Most of the media focus during the COVID-19 pandemic has been on adults. But what about coronavirus and kids? What are doctors and researchers learning about how the virus affects children differently? What should parents be on the lookout for? And why is it more important than ever to keep up to date with vaccines for childhood diseases?
Host, Jonathon Fialkow, M.D. welcomes Fernando Mendoza, M.D., chief of pediatrics and medical director of the pediatric emergency room at Baptist Children’s Hospital to answer the most commonly asked questions about kids and coronavirus on this episode of Baptist HealthTalk.
For more information about COVID-19 please visit BaptistHealth-coronavirus.com
Most of the media focus during the COVID-19 pandemic has been on adults. But what about coronavirus and kids? What are doctors and researchers learning about how the virus affects children differently? What should parents be on the lookout for? And why is it more important than ever to keep up to date with vaccines for childhood diseases?
Host, Jonathon Fialkow, M.D. welcomes Fernando Mendoza, M.D., chief of pediatrics and medical director of the pediatric emergency room at Baptist Children’s Hospital to answer the most commonly asked questions about kids and coronavirus on this episode of Baptist HealthTalk.
For more information about COVID-19 please visit BaptistHealth-coronavirus.com
Announcer:
At Baptist Health South Florida, it's our mission to care for you when you're injured or sick and help you stay healthy and fit. Welcome to the Baptist Health Talk podcast where our respected experts bring you timely, practical health and wellness information to improve your family's quality of life.
Dr. Jonathan Fialkow:
Welcome Baptist HealthTalk podcast listeners to another special edition podcast with a topic related to coronavirus and our COVID-19 pandemic.
Dr. Jonathan Fialkow:
We've all been reading and hearing reports that increasing age appears to be the most significant risk factor towards a more symptomatic and more deadly course. While this is true, it might be perceived as COVID-19 is only being risky for older people. Concerns as parents and grandparents of our children's safety are often not met with information provided by news and other medical reports.
Dr. Jonathan Fialkow:
For today's podcast, we will address COVID-19 children and adolescents. What are similarities to adults with the disease and what are the differences? In addition, we will answer commonly asked questions regarding the do's and don'ts of making it through this pandemic in a safe and sane way as parents and grandparents.
Dr. Jonathan Fialkow:
This is Dr. Jonathan Fialkow. I am your Baptist HealthTalk podcast host and joining us today is Dr. Fernando Mendoza, Chief of Pediatrics, Medical Director of the Pediatric Emergency Room at Baptist Children's Hospital Baptist Health South Florida. Thank you for taking time from your very busy schedule, Fernando.
Dr. Fernando Mendoza:
Thank you, Jonathan. Thank you for having me.
Dr. Jonathan Fialkow:
So lots to unpack here. I think we should start by level-setting. Can kids get COVID-19? Is the coronavirus something that we should be aware of and concerned about with regards to children?
Dr. Fernando Mendoza:
The short answer is yes. Kids can get coronavirus and kids have been getting coronavirus. I think the big differentiator here is that it does affect kids a bit differently and we're not seeing the severity of disease over the past few months that we've seen with elder adults or even adults in general. So kids can get it and kids will continue to get it throughout this pandemic.
Dr. Jonathan Fialkow:
Are you seeing any numbers that you can relay? Are kids getting tested in any situations like adults would be?
Dr. Fernando Mendoza:
In the pediatric emergency room, which is most likely area where we're going to test a kid, the kids are presenting and when they have fever, they're screened at a front triage area in most ERs, especially the Baptist pediatric ER, and we're basically screening for fever. If fever or any kind of upper respiratory symptoms tend to be present, we'll then further evaluate them for testing.
Dr. Fernando Mendoza:
Most of the time, the kids that get tested are going to come back negative. Actually, we have about a 95% negative test rate at Baptist Children's emergency room, which is very consistent, which is what's happening around our community in the South Florida region. So most of the time, even if the kids present with a fever or cough or runny nose, which tend to be the typical symptoms for kids, there'll be negative in the vast majority of the time.
Dr. Fernando Mendoza:
Testing, a little bit less of a percentage, about half as much as what our testing percentage is for adults. I think the adults are running about 10, 12%. we're running about a little less than 5% for kids. What that means is we think the kids are just maybe not as much a carrier state or getting as infected as frequently as adults, and that's emerging research that we're trying to really figure out still. We don't know why that is but there's some theories.
