Questions abound about navigating the health system during COVID-19

May 13, 2020

By Sally Crocker

Drs Office Web

The gradual rollback of COVID-19 social-distancing guidelines in Texas and across the U.S. has many vulnerable populations, including adults 65 and over and those with underlying health conditions, asking questions.

Dr. Kayla Fair

Dr. Kayla Fair, HSC Assistant Professor of Public Health Education

“Older adults and those managing chronic medical conditions may experience challenges navigating the many recent changes in our healthcare system in response to COVID-19, including transitions to telehealth visits,” said Kayla Fair, DrPH, MPH, BSN, RN, HSC Assistant Professor of Public Health Education.

“This can be further complicated if they are not comfortable with technology and/or online health platforms, or have limited access to computer or internet service.”

Prior to joining the HSC School of Public Health, Dr. Fair has done “a little bit of everything” as a nurse caring for patients in settings that include critical care, pediatrics and transplant, as well as working to improve the health of communities both as a researcher and practitioner.

“As a nurse, I have had several conversations with family members and friends about whether they should go to previously scheduled appointments now or wait it out,” she said. “Ultimately, this is a conversation that patients should be having with their providers, as every situation is unique. Your provider’s office can supply additional information about the best course of action.”

Sometimes a phone call can take care of prescription refills and other needs between office appointments.

Patients should also utilize the expertise of other healthcare team members, including local pharmacists, Dr. Fair said.

“Your pharmacist is another good resource for medication questions and the specifics on your insurance plan’s approved refill schedules. The pharmacy may also have information on discounts or prescription coupons to help with out-of-pocket costs.”

Providers are continuing to give updated guidance, especially now as communities move into the summer months, on how appointments are being managed. For instance, what to do on arrival, whether patients should wait in the car until they are called, how companions and special assistance accommodations are being addressed, whether masks and gloves should be worn to the office, if temperature checks are required at the door, and what to do if you have any cold, flu, COVID-19 or other potentially infectious symptoms before or on the day of an appointment.

“It’s an important time to communicate with your provider, especially for those who may be immuno-compromised, recovering from surgery or undergoing chemotherapy, radiation or other cancer treatment, and any patient with questions,” Dr. Fair said.

“I am concerned about recent reports that many patients are delaying or avoiding emergency medical care due to fears about being exposed to COVID 19.  If at any time you feel that you or a loved one is experiencing a life-threatening or rapidly deteriorating health status, please seek care immediately. Do not delay,” she advised.

Signs and symptoms that you or someone you know may be in need of immediate medical care can include shortness of breath or difficulty breathing, chest or abdominal pain, facial drooping or uncontrolled bleeding.

Any concerning change in health status should be addressed immediately. Call 911 for any life-threatening emergency.

Resources for high-risk groups, including those older than 65 and those managing chronic health conditions during COVID-19, include:

CDC Recommendations for High Risk Groups, for adults over 65, people with asthma or chronic medical conditions, and HIV patients.

When to Seek Emergency Care – never avoid emergency rooms or wait to see doctors if you feel your symptoms are truly serious.

American Heart Association: What Heart Patients Should Know About Coronavirus, for patients with heart disease.

American Cancer Society: Coronavirus, COVID 19 and Cancer website for cancer survivors.

American Diabetes Association: Coronavirus and Diabetes for individuals with diabetes.

US Department of Health and Human Services: Interim Guidance for COVID 19 and Persons with HIV.

Stay Safe and Informed about Coronavirus Disease, offering resources and weekly webinars/information sessions for patients with chronic lung conditions.

Asthma and Allergy Foundation of America: Coronavirus: What People with Asthma Need to Know, for those with asthma and allergies.

The University of North Texas Health Science Center at Fort Worth Center for Geriatrics, an interdisciplinary Center guided by values and committed – through education, research and patient care – to improving the quality of life and promoting optimal aging for older adults.

Caregiver Action Network: COVID 19 and Family Caregiving, a resource for caregivers, including guidance on communicating with medical providers.

Alzheimer’s Association: Coronavirus: Tips for Dementia Caregivers, offering coronavirus resources for caregivers of dementia patients.

July 4th Covid 19 Fc
Navigating through July 4th and the summer of COVID-19

By Sally Crocker In light of new state guidelines issued last week, HSC public health expert Diana Cervantes offers some tips on how to conduct July 4th gatherings and other summertime activities with friends and family. The advice comes after the Texas Governor’s Office closed bars and ...Read more

Jun 30, 2020

Food Insecurity Donations Fc
Food insecurity concerns heighten for many as COVID-19 again surges

By Sally Crocker New HSC faculty member Charlotte Noble, PhD, MPH, and her family moved from Florida to Fort Worth in the early days of the COVID-19 pandemic, when little was yet known about the reach of the virus, its outcomes and how long it would last. Months later, as states like Texas...Read more

Jun 29, 2020

Mayor Price Fc
50 Heroes: Mayor Betsy Price

Mayor Betsy Price and HSC share a mission to create solutions for a healthier community. Price, first elected Mayor in 2011, has consistently promoted strategies and activities that improve the fitness, health and well-being of Fort Worth residents. Her devotion to elevating the city’s over...Read more

Jun 29, 2020

Gwirtz Color Fc
‘This has been my home.’ Associate dean leaving HSC after nearly 38 years of special memories.

By Diane Smith When Patricia Gwirtz, PhD, FACC, FAHA, retires from her post as Associate Dean of Education at the Graduate School of Biomedical Sciences on June 30, she leaves the campus with bragging rights – she has taught physiology to every medical student since 1982. Dr. Gwirtz also...Read more

Jun 29, 2020