TWO FORMER INFINITY PRIMARY CARE PRACTICES JOIN IHA DECEMBER 1
IHA, the area’s leading multispecialty medical group, has officially welcomed two Infinity Primary Care, PC, practices into their medical group. Both organizations have worked diligently to reach this important milestone culminating with the integration of Primary Care Internal Medicine and the Center for Family Care into IHA.
“We are excited to partner with the outstanding providers of Infinity Primary Care to promote high-quality, patient-centered care in the Livonia community,” states Mark LePage, MD, and CEO of IHA. “As the Medical Group for Saint Joseph Mercy Health System, we are very excited to partner with Infinity Primary Care to extend our geographic reach into Livonia and western Wayne County as we further the mission of our integrated delivery system in partnership with our hospital partner, St Mary Mercy Livonia.”
“Nearly 20,000 patients currently under the care of these two practices will now have access to IHA’s nearly 40 specialties and extensive range of high-quality services,” adds Dr. LePage. “Giving patients a single, trusted source for primary and specialty care services needed for every stage of life.”
The integration with IHA brings together 14 providers and several dozen staff members to create the new Livonia-based primary care practices:
IHA Northwest Livonia Primary Care Internal Medicine
37595 Seven Mile Road, Suite 340
Randall Sternberg, MD
Lisa Harston-LeDoux, MD
David Steinberger, MD
Jennifer Kuc, CNP
IHA Hospital Medicine Services @ St. Mary Mercy Livonia
Pranay Korpole, MD
Sangeetha Nathabalan, MD
St. Mary Mercy Livonia Center for Family Care
37595 Seven Mile Road, Suite 210
Stacy O’Dowd, MD
Christine Brenner, MD
Andrew Gush, DO
Nicole Kohnen, MD
Mark Michaels, MD
Nicole Rothenberg, MD
David Michael Smeenge, MD
Michael Wowk, MD
“This is an important step in aligning these two Infinity Primary Care practices with IHA, and their associated residency practices connected with St. Mary Mercy Livonia, to enable us to better meet patient needs and provide efficient, cost-effective care,” adds Dave Spivey, president of St. Mary Mercy Livonia. “As we see IHA continuing to welcome new physician partners to the Livonia area, whether primary care or specialty care, it enables all of us to expand our regional footprint of services and provide greater access to care.”
Pandemics can be stressful. Holidays and elections can be stressful. Virtual school, social distancing and not seeing friends and loved ones can be stressful too. All these things together can be a recipe for anxiety. Anxiety and fear can feel overwhelming for both adults and children alike. Sometimes it can be hard to identify anxiety or understand the strong emotions that can come along with anxiety, especially for children.
What does anxiety look and feel like?
Fear and worry about your own health and the health of your loved ones, your financial situation or job, or loss of support services you rely on
Being there for and taking care of family and friends is important but you should create a healthy balance with caring for yourself too. Here are some tips from the Centers for Disease Control on coping with the stress that comes with living through a pandemic.
Know what to do if you are sick and are concerned about COVID-19. Contact a health professional before you start any self-treatment for COVID-19.
If you think you may need a COVID-19 test, save your spot at an IHA testing location: ihacares.com/saveyourspot
Know where and how to get treatment and other support services and resources, including counseling or therapy (in person or through telehealth services).
Make time to unwind. Try to do some other activities you enjoy.
Connect with others. Talk with people you trust about your concerns and how you are feeling.
Connect with your community- or faith-based organizations. While social distancing measures are in place, consider connecting online, through social media, or by phone or mail.
Make time for quiet. If you find comfort in prayer or meditation, make time to incorporate this quiet time into your day. As little as 10 minutes can make a difference in your anxiety level.
Quick tips for taking control of your anxiety.
Take control of your breathing. Try square breathing: breathe in through your nose, pause, breathe out through your mouth and pause, counting to four at each step. Watch Alberto Nacif, MD give instructions on square breathing here: https://bit.ly/2Izy1aL
Tighten and relax your muscles. In areas where you feel physical tension tighten your muscles and then relax them.
Go to your happy place. Yes! It does exist! Think of a time or a place in your life where you felt at ease, happy or at peace. Focus on the positive feelings associated with this moment in time.
Know when it’s time to seek medical professional help.
If stress or anxiety get in the way of your daily life several days in a row, it may be time to contact your primary care provider. There are many resources available for managing these feelings and your provider can help you find the best fit for you.
Traditional Thanksgiving gatherings with family and friends are fun but can increase the chances of getting or spreading COVID-19 or the flu. Please be sure to follow the Michigan Department of Health and Human Services (MDHHS) orders to make your Thanksgiving holiday safer and to help stop the spread of COVID-19.
