Coronavirus Pandemic Notice
Posted 7/4/20

Our Practice Updates General Covid-19 Updates
We are open for physicals and sick visits with safeguards in place to maintain proper social distancing within the office. Telehealth visits are available also, and they are covered by the insurance companies. As usual, we are available for advice 24/7.

All persons 2 years and up who enter the office must wear a face mask that covers both the mouth AND the nose.

We are seeing patients by appointment only.

We continue to have Saturday hours but not evening hours. M-Friday hours are 8-4pm.

To limit traffic in the office we request that only one adult accompany the child/children for the appointment(s). (Please do not bring extra children who do not have appointments.)

To maintain proper social distancing we have our patients using their vehicle as their own private waiting room until called to be escorted inside, one family at a time.

Well/Advance Rechecks are scheduled in the mornings and early afternoons while sick visits that cannot be managed by telehealth visits are scheduled in the late afternoons.

All patients are screened for:

  • symptoms of Covid-19 within 2 wks
  • travel to a Covid-19 “Hot Spot” within 2 wks.
  • a close contact:
    • with symptoms of Covid-19 within 2 wks.
    • who traveled to a Hot Spot within 2 wks.
    • under investigation for or quarantined for Covid-19 within 2 wks.
Appointments for well visits or advance rechecks are rescheduled if the screening above is positive.

We are not handling/exchanging forms nor payments within the office space. Please mail, fax, or send forms/papers through the patient portal.

Your family will be escorted out of the office one family at a time.

Employees are screened similarly prior to entering the office.

Our goal is to keep minor illness out of the office and urgent care centers, so please call for a Telehealth Visit.

We are not doing in-office testing for Covid-19.

The Center for Disease Control and the American Academy of Pediatrics endorse continued well visits to ensure that children stay up to date on their immunizations.

Refer to the Erie County Dept. of Health website for a list of Covid testing locations.

If you get tested, isolate as if you are positive until the results are reported as normal.

If there is a test-proven, positive Covid-19 case in your household refer to the Erie County Health Commissioner mandate (Health Alert Priority #355) for the proper quarantine procedure via this link: www.erie.gov/covid19.

The practice is not recommending Covid-19 antibody blood tests until more data is available on their accuracy and clinical usefulness.

Continue social distancing and good hand hygiene.

Do not send your child to daycare, camp, nor school with any symptoms of Covid-19 nor if he has had close contact with someone who has or is under investigation for Covid-19.

If you think your child has the Covid-19 virus he may be treated supportively at home. Regarding suspected Covid-19 illness, call if there is fever of 100.4 or higher longer than 72 hours or if there is shortness of breath, trouble breathing, or an extensive rash.

Everyone eligible for Flu shots should be vaccinated this season.


Just because we all are getting tired of the Pandemic, it doesn’t mean it’s over!
Everyone must do their part for the greater good.
If that is not inspiring enough, do it for your Nana and Papa!
Stay safe.
Thank You from the Providers and Staff of Genesee-Transit Pediatrics.

Strep Throat Exposure

Is this your child's symptom?

  • Close contact with someone who has a Strep throat infection.
  • Close contact means living in the same house with the infected person. It also includes close physical contact such as having a kissing relationship.

Strep Exposure (Close Contact)

  • Household Close Contact. Lives with a person whose Strep test was positive. This can be a sibling, parent, or other household member.
  • Kissing relationship with someone (boyfriend, girlfriend) who has a positive Strep test.
  • Close contact should be within 10 days of onset of symptoms in exposed child. Reason: time from contact to Strep symptoms usually is 2 to 5 days.
  • Throat cultures and rapid Strep tests aren't urgent. Most can be done in your doctor's office.

Types of Limited Contact with Strep

  • Contact with someone outside the home with a positive Strep test. This type of contact occurs at school.
  • Sometimes, the contact is with someone who was treated for Strep without testing.
  • If fever is gone, children taking antibiotics for at least 12 hours do not spread Strep to others.

