When to Test and How
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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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A Very Unusual Road Race

Matthew Vernon, MD, radiation oncologist at the Southwestern Vermont Regional Cancer Center, and his wife Elisa Donato love running road races. In just the last 2 years, the couple has completed one full marathon, nearly 30 half marathons, and a generous sprinkling of races of other distances. They love to get the finisher medals at the ends of their races and take great pride in their extensive collection of them.

In February, they set out on a trip to run a 20-mile trail race up and down a volcano on an island in shark-filled Lake Nicaragua. And they thought that race would be their most unique of the year.

Matt and Elisa were training for their second full marathon, scheduled for April 26th in New Jersey, when COVID-19 hit.

"Of course the race was canceled," Dr. Vernon remembers. "But we couldn't be marathon-ready and not run." They had toyed with the idea of organizing a race of their own, so this seemed like the time to do it.

That is how the COVID Bridges Marathon/Half Marathon/10K/5K/AnyK was born. (The name is a quippy take on the popular Covered Bridges Half Marathon that happens in Woodstock, VT, each year. And yes, their marathon course also included covered bridges.)

Once the name stuck, they designed and ordered a finisher medal for everyone who signed up.

And as long as they were going to the trouble to start a virtual/distanced road race in the middle of a pandemic, why not raise some money, too? They started a Facebook group and a GoFundMe page, set a goal of $1,000, and designated the Cancer Center as the recipient. They recommended an entry fee of $10 per person, and lots of people signed up, including many colleagues from Southwestern Vermont Health Care.

"We were originally going to pick April 26, the same day as our marathon, but we thought we had a better chance for good weather in May," Dr. Vernon shared. They picked May 9. That day turned out to include heavy snow.

As a virtual race, however, they clarified that the run could occur at the time of the participant’s choosing, over the course of their choosing, of any distance. A few even bicycled in place of running. Many participants brought their kids along.

The event raised $1,045 for the Cancer Center. And people had a good time bonding over running and walking during this unusual time.

"In the end it was a great experience," Dr. Vernon said. "We had a blast, inspired some people to get out of the house, and raised some money for a good cause. And those medals will certainly inspire unique feelings when we see them hanging there among our collection."

 

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