The safest way to celebrate Thanksgiving this year is to celebrate with people in your household. If you do plan to spend Thanksgiving with people outside your household, take steps to make your celebration safer.
Wear a Mask
Wear a mask with two or more layers to stop the spread of COVID-19.
Wear the mask over your nose and mouth and secure it under your chin.
Make sure the mask fits snugly against the sides of your face.
Stay at least 6 feet away from others who do not live with you.
Remember that some people without symptoms may be able to spread COVID-19 or flu.
Keeping 6 feet (about 2 arm lengths) from others is especially important for people who are at higher risk of getting very sick.
Wash your hands.
Wash hands often with soap and water for at least 20 seconds.
Keep hand sanitizer with you and use it when you are unable to wash your hands.
Use hand sanitizer with at least 60% alcohol.
Attending a gathering.
Make your celebration safer. In addition to following the MDHHS order, consider these additional steps while attending a Thanksgiving gathering:
Bring your own food, drinks, plates, cups, and utensils.
Avoid going in and out of the areas where food is being prepared or handled, such as in the kitchen.
Use single-use options, like salad dressing and condiment packets, and disposable items like food containers, plates, and utensils.
Hosting a gathering.
If having guests to your home, please limit the number of people based on the MDHHS order. Additional ideas that can make your celebration safer include:
Have a small outdoor meal.
Have conversations with guests ahead of time to set expectations for celebrating together.
Clean and disinfect frequently touched surfaces and items between use.
If celebrating indoors, make sure to open windows.
Limit the number of people in food preparation areas.
Have guests bring their own food and drink.
If sharing food, have one person serve food and use single-use options, like plastic utensils and plates.
Consider new Thanksgiving activities.
Host a virtual Thanksgiving meal with friends and family who don’t live with you
Schedule a time to share a meal together virtually.
Have people share recipes and show their turkey, dressing, or other dishes they prepared.
Watch television and play games with people in your household
Watch Thanksgiving Day parades, sports, and movies at home.
Find a fun game to play.
Shop online sales the day after Thanksgiving and days leading up to the winter holidays.
Use contactless services for purchased items, like curbside pick-up.
Shop in open air markets staying 6 feet away from others.
Safely prepare traditional dishes and deliver them to family and neighbors in a way that does not involve contact with others (for example, leave them on the porch).
Participate in a gratitude activity, like writing down things you are grateful for and sharing with your friends and family.
Safe travel tips for college students.
There is no universal approach to Thanksgiving this year for colleges and universities. Though some are encouraging students to stay on campus for the holiday, others are allowing them to go home for the long Thanksgiving weekend. Still more are sending students home to begin their winter break or finish their semesters remotely.
Take the risk seriouslyYoung people have been identified as sources of some family outbreaks, infecting their older, more vulnerable relatives who live in the same household. Experts also point out that travel could increase students’ risk of exposure to the virus, and that holiday celebrations held indoors could facilitate transmission.
Self-quarantine and get testedIn the days before leaving campus, students should be tested, preferably with a PCR test, the laboratory test used to diagnose the coronavirus. Many colleges and universities have been regularly testing their students, and some have rolled out special guidance for holiday travel.
Source: Centers for Disease Control
Save Your Spot for drive-up COVID-19 testing at select IHA Urgent Care locations
During this pandemic, feeling sick can be scary. If you have symptoms like fever, cough, or shortness of breath, it is important to get tested for COVID-19. You should always contact your doctor with questions or concerns, but having test results will help with their recommendations for your care.
IHA offers convenient drive-up COVID-19 testing for new and established patients. We offer both PCR and Rapid tests. Your provider will determine which test is best for you based on your symptoms. Rapid testing is not always recommended. Do not go to your local IHA Urgent Care or emergency department for COVID-19 testing.
Patients in need of a COVID-19 test, please be aware: 1. You must have an appointment. Save Your Spot at one of our COVID-19 testing locations below. 2. Testing is being prioritized for symptomatic patients and patients who have had a high-risk exposure. 3. COVID-19 test results usually take 24 to 72 hours to return, but due to recent significant increases in testing – results are taking up to 5 days. 4. If you are not experiencing COVID-19 symptoms or have not had a high-risk exposure, please visit Michigan.gov to find an alternate testing location.
October is Breast Cancer Awareness Month and a great time to
spread the word about the importance of breast health all year long. Breast
cancer is one of the most common forms of cancer diagnosed in the United
States, typically in women, but it occurs in men as well. In 2020 alone, an
estimated 276,000 women will be diagnosed with breast cancer. Most of these new
cases will occur in women older than 50, but 10% will occur in women younger
than 45. Recognizing the warning signs of breast cancer and early detection
will mean more treatment options and a better chance of being cured.
