Missing Medical Appointments Due To Covid-19

This was on Facebook. An important article to read and take heed.

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Why You May Regret Letting Virus Fears Keep You Away From the Doctor

Critical cancer screenings, vital vaccinations, emergency symptoms call for visits

GETTY IMAGES

Non-urgent medical appointments have been on hold for much of the pandemic. Over the past four months, patients and physicians have canceled routine checkups, postponed preventive screenings and put off elective surgeries to protect the health and safety of everyone involved.

But just because in-person visits took a break, that doesn’t mean diseases did. And many patients are asking if and when they should get back to the doctor’s office.

The answer? “It’s really complicated,” says A. Mark Fendrick, M.D., a professor of internal medicine and director of the Center for Value-Based Insurance Design at the University of Michigan — and it’s a decision that should be made on a case-by-case basis with your doctor, who can help you weigh the risks and benefits of being seen in person.

For example, where you live matters. Some communities are seeing a decline in coronavirus cases, while others are experiencing a surge. If you have underlying health conditions that make you more likely to be hospitalized for a coronavirus infection and live in an area where COVID-19 cases are spiking, your physician may opt to keep your appointments over the phone or computer — especially if your ailments can be managed and measured (with a blood pressure cuff and a scale, for instance) from home.

“Having that ability to be in touch with your clinician and make decisions with them” is the best way to determine whether you can be or need to be seen in person anytime soon, Fendrick adds.

Don’t delay emergency care

Exercising caution when it comes to the coronavirus is one thing, but it’s important to differentiate between the type of care that can wait and the conditions and concerns that need more immediate attention. And experts say one of the more alarming consequences of the coronavirus pandemic has been the delay in emergency care.

“We’re finding that many people are going overboard the other way; they are actually sick and they would benefit from coming in,” says James S. Powers, M.D., a geriatrician and professor of medicine at Vanderbilt University Medical Center.

A June report from the Centers for Disease Control and Prevention (CDC) found a 42 percent decline in emergency department visits during the early phases of the outbreak. Similarly, an April poll from the American College of Emergency Physicians (ACEP) found that nearly one-third of American adults delayed or avoided medical care over fear of contracting COVID-19.

Symptoms that call for immediate care, according to ACEP, include difficulty breathing or shortness of breath; chest or upper abdominal pain or pressure; sudden dizziness or weakness; a head or spine injury; confusion or difficulty speaking; and uncontrolled bleeding. Injuries from falls should also be evaluated promptly, Powers says.

“Yes, there’s an increased risk for infection” an` time you leave your home and venture into a public place such as a hospital or clinic, Powers explains. “But a greater risk is, of course, the underlying illness that needs to be identified and treated appropriately.”

Stay on top of vaccines

In addition to the drop in emergency room visits, the CDC has also noted a sharp decline in childhood vaccinations during the pandemic, leaving many kids at risk for preventable deadly diseases. Fendrick says older adults should be encouraging their children and grandchildren to stay on top of their vaccine schedules; they also need to make sure they stay up-to-date on their own.

The three most important vaccines for older adults are the flu vaccine, the pneumococcal vaccine and the shingles vaccine, which is given in two doses, two to six months apart.

“Don’t let that window go if you had your [first shingles] injection six months ago and you’re coming due [for the second],” Powers says. “Don’t wait seven or eight months; you should come in and get that now.”

Getting a flu shot this fall “will be more important than ever,” the CDC says, so that’s one appointment you’ll want to make. Keeping adults healthy and out of the hospital as much as possible helps to conserve potentially scarce resources that may be needed for COVID-19.

Some vaccines can be administered at a pharmacy or a walk-in clinic. Check with your doctor to figure out the best time and setting to schedule your shots.

Consider a surgery that will improve your quality of life

Another appointment that’s worth discussing with your doctor is one that will improve your quality of life, such as a joint replacement surgery.

If hospitals and surgery centers in your area are scheduling elective surgeries, and you are booked for a hip or knee replacement, for example, “I would say, ‘Yes, go ahead and do that,’” Powers says. “That’s important for your quality of life; that’s different from just going for a checkup.”

