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Coronavirus Update Wednesday, March 25, 2020

In view of the ongoing situation with increasing numbers of patients infected with Covid-19 (Coronavirus) locally, we have decided to continue to provide patient care visits only as virtual visits either by telephone or video conferencing.

When considering whether or not the risk versus benefit is there for most individuals receiving allergy injections as well as biological medications, we decided to allow patients to make that decision and schedule an appointment for continuation of any injections. We will not be allowing patients to receive injections if they have any clinical symptoms or have been exposed individuals with any symptoms of Covid-19. This is for your safety as well as the safety of our staff and other patients.

Patients that fall behind on allergy injections due to this situation will have ample opportunity to catch back up to the regular maintenance dose as things return to normal. Again, from a risk-benefit perspective, it would be important to determine whether or not it is safe and wise to risk exposure versus staying healthy at home (without risk of exposure) and resume injections when all restrictions have been lifted at the state and national level.

Our office hours will be Monday through Thursday from 12:00 to 5:00 pm through Monday, April 13, 2020.

Again, all injections will need to be scheduled to allow social distancing as well as reviewing the need for continuing injections as outlined above. During these office hours, we will be available by telephone and will be scheduling virtual visits with patients so that the appointments are not delayed.

We will continue to update our office website homepage and Facebook page with details as things continue to evolve within the community.

Please remain safe with your families during this difficult time. We truly appreciate your understanding in this matter.

Dr. Doshi and the entire Staff

Coronavirus Update Sunday, March 22, 2020
The coronavirus pandemic is a rapidly evolving situation. In close coordination with the state and local public health experts, we are closely monitoring developments and will continue to follow their rules and recommendations in the best interest of our patients and employees safety and well-being.

The Governor has released an Executive Order which will be going into effect on Monday, March 23, 2020 to limit all non-essential services in outpatient medical practices. In compliance with the Executive Order, we will begin to transition many existing appointments to TeleMedicine or VideoMedicine (E-Visits) in keeping the health and safety of our patients our top most priority.

Several visits may need to be postponed in view of the current pandemic and situation we are all facing. We truly apologize for this inconvenience and will prioritize scheduling of all patients as rapidly as possible when the restrictions from the state are lifted.

In reviewing the wording of the Executive Order by the Governor, all non-essential treatments will not be able to continue. This may pose an inconvenience to our patients on allergy shots for environmental allergens, bee venom as well as biological injections for asthma and hives. We will try and accommodate patients and their shots with a modified schedule for obtaining injections at our office. Please check our website and FaceBook page for up-to-date hours for injections. We ask patients to wait in their vehicles after their injections for the recommended wait times rather than in the office for safety reasons. Patientś will need to be screened prior to their injection and limited to one patient in the waiting room and one patient in the hallway. Other patients may need to remain in their vehicles to keep appropriate social distancing.

Any patientś with known exposure to anyone with Covid-19 or suspected Covid-19 will need to self quarantine and refrain from continuation of injections for 14 days. Individuals with or in close contact with anyone experiencing a fever, cough, shortness of breath, chest pain or congestion will need to refrain from continuation of shots for at least 14 days.

All affected patientś will be able to catch up on their shots when it is safe to do so. We will also prioritize patient appointments as soon as we are able to, when the restrictions are lifted by our Governor.

This is truly an unprecedented time and it is vital to keep everyone's health and safety in mind.

In view of this, we will make the following adjustments as outlined above:

    •    Telemedicine (VideoVisits) and start E-Visits with a secure HIPPA compliant software during the weekdays
    ◦    This will be for well visits and applicable visits that can be completed by video visits and possibly for new visits

    •    We will need to postpone food challenges and routine visits for now
    ◦    We will prioritize and reschedule patients scheduled as soon as the mandated restrictions have been lifted by state officials

    •    Allergy and Biological Injections will be available at an adjusted schedule with more limited hours if patients meet criteria outlined above and are asymptomatic and not in contact with any individuals with suspected illness(es)
    ◦    If patients elect to postpone shots until restrictions are lifted, we will be able to catch patients up in the future
    ◦    Depending on the situation with Covid-19, further restrictions may lead to complete closure of the office dependent on further state recommendations and availability of Personal Protection Equipment (PPE) such as masks, gloves, etc.

