COVID-19 UPDATE

We know you’ve been following the news about coronavirus disease 2019 (COVID-19) closely, and have many questions and concerns about what this outbreak will mean for you, your family, and your patients.

We call your attention to a number of regularly updated sources of information from the Centers for Disease Control and Prevention, specifically recent CDC travel warnings and updated clinical criteria.

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COVID-19 FAQ

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Should patients cease their medication as a precaution?

Some rheumatology patients, particularly those on steroids and biologics, will be immunosuppressed and should therefore be considered ‘high-risk’. However all patients, including those aged 16 years and under, should continue to take their medication unless directed otherwise by their rheumatology team. If you are planning to start or switch to a new medication this may now need to be reviewed. Please remember patients on long-term glucocorticoids (steroids, prednisolone) should not stop these abruptly.

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Should patients who become infected with the virus cease their medication?

If patients develop symptoms of any infection, established practice should be followed and immunosuppressive therapy paused for the duration of the infection and until they feel well, in consultation with their rheumatology team. For those on glucocorticoids (steroids, prednisolone), the expectation is that treatment should not be stopped abruptly and advice should be sought from their treating team.

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What precautions should patients be advised to take?

We would advise to avoid all non-essential contact with people. This means working from home if possible and avoiding public spaces. In addition, all unnecessary travel should be stopped. This advice is particularly important for those over the age of 70, those with underlying health conditions and pregnant women.

Any patient who qualifies for a flu vaccination on medical grounds, which includes those with a weakened immune system as a result of their underlying medical condition or medication, should now be advised to follow the guidance about social distancing. This will apply to many patients, including both adults and children, attending rheumatology clinics.

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As your healthcare provider, we are doing everything we can to ensure the safety of our patients, staff and visitors.

Given the recent Coronavirus pandemic, we would like to offer the option of doing remote visits for our existing patients for their follow-up visit.Please call us at 936-571-0508 if you would like more information, or would like to schedule a follow-up visit.