Covid-19 Update
jay • May 11, 2020
May 11,2019
Dr. Genereaux delivered a baby this weekend!
Last week we had a total of 469 patient visits including 51 televisits and 225 phone visits. Our overall visit count is about 60 to 65% of our pre-pandemic visit rate, and behavioral health visits are at the same rate as the pre-pandemic rate. Our East Corinth Clinic continues in-person care tomorrow and again on Friday. Due to a decrease in patients with symptoms of respiratory illness, the Bradford clinic is decreasing the respiratory care only hours to 2:30 to 5PM daily (and as a result increasing customary appointment hours). Please call first, and we will coordinate a visit for you in a safe manner and regardless of your ability to pay. If you need a primary care provider, we will happily help you establish at Little Rivers.
The Vermont Department of Health reported that, based on data in the medical literature, almost 100% of individuals develop symptoms within 11 ½ days after exposure to an individual with COVID-19. Therefore, the recommended period of quarantine is being changed to 12 days. Individuals who are in quarantine can be tested on or after day 7; if the results are negative and they are asymptomatic, they can end quarantine (they should remain in quarantine while awaiting test results).
We are strategically planning for an increase of in-person visits and for warmer weather. We are (1) considering alternating provider appointments of in-person and televisit to minimize waiting room occupancy, (2) researching patient pager systems to allow patients to wait for appointments outside, (3) setting up more spaces outside for patients to sit, and (4) preparing for pre-visit planning calls to remind patients to come along when possible and to review instructions for arrival at the clinic. We are researching special filters and air treatment devices for our air handling systems and air conditioning units to prepare for warmer weather. We look forward to sharing our plans for continued safe access to health care.
VT COVID-19 Cases (as of midday today):
Total cases: 926, New Cases: 7 (since Friday), Deaths: 53 (no new deaths since Friday). Vermont has 5 patients currently hospitalized for COVID-19 and 9 hospitalized under investigation. Windsor County has 45 cases, Washington County has 38 cases, Caledonia County remains at 14 cases and Orange County at 8 cases. Windsor has 2 deaths so far, Washington 1, and none in Caledonia and Orange Counties. Orange County Vermont remains at 2 cases per 10,000 people. In our region, there are confirmed cases in Lyndon, Kirby, St. Johnsbury, Waterford, Marshfield, Groton, Orange and Fairlee.
Total cases: 926, New Cases: 7 (since Friday), Deaths: 53 (no new deaths since Friday). Vermont has 5 patients currently hospitalized for COVID-19 and 9 hospitalized under investigation. Windsor County has 45 cases, Washington County has 38 cases, Caledonia County remains at 14 cases and Orange County at 8 cases. Windsor has 2 deaths so far, Washington 1, and none in Caledonia and Orange Counties. Orange County Vermont remains at 2 cases per 10,000 people. In our region, there are confirmed cases in Lyndon, Kirby, St. Johnsbury, Waterford, Marshfield, Groton, Orange and Fairlee.

Taking Aim at High Blood Pressure: Little Rivers Joins Target: BP™ Little Rivers Health Care is proud to announce our participation in Target: BP™ a national initiative led by the American Heart Association (AHA) and the American Medical Association (AMA) dedicated to reducing heart attacks and strokes by improving blood pressure control. Nearly half of adults in the United States have high blood pressure, and many don’t even know it. Left unmanaged, high blood pressure quietly increases the risk of heart attack, stroke, kidney failure, and more. At Little Rivers, we believe that with the right tools, education, and support, our patients can take control of their heart health — right here in our community. ~47% 130/80mm Hg 11 mmHg of U.S. adults have threshold for Stage 1 hypertension potential reduction high blood pressure with the DASH eating plan What Target: BP™ Means for You Through this partnership, your Little Rivers care team has access to the latest evidence-based resources to better diagnose, treat, and help you manage hypertension. The program is built around the MAP framework — Measure accurately, Act rapidly, and Partner with patients — because we know that the best outcomes happen when we work together. That partnership looks like collaborative goal-setting, clear communication (we’ll always ask you to repeat back instructions in your own words to make sure everything is clear), and a judgment-free space to talk honestly about what’s making blood pressure management hard for you. What You Can Do at Home Managing blood pressure isn’t only about medication. Small, consistent lifestyle changes can make a meaningful difference: • Get moving: Aim for 90–150 minutes of moderate activity per week — brisk walks count. • Reduce sodium: Less than 1,500 mg per day is the goal. Even cutting 1,000 mg helps. • Eat the DASH way: Fruits, vegetables, whole grains, and low-fat dairy — and less red meat. • Manage your weight: Even a 5% weight loss can lower your blood pressure noticeably. • Take medications as prescribed: Take them as directed and never stop without talking to your provider first. • Monitor at home: Two readings in the morning and evening, for seven days, gives your care team the clearest picture. How to take an accurate home reading Avoid caffeine, smoking, and exercise for 30 minutes beforehand. Sit with your back supported, feet flat, arm at heart level — cuff on bare skin above the elbow. Rest 5 minutes before measuring. Take two or three readings one minute apart, and record them. If you’re on blood pressure medication, measure before you take your dose. How Little Rivers Supports You We’re committed to removing barriers that make managing your health difficult. Here’s what we offer: 1. Blood pressure loaner cuff program: Monitor your blood pressure at home with a loaner device and personalized 7-day log — ask your care team to get started. 2. Appointment preparation guide: Arrive ready to discuss your medications, goals, and any obstacles. No question is too small. 3. The Food Farmacy: Our program connecting patients to fresh, affordable produce and nutrition support right in our community. Eating well is one of the most powerful tools for blood pressure control, and we want to make it accessible to everyone. Learn more at littlerivers.org/the-food-farmacy. 4. Ongoing education: AHA- and AMA-backed fact sheets and resources so you always understand your numbers and your options. Ready to take the next step? Talk to your Little Rivers care team at your next appointment, or visit littlerivers.org/the-food-farmacy to learn more about the Food Farmacy and our heart health programs.










