Standing Together Against COVID-19
Essential updates for 03.18.21
One Year Later...
We began these Covid updates one year ago this week and have compiled a timeline below of some of the major events of the last year. I do not think any of us realized the path that lay before us and that the effects of this pandemic would impact us so strongly and for so long. As of today there are 122 million documented cases and 2.6 million deaths worldwide. Much has been taken, from so many, in so many different ways, it is hard to reconcile the scale of the impact.
What does give me comfort is the example each of you has set every day for the last year. Despite seemingly insurmountable obstacles we managed to show up every day for our patients. Whether behind masks and goggles or through telemedicine, we dealt with Covid while managing to all the other needs of our patients. Our practices never closed and we restored full services as quickly as any network, if not sooner. We accomplished this while enduring tremendous financial pressure, keeping our offices open and supporting our employees. Despite significant pressure we never wavered from the best principles of evidence based medicine as we helped our patients prevent, diagnose and treat this awful disease.
Although there remains much more to do, I am confident that the lessons we have learned will carry us forward stronger and for the better.
As spring once again approaches I am reminded of the words of the poet Richard Hendrick I shared with you almost a year ago:

The birds are singing again
The sky is clearing,
Spring is coming,
And we are always encompassed by Love.
Open the windows of your soul
And though you may not be able
to touch across the empty square, Sing

I hope that in days long ahead you will remember the work you did here and find solace in the role you played of what for many of us will be the most important work of our lives.

It has been an honor and privilege for all of us here at CMG to have played whatever role we could to help you through the last year.

Stay Safe.
Be Well.
God Bless

Click here or on the image above to view the timeline.
SCAM ALERT: Beware of Vaccine Surveys for Rewards
Beware of emails that may appear to come from Pfizer or Moderna with surveys in exchange for a reward. These emails are not legitimate. Vaccine distributors will not contact anyone directly. Take a look at some examples of these emails here.
Updated Clinical Guidelines
  • The inpatient Adult COVID-19 Treatment algorithm has been revised and is available here. The use of tocilizumab has been liberalized – it should be used in patients requiring ≥ 3 L/min of O2 AND CRP > 75 based on the results from the RECOVERY and REMAP-CAP Trials. Use of tocilizumab was incorporated into the latest update of NIH COVID-19 Treatment Guidelines.
 
  • The use of monoclonal antibody therapy for outpatient treatment of mild to moderate COVID-19 has been liberalized with additional inclusion criteria. The list of criteria are available here along with the referral requisition form.
COVID-19 Vaccine Information
Currently Eligibility Details per CT DPH:
NEW! The following age-based eligibility for remaining individuals is as follows:
  • Starting March 19, 2021: Individuals 45-54 Years old
  • Starting April 5, 2021: Individuals 16 and older

Stay up to date with all phase information at https://portal.ct.gov/Coronavirus/COVID-19-Vaccination---Phases
Telemedicine
(Note: This excel sheet is a large file and updated regularly. It may be helpful to download and save the file to your desktop for quick access.)

*This document was last updated on March 11 , 2021
Governor Lamont Signs Order Enabling Expanded Use of Telehealth Services To Continue During COVID-19 Pandemic
On March 14, 2021, Governor Lamont announced that he had signed an executive order, No. 10C, modifying specific state laws to allow expanded access to telehealth services to continue in Connecticut during the ongoing COVID-19 pandemic. Executive Order No. 10C slightly changes Public Act 20-2 (click here to read a summary of Public Act 20-2) by extending its expiration date to April 20, 2021, when the emergency authority is set to expire. Click here to read the Governor’s March 14th press release.
CMG Presents Testimony on Telehealth Legislation
Senate bill 1022 is currently being considered by the legislature and seeks to make many of the important regulations surrounding telehealth currently in effect through the Governor's executive order permanent. I strongly urge you to contact your State Senator and Representative personally encouraging them to support this bill. More information regarding the bill can be found here. On Monday, March 15, 2021, CMG presented testimony supporting this bill. Click here to read our written testimony.
Weekly CDC and DPH Update
Please see today's summary from the CDC and DPH here. 
Information you may have missed:
In the News
Read about the latest buzz surrounding COVID-19
COVID-19 resources and links