Lock down is over

Everyone is safe and the threat is over.

So very sorry for any inconvenience, but it was out of my control.

We are on lockdown

We have been threatened by a person and for the best protection of our patients and staff, we are on lockdown.

The authorities have been notified.

You need to call us concerning any issues AND before entrance will be granted.

New Years and your children:

Something to do with your children this year:


Holiday Hours:

We here at MacKoul Pediatrics Fort Myers would like to wish you and your family a very happy holiday season. To allow my work family to celebrate with their home families, we have abbreviated holiday hours. As always, you can call 24/7 to our office. Either my staff, or my After Hours Nurse Practitioners at All Children’s Hospital are happy to answer all of your questions.

We have regular office hours of Monday to Friday from 8:00 – 5:00 except:

Friday, December 22: open from 8:00 – noon
Monday, December 25: closed
Tuesday, December 26: open from 8-5
Friday, December 29: open from 8-5
Monday, January 1: closed
Tuesday, January 2: open from 8-5

Happy Thanksgiving to all!

Our holiday hours are as follows:
Wednesday, 11-22-23 from 8-12
Closed 11-23-23 to 11-26-23
Open Monday, 11-27-23 from 8-5.

As always, you can reach us on our emergency call line at 239-415-1131. Listen to the message and press #1 for our answering service. Our Nurse Practitioner Telephone Triage line or Dr. MacKoul will call you back within an hour.

Power Outage 11/16/2023

Power is out at the office. Our phones are working! We will update when we have more information.

Mitochondrial Disease Awareness ( 9/18 – 9/24/2023 )

Hello All,

This week is Mitochondrial Disease Awareness and it is a week to talk about and celebrate all the progress we have made as an organization (ie, the United Mitochondrial Disease Association ) in research and raising awareness about Mitochondrial Disease. All of my social media accounts (Facebook, Linked In, Twitter, Instagram) have had daily and twice daily updates.

Here we go! Some Mito Basics…
Every 30 minutes, a child is born who will develop a Mitochondrial Disease by age 10. Each year, 1,000 to 4,000 children in the United States are born with a Mitochondrial Disease.
Mitochondria are present in nearly every cell in our bodies. They are responsible for producing over 90% of the energy needed to sustain life. Mitochondrial Diseases result from the failure of these tiny “powerhouses.” When the mitochondria fail, less and less energy is generated and cells stop performing and start to die. As this process repeats itself throughout the body whole systems begin to fail and the life of the person in whom this is happening is severely compromised and ultimately leads to death.
Mitochondrial Disease can be very difficult to diagnose because symptoms can arise in almost any part of the body. Often the first indicators are problems with organs that need a lot of energy like the brain, heart, muscles, and stomach but any organ can be involved. Generally, if three or more organ systems are involved Mitochondrial Disease should be considered.
You can not catch Mitochondrial Disease–you are born with it. Mitochondrial Disease is a genetic condition which means it’s caused by an error in your DNA. This error prevents a vital gene from doing’ the job it needs to do. The error may have arisen for the first time in the affected person or it might have been passed down through the family. One in 200 people are born with genetic changes that can result in Mitochondrial Disease.
Mitochondrial Disease can affect anyone at any age, but for young children with the disease it can be debilitating and their lives can be cut tragically short as Mitochondrial Disease is often progressive. Affected children may not survive beyond their teenage years. Adult-onset can result in drastic changes from an active lifestyle to a debilitating illness is a short amount of time.
There are still no effective, proven treatments for Mitochondrial Disease and no cure.

Research shows that faulty mitochondria are linked to a number of other conditions such as Cancer, Diabetes, Parkinson’s, Alzheimer’s, Autism, Epilepsy, Multiple Sclerosis, Lou Gehrig’s disease, ALS and could also be an explanation for Sudden Infant Death Syndrome.

Figuring out how to cure Mitochondrial Disease will have implications that go far beyond it.
Join us this week in learning more about Mitochondrial Disease!

Hurricane Idalia update 8/30/23 at 0700

We are all praying for Florida as Hurricane Idalia passes through.

For the safety of all of our patients and staff, we will stay closed until 1 pm. Those with appointments this afternoon are welcome to come to those appointments. If you are concerned about driving or getting to your appointment, please stay home and do not come.

As always, we are here for you. 239-415-1131.

Annette St. Pierre-MacKoul, MD

Tropical Storm / possible Hurricane Idalia update:

For the safety of our patients and their families, along with our work family, we will be closing at noon on 8-29-23 and reopening on 8-30-23 at 10 am if the storm continues on its present path.

As time progresses, if anything changes, I will update as soon as I can.

Please be safe and heed all warnings.

Annette St. Pierre-MacKoul, MD

To mask … or not to mask … that is the question!

I was quite surprised when I brought up the idea of making masks optional in the office for ‘Well Child Visits.’ My staff was adamant that we continue wearing masks. They have been healthier and enjoy having full staff attendance due to everyone being well.

I checked with many sources and I think the ‘Pediatric News,’ had the best summary on: Medical Review supports continued mask-wearing in health care written by Jay Croft:

A new study urges people to continue wearing protective masks in medical settings, even though the U.S. public health emergency declaration around Covid-19 has expired.
Masks lower the risk of catching the virus, according to the study, published in Annals of Internal Medicine (2023 May 16. doi: 10.7326/M23-0570). And there was not much difference between wearing surgical masks and N95 respirators.
The researchers reviewed 3 randomized trials and 21 observational studies to compare the effectiveness of those and cloth masks.
‘Masking in interactions between patients and health care personnel should continue to receive serious consideration as a patient safety measure,’ Tara N. Palmore, MD, of George Washington University, Washington, and David K. Henderson, MD, of the National Institutes of Health, Bethesda, Md., wrote in an accompanying opinion article (Ann Intern Med. 2023 May 16. doi: 10,7326/M23-1190).
‘In our enthusiasm to return to the appearance and feeling of normalcy, and as institutions decide which mitigation strategies to discontinue, we strongly advocate not discarding this important lesson learned for the sake of our patients’ safety,’ Dr. Palmore and Dr. Henderson wrote.
While masks are not 100% effective, they substantially lower the amount of virus put into the air via coughing and talking.
Dr. Palmore received grants from NIH, Rigel, Gilead, and AbbVie, and Dr. Henderson is a past president of the Society for Healthcare Epidemiology of America.

Baby Navigator

I had a wonderful meeting this morning with community leaders at The Healthy Start Coalition of Lee County. We had a speaker who discussed a program that needs to be shared with every pregnant woman and parent of children less than 10 years old.

Baby Navigator: https://babynavigator.com/

I would encourage everyone to look at this site. So much information and you can also register your child to have them followed for their developmental milestones.

Coronavirus Vaccine Update

Children ages 6 months and older are now eligible for the coronavirus vaccine booster.

Up until recently, under 5 years old were not eligible for the coronavirus vaccine booster.

We offer these vaccines in the office. Please call for any questions: 239-415-1131.

Update on masks