Our Favorite Resolutions
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/ Categories: WELLNESS, 2021

Our Favorite Resolutions

Still searching for your New Year’s resolution? Our medical staff contributed their ideas for the most useful resolutions and offered their ideas about how to make them a part of your life. 

Moving more. We all know exercise is good for us. Taking the first step can be difficult. Lisa Downing-Forget, MD, of SVMC Internal Medicine, reminds her patients, “exercise, which releases stress, is not the same as work, which creates stress, so remember to move just for you—not just because you have to!” Begin by carving out a specific time for exercise and just put on your sneakers at that time. That’s step one. “Once you’ve gotten into that habit,” she explains, “choose your movement.”  It could be dancing to your favorite music or flipping on an easy beginner workout video. (There are many free options available. Try fitnessblender.com, if you don’t know where to begin.) If you have hesitation or questions about activities that you should or should not be doing, ask your health care provider. “As you gain confidence, change up your movement and explore all of the really good feelings that come with moving regularly.”

More fruits and veggies. Eating more fruits and vegetables is a great resolution. “Fruits and vegetables contain fiber, water, and valuable nutrients. They are also really satisfying and can help you feel fuller longer,” said Registered Dietitian Kristin Irace. “Once you get used to eating more healthy foods, you might also find it easier to give up processed foods, which can be harmful when consumed in large quantities,” she continued. “If you don’t eat any fruit or vegetables now, aim for one serving a day. If you eat some, focus on finding new vegetable-oriented recipes to try.”

Preparing meals at home. Cooking more of your own meals, rather than eating out, comes with impressive health, quality of life, and financial benefits. “Most restaurant meals are not designed with health in mind,” Irace explains. Cooking your meals at home allows you to control exactly what is going into your dish. “The most delicious and flavorful home-cooked meals are bound to have more healthy ingredients and fewer of those that require caution, like saturated fat and salt, than those cooked out.” Plus, cooking is fun and provides great quality time with those you love. “Plus,” Irace says, “you will save money too.”

Avoiding sweet beverages. A lot of people drink tons of unnecessary calories in the form of sugary coffee, energy drinks, or soda. “If you drink more than one sweetened beverage each day, begin by cutting back,” Irace recommends. “If you drink one per day or less, what about making your sugary drink a Friday treat?” She continues, “aim for 30ml of water per kilogram of your body weight per day.”  This healthy step can help you maintain a healthy weight and cut your risk of obesity, cancer, diabetes, and other diseases.

A better sleep routine. “Sound sleep is so important to good health,” says Dr. Downing-Forget. In fact, it’s fundamental. “Developing a really good sleep routine could be the important first step to improve your health and your satisfaction with life, because a good night’s sleep has the power to drive other positive changes.” Many people turn to medications for better sleep, but medications often work for just a short time or don’t get to the root of the problem. “Medications are not the only answer. Ask your provider about ways to get better sleep without medications.” Getting better sleep is one of the more complex resolutions, because it could require a lot of other changes to your lifestyle, but with great challenges come the possibility of great rewards!

Enjoying the outdoors. Kim Fodor, MD, of SVMC Internal Medicine, recommends making a weekly date with nature. Just 2 hours a week in the outdoors has the potential to increase your health and wellbeing. “You are likely to feel more calm and notice an increased ability to concentrate,” Fodor says. “Nature time can also reduce symptoms of anxiety and depression, irritability, blood pressure, and feelings of isolation.”

Be sure to ask for help when you need it. Regardless of which resolution you are approaching this year, your primary care provider is ready to help you obtain the information you need to meet your goal and attain greater wellness and life satisfaction.

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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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