Again, this is a decision your doctor and surgical team can help you make, depending on what’s best for your individual situation.

Keep follow-up cancer screenings

Similar to most other preventive appointments, routine cancer screenings have come to a standstill since March. A report from the health care technology company Komodo Health found that colonoscopies and biopsies performed to diagnose colon cancer declined by nearly 90 percent between January and mid-April, compared with the same period last year; cervical cancer screenings were down by more than 68 percent. This means thousands of Americans will receive a delayed cancer diagnosis because of the pandemic, explains William G. Cance, M.D., a surgical oncologist and chief medical and scientific officer at the American Cancer Society (ACS).

“And the problem that we see is that a lot of patients will just go to the back of the line” when it comes to rescheduling screenings, he adds. “So that’s an even further delay.”

As routine screenings get restarted, some people need to be seen sooner than others. For example, if you have a family history of breast cancer, or have had an abnormal mammogram in the past and are due for one soon, “definitely do not put off your screening,” Cance says. The same goes for cervical and colon cancer screenings in higher-risk individuals.

It’s also important to contact a doctor right away if you are having any symptoms of cancer, such as breast changes, bowel changes or severe fatigue.

For asymptomatic individuals whose previous screenings were clear and who do not have a family history of cancer, postponing a preventive test another few months probably “won’t make any difference,” says Jacqueline W. Fincher, M.D., an internist and president of the American College of Physicians. However, if you are worried about getting pushed to the back of the line due to the backlog of deferred appointments, “be your own advocate” and ask to be seen in a timelier manner, Cance says.

Some chronic conditions require in-person care

While some chronic conditions can be monitored at home with basic medical equipment and regular telehealth check-ins, others need to be dealt with in person. One example is high blood pressure or blood sugar that is not well-managed, Fendrick says. There are also patients on blood thinners who need routine blood draws to check their medication levels, “so those patients should probably go get them done,” he adds.

Patients with congestive heart failure or chronic kidney disease may also need more frequent in-person evaluations and treatments to make sure they don’t develop more acute conditions, Fincher notes. “With chronic medical problems, you cannot continue to put them off. At some point, you’re going to have to be seen,” she adds.

The good news is, these are not appointments you need to proactively schedule on your own. “Your primary care doctor is your go-to person that’s going to help you” decide when you need to be seen, Fincher says. So call your doctor’s office and start the conversation, if you haven’t already.

“You don’t have to be your own doctor; you don’t have to make these decisions in isolation,” she adds.

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It will be very important, especially for senior citizens, to continue receiving your annual vaccines, such as the flu vaccine. Hopefully you have read the article and will decide for yourself, which appointment is important for you to keep and also which vaccines are critical for you to receive.

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Rescue Saves Injured Puppy

This was on Facebook. And I have very strong feelings about the particular subject of animal abuse.

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I would be lying if I said that late at night, I didn’t have awful thoughts as to what I would do to the people who commit such crimes.’

Rescue Saves Puppy With Shattered Jaw And Blown Off Nose After Explosives Went Off In His Mouth

Rescue saves puppy with shattered jaw and blown off nose after explosives went off in his mouth.

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I have always said that it would serve the abuser right, if whatever they do to any animal in the way of abuse was done to them. For example, if someone drags a dog around behind a truck with a chain around its’ neck until it dies, then the person should be drug around behind a truck with a chain, but just short of the person dying. But if someone is actually going to do this, then they need to have the dead dog’s body in the vehicle with them, to be able to show the law just what the person did to the dog. Only difference being that the person gets to recover and live out his life, whereas the poor animal is dead.

Animal abuse should be a felony. The only time an animal should be killed is if they are injured so badly that they won’t make it to the vet, or the vet can’t make it to them, for them to be humanely put to sleep. If animal abuse carried stronger punishments, then maybe there wouldn’t be so much of it rampant in America. The common census states that child abuse often starts in the teen years with animal abuse being the first phase. Later that leads to child abuse, and child abuse often leads to killing adults. The Bible says an eye for an eye and a tooth for a tooth. This goes for people, but it should also go for animals.

