Update 5/19/2020 – Please read all updates.
On May 18, the MA DPH issued the following update:
Only a limited set of in-person services will resume, including:
• High-priority preventative services including pediatric care, immunizations and screenings for at risk patients
• Urgent procedures for conditions that, if left untreated, would lead to high risk or significant worsening of the patient’s condition, based on the provider’s clinical judgment
At Boston Hernia, in order to ensure your safety, and the safety of our staff, we are evaluating patients via telemedicine first. If we feel your condition warrants urgent treatment, we will set up an in person follow up appointment. Patients with worsening pain, intestinal or urinary symptoms from a hernia require more urgent surgery. Call the office to schedule an appointment so we can help you understand what your options are.
The process of reopening is going to be slow. Elective surgery for hernia will likely resume sometime in June.
Local hospitals, surgery centers and our practice are taking extra precautions to protect our patients
- Telemedicine appointments have replaced in person appointments for initial evaluation. In person follow ups are scheduled at the discretion of the providers
- In the office, we are scheduling patients less frequently and cleaning thoroughly between patients
- For surgery, only patients who have a negative COVID-19 test are allowed to have elective and sometime urgent surgery
Update 5/7/2020 Massachusetts is on a slow decline in Covid-19 cases
Due to our fellow citizens efforts with social distancing, MA was able to bend the curve and avoid overwhelming the hospitals. This required hospitals increasing their capacity, shutting down elective procedures, and asking hospital employees to work in way that they are not used to. Over the coming weeks, MA hospitals and surgery centers will be able to offer surgery for patients with more serious medical conditions, like cancers, limb and life threatening vascular conditions. These types of procedures will take priority over other medical conditions. Patients with intestinal obstruction from a hernia still require more urgent intervention and are not really classified as “elective”. If you have worsening symptoms from a hernia, please contact us so we can help prioritize your care. In our practice we have instituted several policies to protect our patients and our staff:
- All new patients are evaluated using a virtual visit, often within a week.
- After a virtual visit, if we feel that an in person visit is required, we will make arrangements for an in person visit
- Urgent surgery is being scheduled almost every week
- Elective surgery will be scheduled when appropriate and available to the public
- For in person appointments patients are asked to stay in the car and text the office to be let in
- Patients will be led directly into an exam room and will not wait in a waiting room
- Patients a required to wear a mask upon entering the building
- Patients must clean their hands with an alcohol based wash when entering the office
- No visitors are allowed, only patients
- Temperatures will be taken before patients are seen. Patients with a fever will be sent home without being seen in person
- Paperless communication is requested for insurance, consents, financial interactions
- Exam rooms are cleaned between every patient per local authority guidelines
- If you or someone in your family is sick or has a fever, please stay home so we can take care of you and others at a later date
- We are available for virtual visits almost every day
- Unfortunate, due to the ongoing shortages of operating room availability we can no longer accommodate request for a surgical date far into the future. When operating room time is provided to us, surgery will be scheduled on a first come, first serve basis with priority given to patients who have a clinical condition that requires urgent surgery and those who’s surgery was cancelled.
For patients who are being scheduled for more urgent, or elective surgery in one of our locations:
- New restrictions likely include:
- Negative Covid-19 test 48-72 hours prior to surgery
- Self quarantine after a Covid-19 test
- additional testing or restriction unique to each facility
- Patients need to be flexible about date and time of surgery. Only one or two dates will be offered until all patients are taken care of.
- Patients are asked to be courteous to all staff at Boston Hernia & Pilonidal Center and each of the facilities we work with
- Because of limited Operating room availability, patients who are unable to accept surgical dates that are offered will be placed on a waiting list for surgery
Update 4/25/2020 – Massachusetts is in the middle of it’s Covid – 19 surge
Social Distancing and Hand Washing has limited the number of residents infected. MA hospitals have more than doubled their capacity to take care of critically ill patients. Due to these measures, local hospitals have been able to handle the volume of patients that have fallen ill. Hospitals expect that the high volume of patients will continue for the coming weeks and potentially months. Discussions about how to resume more elective care have started. In the meantime, patients who have more urgent conditions can get the care they need. In our practice this means an initial telehealth encounter to assess the situation and come up with a safe game plan. We are able to schedule a virtual visit almost any day of the week
Update 4/17/2020 – The situation is evolving quickly, so please check in frequently
Social distancing is critical to reduce the impact of this Pandemic – please read the CDC’s recommendations below:
In an effort to “flatten the curve”, we are scheduling office visits as telemedicine consults through phone or video call. If you have a scheduled appointment, please call the office to make arrangements. We are using zoom’s secure HIPAA compliant platform.
The process is simple:
1. Call or schedule an appointment
2. One of our staff members will contact you within 24 hours to discuss condition
3. If needed, schedule telemedicine appointment, learn more here
4. Arrange next steps
We are able to guide almost everyone in the same way we would in person. Dr. Reinhorn has been using a telemedicine platform for over 5 years and has extensive experience guiding patients with this technology. Lauren Ott PA-C has evaluated well over 2000 patients for hernia and is now offering the same service.
Call us at 617-466-3373 or fill out the form below
All elective surgeries are on hold for now. We are hopeful that we will be able to start performing elective surgery by the beginning of June.