Important Updates about the COVID

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Please check back here regularly for updates. We continue to follow rapidly evolving CDC guidelines to keep our patients and the community safe and minimize exposure. Please note that information is quickly changing so refer to the most recent posts.

COVID Vaccine Update

January 12, 2021

Connecticut is currently in Phase 1a of our statewide rollout plan.

• Healthcare Personnel
• Long-Term Care Facility Residents
• Medical First Responders

According to the Govenor and the State of Connecticut website, we will soon be entering Phase 1b in mid January. Three primary groups will be eligible for the vaccine in Phase 1b:  

• Front line essential workers 
• Individuals and staff in congregate settings
• Individuals 75 years of and older (please see additional info below)

Information about scheduling a vaccination for those 75 and older is coming soon, and will be  CT’s main COVID-19 Vaccination Portal. Click here for details.

To schedule an appointment through Hartford Healthcare, click here.

Please do not contact your Starling provider and we are not distributing the vaccine, handling appointments, or keeping a waiting list.

For all others: The COVID-19 Vaccine Advisory Group will next meet on January 14th. We will have more information for employers and other individuals following this meeting. Please visit our Connecticut’s COVID-19 Vaccination Portal regularly for all the latest updates.

Phase 1c 

Updated information will be coming soon!

COVID Vaccine Safety

January 6, 2021

In the coming weeks, we hope that the vaccine will continue to become more readily distributed throughout Connecticut.  We will keep you updated as details are known.

Some people may have questions about the vaccine safety. Here are some things to consider:

• The vaccines were well-tested in multiple countries and with numerous investigators, researchers, and governmental organizations going over the data.  There is universal agreement.
• Both Pfizer and Moderna vaccines were proven to be about 95% protective in clinical trials.
• Side effects are typical for vaccines, local discomfort and mild systemic symptoms.
• More severe allergic reactions are quite uncommon. There is a significant amount of misinformation circulating about this.
• Remember that a vaccine, or any medication, doesn’t have to have a perfect, zero side-effect record to be a good idea. It is clear that the chance of harm from the vaccine is far, far lower than the chance of harm from COVID-19.  That’s what you have to measure it against.

Historically, all of the serious side effects associated with vaccination occur within 6 weeks of a dose. All of the trials that have been done have mandated at least a 2 month follow up. So we can now say that the vaccines don’t cause a serious uncommon side effect. But 10,000 people isn’t 10 million people. So we can’t yet say the vaccine doesn’t cause a serious rare side effect. But in the US, now more than 4 million people have been vaccinated. No serious permanent side effects so far. The virus, on the other hand, as we have seen can lead to a serious and fatal disease.

So, these are some of the facts to weigh as you consider your options.

Dr. Walker Interview on Channel 3

December 16, 2020

Dr. Scott Walker talks with Channel 3 about COVID-19 symptoms, testing, and when to contact your doctor or seek care.

COVID Updates On Safety & Testing

December 11, 2020

Connecticut’s positivity rate continues to rise state and nation-wide. Here is some information to help you stay safe and know when to seek care.

• Symptoms of COVID-19:
  • People with COVID-19 can have mild symptoms to severe illness. Symptoms can appear 2-14 days after being exposed to the virus. Symptoms most commonly emerge within 3-5 days of exposure.
  • Symptoms can include cough, shortness of breath or difficulty breathing, fever or chills, muscle or body aches, sore throat, headache, nausea or vomiting, diarrhea, runny nose or stuffy nose, fatigue, and recent loss of taste or smell.
  • Children have similar symptoms to adults and generally have mild illness.
  • Some people have no symptoms at all – but can still be contagious to others.

• When to get tested:
  • If you have fever or chills, new cough, or new shortness of breath, you should stay home and arrange to be tested for COVID.
  • If you have had a known close contact exposure to someone with COVID, you should be tested, even if you have only one mild symptom or no symptoms at all; you also should quarantine until test results are back.

• • In certain situations, it is recommended that you be tested – even if you do not have symptoms – if you are a health care worker, first responder, work in a facility such as a nursing home, or live in communities at high risk. Some of these situations include being exposed to someone with COVID-19 without adequate protection, or detection of asymptomatic spread during an outbreak.

•  Types of tests:
  • There are three types of tests available for COVID-19:
    • nucleic acid (PCR test);
    • antigen (rapid) tests, used to diagnose a person with current infection with the SARS-CoV-2, the virus that causes COVID-19; and
    • antibody test, that helps determine if someone was infected with the SARS-CoV-2 virus in the past.
  • If you are having symptoms for COVID-19, or are not sick but have had unprotected prolonged close contact with someone with COVID-19, you should have a nucleic acid (PCR) diagnostic test.
  • Testing is not a free pass and is only an indicator at a moment in time that you are not infected. You still need to practice safety measures including masks, social distancing, and limiting social interactions.

