Boston Herald

Urgent care fills gap in COVID testing

- By alexi cohan

On a typical day at PhysicianO­ne Urgent Care in Chestnut Hill, one might mistake the facility for a coronaviru­s testing site.

That’s how it’s been since late August at least. Coronaviru­s-related issues have made up the majority of patient visits, from symptomati­c cases to those needing a test to be able to travel or go to school.

Patients coming in for a coronaviru­s test remained steady throughout the morning and afternoon on Wednesday, when PhysicianO­ne Clinical Quality Manager Amelia Nadler invited the Herald for a look into the day’s operations.

“We certainly fill that gap where they can’t get in to see their primary (care physician) as fast as they need to … That’s a huge gap for people especially where every sniffle that comes up needs to be tested, and we support that,” Nadler said.

She added that sometimes, it even feels like working at a testing facility, with patients wanting to simply get in and get out. Nadler said some patients get frustrated they have to go through a brief appointmen­t to get tested.

The Chestnut Hill location is the busiest in Massachuse­tts, according to Nadler. There are other sites in Waltham and Medford, along with locations in Connecticu­t and New York.

The urgent care offers in-person, mobile and telehealth services that have expanded during the pandemic.

Patients filed in one after the other for coronaviru­s tests on Wednesday, and the phones rang with people looking for a vaccine or a test.

Nadler, who is a nurse practition­er, bounced from patient rooms back to her desk to handle charting, administra­tive work and calls with test results for coronaviru­s or other things such as strep throat or blood cultures.

It wasn’t until midday that she saw her first nonCOVID patient, which she celebrated with a lightheart­ed “woohoo!”

Patients still come to the urgent care center for other ailments such as cuts, bruises, fractures, abdominal pain, fever or sore throat.

But the uptick in coronaviru­s-related visits ramped up after a mild summer and has continued to stay busy, Nadler said. She attributed the recent explosion of patients — 87 alone on Tuesday — to the delta variant and increased testing protocols for school, work and travel.

Without urgent care, Nadler said the health care system would be “entirely overwhelme­d.”

“We’ve become such a resource to the communitie­s especially when their PCPs couldn’t see them, you know, just because they were overwhelme­d, or the ERs were overwhelme­d or people were afraid to go to the hospitals,” Nadler said, adding that urgent care centers serve a population of people who aren’t severely ill, yet are ill enough to raise concern.

Nadler said she thinks urgent care offices are here to stay, especially as they continue to offer a halfway point of care between a primary care doctor and the emergency room.

 ?? MATT sTONE / hErALd sTAFF ?? HERE TO STAY: Urgent care offices help offset the number of patients that go to emergency rooms, and the delta variant and increased testing protocols have led to a boom of visits. Above, Amelia Nadler, clinical quality manager at PhysicianO­ne Urgent Care in Chestnut Hill, puts on her PPE before giving a COVID test.
MATT sTONE / hErALd sTAFF HERE TO STAY: Urgent care offices help offset the number of patients that go to emergency rooms, and the delta variant and increased testing protocols have led to a boom of visits. Above, Amelia Nadler, clinical quality manager at PhysicianO­ne Urgent Care in Chestnut Hill, puts on her PPE before giving a COVID test.

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