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Working Safely- An Interview

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Want to protect your company when returning to work?
Read this interview featuring our own Dr. Scott Conard

From an interview with Western Medical Consulting and Dr. Scott Conard:

While COVID-19 cases continue to rise throughout most of the United States, most companies and businesses have “reopened” or are making plans to resume operations as soon as they can.  Particularly for businesses in which on-site attendance in either required or critically important, they face unique challenges.  Everything is about mitigating risk so that operations can resume while protecting staff and customers/clients and avoiding massively disruptive shutdowns.

Western Medical finds itself in the middle of many of these conversations as we provide critical supplies ranging from testing kits to university hospitals; face shields to clinics; and respirator masks and 3 ply masks to businesses (and their employees), home health agencies, and hospitals.   To aid our clients we are bringing in leading experts to offer advice and tips on responding intelligently and responsibly to the pandemic.

We are starting with Dr. Scott Conard. 

Dr. Conard is a practicing family physician, long time Professor, and chief medical officer and a leading consultant to several companies that are “reopening”. We spoke to him regarding his advice to companies on coming back to work during COVID-19:

Importantly, we are referring to “return to office or plant” as most of these workers have never stopped working and in fact, many have been working harder than ever.  While most of these companies that have remained partially or completely shut were planning on returning on July 1, due to the virus surge being experienced in many parts of the US, many re-openings were delayed or canceled, and are slow in moving ahead.

We have deployed different strategies for the different type of companies but there are certain commonalities:

In all cases the foundation of the return to office strategy is based upon “the big 3”:

  • Social distancing
  • Using PPE appropriately
  • Careful hygienic standards

 

Social Distancing:

There’s a lot of information out there on basic common-sense strategies (do not have workers on top of each other, install plexiglass separating cashiers from customers, etc…) but we have been working on deeper strategies.  For example, our companies have told us that while people are working hard remotely what has suffered most is collaboration which is critical in certain industries.  How do you allow the resumption of collaboration and working in teams while mitigating risk?  

 Some of our companies wanted to divide up the staff and have them come in on different days (for example divide into 5 “teams” and have everyone start in the office one day a week) but that’s not a COVID-19 compatible strategy for several reasons.  Instead, we suggested a different strategy — divide into teams by what they do and who needs to be there for teams to function best for collaboration — for example, suppose a drafting/design team needs an architect, engineer, draftsman, marketing person, and finance support. Create 3 “teams” and bring them back together at the office for one week at a time (Team A is in during week one then Team B comes next week then team C) and of course monitor everyone.  If there is exposure during the week the worst-case scenario is only one entire team is exposed BUT by the time they are due to come back they can have treatment (86% of people who get COVID-19 experience low impact) and by the time their “turn comes up” to come back to the office they will have effectively served a full 14 day quarantine period — thus mitigating risk to the company at large but allowing teams to function properly.

 Another strategy that clinically makes sense is to risk stratify those returning to work (remember this is just from the medical perspective and is not legal advice — must work with HR and legal team) 

 Divide the entire staff into 4 groups:

  • Low risk — personally, low risk and no contact with vulnerable people regularly
  • Low risk but contact with high-risk people at home (elderly or high risk)
  • High risk
  • COVID-19 impacted — in some type of protocol
 

The idea is not to treat all employees the same with respect to COVID-19 mitigation strategies and have more stringent precautions in place for the latter 3 groups that require more protection.  Again, it is important to work with legal counsel due to ADA and EEOC concerns. This usually requires companies to come up with ways to voluntarily obtain this information and to then educate the staff. 

 The challenge with COVID-19 is this virus turns people into weapons to spread itself and we do not know who these people are until too late.

 Thus the importance of foundational practices 2 and 3 — it is vital to have and use PPE and to have policies and procedures in place to ensure hygienic conditions in the workplace — but these policies and procedures must not only be established but followed as well.

 Wrongful death suits have begun to appear with the claim that employees went to work, got sick, and died because while the companies had policies and procedures, the managers were not consistently educating and enforcing them.  Companies must have complete alignment throughout their business:

  1. C suite completely educated, knowledgeable, and aligned with policies and procedures
  2. Managers/director level educated and enforcing procedures
  3. Staff Returning to work understanding how COVID-19 works and their responsibility to stop the spread

Training/education is super important, lip service is not enough.  For example, one company had very strict policies in place on the use of masks and face shields (due to the vulnerability of eyes we recommend both masks and face shields or goggles to employees that come in regular contact with people and social distancing is not feasible at all times) and regular use of hand sanitizer but the company didn’t provide any! Cannot just be words must be supported through action.