Dr. Jonathan Fialkow:
So that's kind of interesting concept. Are you seeing more parents bringing their kids to the ED with these symptoms that may be COVID may not because they're afraid it's COVID? Or are they bringing their kids in because the kids are not feeling well and they just want them taken care of? Is the COVID fear driving them to bring their kids more early or more readily? Or kind of keeping them away from coming in?
Dr. Fernando Mendoza:
Exact numbers are tough to parse out but for the most part, we've done a really good job as a community, as a healthcare system, and as community leaders in healthcare to tell people, "Don't go to the ER unless you're really sick." We are seeing a lot of concern by parents of not going to the ER because they think that we're kind of overwhelmed by COVID, which is not the case actually.
Dr. Fernando Mendoza:
Then you have a segment of parents who say, "Listen, I'm exposed" or "My mom..." Hence, the kids' grandparent is positive. They just came back from a cruise or, "I'm a front line healthcare worker and I tested positive. I'm curious to see if my kid is positive." We'll get some of that request for testing. In that case, they will qualify.
Dr. Fernando Mendoza:
And then we get the testing where my kid's really sick and they're having a high fever and they're having difficulty breathing. The question on everybody's mind for the past couple of months is, "Is this COVID?"
Dr. Fernando Mendoza:
What we have to remember is that kids get fevers often and that's pretty much a number one presenting complaint when it comes to the emergency room is a pediatric fever. Just because you have a fever doesn't mean you have COVID, but just because you don't have COVID doesn't mean you have something else. So we have to kind of weigh both the situations there. We have a lot of parents are concerned but we also have a lot of parents who are being very wary of seeking medical care right now.
Dr. Jonathan Fialkow:
So let's unpack that a little bit again. We said we have a lot of things we're going to go through here. What would be the usual symptoms based on your experience and what's being written for a child with COVID? What would be the things the parents would have to look out for?
Dr. Jonathan Fialkow:
Then the second question would be, if the child has that, are there ways for them to differentiate versus other types of illnesses that kids can get? To the point where, when would you say, "You know what? Take them to the emergency room. We got to get them checked out" versus calling your pediatrician or using a care on demand app. What would be the symptoms you would look out for?
Dr. Fernando Mendoza:
Unfortunately, they're not that different from other respiratory and fever illnesses that kids get. That's the quandary and that's what we've been seeing with COVID. It's typically number one sign is fever, close number two is cough or shortness of breath. Well, that's not very different from influenza or an asthma attack or pneumonia so it's not that much of a differentiator. We can't say there's one symptom where we're seeing that, "Man, that really means your kid has COVID."
Dr. Fernando Mendoza:
That is confusing. So you have parents who are like, "Well, is this COVID or not?" And it's really very much the same presenting symptoms as most of the other illnesses that affect kids around this time of year. When you asked-
Dr. Jonathan Fialkow:
Well, what is... I'm sorry, go ahead.
Dr. Fernando Mendoza:
When you asked, how does a parent know whether they should go to care on demand or to the pediatrician or to the ER, parents pretty much know, when they've got to keep an eye on their kids, they know their kids. If their kids are having a hard time breathing, if they're not acting like themselves, if it's not just a simple fever and a cough and it seems to be a little bit more serious, that's certainly time to get additional care.
Dr. Fernando Mendoza:
Now, care on demand that Baptist has is a really good way of getting an initial screening, but sometimes you have to have a physician listen to the lungs, you might need an X-ray, and you might need testing. So that's where you can go either to your pediatrician where they have sick visits usually in the afternoons. Most pediatricians, locally at least, are blocking off mornings for well child care, so all the babies get their vaccinations in the morning, and then all the sick visits come in the afternoon, that's what been doing recently. Or the ER, which we're always set up for that kind of stuff.
Dr. Jonathan Fialkow:
Have you had to admit any children with COVID-19 to Baptist Hospital?
Dr. Fernando Mendoza:
Well, Baptist Children's Hospital early on admitted a few patients with pneumonia. That was before the widespread testing. So we have some suspicions, although no confirmation of those patients, and they went home with no problem. Every single patient that we've had test positive at Baptist Children's Hospital has been discharged home and basically nobody's been needed to be admitted or intubated or have a severe respiratory illness.
