Medical Matters Weekly Addresses Tick-Borne Illness
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Medical Matters Weekly Addresses Tick-Borne Illness

BENNINGTON—May 5, 2021—Southwestern Vermont Health Care’s (SVHC) Medical Matters Weekly with Dr. Trey Dobson, a weekly interactive, multiplatform medical-themed talk show, will feature Natalie Kwit, public health veterinarian with the Vermont Department of Health, as a guest on its May 12 show. The show will air at a special time, 11 a.m., and will cover everything you need to know about ticks and tick-borne disease.

The show is produced with cooperation from Catamount Access Television (CAT-TV). Viewers can see Medical Matters Weekly on Facebook at facebook.com/svmedicalcenter and facebook.com/CATTVBennington. 

Dr. Kwit leads the Vermont Department of Health’s Zoonotic and Vector-Borne Disease Program, including the surveillance, prevention, investigation, and response to tick-borne, mosquito-borne, and zoonotic diseases. She earned her Doctorate of Veterinary Medicine from University of Illinois and Master of Public Health degree from University of Minnesota. In her previous role as an Epidemic Intelligence Service (EIS) officer for the Centers for Disease Control and Prevention (CDC) Division of Vector-Borne Diseases, Natalie conducted both domestic and international investigations concerning plague, tularemia, borreliosis, and Zika virus, including work in the CDC Emergency Operations Center. Prior to EIS, she worked as a small animal practitioner while volunteering in wildlife medicine and One Health outreach.

After the program, the video will be available on area public access television stations. On CAT-TV, viewers will find the show on channel 1075 at 7:30 p.m. Sunday, 1:30 p.m. Monday, 8:30 a.m. Tuesday, 7:30 a.m. Wednesday, 7:30 p.m. Thursday, 7:30 a.m. Friday, and 7 p.m. Saturday. GNAT-TV's Comcast channel 1074 airs the program at 8 a.m. Monday, 9 p.m. Wednesday, and 1 p.m. Saturday.

Upcoming guests include:

  • 12 p.m. Wednesday, May 19: SVMC Gastroenerologist David Furman, MD, will talk about common issues of the digestive system. 
  • 12 p.m. Wednesday, May 26: Themarge Small, MD, of SVMC OB/GYN, and Deb Mone, RN, of the SVMC Women's and Children's Department will reflect on their years helping new families deliver babies. 
  • 12 p.m. Wednesday, June 2: SVMC Neurologist Emma Weiskopf will take us inside the brain. 
  • 12 p.m. Wednesday, June 9: Executive Director of Hunger Free Vermont Anore Horton will talk about statewide food security initiatives. 

Videos and podcasts are on svhealthcare.org/MedicalMatters, as well as YouTube and on many podcast-hosting platforms, respectively.

To contribute questions in advance of each week’s show, please e-mail wellness@svhealthcare.org or post to Facebook with #SVHCMedicalMattersWeekly.
 
About SVHC Medical Matters Weekly:
Medical Matters Weekly is an interactive, multiplatform guest-driven talk show hosted by Dr. Trey Dobson. It provides a behind-the-scenes perspective on health care, including topics like behavioral health, food insecurity, equitable care, and the opioid crisis. The show is produced in partnership with Catamount Access Television (CAT-TV) and is broadcast on CAT-TV, Greater Northshire Access Television, Facebook Live, YouTube, and podcast platforms. 
 
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.
 
SVMC has earned several prominent distinctions. Most recently, SVMC received the American Hospital Association’s Rural Healthcare Leadership Award for transformational change in efforts toward healthcare reform and its fifth consecutive designation within the American Nurses Credentialing Center’s (ANCC) Magnet Recognition Program®. It ranked fourth in the nation for healthcare value by the Lown Institute Hospitals Index in 2020 and is one of Vermont’s Best Places to Work. SVMC earned an ‘A’ for hospital safety from the Leapfrog Group for two years in a row. During the pandemic, SVMC and both its skilled nursing facilities, the Centers for Living and Rehabilitation in Bennington, and the Center for Nursing and Rehabilitation at Hoosick Falls, earned perfect scores on a Centers for Medicare and Medicaid Services evaluation meant to determine the ability to prevent transmission of COVID-19 and other infections.
 
