Susan H. Huffman, CMPE
 (Practice Administrator)




























 
Tele-Visits (Virtual auto-video visits via you phone - like a secure FaceTime or Skype - easy to do and saves the trip)
Temporary slowdown of the internet due to the Pandemic - extreme Internet traffic overload:
-There is currently a very significant nationwide/worldwide slowdown of the Internet due to the ongoing COVID-19 Pandemic. As a result, Tele-Visits may at times have major problems with delays and "choking" of app functions, and unwanted pauses, resulting in frustration of clinicians and families.  This is because much of the world, being suddenly confined to their homes, is video-streaming, video-teleconferencing, FaceTiming, Skyping, etc, - for business, education, government, medicine, personal, and family. At times, the Internet traffic is 10-50 times normal, a huge data traffic-jam. This will resolve with time as Internet companies deal with it. Meanwhile, please bare with it - It's not our fault.

Topics that can be covered by Tele-Visits:
(some of these may require a follow-up office visit to further investigate the problem, such as the need for a physical exam)


Coronavirus (COVID-19) medical and counseling questions:
- Counseling about medical risk to your child from this virus, especially with underlying problems, and certainly if followed by pulmonary, or cardiac problems, asthma, metabolic problems diabetes, significant prematurity, or multiple medical problems.
- Emotional, psychological, significant pre
maturity, or multiple medical problems, which may be made worse with COVID-19.
- Emotional, psychological, family interaction, or adjustment problems related to the current COVID-19 pandemic and significant disruption of their normal lives.
-
We suggest that you first refer to the lates
t government information on the matter from coronavirus.gov, CDC information.or questions about COVID-19 office updates at Unifour Peds.

Upper respiratory and lung problems:

- Common colds and cold symptoms, allergic problems such as allergic nose, allergic eyes, repetitive sneezing, etc.
- Asthma symptoms and control (especially important in view of the COVID-19 pandemic, and other breathing and wheezing problems.
-Pinkeye, sties, and other eye problems.
-Note that for safety and liability reasons we cannot call in oral antibiotics over the phone (for instance, for ear or throat, etc. infections which require lab/verification first).

Dermatology problems:

- uncomplicated rashes, ringworm, eczema, acne, lice, minor burns, possible medication reactions, and other mild rashes.

Parenting, developmental, nutrition and feeding problems, overweight and healthy lifestyles, emotional, psychological and counseling issues:
- uncomplicated parenting concerns, problems and counseling, newborn worries, feeding concerns and disorders, sleep issues, anxiety, depression, ADHD, reviewing ADHD forms submitted, behavior problems and related concerns, nutrition, potty training, school problems, overweight, healthy lifestyles, etc.


Gastrointestinal problems:
- uncomplicated diarrhea, vomiting, constipation, encopresis follow-up, acne, nutritional follow-up, GER and other drug refills, and other uncomplicated gastrointestinal problems.

Minor Injuries and injury followup visits:
- uncomplicated initial or follow-up visits for injuries, bites, scrapes/ abtrainsions, bruises, etc. NOT for major injuries.

Complex chronic care patients, including those with asthma, ADHD, or with multiple medical problems:
- Required periodic complex care follow-up visit (usually every 3 months)  for complex patients, asthma, and other chronic care patients, especially those that have in-home nursing care, and who have been instructed to stay within the home during this pandemic because they are at risk patients. Also asthma patients who are on chronic meds and require periodic visits every 3 months.

Lab and x-ray follow-up, Forms and medication refills:
-Reviewing results from lab, ultrasound and x-ray studies, need for medication refills, questions about possible medication reactions or side-effects, etc..



How to set up for a Tele-Visit:
-some of these may require a follow-up office visit to further investigate the problem, such as the need for a physical exam as might be discovered during the initial Tele-Visit.

Please use either (1) the text message (or email) link method for TeleVisits, or (2) the Healow app method. The text message link method is the easiest (and does not require a username or password entry). These is by far the best and most reliable methods.  Although FaceTime, Skype, and Zoom are temporarily permitted by the government during this Pandemic, they are not as secure and will not be allowed later.


Text Message (or email) Method of Starting a TeleVisit:

Easiest way to connect to a TeleVisit is directly from a text message
(or email) sent from our office:
     

1. Call the office for a TeleVisit. Call 828-328-1118. This should be at least 30-60 minutes before an appointment, but will depend on our schedule  Write the appointment date/time down. (If you have had troubles with the steps, they can help you.).

2. 30 minutes before the Tele-Visit, if possible/appropriate and you can do this, measure the patient's weight and temperature, and write these down. You will enter these later. (You can take more measurements if desired or requested).

    Minimal measurements                or more measurements
   

3. Open the text message (or email) sent from our office:

And then click on the link



4: Enter measurements as shown if possible (or at least the temperature and weight ... but can skip this if needed):

Enter the numeric values, and NOT the units of measurement, and then click the orange button :"Next" at the bottom.


5.   Once your vitals have been submitted
(or skipped) you will see one more screen showing start the "Tele Visit" icon in burnt-orange.




6. Once clicking "Start TeleVisit" please wait for the provider.

The provider should appear within 5-10 minutes of the scheduled appointment time:


7. When the provider, arrives, you should see him/her (or an icon):

- At this point, you should see the provider (or a silhouette of the provider), and the clinician should see you. You should be able to talk back and forth through the app with the clinician. If the clinician has not joined you on the Tele-Visit within 10-15 minutes, then please call the office to make sure an error has not occurred.



There should be no problems if the clinician is within the office. If this provider is instead working from home, then there may be problems hearing the clinician, in which case, he/she will work you through this minor inconvenience. He/she may ask you to show and area of the skin for a remote photo. Occasionally, poor phone reception may interfere with proper function of the app, or any other video service.