• Quarantine guidelines:
  • The government has now shortened the mandatory quarantine guidelines from 14 days to 7 days with a negative PCR test and no symptoms, or 10 days without a test. However, it is important to check with work or school to determine what their criteria is for return.
  • These are the minimum guidelines and it still is very important to self-quarantine if you believe you have been exposed. Symptoms can still emerge up to 14 days after exposure.
  • If traveling, which we do not advise, it is important to check guidelines for entering/ returning from different states.
  • Visit https://portal.ct.gov/Coronavirus/travel for Connecticut’s guidelines.

• When to call the doctor:
  • If you think you have COVID-19 and feel like you have symptoms, you should first call your primary care provider to talk about your symptoms.
  • Call your doctor for a fever that does not go down with fever-reducing medicine, for any severe symptoms, or for symptoms that get worse over time.
    • Do not use aspirin, as it is not advised for influenza; use Tylenol instead; Tylenol is also recommended for COVID.

• Where to get tested:

• • If you think you have COVID-19 and feel like you have symptoms, you should first call your primary care provider to talk about your symptoms.
    • At Starling, we will be testing patients on a limited basis, starting in mid-December in our Glastonbury location.
    • Patients will be pre-screened and will only be tested if they meet certain criteria.

• Testing is available in many locations throughout Connecticut, free of charge. To find a location near you:
  • You can find a testing site by visitinggov/coronavirus, typing your zip code into the box that says “Find a Testing Site Near You” and clicking “GO.”
  • You can visit 211ct.org to locate the nearest testing site.
  • Click here for a list of sites that our staff have compiled to assist you find testing sites for adults and children.
  • You can call 2-1-1.

• Staying Safe: These messages continue to be repeated but cannot be emphasized enough.

• • Wash your hands often with soap and water for at least 20 seconds, especially after you have been in a public place, or after blowing your nose, coughing, or sneezing.
  • If you use a hand sanitizer, make sure the alcohol content is above 60%.
  • Inside your home, if someone is sick at home, the person should be isolated as much as possible, they should wear a mask and anyone else in the house should also wear a mask.
  • Outside your home, allow 6 feet of distance between yourself and people who don’t live in your household.
  • Everyone should wear a mask in public settings and when around people who don’t live in your household, especially when other social distancing measures are difficult to maintain.
  • Always cover your mouth and nose with a tissue when you cough or sneeze, or use the inside of your elbow, and do not spit.
  • Clean AND disinfect frequently touched surfaces daily. This includes tables, doorknobs, light switches, countertops, handles, desks, phones, keyboards, toilets, faucets, and sinks.
  • Be alert for symptoms. Watch for fever, cough, shortness of breath, or other symptoms of COVID-19. This is especially important if you are running essential errands, going into the office or workplace, and in settings where it may be difficult to keep a physical distance of 6 feet.

• A vaccine is coming:
  • A vaccine is almost here, which is great news. First phase will be for healthcare personnel and residents of long-term care facilities.
  • After that, vaccines will be rolled out to high risk individuals, the elderly, and then to all members of the community.
  • Please don’t call your provider at this time to request a vaccine. We will be working closely with state officials and will ccommunicate with our patients as soon as we have information to share.

• Holidays:
  • We know it is tempting to spend holidays with large groups of friends and family. Please DO NOT gather with large groups this year.
  • Connecticut is at a manageable point, but that can quickly change if people do not follow state guidelines.
  • With a vaccine on the way by late spring/ early summer, everyone who wants a vaccine should be able to get vaccinated.
  • Hang in there, and thank you for partnering with us to keep yourself and everyone around us safe.

• For more information:
  • https://portal.ct.gov/ has a wide range of information on testing and other important state-related COVID information.
  • https://www.cdc.gov has useful information on safety protocol and guidelines.

Is it Cold, Flu, Allergy or COVID?

December 10, 2020

 Now is a difficult time of year and it’s hard to distinguish. Consider the following:

• • Cold symptoms are mild, and the common cold tends not to be associated with fever or headache. Congestion/ runny nose is common for the common cold and would be uncommon to be the only symptom for influenza. Congestion/runny nose can be a symptom of a COVID infection and might be the only symptom in mild cases.
  • Flu symptoms are often of rapid onset. COVID symptoms can be of rapid or more gradual onset. 
  • One symptom that is more unique to a COVID infection is the loss of taste or smell. 
  • Winter allergies to dust, mold, and animals can also cause symptoms that can be confused with other ailments. Starling has an Allergy team and now is a good time for allergy testing to determine common triggers and get relief. Click here to learn more.
  • Click on the link below for a helpful chart that shows different symptoms for cold, flu, allergies, and COVID.

Click here for helpful chart on symptoms >

Where to Get Tested

December 9, 2020

We know if can be difficult to know where to turn for COVID. Testing is available in many locations throughout Connecticut, free of charge. Some sites, however, will require a medical visit which may entail a charge.

