Fines & Sanctions

State Fines Three Doctors, Disciplines Two Others

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The state Medical Examining Board disciplined two physicians with $5,000 fines for failing to adequately inform and monitor patients while prescribing opioids or anti-anxiety medications. Dr. Michael Kelly, of Salisbury, was issued a $5,000 fine and a year of probation Tuesday for failing to consistently adhere to a safe opioid prescribing system that included checking the medical history of patients and documenting justification for chronic opioid treatment, according to a consent order, approved today (Tuesday). A state Department of Public Health (DPH) consultant looking into a referral made by the state Department of Consumer Protection, Drug Control Division, found that Kelly also failed to monitor chronic opioid patients and didn’t check the state’s Prescription Monitoring Program every 90 days for some patients. As a result of the investigation, Kelley, a primary care physician with a private practice in Salisbury, agreed to pay the fine and have 20% of his patients’ records reviewed during a one-year period of probation. Kelly voluntarily surrendered his registration to prescribe controlled substances and would need to be monitored for a year if he sought the registration back, DPH documents said.

Fear Grips Health Workers Caring For The Elderly

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For the past month or so, Leikish Nails has engaged in an elaborate ritual the minute she gets home from her shift at Touchpoints at Manchester, a skilled nursing facility that has seen four deaths and more than two dozen illnesses caused by COVID-19. She kicks her shoes off before she walks in, sprays them and leaves them on the deck before disrobing in potentially full view of the neighbors. Her clothes immediately go in the washing machine seconds before she jumps in the shower. “I don’t hug my kids as much as I used to,” the 38-year-old Willimantic resident said. “I’m afraid to hug my kids,” she said while crying during a recent phone call.

Nursing Homes

State Releases Nursing Home COVID-19 Cases By Facility

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Of the state’s 215 nursing homes, 108 have at least one confirmed case of COVID-19,  the state Department of Public Health (DPH) reported Thursday as it released for the first time a breakdown of COVID-19 patients by facility. A total of 1,713 nursing home residents with COVID-19 have been identified, of whom 375 have died, the DPH reported Thursday. Those 375 deaths are 39 percent of the state’s COVID-19 deaths. The nursing home with the highest number of residents with COVID-19 is the Abbott Terrace Health Center in Waterbury, with 69; followed by the Golden Hill Rehab Pavilion in Milford with 67; and the Grimes Center in New Haven, with 58, according to the DPH data. Five nursing homes had only one patient with COVID-19: Elim Park Baptist Home in Cheshire, RegalCare at Greenwich, Guilford House, Westside Care Center in Manchester, and Skyview Rehab and Nursing in Wallingford.

So Far, Colebrook Residents Elude COVID-19

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The sleepy town of Colebrook has no traffic lights, no police department, no public sewer or water system and no confirmed cases of COVID-19. “Knock on wood,” said Colebrook Board of Finance Chair James Millar. “I think we’re lucky. I wouldn’t say that we are doing anything that’s not being done by the rest of the state.”

On the Massachusetts border in Litchfield County, Colebrook is among eight small towns in the western and eastern portions of Connecticut that so far have not had a resident test positive for COVID-19, the disease caused by the novel coronavirus, which has killed hundreds of thousands worldwide. Litchfield County had 446 confirmed cases and 24 deaths as of Monday afternoon.

COVID-19 Risks Could Speed Transitions To At-Home Dialysis

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The COVID-19 pandemic will likely result in a “huge paradigm shift” toward in-home dialysis treatments in the future, experts predict. Home “is the safest place for them to be,” said Dr. Holly Kramer, president of the National Kidney Foundation and a practicing nephrologist. In times like this, immunocompromised individuals are at increased risk of becoming ill. Roughly 85% of dialysis patients get their treatments in centers—often three days a week, and typically for several hours at a time—where other dialysis patients also are being treated, she said. Before the COVID-19 outbreak, nephrologists nationwide were urging a growing number of patients to consider at-home care, she said, and the pandemic “will push things much, much faster” in that direction.

Coping With Pandemic: Are You Lonesome Tonight?

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It’s important to practice physical distancing – but not social distancing. People need connection and belonging. There are ways to achieve that online through volunteering and using new platforms to connect with friends. Low-tech sources of meaning like poetry and prayer are helpful too. C-HIT’s Colleen Shaddox talks about ways to battle loneliness with Dr. Megan V. Smith, associate professor in the Departments of Psychiatry and the Yale Child Study Center at the Yale School of Medicine.

Mental Health

Coping With Pandemic: Parents Just Don’t Understand

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Adolescents want and need to be with peers, so the isolation imposed by the pandemic is especially hard for them. Parents are put in the difficult position of enforcing that isolation. Students are also experiencing many losses – Spring sports, prom, graduations, and field trips. C-HIT’s Colleen Shaddox talks about how parents can support their teenaged children with Dr. Megan V. Smith, associate professor in the Departments of Psychiatry and the Yale Child Study Center at the Yale School of Medicine.

Mental Health

Coping With Pandemic: Who’s Zoomin’ Who?

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The pandemic has many parents trying to do their jobs from home, supervise their children’s education and provide 24-7 care. Creating reasonable expectations can keep parents from becoming overwhelmed in a high stress situation. Setting goals that are achievable – and carving out a bit of time for yourself — will make this extraordinary time more manageable. C-HIT’s Colleen Shaddox discusses ways to find balance with Dr. Megan V. Smith, associate professor in the Departments of Psychiatry and the Yale Child Study Center at the Yale School of Medicine.

Dispatches From Italy: Surviving COVID-19 Through Vigilance

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Joann Rubino brought her cell phone outside to the balcony and swept the camera around for a neighborhood panorama. The sky blazed a brilliant blue, the apartment buildings an unmistakable burnt sienna. But there wasn’t a soul in sight. “It’s a beautiful spring day, but I’m not leaving the house,” Rubino, 63, said via Facebook from her Italian home. On a typical day in Castel Morrone, a town of about 3,500 people an hour’s drive from Naples, Rubino might be strolling the streets, dropping in on friends and family, stopping at a bar for a coffee or at a pizzeria—living la dolce vita.

COVID-19 Cases Rise In Nursing Homes Despite Strengthened Infection-Control Practices

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Despite strengthened care protocols and improved infection-control practices in Connecticut and throughout the country, nursing homes have been unable to stem the rise in COVID-19 cases. The two Connecticut nursing homes with reported cases of COVID-19 – Evergreen Health Center in Stafford Springs and Sharon Health Care Center – are operated by Farmington-based Athena Health Care Systems, which also owns facilities in Massachusetts and Rhode Island. Two residents at Evergreen Health Center have died from the infection; and the number of residents with the COVID-19 rose to eight this week. At Sharon Health Care Center, one resident contracted the virus and is quarantined along with the resident’s roommate, as of mid-week. About once a year, nursing facilities are inspected and rated on staffing levels and the quality of care provided to residents, including how well they prevent infections.