Medical Matters Weekly Welcomes Dartmouth Institute Leader
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Medical Matters Weekly Welcomes Dartmouth Institute Leader

BENNINGTON, VT—May 17, 2022— Amber E. Barnato, MD, MPH, MS, director of the Dartmouth Institute for Health Policy and Clinical Practice at the Geisel School of Medicine at Dartmouth, will be the next guest on Medical Matters Weekly at 12 p.m. on Wednesday, May 25. The show will cover Barnato’s wide range of expertise, including public health/preventive medicine, hospice/palliative medicine, the institute’s work, health equity, and Barnato’s research regarding life support decisions families and physicians make for patients in the ICU.

The show is produced by Southwestern Vermont Health Care (SVHC) with cooperation from Catamount Access Television (CAT-TV). Viewers can see Medical Matters Weekly on facebook.com/svmedicalcenter and facebook.com/CATTVBennington. The show is also available to view or download as a podcast on svhealthcare.org/medicalmatters.

In addition to her role as director of the Dartmouth Institute, Barnato is the John E. Wennberg Distinguished Professor at the Geisel School of Medicine at Dartmouth. The Institute is both an academic department and a cross-campus institute bringing together more than 150 faculty who serve the mission of improving health and health care by conducting research jointly with staff and academic, health system, and community partners and by teaching and learning from more than 200 graduate students annually in the department’s MS, MPH, MHCDS, and PhD programs.

Barnato is trained in two medical specialties, public health/preventive medicine and hospice/palliative medicine.  Her own research focuses on understanding the causes and consequences of variation in end-of-life intensive care unit (ICU) and life-sustaining treatment use among seriously ill older adults. She focuses on the interplay between organizational norms, provider-patient communication, and implicit cognition, and how these phenomena produce racial disparities in end-of-life treatment.

Medical Matters Weekly features the innovative personalities who drive positive change within health care and related professions. The show addresses all aspects of creating and maintaining a healthy lifestyle for all, including food and nutrition, housing, diversity and inclusion, groundbreaking medical care, exercise, mental health, the environment, research, and government. The show is broadcast on Facebook Live, YouTube, and all podcast platforms.

After the program, the video is available on area public access television stations CAT-TV (Comcast channel 1075) and GNAT-TV's (Comcast channel 1074), as well as on public access stations throughout the United States.
 
About SVHC:
Southwestern Vermont Health Care (SVHC) is a comprehensive, preeminent, healthcare system providing exceptional, convenient, and affordable care to the communities of Bennington and Windham Counties of Vermont, eastern Rensselaer and Washington Counties of New York, and northern Berkshire County in Massachusetts. SVHC includes Southwestern Vermont Medical Center (SVMC), Southwestern Vermont Regional Cancer Center, the Centers for Living and Rehabilitation, and the SVHC Foundation. SVMC includes 25 primary and specialty care practices.

Southwestern Vermont Health Care is among the most lauded small rural health systems in the nation. It is the recipient of the American Hospital Association’s 2020 Rural Hospital Leadership Award. In addition, SVMC ranked fourth nationwide for the value of care it provides by the Lown Institute Hospital Index in 2020 and is a five-time recipient of the American Nurses Credentialing Center’s Magnet® recognition for nursing excellence. It has also received the highest marks possible from the Leapfrog Group. The health system is fortunate to have the support of platinum-level corporate sponsor Mack, a leading supplier of contract manufacturing services and injection molded plastic parts based in Arlington, VT.

Southwestern Vermont Medical Center provides exceptional care without discriminating on the basis of an individual’s age, race, ethnicity, religion, culture, language, physical or mental disability, socioeconomic status, sex, sexual orientation, or gender identity or expression. Language assistance services, free of charge, are available at 1-800-367-9559.

 

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Home Office How To

Did you know that many sources of chronic pain start in a poorly arranged office? Carpal tunnel, pinched nerves, overuse injuries can often be traced to chairs being positioned improperly or important tools being positioned outside easy reach. While reaching or straining once or twice wouldn't hurt us at all, doing so repeatedly day after day can cause painful and lasting injuries.

As an occupational health physician at Southwestern Vermont Medical Center, one of my responsibilities is to help employees of SVMC and other companies who have workplace injuries and recommend the adjustments they should make.

During a spike in work-from-home arrangements, I have heard about friends’ and family members' work-from-home set-ups. Some are working from laptops on their couches. Others are set up at kitchen tables. We know that their cats walk across their keyboards and their kids interrupt. Especially since Governor Scott has just indicated that remote workers will likely be the last to return to the traditional workplace, it's time to get our home office arrangements figured out.

That's why I would like to share the important details you need to arrange a healthful workspace and encourage all to invest the time (and sometimes a little bit of money) needed to implement them. Learning these points is key to avoiding injuries, as continued work-from-home policies, where feasible, will help maintain appropriate distancing needed to decrease the spread of COVID-19.

An adjustable chair is the first and most important component of an office set-up. Office chairs include crucial lumbar support and encourage good posture. When your forearms are resting on your desk or table, adjust the chair height up or down until your arms form a right angle. This is an important step in avoiding wrist pain and carpal tunnel, two of the most common office injuries. If, when your arms are in the correct position, your feet are not touching the floor, employ a footstool.

Position your monitor an arm’s length away. (If you can't see the screen from this distance, better go get an eye exam!) And raise the screen so that the top of the screen is eye level. This, too, will encourage good posture.

If you use two monitors, positioning them properly depends on how you use them. If you use them equally, the dividing line between them should be right in front of you. If you use one primarily and the other secondarily, position the more dominant screen directly in front of you. If you use a laptop, consider investing in a riser and an additional keyboard needed to raise the screen to eye level.

Put all of your other tools, including your mouse and phone, within easy reach. If you use the phone a lot, consider investing in a headset.

The only other recommendation I make is to stretch every 15 – 20 minutes. A list of helpful office-oriented stretches is available here. And every hour, be sure to get up and take a short walk or standing stretch.

If you follow these recommendations at home, you will be much more comfortable and are likely to be more productive, too, all while maintaining the social distance we need to keep COVID-19 infections low throughout this next phase of the pandemic. Most importantly, you will save yourself the pain and discomfort of office injury no matter where you're working.

Mark Zimpfer, MD, is a physician at Southwestern Vermont Medical Center's Occupational Health practice. 

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