COVID Now
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/ Categories: WELLNESS, 2022

COVID Now

As the effects of the COVID-19 pandemic on society recede, we must recognize that health risks remain, particularly for older individuals and those with compromising health conditions. Fortunately, the mortality and rate of severe illness have declined with the use of vaccines and treatments. Here is the latest.

  • COVID-19 hospitalizations in the U.S. are rising, similar to last year at this time
  • One difference is that hospitalizations are primarily limited to people above 65 this season due in part to population immunity from vaccination and prior infection(s)
  • Models forecast continued growth in hospitalizations through January
  • An increase in illness from other respiratory viruses has put a severe strain on hospitals
  • New variants are not causing worse disease thus far

Mitigation and prevention

  • Doctors and epidemiologists continue to recommend risk assessment in considering mitigation measures such as masking and avoiding crowds
  • Someone above the age of 65 or who has an underlying medical condition may choose to wear an N95 mask whenever in public, whereas a healthy, young person may choose to mask only when in crowded areas or not at all
  • In addition to age and underlying health, a risk assessment includes one's tolerance for becoming ill
  • No one, whether they are at risk for severe disease or not, wants to be ill while on vacation or during another significant event and thus may choose to mask for several days prior

Risk

  • Risk can be a difficult concept
  • Take, for example, a situation in which there is a 5% chance you will be exposed, perhaps attending a crowded, indoor venue
  • Many healthy people may elect to take that chance
  • However, there is a cumulative effect when the activity is repeated
  • If the individual attends the same venue 15 times, that 5% chance increases to a greater than 50% chance of exposure

Vaccine

  • There are demonstrable benefits to the individual and the community in remaining up to date with COVID-19 vaccine recommendations
  • Those who are up to date with the vaccine and become infected have a
    • Shorter duration of illness, and
    • Reduced severity of disease
  • They are also less likely to experience long-term sequelae from the disease
  • The COVID-19 vaccine schedule continues to be modified and will likely become an annual series

Trey Dobson, MD, is the chief medical officer at Southwestern Vermont Medical Center, part of Southwestern Vermont Health Care, in Bennington. 

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SVMC Creates Virtual Waiting Room to Encourage Distancing

BENNINGTON, VT—May 29, 2020—Starting Monday, many people who need in-person appointments at Southwestern Vermont Health Care's (SVHC) hospital and clinics will no longer need to use traditional waiting rooms. A virtual system created by the hospital allows patients to call 802-447-5000 when they arrive in the parking lot and receive a text message when their provider is ready to see them.

SVMC's outpatient and inpatient surgeries and diagnostic services, like those for imaging and laboratory work, have resumed with enhanced safety protocols per the directive of Governor Phil Scott. The health system's emergency department, ExpressCare, emergency surgical services, and most of its primary and specialty practices remained open during the pandemic.

"SVHC has provided safe, high-quality care throughout the pandemic." Said Thomas A. Dee, FACHE, Southwestern Vermont Health Care’s (SVHC) president and CEO. "Innovation has been an important part of providing care during these extraordinary times and this new program decreases the number of people in our waiting rooms and allows them to stay the recommended 6 feet apart or more."

In order to use the virtual waiting room, patients must be able to wait in their vehicle and have a charged cell phone with them. They will receive the virtual waiting room telephone number during their appointment-reminder telephone call. Signs outside the building and at the respiratory check-in stations inside the main hospital and medical office building entrances will also include the number to call.

Patients simply call the number when they arrive in the parking lot and wait in their cars. When the provider is ready to see them, they will receive a text message alert to indicate that they should come in.

"We love that we can use the same technology that most people carry with them to help people stay socially distanced," said Gail Balch, RN, who directs information technology at SVMC. "It's through innovations like this one that we are able to resume services safely and ensure patients receive the care they need."

Hospital and clinic staff anticipate that the new program will allow greater distance between people who must use traditional waiting rooms, including those who walked or took public transportation to their appointment and those who do not have a cell phone.

Additional safety protocols indicate that all patients should arrive to the hospital or clinic with their own cloth face covering. Face coverings must be worn over the mouth and nose for the entire duration of patients' visits. Patients should also come alone, unless they absolutely need assistance from a loved one.

For questions about how to resume or initiate elective care, call your primary care provider or the specialist directly. For a list of providers, visit svhealthcare.org/physician-directory.

Patients with cough or shortness of breath or any two of the following—fever, chills, muscle pain, headache, sore throat, or new loss of taste or smell—should contact their primary care provider or the COVID-19 Informational Hotline at 802-440-8844 before arriving to either their provider’s office or the hospital. For a detailed list of safety protocols, frequently asked questions, visitor guidelines, and COVID-19 information, visit svhealthcare.org.

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