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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The Latest Testing Information

The world of COVID-19 testing is very complex and changing rapidly. But gratefully, unlike early on in the pandemic, tests are available for everyone who wants one, whether they have symptoms or not. Below is a list of common questions, along with answers from SVMC’s Laboratory Services Director Karen Bond and SVMC’s Director of Perioperative Services Tanya Cowder, MSN, RN, CNOR.

What are the reasons someone may get tested for COVID-19, even if they don't have symptoms? People without symptoms of COVID-19 are being tested when they are admitted to SVMC, before being discharged to other facilities, before scheduled surgeries, or because they may have been exposed to the virus. Primary care providers are also able to order a test for those who need to return to work or school or to end quarantine or isolation. And anyone can be tested through the Vermont Department of Health's Pop-Up Clinics.

What types of tests are available for detecting active cases of COVID-19? SVMC offers Polymerase Chain Reaction (PCR) testing that is processed at both outside labs and our own lab, depending on how quickly results are needed. PCR, which was pioneered by American biochemist Kary Mullis in 1983, actually amplifies and detects the presence or absence of small gene sections. In this case, it determines whether or not COVID-19 is present.

The specimen is most often taken from deep in the nose-throat passageway (nasalpharyngeal). Patients experience eye watering and a burning sensation for 30 seconds or less. The test can also be taken from inside the nose (anterior nares), depending on the patient population. The most common type of test, like those administered both at SVMC’s drive-up testing station and at the Vermont Department of Health’s Pop-Up Clinics, is greater than 90% sensitive (meaning that the test picks up the virus, if it is present) and greater than 90% specific (meaning the test detects the COVID-19 virus, as opposed to other viruses).

How do I get my results and what should I do? Results are usually provided by a primary care provider within 48 hours. Your primary care provider will share specific directions regarding what you should do next. The Centers for Disease Control and Prevention is sharing this table, which provides a synopsis of tests, what results mean, and guidance for what to do. If the test is positive, the Vermont Department of Health may call before the primary care provider to initiate contact tracing.

Are all of the tests sufficiently available? Yes. Anyone with an order from their primary care provider can be tested at the drive-up testing site at SVMC. Anyone can be tested at the Vermont Department of Health's Pop-Up Clinics. Visit https://humanresources.vermont.gov/popups for times, dates, and locations. Tests for inpatients at the hospital are also in adequate supply.

Important Note: Remember test results offer a snap shot of the current active viral load. A negative test result doesn’t reveal whether you have been exposed in the past or predict whether you will be infected in the future. Whether or not the result is positive, we should all continue to wash our hands frequently, wear masks when in public and in proximity to those outside of our household, and stay 6 feet from others.

What about antibody tests? Antibody tests (serology) are also available. It does not tell you if you have active disease. Antibody tests check for antibodies that appear in the blood between about 1 – 3 weeks after symptom onset and may remain as long as a lifetime. Antibody tests may be positive while a person is infected. It is not yet known whether these antibodies protect against reinfection with the COVID-19 virus. For many other similar viruses, antibodies are protective for years or longer, but we do not yet have adequate data to know for COVID-19. Patients who would like the test would get a referral from their primary care provider and come to the SVMC Lab to have blood drawn. Results are delivered by the primary care provider.

Those who receive a positive antibody test or who have recovered from COVID-19 may qualify to donate plasma with the American Red Cross. The plasma, which includes antibodies, may help those fighting the disease. Learn more at https://www.redcrossblood.org/donate-blood/dlp/plasma-donations-from-recovered-covid-19-patients.html.

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