When to Call Us for Strep Throat Exposure

Call 911 Now

  • Severe trouble breathing (struggling for each breath; can barely speak or cry)

Call Doctor or Seek Care Now

  • Stiff neck or can't move neck like normal
  • Great trouble swallowing fluids or spit
  • Trouble breathing, but not severe
  • Fever over 104° F (40° C)
  • Dehydration suspected. No urine in more than 8 hours, dark urine, very dry mouth and no tears.
  • Your child looks or acts very sick
  • You think your child needs to be seen, and the problem is urgent. Note: a Strep test alone is not urgent.

Contact Doctor Within 24 Hours

  • Sore throat pain is severe and not better 2 hours after taking ibuprofen
  • Age less than 1 year old
  • Earache or sinus pain (not just congestion)
  • Mild symptoms that could be from Strep throat. (Some are sore throat, cries during feeds, large lymph nodes in the neck, fever)
  • You think your child needs to be seen, but the problem is not urgent (or needs a Strep test)

Contact Doctor During Office Hours

  • You have other questions or concerns

Self Care at Home

  • Strep contact but no symptoms

Care Advice

Treatment for Contacts With Symptoms (Pending a Strep Test)

  1. What You Should Know About Strep Exposure and Sore Throats:
    • A Strep test is not urgent.
    • It could be a Strep throat or just a viral infection of the throat.
    • A sore throat is often part of a cold.
    • Until you get a Strep test, here is some care advice that should help.
  2. Sore Throat Relief:
    • Age over 1 year. Can sip warm fluids such as chicken broth or apple juice. Some children prefer cold foods such as popsicles or ice cream.
    • Age over 6 years. Can also suck on hard candy or lollipops. Butterscotch seems to help.
    • Age over 8 years. Can also gargle. Use warm water with a little table salt added. A liquid antacid can be added instead of salt. Use Mylanta or the store brand. No prescription is needed.
    • Medicated throat sprays or lozenges are generally not helpful.
  3. Pain Medicine:
    • To help with the pain, give an acetaminophen product (such as Tylenol).
    • Another choice is an ibuprofen product (such as Advil).
    • Use as needed.
  4. Fever Medicine:
    • For fevers above 102° F (39° C), give an acetaminophen product (such as Tylenol).
    • Another choice is an ibuprofen product (such as Advil).
    • Note: Fevers less than 102° F (39° C) are important for fighting infections.
    • For all fevers: Keep your child well hydrated. Give lots of cold fluids.
  5. Fluids and Soft Diet:
    • Try to get your child to drink adequate fluids.
    • Goal: keep your child well hydrated.
    • Cold drinks, milk shakes, popsicles, slushes, and sherbet are good choices.
    • Solids. Offer a soft diet. Also avoid foods that need much chewing. Avoid citrus, salty, or spicy foods. Note: Fluid intake is much more important than eating any solids.
    • Swollen tonsils can make some solid foods hard to swallow.
  6. Return to School:
    • Your child may have a Strep throat infection. Wait for the result of the rapid Strep test. If it is negative, your child can go back to school.
  7. Call Your Doctor If:
    • Your child becomes worse

Treatment for Contacts Without Symptoms

  1. What You Should Know About Strep Exposure Without Symptoms:
    • Many children have contact with someone with Strep throat. Most will not come down with an infection. This is especially true if the contact occurs outside the home.
    • Strep tests are not needed for children without any symptoms.
  2. Time It Takes to Get Strep Throat:
    • Time from contact to Strep symptoms usually is 2 to 5 days.
  3. Return to School:
    • If your child has no symptoms, he does not need to miss any school.
  4. Call Your Doctor If:
    • Your child gets any Strep symptoms in the next 7 days

And remember, contact your doctor if your child develops any of the 'Call Your Doctor' symptoms.

Disclaimer: this health information is for educational purposes only. You, the reader, assume full responsibility for how you choose to use it.

Copyright 2000-2020. Schmitt Pediatric Guidelines LLC.

 

Transit Office Hours

4899 Transit Road Depew, NY 14043

Monday thru Thursday: 8am-7pm
Fri: 8am-4pm
Sat: 8am-12pm

(716) 558-5437