COVID-19 is placing stress on Canada’s public health system. Our clinic is starting to offer virtual care to make sure that we can continue to care for our patients safely and effectively. This means that we will be using video and audio technologies for some patient visits rather than asking all patients to come into our office. Some of these
technologies are provided by the Province. Others have been provided by vendors like Google, or Apple to help make discussions with your care provider as easy as possible during these difficult times. Some health concerns can be addressed with virtual care alone, but in some cases your doctor may ask you to visit a hospital or other
health care facility if necessary, for a physical examination.
We do our best to make sure that any information you give to us during virtual care visits is private and secure, but no video or audio tools are ever completely secure. There is an increased security risk that your health information may be intercepted or disclosed to third parties when using video or audio communications tools. To help us keep your information safe and secure, you can:
• • Understand that this method of communication is not secure in the same way as a private appointment in
an exam room.
• • Use a private computer/device (i.e., not an employer’s or third party’s computer/device) and a secure internet connection. For example, using a personal computer or tablet is more secure than at a library, and your access to the Internet on your home network will generally be more secure than an open guest Wi-Fi connection.
You should also understand that virtual care is not a substitute for in-person communication or clinical examinations, where appropriate, or for attending the Emergency Department when needed (including for any urgent care that may be required).
If you are concerned about using video or audio tools for virtual care, you can ask our office to arrange for you to visit a different healthcare provider or other health care center where you can be seen in person. However, please note that visiting a health care provider in person comes with a higher risk of coming into contact with COVID-19
and the possibility of spreading the virus.
By providing your information, you agree to let us collect, use, or disclose your personal health information through video or audio communications (while following applicable privacy laws) in order to provide you with care. In particular, the following means of electronic communication may be used telephone and videoconferencing (including Skype, Facetime, etc.).
These are challenging times. Parents should know that this corona virus outbreak remains a low risk for our patients. It presents like the normal coughs, colds and flu that we normally see. All of the current efforts, school closures, social distancing etc are all to slow the spread of the virus in order to protect the vulnerable. This group remains to be the elderly, frail and those with chronic illness. As usual, infants in the first few months should avoid exposure to any illness.
In the office, we have made changes in keeping with current recommendations and we continue to try and care for our patients in the best way possible. WE NO LONGER TAKE WALKINS. Our sick parade is cancelled until further notice. We are also cancelling all check up and non urgent visits. Children less than 18 months requiring vaccines can be seen, but even those can be delayed while we follow the progress of the outbreak. We have separated the office into well and sick rooms. For any patients that we need to see who are well, we will be bringing them into the office via a separate entrance (back door) directly into clean rooms without waiting in the waiting area. We will attempt to get you in and out of the office quickly.
If your child is ill or you have concerns, please call the office. Do NOT ask the front staff any medical questions. They are not giving advice. All questions and concerns will be dealt with directly with Dr Kalwani and Dr Cannitelli. Simply call the office and ask to be placed on the telephone call back list. The doctors will answer questions and give advice. If needed, we will advise you to come into the office. We will see sick patients by appointment only (NO WALKINS), so that we can control the flow and get patients in and out quickly. Testing for corona virus is not usually needed but there is a clinic at Mackenzie Health that we can refer patients to, if they fit the criteria.
We will monitor and update the website and social media with any changes.
There will be NO walk-in this week.
Please refer to the screening guideline set forth by the Government of Ontario if you are concerned about COVID-19. For all other sick visits please call the office to be screened appropriately.
More updates to come.
1. Have you travelled anywhere outside of Canada in the last months?
If you start having symptoms (fever, cough, shortness of breath) isolate yourself from others as quickly as possible. Please call our office, Telehealth 1-866-797-0000 or local public health unit to describe your symptoms and travel history for further guidance. *Please do not come into the clinic unless directed to do so.
2. Have you or has your child travelled to the following countries in the last months?
If yes, please monitor your health for the next 14 days. *Please do not come into the clinic during this time.
Any CRUISE ship travel
3. Have you or has your child been in close contact with any family members or close contacts who have travelled to the countries listed in the last months?
4. Have you or your child been in close contact with anyone with a suspected or confirmed case of Coronavirus Covid-19?
If anyone answers yes to either of these questions and has a fever, cough, or other respiratory symptoms, that person should proceed immediately to the nearest assessment centre or hospital facility for further evaluation.
The first wave of assessment centres will be located at William Osler Health System’s Peel Memorial site, North York General Hospital, Mackenzie Health in Richmond Hill and within the Scarborough Health Network and Trillium Health Partners network in Mississauga.
After some careful consideration and due to popular demand, we have decided to continue our block fee program for 2020. We appreciate the feedback and suggestions made and are implementing some of those suggestions. More information is available on the block fee tab.
We would like to announce that our block fee program is being discontinued. The intention was to be able to help parents at times when their children are sick and they are in need of advice and guidance. Unfortunately parents use our service for inappropriate and unnecessary questions that are cumbersome and unnecessarily intrusive. Despite trying to educate parents on the proper use of our services, this has continued, making the block fee less useful to everyone. We are left with the only option to cancel the service
A recent article showed a higher incidence of depression in teen who spend a lot of time on social media. This is something that we might be concerned about as parents and paediatricians, but there are some studies that do show this statistically. So, parents need try and monitor this and always have lines of communication open.
Dr. Barra and Dr. Kalwani’s 2019 Block Fee are now available for purchase. The email will be active from November 15, 2018 through December 31, 2019. Use the “Block Fee” tab to purchase.