When to Test and Treat: Influenza
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/ Categories: WELLNESS, 2022

When to Test and Treat: Influenza

We are experiencing higher influenza levels in our community, and it is important that influenza is identified and treated early in high-risk patients.

The Centers for Disease Control and Prevention (CDC) considers the following patients to be at greater risk for flu-related complications:

  • Patients under the age of 2
  • Pregnant patients
  • Those over the age of 65
  • Patients with asthma or COPD
  • Those with weakened immune systems
  • Patients with diabetes or liver, kidney, or heart conditions

Patients with any of these conditions should seek treatment and may be treated with an antiviral medication, called oseltamivir, if their symptoms started within the last 48 hours. The antiviral medication will prevent complications.

For those not at high risk, most influenza infections cause a mild illness with fever, headache, body aches, fatigue, cough, congestion, and sore throat.

  • Testing is not required, as a healthcare provider can reasonably make a diagnosis of influenza, particularly if community levels of influenza are high and you have the symptoms described above.
  • Currently, there are shortages in both the antiviral medication oseltamivir and influenza testing supplies. People who are at low risk of complications from the flu will be tested only in rare circumstances and at the discretion of your healthcare provider.
  • Infections of COVID-19 and influenza are very similar and can happen at the same time. Patients with respiratory symptoms should use an at-home rapid antigen test for COVID-19.
  • If you test positive COVID-19, follow the instructions for isolation as listed on the Vermont Department of Health website.
  • Those over 12 at higher risk for a severe case of COVID-19 can be treated with a different antiviral medication, Paxlovid.
  • If you suspect you have influenza, stay at home and away from others, rest, increase fluids, and try over-the-counter fever-reducing medications, such as ibuprofen and acetaminophen. Most people with this illness will have mild symptoms and will not need medical care or antiviral medications. 
  • You can reduce your risk of influenza and the risk of those close to you by receiving the seasonal influenza vaccine and consistently washing hands properly.

Crystal Labbe-Hasty, PA, is a physician assistant at SVMC’s Respiratory Evaluation Center/ExpressCare in Bennington. The practice is part of Southwestern Vermont Medical Center and Southwestern Vermont Health Care. 

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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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