Alternative Method:
Logging into Tele-Visit from the Healow app:

Videos: 1st Watch This Video   Watch Video (Spanish) ---
             Then watch this video 
Then Watch This (Span)

PDFs: Instructions in English  Instructions in Spanish

1.  Download the Healow app from the Apple App Store or Android Play Store.

We ask that the app be installed on your phone, as we have had less technical difficulties with that vs. on a tablet or logging into the portal on your computer. 

2.  Search for our practice by using our practice code GFCGAA.

Select "Practce Code" icon:


Now enter Practice Code GFCGAA:


Now verify the office location as shown below: Carefully choose "Unifour Pediatrics PA, 3411 Graystone Place SE, Conover, NC."

3. Log into Healow app with your patient portal username and password. (If you do not know your patient portal credentials, then call our office staff at 828-328-1118, and they will provide that for you). Test the login to be sure that there are no problems.  

Now that you are all set up, this will simplify all future Tele-Visits, as all these 3 steps can now be skipped.


Tele-Visit from the Healow app

      
4.  Now you can call the office for a Tele-Visit appointment. Call
828-328-1118. (If you have had troubles with the above steps, they can help you.). Write the appointment date/time down.

5. 30 minutes before the Tele-Visit, if possible/appropriate and you can do this, measure the patient's weight and temperature, and write these down. You will enter these later. (You and take more measurements if desired or requested).

    Minimal measurements                 or more measurements
   

6.  Once logged in click on "Appointments": (should be red if you have a Tele-Visit appointment pending)



** If, at any point you are asked permission to share your phone's Camera and/or Microphone, then select "Yes". **

7.   In the "My Appointments" section, click on the gray  "Tele-Visit" icon to the right of the appointment time.

8.   Then click on the burnt-orange "Start Tele-Visit" button on the bottom of the screen - this will; start the Tele-Visit:

9.   You will now see a vitals screen. If you know your child’s height, weight and temperature please enter them. If not you may skip them as well as any other vitals and hit submit vitals. Will require scrolling up and down to see all the entry fields.

10.   Once your vitals have been submitted (or skipped) you will see one more screen showing start the "Tele Visit" icon in burnt-orange.

11. Once clicking start Tele-Visit please wait for the provider.
-
At this point, you should see the provider (or a silhouette of the provider), and the clinician should see you. You should be able to talk back and forth through the app with the clinician. If the clinician has not joined you on the Tele-Visit within 10-15 minutes, then please call the office to make sure an error has not occurred.

There should be no problems if the clinician is within the office. If this provider is instead working from home, then there may be problems hearing the clinician, in which case, he/she will work you through this minor inconvenience. He/she may ask you to show and area of the skin for a remote photo. Occasionally, poor phone reception may interfere with proper function of the app, or any other video service.


How to correctly associate multiple child accounts with your Healow app.

By default your app will sign you into the patient account you already have associated with your Healow app.

The common mistake made is that inside of that account, if you click on the patient’s name you will see an option to link another account as seen in the screen shot below.

This is NOT the way to add another child to your app. This would be used to add another account for the same child at a different doctor’s office.

To add another CHILD account to your app you must click on the settings button in the top right corner and select log out as seen in the screen shot below.

This will bring you to the screen below where you can select begin now to add another child. As you can see this screen will list all accounts you have associated with your app.

Once you have multiple child accounts associated, when you return to the app it will default to the account you were last logged into. 

Be sure that you are currently logged into the right child account, If not go to settings, and logout to display the list of associated accounts. Your credentials will be stored and you should only have to use the pin that you setup to get into each account.


Coronavirus (COVID-19) medical and risk/prevention counseling questions:
- Counseling about medical risk to your child from this virus, then we suggest that you set up a Tele-Visit.
.- However, we also recommend first referring to the excellent information found on Coronavirus.gov. Many of your questions will be answered there, and information is frequently updated. .

 

WE ARE STILL OPEN for IN-OFFICE Sick, Well, Injured or Behavioral visits in a very protected OFFICE environment, with outside screening/check-in, no waiting rooms - stay in your car until being called directly back to completely separate  "well exam room" OR "sick exam room" areas. There are separate well and sick entrances with separate staff to see our patients in each of these areas. Before office entry, we are taking temperatures and asking screening questions about patients (and those that accompany them) so that (1) no sick persons enter the "well" areas, and (2) no known/suspected  coronavirus patients or family members enter either section. Clinical questions are often asked over the phone while the family stays in the car. We are still seeing Well Checks in completely separate areas, with 5 and under on the lower-level well child section, and 6 and up in the newly separated upper-level "well-child" section. As an alternative to the "sick" section within the office, some families may opt for being seen in the canopied sick section outside. Yet another option are TeleVisits (like a secure real-time FaceTime bidirectional audio-video visit). CALL FOR AN APPOINTMENT 828-328-1118. We are here for you!

Sick and Well Visit Screening, and Workups by phone in the car:

Your Unifour Pediatric Family,

(828) 328-1118

    Gateway Page        Hours and Contacting Us
 
David Millsaps MD FAAP
Brooke Hata MD FAAP
Richard Rheinbolt
MD FAAP
Barbara Colosimo
MD FAAP
William Elliott MD FAAP
Board Certif. Pediatricians:
Fellows of the American
   Academy of Pediatrics

and our Pediatric
   Nurse Practitioners



Sommer C. Clark
, CPNP

Karen T. Leasure, CPNP
Lauren McFarland
,
CPNP
Evina Nonato
,
CPNP

Gretchen Weeks
, CPNP
Coming Soon
Alexis Pagnatta
, CPNP

Mission:
Unifour Pediatrics is a physician-owned primary care pediatric practice established to provide quality comprehensive healthcare services to infants, children, adolescents & college-age youth.