Dr. Fernando Mendoza:
Soon afterwards, we kind of consolidated our services and we helped coordinate care with Nicklaus Children's to send most of our patients over there should they need admission, but really, the bottom line is, we haven't had very serious respiratory illnesses in kids needing intubation. That's actually been kind of the trend across the region. I have colleagues at the local pediatric emergency rooms all throughout Miami Dade and Broward County and we've all been seeing the same thing. Not a lot of patients that are needing a lot of acute care in terms of admission for COVID.
Dr. Jonathan Fialkow:
I was a little apprehensive about asking that question since I didn't know the answer, but I'm reassured with your answer, so thank you for that.
Dr. Fernando Mendoza:
Yeah.
Dr. Jonathan Fialkow:
So if a child may have COVID-19 and or just feels crummy and is brought to the emergency room, as you said, mostly they're going to be sent home. So let's talk a little bit about the consequence of that, specifically regarding the child transmitting it elsewhere.
Dr. Jonathan Fialkow:
Do you give specific recommendations for a child that may have tested positive to a family member? What they should do, shouldn't do? Who they should contact? Let's talk about family members, elderly family members. What are you telling about the positive patients? Then we'll talk about kids in general about who and what they should be exposed to.
Dr. Fernando Mendoza:
Right, right. Yeah. So certainly we don't know about the positives, usually for about 24 to 48 hours, sometimes three days. So we certainly will tell the patients, if we suspect a fever or we suspect that it may be COVID based on their history or even if they're infectious, we definitely tell them to quarantine and to wait for test results.
Dr. Fernando Mendoza:
When they come back positive, that's definitely an indication for them to stay away from those really vulnerable populations including the grandparents or the parents who have comorbidities, who are elderly, who have the underlying conditions like diabetes or congestive heart failure or heart disease or moderate to severe asthma. And that may be hard in a family. You may have a family unit that's together, that's been quarantined, everybody's staying together, and you can't physically stay away. So, obviously, engaging in really good hand hygiene and physically separating in rooms or parts of the house is the most we really can recommend.
Dr. Fernando Mendoza:
Now, there've been some studies coming out of China, which is where a lot of our research is coming from right now until we get more studies in the U.S., that kids tend not to be a big index for transmission in families. It tends to come out from outside from the older population. And we don't know if that's because kids getting infected don't transmit it as easily or are not getting as infected as adults seems to be the case a little bit. But certainly general quarantine rules, especially if someone does not live in a household, limiting exposure is certainly recommended.
Dr. Jonathan Fialkow:
That makes sense. Now let's switch gears a little bit and talk about the general family unit. Kids, not necessarily related to being sick, but avoiding getting sick. Let's start talking about specific recommendations for play. What are things parents should feel comfortable letting their kids do? We would want to still avoid, in our current stage of stay-at-home and social distancing, can kids play with other kids down the block? What kind of recommendations would you give?
Dr. Fernando Mendoza:
We're starting to find out this issue of transmissibility. Are kids vectors? And when you're talking about vectors, a vector is someone that can get a disease and then carry it and transmit it to somebody else. So we're still trying to figure out what the level of transmissibility is in kids and it doesn't seem to be as high as adults.
Dr. Fernando Mendoza:
We think because kids, their attack rate, what they call the attack rate, which is kids getting infected, isn't as high as adults because maybe they have other viruses that are competing for that space in the respiratory tract. Whether it's a parainfluenza or an RSV or these other viruses that circulate anyways naturally in the community. Maybe they have some partial immunity to existing coronaviruses, which are not the COVID-19, which are typical. About four main coronaviruses circulating the population of kids yearly. So maybe there's some kind of partial immunity that's preventing kids from really being super infectious. We think it's probably less than adults.
Dr. Fernando Mendoza:
I've seen in my neighborhood and across the city, you'll see parents staying far apart across the street, kind of socializing, kids sometimes in the street riding their bikes or playing ball with each other. How dangerous is that? We simply don't know. I think that you can assume that kids are not going to be as astute or aware of social distancing and practices of hygiene as adults are.
Dr. Fernando Mendoza:
So let's talk about schools. We initially suspended schools. Right now, Miami Dade County schools and Broward County schools and any and above in a Tri-County area, they're out of school and they're not going to resume to school for this semester because we just don't know the level of transmissibility in kids. So kids could be basically this barrier against transmissibility. We may go back to school in the fall because we know that the transmission rate is not as high. We simply don't know.