Be aware of changes in your breasts
in the breast or underarm
discharge from the nipple
or retraction of the nipple area
in breast size
(flattening or indentation) of the skin covering the breast
or rash of the nipple or areola
What to you do if you notice a new symptom
an appointment with a breast surgeon for an evaluation
Regular screening for breast cancer is done before there are any
signs or symptoms and is the best way to find cancer early when it’s easier to
treat. The first step(s) of screening for breast cancer typically include
mammogram and/or a patient’s awareness of changes in their breast.
Self-Awareness: Conduct regular and frequent self-exams of your breasts. Become familiar with your breasts, so you aware of, and able to, recognize changes right away.
Clinical Breast Exam: This exam is done in a clinical setting, by a physician who will use their hands to look for lumps or changes in your breasts.
Mammogram: An x-ray of the breast and the best way to detect cancer early. A screening mammogram is done for asymptomatic women, a diagnostic mammogram is done for women with a new symptom or mammographic abnormality.
A mammogram found something suspicious, now what?
If your doctor finds something concerning on your mammogram, the
first step would be diagnostic imaging to further characterize the area. This may include: diagnostic mammogram,
a small sample of cells or tissue is removed and reviewed under a microscope to
determine if cancer is present. There are a variety of ways to perform a
biopsy. Talk to your physician about the options available to you, if you
require a biopsy.
Mammogram: an X-ray test used to diagnose unusual breast
changes, such as a lump, pain, nipple discharge, change in breast size or shape
or previous breast cancer. If your screening mammogram does show an
abnormality, you may need additional imaging like a diagnostic mammogram.
Breast Ultrasound: Using sound waves to
produce images of the internal structures of the breast, the breast ultrasound
can help a physician determine if a mass an abnormality is more likely a solid
mass or fluid-filled cyst.
The MRI uses magnets and radio waves to produce images of the breast. These
images provide more information and details than other tests. Your physician
may recommend a breast MRI for you if your biopsy results were positive for
cancer or if you’re considered high risk for breast cancer. The breast MRI is
intended to be used along with a mammogram, not as a replacement.
Who would be considered high risk for breast cancer?
As a person ages, their risk of being diagnosed with breast
cancer increases, but there are a few other risk factors that you cannot
Most breast cancers are diagnosed after age 50.
Inherited changes (mutations) to certain genes, such as BRCA1 and BRCA2. Women
who have inherited these genetic changes are at higher risk of breast
and ovarian cancer.
Dense Breasts: Dense
breasts have more connective tissue than fatty tissue, which can sometimes make
it hard to see tumors on a mammogram. Women with dense breasts are more likely
to get breast cancer.
of Breast Cancer: Women who have had breast cancer are
more likely to get breast cancer a second time. Some non-cancerous breast
diseases such as atypical hyperplasia or lobular carcinoma in situ are
associated with a higher risk of getting breast cancer.
Family History of Breast Cancer: A woman’s risk for breast cancer is higher if
she has a mother, sister, or daughter (first-degree relative) or multiple
family members on either her mother’s or father’s side of
the family who have had breast or ovarian cancer. Having a first-degree male
relative with breast cancer also raises a woman’s risk.
Understanding the signs and symptoms of breast cancer and your risk factors is important for every woman and man. If you have questions or concerns about your breast health, schedule an appointment with an IHA Breast Surgeon.
(October 19, 2020)–After completing the necessary due diligence and operational preparations, IHA, the area’s leading multispecialty medical group, and Infinity Primary Care, PC, have finalized terms for the integration of Primary Care Internal Medicine and the Center for Family Care into IHA.
“Our goal in integrating these practices is to partner with the outstanding providers of Infinity Primary Care with to promote high-quality, patient-centered care to the Livonia community,”states Mark LePage, MD, and CEO of IHA. “We intend to hold true to our core mission of compassionate, patient-centered carethat delights our patients.”
“We are confident that the nearly 20,000 patients under the care of these two practices will be able to count on IHA to provide access to an extensive range of high-quality services,” adds Dr LePage. “And as the Medical Group for Saint Joseph Mercy Health System, we are very excited to partner with Infinity Primary Care to extend our geographic reach into Livonia and western Wayne County as we furtherthe mission of our integrated delivery system in partnership with our hospital partner, St Mary Mercy Livonia.”