Testing

We advise our companies to employ a testing protocol based on the conditions (that is, what is the prevalence of COVID-19 on the worksite and in the community).  Testing is costly, disruptive, stressful, and challenging logistically. At this time, based on the data we only recommend the use of PCR testing as the rapid antigen testing is simply not accurate enough at this time. For example a sample strategy developed for a company in a moderately affected community is:

  • With low prevalence (less than 5%) we recommend a symptom-based testing strategy however if the rate goes up in the community and workplace be more aggressive.
  • At 10% more aggressive — we are tracking people that may have been exposed to any outbreak.
  • At 15% random testing and testing entire departments that may have been exposed even if no direct contact/exposure
  • Above 20% — global testing for the entire workplace.

 

Case study:

Logistics warehouse: Manufacturers bring products a warehouse where it is unloaded, is gets taken into the facility, sorted, redistributed and taken back out to the retail outlets.

One of the drivers from the manufacturer had COVID-19 — infected the person receiving the inventory, who then infects his coworkers on the dock before he developed any symptoms – so 7% of the facility had COVID-19 by the time the first person was diagnosed.  We advised that the company test everyone within the “next ring” – regardless of symptoms.  When  half of them were positive we immediately advised the company to test and monitor everyone in the facility, implemented very strict “big 3” protocols -ensuring that all protocols re PPE and hygiene were being strictly followed, and thus we were able to contain COVID-19, and keep the warehouse open with only 14% of the Employees being affected.

  

In summary, following the 3 critical points (effective social distancing; use of PPE; and proper hygienic practices), ensuring that the policies and procedures in effect for these requirements are understood by everyone from entry-level workers to executives, supporting and empowering managers to strictly follow the protocols, and scaling testing based upon a high risk situation resulted in a successful health and business win for the company.

 

For more information on how your company can mitigate risks associated with COVID-19 contact Dr. Conard directly at Scott@scottconard.com.

 For assistance with any medical supplies contact us at Randy@westernsurg.com.


Dr. Conard Interview with Family Medicine Consortium

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Our Medical Director Dr. Scott Conard sat down for an interview with the Family Medicine Education Consortium. Have a listen to learn more about Dr. Conard and his journey in medicine.


Flu and COVID – Winter 2020

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Flu and Covid – Preparing for Winter 2020

As everyone is trying to manage the spread of COVID-19, we are quickly approaching the fall and winter months. This year, and every year, we want you to be protected against the flu.  Here are some comparisons between the Flu and COVID this fall. 

Flu Shot FAQ

Will there be changes in how and where flu vaccine is given this fall and winter?

How and where people get a flu vaccine may need to change due to the COVID-19 pandemic. CDC is working with healthcare providers and state and local health departments to develop contingency plans on how to vaccinate people against flu without increasing their risk of exposure to respiratory germs, like the virus that causes COVID-19.

Some settings that usually provide flu vaccine, like workplaces, may not offer vaccination this upcoming season, because of the challenges with maintaining social distancing. For more information on where you can get a flu vaccine, visit www.vaccinefinder.orgexternal icon.

 

Will there be flu along with COVID-19 in the fall and winter?

While it’s not possible to say with certainty what will happen in the fall and winter, CDC believes it’s likely that flu viruses and the virus that causes COVID-19 will both be spreading. In this context, getting a flu vaccine will be more important than ever. CDC recommends that all people 6 months and older get a yearly flu vaccine.

Can I have flu and COVID-19 at the same time?

Yes. It is possible have flu, as well as other respiratory illnesses, and COVID-19 at the same time. Health experts are still studying how common this can be.

Some of the symptoms of flu and COVID-19 are similar, making it hard to tell the difference between them based on symptoms alone. Diagnostic testing can help determine if you are sick with flu or COVID-19.

 

Will a flu vaccine protect me against COVID-19?

Getting a flu vaccine will not protect against COVID-19, however flu vaccination has many other important benefits. Flu vaccines have been shown to reduce the risk of flu illness, hospitalization and death. Getting a flu vaccine this fall will be more important than ever, not only to reduce your risk from flu but also to help conserve potentially scarce health care resources.

What is CDC doing to promote flu vaccination during the COVID-19 pandemic?

To address the importance of influenza vaccination, especially during the COVID-19 pandemic, CDC will maximize flu vaccination by increasing availability of vaccine, including purchasing an additional 2 million doses of pediatric flu vaccine and 9.3 million doses of adult flu vaccine, by emphasizing the importance of flu vaccination for the entire flu season, and by conducting targeted communication outreach to specific groups who are at higher risk for complications from flu. These same groups are often at higher risk for COVID-19 too, so protecting them from influenza is important to decrease their risk of co-infection. 

