Your Next Dentist Visit May Look Different — What To Expect and Why

Sponsored – Dentist Offices have reopened to see patients for routine visits but with changes due to COVID19 your next stop may feel anything but routine.

a person sitting on a table: WMTV

© Provided by Madison WMTV

“A lot of things have changed as far as the COVID19 virus,” said Dr. Dave Ducommun of Madison No Fear Dentistry where new protocols are in place to protect both patients and their team. “We want to make sure that we keep people at a six foot distance at a minimum. If we get closer than that we want to certainly make sure that we have self protective equipment on because we have to treat everybody as if they have COVID19 — an active infection — as if they’re walking around and they are asymptomatic yet they are shedding viruses. So, we treat pretty much every patient and each other in the office like that.”

From the moment you drive into the parking lot you will begin to see the changes in place.

“It used to be when you got to your dental office you would walk in and check in at the front desk. That doesn’t happen any more,” Dr. Ducommun explained. “We have a big sign on the outside of the building that says please text us to let us know you’re here and then in response we text them back a survey to make sure they’re pre-screened and don’t have any symptoms at this time and a little consent form. It works really well and now we know who’s waiting in their car and who’s healthy and can come in.”

“Once we’re ready for them and we want to do all the front desk things we call them in As they get in they go straight to the sink and wash their hands. We want to make sure everybody’s got clean hands. We’ve blocked all the doors open in the building so there’s minimum surfaces to touch.”

“Once they wash their hands they come to the front desk and they can check in and do all their insurance things that they need to do and we take their forehead temperature to make sure that they actually don’t have a temperature at that time.”

No Fear Dentistry even installed plexiglass to help keep the front desk team and patients socially distanced.

“Then they are ready to go back and their provider is ready for them so they walk 6 feet away from each other, they go into the room and they’re asked to use a peroxide switch for 60 seconds. That actually is really effective against the virus and it kills the virus. So again one more time they wash their hands, sit in the chair to minimize touching of anything and then our team members get on their PPE and they are now protected and they can come within 6 feet of the patient.”

No Fear Dentistry is also limiting the use of ultrasonic dental equipment to prevent aerosols in the air and adding

Read more

Knowing What to Expect May Help After Sexual Assault | Health News

By Steven Reinberg, HealthDay Reporter


SATURDAY, Oct. 24, 2020 (HealthDay News) — Sexual assault is common in America, with an attack occurring every 73 seconds. But having supportive care at the emergency department and afterwards can help heal the trauma, Penn State doctors say.

One in five women is raped during their lifetime, yet only 25% report it, according to the National Sexual Violence Resource Center. The closer the relationship is between the victim and the offender, the more likely it won’t be reported, says the U.S. Department of Justice. Even when attackers aren’t known, more than half the victims do not report their assaults.

“It’s a very traumatic event,” said Debbie Medley, an assistant nurse manager in the emergency department at Penn State Health Medical Center. “It takes quite a bit of emotional strength for somebody to decide that they want to report it and seek help,” she added in a Penn State news release.

If you are in immediate danger, you should call 911 to request assistance, Medley said. “But there are ways to report the assault other than just picking up the phone and calling 911 or your local police department,” she noted.

The Rape, Abuse and Incest National Network’s national hotline can connect you with trained staff from a local sexual assault service. Victims of sexual assault can also go directly to any local emergency room for treatment.

Medley stressed that in the emergency room it’s important to provide patients with as much control as possible during the forensic exam.

“Among the equipment in our dedicated exam room, we have a clicker that enables the patient to take their own photograph, should they agree to have photographs taken during the exam,” Medley said.

Sexual assault examiners should know the state’s regulations and required documentation and how to report the assault to the police — if that’s what the victim wants.

“Even though the assault will be documented by us, it doesn’t mean that a report must be filed with the police,” Medley said. Pennsylvania law, for example, allows victims to have the sexual assault evidence kit collected and tested anonymously — without their name attached to it, she added.

“They can have that reassurance that they’ll get the medical treatment they need, when they need it. They’ll get connected to support services to help them navigate the emotional trauma of their assault. And they’ll have the peace of mind that while they might not want to report the crime yet, we have the evidence kit if they ever change their mind,” Medley said.

