Covid-19 is a new type of virus. Like many strains of the common cold, it is in the coronavirus family. However, it is much more severe than a cold or a flu in its impact, and is very highly contagious – spreading from person to person very easily. Although it targets the lungs primarily, COVID also affects the kidneys, heart, brain and even the skin. We don’t want you to get it (and we don’t want to get it either!)
Protecting you during your visits to us (consults, pre-ops, post-ops and medspa)
Dr. Fiala follows all the recommendations of the national plastic surgery societies (ASPS and the Aesthetic Society), as well as CDC recommendations.
- We encourage everyone to wear a mask whenever they come to see us.
- We will be scheduling appointments so as to maintain “social distancing” within the office, with a minimum of wait time. Please be understanding if your favorite time isn’t available.
- Unless you need physical assistance, please don’t bring extra guests, especially children, to your appointments.
- We ask you to call us from your car to let us known when you have arrived. We may ask you to wait in the car, rather than our office, prior to your appointment.
- Please try to have any forms completed before your arrival.
- Please don’t pull out your cellphone. They are potential sources of contamination – and we recommend you disinfect them at least once a day. Remember, they are constantly going between your face and your hands!
- You will see our team in scrubs and masks.
- Please feel free to sanitize your hands when you arrive. Grab a tissue, if you need it. You are also welcome to use any of our sinks in exam rooms for handwashing.
- While we will be happy to “bump elbows” with you, we can no longer shake hands at the moment.
- Our nurses will be taking your temperature when you arrive. If you have a fever > 100 F, your appointment will be re-scheduled, unless you are a fresh post-op.
Symptoms of COVID
- Additionally, if you have any of the typical symptoms of COVID which are NEW, please call us to reschedule, and go to see your primary care physician. These symptoms include:
- Fever (100.0F)
- Cough or other respiratory symptoms
- Shortness of breath
- Muscle aches/pain
- GI symptoms (nausea, vomiting, diarrhea)
- Loss of appetite
- Loss of taste or smell
- Chills / repeated shaking with chills
- Extreme fatigue
- Blue discoloration/ blisters of toes
- for Age > 65: confused, dizzy, falls, mental status changes
- We enhanced our already high standard of cleaning, including disinfecting high-touch areas on a daily basis.
Getting ready for surgery in the COVID era
Having anesthesia and surgery if you have COVID increases your risks significantly. There are also certain medical conditions that care known to put you at higher risk, should you develop COVID.
Since it can take well over a week to show symptoms, there is the possibility you could have COVID, and not know it yet. Also, about 50% of people who have COVID remain asymptomatic.
This means we now have to test everyone for COVID, prior to surgery, even if you feel fine.
Currently, the swab test which collects samples from the nose or throat, and the saliva tests are thought to best for diagnosing COVID. Everybody will have to have this done within a week of their surgery date, and continuing diligent social distancing between the date of the test and the date of your surgery. Remember, the test is simply a “snapshot” of how you were on the day that you were tested. It doesn’t mean that you can’t pick up COVID the next day. Antibody testing may help to further determine whether you’ve had COVID in the past, but is still a “work in progress”. We recommend PCR testing – it is currently the most accurate.
Additionally, pre-op testings of labs and EKG’s will now have to be more current – less than 2 months old. But good news there, we will be instituting on-site blood draws and EKG’s for people that need to have these re-done.
Eventually, when the FDA figures out a reliable, rapid (<30 min) test that is approved for office use, we will considering also using that prior to surgery, to double-check things.
After surgery, we will still want you to quarantine yourselves for about 10 days afterwards, to minimize the chance that you pick up COVID while still in the fresh post-op period.