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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How to Become a Mask Wearer

Long before COVID-19, online chat groups for people with pulmonary fibrosis (PF) were filled with posts about how uncomfortable it is to wear a mask in public: not physically uncomfortable, a fact that was barely mentioned, but psychologically uncomfortable. For people with this condition or the lung transplant used to cure it, catching a cold or the flu could be deadly. They need to wear masks in public to help protect themselves from getting ill.

The participants discussed how awkward it is riding the bus in a mask, going to the grocery store in a mask, or boarding a plane while wearing one. They were mostly self-conscious that others would think they were ill or weak. Many would rather suffer the risk of getting fatally sick than put a mask on in a department store.

Now, we've all been directed to wear masks in public. Both Bennington and Wilmington's Select Boards have passed local mandates requiring masks in public places. This—along with distancing and handwashing—are crucial parts of returning to a more normal way of life. Suddenly, we are all feeling the psychological discomfort PF patients have felt for many years.

People usually have an interest in blending in. And, just like doing anything out of the ordinary, wearing a mask for the first time definitely feels like putting yourself out there. If we want to return to a somewhat normal way of life, masks are crucially important, along with frequent, thorough handwashing and keeping a distance from others.

Here are a few tips for making the leap from being someone nervous about wearing a mask to being a person who wears one regularly.

Do it for others. We know that people can spread COVID-19 as many as a few days before they get sick. Even if you feel fine, you could have COVID-19 right now without knowing it. At the same time, masks are far better at keeping sick people from spreading germs than they are at keeping people from getting sick. So wearing a mask isn't a sign of weakness; it's a sign of altruism. It's like saying, "I am not certain that I am not sick, so I want to pay those around me the consideration of limiting the likelihood I will infect them." Think of it as a badge of kindness.

Get a mask that fits. We know that masks are not completely comfortable physically. Getting the right fit makes a big difference in their "wearability." Cloth masks are readily available online and from local groups. The Green Mountain Mask Makers have excellent information and resources. If you can, purchase a few types in a few sizes to see which you like best. Buy enough of that type to allow washing between trips out in public.

Get a mask that you like. Once you have found a mask source and as long as you have a choice, pick one that you like. You can choose colors that match your wardrobe or that represent your interests, like camouflage. There are even masks that look like fashionable scarves when they hang around your neck. The sooner we start thinking of masks as part of our outfits, as essential and unremarkable as shoes or a belt, the healthier we will all be.

Try to quit caring about what others think. This one is hard. But one wise PF patient wrote, "I just don't give a darn!" Essentially, he shared that if people want to judge him for wearing a mask, so be it. Their opinions don't have a single thing to do with him. Many in the chat group applauded his confidence and vowed to adopt his attitude.

If we all do our best, soon the cultural scale will tip. Wearing a mask or not wearing one will cease to be a political statement. It will be normal. And thankfully, if wearing a mask in public, handwashing and sanitizing, and keeping our distance are all normal, going out into public again can be safe and normal too.

Donna Barron, RN, is the infection preventionist at Southwestern Vermont Medical Center.

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