Copyright © 2020 HealthDay. All rights reserved.

Source Article

Read more

Expect to live with virus at least till mid-2021

PARIS (Reuters) – France will have to live with the coronavirus at least until next summer, President Emmanuel Macron said on Friday.

Macron, who was speaking during a visit to a hospital in Pointoise, near Paris, said there were no plans at this stage to reduce curfews aimed at preventing the virus spreading but that curfews could even be extended.

a man wearing a suit and tie: French President Macron meets with medical staff in Pontoise

© Reuters/POOL
French President Macron meets with medical staff in Pontoise

“When I listen to scientists I see that projections are for at best until next Summer,” he said, adding it was too early to say if France was headed towards new full or partial lockdowns.

The coronavirus is spreading through France faster than at the peak of the first wave in spring, a government scientific advisor said earlier on Friday.

France reported 41,622 new COVID-19 cases on Thursday, a new daily record, and will break through the 1,000,000 cumulative tally on Friday – a grim milestone for the government as it and other European capitals battle to keep their economies open.

France has announced plans to extend a curfew to 38 more administrative departments from midnight on Friday. In all, two thirds of the country’s 67 million population will be confined indoors each night from 9 p.m. to 6 a.m. until early December.

(Reporting by Dominique Vidalon; Editing by Kevin Liffey and Chizu Nomiyama)

Source Article

Read more

Newsom tells Calif. to not expect ‘mass availability’ of vaccine until 2021

California Gov. Gavin Newsom said Monday under the best-case scenario, an extremely limited supply of a COVID-19 vaccine approved by the Food and Drug Administration will be available by November or December, countering President Donald Trump’s repeated assurance to the American people that a vaccine could be widely available before the year’s end.

Newsom expects California to receive 1 to 2 million doses in the first vaccine delivery, and this would be the amount needed to inoculate people working in the health care system.

A major inoculation effort — where anyone could go to their local pharmacy for a vaccine — is highly unlikely until next year, he said.

“It is simply unrealistic,” said Newsom. “We don’t anticipate mass availability until 2021.”

The governor said the big question now is whether vaccines will be widely available in the first, second or third quarter of 2021.

Newsom also announced at his regular Monday press briefing the state has created a task force made up of 11 scientists to conduct an independent medical review of the safety of any FDA-approved vaccine before administering it to Californians.

“We don’t take anyone’s word for it,” said Newsom, noting that experts on the review committee hail from top universities such as UC Berkeley and Stanford.

The state is 1 of 5 jurisdictions to submit an advance plan for vaccine distribution and as a result received $29 million from the federal government, the governor said. Under the state plan, the first phase of vaccine distribution would prioritize high-risk individuals including health care workers, seniors age 65-plus and long-term care, essential workers, those with disabilities, racial and ethnic minority groups, rural populations and incarcerated and detained individuals.

The state is also preparing to procure and distribute vaccine supplies such as syringes, alcohol pads and bandages. Other pieces of the plan look at vaccine storage that requires cold conditions, data management and public education.

Source Article

Read more

What to Expect at the Dentist during COVID-19

What to Expect at the Dentist during COVID-19

The world is still a
very different place than it was at the beginning of 2020. Despite having to
adapt to our new normal, many health services, like dental care, are available
to us again. A few months ago we answered some important dental health questions
in our article Keeping Your Teeth Healthy During COVID-19. As we all adjust to living long-term with
COVID-19, we’d like to revisit this topic to help support your overall health.

Dental offices are back open! Is it business as usual?

Yes, as of the end
of May, the governors of Vermont and New York declared that dental offices
could reopen. There are very stringent guidelines in place for dental offices,
all with an effort to help keep the staff, patients, and greater community
safe. Here at UVM Medical Center Dental and Oral Health we opened up slowly so we could closely monitor the
viral case loads and trends within the state. We have altered our schedule to
allow for added cleaning and disinfecting procedures. Some of our appointments
have been altered to reduce producing any unnecessary aerosols, or airborne

What should I expect for my first appointment back?