 
 This information was provided by the CDC. 


11 Benefits of Tea

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Tea has been used as a medicine for thousands of years, originating in China but widely used throughout Asia this beverage has a multitude of uses from lowering blood pressure to preventing cancer. The reason that green tea has more health benefits attached to it than black tea is (apparently) due to the processing.

11 Benefits of Tea


Tips for Mastering the Art of Sleep

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The body maintains a sleep-wake cycle. Keeping a consistent sleep schedule encourages better sleep that helps you feel more alert and awake during the day. Take a look at this for more tips!

Tips for Mastering the Art of Sleep


10 Things You Can Do To Help Stop Dry Skin

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Nobody likes having dry skin! Here are 10 things that can cause dry skin and how you can avoid their effects.

10 Thing You Can do To Stop Dry Skin


Pain in the heel or bottom of your foot?

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Here’s another one to add to the number of signs and symptoms of declining hormones. Are the heel or bottom of your foot causing you pain? Are you finding yourself seeking relief in the Dr. Scholl’s section of the pharmacy? It could be due to foot fat pad atrophy. The foot fat pads are the tissue that protects your foot on the ball of the foot and at the bottom of the heel. Atrophy means shrinking or disappearing. The foot pad tissue under the foot does decline with age. Menopause and surgical menopause increase the rate of decline. Obvious mechanical issues, such as being overweight, can also have a negative impact and hasten the loss of the plumpness of this tissue. If plantar fasciitis (painful inflammation of the bottom of the foot) has been an issue, your practitioner may have used one or more injections of “cortisone” to relieve pain. Unfortunately, this “cortisone” is not the same as the cortisone hormone the body produces; it is actually a synthetic analog that can lead to even more atrophy of the foot pads. In addition, as Dr Dzugan points out in The Magic of Cholesterol Numbers, cholesterol levels elevate when the body senses a deficiency of the sex and adrenal hormones, which are normally produced from cholesterol. So statin users beware! When taking statins, not only do cholesterol levels fall, but the ability to make hormones drops even further. Statin drug use may be a source of foot pain from accelerated foot fat pad atrophy.

If you are experiencing foot pain, ask Sue to check for hormone deficiencies, including vitamin D (which is also made from cholesterol). These deficiencies may be the underlying cause of your foot pain.

Carol Petersen, RPh, CNP – Women’s International Pharmacy


Obesity: Costs and Chronic Conditions

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Obesity is one of the leading drivers in healthcare costs today. Here are highlights of a few of the main chronic conditions that contribute to these rising costs. For more information on ways to control your weight, see Weight Loss the Jabez Way or The Seven Numbers by Dr. Scott Conard.

Obesity: Costs & Chronic Conditions


Diabetes Prevention – It’s Never Too Late!

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Diabetes prevention can be yours. Here is an educational tool to open your eyes and instruct you visually in the best path to better health and well-being. Diabetes is the 7th leading cause of death. It is no surprise that 28.5 million people suffer from it creating a whopping 174 billion dollar cost to the US health system. It is important for everyone, therefore, to take action to control the rise of diabetes and do their part for the good of society as well as for themselves.This graphic teaches the importance of good nutrition and regular exercise as steps to success. In addition, getting regular checkups and controlling fat intake are essential. Dietary supplements are conveniently listed to assist in the process including raspberry ketones, garcinia cambogia, saffron, green coffee bean, and acai berry. If a strict regimen is followed, you can improve your odds while you receive multiple health benefits to the heart, cholesterol levels, blood pressure, and more. Weight loss is the answer to the rampant spread of diabetes. Insulin resistance and control is the goal. Only then can you avoid the numerous side effects listed below that include serious repercussions for the eyes and kidneys, the heart, nerves, and even feet. For more information on diabetes and how to combat it, please see The Seven Numbers by Dr. Scott Conard. It’s never too late to start!

Weight Loss Leads to Diabetes Prevention


How Gum Disease Affects the Body

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Gum disease affects the entire body. By neglecting to both brush and floss properly, you’re giving up the easiest and best way to protect against gum disease as well as heart disease, diabetes, Alzheimer’s, and premature birth. A healthy mouth can reduce disease by 20%, so don’t ignore your mouth!

How Gum Disease Affects the Body

Explore more infographics like this one on the web’s largest information design community – Visually.