The integration with IHA brings together 15 providers and several dozen staff members from the following two IPC practices:
Primary Care Internal Medicine
Lisa Harston-LeDoux, MD
Pranay Korpole, MD
Jennifer Kuc, CNP
Sangeetha Nathabalan, MD
David Steinberger, MD
Center for Family Care
Stacy O’Dowd, MD
Christine Brenner, MD
Andrew Gush, DO
Nicole Kohnen, MD
Mark Michaels, MD
Nicole Rothenberg, MD
David Smeenge, MD
Stacy Smith, MD
Michael Wowk, MD
“This is an important step in aligning these twoIPC practices with IHA, and their associated residency practices connected with St. Mary Mercy Livonia, toenable us tobettermeet patient needs and provide efficient, cost-effective care,” notes Rob Casalou, president and CEOof Trinity Health Michigan. “By collaborating as a truly integrated health care delivery system, we will create a unified clinical and operational infrastructure with coordinated protocols and best practices, which will lead not only to better clinical outcomes but also to an improved patient experience across the continuum of both outpatient and inpatient care.”
IHA offers a breadth of capabilities thatis virtually unrivaled in the region, giving patients a single, trusted source for more of the medical services that they need at every stage of life.
“As we see IHA continuing to welcome new partners in the Livonia area, whether primary care or specialty care, it enables all of us to expand our regional footprint of services,” adds Dave Spivey, president of St. Mary Mercy Livonia. “We are not only preparing for the April 2021 opening of the new IHA/SJMHS Livonia Medical Centeron the Schoolcraft campus, but also actively making highly specialized services such as orthopaedics and plastic surgery available to our communities now.”
The timeline for the transition of these practices into IHA is December 1, 2020.
Halloween and everything that surrounds it –
trick-or-treating, costume parades, bobbing for apples – are fun, but can
spread COVID-19 or other seasonal infections, like influenza. While celebrating
Halloween this year will look very different from every other year, there are
still ways to enjoy all that Halloween has to offer, while protecting yourself
and your family from picking up a virus.
Giving Out Candy
Avoid direct contact with trick-or-treaters
Give out treats outdoors, if possible
Set up a station with individually bagged treats
for kids to take
Wash hands or use hand sanitizer before handling
treats, and in between trick-or-treaters
Wear a cloth mask
Wear a mask
Make your cloth mask part of your costume
A costume mask is not a substitute for a cloth
Do NOT wear a costume mask over a cloth mask. It
can make breathing more difficult
should NOT be worn by children under the age of 2 or anyone who has trouble
Wash your hands
Bring hand sanitizer with you and use it after
touching objects or other people
Use hand sanitizer with at least 60% alcohol
Parents: supervise young children using hand
Wash hands with soap and water for at least 20
seconds when you get home and before you eat any treats
Stay at least 6 feet away from others who do
not live with you
Indoors and outdoors, you are more likely to get
or spread COVID-19 when you are in close contact with others for a long time
Make sure you are always doing the following. Every.
Wear a mask
Stay 6 feet away from anyone that does not live
with you – indoors and outdoors
Wash your hands or use hand sanitizer frequently
If you decide not to take your kids trick or treating this
year, here are some ideas how you can enjoy Halloween safely.
Decorate and carve pumpkins
Decorate your home for Halloween.
Carve pumpkins with members of your household or outside with neighbors or friends.
Walk from house to house, admiring Halloween decorations at a distance.
Visit an orchard, forest, or corn maze. Attend a scavenger hunt.
Go on an outdoor Halloween-themed scavenger hunt.
Visit a pumpkin patch or orchard. Remember to wash your hands or use hand sanitizer frequently, especially after touching frequently touched surfaces, pumpkins, or apples.
Go to a one-way, walk-through haunted forest or corn maze.
Hide Halloween treats in and around your house. Hold a Halloween treat hunt with household members.
Hold a socially distanced outdoor costume parade or contest so everyone can show off their costumes.
Host a socially distanced outdoor Halloween movie night with friends or neighbors or an indoor movie night with your household members.
Flu Before Boo!
Protect yourself and your family during flu season by getting your flu vaccine before Halloween. Scheduling your flu shot is easy! Click below and choose an appointment time that works for you.
Flu season is here,
which means Flu SHOT season is also here. Getting a flu vaccine this fall will
be more important than ever, not only to reduce your risk from flu but also to
help conserve potentially scarce health care resources in the wake of the COVID-19
What are the benefits of the
Receiving the flu vaccines
reduces flu illnesses, sick appointments, hospital stays, and missed time from
work or school. It can also be lifesaving for high risk patients like children,
seniors, and pregnant women.
Can the flu vaccine give me
The viruses in the flu shot
are killed (inactivated), so you cannot get the flu from a flu shot. However,
you may experience some minor side effects like, soreness, redness or swelling
at the shot site, a low-grade fever, and some aches.
For those that receive the
nasal spray, the viruses are weakened and do not cause severe symptoms often
associated with influenza illness. Side effects from the nasal spray may
include, runny nose, sore throat, cough, wheezing, headache, vomiting, muscle
aches, or fever.
