Two monoclonal antibody treatments are conditionally approved by the FDA, seem to substantially help moderately severe cases of Covid-19, and are supposed to be available for use as outpatient infusions to prevent hospitalizations and deaths. In practice they are not actually available, as I found out this weekend trying to arrange an infusion for a patient. This is another fail of our health system.
Vaccinations with the Moderna and Pfizer vaccines have started. We do not yet have any for our patients, but are poised to begin immunizations as soon as DPH supplies us. This may be February. Meantime, Covid-19 disease risk is at an all-time high in Massachusetts and may well worsen. Keep safe. DO NOT SPEND TIME INDOORS IN GROUPS other than regular household members.
We are doing in-person visits for checkups and urgent problems, but this Fall’s massive Covid-19 surge, which is expected to worsen in January, may make the face-to-face contacts too risky. Fortunately, video visits are a pretty good substitute much of the time.
Antigen testing reduces the risks of unknowingly exposing others to an asymptomatic person who is actually infectious with Covid-19. We explain how we charge for the tests when used for screening v. diagnostic purposes.
A brief review of the multiple ways we work to protect you and our staff in our clinical environment, including improvements in HVAC, aggressive cleaning and PPE, and SARS-CoV-2 antigen testing for patients and staff. These efforts all serve to reduce the risk of passing or acquiring Covid-19 in the OHC clinical office.
We provide multiple brief updates about the state of the Covid-19 pandemic, the vaccines, the treatments or lack thereof, how you isolate, and what the future holds. Stay the course. Keep your guard up. Get your flu shot. We are in this for a long time.
We will start our flu clinics on Tuesday, September 29. Clinics will be offered Tuesday and Thursday afternoons and some Friday mornings through the end of October, or even early November as needed, for everyone to get the flu vaccine. A signup calendar will be active on our website within a few days. Further instructions will follow as well.
We are still in the midst of a pandemic that has subsided in Massachusetts but is still very much with us and could easily rebound. We need to remain vigilant in our self care. No real good news. US infections and deaths are at high levels and increasing. An effective and proven vaccine is not realistic until next year and then will take many months to distribute. Keep up your careful self care. This is depressing but real.
We have started scheduling comprehensive visits (“checkups”) for members in the office. Checkups will be divided into two parts, with video discussion one day and in-office physical exam and completion the subsequent day. This will allow thorough and effective comprehensive exams that will be safer by restricting in time spent in closed exam rooms. In addition we have detailed phone prescreening for Covid-19 and active virus point-of-care testing on arrival at the office to protect all of us.
We will have flu clinics for all members in October with drive up vaccine administration. Signup for a given hour on a given day will be needed. Fine details still under construction. You want to get your flu shot this year for sure.
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