Some helpful options to find a location near you include:

• You can find a testing site by visitinggov/coronavirus, typing your zip code into the box that says “Find a Testing Site Near You” and clicking “GO.”
• You can visit 211ct.org to locate the nearest testing site.
• You can call 2-1-1.

Click read more for a list of sites that Starling staff put together that may be helpful. Due to rapidly evolving situation, it is important to confirm information prior to your visit and this list is not exhaustive. Please note that some sites will not test children under 10.

Testing Locations>

Beware of COVID Scams

December 4, 2020

The U.S. Department of Health and Human Services Office of Inspector General continues to alert the public about fraud schemes related to COVID-19.

Fraudsters are using telemarketing calls, text messages, social media platforms, and door-to-door visits to perpetrate COVID-19-related scams.

These scammers use the coronavirus pandemic to benefit themselves, and beneficiaries face potential harm. The personal information collected can be used to fraudulently bill federal health care programs and commit medical identity theft.

Protect yourself and your loved ones from potential scams. 

• Be aware that scammers are pretending to be COVID-19 contact tracers or are contacting people unexpectedly to offer COVID-19 tests and supplies. Do not respond to calls from or engage in visits with unknown individuals.
• Be cautious of unsolicited requests for personal, medical, or financial information.
• Be vigilant and protect yourself from potential fraud concerning COVID-19 vaccines. You will not be asked for money to enhance your ranking for vaccine eligibility. Government and State officials will not call you to obtain personal information in order to receive the vaccine, and you will not be solicited door-to-door to receive the vaccine.

If you suspect COVID-19 health care fraud, report it immediately online or call 1-800-447-8477.

For more information, visit OIG.HHS.GOV. 

 

No Visitors Please

November 18, 2020

Please be aware that no family members or guests are allowed with patients to visits unless absolutely necessary for translating or help with walking or mobility. We continue to strive to keep our patients and staff safe and appreciate your cooperation.

Office Safety Guidelines

September 1, 2020

We continue to take every precaution to make Starling a COVID-19 safe environment for our patients, our providers, and our staff. For patients that are high-risk or are not comfortable coming to the office at this time, we still offer Telemedicine visits.

Please note the following procedures:

• We take the temperature of all patients and staff before entering our offices.
• We screen patients and staff for symptoms prior to visits or work; patients with any symptoms will be asked to return to their car. The medical assistant will talk to the physician and a telemedicine visit may take place instead of an office visit or the office visit will be rescheduled for a later date. Staff will be sent for testing and remain at home until the results are received.
• In many locations, we will minimize the time in the waiting room by texting patients in their car when it is time to enter the office.
• Patients, staff, and providers, are required to wear masks in our office.
  • If you cannot wear a mask, we ask that you schedule a telemedicine visit. If you require oxygen, we ask that you wear it under the mask.
• Exam rooms and waiting areas are thoroughly cleaned pre- and post-patient visits.
• Social distancing is required in all areas. Our waiting rooms have been revamped to make this possible.
• We strongly discourage visitors at appointments. For patients requiring assistance, we are limiting to one guest.
• Observe travel-related restrictions: Connecticut has travel restrictions requiring 14-day self-quarantine of visitors or returning residents from states with a daily new average of 10 percent or higher COVID-19 positive test rates over a rolling 7 day period. Please refer to https://portal.ct.gov/Coronavirus/travel for the most current list of states, as well as frequently asked questions about travel policies. As of September 1, this list includes 33 states. Both patients and staff are required to observe this mandatory 14-day self-quarantine before coming to the office.

Thank you for partnering with us so we can continue to deliver the highest quality care in the safest manner.

What to Know About Contact Tracing

August 20, 2020

If you’ve been in close contact with someone who tested positive for COVID-19, you may be contacted by a contact tracer or public health worker from your state or local health department in an effort to help slow the spread of the disease. Here’s what to know if you get a call:

• A contact tracer may call to let you know you may have been exposed to someone with COVID-19. All information you share with a contact tracer, like who you’ve been in contact with and your recent whereabouts, is confidential.
• You may be asked to self-quarantine for 14 days. This means staying home, monitoring your health, and maintaining social distance from others at all times.
• You may be asked to monitor your health and watch for symptoms of COVID-19. Notify your doctor if you develop symptoms, and seek medical care if your symptoms worsen or become severe.

Be aware of scammers pretending to be COVID-19 contact tracers. Legitimate contact tracers will never ask for your Medicare Number or financial information. If someone calls and asks for personal information, like your Medicare Number, hang up and report it to us at 1-800-MEDICARE.

Back to School Concerns

August 10, 2020

Now, more than ever, going back to school is a stressful time! Starling pediatrician, Dr. Jonathan Reidel, shares some helpful articles from physician leaders at Connecticut’s Children Hospital. 

