please see the previous post for background information. As predicted there are many more cases, mostly in China. There have been more fatalities as well, but all in China so far. There has been a person to person transmission here in the US in the spouse of an individual who had travelled from China where they had contracted the disease. The US now has 6 confirmed cases. That is consistent with what the feeling had been, that while the disease can be spread it likely is only in household members and very close contacts. The fear would be if casual contact creates more cases. Then the potential for spread is much more likely. The disease is creating mild illness in the majority of those infected, also encouraging news. We will try to keep updating here as the epidemic...

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Posted by on Jan 28, 2020 in Blog | 0 comments

The coronavirus has been making news and scaring people around the world. While the idea is frightening it’s important to keep perspective and avoid panic. Coronaviruses are not new but different strains have been newly identified. They come in very mild forms and some more aggressive forms. We have seen new coronaviruses in the form of SARs and MERs in past years that were also scary but wound up being relatively short lived. It is too early to tell what will happen with this one but here’s what we know so far. It can be spread from person to person though it does not seem to be as contagious as the current circulating flu. There is no evidence that the virus is mutating despite some early reports that it was. It seems to have a long incubation period (the...

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PCMH (Patient Centered Medical Home)

Posted by on Oct 21, 2019 in Blog, News | 0 comments

Over the last months we have been working hard on obtaining the distinction of being a patient centered medical home or PCMH. This is a rigorous set of documents and tasks that illustrates our commitment to serving our patients with care that centers on their needs, making sure our patients and their families have access to necessary care where and when they need it. It is adjudicated and certified by a governing body well known to those in the field called the NCQA (National Committee for Quality Assurance). We have our first virtual review on 10/22/2019 and are committed to achieving this goal. We will keep you updated as the process...

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Flu clinics 2019

Posted by on Sep 7, 2019 in Blog, News | 0 comments

Its flu shot time! Not what any child wants to hear and yet another harsh reality of the end of summer. The CDC is reiterating how critical a step this is to protect our community. Flu shots for healthy people are designed to guard against epidemic flu which can be fatal to vulnerable members of our community. Getting a flu shot may just save a life. We are running 3 evening clinics on Tuesday 10/1, Thursday 10/17 and Wednesday 10/30. We will also do a daytime clinic on 11/13. All clinics are now open for booking. We are encouraging families w younger children to skip the clinics and make a scheduled appointment if possible. Flu in Connecticut begins most often after the first of the year. It takes 2-3 weeks for the vaccine to build the immunity so there...

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