Family Medicine Fort Gordon - Eisenhower Army Medical Center at Fort Gordon will hold an education day and organize activities around Labor Day.
The family medicine clinic and community care clinic will have limited virtual (phone) appointments on Friday, the practice day, said spokesman Scott Speaks. The Internal Medicine Clinic is open from 8:00 AM to 12:00 PM and the Connelly Clinic is open from 7:00 AM to 12:00 PM. There will be no sick call.
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Additionally, PX Pharmacy and Hospital Pharmacy Curbside Service hours will be adjusted to Fridays from 9:00 a.m. to 3:00 p.m. and 11:00 a.m. to 4:00 p.m. respectively.
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On Monday, September 7, all patient-centered medical homes, including Connelly Clinic, ILI Clinic, allied services and pharmacies, will be closed for the federal holiday. The hospital is still open 24 hours a day, seven days a week for emergency services and inpatient treatment.
This Friday, Saturday and Sunday, the Influenza Illness Clinic, located in the patient parking lot outside the Family Medicine Clinic, is open from 8:00 a.m. to 11:00 a.m.
The Central Appointment Line will be closed for the Labor Day federal holiday, but appointments can be scheduled or canceled at TRICAREonline.com 24 hours a day, seven days a week.
Those with medical problems that do not require emergency care can contact their primary care provider through the secure message center accessed through the TRICARE Online Patient Portal or by calling the Nurse Advice Line at 1-800-874-2273, option 1.Brig. Gen. Paula Lodi, then Regional Health Command-Atlantic commander, visits with soldiers at Eisenhower Medical Center at Fort Gordon in January 2021. Soldiers at Fort Gordon have moved some operations outside to follow Covid-19 safety measures. Protocols during pandemic restrictions. (Photo credit: Courtesy Photo) View original
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WASHINGTON - In the spring of 2020, doctors and hospital staff at Fort Gordon, Georgia, prepared to face an unknown adversary in an unknown setting.
"Covid-19 has been a curveball for us," said Col. Carlin Blanding, commander of Eisenhower Medical Center, in a live chat Thursday.
At the Eisenhower, a white rectangular structure at the northeast end of Fort Gordon, the medical staff had no set plan for responding to the pandemic. They only had emergency procedures for the H1N1 outbreak. "We looked at this plan and found it really wasn't feasible for COVID," said Col. Charles Haislip, deputy commander of clinical services.
In the turbulent early days of the COVID-19 pandemic, doctors and nurses at this installation in the Augusta, East Georgia community found themselves scrambling for answers.
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How can they continue to serve their patients in emergency and non-emergency situations while following COVID-19 safety protocols?
"As a provider, it was like taking us back 200 years to not have targeted treatment for these patients," said Lt. Col. Ian Rivera, a staff nephrologist.
Lt. Col. Ian Rivera, staff nephrologist at Eisenhower Medical Center at Fort Gordon, discusses the hospital's response to the Covid-19 pandemic on July 22, 2021. (Photo credit: screenshot) View Original
"You're figuratively relegated to sitting at your patient's bedside ... holding their hand and praying that they can make it and supporting them through it," Rivera said.
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Medical teams had to rely on each other's expertise and lessons learned from previous epidemics. They spent two weeks at the end of June 2020 devising a multidisciplinary plan that would not only meet the expectations of patients and partners, but also keep staff free from infection.
They realized that time-based factors could not be used to build the plan, but rather based on current conditions, data from the Centers for Disease Control and Prevention, and guidance from senior leadership.
After about 15 months, employees feel confident in their ability to respond if there is another spike in cases. Using existing technology for dialysis machines, Rivera and his team pioneered a new COVID-19 treatment with a special filter for dialysis treatments. This enabled them to isolate the virus from the blood of patients with extreme cases, such as pneumonia caused by COVID-19.
"I feel confident that my toolkit has the options to give the worst patients a truly life-threatening viral organism," Rivera said. "That speaks to all of our teammates, not just at Eisenhower, but around the world."