• Should you send your child back to school? A checklist to help you decide.
  Click here  

• Is it safe to send children back? A message from Connecticut’s Children’s Physician-in-Chief.
  Click here

• Is it safe to send my child if he/she has asthma or other conditions? What to consider.
  Click here  

Please keep in mind that information is rapidly changing.  For example, children under 12 are capable of spreading COVID, whereas originally that was not thought to be the case.

Returning to in-person instruction is a personal decision. Our goal is to provide you with resources to help you determine what is right for you and your family.

Proper Use of Hand Sanitizer

July 17, 2020

CDC recommends washing hands with soap and water whenever possible because handwashing reduces the amounts of all types of germs and chemicals on hands. But if soap and water are not available, using a hand sanitizer with at least 60% alcohol can help you avoid getting sick and spreading germs to others.

However, it is very important to use hand sanitizer properly. Here are some recommendations.

To use hand sanitizer correctly, the CDC recommends applying the gel to the palm of one hand, then rub your hands together while ensuring that the gel covers the surface of your hands and fingers until the gel is dry. Doing this for 30 seconds is the best way to get rid of germs, per the study’s findings.

It’s important to note that hand sanitizer does not rid of all germs, and “may not be as effective when hands are visibly dirty or greasy,” per the federal agency. Additionally, “hand sanitizers might not remove harmful chemicals from hands like pesticides and heavy metals,” it added.
In other words, handwashing with soap and water should be your go-to, when possible.

We are a COVID-19 Safe Environment

June 8, 2020

We have instituted every precaution to make Starling a COVID-19 safe environment. For patients that are high-risk or are not comfortable coming to the office at this time, we continue to offer Telemedicine visits.

Safety continues to be our top priority. Please note the following procedures.

• We take the temperature of all patients, staff, and vendors before entering our offices.
• We screen patients and staff for symptoms prior to visits or work; patients with any symptoms will be asked to return to their car. The medical assistant will talk to the physician and a telemedicine visit may take place instead of an office visit or the office visit will be rescheduled for a later date. Staff will be sent for testing and remain at home until the results are received.
• In many locations, we will minimize the time in the waiting room by texting patients in their car when it is time to enter the office.
• Patients, staff, and providers are required to wear masks in our offices.
• Exam rooms and waiting areas are thoroughly cleaned pre- and post-patient visits.
• Social distancing is required in all areas. Our waiting rooms have been revamped to make this possible.
• We strongly discourage visitors at appointments. For patients requiring assistance, we are limiting to one guest.

We thank you for strictly adhering to these policies. Together, these measures will keep you, our team, and other patients safe.   

Resuming Office Visits

May 29, 2020

We are pleased to announce that we are resuming in-office visits for routine care. We also continue to offer Telemedicine visits. We are committed to maintaining a COVID-19 safe environment and have instituted numerous safety measures including: prescreenings, temperature taking, enhanced cleaning, mandatory masks, and enhanced social distancing in offices.

See below for a helpful video from our Chief Medical Office, Dr. Michael Posner to discuss the new standards of care:

Covid-19 and Children

May 13, 2020

 We’re still learning about the coronavirus and the impact on children. Far fewer cases of the virus have been reported in children, and it seems to usually cause a milder infection in them than in adults and older people. But some kids have developed more serious symptoms.

Many parents wonder what to do if their child gets sick. Here’s what you need to know.

What Are the Signs & Symptoms of Coronavirus (COVID-19)?

Coronavirus can cause:

• a fever
• a cough
• sore throat
• fast breathing
• chills
• shaking with chills
• muscle pain
• headache
• a loss of taste or smell

Some kids are having symptoms caused by inflammation throughout the body, sometimes several weeks after they were infected with the virus. Research is currently underway to learn more about this condition.

Symptoms of this inflammatory condition may include:

• a fever that lasts several days
• belly pain
• vomiting or diarrhea
• a rash
• red, cracked lips
• red eyes
• swelling of the hands or feet
• joint pain
• dizziness
• vision problems
• a headache
• looking pale

What Should I Do if My Child Has Symptoms?

If your child has any of the symptoms:

• Do your best to stay calm.
• Talk to a health care provider. You can:
  • Call your Starling pediatrician. Your doctor knows your child’s health history and will know if your child has any special risks. The doctor will ask how your child is doing and if they’ve been around someone with known or suspected coronavirus. Your doctor’s office will tell you what to do next and whether you need an in-person visit.

    or

  • Schedule a telehealth visit.
    During office hours, a Starling healthcare provider can see your child at home via video using a device such as a cell phone or laptop. They can then give you guidance on how to manage your child’s symptoms. 

• Help your child get plenty of rest and drink lots of liquids.
• Watch for signs that your child might need more medical help. Go to the ER if your child:
  • • looks very sick to you
    • has breathing problems. Look for muscles pulling in between the ribs or the nostrils puffing out with each breath.
    • is confused or very sleepy
    • has chest pain
    • has cold, sweaty, pale or blotchy skin
    • is dizzy

Call 911 if your child is struggling to breathe, is too out of breath to talk or walk, or turns blue or has fainted.