Dr. Fernando Mendoza:
What I would recommend is certainly for kids, when your children, interact with other kids in the neighborhood, number one, if they're symptomatic, definitely stay away. Number two, if there's any distanced interaction... That's important from a psychological perspective also for kids. Kids being isolated in their household can have a detrimental effect. So if you're thinking, "I need to get my kids some social interaction," a way to do that is do a sport or an activity maybe that you don't touch or get near somebody.
Dr. Fernando Mendoza:
Having parallel play, which we have in kids of course, riding bicycles, something where they could do something that they're not exchanging or touching the same thing. Those are kind of the things that you can engage with. Even having kids who are doing art projects or crafts, but really staying at a distance so they're comparing each other's progress. Having lemonade stands across the street but not crossing the street. That's all fun ways for kids to interact without actually getting next to each other.
Dr. Jonathan Fialkow:
Those are great ideas. Should kids wear masks if they go out of the house?
Dr. Fernando Mendoza:
Yes. Yes, they should. That recommendation applies to kids over the age of two. Under the age of two, number one, it'd be pretty hard to get a toddler to keep a mask on, but number two, there's some concern about choking and the ability to breathe. So under two is not recommended by the American Academy of Pediatrics or the CDC, but over two, yes. Remember, masks are there so that we don't transmit to somebody else who may be near us. Where you can't have appropriate social distancing, masks are definitely in order for kids also.
Dr. Jonathan Fialkow:
So that actually can segue into a different concept, which is the psychological impact of COVID on kids. You alluded to it in terms of activities. It's got to be scary for kids to be told they have to wear masks or you can't see your friends like you used to. Are you seeing or hearing of any kind of psychological impact?
Dr. Jonathan Fialkow:
And maybe we could split it up to maybe elementary school children and adolescents because they're kind of different categories. What are you seeing or hearing? And what would be our concerns? Maybe again, what should parents look out for to determine if kids are starting to struggle a little bit with the psychological consequences regarding the fear and uncertainty?
Dr. Fernando Mendoza:
Right. Well, that's a great question. Let's talk about the younger kids. So younger kids, toddlers, are probably less aware. They're probably really just excited to be around mom and dad the whole time if they're staying at home.
Dr. Fernando Mendoza:
But school-aged children, first, second grade children, they really understand what's going on. They understand this corona thing that's going on, they're aware, they see there's some kind of danger somewhere. And for the most part, most of those kids are in distance learning right now also, in online learning.
Dr. Fernando Mendoza:
Kids really thrive on routines. And I think as parents, you know that. That having the kid go to bed at the same time every night, having them have their breakfast and their routines or exercise, that's really important for kids so try to maintain as much of a routine as you can. That really gives a kid kind of that surrounding security that mom and dad and the family are really looking out for me and I know what to expect.
Dr. Fernando Mendoza:
Talking about it with kids at their level... There's some really good research out there. The American Academy of Pediatrics definitely has some of that and you can Google that and go onto their website, but talking age appropriate about what coronavirus is and how to stay safe and why we need to do this is really important. So I wouldn't avoid it in kids who have that intellectual capacity, which is going to be at the school-aged kids.
Dr. Fernando Mendoza:
Exercise, for sure, is going to be very important. We're very fortunate in South Florida, we have good weather. It's a little warm out now, but not too warm. So, end of the day after school exercise, engaging as a family or even individually, that's really important for the kids.
Dr. Fernando Mendoza:
Now, as you get older, the preteens and teens, they depend so much on their social interactions to thrive and evolve and they really feed off that. Parents are having a little bit of a harder time now probably dealing with screen time. There's a lot of interactions happening on phones, on iPads and tablets, even on the video game platforms. Those are ways for kids to interact. Sure, kids can have Zoom parties or FaceTime parties. As a parent you always, like any time, want to make sure you're supervising those and keeping abreast of what's happening on those interactions.
Dr. Fernando Mendoza:
But that may not be a bad time to kind of allow your kids to have those distance interactions in an appropriate manner through technology. Limited, of course, because you don't want too much screen time, but that's kind of a case by case basis.
