Wintery Conditions
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/ Categories: WELLNESS, 2022

Wintery Conditions

Winter weather dries out the air. It makes it easier for contagious respiratory illnesses—like COVID, the flu, and RSV—to travel between people. It also affects our skin and lips. Here’s a quick run down of some things you can do to fight back against both the serious and more minor conditions that affect us this time of year. 

Get vaccinated. I know. We say this all the time. Because it’s true. Vaccines keep serious illnesses from becoming serious. When you get vaccinated you spare yourself weeks of illness, and you decrease your odds of spreading a potentially deadly disease to someone more vulnerable.

Wash your hands. Wash your hands with warm water and plenty of soap for 20 seconds frequently throughout the day, especially before and after eating or preparing food; after using the toilet, changing a diaper, or helping a child with using the toilet; and after blowing your nose or catching a cough or sneeze. See a complete list of handwashing moments at cdc.gov/handwashing.

Wear gloves. Wearing warm outdoor gloves in cold weather protects skin from extreme cold and wind and the drying that comes with it. Wearing rubber or latex gloves for water-related chores, like doing dishes and heavy cleaning, prevents the water and chemicals from stripping important skin-protecting oils from your skin. 

Eat a healthy diet. Nutritious food is an important part of maintaining our immune system and the moisture in our skin and lips. A variety of proteins, whole grains, fruits, and vegetables will provide vitamins A, C, D, and E; zinc; and selenium, all of which help to keep skin and the rest of your body healthy.

Moisturize your hands and lips regularly. After bathing and before bed are good moments to apply moisturizer and lip balm. Target the hands, lower legs, elbows, and lower arms, which get particularly dry, especially as we age. Lotion can keep skin from drying and cracking. Cracked skin can become itchy, stinging, and inflamed and is more vulnerable to infection.

If skin is already in need of healing, moisturize with an ointment. Then, put on a pair of cotton gloves overnight. Dry patches that persist could be a sign of a more serious condition. Consult with your doctor.

With these steps, we can keep our skin and lungs safe from conditions that afflict us when the temperature drops.

Dagmar Tobits, MD, is a primary care and family medicine physician at SVMC Deerfield Valley Campus in Wilmington, VT. The practice is part of Southwestern Vermont Medical Center and Southwestern Vermont Health Care in Bennington. 

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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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