How Can I Keep My Family Safe if My Child Has Symptoms?

• Keep your child home. This keeps your child away from other germs. It also helps prevent your child from spreading the illness to others. If the doctor thinks your child might have coronavirus, the whole family will need to stay home.
• Keep other people and pets in the house away from your child as much as possible.
• Try to have one person only care for the sick child so others are not exposed.
• If your child is over 2 years old and can wear a face mask or cloth face covering without finding it hard to breathe, have them wear one when the caregiver is in the room. Don’t leave your child alone while they’re wearing a mask or cloth face covering. If your child can’t wear one, the caregiver should wear one when in the same room. To see how to put on and remove face masks and coverings, clean them, or make your own cloth face covering, check the CDC’s guide.
• If possible, have your sick child use a different bathroom from others. If that isn’t possible, wipe down the bathroom often.
  Everyone in your family should wash their hands well and often. Wash with soap and water for at least 20 seconds, or use alcohol-based hand sanitizer and rub your hands for at least 10 seconds.
• Use regular household cleaners or wipes to clean things that get touched a lot (doorknobs, light switches, toys, remote controls, phones, etc.). Do this every day.

How Do Doctors Test People for Coronavirus (COVID-19)?

Testing for COVID-19 is changing. Doctors, hospitals, commercial labs, local health departments, and the U.S. Public Health Service are working together to help get tests to the people who need them.

To test someone for coronavirus, doctors put a long Q-tip into the nose (called a nasal swab) and send it to a lab. If the person coughs up mucus, doctors might send that for testing too. Some areas offer drive-thru testing, which lets people stay in their car during the test.

If you think your child has symptoms of COVID-19, call your doctor or local health department. They will give you the most up-to-date information on testing.

How Is Coronavirus (COVID-19) Treated?

Doctors and researchers are working on medicines and a vaccine for coronavirus. Most people with the illness, including children, get better with rest, fluids, and fever-reducing medicine. Some people with more severe symptoms need treatment in the hospital.

What Else Should I Know?

Keep doing these things to keep your family healthy:

• Wash hands well and often.
• Cover coughs and sneezes.
• Avoid contact with other people, especially those who are sick.
• Make sure kids get all recommended vaccinations for other infections, like the flu and measles.
• Masks are helpful to keep germs behind a barrier. This prevents those germs from spreading to others around you. 

Source: Adapted from kidshealth.org with input from Starling Pediatrician Dr. Noelle Leong.

Updates on Care Delivery

May 4, 2020

As Connecticut prepares to reopen, Starling remains focused on providing the highest quality care in the safest manner.

• We continue to conduct Telemedicine visits and Telemedicine phone calls with your provider.
• We offer patients with chronic health issues or concerns the ability to schedule an office visit.
• Please be advised some departments are beginning to reschedule appointments that were postponed till June. However, this does not apply to all departments. Please contact your provider’s office for more information. 
   

We continue to have numerous safety measures in place to keep our patients and staff safe. This includes the following.

• We take the temperature of all patients, staff, and vendors before entering our offices.
• We screen patients and staff for symptoms prior to visits or work; patients with any symptoms will be asked to reschedule and staff will be asked not to come to work.
• Patients are required to wear masks in our offices; staff will wear appropriate personal protective equipment (PPE).
• Exam rooms are thoroughly cleaned pre- and post-patient visit.
• Social distancing is required in all areas.
• We strongly discourage visitors at appointments. For patients requiring assistance, we are limiting to one guest.

Our coronavirus hotline is available 7 days a week from 8:30am-4:30pm. Call 860-368-2271.

Please note that our lab hours and locations have recently been updated. Visit https://www.starlingphysicians.com/lab/ for details.

Thank you to our wonderful patients who continue to share their gratitude during this time. To hear what our patients have to share, please visit: https://www.starlingphysicians.com/hereforyou/.

Please stay safe and know we are here for you.

New Symptoms Associated with COVID-19

April 27, 2020

Face Coverings/Masks Now Required

April 20, 2020

Update on Labs Stations and Hours

March 30, 2020

Effective March 31, we will temporarily close our lab draw stations in Bloomfield, Glastonbury, Plainville, and Southington until further notice. We will continue to operate our draw stations in Newington, Wethersfield, Enfield, and New Britain (Lake St. and 300 Kensington) but hours may change.

Please click here for a letter from our lab management >

Click here for our current lab hours and locations >

Loss of Smell and Taste

March 28, 2020

Loss of smell and taste is now added to the list of symptoms that may indicate someone is harboring the coronavirus – even you experience no other or minor symptoms. If you experience this symptom, it important to stay-at-home to prevent the spread of the disease and you should let your doctor know.

Click here for for an article on this topic.

Helpful advice for daily living during coronavirus

March 27, 2020

This is an extremely challenging time.  We have created a new web page designed to help people manage stress by providing useful tips to help with everyday living. We include updates on how to clean your home, grocery shop, and ideas for stocking your pantry. 

