To our dear patients,
We would like to take this opportunity to provide you with some information with regards to our office preparedness and the new Coronavirus (COVID-19). While the clear majority of COVID-19 cases have led to flu-like symptoms and resolve in 2-3 weeks, it is prudent to be proactive and very aggressive in preventing infection.
Unfortunately, over the last few days, there has been a significant increase in the number of affected people. This is already creating some strains in the medical system and causes a significant delay in access to testing and the availability of protective equipment for health care providers.
There will likely be a rapid and possibly logarithmic rise in community-acquired COVID infections over the next few weeks.
Other countries have already instituted draconian measures including social distancing and quarantining to curb the rate of new infections.
As a practice managing high risk patients, we have concerns about potential COVID spread - given our waiting-room layout, it will be difficult to guarantee an adequate degree of social distancing.
As such, we have decided to take the following steps to ensure the health and safety of our patients and staff:
- For the next few weeks, we will be transitioning all New and Follow-up appointments to Telemedicine visits. These visits are covered by commercial insurances and can be set-up as an appointment with our receptionists.
- Patients who are scheduled for visit and thyroid ultrasound or thyroid biopsy will be rescheduled
We appreciate your patience and cooperation through this difficult time. We welcome your comments and suggestions to ensure that we deliver the best and safest care possible during this period.
Be safe and well,
Dr. Boron and the team at Arkangel Endocrinology and Diabetes, PLLC
- Telemedicine visits through zoom.com which is covered by commercial insurances and Medicare
- Refill requests and non-emergent brief questions through the smartphone app QuireME (Find aboro407 for Dr. Boron) — at the time of pandemia we reduce refill request fee to nominal $5; $25/brief medical question.
- Please email email@example.com for any billing inquiries.
Covid 19 Preparedness
Below are a few updated guidelines for personal preparedness:
Exposure: Operate under the assumption that someone around you at all times is infected by the virus. It is not an airborne virus ー you’re not going to get it from someone 100 feet away from you via the wind ー but it is a respiratory virus, and you can get it by touching something an infected person touched or coughed on. Diligent hand washing, avoidance of touching objects in public places and avoidance of face touching should be done as general precaution.
Testing: Suspected cases need to be reported to the CDC. Testing kits are still not widely available and cannot be done “just to make sure.” If you have reason to believe you or someone you know has the infection, contact your primary care physician or local hospital. At this time, we do not have any test kits. N95 masks are currently backordered, however, we are trying to order ASAP.
Travel: It is advised to avoid any travel, if possible
Treatment: Far and away the most important consideration for treatment is access to supportive care through a hospital. There is no updated data on the effectiveness of antiviral or antimalarial therapies.
Supply: We don’t anticipate true food shortages, though short term clearing of supermarket shelves will be likely in affected areas and having 1 to 2 weeks’ worth of non-perishable food at hand is advisable. You should also have at minimum a 30-day supply of any essential medications.
- Coronavirus JAMA Article
- CDC in Action: Preparing Communities for Potential Spread of COVID-19
- Coronavirus FAQs
- Outbreak Dashboard – Johns Hopkins
- WHO clinical management of suspected novel coronavirus (2019-nCoV)
- ACCME Novel Coronavirus education