Who should get vaccinated
Everyone six months of age
and older should receive a flu vaccine at the beginning of the flu season,
typically every fall.
Who should not be vaccinated
against seasonal flu?
A patients age, health or allergies may determine they should not receive the flu vaccine. Talk with your physician to ensure you or your children should receive the flu vaccine.
Should a flu vaccine be given to someone
with a suspected or confirmed case of COVID-19?
No. Vaccination should be deferred
(postponed) for people with suspected or confirmed COVID-19, regardless of
whether they have symptoms, until they have met the criteria to discontinue
their isolation. While mild illness is not a contraindication to flu
vaccination, vaccination visits for these people should be postponed to avoid
exposing healthcare personnel and other patients to the virus that causes
COVID-19. When scheduling or confirming appointments for vaccination, patients
should be instructed to notify the provider’s office or clinic in
advance if they currently have or develop any symptoms of COVID-19.
Additionally, a prior infection with suspected or confirmed COVID-19 or flu does not protect someone from future flu infections. The best way to prevent seasonal flu is to get vaccinated every year.
Why should I get my child
The flu is dangerous for all
people, but children under five years old are at an especially high risk when
they get sick with the seasonal flu. The flu vaccine is your children’s best defense against contracting and
spreading the flu.
When should I get a flu
For people receiving one
dose of the flu vaccine, the Centers for Disease Control recommends that people
get the flu vaccine by the end of October. If your child requires two doses,
they will need to be given four weeks apart, so chat with your pediatrician on
the best time to give the first dose. Getting the vaccine in the summer months
may result in reduced protection later in the flu season, especially for high
risk patients. There are benefits to receiving the flu vaccine later in
the season, so it’s never
too late to be vaccinated!
How effective is the flu
The patient’s age and health status will determine the
effectiveness of the flu vaccine, as well as how well the flu in the vaccine
matches the flu circulating in your community. The CDC estimates that the flu
vaccine reduces the risk of flu illness by between 40% and 60% among the
overall population, when the seasonal flu circulating is well-matched with the
Besides vaccination, how can
people protect themselves against the flu?
Getting the flu vaccine
every year is your best defense against the flu. People should also take
preventive actions every day. These include, frequently washing hands, covering
coughs using the inside of your elbow, not your hand, and avoid having contact
with people who are sick (even if they haven’t been diagnosed with the flu).
Where can I get the flu
This year’s flu shot is available at IHA Primary Care and
Ob/Gyn practices and pediatric doses are available at IHA Pediatric practices.
Adults and children may receive the flu shot at any IHA Urgent Care location.
Click below to schedule your flu shot.
Can the flu vaccine prevent
No, the flu vaccine cannot
prevent you from becoming infected with COVID-19. You and your family should
continue practice CDC recommendations to minimize your risk of contracting
COVID-19, including, wearing masks outside of your home, social distancing and
frequent hand washing.
What is the difference
between Influenza and COVID-19?
Influenza (Flu) and COVID-19 are both
contagious respiratory illnesses, but they are caused by different viruses.
COVID-19 is caused by infection with a new coronavirus (called SARS-CoV-2) and
flu is caused by infection with influenza viruses. Because some of the symptoms of flu and COVID-19 are
similar, it may be hard to tell the difference between them based on symptoms
alone, and testing may be needed to help confirm a diagnosis. Flu and COVID-19
share many characteristics, but there are some key differences between the two.
There are some key differences between flu
and COVID-19. COVID-19 seems to spread more easily than flu and causes more
serious illnesses in some people. It can also take longer before people show
symptoms and people can be contagious for longer. Another important difference
is there is a vaccine to protect against flu. There is currently no vaccine to
prevent COVID-19. The best way to prevent infection is to avoid being exposed
to the virus.
Can getting the flu shot increase your
risk of getting COVID-19?
Currently, there is no evidence that
getting the flu vaccine can increase your risk of getting COVID-19.
Is it safe to go out to
get the flu shot during the COVID-19 pandemic?
Yes. Getting a flu
vaccine is an essential part of protecting your health and your family’s health this season. To protect your health when getting a
flu vaccine, follow CDC’s recommendations for running
essential errands and doctor visits, like wearing a mask outside of
your home, social distancing and frequent hand washing. Continue to take
everyday preventive actions.
What is IHA doing to ensure it’s safe for
me and my family to come into the office for a flu vaccine?
