COVID-19 Update

At Roslindale pediatrics we are concerned for the health and safety of our patients.  We continue to monitor the recommendations of the CDC and the Department of Public Health.  In an effort to minimize the amount of sick exposure, beginning Monday 3/16/20, we will be moving all of our well visits to morning hours and will reserve our afternoon for sick visits only.   

We ask that parents and caregivers with cough or fevers not accompany patients to the office.  When at all possible, siblings should be left at home as well.

In order to decrease the amount of time our patients will spend in the waiting room, we will be calling you in advance of your appointment for a pre-check in.

If your room is not ready yet once you arrive, we may ask you to remain in your car until it is ready.

 As a reminder we are not testing for COVID-19 in our office at this time.  We remind you to wear a mask when you enter our office if you have a cough, fever, or sore throat.

Please follow these links to learn more about COVID-19 and how to protect yourself and loved ones:

https://www.cdc.gov/coronavirus/2019-ncov/about/index.html

https://www.cdc.gov/coronavirus/2019-ncov/travelers/after-travel-precautions.html

https://www.cdc.gov/coronavirus/2019-ncov/travelers/index.html

https://www.mass.gov/clinical-advisory/update-and-interim-guidance-on-outbreak-of-2019-novel-coronavirus-2019-ncov-in

https://www.healthychildren.org/English/health-issues/conditions/chest-lungs/Pages/2019-Novel-Coronavirus.aspx

Talking to your children about Coronavirus

Every day brings new information about the spread of the coronavirus. It can be challenging to make sense of this information as an adult, and even more confusing as a child. Here are some tips to guide parents and caregivers in talking to your children about this health issue:

Manage your own anxiety

Before talking with your children, pay attention to your own anxiety and stress about coronavirus. You are a role model for your children, and it is important for them not to pick up on your anxiety or stress.

 Talk with other adults about your worries and concerns.

 Consider taking a break from watching or reading the news if you notice you are feeling increased stress and worry.

 It is ok to tell other people, “I don’t want to talk about the coronavirus right now”.

Encourage your children to talk with you

Before you provide information, find out what questions and concerns your child has. Let your children’s specific questions and concerns guide you in knowing what, and how much information to share. This is especially important with younger children. It is very likely that children are discussing coronavirus at school. Just because your child doesn’t talk about it, does not mean it’s not on their mind. It is important for them to talk about what they are thinking and feeling, and not to keep it in.

Listen to what your children are worried about. Do not dismiss their fears. If your child is afraid because a friend told your child that he or she might die from coronavirus, that’s a real fear. Take this fear seriously and show your child that you are listening to him/her. If you respond by saying, “You’ll be fine,” he or she might not feel heard. Instead respond by saying “that sounds pretty scary.” Talk about a time from your own childhood when you were scared, and how you handled the situation.

Talk at an age-appropriate level

 Use facts available about the coronavirus to talk to your children in an age-appropriate way. Start by asking your children what they know and encourage your children to always bring their questions to you. You can explain:

There are many kinds of viruses and coronavirus is a new kind of virus. Sometimes when you get sick your nose is stuffy, you have a fever, or your head hurts. You feel that way and have those symptoms because you have a virus.

Some people who have coronavirus might feel sick and some might feel ok. People who are sick, are being taken care of by doctors.

This disease is new. Many scientists are trying to learn about it and are working very hard to make sure that more people don’t get sick. They are trying their best to keep people safe and healthy.

Teach your children that to stay healthy they should wash their hands and avoid touching their mouth, eyes, and nose. Model this habit for them. Everyone in the family should wash their hands for 20 seconds after bathroom use, before eating, and after going to public places.

 Your child may see people wearing face masks in everyday places like the grocery store or pharmacy. Don’t make a big deal out of it. If your child is curious about these face masks you can respond:

That person believes that wearing a mask will help them to stay healthy. Every family has different strategies to stay healthy. That’s why we need to make sure and wash our hands. You’ve been doing a great job!

Stay positive

 If your children’s school is closed or sporting events are cancelled, try to frame it as a positive. Focus on this as a chance to have more time at home having fun rather than something to be afraid of. You can say:

There’s a lot of yucky germs around and we’re going to stay at home to let people get all the germs out of your school.

It is better for us not to be around large crowds right now, but we can practice soccer on our own.

 Prepare activities to keep your child engaged in case of extra time at home.

 Try to maintain a routine as much as you possibly can.

 Talk together about other challenging times you’ve gotten through as a family.

You can explain:

Remember when it snowed so much we couldn’t go anywhere? We were ok and made it through being snowed in at home. We’ve gotten through hard times together before and we can do it again now. We’re a little bit worried and don’t have all the answers. But we didn’t have all the answers then either.

Reach out for help

If you notice changes in your child’s behavior or notice that your child is more worried or anxious than usual, please talk with your pediatrician for additional guidance and support.

