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.

Chickenpox

Is this your child's symptom?

  • A rash all over the body caused by the chickenpox virus.
  • The chickenpox rash starts as small red bumps. The bumps change to blisters or pimples. The bumps change to open sores, and finally they scab over.
  • A doctor has told you that your child has chickenpox.
  • Or your child had close contact with another person who has it (or shingles). The contact should be 10-21 days earlier.

Symptoms of Chickenpox

  • Chickenpox starts with some small water blisters or pimples on the head and trunk.
  • Chickenpox progress within 24 hours through the next 5 stages:
    1. Small red bumps
    2. Thin-walled water blisters
    3. Cloudy blisters
    4. Open sores, and finally
    5. Dry brown crusts.
  • Rash is all over the body. Most often, starts on the head and back.
  • Repeated crops of new chickenpox keep appearing for 4 to 5 days. Therefore, all 5 stages are present at same time.
  • Sores (ulcers) can also occur in the mouth, on eyelids, and on genitals.
  • Fever is most often present. The more the rash, the higher the fever.
  • Known contact to a child with chickenpox or shingles 10 - 21 days earlier
  • Main related problems: skin infections from scratching.

Cause of Chickenpox

  • Chickenpox is caused by a virus. It is called Varicella.
  • Chickenpox can be prevented by getting this vaccine against this virus.

When to Call Us for Chickenpox

Call 911 Now

  • Not moving or too weak to stand
  • You think your child has a life-threatening emergency

Call Doctor or Seek Care Now

  • Bright red skin or red streak
  • Very painful swelling or very swollen face
  • New red rash in addition to chickenpox rash
  • Walking is not steady
  • Trouble breathing
  • Bleeding into the chickenpox
  • Fever over 104° F (40° C)
  • Age less than 1 month old
  • Vomits 3 or more times
  • Eye pain or constant blinking
  • Took a steroid medicine within past 2 weeks
  • Weak immune system. Examples are: sickle cell disease, HIV, cancer, organ transplant, taking oral steroids.
  • Chronic skin disease (such as eczema)
  • Chronic lung disease (such as cystic fibrosis)
  • 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

  • Age less than 1 year old
  • Teen 13 years or older has chickenpox
  • Been near to person with chickenpox or shingles in last 5 days. Also, healthy person who never had a chickenpox vaccine.
  • One lymph node gets larger and more tender
  • Fever lasts more than 4 days
  • Fever returns after being gone more than 24 hours
  • Scab or sore drains yellow pus
  • One sore gets much larger in size than the others
  • Gets new chickenpox after day 6
  • You think your child needs to be seen, but the problem is not urgent

Contact Doctor During Office Hours

  • You have other questions or concerns

Self Care at Home

  • Chickenpox with no other problems

Care Advice for Chickenpox

  1. What You Should Know About Chickenpox:
    • Chickenpox is caused by the varicella virus.
    • It's now uncommon because of the chickenpox vaccine.
    • Your job is to keep your child comfortable and to limit the itching.
    • Here is some care advice that should help.
  2. Cool Baths for Itching:
    • For itching, give cool or lukewarm baths for 10 minutes as often as needed.
    • Caution: Avoid any chill.
    • Can add baking soda 2 ounces (60 mL) per tub.
    • Baths don't spread the chickenpox.
    • Do not use soaps. Reason: Soaps cause dry skin and make the itch worse.
  3. Calamine Lotion for Itching:
    • Put calamine lotion on the chickenpox that itch the most.
    • You can also use an ice cube on the itchy spots for 10 minutes.
    • Don't use any lotion containing Benadryl in it. Reason: It can be absorbed across the skin. This can cause side effects in kids.
  4. Allergy Medicine for Itching:
    • If itching becomes severe or interferes with sleep, give Benadryl by mouth.
  5. Try Not to Scratch:
    • Try not to let your child pick and scratch at the sores. This can lead to infected sores.
    • Trim fingernails.
    • Wash hands often with soap.
  6. Fever Medicine:
    • Give acetaminophen (such as Tylenol) for fever above 102° F (39° C).
    • Never use aspirin. Reason: Risk of Reye syndrome.
    • Also, don't use ibuprofen products (such as Advil). Reason: May increase risk of bad strep skin infections.
  7. Fluids and Soft Diet:
    • The mouth and throat ulcers are painful. 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 more important than eating any solids.
    • For babies, you may need to stop the bottle. Give fluids by cup, spoon or syringe instead. Reason: The nipple can increase the pain.
  8. Liquid Antacid for Mouth Pain (Age 1 Year and Older):
    • For mouth pain, use a liquid antacid (such as Mylanta or the store brand). Give 4 times per day as needed. After meals often is a good time.
    • Age 1 to 6 years. Put a few drops in the mouth. Can also put it on with a cotton swab.
    • Age over 6 years. Use 1 teaspoon (5 mL) as a mouth wash. Keep it on the ulcers as long as possible. Then can spit it out or swallow it.
    • Caution: Do not use regular mouth washes, because they sting.
  9. Ointment For Pain With Passing Urine:
    • For girls with painful genital ulcers, use petroleum jelly (such as Vaseline).
    • Put on the sores as needed.
    • For males with painful pox on the tip of the penis, this also works.
  10. Return to School:
    • Your child can go back to school after all the sores have crusted over.
    • Most often, this is day 6 or 7 of the rash.
  11. What to Expect:
    • Expect new chickenpox every day for 4 or 5 days.
    • Most children get 400 to 500 chickenpox.
    • They get less pox if they've had the vaccine.
  12. Prevent the Spread of Chickenpox in the Office:
    • If your child needs to be seen, call first to the office.
    • Try to bring another adult. Have one adult enter the office first for instructions.
    • For nonurgent problems, the doctor may do an exam in the car.
  13. Call Your Doctor If:
    • Chickenpox look infected (draining pus, scabs become larger)
    • Gets any new chickenpox after day 6
    • 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.

Chickenpox Rash

Chickenpox is an infectious disease caused by the varicella-zoster virus. It results in an itchy blister-like rash, tiredness and fever.

It appears first on the trunk and face, but can spread over the entire body. It may cause between 250 and 500 itchy blisters. The rash is no longer contagious when all of the spots are crusted over and no new spots are appearing. This usually takes 7 days from the start of the rash.



Chickenpox on Abdomen

The Chickenpox rash can occur on all body surfaces. The rash is raised, red and itchy.

The rash is no longer contagious when all of the spots are crusted over and no new spots are appearing. This usually takes 7 days after the rash first appears.




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Transit Office Hours

4899 Transit Road Depew, NY 14043

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

(716) 558-5437