Coronavirus Pandemic Notice
Posted 2/3/2021

Our Practice Updates General Covid-19 Information
The Coronavirus Pandemic safety protocols remain in place.

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

To maintain proper social distancing within the office, we continue to call you in from your car and to escort you out one family at a time.

Therefore, entering and exiting transitions take longer. Please be patient with us as we do our best to keep everyone as safe as possible.

Only one adult may accompany the patient(s) for the appointment(s) to limit in office capacity.

We continue to separate, by session, appointments for well/non-sick patients from appointments for sick/contagions concerns.

All entrants are screened for Covid-19 symptoms and exposure. (All non-urgent appointments are rescheduled if there is a positive screen.)

Our pandemic hours are the still Monday-Friday 8am-4pm and we continue to have Saturday hours 8am-12pm.

As usual, we are available for advice 24/7.

Telehealth visits are still available.

The office is not handling cash payments within the office space.

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

We are not yet offering Coronavirus vaccines.

**We are following the American Academy of Pediatrics guidelines (12/2020) to conduct in office cardiac screening for all children 5 years and older in order to determine clearance to resume exercise/gym/sports.


Continue to mask, social distance, and wash your hands frequently.

Avoid unnecessary gatherings with persons with whom you do not live.

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.

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 and quarantine your family 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. Note the quarantine time has been shortened from 14 to 10 days.

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, difficulty keeping down fluids, or an extensive rash.

Presently available vaccines are approved for either 16 or 18 year-olds and up.


Stay safe!
Let’s Go Buffalo!
Crush this Virus!

Wheezing (Other Than Asthma)

Is this your child's symptom?

  • Breathing sound that is high-pitched and tight
  • A purring or whistling sound
  • You can hear it best when your child is breathing out
  • Use this guide only if your child has not been diagnosed with asthma

Causes of Wheezing

  • Bronchiolitis. This is the main cause in the first 2 years of life. Bronchiolitis peaks at 6-12 months. This is a viral infection (usually RSV) of the small airways. These small airways are called bronchioles.
  • Asthma. This is the main cause after age 2. The first attack of asthma can be hard to diagnose. Asthma is defined as attacks of wheezing that recur.
  • Airway Foreign Object (Serious). Suspect this when there is a sudden onset of coughing, choking and wheezing. A clue is wheezing heard only on one side. Common examples of inhaled objects are peanuts and seeds. Peak age is 1 to 4 years.
  • Nasal Sounds. When the nose is congested, it can produce some whistling sounds. This can happen during a cold or with nasal allergies. Unlike wheezing, the breathing is not tight. Also, nasal rinses with saline will make the sound go away.

When to Call Us for Wheezing (Other Than Asthma)

Call 911 Now

  • Wheezing and life-threatening allergic reaction to similar substance in the past
  • Start to wheeze suddenly after a bee sting, taking medicine, or eating an allergic food
  • Severe trouble breathing (struggling for each breath, very tight wheezing, can barely cry)
  • Passed out or stopped breathing
  • Bluish lips or face
  • Choked on a small object or food recently
  • You think your child has a life-threatening emergency

Call Doctor or Seek Care Now

  • Wheezing, but none of the symptoms above. Reason: needs a doctor's exam.

Care Advice for Mild Wheezing

  1. What You Should Know About Wheezing:
    • Wheezing is a high-pitched purring or whistling sound.
    • Wheezing means the lower airway is tight.
    • This is often part of a cold, but it can become worse.
    • Here is some care advice that should help until you talk with your doctor.
  2. Coughing Fits or Spells:
    • Breathe warm mist (such as with shower running in a closed bathroom).
    • Give warm clear fluids to drink. Examples are apple juice and lemonade.
    • Age under 3 months. Don't use.
    • Age 3 - 12 months of age. Give 1 ounce (30 mL) each time. Limit to 4 times per day.
    • Age over 1 year of age. Give as much as needed.
    • Reason: Both relax the airway and loosen up any phlegm.
  3. Homemade Cough Medicine:
    • Do not give any over-the-counter cough medicine to children with wheezing. Instead, treat the cough using the these tips:
    • Age 3 months to 1 year: Give warm clear fluids to treat the cough. Examples are apple juice and lemonade. Amount: Use a dose of 1-3 teaspoons (5-15 mL). Give 4 times per day when coughing. Caution: Do not use honey until 1 year old.
    • Age 1 year and older: Use Honey ½ to 1 teaspoon (2-5 mL) as needed. It works as a homemade cough medicine. It can thin the secretions and loosen the cough. If you don't have any honey, you can use corn syrup.
  4. Nasal Saline To Open a Blocked Nose:
    • Use saline (salt water) nose drops or spray to loosen up the dried mucus. If you don't have saline, you can use a few drops of water. Use distilled water, bottled water or boiled tap water.
    • Step 1. Put 3 drops in each nostril. If under 1 year old, use 1 drop.
    • Step 2. Blow (or suction) each nostril out while closing off the other nostril. Then, do the other side.
    • Step 3. Repeat nose drops and blowing (or suctioning) until the discharge is clear.
    • How Often. Do nasal saline when your child can't breathe through the nose.
    • Limit. If under 1 year old, no more than 4 times per day or before every feeding.
    • Saline nose drops or spray can be bought in any drugstore. No prescription is needed.
    • Saline nose drops can also be made at home. Use ½ teaspoon (2 mL) of table salt. Stir the salt into 1 cup (8 ounces or 240 mL) of warm water. Use bottled water or boiled water to make saline nose drops.
    • Reason for nose drops: Suction or blowing alone can't remove dried or sticky mucus. Also, babies can't nurse or drink from a bottle unless the nose is open.
    • Other option: use a warm shower to loosen mucus. Breathe in the moist air, then blow each nostril.
    • For young children, can also use a wet cotton swab to remove sticky mucus.
  5. Humidifier:
    • If the air in your home is dry, use a humidifier. Reason: Dry air makes coughs worse.
  6. Smaller Feedings:
    • Use small, frequent feedings whenever your child has the energy to drink.
    • Reason: Children with wheezing don't have enough energy for long feedings.
  7. Avoid Tobacco Smoke:
    • Tobacco smoke makes coughs and wheezing much worse.
  8. Return to School:
    • Your child can return to child care after the wheezing and fever are gone.
  9. Call Your Doctor If:
    • Trouble breathing gets worse
    • Wheezing gets worse
    • You think your child needs to be seen
    • Your child becomes worse

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 2000-2021. Schmitt Pediatric Guidelines LLC.

 

Transit Office Hours

4899 Transit Road Depew, NY 14043

Monday – Friday: 8am-4pm
Saturday: 8am-12pm

(716) 558-5437