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.

Chest Pain

Is this your child's symptom?

  • Pain or discomfort in the chest (front or back)
  • The chest includes from the top to the bottom of the rib cage

Causes of Chest Pain

  • Muscle Overuse. Chest pain can follow hard sports (such as throwing a baseball). Lifting (such as weights) or upper body work (such as digging) can also cause it. This type of muscle soreness often increases with movement of the shoulders.
  • Muscle Cramps. Most brief chest pain lasting seconds to minutes is from muscle cramps. The ribs are separated by muscles. These fleeting pains can also be caused by a pinched nerve. These chest wall pains are harmless. Brief muscle cramps are also the most common cause of recurrent chest pains. The medical name is precordial catch syndrome.
  • Coughing. Chest pain commonly occurs with a hacking cough. Coughing can cause sore muscles in the chest wall, upper abdomen or diaphragm.
  • Asthma. Children with asthma often have a tight chest. They may refer to this as chest pain. They also get chest pain when they have lots of coughing.
  • Heartburn. Heartburn is due to reflux of stomach contents. It usually causes a burning pain under the lower sternum (breastbone).
  • Caffeine. A rapid and pounding heart beat may be reported as chest pain. Too much caffeine as found in energy drinks is a common cause. Drugs prescribed for ADHD also can cause a fast heartbeat. Illegal drugs, such as cocaine, can cause a high heart rate as well.
  • Chest Wall Injury. Blunt trauma usually just causes a bruised rib. Sometimes, it causes a rib fracture.
  • Heart Disease (Serious). Heart disease is hardly ever the cause of chest pain in children. Chest pain that only occurs with exercise could have a cardiac cause.
  • Pleurisy (Serious). Pleurisy is another problem of pneumonia. If the infection involves the lung's surface, that area of the chest will hurt.

Pain Scale

  • Mild: your child feels pain and tells you about it. But, the pain does not keep your child from any normal activities. School, play and sleep are not changed.
  • Moderate: the pain keeps your child from doing some normal activities. It may wake him or her up from sleep.
  • Severe: the pain is very bad. It keeps your child from doing all normal activities.

When to Call Us for Chest Pain

Call 911 Now

  • Severe trouble breathing (struggling for each breath, can barely speak or cry)
  • Passed out (fainted)
  • Bluish lips or face
  • Not moving or too weak to stand
  • You think your child has a life-threatening emergency

Call Doctor or Seek Care Now

  • Your child has heart disease
  • Trouble breathing, but not severe
  • Taking a deep breath makes the pain worse
  • Heart is beating very rapidly
  • After a direct blow to the chest
  • Your child looks or acts very sick
  • You think your child needs to be seen, and the problem is urgent

Contact Doctor Within 24 Hours

  • Fever is present
  • Cause of chest pain is not clear. Exception: pain due to coughing, sore muscles, heartburn or other clear cause.
  • You think your child needs to be seen, but the problem is not urgent

Contact Doctor During Office Hours

  • Chest pains only occur with hard exercise (such as running)
  • Sore muscles last more than 7 days
  • Heartburn lasts more than 2 days on treatment
  • Chest pains are a frequent problem
  • You have other questions or concerns

Self Care at Home

  • Normal chest pain from sore muscles
  • Normal chest pain from heartburn

Care Advice

Sore Muscle Pain Treatment

  1. What You Should Know About Mild Chest Pain:
    • Chest pains in children lasting for a few minutes are usually harmless. The pain can be caused by muscle cramps. They need no treatment.
    • Chest pains that last longer can be from hard work or sports. The shoulders are usually involved. Sore muscles can start soon after the event.
    • Here is some care advice that should help.
  2. 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.
    • Continue this until 24 hours have passed without pain.
  3. Cold Pack for Pain:
    • For the first 2 days, use a cold pack to help with the pain.
    • You can also use ice wrapped in a wet cloth.
    • Put it on the sore muscles for 20 minutes, then as needed.
    • Caution: Avoid frostbite.
  4. Use Heat After 48 Hours:
    • If pain lasts over 2 days, put heat on the sore muscle.
    • Use a heat pack, heating pad or warm wet washcloth.
    • Do this for 10 minutes, then as needed.
    • Reason: Increase blood flow and improve healing.
    • Caution: Avoid burns.
    • A hot shower may also help.
  5. Stretching the Muscles:
    • Gentle stretching of the shoulders and chest wall may help.
    • Do sets of 10 twice daily.
    • This may prevent muscle cramps from coming back.
    • Stretching can be continued even during the chest pain. Do not do any exercises that increase the pain.
  6. What to Expect:
    • For sore muscles, the pain most often peaks on day 2.
    • It can last up to 6 or 7 days.
  7. Call Your Doctor If:
    • Pain becomes severe
    • Pain lasts over 7 days on treatment
    • You think your child needs to be seen
    • Your child becomes worse

Heartburn (Reflux) Pain Treatment

  1. What You Should Know About Heartburn:
    • Heartburn is common.
    • It's due to stomach acid going up into the esophagus. The esophagus is the tube from the mouth to the stomach.
    • Heartburn causes a burning pain behind the lower part of the breastbone. It also causes a sour (acid) taste in the mouth and belching.
    • Here is some care advice that should help.
  2. Antacids:
    • Heartburn is usually easily treated. Give a liquid antacid by mouth (such as Mylanta or the store brand). No prescription is needed.
    • Dose: Give 1 to 2 tablespoons (15 - 30 mL).
    • If you don't have an antacid, use 2 to 3 ounces (60 - 90 mL) of milk.
    • For heartburn that keeps coming back, give an antacid 1 hour before meals. Also, give a dose at bedtime. Do this for a few days.
  3. Heartburn Prevention:
    • Do not eat too much at meals. This overfills the stomach.
    • Do not eat foods that make heartburn worse. Examples are chocolate, fatty foods, spicy foods, carbonated soda, and caffeine.
    • Do not bend over during the 3 hours after meals.
    • Do not wear tight clothing or belts around the waist.
  4. What to Expect:
    • Most often, heartburn goes away with treatment.
    • But, heartburn also tends to come back. So, preventive measures are important.
  5. Call Your Doctor If:
    • Heartburn doesn't go away after 2 days of treatment
    • 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 2000-2020. 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