    •    We will be available with adjusted hours for Telephone and Video Visits to continue to provide care and assist in refills and questions for our patients during this time

Again, we sincerely apologize for any inconvenience this situation has caused to everyone. We are trying our best to keep our patients, their families and our staff healthy and safe. As the situation improves, we will return to a normal schedule and will likely increase our office times and availability to make up for the appointments that had to be rescheduled.

Please be safe and remain healthy and well during this difficult time.

Dr. Doshi and the entire staff at the Allergy, Asthma and Pulmonary Center

Coronavirus Disease 2019

Friday March 13, 2020
We appreciate our patient's support and understanding as we take necessary precautions to keep people healthy and limit the spread of this infection.
Our primary reference point for these recommendations follow the CDC's (Centers for Disease Control and Prevention) guidelines. We will also be reviewing and updating guidelines based on state health officials recommendation.

We are currently requesting all patients that are experiencing acute clinical symptoms that may be suggestive of an infection to obtain screening at a local hospital institution or system. We are not recommending or advising patients to go into local physician offices (including our own) for evaluation due to a lack of appropriate screening kits for Coronavirus Covid-19.

In order to continue to provide appropriate care and for the safety of others, we will not be able to see patients for "sick" visits for the time being. We will be able to assist by telephone but have recommended contacting the Coronavirus/COVID–19 hotline at Beaumont Hospital at 248 –551–7000. This line will be staffed Monday through Friday from 7 a.m. to 7 p.m. and 10 a.m. to 6 p.m. Saturday and Sunday. Based on their evaluation by telephone, they will consider the next steps for appropriate level of care and testing if appropriate.

Unfortunately, access to testing kits is very limited and will remain so for the foreseeable future. Having appropriate testing will be important to continue to identify the spread of illness and will be available sparingly throughout the Metro Detroit area. The hope is additional testing kits will be available in the near future. Until then, we would strongly encourage patients that feel they need further evaluation to contact the hotline at Beaumont Hospital as noted above to determine if additional testing is necessary.

The most important signs and symptoms to be cautious with include: fever, increased cough, chest pain and shortness of breath. The symptoms also resemble numerous other respiratory illnesses, and the only way to determine if you or a loved one has been exposed to coronavirus is by additional testing. Testing again is very limited due to current resources available; given this, it is important to screen the appropriate patients rather than try and screen everyone per the recommendation of the Hospital Coronavirus Screening Hotline.

Patients that are scheduled for routine follow-up visits that experience any of the following symptoms will need to be rescheduled. This includes a history of a recent respiratory illness, fever, runny nose, increased cough with shortness of breath or recent contact with any symptomatic individual(s).

We understand the frustration and concerns with these recent developments. Due to the uncertainty of the entire situation at hand, we apologize that these measures need to be followed strictly to minimize the spread of disease. When the overall situation appears to be better managed within the community and within our health system at the state and national level, we will update our recommendations accordingly.

Devang Doshi, MD & Staff

For additional information and updates, please visit the following resources:

Thank you for visiting our Internet site. As an up-to-date medical office, we want to give you the opportunity to stay in touch with our center.

Our aim and purpose is to provide the most comprehensive medical care to our patients. We use evidence-based treatment options and follow national guidelines for therapy.

We specialize in both Pediatric and Adult Allergy and Immunology. We offer comprehensive evaluation and allergy skin testing for environmental, food, and contact allergies. We pride ourselves in assuring the testing experience is non-traumatic to our patients, especially children. Allergy shots (vaccines) are mixed and administered on site by skilled and trained personnel. We place emphasis in treating the entire family; this allows all family members to be evaluated and treated by one physician.

Our center is the only full-time, comprehensive Allergy (Adult and Pediatric) as well as Pediatric Pulmonology clinic in Oakland County. Our patients range from premature infants discharged from the NICU to adult patients with chronic allergic conditions.

Our patients are the focus of our practice. We aim to be your solution to allergic and pulmonary disorders. The philosophy of our center is to spend time, listen, and meet the needs of our patients and their families.

In brief, you should know the following about us: Our Office was established in 2005 and has been responsible for providing outstanding care in the areas of Allergy, Immunology and Pediatric Pulmonology ever since. Our office is closely affiliated with William Beaumont Hospital in Royal Oak, Michigan.

If you are not familiar with our office or services and your first contact with us is online: We would be pleased to hear from you! Please let us know what your needs and questions are, our staff would be more than happy to help.

Please see our Office Patient Portal Link on the Left Side of the Screen to use our Patient Portal Access.

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