Last updated Tuesday, March 24, 2020 at 7:36 p.m.
As the situation with the novel coronavirus and COVID-19 evolves, we will continue to update this page.
Patients who feel sick and think they have the cold, flu or COVID-19 should contact their primary care doctor by phone. Do not go in unless instructed. If it is urgent and you need to come to our office while sick, please notify staff so we can guide your care accordingly.
Where We’re At & What We’re Doing
On March 22, Dallas County Judge Clay Jenkins issued an order for all Dallas County residents to shelter in place and for businesses to close, except essential ones. We are an essential business and will remain open for medical appointments only and have introduced a telemedicine option, which you can learn more about below. All elective surgical and cosmetic procedures will be canceled through the end of April. The earliest we are scheduling cosmetic procedures is May 1, 2020, although this is subject to change.
We will continue to evaluate and/or see patients ASAP with:
- Widespread rashes like psoriasis, eczema, hives, drug eruptions, poison ivy, etc.
- Those that are on medications that require monitoring
- Those with skin cancers or possible skin cancers
- Those with skin infections, such as boils and staphylococcus infections, shingles, ringworm
- Those with severe itching
Now Providing Teledermatology Appointments
In order to meet vulnerable patients’ needs and minimize exposure to coronavirus, we have launched teledermatology appointments so we can see patients with the conditions above and for medication refills.
As of March 23, all patients will be seen via teledermatology first. Teledermatology is a form of video conference where Dr. Niroomand will be able to talk to you and examine your skin. You may want to be in a space with some privacy in case sensitive areas of the skin need to be examined. The platform is easy to use and there is no extra software to download.
The teledermatology platform is accessible on computers and mobile devices with cameras and microphones. Chrome, Safari and Firefox are all supported. See the flyer below for more information about how it works. Video appointments are preferred but phone is also an option.
Applicable co-payments and deductibles are required at the time of service. A very reasonable fee schedule is established for those that do not want to use insurance.
To schedule a virtual appointment, please call our office at 214-303-1102. We will send a link via text or email address to click on and follow steps to connect to our office.
Here is more detail about how the virtual medical appointments will work:
After evaluating you via teledermatology, it may be necessary for you to come to the office anyway. You will need to notify us when you arrive so we can inform the building security to let you in. On the day of your in-person appointment, you and anyone accompanying you will be required to fill out this COVID-19 questionnaire:
- Do you currently have any of these symptoms?
- Cough – yes / no
- Fever – yes / no
- Shortness of breath – yes / no
- In the last 14 days, did you travel internationally, were on a cruise ship or went to the areas where COVID-19 (Coronavirus) is widespread?
- Yes / no
- In the last 14 days, did you have close contact with a suspected or laboratory-confirmed COVID-19 (coronavirus) patient?
- Yes / no
If you answered yes to any of these questions and you don’t have an urgent skin issue, please cancel your appointment and contact your primary care provider (PCP) or call the State Health Department: 1-877-570-9779.
Other Safety Measures
We’re doing things we’ve always done to keep the office sanitary, as well as added new safety measures. These things include:
- Asking patients to call their primary care doctor for the best way to get diagnosed and treated if they have symptoms of cold or flu. It is better to call than make an appointment to see a provider. Some doctors may be able to visit with you via telemedicine (electronically)
- Switching all patients to teledermatology appointments first
- Asking patients to use the antiseptic cleaner in the waiting room before filling out the sign-in sheets and other forms
- Requiring all patients to fill out a questionnaire regarding possible exposure to COVID-19 on the day of their appointment
- Following CDC and WHO guidelines about visitors: Anyone who is not a patient should not enter the facility unless the scheduled patient requires assistance. Each patient may only have one individual with them during their visit, and that person must also fill out the COVID-19 questionnaire. If the assisting person has respiratory symptoms or a fever, we ask patients to reschedule their appointment or find an alternative individual to accompany them.
- Requiring staff to wear masks at all times
- Disinfecting examination tables & chairs in patient rooms, as well as change table paper, after each patient
- Disinfecting the waiting room daily
- Stocking hand sanitizer in all exam rooms in addition to having soap by all sinks
- Directing staff to wash hands or sanitize before entering and before leaving exam rooms. All staff required to put on gloves immediately after washing hands
- Requesting staff to stay home if they feel sick
We will continue to adapt as the situation evolves, as your health is our top priority. Plus, we are in communication with our building management team to coordinate our protocols for a safer environment should you have to come in.
Coronaviruses is a family of viruses that causes upper respiratory infections ranging in severity from the common cold to more serious diseases like Severe Acute Respiratory Syndrome (SARS). COVID-19 is the disease caused by the new strain of coronavirus.
Main symptoms of COVID-19 include fever, tiredness, and dry cough. Other symptoms people may have include aches and pains, nasal congestion, runny nose, sore throat or diarrhea.
Who is at greatest risk
According to the World Health Organization (WHO), most people (about 80%) recover from the disease without needing special treatment. However, older people – and those with underlying medical problems like high blood pressure, heart problems or diabetes – are more likely to develop serious illness or die.
How it’s spread
Scientists are still learning about how the virus is spread, but the main transmission is thought to be from person to person.
When a person with COVID-19 coughs or sneezes, they release small droplets that land on objects and people around them. Other people are infected when they touch that object and then touch their eyes, nose or mouth, or when they inhale a droplet if they are in close proximity to someone with COVID-19. This is why you should try to stay more than 6 feet from someone who is sick.
If you have symptoms
If you have fever, cough and difficulty breathing, call your primary doctor’s office or emergency room before going in so they can guide your care.
How to take care of yourself
These are the main things to do to prevent from getting sick:
- Clean your hands often.
- Either wash with soap or water for at least 20 seconds, or use a hand sanitizer that contains at least 60% alcohol. Do this after you’ve been in a public place, or after blowing your nose or coughing.
- Avoid touching your face with unwashed hands.
- Avoid close contact with people who are sick, and put distance (6+ feet) between yourself and other people in public places.
Please protect others when you are sick with these steps:
- Stay home if you are sick. Here are other tips from the CDC if you are sick.
- Cough or sneeze into your elbow or a tissue. Then, immediately wash your hands or throw away the tissue.
- Throw used tissues away immediately.
- Wear a facemask if you are sick and have to be around other people (i.e. in the same room or vehicle). If you are healthy, you do not need to wear a mask unless you’re taking care of someone who is sick and unable to wear a mask. Facemasks may soon be in short supply, and they should be saved for caregivers.
- Clean and disinfect frequently touched surfaces daily such as light switches, doorknobs, countertops, etc.
People of all races and ethnicity can become infected. No one race or ethnicity is more likely to become infected by COVID-19. People who have been in close contact with a person known to have COVID-19 or people who live in or have recently been in an area with ongoing spread are at an increased risk of exposure.
Other Helpful Resources
- U.S. Centers for Disease Control and Prevention (CDC) – Coronavirus 2019 Information
- Dallas County Health & Human Services – 2019 Novel Coronavirus Information
- World Health Organization – Q&A on COVID-19
- The Dallas Morning News – Coronavirus Updates