Masks in the office:

A 13 year old boy asked me on Friday, ‘Dr. MacKoul, why do we have to wear masks?’

I answered him very honestly. ‘We all have to wear masks for many reasons. First, we are entering what is predicted to be the worst respiratory season for children in the recent past. We are already seeing record hospitalization rates for respiratory disease in children in the majority of states in the United States. We are protecting the babies who are too young to get vaccines. We are protecting my patients and parents with compromised immune systems so that they don’t catch any illness while being in the office. We are protecting each other so that I don’t catch your germs and you don’t catch mine! We are wearing masks because we care about other people. I make my staff go one step further and wear masks and shields so that we have another barrier to spreading illness.’

We want you to bring your masks and wear them at the office. I charge a fee of a dollar donation for a mask. That money is donated to charity. I am not trying to get money from our patients and families. I am trying to get you to bring and wear your own mask. I am using the parenting technique of negative reinforcement to get you to bring your own mask. We were able to donate over $375 to the Deaf and Hard of Hearing Center last month. Kaitlin in the front office is on their Board of Directors.

We have also had an issue with parents not being honest with us and coming into the office and exposing our staff and patients to diseases that should have been disclosed on our telephone prescreening call prior to coming into the office.

Masks help to keep all of us safe!

This is the last Hurricane Ian Update:



MacKoul Pediatrics Fort Myers will open tomorrow at 8 am. Please be patient as we come back from 13 days without power. Our number is 239-415-1131.

Thank you for our patience in this difficult time for all.

Annette M. St. Pierre-MacKoul, MD

10/7/22 Hurricane Ian update:

We still have no power at the office. I have been assured by Florida Power and Light that there is a 95% assurance that we will have power by midnight!

As always, I am reachable 24/7 at 239-415-1131 and when prompted, press # 1.

Annette M. St. Pierre-MacKoul, MD

Hurricane Ian update – 10/6/22


As the staff and I were getting the office set for power this morning, the power trucks for Florida Power and Light came down Granite Court! They were a welcome sight and hopefully will be getting us up and working!

We still have no power today! Water is working, so that is progress!

I am hopeful for tomorrow and will be ready for when the power returns!

Annette M. St. Pierre-MacKoul, MD

Update: Hurricane Ian 10/5/22

To my patients and their families:

MacKoul Pediatrics Fort Myers still has no power or electricity. Florida Power and Light has stated that it will be repaired by midnight, Friday, October 7, 2022. Worst scenario, we should be open on Monday, October 10, 2022. They have notified me that there is a rare chance that it might be longer.

As always, I am available 24/7 for any questions or concerns at 239-415-1131, press for option number 1.

Annette St. Pierre-MacKoul, MD

Hurricane Irma update 10/4/22

Please stay safe all my patients and families!

It is still recommended that we all do our parts and stay off the roads unless it is necessary.

MacKoul Pediatrics Fort Myers still is without power and water. I check on the office often and will open as soon as we have the ability to safely open.

As always, I am here for you 24/7. If you have emergent questions / concerns, you can always call the office at 239-415-1131 and press #1 when prompted.

Annette M. St. Pierre-MacKoul, MD

Hurricane Ian

Hello to all my wonderful patients and families:

Thank you to all who have reached out to us. We all have survived the storm and are ready to return to work. The building is safe and the parking lot has been cleared of all storm damage. All we are waiting on is electricity and water. Once that is set, we will open!

As always, you can call us 24/7 for anything you need emergently at 239-415-1131 and press option 1. My answering service will contact me with your message. After 5 pm until 8 am, the Nurse Practitioners at All Children’s Hospital will answer your questions.

Please be well and safe,
Annette M. St. Pierre-MacKoul, MD