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                        <p dir="ltr" id="docs-internal-guid-3716393d-7fff-6aa4-1edf-8a2b613ace48" style="font-style: normal;font-weight: normal;margin: 10px 0;padding: 0;mso-line-height-rule: exactly;-ms-text-size-adjust: 100%;-webkit-text-size-adjust: 100%;color: #202020;font-family: Helvetica;font-size: 16px;line-height: 150%;text-align: left;"><em>“You can speed up life if you want to - that’s easy. Winding down is what’s hard."</em></p>

Covid Updates

Cases are surging in our community and beyond. ICUs throughout our region are full. Unvaccinated persons make up the vast majority of COVID hospitalizations. See 14 day graphs below for details.

Still on the fence about vaccination? Please don’t hesitate to call or visit with me about why I strongly recommend vaccination for all of us. The Pfizer vaccine has achieved full FDA approval and we may soon see Emergency Use Authorization for younger children.

Eligible for a third dose? Currently the CDC is recommending third doses for immunocompromised individuals. We anticipate 3rd dose boosters for highest risk individuals in early September as well. If you are anxious to get your booster sooner please let me know. Because of the way the Pfizer vaccines are packaged and how quickly they spoil, I will occasionally have doses that would otherwise go to waste. 

Here is a link to our local hospital update.

Other useful links:

Current CDC quarantine guidance

Need a COVID test? The Whitman County Health Department is keeping an updated list of facilities in our area offering COVID testing.

While I prefer symptomatic people be tested outside the clinic when feasible, we do continue to offer testing to individuals in the clinic on a limited basis. The charge through DawnMD for a rapid test is $10.50 (my cost). This cannot be billed to insurance. The cash pay charge for a PCR test is $105. Most insurances will pay for PCR testing if you are ill or have had a close contact.  The turn around time on the PCR test is 48-78hr depending on testing volume.

Vaccine tracking

Did you know that you can view your vaccine history at https://myirmobile.com? Consider using this rather than keeping a vaccine card in your wallet. 

Flu vaccines

We are anticipating flu vaccine shipments sometime after Labor Day. Please get your flu vaccine wherever is most convenient to you (pharmacy, flu clinic etc). Flu vaccines at DawnMD are free for kiddos under 18yo and $20 for adults. As always, if you get vaccinated elsewhere, please send us a message so we can keep your file up to date.


Stress and Resilience

Two weeks ago I had the pleasure of attending the Mayo Clinic’s Continuing Medical Education Series Seminar on “A Systematic Approach to Medically Unexplained Symptoms”. One of the speakers from the Mayo Clinic’s Center for Stress Reduction and Resilience gave some wonderful pearls I’d like to share here:

2 minute rule - When you come home from work, resolve to spend just two minutes connecting with your partner/family with NO discussion of tasks or complaints. Just appreciate each other. 

Daily Gratitude - What is the first thing you do every morning? Do you reach for your cell phone? Tally up the tasks facing you? Try this instead: Think about a person you are grateful for. Visualize how they look. Think about why you appreciate them. Spend several minutes thanking them for each thing they bring to your life.

Practice compassion - When you find yourself frustrated by a traffic jam or a line at the store. Think about the person at the head of the line and what they may be struggling with. Understand that everyone is facing a battle that we cannot always see.


Quotables


"You cured me!"
A thank you to this patient who took a moment to thank me for being on top of a diagnosis and getting her treated quickly. She was in Oregon when her hearing went out and reached me by text. I was able to get her started on prednisone that day and her hearing has come back. Early treatment is key to avoid permanent hearing loss in Sudden Sensorineuronal Hearing Loss. Glad she reached out when she did!

"I like to look historical"
Practicing pediatrics brings so much joy. Thanks to this amazing 7 year old for sharing his goal of looking "historical" by wearing sturdy, period appropriate work boots. He nailed it.


Comments/Suggestions?

DawnMD welcomes your feedback. What is working well for you? What can we change to make things easier on you? Feel free to email us directly with your thoughts. 

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