There have even been some teenage boys that went so low as to video the abuse and then get a group of friends to view it together so that they can laugh at the animal writhing in pain. Now how sick is that? I’m usually a pretty easy going person, but when it comes to child abuse or animal abuse, I get very angry and say what I feel. Hopefully both kinds of abuse will be treated more seriously by the media and the local authorities that punish the abusers!!

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Groundbeef Hack

This was on Facebook.

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Poster based in Algeria
5d Shared with Public
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This is a great idea. Will have to try it next time I get ground beef. It just makes sense that the thinner something is, when it’s put in the freezer, the sooner it will thaw out when you want to use it.
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DIY – Painting Acorns

This was on Facebook. Something fun for adults and children. It will keep the children occupied for a little while at least.

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DIY – painting acorns.

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This is a really fun thing for families to do together. The best part is that they are your own creation, in that there is no wrong or right way to do it. Whatever you see in that acorn, or want it to look like, is up to you. So find some acorns, get some water based paints for the children, and oil based paints for the adults, and get started.

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Science And Common Sense

This was on Facebook 5 days ago.

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Image may contain: 1 person, text that says 'Valeria _valeriatapia today i learned that new zealand let health experts make the decisions about how to deal w the pandemic rather than polititians and as of today they have O covid cases. WOW almost as if science and common sense works.'

Who would have thought a comprehensive national strategy based on science would work?
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5d 

Shared with Public
Public
From what I have heard and read, most of the people born in 2,000 or later, think it’s all a hoax and that there is no reason for them to wear a mask. They think that it is politically instigated and that come the end of September to the end of October the forces that be will say that there isn’t a pandemic anymore and that COVID-19 is over. I guess, unless they actually get sick, or someone in their family or a close friend gets sick, then they are not going to do anything such as wearing a mask, staying 6 feet apart, and using hand sanitizer is just stupid. I know that I myself will do anything that is necessary to stay well and safe, and not infect anybody in my family.

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You Should Wear A Mask

This was from Facebook. This article is very informative about the wearing of face masks. I think it would benefit everybody to read it.

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Yes, You Should Wear a Mask. Here’s How and Why

July 14, 2020 9:15 AM

Properly wearing a mask or cloth face covering can help keep you safe while navigating the COVID-19 pandemic.

cloth masks in yellow blue and light blue
Image by Stephanie King.

As cases of COVID-19 begin to spike again across the country, it’s important to stay steadfast in helping prevent further spread of the virus. While you should continue to wash your hands, cover your coughs and sneezes, avoid touching your face and follow social distancing rules, wearing a mask is an additional step you should also take to stay safe. Here’s why:

As we’ve learned throughout this pandemic, the most common way COVID-19 spreads is through person-to-person contact. When an infected person coughs, sneezes, or talks, they produce respiratory droplets that can travel about six feet and can land in the mouths or noses of those nearby. COVID-19 can also be spread by people who don’t know they have the virus since they aren’t experiencing any symptoms. Because of this, the Centers for Disease Control recommend wearing masks or cloth face coverings to help slow the spread of the virus. As of July 13, this recommendation became a requirement for those in the state of Michigan as Governor Gretchen Whitmer signed an executive order requiring mask use in all indoor public spaces.

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“Wearing a mask is recommended when we are indoors with others and can’t reliably maintain the six-foot social distancing rules,” says Amanda Valyko, MPH, the director of infection prevention and epidemiology for Michigan Medicine. “In these circumstances, a mask can add an extra layer of protection.”

To make sure you are properly protected, there are some things you should and should NOT do when wearing a mask or cloth face covering:

  • Choose a mask that doesn’t have a valve or other openings in it.
  • Make sure it covers your face from the bridge of your nose down to your chin.
  • Try to fit it snugly against the sides of your face, making sure there are no gaps.
  • Make sure you can breathe easily through it.
  • Wash it regularly using water and a mild detergent; dry it completely in a hot dryer; store it in a clean container or bag.
  • Do not allow it to slip under your nose and don’t wear it on your forehead or around your neck.
  • Do not put it on a child younger than 2, anyone who has trouble breathing or anyone who is unconscious, incapacitated or otherwise unable to remove it without assistance.
  • Do not touch the inside of it, as it may be contaminated from your breathing, coughing or sneezing.
  • Do not share it with others in your household without washing and drying it first.