Dr. Jonathan Fialkow:
You mentioned about speaking to the kids on their level. Kids, I certainly know with my kids, certainly when they were younger, they'll know if you're lying to them so there has to be or there should be some level of honesty and speaking to their concerns as opposed to minimizing them. Is that-
Dr. Fernando Mendoza:
Yeah. We're getting really caught up in having the news channels on, especially, as you know, incessant news cycle. Be really careful what you have on TV. It can be pretty scary to a kid to hear all this dramatic music on the news channels and booming voices and it's an emergency and people dying. That really becomes a cross, and kids are listening. So I would probably try to shut those down. The parents, get away from screen time. Get off the screens and spend some time with your kids and I think that'll really help.
Dr. Fernando Mendoza:
The other thing is adolescents. We talked about the psychological impact. We are seeing a little bit of an uptick in anxiety. Certainly kids who are already having underlying anxiety issues or mental health issues, this is not an ideal situation for them.
Dr. Fernando Mendoza:
One of the main things you're going to see in kids as a determinant of how they're doing is their school performance. Number one, we've changed the way they learn. And that may not be really... Some kids may adapt to it really well and some kids may not take to it. But keeping an eye on school performance, that's really important. Talk to their teachers. Teachers are going to be available for Zoom and for other kinds of conferences. See how they're doing in school, listen in if you can on what's happening on their online classes.
Dr. Fernando Mendoza:
But if their school performance starts to dip or they're really having a hard time engaging, that may be symptom of the general pressure and anxiety that the coronavirus news and crisis kind of lean on the kids.
Dr. Jonathan Fialkow:
Similarly, if a parent starts noticing their kids, whether they be more withdrawn or more anxious, or not doing well in terms of coping, is it something they should speak to their pediatrician about? Or would that be the first-
Dr. Fernando Mendoza:
100%. They should reach out to their pediatrician who can get help them get the resources. And this is not a time to shy away from mental health professionals. A lot of this can happen by distance but even in person with the appropriate precautions. It's super appropriate to reach out to your pediatrician and the mental health resources.
Dr. Fernando Mendoza:
Sometimes these are kids who already have underlying anxiety issues or mental health issues, learning disabilities, maybe, or not. Perfectly normally functioning kids who... This is a really stressful time. It's stressful for adults. And kids are going to pick up on mom and dad too. Especially if you have loss of income, loss of revenue in the family, jobs that are at risk. Kids pick up on that. So this is not the time to kind of shy away from admitting that your kid needs some extra help from the pediatrician.
Dr. Jonathan Fialkow:
And similarly for the parents and their coping mechanisms, the exercise, don't have the news cycle going 24/7 at home, I think those things are valid as well, which we've talked it.
Dr. Fernando Mendoza:
Absolutely.
Dr. Jonathan Fialkow:
People may have a tendency to hyper focus on COVID-19, the pandemic, and ignore other things that they normally should be paying attention to. So what are the non COVID-19, especially with kids being home more, summer coming up, any particular things that you want parents to keep in mind even though it might not be specifically related to the coronavirus?
Dr. Fernando Mendoza:
Absolutely. That's a great point, Jonathan. I think one of the things we're starting to see a little bit more of a little earlier than usual are actually submersion or drownings in the ER. What's happening? You have mom and dad at home. There are more kids at home, they're not in daycare, they're not in preschool, and we're seeing kids wander off while mom or dad are doing chores or at work or on... And it's been very tragic. We've seen a couple of these already that are a little bit of an uptick compared to last year.
Dr. Fernando Mendoza:
Having pools at home, kids are going to wander and you want to really be very, very careful with your water safety, with pool safety, having alarms on those sliding doors or French doors in the backyard to make sure you know when a kid goes out. Keeping that pool fence up is, even though toddlers can get pretty creative, the pool fence will help deter, not always prevent, but deter. Even taking a look at what you're doing at home and say, "You know what? I really should put a motion detector pool alarm." They have those floating pool alarms sometimes so you know when someone's in the pool. That's really important, water safety.
Dr. Fernando Mendoza:
And then poisonings. We have kids wandering around the house. What are they taking in? They're hanging out, the kids are exploring, maybe you're busy again at work or doing a chore and now they're not in childcare or daycare. Keep an eye out for where you have those poisonous items. One of those things that's really always very tragic is the detergent pods. When ingesting those are very, very dangerous. Anything under the sink. Kind of the normal daily stuff you'd do for toddlers, but really aware at this time when you're at home and you're busy with other things and the kids are home, that can be a recipe for disaster.
Dr. Jonathan Fialkow:
Yeah. I think the take home point is, don't get complacent, don't let the routine create environments where it could be dangerous.
