Patient Portal

We are honored that you have chosen us as your healthcare provider.

As we continue in our efforts to provide our patients with the highest quality of care, we are constantly looking for methods of working together with you to ensure that you are not only aware of, but also involved in the management and improvement of your health.

We encourage you to explore the benefits and convenience that the patient portal provides. You will need to have you account setup at the office to obtain your username and password. Once setup you can click on the health portal link above and explore the benefits.

For further information click here or Portal in the menu bar.

Welcome to Rivers Family Medicine

Televisit Video Apointment with your Provider:

We are now offering Televisit for appointments. Click on the link below to learn more about Televisit at Rivers Family Medicine.

Click Here to Learn More=> Rivers Family Medicine Telemedicine

NOTE:  All Sick Visits will only be Televisit to maintain safe distances and reduce exposure.

Coronavirus

As coronavirus disease 2019 (COVID-19) continues to affect the way people interact and conduct business, the health and safety of Rivers Family Medicine Patients is our top concern. Protecting ourselves will require all facets of the community to work together.  This is a novel Coronavirus but not the first and unfortunately likely not the last. Coronavirus is a large family of viruses and some of you may remember Severe Acute Respiratory Disease, or SARS, in 2003 and Middle Eastern Respiratory Syndrome, or MERS, in 2014.

To put things into perspective in the United States:

COVID-19
     Total cases:     85,356 
     Total deaths:      1,246
Statistic reported by CDC March 27,2020
The Coronavirus statistics are updated daily from Monday - Friday by the CDC at 4 pm.
https://www.cdc.gov/coronavirus/2019-ncov/cases-in-us.html


Influenza (estimated)
     Total cases:      39,000,000
     Total deaths:      24,000
Statistic reported by CDC March 21, 2020
The Flu statistics are updated less frequently
https://www.cdc.gov/flu/weekly/index.htm


Coronavirus COVID-19 globally
     COVID-19 Globally
     Total cases:      462,684 confirmed
     Total deaths:      20,834 deaths
The listed cases for Coronavirus Globally was as of March 26, 2020
The World Health Organization is updating this daily
https://www.who.int/emergencies/diseases/novel-coronavirus-2019/situation-reports


Why is the government taking this so serious?
The challenge was brought to them, they recognized this as a new threat, listened, are being very proactive and show they care.  Social distancing is a public health practice that aims to prevent sick people from coming in close contact with healthy people in order to reduce opportunities for disease transmission.  It can include large-scale measures like canceling group events or closing public spaces, as well as individual decisions such as avoiding crowds.  With COVID-19, the goal of social distancing right now is to slow down the outbreak in order to reduce the chance of infection among high-risk populations and to reduce the burden on health care systems and workers. Experts describe this as "flattening the curve," which generally refers to the potential success of social distancing measures to prevent surges in illness that could overwhelm health care systems.

Does this mean we should ignore it?
Absolutely not, focus on common sense and basic precautions. This will help reduce the Coronavirus COVID-19, Influenza, and all illnesses.

What can you do?

Number 1: Stay home if at all possible
Number 2: Washing your hands frequently.
Number 3: Clean you surfaces at home frequently
Number 4: If you go out into public upon arriving home change and wash your clothes
Number 5: If your feeling sick avoid exposing your own family members
Number 6: If your feeling sick or having cold like symptoms CALL US 

Common Questions:

What are the symptoms of Coronavirus COVID-19?
     The symptoms are very nonspecific such as: fever, cough, shortness of breath, fatigue, sore throat, and headache. These same symptoms can occur with many illnesses.

How does Coronavirus COVID-19 spread?
     The virus that causes Coronavirus COVID-19 is spreading from person to person. The virus is thought to spread mainly between people who are in close contact with one another (within about 6 feet) through respiratory droplets. High risk for COVID-19 is when someone has traveled from China, most of Europe, Iran, Japan, South Korea, a recent cruise, or have had close contact with a person known to have COVID-19 or are undergoing evaluation for COVID-19.

What can someone do to get tested for Coronavirus COVID-19?
     First thing is to stay home and call us. The government stated that all Americans can be tested for Coronavirus COVID-19 but we are in a backorder situation for the testing supplies. The CDC and major lab companies need more time to get the supplies and likely within the next couple of weeks this will be available for all clinics. Even after obtaining the specimen the lab will take 3-4 days to report the result. So getting this test done does not actually change our initial plan of care.

What can we do for treatment of Coronavirus COVID-19 and other illnesses?
     For any illness we can focus on staying home to avoid spreading to others, symptom management, getting rest, and drinking lots of fluids. The Coronavirus COVID-19 we unfortunately do not have any treatments against the virus. The Influenza virus we do have treatments that can help, but if the symptoms have been ongoing for more than 48-72 hours our antiviral medicines really do not provide a benefit. The common cold we do not have any treatments against these viruses. Most respiratory infections are viral but for the bacterial infections we do have antibiotics that can provide a benefit.

Could my symptoms just be allergies?
     At this time of the year in Florida the pollen count is very high. Wash your car today and then look at it tomorrow. Ask yourself if you had similar symptoms last year at this time? Nasal congestion, sneezing, and cough are common with allergies so sometimes it can be hard to tell. If you have a fever that could indicate an infection. Either way if you are not sure call to get evaluated.

Make sure you refill all prescriptions at the pharmacy with at least a week remaining. Our supply chain for generic medications may suffer a shortage. If you have any issues contact our office and we can help find a solution.

To best serve our patients we will be operating as normal with our regular business hours. Call us if you do not feel well and we can triage and evaluate your symptoms. Anyone who has a high risk exposure we will have them wait in their car and bring them in when the Provider is ready to see them. If any patient is nervous or does not feel comfortable they can call our office upon arrival from their cell phone to check in. When it's time for their appointment we will call their cell phone to come in to be seen.

Thank you for washing your hands and avoiding exposure as much as possible,

Steven Rivers MD