Patient safety is, now more than ever, our
top priority. We’re taking several precautions to minimize your risk of
exposure to COVID-19 while visiting an IHA practice in person, including:
patients, guests, staff, and providers to wear masks in our practices
providers and staff
wear personal protective equipment
temperature of all patients, providers, and staff upon entry into our practices
limiting the number
of people in our practices, which means you may be asked to wait in your car instead
of our waiting room
spacing the timing of
acceptable (greater than 6 foot) distance between patients in all common areas
cleaning protocols laid out by the Centers for Disease Control (CDC) to ensure
safe, sanitized environments
practices, we’re scheduling sick and well patients at different times of the
Scheduling your flu shot is easy! The flu shot is available at IHA and St. Joe’s Medical Group primary care and OBGYN practices, as well as, urgent care locations. Click below to find a time and location that work for you.
How to reduce the risk of COVID-19 exposure while playing
Many youth sports leagues are easing back into practice and
in some cases competition. While it’s a much-welcomed change after a summer of
quarantine, whatever you or your children play, you should play it safe. There
are a number of steps you can take to help lower the risk of COVID-19 exposure
and reduce the spread while playing sports. The more people a participant
interacts with, the closer the physical interaction, the more sharing of
equipment there is by multiple players, and the longer the interaction, the
higher the risk of COVID-19 spread. Therefore, risk of COVID-19 spread can be
different, depending on the type of activity. Read on for guidance from the
Centers for Disease Control and Prevention.
Make a game plan to reduce risk
Lowest Risk: Performing skill-building drills or
conditioning at home, alone or with members of the same household
Increasing Risk: Team-based practice
More Risk: Within-team competition
Higher Risk: Full competition between teams from
the same local geographic area (e.g., city or county)
Highest Risk: Full competition between teams
from different geographic areas (e.g., outside county or state)
If organizations are not able to keep safety
measures in place during competition (for example, keeping participants six
feet apart at all times), they may consider limiting participation to
within-team competition only (for example, scrimmages between members of the
same team) or team-based practices only
Similarly, if organizations are unable to put in
place safety measures during team-based activities, they may choose individual
or at-home activities, especially if any members of the team are at an
increased risk for severe illness
Prepare before you participate
Bring supplies to help you and others stay
healthy—for example, masks (bring extra), hand sanitizer with at least 60%
alcohol, broad spectrum sunscreen with SPF 15 or higher, and drinking water.
Prioritize participating in outdoor activities
over indoor activities and stay within your local area as much as possible.
If using an indoor facility, allow previous
groups to leave the facility before entering with your team. If possible, allow
time for cleaning and/or disinfecting.
Check the league’s COVID-19 prevention practices
before you go to make sure they have steps in place to prevent the spread of
If you are at an increased risk for severe
illness or have existing health conditions, take extra precautions and preventive
actions during the activity or choose individual or at-home activities.
Stay home if sick
If the participant has symptoms of COVID-19, has been
diagnosed with COVID-19, is waiting for COVID-19 test results, or may have been
exposed to someone with COVID-19, they should stay home and not participate in
Have smaller team sizes
Sports with a large number of players on a team
may increase the likelihood of spread compared to sports with fewer team
Limit your team to a core group of participants,
by restricting non-team players from joining when your team is short players
and not adding new members during the season.
Reduce physical closeness between players when possible
Maintain at least 6 feet between yourself and
your teammates, other competitors, and officials while actively participating
in the sport.
Focus on building individual skills, like
batting, dribbling, kicking, and strength training.
Avoid high fives, handshakes, fist bumps or
Keep space between players in the practice
areas, including on the sideline, dugout, and bench.
Wait in car or away from the playing area until
just before the warm-up period or the beginning of the game.
Avoid congregating in the parking lot or near
the field before or after games.
If it is not possible to avoid congregating,
practice social distancing by ensuring there is at least 6 feet between
If social distancing is not possible, wear a
mask whenever possible to reduce risk of virus transmission.
Space out spectators by 6 feet
Limit nonessential visitors, spectators, and
volunteers. Ensure they wear masks and maintain social distancing.
Wear a mask if possible
Wear a mask if feasible, especially when it is
difficult to stay less than 6 feet apart from other people or indoors, for
example in close contact sports such as basketball.
Lower intensity sports: Emphasize wearing masks
and practicing social distancing for lower intensity sports.
Higher intensity sports: People who are engaged
in high intensity activities, like running, may not be able to wear a mask if
it causes difficulty breathing.
If unable to wear a mask, consider conducting
the activity in a location with greater ventilation and air exchange (for
instance, outdoors versus indoors) and where it is possible to maintain
physical distance from others.
In situations where individuals might raise
their voices, such as shouting or chanting, we strongly encourage wearing
For youth athletes, parents, coaches, and sports
administrators should decide if the kids need to wear a mask.
It is not known if face shields provide any
benefit as source control to protect others from the spray of respiratory
particles. CDC does not recommend use of face shields for normal everyday activities
or as a substitute for masks.
