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South Florida's                   Overcoming Challenges of Individuals with Autism
                    Monthly
             Healthcare Newspaper               Spectrum Disorders During the COVID-19 Pandemic


                   PO Box 812708               The COVID-19 pan-                            the CDC, because they tend   understand how to best manage these
              Boca Raton, FL 33481-2708      demic   is   stressful                         to have immune disorders   patients. Often, that means thinking out of
               Phone: (561) 368-6950         enough, but for children                       and other comorbidities.   the box.

                                             and adults with autism                         The process of isolating can   “Another issue with people on the spec-
                     Website:                spectrum     disorder                          be especially hard on chil-  trum is that some don’t have a concept of
          www.southfloridahospitalnews.com   (ASD) and their fami-                          dren with autism and their   having to wait for their turn, so they’re
                                             lies, the crisis can be                        families. The pandemic dis-  impatient when they have to wait. As well

                                             especially difficult.                          rupts routine, which is prob-  they may have sensory issues that don’t
                   CHARLES FELIX               Adrien A. Eshraghi,                          lematic for these patients and   allow them to tolerate wearing a mask,”
                    CAROL FELIX              M.D., M.Sc., professor of                      caregivers. Patients might   Dr. Eshraghi said.
                     Publishers              Otolaryn gology, Neuro -                       have difficulty comprehend-  Potential solutions include bringing the
                                             logical Surgery and                            ing the situation and     child and caregiver to wait in an exam
                  NANCY LAMMIE               Biomedical Engin eering                        expressing    themselves,  room, rather than keeping them in the
                       Editor
                                             and Miller School coau-  Dr. Adrien A. Eshraghi   hyperactivity, and behavioral   waiting room. If the patient keeps taking
                   JUDY GRAMM                thors published a new                          issues.                   off his or her mask, provide parents with
             Editorial Manager & Webmaster   correspondence titled COVID-19: over-  Because of all these multiple challenges   additional masks to keep the child, par-
                                             coming the challenges faced by individu-  which may be experienced at the same   ents, and providers safe.
                   JMC GRAPHICS              als with autism and their families in The   time in some instances, people with   "Those with autism spectrum disorder
                   Art/Production            Lancet Psychiatry which address specific   autism and their caregivers are likely expe-  are not just another vulnerable population
                 lammienancy@aol.com         challenges patients with autism and their   riencing heightened stress during this   in the context of COVID-19. While they
                    412-877-5321             families might encounter during the pan-  time.                          may share similar needs with other vulner-
                                             demic, as well as what healthcare     If patients need medical care during the   able groups, some are in fact quite unique.
              CONTRIBUTING WRITERS           providers should know and do to ensure   pandemic, the situation for patients and   We hope our commentary begins to pro-
                   Daniel Casciato           optimal and safe care.               their families often becomes even more   vide a framework for strategic enhance-
                   Barbara Fallon              Chances are good that providers caring   overwhelming, according to Dr. Eshraghi.   ment and investment in healthcare, thera-
                    Vanessa Orr              for COVID-19 patients in all settings,   “The healthcare environment, especially   py, education, and family support during
                   Lois Thomson              including the emergency room (ER) and   in the emergency room, can be difficult   future crises" said co-author Michael
                                             inpatient settings, will encounter adults   and overstimulating for people with   Alessandri, Ph.D., executive director of
                                             and children with autism.            autism spectrum disorder possibly due of   the University of Miami-Nova South -

