When to Test and How
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/ Categories: WELLNESS, 2021

When to Test and How

Healthcare systems are attempting to walk a fine line. We want everyone who needs a COVID-19 test to get one. Testing helps people determine whether they need to isolate from others and whether it’s safe to resume our lives after a suspected exposure. At the same time, nervousness and anxiety are inspiring people to get a PCR test when they may not need one. This causes unnecessarily long waits at testing centers. Here’s the latest.

Get a PCR test if:

  • You have symptoms of COVID-19, even after vaccination.
  • You have been informed that you are a close contact (within 6 feet for a total of at least 15 minutes) of someone with a confirmed case of COVID, even after vaccination.

Note that if you have tested positive in the past 90 days, you may test positive again, even after you have recovered without having been reinfected. Because reinfection within 90 days is so rare, getting tested within this timeframe may not be worthwhile.

A new web-based tool available from the Centers for Disease Control and Prevention helps people decide whether or not they need a PCR test for COVID-19. We’ve linked to it at svhealthcare.org/COVID-Resource-Center.

You may also need a negative COVID test if you are returning to college or boarding school or if you are traveling via plane, for instance. Some workplaces or family gatherings also require a negative test.

If you took part in activities that put you at higher risk—like travel or attending a big gathering in a crowded indoor setting—but have not been alerted to any potential exposure or you would like assurance that you’re not infected before attending an event, an at-home antigen test is likely sufficient to provide the reassurance you need.  

Following these recommendations will ensure everyone gets the tests they need while preserving local testing capacity for those who need it most.

Karen Bond is the director of Laboratory Services at Southwestern Vermont Medical Center, part of Southwestern Vermont Health Care, in Bennington.

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Meet Dr. Disha Spath

Dr. Disha Spath, an internal medicine physician originally from Georgia, was excited to start a new position at Twin Rivers Medical, P.C., in Hoosick Falls, NY, on April 20th. But then COVID-19 struck. As practice appointments plummeted and the potential for a surge of COVID-19 patients rose, Dr. Spath volunteered to take a temporary assignment serving in-patients with SVMC’s Hospital Medicine Department.

SVMC: Already new to the health system, what was it like to have your plans change from practice-based medicine to hospital medicine so suddenly?
DS: Well, to be honest, it was a little scary given the times. I had to come to terms with the fact that I could possibly expose my family to SARS-CoV-2. My husband and I had some tough conversations and came up with a risk-mitigation strategy… [Then] I actually reached out to Trey, [the chief medical officer,] and volunteered to help out in the hospital. I've been a primary care physician recently, but I'm not too far removed from hospital medicine. In fact, I was already planning on picking up some per diem hospitalist work later this year. I just decided to move the timeline forward a bit to help with COVID-19.  This is what I'm trained for. I felt it was my duty to step up and help during the pandemic.  

SVMC: How has it been working with the hospitalists to treat both COVID and non-COVID patients?
DS: The hospitalists have been so kind and generous. They have really taken the time to bring me up to speed with the hospital and have been very gracious with training me on the computer system. I am really thankful that they have included me in their top-notch team. I'm also so very impressed by how involved and thoughtful the leadership is. The way the hospital leadership has ensured adequate PPE for staff and has created the workflows so quickly to deal with COVID-19 is truly inspiring.  

SVMC: What have you noticed or learned about the culture of the health system or the area?
DS: I am really struck by how everyone is so interconnected and how supportive the community is of its healthcare staff. It is very touching to see all the donations of homemade masks, skullcaps, and food to the hospital. I also love that the hospital staff seems to know their patients' home situations and their medical histories so well. 

SVMC: How do you expect your work at Twin Rivers will be affected by your having started your position at the hospital?  
DS: Yes, since hospitalists and primary care physicians often hand off patients, I'm really looking forward to building rapport with the hospitalists. I'm also hoping to meet the specialists I will be referring to. It will be helpful to have an insight into the workflow of the hospital when I refer patients for admission. And I'm already starting to meet some of our lovely patients in Hoosick Falls. Overall, I believe this will be a really positive thing for my work at Twin Rivers. I'm honored to join the area and I hope I can contribute positively to this special community.  

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