Click here to visit our new page >

Hear the Latest Updates

March 26, 2020

Starling’s Chief Medical Officer, Dr. Michael Posner, talks with WTIC1080 about the latest coronavirus news including symptoms, testing, research, and when to stay home >

Update on Our Pediatrics Department Hours & Locations

March 23, 2020

Answers to Frequently Asked Questions

March 21, 2020

We know that there are a lot of questions and concerns about how to handle the coronavirus. Please be aware that our call volume has dramatically increased. Before calling our office or on-call service, please review the advice below:

• If you have significant shortness of breath, you need to be evaluated in an emergency room.
• If you are concerned about the coronavirus but not currently sick, please see our more detailed question and answers below for complete information about the virus.  You do not need to speak to a physician at this time.
• If you are in close proximity to a person with known or suspected coronavirus, you should try to minimize your contact with them and all persons in the house. Frequently wash hands, clean surfaces, avoid being within 6 feet of each other, and quarantine from the general public.  
• If you have mild viral symptoms, most notably fever and cough, you should stay at home and quarantine yourself as above.  You do not need to be seen in an emergency room at this time, and you can call back during normal business hours to update us on your progress if you are concerned.  If you get significantly worse, consider being seen in the emergency room.

Now Offering Telemedicine Visits

March 20, 2020

We remain focused on the health and safety of our patients, staff, and the community. Our providers are now offering Telemedicine visits and providing health consultations by phone or by telehealth/video. We are rescheduling routine office visits or conducting these visits by videoconference or phone. Most specialties and services are available in select locations to care for patients with chronic health issues or urgent health needs.  

Important Changes in Our Delivery of Care

March 19, 2020

As the coronavirus and its effect continue to evolve and impact our state, we remain focused on the health and safety of our patients, staff, and the community.

• At this time, we will no longer see routine well-patient visits in our offices. We ask that you call and reschedule 8-10 weeks from now.
• We are now offering Telemedicine visits. Our staff will set it up for you and your provider will call or video conference you to provide a health consultation.
• Medicare , Medicaid and most other insurance companies are providing insurance coverage for Telemedicine visits. You may have a co-pay or co-insurance.
• Some specialties and services will still be available in select locations. We will continue to see patients who have chronic health conditions including heart, lung, and kidney issues, diabetic management, and cancer care.
• Patients who require urgent care, unrelated to coronavirus, will still be seen in select locations.
• If you believe you have symptoms of coronavirus, call us first and our team will advise you on next steps.

____________

March 17, 2020

Below are some common questions that people have about the coronavirus and answers from the CDC. Please keep in mind that this information is rapidly evolving and we will inform you of ongoing updates.

Questions & Answers

Other Important Information

Emergency Warning Signs

If you develop emergency warning signs for COVID-19 get medical attention immediately. Emergency warning signs include*:

• Difficulty breathing or shortness of breath
• Persistent pain or pressure in the chest
• New confusion or inability to arouse
• Bluish lips or face

*This list is not all inclusive. Please consult your medical provider for any other symptoms that are severe or concerning.

Stay home except to get medical care

• Stay home:People who are mildly ill with COVID-19 are able to recover at home. Do not leave, except to get medical care. Do not visit public areas.
• Stay in touch with your doctor. Call before you get medical care. Be sure to get care if you feel worse or you think it is an emergency.
• Avoid public transportation:Avoid using public transportation, ride-sharing, or taxis.

Separate yourself from other people in your home, this is known as home isolation

• Stay away from others:As much as possible, you should stay in a specific “sick room” and away from other people in your home. Use a separate bathroom, if available.
• Limit contact with pets & animals:You should restrict contact with pets and other animals, just like you would around other people.
  • Although there have not been reports of pets or other animals becoming sick with COVID-19, it is still recommended that people with the virus limit contact with animals until more information is known.
  • When possible, have another member of your household care for your animals while you are sick with COVID-19. If you must care for your pet or be around animals while you are sick, wash your hands before and after you interact with them. See COVID-19 and Animals for more information.
    

If you or someone in your home is sick

Call ahead If you have a medical appointment, call your doctor’s office or emergency department, and tell them you have or may have COVID-19. This will help navigate your care over the phone.

Wear a facemask if you are sick

• If you are sick: You should wear a facemask when you are around other people and before you enter a healthcare provider’s office.
• If you are caring for others: If the person who is sick is not able to wear a facemask (for example, because it causes trouble breathing), then people who live in the home should stay in a different room. When caregivers enter the room of the sick person, they should wear a facemask. Visitors, other than caregivers, are not recommended.

Cover your coughs and sneezes

• Cover: Cover your mouth and nose with a tissue when you cough or sneeze.
• Dispose: Throw used tissues in a lined trash can.
• Wash hands: Immediately wash your hands with soap and water for at least 20 seconds. If soap and water are not available, clean your hands with an alcohol-based hand sanitizer that contains at least 60% alcohol.