                                               “In 2004, the prevalence of autism was   the crowd, sounds and lights,” Dr.   eastern University Center for Autism and
              LOOK FOR OUR                   1 in 166. Today the Centers for Disease   Eshraghi said.                 Related Disabilities (CARD).
                 NEXT ISSUE                  Control (CDC) estimates that 1 in 54 chil-  “It’s important to reduce that stress. For   Other coauthors of the paper are: Daniel
                                             dren are on the autism spectrum”, accord-  example, caregivers are not allowed into   S. Messinger, Ph.D., professor and coordi-
                    IN JULY                  ing to Dr. Eshraghi, who also is the direc-  many ER exam and hospital rooms during   nator of the Developmental Psychology
                                             tor of the University of Miami Hearing   the pandemic. But in the case of autism,   Program; Rahul Mittal, Ph.D., researcher;
                 TO REACH US                 Research and Communication Dis orders   patients need their caregivers to help keep   Crystal Li, medical student at Miller
                                             Laboratory and co-director of the    them be calm and facilitate communica-  School of Medicine; Rebecca S. Eshraghi,
                      FOR                    University of Miami Ear Institute.    tion with providers.”              Ph.D., researcher; and F. Daniel
                 ADVERTISING                   People with autism are at higher risk for   Dr. Eshraghi recommends that ERs train   Armstrong, Ph.D., professor of pediatrics
                OR EDITORIAL                 COVID-19 complications, according to   staff to recognize the signs of autism and   and senior associate dean for child health.
                Call (561) 368-6950
                     or e-mail                          Cleveland Clinic Florida Announces Two New
          carol@southfloridahospitalnews.com

                                                   Clinical Trials to Help COVID-19 Positive Patients,

               SUBSCRIPTIONS                               Continues to Lead in COVID-19 Research

                  One Year $40
                                              Cleveland Clinic Florida has announced   liver disease, end-stage renal disease, or   Barsoum, M.D., CEO and President of
                  Two Years $60
                                             two  new clinical trials to help patients   history of kidney stones. Cleveland   Cleveland Clinic Florida. “We are hope-
                 Three Years $75             who test positive for COVID-19. The   Clinic Florida’s goal is to enroll 520 par-  ful that these prospective treatments will
                                             clinical trials are in addition to the con-  ticipants in the study.     help our team of experts better under-
                                             valescent plasma trials, which began in   Canakinumab                    stand this disease and will ultimately
                   To subscribe,
                                             late April.                           This is an in-patient study specifically   provide the best care for patients moving
               call (561) 368-6950            The additional trials being conducted   for admitted COVID-19 patients who   forward.”
               or subscribe online at        in Florida are:                     have had a heart attack. COVID-19 has   For nearly a month, Cleveland Clinic
                                              A to Z Study: Vitamin C & Zinc     been known to cause heart attack, vascu-  Florida has been conducting clinical tri-
           southfloridahospitalnews.com.
                   ____________               This study is a randomized outpatient   lar inflammation and stroke in some   als for convalescent plasma therapy,
                                             clinical trial testing the use of Vitamin C   patients. The study will determine   which collects antibody-rich plasma

                                             and Zinc to determine whether they   whether early treatment with Cana -  from donors who have recovered from
               All rights reserved. Reproduction    shorten the duration and type of symp-  kinumab, an antibody therapy, will   COVID-19 to use for patients currently
               in whole or part without written
            permission prohibited. Copyright © 2020.  toms, and prevent hospitalizations in   reduce the deterioration of cardiac func-  struggling with the virus.
                                             patients with a new diagnosis of COVID-  tion and prevent further damage, includ-  Cleveland Clinic Florida is working
                                             19. Participants will be given Vitamin C   ing progression to heart failure. The   closely with its Ohio counterpart to lead
                                             and Zinc treatment within 48 hours of a   study also seeks to determine whether   the way in innovative research for
                                             positive test and will be monitored for a   the drug prevents the onset of respiratory   COVID-19 patients. In April, Cleveland
              Don’t forget to include        two-week period.                    failure, need for ventilation and cardiac   Clinic announced its Center for Global
          South Florida Hospital News         Cleveland Clinic Florida will screen   shock.                           and Emerging Pathogens Research, and
              & Healthcare Report            patients to determine if they meet criteria   “Cleveland Clinic Florida remains   the soon-to-open Cleveland Clinic
                                             and are willing to enter the trial.   committed to the investigation of evi-  Florida Research and Innovations Center
             in your Marketing Plans         Participants must be 18 or older.   denced-based therapies to find innova-  (FRIC) in Port St. Lucie, Florida, will be
                                             Exclusion criteria includes: pregnant and   tive solutions that help patients diag-  an essential part of research and treatment
         Call Charles at 561-368-6950 for a Media Kit
                                             or breastfeeding women, patients with   nosed with COVID-19,” said Wael   for COVID-19.

         12                        June 2020                                                                southfloridahospitalnews.com                                                                       South Florida Hospital News
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