Get Informed



As we continue to contend with Covid-19 many people are being asked to self quarantine, of self isolate. 
For specific details on how to quarantine or isolate please refer to this document from the State of Massachusetts, it has clear instructions and is updated periodically. 

Self Quarantine 


We are making it our mission to provide all patients with the care that they need. Our telemedicine is being done through the telephone or video services provided to the patient on their cellular or computer device. If you have any questions in regards to how this process works, please contact the office.


We have set up a FAQ page dedicated to answering common questions in regards to COVID-19. Please take a moment to review the page and the informational links provided.

03.20.2020 COVID-19

If I have been asked to self quarantine how do I do this?

People who have been exposed to the new coronavirus and who are at risk for coming down with COVID-19 might practice self-quarantine. Health experts recommend that self-quarantine lasts 14 days. Two weeks provides enough time for them to know whether or not they will become ill and be contagious to other people.

You might be asked to practice self-quarantine if you have recently returned from traveling to a part of the country or the world where COVID-19 is spreading rapidly, or if you have knowingly been exposed to an infected person.

Self-quarantine involves:

  • Using standard hygiene and washing hands frequently

  • Not sharing things like towels and utensils

  • Staying at home

  • Not having visitors

  • Staying at least 6 feet away from other people in your household

Once your quarantine period has ended, if you do not have symptoms, follow your doctor’s instructions on how to return to your normal routine.

3.19.2020 COVID-19

What do to in taking care of yourself at home when you have a respiratory infection. 

1) Take your temperature twice a day and write it down. 

2)  Rest: Resting helps your body focus its energy toward healing, lay down under a blanket. 

3)  Drink warm or hot liquids: warm liquids help relieve nasal congestion, prevent dehydration, soothe your nose and throat, and keep secretions thin and moving. 

Try to have six to eight 8oz servings of warm clear liquids a day. Drink enough so that your urine is a light straw color.

4)  Blow your nose the right way: blowing very hard can cause an earache. Using a tissue, press one nostril closed and blow gently to clear the other, than repeat on the other side. Throw your tissue into a bag to dispose of it and wash your hands. 

5)  Eat regularly: it's okay to eat lightly but eat regularly. Have easy to digest foods like soup, toast, rice, cereal, fresh fruit and vegetables. 

 6)  Take Tylenol for fever and aches: You can take Extra Strength Tylenol (500mg) 2 tablets three times a day, or regular Tylenol (325mg) 2 tablets three times a day. Keep your total daily dose under 3000mg.

If your doctor has prescribed medications please follow the instructions they gave you and the instructions on the bottle.

Please call with any questions.  

03.18.2020 COVID-19

Many have expressed concern in how to take care of yourself or a loved on if they have fallen ill. Please do not hesitate to call us with any questions or concerns you might have. You should follow this guidance from the CDC in regards to these situations. 

Please click on link below. 

If you are sick or caring for someone who is ill

03.16.2020 COVID-19

Here is some helpful tips on how to protect yourself from the CDC.

Click on link below. 

How to protect yourself

03.13.2020 COVID-19

Please review proper hand washing techniques.

Click on the link below: 

Hand Washing Poster

03.12.2020 COVID-19

Our office hours will continue to be 9am to 5pm Monday through Friday, and we are on call 24/7. We maybe billing your insurance company for telephone visits. We continue to be fully available and are committed to working closely with you throughout this challenging time.

03.11.2020 COVID-19

If you have an appointment scheduled we will be in touch to work with you to decide if it's best for you to come to the office as scheduled, to  reschedule to a later date, or if a telephone or video visit would suffice for now. We expect that this will result in fewer office visits in general so that if you do need to come in you will find the office quiet and clean.

03.10.2020 COVID-19

It is important to all of us to keep the primary care setting healthy so that patients can access the care they need. With this in mind, we are making some changes to our usual process and we wanted to share this with you. 

If you have respiratory systems, such as  cough, fever or cold symptoms please call the office. For patients who do not require office or hospital evaluation we are working carefully and closely over the phone to manage symptoms at home. 

03.9.2020 COV-19

We wanted to be in touch and share some information regarding the Corona Virus situation. This is a difficult time for our community and the world, we want to assure you that we are here for you, and that we are taking steps to continue to be able to provide excellent, safe medical care for you.

The situation is evolving daily, and we are here to help you with your questions and concerns. We are happy to speak with you, in addition, some information sources we recommend are the CDC website and the Massachusetts Department of Public Health website for up to the minute information.  


Carol Patterson is an internal medicine physician in practice since 1999. She joins Dr. Dean and Dr. Osiecki at Elm Street Adult Medicine in November 2019. Her goal is to provide excellent, personalized care for each patient. She believes in empowering and teaching patients about their health, advocating for them throughout the healthcare system, and partnering with them to prevent illness and optimize health. If you are interested in becoming a patient of Dr. Patterson, please contact the office at 413-586-1100.


On November 26th 2018, Elm Street Adult Medicine was awarded the Massachusetts Health Quality Partners award for Top Overall Primary Care Facility. This award was based on a statewide patient experience survey that received over 65,000 responses. The performance categories involved in this determination were patient-provider communications, coordinating patient care, assessment of patient behavioral health issues, ease of access to care, patient self care, office staff professionalism and how well the providers knew their patients.  

MHQP Patient Experience Award 2018


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