Clean your hands often

• Wash hands: Wash your hands often with soap and water for at least 20 seconds. This is especially important after blowing your nose, coughing, or sneezing; going to the bathroom; and before eating or preparing food.
• Hand sanitizer: If soap and water are not available, use an alcohol-based hand sanitizer with at least 60% alcohol, covering all surfaces of your hands and rubbing them together until they feel dry.
• Soap and water:Soap and water are the best option, especially if hands are visibly dirty.
• Avoid touching:Avoid touching your eyes, nose, and mouth with unwashed hands.

Clean and disinfect

Routinely clean high-touch surfaces in your “sick room” and bathroom. Let someone else clean and disinfect surfaces in common areas, but not your bedroom and bathroom.

• If a caregiver or other person needs to clean and disinfect a sick person’s bedroom or bathroom, they should do so on an as-needed basis. The caregiver/other person should wear a mask and wait as long as possible after the sick person has used the bathroom.

High-touch surfaces include phones, remote controls, counters, tabletops, doorknobs, bathroom fixtures, toilets, keyboards, tablets, and bedside tables.

Monitor your symptoms

• Seek medical attention, but call first: Seek medical care right away if your illness is worsening (for example, if you have difficulty breathing).
  • Call your doctor before going in: Before going to the doctor’s office or emergency room, call ahead and tell them your symptoms. They will tell you what to do.
• Wear a facemask: If possible, put on a facemask before you enter the building. If you can’t put on a facemask, try to keep a safe distance from other people (at least 6 feet away). This will help protect the people in the office or waiting room.
• Follow care instructions from your healthcare provider and local health department: Your local health authorities will give instructions on checking your symptoms and reporting in
• Don’t panic: Patients with mild viral syndrome symptoms do not need to come to the offices or ERs to be checked for coronavirus, only those with more severe disease. In the absence of high fevers and/ or more significant respiratory symptoms like shortness of breath, staying home/isolation with supportive care is recommended.

How to discontinue home isolation

• People with COVID-19 who have stayed home (home isolated) can stop home isolation under the following conditions:
• If you will not have a test to determine if you are still contagious, you can leave home after these three things have happened:
  • You have had no fever for at least 72 hours (that is three full days of no fever without the use medicine that reduces fevers)
    AND
  • other symptoms have improved (for example, when your cough or shortness of breath have improved)
    AND
  • at least 7 days have passed since your symptoms first appeared
• If you will be tested to determine if you are still contagious, you can leave home after these three things have happened:
  • You no longer have a fever (without the use medicine that reduces fevers)
    AND
  • other symptoms have improved (for example, when your cough or shortness of breath have improved)
    AND
    you received two negative tests in a row, 24 hours apart. Your doctor will follow CDC guidelines.

In all cases, follow the guidance of your healthcare provider and local health department. The decision to stop home isolation should be made in consultation with your healthcare provider and state and local health departments. Local decisions depend on local circumstances.

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New Procedures to Maximize Your Safety

March 16, 2020

Please note the new procedures below. We also have signs on our entry door alerting patients of these procedures.

Required Pre-Visit Check-In:

For the safety of our patients and staff, pre-visit check-ins are now mandatory prior to being seen. If you have an appointment, you are now required to check-in for your appointment before coming to the office.

 We offer two ways to complete this check-in:

• Respond to the pre-visit communication received via text and email. Once you have completed the check-in, you will be alerted to either call the office or proceed with your appointment.
• Call the office and answer the necessary screening questions.

If one of these steps is not completed, you will not be able to be seen by your provider and will be asked to return to your car to complete the mandatory pre-visit check-in process. No walk-in visits will be allowed at this time.

One Guest Per Visit:

We encourage patients to come alone or limit guests to one. This will be part of our ongoing effort to reduce the possibility of spreading the virus by limiting the number of people that come to the offices. We request that patients sit apart from one another in waiting rooms.

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Please know that we are here for you!  Visit www.starlingphysicians.com/coronavirus for frequent updates based on CDC guidelines.

As the number of coronavirus cases has increased in the United States, we want to let you know that we are actively preparing to deliver care to the community and to our patients who may be affected.

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Preparing for Coronavirus in Connecticut

March 12, 2020

We have been actively preparing to treat patients who may have coronavirus symptoms, while keeping our patient population safe.

Preparations Underway at Starling:

• Stocking up on the necessary protective equipment
• Monitoring the CDC’s communications
• Working with the medical community including our hospital affiliates, to try to keep care coordinated
• Developing procedures and protocols on where to direct people based on symptoms and risk factors

When to Contact Us / Seek Care:

• Call your doctor’s office immediately if:
  • you have a fever, cough, or shortness of breath and you or someone you have been in contact with has been exposed to the coronavirus
• If you are ill and wish to seek care, please call ahead. We want to ensure we can provide safe care for all of our patients. We may need to make special accommodations to limit the spread of the virus.
• If you experience a medical emergency, dial 9-1-1

When to Stay Home:

• Patients with mild viral syndrome symptoms do not need to come to the offices or ERs to be checked for coronavirus, only those with more severe disease. In the absence of high fevers and/ or more significant respiratory symptoms like shortness of breath, staying home with supportive care is recommended.
• Do not go to work, school, or public places if you are ill.

