Dear Wellness First Patient:

As most of us draw into the 4th week of self-quarantine, we are reminded of the phases of grief that Elizabeth Kubler Ross first introduced in 1969 and have been modified through the decades.  They are:

  1. Shock = Initial paralysis at hearing the bad news.
  2. Denial = Trying to avoid the inevitable.
  3. Anger = Frustrated outpouring of bottled-up emotions.
  4. Bargaining = Seeking in vain for a way out.
  5. Depression = Final realization of the inevitable.
  6. Testing = Seeking realistic solutions.
  7. Acceptance = Finally finding the way forward.

Where are you in this journey through the COVID19 pandemic?  And how are we doing as a nation and as a world community?   Recognizing where we are on the continuum of emotions can help each of us make smarter choices.   All of us are ready to “do something different” and it is very appealing to hear that restrictions may be lifted.  We urge all of you to stay the course with self-quarantine over the next 4-6 weeks.

TESTING FOR COVID-19 INFECTION

  • In last week’s email we enthusiastically reviewed options for testing for the SarsCoV2 virus that is causing the COVID19 pandemic. From our perspective seven days ago, the process looked straightforward and the interpretation of those results seemed black and white.
  • What a difference a week makes!
  • It has been a major disappointment that the promised turn-around time for antibody blood testing of 24-48 hours has not happened.
  • Infectious Disease experts have written more extensively about the limitations of antibody testing. Problems include false positive tests and a poor understanding as to how protected and for how long we are protected from the COVID19 illness if we do test POSITIVE for antibodies.
  • So, in our effort to BARGAIN (Stage 4) our way to certainty, we are probably testing for antibodies to the virus way too soon.
  • That being said, if you are scheduled for antibody testing this week, you may want to consider waiting until we know more over the coming weeks. Regardless of the results, it will not change our recommendation to remain home.  However, if you are still eager to know your antibody status, we are happy to draw this for you.  Results will likely be available in 7-10 days rather than 24-48 hours as previously promised.
  • For those of you who have received the testing already, we will notify you as soon as we get the results and discuss our recommendations accordingly.
  • As for acute illness testing should you develop fever and cough, swab testing for the actual SARS CoV2 virus is important. We want to hear from you early if you develop upper respiratory symptoms so we can discuss swab testing.
  • On the horizon there may be saliva kits that you can perform at home to see if you are shedding the virus. Let’s hope that technology proves effective.

 

IV SUITE

We remain committed to our IV treatments to help boost immunity!  We were thrilled to hear Dr. Mark Hyman support both IV Vitamin C and Ozone as tools to boost immunity on his web page.

  • The office will conduct IV treatments on Tuesday’s and Thursday’s from 9 am to 4 pm.
  • We are offering two IV treatments to help boost your immunity: high-dose Vitamin C and Ozone therapy.
  • In addition, we also have a NEW IV Vitamin C formula with even more vitamin C and additional mineral support. For those of you that have received vitamin C therapy in the past, Dr. DIPiero will review your chart before your treatment and determine if you’re a candidate for this higher dose.
  • Also moving forward, to keep us all safe, we ask that patients coming to our office WEAR A FACEMASK. The office remains locked and each person is screened carefully before entering the office.  You will be asked to keep your mask on during vitals, blood draws, IV insertions, etc.  You may remove your mask during your treatment if you are the only one in the room, otherwise, it needs to remain on.  The staff will continue to wear the appropriate PPE during all patient interactions.
  • Each person receiving treatment will be placed in a room by themselves to reduce potential infectious exposure, unless you are coming with your spouse or significant other.
  • Our high dose IV Vitamin C cocktails will take approximately 75 minutes to administer and are $250-$350.
  • An ozone treatment will take approximately 45 minutes and is $200.
  • If you are interested in learning more, please call us at 561-491-4666 and press OPTION 1 or 2 to speak with us. Drs. Hadley and DiPiero will discuss your needs with you by phone and determine which treatment would be best for you.

WHAT YOU CAN DO TO IMPROVE YOUR IMMUNE STATUS

  • Thank you for your kind reception of the videos we sent that covered strategies for improving your immune status. They included stress management, nutrition, sleep and exercise.  The two topics that most resonated with you were nutrition and stress management.  We plan to expand on those topics in future videos.  Please stay tuned.
  • Immune Boosting Supplements that are important right now include:
    • Vitamin D3 10,000 IU daily
    • Vitamin A 10,000 IU daily
    • Vitamin C 1-2 grams 2-3x a day
    • Zinc 30 mg twice a day
    • Melatonin 1-10 mg at night
    • If you cannot find these supplements, we may be able to help you. Call us to find out more.

TELEHEALTH DOCTOR VISITS

  • We continue to have the capability to have audio and visual visits with you on your phone, iPad or computer that has a camera.
  • For our Medicare patients: Medicare is paying for these visits.  The Medicare requirement we must observe is to receive your VERBAL CONSENT to have this visit which we will ask for at the beginning of each Telehealth Visit.
  • Visits cover most issues that you would normally have seen us for in the office including lab review and monitoring chronic conditions like hypertension and diabetes. It also is working well for acute problems like rashes, urinary tract infections, and sprains/strains etc.
  • For our non-Medicare patients: We will be billing you for these visits at a rate of $170.
  • To schedule an appointment for a Telehealth Visit, please call us at 561-491-4666 and press OPTION 1 to make an appointment with Dr. Hadley or OPTION 2 to make an appointment with Dr. DiPiero.
  • For those patients who had upcoming office appointments scheduled, we will be reaching out to you to discuss changing the appointment to a Telehealth Visit

We close this week with a challenge.   Ask yourself where you are in the stages of grief caused by the COVID19 pandemic.   If depressed, reach out to family, friends or to us for support.   If you “blow up” towards a loved one unexpectedly, recognize the anger that is behind your outburst.   Get started on meditation!  It will help you gain clarity and calm.   We can do this!

Sending you our best,

Holly W. Hadley, MD

C. Danielle DiPiero, DO

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