Minimize sharing of equipment or gear
Encourage players to bring their own equipment
if possible, like gloves, balls, and helmets.
Limit the use of frequently touched surfaces on
the field, court, or play surface.
Bring your own water to minimize use and
touching of drinking fountains.
Clean and disinfect shared items between use.
Don’t share towels, clothing, or any items used
to wipe your face or hands.
Avoid sharing food, drink containers (e.g.,
coolers), and utensils.
Cover your coughs and sneezes.
When coughing or sneezing, use a tissue or the
inside of your elbow. Used tissues should be thrown away and hands washed
immediately with soap and water for at least 20 seconds or use hand sanitizer
with 60% alcohol.
If soap and water are not readily available,
hand sanitizer that contains at least 60% alcohol can be used.
Wash your hands with soap and water for at least
20 seconds or use hand sanitizer with 60% alcohol.
Before and after you play.
Before adjusting your mask—review information
about proper use, removal, and washing of masks.
Limit travel outside of your area
Consider competing against teams in your local
area (neighborhood, town, or community).
Checklist for coaches
Send a welcome email or call parents (for youth players) and/or players. Inform them about actions that the sports program will take to protect players. Remind them to stay home if sick or if they have been around someone who is sick.
Be a role model. Wear a mask and encourage family members, fans, officials, and sports staff to wear one during practices and games.
Provide hand sanitizer with at least 60% alcohol to players before and after practice/game and encourage them to wash their hands with soap and water.
Educate players about covering coughs and sneezes with a tissue or their elbow. Discourage spitting.
youths practicing basketball
Encourage players to focus on building individual skills
Remind players about social distancing and identify markers (such as signage or tape on floor).
Encourage your players to focus on building their individual skills and cardiovascular conditioning, so they can limit close contact with other players.
Check with your sports administrator to make sure they are following cleaning and disinfection recommendations.
Clean and disinfect frequently touched surfaces on field, court, or play surface (such as drinking fountains) at least daily or between use.
Clean and disinfect shared equipment.
If you have questions or concerns about your child participating in sports this fall, make an appointment to talk it over with yout pediatric provider.
You’ve heard about the benefits of breastfeeding your baby. You know breast milk is best for your baby (the antibodies!). But let’s face it, returning to work after weeks of cozy breastfeeding sessions creates a lot of anxiety and pressure (pun intended) for mom. There’s so much information out there online and from every woman you know that’s ever had a baby. We’re here to breakdown some of the most common concerns around returning to work and continuing to provide breastmilk for your baby. Read on to learn how some common myths around breastfeeding while working are, well, busted.
Myth: Nursing less often will create more milk when I do nurse. Actually, the more you nurse (or pump), the more milk you will produce. Your body is creating your milk supply based on demand. Feed your baby when they ask (in their own way), and your body will produce the milk they need. If you are returning to work, this will help in ensuring you are producing what your baby needs while pumping.
Myth: My baby won’t breastfeed once they get used to bottles. You will always be your baby’s favorite way to get their milk. When your baby is with you, they will expect to be breastfeed. If your baby has a predictable feeding schedule, when you return to work ask your caregiver to hold-off on giving them a bottle close to your arrival, so you can breastfeed your baby when you return home. Also, be sure you drink plenty of fluids, avoiding caffeine and alcohol. Staying hydrated is important in general, but especially while breastfeeding.
Myth: I need a freezer full of milk to return to work. Just when a new mom or dad feels like they are adjusting to life as parents, it’s typically time to return to work. For a mother who is breastfeeding, this transition can be especially difficult. A few weeks before your re-entry into the working world, start mixing some pumping and bottle feeding into your baby’s routine. This will help in two ways; your baby will get some practice with and be more willing to take a bottle and you will have some milk stored for backup. We recommend a minimum supply of two days’ worth of breastmilk for a smooth transition. As you pump at work, you will get into a rhythm of producing what your little one needs. You don’t need a freezer stocked full of milk in order to return to work.
Myth: I can’t breastfeed and pump at the same time. There’s a balance between pumping and breastfeeding. Once you find it, your body will respond and produce the milk required. To start working pumping into your feeding schedule, pump between breastfeeding your baby. Pump about an hour AFTER you feed, and at least an hour BEFORE your baby’s next feeding. If you are returning to work, take note of when your baby typically eats, and pump based on that schedule. Continue to demand milk consistently and your body will get the signal to produce enough breast milk for your little one.