Measures to Stay Safe:

• Wash your hands often with soap and warm water for at least 20 seconds.
• If you cannot access water, use an alcohol-based sanitizer with a 60% alcohol content. We know these can be hard to purchase but are increasingly available for use in stores and public places.
• Disinfect frequently touched objects and surfaces with cleaning spray or wipes.
• Avoid touching your eyes, nose, or mouth with unwashed hands.
• Avoid close contact with people who are sick.

Know the Symptoms:

Coronaviruses cause respiratory illnesses, ranging from common cold symptoms to pneumonia. The virus can spread from person to person. Symptoms include fever, cough, and shortness of breath. 

The elderly, those with cardiac or lung disease, and diabetics are especially at risk of more severe disease.

Where to Find More Information:

To read more about preventing the spread of COVID-19, click here.

If you are planning any travel outside of the U.S., click here for the CDC’s Travelers’ Health webpage for the latest travel and health notices.

Information adapted from the CDC. To read more on the CDC website, click here.

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What You Need to Know About the Coronavirus

March 5, 2020

General background: Coronaviruses are a large family of viruses, and they are common sources of infection in humans, generally causing mild disease such as the common cold. This particular variant is new in humans and this novel strain has been named SARS-CoV-2 (not the same as the prior “SARS”). The disease itself is called COVID-19.

Coronaviruses also cause disease in multiple other species. Sometimes these animal viruses can spread to humans, which is currently thought to be the case with this outbreak. MERS and SARS were examples of this. 

Method of transmission: The Coronavirus is thought to be spread mainly by person-to-person transmission, which is understood at this time to be by close proximity (6ft or less) and/ or by droplet transmission from coughing or sneezing. It is also possible that one can become infected by touching surfaces or objects containing the virus and then touching one’s mouth, nose, or eyes.

It is currently thought that people are most contagious while symptomatic, but there are reports of persons likely spreading the disease prior to significant symptoms, as well. Certain viruses are spread more easily than others. It is currently thought that the Coronavirus spreads fairly easily, meaning more easily than influenza, although not as easily as highly contagious viruses such as measles. It can sustainably spread in the community. 

Quarantine: This is recommended for cases of Coronavirus. Strict guidelines about release from quarantine have not yet been determined. At a minimum, the following criteria should be met: 

• free from fever without the use of medication to lower fever (e.g. Tylenol, aspirin, Motrin, etc.)
• no longer symptomatic, including cough-free; and
• test negative on two consecutive respiratory specimens

Current recommendations for post-exposure quarantine is two weeks, which is thought to be the incubation period for this disease based on other coronaviruses. 

Symptoms: Illness can vary significantly from nonspecific or mild symptoms to severe illness or death. Some patients have had no symptoms. The mortality rate is not known because the number of cases (the denominator in any calculation) isn’t accurately known. The range is from tenths of a percent up to 2%. 

Symptoms can appear 2-14 days after exposure and usually include fever, cough, and shortness of breath. Severe cases can progress to severe pneumonia, respiratory failure, and septic shock with mortality. It is not currently understood which segment of the population is at higher risk for severe manifestations. 

Treatment: At this point, treatment is purely supportive. There are no currently available vaccines or antivirals for this virus. Clinical trials are underway. 

Specific Recommendations at Our Starling facilities:

Notify us if you are at risk: If you believe you are at risk, have been exposed, or have coronavirus symptoms including cough, fever, or shortness of breath, please contact your provider or let our front desk know when you arrive.

Triage:

• For urgent/ sick patients, if you are significantly short of breath with viral syndrome symptoms, you will be directed to the ER, as opposed to an office visit.
• For milder symptoms, if you have a fever and respiratory symptoms, you can be seen but will be instructed on practice appropriate hand/ contact/ droplet hygiene.
• We will ideally ask sick patients to maintain a distance of 6 feet or more from other patients in the waiting area, or be otherwise sequestered. You may be asked to wait in your car and we will communicate by cellphone if significant suspicion exists and the waiting area does not permit sequestration.

Disinfection: Rooms will be carefully wiped with standard disinfectants after visits.

Use of masks: Providers will wear masks with any suspected infection and practice good hand/ contact/ droplet hygiene. Patients with suspicion for Coronavirus or flu will be given a mask, if available, upon entering the clinical space. 

Testing for coronavirus: Labs in Connecticut are now fully capable of conducting diagnostic testing for COVID-19.

Click here to know if you are at risk and safety measures you can take.

Click here to learn more about the coronavirus and CDC updates.