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The distribution of vaccines through the agency has also helped prevent the spread of the disease. As of July 12, more than 428,000 soldiers had been fully vaccinated, and more than 479,000 had received at least one dose at least partially or 66% of active duty.
Col. Peter Marcotte, deputy commander for administration at Eisenhower Medical Center, discusses the difficulties of transitioning operations to COVID-19 conditions in a live stream event on July 22, 2021. (Photo credit: screenshot) View original
Apart from a few emergencies in intensive care, the hospital initially went almost entirely to virtual appointments. Some patients are still waiting for critical surgical appointments, such as patients who have undergone routine primary care examinations. They must physically limit hospital staff and require some doctors to work from home.
"While we protected personnel, we were not able to provide health care as we normally do," said Col. Peter Marcotte, deputy commander for administration. "We knew we had a responsibility to develop a restoration plan."
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The staff decided they could better serve patients by bringing their pharmacy outside. Pharmacists and staff stood outside for hours, serving customers while picking up prescriptions in cars.
Colonel Ron Geseman, deputy commander of nursing, said the outbreak hit Eisenhower's nuclear lab hard. With limited ICU staffing, retired doctors, nurses and medical staff were recalled to help care for patients.
Eisenhower leaders brought in five platforms to test for COVID-19 and coordinated laboratory procedures needed to treat patients with coronavirus.
Eisenhower's health care workers had to expand their ICUs from a 12-bed facility with individual rooms to a larger capacity, while reserving eight beds for non-Covid patients.
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"If you think about how we've gone from training nurses how to take care of ballistic injuries, to completely foreign medical respiratory injuries to patients who had to do treatments we'd never heard of before have, I'm very worried. Proud of the team and what we've been through," said Gessman.
In 15 months, Geseman said, equipment and software upgrades were implemented to speed up the prescription process while providing a sophisticated, disease-preventive environment.
Staff compiled a 25-page paper outlining what could have been done differently during the pandemic response. Eisenhower director of operations Dr. Eisenhower director of operations Dr. James Mosher said.
"You quickly realize you don't have enough," he said. "When we went to the inspection areas, we thought we had enough, but due to the rate of people that had to be inspected, we realized that our order stock was not there. What we want from our suppliers is not only around the shelf to make on time."
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They also understood the need for hospital staff to expose themselves to the virus and put their families at risk.
Eisenhower's employees learned how to change schedules and care for employees whose work schedules were affected by closed schools and child development centers. They began to communicate better through teleconferences and phone calls and learned to deliver critical information quickly. But more importantly, they helped employees recognize and face their fears.
During a live stream discussion on July 22, 2021, Colonel Carlin Blanding, commander of Eisenhower Medical Center at Fort Gordon, praises the efforts of his medical staff and soldiers to successfully transition operations during the COVID-19 pandemic. (Photo Credit: Screenshot Image) View original
"It was very unfamiliar," Blanding said. "The mental health and physical health of our teammates was critical."
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By December, news of a possible vaccine gave employees hope, and they eagerly awaited the opportunity to administer the vaccine later that month. According to recent figures, the number of hospitalizations from COVID-19 has increased, but is still lower than in December.
Major Chris Dunbar, an infectious disease doctor at Eisenhower, encouraged soldiers and families to consider getting the vaccine because young people are also susceptible to the disease. Vaccination can also help protect vulnerable populations.
"I've seen firsthand how devastating this disease can be," Dunbar said. "It's not just a disease of the elderly, it's not just a disease of people with multiple health problems. But it affects young and healthy people. This can cause long-term complications." 1/4 Show Caption + Hide Caption - Spc. Durant Petit, right, performs a COVID-19 nasal swab test on Spc. Pamela Izard, LPN, over Tyler Bailey background in the Influenza-Like Illness (ILI) clinic. Both Soldiers are medically assigned to Eisenhower Medical Center.(Photo credit: Laura Levering/Fort Gordon Public Affairs) View original
2/4 Show Caption + Hide Caption - The influenza-like illness (ILI) clinic is located next to the Family Medical Clinic in Eisenhower.
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