Myth: I will have to stop breastfeeding when I return to work. Every mother has a legal right to take breaks from work to pump. That said, many women may still be anxious about taking this time. While you are pregnant and before you go on maternity leave, chat with your boss about a pumping schedule. That way, your boss will know what to expect upon your return and you will have some peace of mind knowing there is a plan in place to ensure you can continue to provide breast milk for your baby. Also, be sure to understand the accommodations available to you in the work place for pumping. Where is the room? Where will you store the milk you pump throughout the day? To get your questions answered, chat with a human resources rep or a colleague that recently transitioned from maternity leave and pumped at your office, to get your questions answered.
Myth: I won’t be successful at work if I have to stop and pump. For a mother that wants to continue providing breast milk for her baby, taking the time to pump will create peace of mind, and allow you to be more focused when at your desk. You may even want to use the time you spend pumping to catch up on some emails, or read through an article or report that you can’t seem to work into your day while sitting at your desk. Some of your colleagues will understand when you excuse yourself a few times a day to pump, and others may not. The fact is, it’s your right to take time to pump during the work day, so try to focus on your baby and not the opinions of those around you. If you have concerns, talk to a manager or supervisor.
Breastfeeding is a wonderful way to take care of your baby, but it can be a struggle too. If you are feeling stressed about producing milk for your baby, make an appointment to chat with a provider. There is no “one size fits all” when it comes to breastfeeding, and they can provide the support you need as you work through challenges that come with being a new mom.
Originally Posted August 2019
Did you know IHA offers Breastfeeding Medicine? While breast milk is felt to be nature’s first food, breastfeeding does not always come naturally. Breastfeeding is a physiological process that involves both the mother and baby. We provide specialized breastfeeding care for both mother and baby. Learn more about IH Breastfeeding Medicine below.
Thirst-quenching and healthy snacks perfect for hot days
We’re entering the final weeks of summer and no doubt soaking up
as much time outside as we can before temperatures fall. All that time outdoors
mean sweating which may put you at risk for dehydration, vitamin and mineral deficiencies,
as well as skin sensitivities. Eating fresh, in-season fruit is a great way to
combat the effects of summer heat. Try one – or several – of these picks next
time you head out(side).
Watermelon: 90% water means it’s great for hydrating. Watermelon is also high in cramp fighting potassium, lycopene and immune-booster gluathione.
Grapes: At 90% water, grapes are the perfect summer snack. They are also a great source of vitamin K and manganese. Plus, with a bit of fiber, they keep you feeling full.
Blackberries: This powerhouse of a fruit contains a lot of polyphenols, chemicals that can help cut inflammation that leads to heart disease. They also help your lower intestine break down sugar which could lower your odds of developing type 2 diabetes.
Bananas: Before you go bananas working out, be sure you have a banana on hand. They can help your body recover from tough workouts, and some cyclists said having a banana before they ride helped them go faster and recover faster than those that only had water.
Pistachios: Rich in protein, fiber, and vitamins and minerals, this small, but mighty snack is also high in antioxidants and may help with inflammation. Plus, about 20 of them is only around 80 calories and less than a gram of saturated fat. You may even burn a couple calories cracking them open!
Lemons: Not just a pretty garnish, lemons and limes are packed with antioxidants like vitamin C and flavonoids. Try one in your next glass of water.
Kiwis: This little fruit is mean, green, germ-fighting machine! Rich in vitamins C, E and K, high in fiber and contains lutein which may protect eyes from some diseases. Like the banana, the kiwi also has some potassium, a must have for heart, muscles, nerves and more.
Strawberries: This summer staple if full of vitamin C, fiber, antioxidants and folic acid.
Blueberries: When it comes to antioxidants, this is a blue-ribbon berry. They give the digestive system a boost, with up to 14% of your daily fiber intake and contain vitamin c you need to promote healing and give your immune system a boost.
Peaches: You’ll feel peachy after you have one. A single peach can give you 10% or more of the vitamin C you need each day. A great way to boost your immune system and help your body’s ability to heal.
Pineapple: This fruit tray favorite is full of vitamin C, has some fiber to help your digestive track, bromelain, an enzyme that may ease inflammation, and manganese for muscle tone and bone health. Plus, one cup contains only 82 calories!
Avocados: Another great source of potassium. Avocados are full of heart-healthy fats and fiber, vitamins
Cherries: Delicious as they are healthy, grab a bag of cherries and you’ll get the anti-inflammatory effects of the antioxidant quercetin. Not to mention, help kill cancer cells, control blood sugar and help prevent heart disease.
Cantaloupe: Sliced, cubed or blended into a smoothie, the cantaloupe is rich in potassium, vitamin C and beta-carotene. Chilled, it’s the perfect summer afternoon treat.
Interested in learning more about how your diet impacts your health? IHA offers nutrition counseling services at many practice locations. Nutrition counseling is provided by IHA nutrition specialists/registered dietitians. Their expertise can provide you with the necessary knowledge to achieve all your individual and family dietary needs.