When to Test and How
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/ Categories: WELLNESS, 2021

When to Test and How

Healthcare systems are attempting to walk a fine line. We want everyone who needs a COVID-19 test to get one. Testing helps people determine whether they need to isolate from others and whether it’s safe to resume our lives after a suspected exposure. At the same time, nervousness and anxiety are inspiring people to get a PCR test when they may not need one. This causes unnecessarily long waits at testing centers. Here’s the latest.

Get a PCR test if:

  • You have symptoms of COVID-19, even after vaccination.
  • You have been informed that you are a close contact (within 6 feet for a total of at least 15 minutes) of someone with a confirmed case of COVID, even after vaccination.

Note that if you have tested positive in the past 90 days, you may test positive again, even after you have recovered without having been reinfected. Because reinfection within 90 days is so rare, getting tested within this timeframe may not be worthwhile.

A new web-based tool available from the Centers for Disease Control and Prevention helps people decide whether or not they need a PCR test for COVID-19. We’ve linked to it at svhealthcare.org/COVID-Resource-Center.

You may also need a negative COVID test if you are returning to college or boarding school or if you are traveling via plane, for instance. Some workplaces or family gatherings also require a negative test.

If you took part in activities that put you at higher risk—like travel or attending a big gathering in a crowded indoor setting—but have not been alerted to any potential exposure or you would like assurance that you’re not infected before attending an event, an at-home antigen test is likely sufficient to provide the reassurance you need.  

Following these recommendations will ensure everyone gets the tests they need while preserving local testing capacity for those who need it most.

Karen Bond is the director of Laboratory Services at Southwestern Vermont Medical Center, part of Southwestern Vermont Health Care, in Bennington.

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Interview with Jeff Silverman: 3D Printer

Jeff Silverman is a Wilmington native, a volunteer firefighter, and a business owner. From an addition to his Whitingham, Vermont, farm house, his company, Inertia Unlimited, develops camera technology for broadcast television.

"We make them out of thin air," he says.

Actually, he uses a 3D printer to make prototypes and one-of-a-kind cameras for very specific purposes, including those that sit in the dirt in front of a batter during Major League Baseball games and the ones built into NASCAR racetracks.

Over the course of the COVID-19 pandemic, Jeff has printed 463 face shields for first responders in the Deerfield Valley and healthcare workers at Southwestern Vermont Medical Center and other places. He has delivered them free of charge.

When and how did you first become interested in printing shields for first responders? In one day, every job we had disappeared. We went from having 20 – 30 jobs to zero in one day. Our first thought was that we would use the materials and talent we typically use to sew the pouches for our cameras to make masks. But we quickly found that the proper materials and techniques were not available to make effective masks. Plus so many other people were making them. They had it covered.

On Sunday, March 22, I read in the New York Times that a company in Syracuse, NY, had made a design to 3D print face shields available online. By noon that day I was printing. Since then the printer has not stopped.

How does it work? The printer converts the design into a 3D object using filament that is the width of a human hair, adding layer by layer. The printer takes 2 hours to print one shield. I have produced 380 shields so far. That's 1000 hours of printing. I take from midnight to 5 a.m. off. We've done more 3D printing in the last month and a half than we had in the previous 5 years.

Describe the shields. It was important to me to produce something that was good quality. Sometimes the ones you buy don’t clean up very well. These can survive UV light and other sterilization. They are rough and tough.

Where have you distributed them? First I gave them to the firefighters in Wilmington and Whitingham, where I am a volunteer. Then I gave some to the Deerfield Valley Rescue. I have sent 324 to Southwestern Vermont Health Care, some to SVMC Deerfield Valley Campus; Golden Cross Ambulance Service and Sojourns Community Clinic, both in Westminster, VT; and Rescue Inc. in Brattleboro. I sent some to a dentist in Portland, ME, who asked, and 10 to North Central Bronx Hospital to a friend who works there.

What's your greatest accomplishment? I went to Wilmington High School in the late 70s, and Dave Larson, who was the social studies teacher and former longtime VT state representative, had a video camera. He let me borrow it to film field hockey games. At the end of the season, they gave me a varsity letter for my film work. I have won Emmys since, but that varsity letter is special, because it represented the beginning.

What's next? We look forward to reopening. For us, it's the easiest thing in the world. No client ever comes here. We didn't lay anybody off. We hired locals. All are full-time with benefits. We think Vermont is a great place for low-impact companies like ours, and we hope more companies discover Vermont and come here to provide well-paid jobs.

And I am really looking forward to turning the printer off.

On behalf of Southwestern Vermont Health Care's frontline staff, thank you to Jeff for his tireless efforts to provide vital equipment to our teams. We appreciate it!

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