Dr. Fernando Mendoza:
Absolutely. Especially with the pools, especially in South Florida with so many pools in the backyard, I really want to emphasize that.
Dr. Jonathan Fialkow:
Understood, yeah. Final question I have and then I'll ask you if you have any final thoughts you may want to bring up. We alluded to it a little bit at the beginning, speak a little bit, especially as the medical director of the emergency room, the safety of bringing your child in or even the adult coming in, in terms of exposure to COVID-19 to support, if your child is ill, if you're feeling something, please don't ignore it and stay at home because you're afraid of contamination. Can you talk a little bit about what's been done at the facilities to prevent that cross contamination?
Dr. Fernando Mendoza:
Yeah, I think that's a great point. First and foremost, our priority is to keep our patients safe. Patient safety has always been number one. I do want to emphasize that if your child does have a true emergency, whether it's an asthma attack, belly pain, it could be appendicitis, any kind of injury, things that need to be seen by a doctor, I want parents to not be afraid that walking into a hospital there's going to be COVID on the walls and in the air and everywhere. It's not like that.
Dr. Fernando Mendoza:
Actually we do have areas where we partition or we put a patient that we think are COVID-suspected, there's areas they get screened at. So we have very safe areas, especially for kids, and, again, most of our kids don't have COVID. Everybody when they walk in now gets a mask, every practitioner or provider, every employee has a mask. Hand washing is the utmost importance with a great amount of hygiene and disinfection that goes on in the facility.
Dr. Fernando Mendoza:
The truth of the matter is, is that we're seeing some kids come in with really chronic illnesses who aren't coming to the ER and by the time they get there, they're really bad. Again, things like severe asthma attacks, belly pains that are really surgical in nature, those are the things you don't want to avoid. Because a true emergency, you come to the ER, we have the right way of making sure that you have the right protection for you and that we're protecting ourselves also so the hospital workers are not becoming affected with COVID and are being really safe. We have protective gear, we have protective practices. So it's really important parents realize that.
Dr. Jonathan Fialkow:
Again, thanks for your expertise and your passion for safety and care, Fernando. We talked about statistically what's happening with children, we talked about transmissibility, psychological factors, resources that parents may have specifically with the pediatricians. Anything you want to add that maybe we missed for the listeners to benefit?
Dr. Fernando Mendoza:
Well, what we're seeing here locally in South Florida is not unusual for what's happening across the country. Pediatric ER visits and pediatrician visits have plummeted. We're a little concerned, to say we, the pediatric ER and the pediatric community in general, we're worried that parents aren't getting their routine vaccines with their pediatricians. And that could, down the line, six, eight months, a year from now, could really result in a bump in vaccine preventable diseases.
Dr. Fernando Mendoza:
If I had one thing to tell parents is make sure that, especially your young kids, keep them on that vaccination schedule. The last thing you want, should your kid get COVID, which obviously is very, very unlikely it's going to happen anyways, is to have influenza along with that or pertussis or measles or something else that's catastrophic. So those vaccine preventable diseases are really important to stay up with those vaccines with your pediatrician.
Dr. Fernando Mendoza:
I think, ultimately, we all have to assess our own risk in terms of what do we want to expose ourselves to in the community as now the timeliness of this podcast will reveal that we're probably in the beginning stages of a recovery phase throughout the county and throughout the hospital system. But just being aware, being safe, not letting your guard down, but at the same time, doing those things that keep your kids healthy, keep them active, keep them engaged, and take the opportunity that, instead of us being on the screen looking at the latest reports in the news, put that phone down, put the tablet down, maybe shut the computer down a little bit early in the day, and spend some time with your kids. It's not a bad time to do that.
Dr. Jonathan Fialkow:
It's actually an opportunity to do that, I agree with you. I keep giving the messages, let's be optimistic, but let's not get complacent. And I think that will serve us well.
Dr. Jonathan Fialkow:
Again, I thank you so much for your expertise, your time, your passion comes through in the conversation. To our listeners, please, any thoughts, any ideas, any topics for future consideration, please feel free to email at baptisthealthtalk@baptisthealth.net and stay safe and stay home.
Announcer:
Find additional valuable health and wellness information on our resource blog at baptisthealth.net/news and be sure to interact with us on our social media channels for live and upcoming events. This podcast is brought to you by Baptist Health South Florida, healthcare that cares.