Some processes are a
little different. First, we ask that people call our office when they’ve
arrived in the parking lot. This allows our staff to ask some COVID-19
screening questions prior to being permitted in the building. Plus, this helps
to reduce cross traffic from individuals checking in and out at the same time.

Upon entering our
office, everyone’s temperatures are taken and recorded. Also, our patients are
asked to wear masks when entering the building and to keep them on until they
are safely seated in their treatment room and our staff asks them to remove it.
The dental healthcare professionals are wearing all of the recommended personal
protective equipment to keep them and the patients safe. Once the procedure is
finished, the patient puts their mask back on. Then, insurance info, payments
and future appointment scheduling are now completed in the treatment room, so
our patients can head straight to the exit when they are finished.

How is dental health connected to overall health/immunity?

The mouth is the
“gateway” to the rest of the body and has a huge connection to our overall
health. Our body functions through many intricate systems of checks and
balances. If our immune system is suppressed due to a sickness or health
condition, then it’s not working at full capacity in other areas. Since our
mouth is connected to our body, the goal is to keep the bacterial load within
normal to help maintain a healthy balance. Just as washing our hands keeps
bacteria at bay, so does brushing and flossing.

Why is oral bacteria a concern for the rest of our body?

There is evidence of
a specific link between oral health and heart disease. Recent studies show that
if you have gum disease in a moderate or

Read more

Don’t Expect a COVID Vaccine before the Election

During a press conference in early September, President Donald Trump was asked when he thought a vaccine for COVID-19 might become available. His prediction was upbeat: “We’re going to have a vaccine very soon,” Trump said. “Maybe even before a very special day—you know what day I’m talking about.”

Trump was referring, of course, to the presidential election on November 3. But the odds of a vaccine materializing for public use before then appear slim. New drugs and vaccines ordinarily go through a lengthy review process prior to regulatory approval. Vaccines for COVID-19, however, are widely expected to be released under emergency use authorization (EUA) protocols, which allow for the sale of unapproved medical products during national health crises. On October 6 the White House agreed to new EUA guidelines that call on COVID-19 vaccine developers to monitor their phase III clinical trial subjects for at least two months for side effects and severe disease. The U.S. Food and Drug Administration, which administers EUAs, will host a widely anticipated meeting on October 22 to address standards for efficacy, safety and manufacturing of COVID-19 vaccines. But the FDA’s recommended two-month observation period puts a preelection vaccine approval out of reach.

EUAs could, however, make the first successful COVID-19 vaccines available to frontline workers by the start of 2021, although distribution in the general U.S. population will take longer, starting with elderly and other high-risk groups, and then younger healthier people who may not have access to them until late in the year, according to Paul Offit, a pediatrician and director of the Vaccine Education Center at Children’s Hospital of Philadelphia. The FDA has already granted hundreds of COVID-related EUAs for products such as diagnostic tests, medical devices and therapies—including for convalescent plasma and hydroxychloroquine (the latter was later revoked).

“All the COVID-19 vaccine developers are going for an EUA first,” says Eric Topol, a cardiologist and head of the Scripps Research Translational Institute in La Jolla, Calif., who has directed numerous multinational clinical trials (although none for vaccines). “It makes no sense to wait for formal licensure.”

Defining Success

Obtaining an EUA hinges on how independent reviewers judge a vaccine’s performance during periodic readouts of phase III clinical trial data. The trials are each enrolling tens of thousands of people and are also double-blinded—meaning that neither the subjects nor the experimenters know which participants got a vaccine versus a placebo. They were designed to continue until the number of symptomatic infections reaches 150 in the vaccinated and control groups combined. If a vaccine halves the risk of symptomatic infections among the vaccinated group, it will meet the FDA’s minimum bar for approval.

Reviewers examining the interim data readouts will be looking for better protection than that. Pfizer, which began a phase III trial for its vaccine on July 27, plans to conduct its first readout when the number of symptomatic cases reaches 32. The company expects that could happen this month, making it first in line for a potential EUA. Statistical

Read more