Resources

 NPR has published a comic entitled “Just For Kids: A Comic Exploring The New Coronavirus”: https://www.npr.org/sections/goatsandsoda/2020/02/28/809580453/just-for-kids-a-comic-exploringthe-new-coronavirus

 Brainpop has a helpful animated video: https://www.brainpop.com/health/diseasesinjuriesandconditions/coronavirus/

 New York Times has published “How to Talk to Kids about Coronavirus: https://parenting.nytimes.com/childrens-health/coronavirus-kids-talk

 HuffPost has published, “Coronavirus: How to Talk to Your Kids about the Disease” https://www.huffpost.com/entry/coronavirus-how-to-talk-to-kidsdisease_l_5e5c615ac5b601022113151

Prepared by: Elise Gottesman MSW LICSW, Boston Children’s Hospital/Pediatric Physicians’ Organization at Children’s (3/10/2020) Reviewed by: Jonas Bromberg PsyD, Boston Children’s Hospital/Pediatric Physicians’ Organization at Children’s (3/11/2020)

CORONA VIRUS UPDATE

We continue to monitor updates and advice from MA DPH and CDC and will update our patients as information changes. In the meantime, we are NOT currently able to provide testing for COVID-19 in our office. If you believe that you or your child has been exposed and or is exhibiting symptoms of cough, fever or breathing difficulties, please DO NOT SCHEDULE an appointment. Please call our office and leave a message for one of clinical staff to call you back.

As a reminder, most children with coughs and mild fever can be safely cared for in your home.

Our thoughts our with all patients and families during this unsettling times.

Coronavirus Exposure Update

We are closely monitoring the activity of the Coronavirus (COVID-19) through the CDC and Mass Department of Public Health. It is important to be aware of its progress and prepare for exposures.

If you have an appointment scheduled in the next 2 weeks and you, your child, or a household member has had close contact with a symptomatic person diagnosed with Coronavirus (COVID-19) and you, your child, or a household member has a fever or cough or difficulty breathing we will need to reschedule your appointment. Also, if you or your child fit this criteria, please call us to discuss medical care prior to booking an appointment here.

As always, we are trying to prevent the spread of all germs by asking you to wear a mask if you come to our office with fever, cough, or sore throat. If you have any questions please feel free to call or reference these resources listed below:

https://www.cdc.gov/coronavirus/2019-ncov/about/index.html

https://www.cdc.gov/coronavirus/2019-ncov/travelers/after-travel-precautions.html

https://www.cdc.gov/coronavirus/2019-ncov/travelers/index.html

https://www.mass.gov/clinical-advisory/update-and-interim-guidance-on-outbreak-of-2019-novel-coronavirus-2019-ncov-in

https://www.healthychildren.org/English/health-issues/conditions/chest-lungs/Pages/2019-Novel-Coronavirus.aspx

Electronic Medical Record Working Again!

We are pleased to report the electronic medical record system has been restored at our practice with most functionality available. We are working diligently on the completion of a full restoration.

We understand many of you have expressed concerns about the security of your medical information, and while we are currently unaware of any compromise of patient information, we're actively investigating the situation and will know more in the coming days.

We know this has been an inconvenience and we are deeply grateful for the patience and support of our families, and the tireless commitment of our staff to ensure our patients continued to receive the highest quality care. 

Thank you all.

RPA Staff

Electronic Medical Record is down as of February 10

Since Monday afternoon, the electronic medical record system that we use to schedule appointments and manage our patients' medical information has been offline as the result of a malware attack. While the Boston Children's and PPOC information technology teams are working in concert to restore our system, for the security and privacy of our patients and their families, we will be keeping the system offline until we can be completely certain that it's safe to bring it back online.

In the meantime, we are still trying to make appointments and taking messages over the phone and using pen and paper to see our patients. Since we also do not have full access to our schedules, we will not be able to book future appointments until it is up and running again. Due to the lack of access to our patient's’ charts, any prescription or other medical requests may have a delay and we apologize for this inconvenience. If you have an appointment booked please be patient as we check you in without access to our EMR.

We are working tirelessly to return to normal operations soon, and will keep you informed of any changes to this situation. While we know that this is a great inconvenience to our families, providers and staff, we're grateful for your support and your patience. If you have any questions, please don't hesitate to contact us directly, at 617-522-3100.

-RPA Staff

Patients with concern for Coronavirus

As you may have seen in the media, there is an outbreak of a new coronavirus strain in China. The symptoms include fever and cough or shortness of breath.

If you or your child has a fever and cough and has either traveled to Wuhan City, China, or have been exposed to someone who has been there in the past 14 days or to someone who is known to have Coronavirus, please call us. If you are coming in for a visit and have these symptoms please wear a mask upon entering our office and notify staff right away.

We are in touch with the Department of Public Health and reviewing updates from the CDC to ensure we are managing any concerns appropriately.