While wearing a mask may not keep you from getting COVID-19, it can help lower the odds. If you’re sick, a mask can help keep your germs from infecting others. If you’re healthy, a mask can help keep respiratory droplets from someone who is sick from landing in your nose and mouth. While we can’t quantify how effective it is to wear a mask, we do know it offers some protection while not wearing one offers none. In short, we are all at the lowest risk when everyone wears a mask.

PRINT OUT: Tips on How to Wear Cloth Face Coverings

Despite the CDC’s recommendations, there is one big myth out there about the safety of wearing a mask – that it causes you to breath in dangerous amounts of carbon dioxide. “For those who can medically tolerate wearing a mask, there is no science to support claims that wearing a mask can harm you,” says Valyko. “Health care workers wear masks and respirators daily, often for extended periods of time, without incident. While it may be uncomfortable, this is how we can help protect one another from COVID-19.”

There is still so much to learn about COVID-19 but, as we all venture back out to restaurants and stores and re-join our families for birthdays and anniversaries this summer, it’s important to make wearing a mask a priority.

“We are all in this together and wearing a mask helps protect you and everyone around you, especially those who are at the highest risk,” says Valyko.

If God Could,… Then He Can…

This was on Facebook.

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Hope For The Broken Hearted

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God is awesome, and He can do anything and everything that anybody and everybody may think is impossible. The word, IMPOSSIBLE, is not even in His vocabulary. It’s not possible for anything to be impossible for God. Just reread the things above and you will realize that what I am saying is true. When God is in your life, nothing is impossible to you. Once God The Father, Jesus Christ-The Son, and The Holy Ghost are in your heart, that means that  you are then, and always will be, a Child Of God. Once you are a child of God, nothing and nobody can ever pluck you out of His hands!!!

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A Stolen Can Of Peaches

This was on Facebook. I guarantee at the end, you will laugh.

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4d Shared with Public
Senior Shoplifter
A cranky older woman “in her senior years” was arrested for shoplifting at a grocery store. She gave everyone a hard time, from the store manager to the security guard to the arresting officer who took her away. She complained and criticized everything and everyone throughout the process.
When she appeared before the judge, the judge asked her what she had stolen from the store.
The lady defiantly replied, “Just a stupid can of peaches you old fool.”
The judge then asked why she had done it.
She replied, “I was hungry and forgot to bring any cash to the store.”
The judge asked how many peaches were in the can.
She replied in a nasty tone, “Nine! But why do you care about that?”
The judge answered patiently, “Well, ma’am, because I’m going to give you nine days in jail — one day for each peach.”
As the judge was about to drop his gavel, the lady’s long-suffering husband raised his hand slowly and asked if he might speak.
“Yes sir, what do you have to add?”
The husband said meekly, “Your Honor, she also stole two cans of peas.”
♫♪•*¨*•COME HANG OUT WITH ME•*¨*•♫♪
You just never know what I will post next
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At first I was surprised about the whole thing. However after the judge passed his sentence on the woman, you just have to laugh at what the husband told the judge.
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“World’s Oldest Person” 134

This was on Facebook.

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dsfasdf 1.jpg?resize=1200,630 - The "World’s Oldest Person" Celebrates Her 134th Birthday At A Banquet Party

Rescued Puppy Has New Family

This  was on Facebook.

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2h Shared with Custom

The puppy was tied to a fence and abandoned by her owner. Her rescuer was overwhelmed when he found the scared puppy trying to find comfort by snuggling with his baby.

Dumped Puppy Doesn’t Know How To Lie Down And Keeps Tumbling, Finds Comfort In Baby
ILOVEMYDOGSOMUCH.TV
Dumped Puppy Doesn’t Know How To Lie Down And Keeps Tumbling, Finds Comfort In Baby
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I sure am glad that this puppy was rescued. From the pictures, I know that this puppy will be loved and well taken care of. He and the baby will grow up together. Hopefully the puppy will trust its’ new owners and start showing affection to the whole family.
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