Grace Weatherby
/ Categories: WELLNESS, 2023

Boost Your Heart Health this Holiday Season

The holidays are meant to be a time for good cheer and rejoicing. Unfortunately, for far too many Americans, the holidays are also when they’re most likely to experience a heart attack.

According to the American Heart Association, December 25 and January 1 are the top two days when Americans are most likely to die from cardiac arrest.

While it’s difficult to eliminate the stress and opportunities to overindulge, there are steps you can take to reduce your risk of suffering a cardiac event.

Here’s where to start:

1. Celebrate in moderation: If you’re headed to an event where food and drink will be plentiful, have a healthy snack before you go lessen the chance you’ll overeat. At the event, fill up first on high-fiber, low-calorie foods like raw fruits and vegetables. Follow that up with any lean proteins, like chicken or shrimp, which will work to slow your digestion and make you feel full. If you’re still hungry, take small amounts of carb-heavy foods, like bread, chips, pasta and, of course, cookies. Listen to your body and stop eating when you’re full.  

2. Keep moving: Even if your calendar’s full of events and gatherings, there’s always time for a bit of physical activity. A 10- to 15-minute walk after a meal or while you’re on the phone chatting with friends will do your heart good. Exercise is also a good way to work off or step away from any stress that may be weighing on you. 

3. Stick to a schedule: Traveling and/or hosting company can make it hard to stick to your regular routine over the holidays. But it’s important to take all prescribed medications as and when directed and to get a good night’s sleep. Falling out of rhythm or behind on either can place unnecessary stress your heart. If you need help staying on top of your needs, set an alarm on your phone to alert you it’s time to take your meds and or to step away from the fun to ensure you get a good and full night’s sleep.

In addition, it’s important to recognize the signs of a heart attack early before a lot of damage occurs.

If you or someone else experiences any of the following warning signs, don’t hesitate. Call 911.

  • Chest discomfort: Most heart attacks—especially in men—involve a sense of heaviness or uncomfortable pressure in the center of the chest that lasts more than a few minutes. The pressure may go away and then return. 
  • Upper body discomfort: Symptoms can include pain or discomfort in the upper back, neck, jaw, one or both arms, or stomach.
  • Shortness of breath: This can occur with or without chest discomfort.
  • Heart palpitations: Palpitations, which may feel like a fast beating or fluttering heart, are more common in women.
  • Other signs: Other potential signs of a heart attack include breaking out in a cold sweat, lightheadedness, nausea, or vomiting.

The sooner medical treatment begins, the better the chances of survival and preventing heart damage.

Scott Rogge, MD, FACC, is the Medical Director at Southwestern Vermont Medical Center Cardiology

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OB/GYN Care in a New Age

I am a strong believer in preventive care. Our patients are healthiest and OB/GYN physicians are most successful when we see each other at least annually and as soon as concerns arise. While this hasn't always been possible throughout the pandemic, I am happy to report that it is slowly getting easier to provide and receive care in the ways we had been used to, with a few adjustments for added safety.

I am especially concerned about patients who may have delayed care. While some concerns can safely wait a short while, putting off care in other situations may worsen the condition or the outcome. I encourage both new and returning patients to call the office to discuss resuming regular care and discussing any concerns that may have come up.

Here's what you can expect, including some of the innovative ways we are meeting patients' needs safely.

When you call the office, the receptionists will schedule an appointment for you. An easy telehealth option is great for reviewing results, developing care plans, providing contraceptive and fertility counseling, and consulting about weight management. For these purposes, the receptionist will likely recommend a televisit. It is very easy to connect and so convenient; while we love seeing you in person, we have to wonder why we haven’t been using telehealth appointments all along! Complete information about telehealth visits can be found here.

As you might expect, OB/GYN care often requires a physical examination, so many of our patient visits—including those for patients needing annual exams, testing, and therapeutic appointments—are still happening in person and in the office. The receptionists are working to stagger visits to decrease the number of people in the office at any one time.

Those coming to the office in person will notice a check-in station at the entrance to the Medical Office Building. The attendant will ask you a few questions about any symptoms you have and lend you a cloth face covering to use, if you don't have one. Wearing the mask over both your mouth and nose for your entire visit is required. For your safety and theirs, you will notice that all staff are wearing masks, too, along with either goggles or a shield. Hopefully you can still tell that we are all smiling, even under our masks!

If an outpatient elective surgical procedure is a part of your care plan, your OB/GYN and other staff will walk you through the process. A few changes, including COVID-19 testing in advance and intensified monitoring after the procedure, increases patient safety.

For those expecting to deliver a baby at SVMC, we are focused on maintaining all of the wonderful things our patients have come to expect from their experiences on the Women's and Children’s unit. Caring medical staff and nurses, individualized attention, and compassionate support are all in abundant supply.

Like when coming to the office, growing families will notice the check-in at the hospital's main entrance and staff wearing protective equipment. Our visitor’s policy indicates only one support person. We recognize that this is so challenging, and we are working to provide all of the support we can to bring your birth experience safely in line with what you had hoped, right down to the cheering support squad provided by a family via video chat during a delivery I attended earlier this week.

In the case that a family has had any exposure to COVID-19, the Women's and Children’s Unit has its own negative-pressure room. Extensive infection-prevention policies—consistent across all of the medical professionals involved with care for growing families, including OB/GYNs, pediatricians, midwives, and nurses—keep moms, babies, families, and staff safe. In fact, SVMC recently got a perfect score on a rigorous survey specifically designed to judge our infection-prevention measures.

Our ongoing commitment—pandemic or no pandemic, no matter your OB/GYN need—is to work through your concerns and deliver safe, individualized, and effective care for you. We hope that new and returning patients will call on us to help them maintain or regain their health. We are open, ready, and safe to provide the care you need.

Kimberley Sampson, MD, is the medical director of OB/GYN at Southwestern Vermont Medical Center.

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