To our patients:
RE: COVID-19 (2019 Novel Coronavirus)
Medpoint Health Care continues to actively monitor the developing situation with the assistance of Public Health Ontario, the MOHLTC, the Middlesex London Health Unit and other stakeholders.
We have received many calls and emails from concerned patients looking for guidance around their own situation. This is appropriate and reassuring as it is evidence that people are attempting to get reliable information from trusted sources on how to best protect themselves and contain the spread of this virus. We are also grateful that you call before presenting to any of our clinics in person.
It is important to recognize that guidelines around who meets the criteria for COVID-19 testing continue to be refined. As well, advice on who is to self-isolate after a return from international travel has changed in the past few days. We highly encourage our patients to seek guidance from a trusted public health website like www.healthunit.com when seeking reliable information on COVID-19.
To all Medpoint patients:
1. Please do NOT show up at your healthcare provider’s office as a walk-in. All appointments are postponed and all Medpoint locations including Fitness are now closed until April 15th 2020.
2. You will NOT be assessed in any of our clinics if you have returned home to Canada within the last 14 days or you are a close contact of a confirmed or probable or suspect COVID-19 case.
3. At this time any appointment request will be conducted by virtual consult (phone or videoconference). Adult and Paediatric virtual appointments are available.
4. Most appointments will be booked the day of the request with only a few next-day bookings.
5. Essential care will be prioritized over non-essential care.
Here are some key principles for managing any viral respiratory illness in general:
1. If you are sick, stay home until you have fully recovered and are symptom free for 24 hours without the use of medication. Use supportive measures such as rest, nutrition, hydration and Tylenol when indicated for sore throat or fever.
2. Practice respiratory illness etiquette by sneezing or coughing into the bend of your sleeved arm.
3. Practice social distancing by maintaining a 2-meter distance from family members and by not having visitors to your home.
4. Wash your hands with soap and water frequently and use alcohol-based hand sanitizer when the former is not available.
5. Do not touch your face
6. Clean and disinfect all high contact surfaces (counters, door and facet handles, phones, light switches, toilet seats, arm rests, etc.).
7. Do not share beverages containers, utensils or personal items with others.
8. Even with mild symptoms, avoid visits with those more vulnerable such as those who are immunocompromised, senior citizens and certainly those in retirement homes and Long-Term Care Facilities.
When and who do I call for advice when I am sick with a respiratory illness?
Call your physician or nurse practitioner or Telehealth Ontario if you are experiencing symptoms of a mild-moderate respiratory illness with any of the following features:
· a fever (38.0 or greater) that does not respond to Tylenol or Advil
· a fever than lasts five days or more
· a cough that is getting worse or not resolving
· mild shortness of breath that is new or worse than baseline
· a respiratory illness that is not improving by day 5-7.
· a respiratory illness that was stable or improving but starts to get worse
· a respiratory illness in a person that is either immunocompromised, elderly, isolated or otherwise vulnerable
· You have fatigue, weakness, worsening headache or confusion
· You are not able to care for yourself
· You are getting worse for any reason
Anyone with a severe respiratory illness (difficulty breathing or catching their breath), severe fever which will not come down with Tylenol, profound fatigue, altered level of consciousness or another medical emergency should be seen in hospital. Call 911 for direction.
When and who do I call if I suspect I am at risk for COVID-19?
First use the self-assessment tool at www.ontario.ca/page/2019-novel-coronavirus-covid-19-self-assessment
Call Telehealth Ontario or your Physician if you have any of the following symptoms:
· New or worsening cough
· New or worsening shortness of breath
· Muscle aches, fatigue, headache, sore throat, runny nose or diarrhea
AND have had any of the following in the last 14 days:
· Travel outside Canada
· OR have been in close contact with a confirmed or probable COVID-19 case
· OR have been in close contact with person with respiratory symptoms who has travelled to an impacted area.
Who will be considered for COVID-19 testing?
In Ontario, testing will be prioritized for those who are sick enough to be hospitalized. Healthcare workers, Indigenous people on reserve, LTC residents and symptomatic contacts of confirmed cases until community transmission is established.
What about international travel?
This is a rapidly evolving situation and advice on travel can change quickly. Please keep up to date by checking websites for your local Health Unit, Public Health Ontario and the Government of Canada.
This applies if you are about to embark on international travel or are returning to Canada.
· The Chief Medical Officer of Health advises to avoid all non-essential travel outside Canada.
· All travellers returning to Canada from abroad are advised to self-isolate at home for 14 days, whether they have symptoms or not.
· Any traveler who develops respiratory symptoms (fever, cough or difficulty breathing) within 14 days of their return while self-isolating, should call Telehealth Ontario or their physician for further assessment and guidance.
· All travellers returning from China (Mainland including Hubei), Iran and Italy should self-isolate for 14 days REGARDLESS of the presence or absence of respiratory symptoms AND should notify Telehealth Ontario or the Health Unit within 24HRS of their return.
Again, Medpoint Healthcare insists that you NOT present to any of our facilities without an appointment.
Call to cancel your Personal Training appointment at one of our fitness centers if you have any of the following:
1. You have symptoms of a respiratory illness, fever or other systemic infection
2. You have returned from travelling outside of Canada within the last 14 days.
3. You have had close contact with a confirmed or probable COVID-19 case
4. You have had close contact with a person with symptoms of a respiratory infection or fever who has travelled to an impacted area.
Take care of each other. With warm regards,
Dr Sylvia Murchison
Please make use of the following useful links:
Middlesex County Health Unit www.healthunit.ca or call 519-663-5317
Telehealth Ontario 1-866-797-0000
Government of Canada www.canada.ca
If you still have questions please feel free to reach us by email at firstname.lastname@example.org