Friday, 26 April 2024

Health

SACRAMENTO — California Department of Public Health Director and State Public Health Officer Dr. Tomás Aragón urged Californians in areas affected by wildfire smoke to take steps to protect their health, including staying indoors and reducing outdoor activity if necessary to avoid the inhalation of smoke and ash. Californians can check their local air quality index, or AQI, at EPA AirNow.

“Wildfires, and the resulting smoke and ash, can be particularly unhealthy for vulnerable people, including children, older adults, those with respiratory illness or asthma, and pregnant people,” said Dr. Aragón. “Californians should be aware of the risks of wildfire smoke and ash inhalation. Vulnerable people, especially children, older adults, and those who are pregnant should reduce outdoor activity and stay indoors, if possible.”

Wildfire smoke contains fine particles which are respiratory irritants, and when inhaled deeply, can affect the lungs and the heart. Exposure to high concentrations of fine particles can cause persistent cough, runny nose, phlegm, wheezing, and difficulty breathing.

Smoke from wildfires can also cause eye irritation, reduced lung function, and bronchitis. Breathing smoke can also make asthma symptoms worse. People with underlying lung or heart problems should limit their exposure by staying indoors.

People who must work outdoors for long periods, in areas with heavy smoke, or where ash is present, should wear a well-fitting N95 or P100 respirator mask. Since wearing a respirator can make it harder to breathe, those with lung or heart problems should ask their doctor before using one.

Wildfires can also lead to emergency evacuations and it's important to follow the direction of local officials when evacuations are ordered. Current evacuation information can often be found through monitoring local news outlets as well as official social media channels of emergency responders such as a sheriff’s office, police department, and fire department.

“During a wildfire event, you should prioritize your safety and the safety of your loved ones. If you are ordered to evacuate your home or the area, please do so immediately,” said Dr. Aragón.

Tips to reduce smoke and ash inhalation

To avoid possible health problems, CDPH recommends taking the following steps:

Stay indoors. The most common advisory during a smoke episode is to stay indoors, where people can better control their environment. Whether at home or in a public space, indoor environments that have filtered air and climate control can provide relief from smoke and heat.

Adjust AC to avoid drawing in smoky air. If you have a central air conditioning system in your home, set it to re-circulate or close outdoor air intakes to avoid drawing in smoky outdoor air. Be sure to change your air filter on a regular basis.

Reduce other sources of indoor air pollution. Smoking cigarettes, using gas, propane and wood-burning stoves and furnaces, spraying aerosol products, frying or broiling meat, burning candles and incense, and vacuuming can all increase particle levels in a home and should be avoided when wildfire smoke is present.

Reduce physical activity to reduce inhalation of smoky air. During exercise, people can increase their air intake as much as 20 times from their resting level.

Be ready to evacuate. Monitor wildfire activity in your area and be prepared to evacuate if advised.

Avoid getting ash into the air as much as possible. Avoiding sweeping it up dry, use water and wet cloth or a mop to clean items and surfaces. Do not use leaf blowers or take other actions that will put ash into the air.

Use PPE. Wear a well-fitting respirator mask, gloves, long-sleeved shirts, and long pants when cleaning up ash. Avoid skin contact. If you do get ash on your skin, wash it off immediately. Some wet ash can cause chemical burns.

Vacuums don’t filter small particles. Shop vacuums and other common vacuum cleaners do not filter out small particles. They blow such particles out the exhaust into the air where they can be inhaled. The use of shop vacuums and other non-HEPA filter vacuums is not recommended. HEPA filter vacuums could be used, if available.

Monitor children and young adults. Do not allow children to play with ash or be in an area where ash-covered materials are being disturbed. Wash ash off toys before children play with them. Clean ash off pets. Monitor children and young adults as they may be more susceptible to the health and emotional effects of fire recovery.

Prepare emergency supplies. Make sure you have an emergency kit, complete with medications, copies of prescriptions and medical supplies.

Locate nearby shelters, including ones that take pets.

Medical care. If you experience chest pain, chest tightness or shortness of breath, seek medical care immediately.

For more information on how you can protect yourself during extreme heat, visit the CDPH Extreme Heat site, or the California Office of Emergency Services for resources and information about wildfire recovery. Local public health officials can review guidance for local governments in the CDPH publication, “Wildfire Smoke Considerations for California’s Public Health Officials (August 2022).”

Dr. Usha Ravi. Courtesy photo.

CLEARLAKE, Calif. — Adventist Health is welcoming Dr. Usha Ravi to the Lake County community and the care team at Adventist Health Clear Lake Medical Office — Clearlake located at 15230 Lakeshore Drive in Clearlake.

Dr. Ravi is passionate about partnering with parents to create the best health care options for their children.

Her well-child visits include health care screenings and education to develop foundational habits for lifelong health.

She offers immunizations and sports physicals and treats chronic conditions such as asthmas, ear infections, respiratory infections, conjunctivitis and eczema.

As a health care partner, Dr. Ravi brings experience in caring for the littlest patients through their teenage years. Her knowledge of ADHD treatment and possible side effects is a valuable resource for parents.

Dr. Ravi is fluent in English, Hindi and Telugu. She enjoys spending time with her husband and young daughter as well as singing, painting and listening to TED talks.

To learn more about Dr. Ravi and all Adventist Health providers, visit https://www.adventisthealth.org/clear-lake/.

To make an appointment with Dr. Ravi, call the clinic at 707-995-4500.

Rep. Mike Thompson (CA-05) voted last week to pass H.R. 4040, the Advancing Telehealth Beyond COVID-19 Act, to expand telehealth and access to quality and affordable care. Rep. Thompson is a coauthor of H.R. 4040.

“The COVID-19 pandemic demonstrated that telehealth is a vital part of our health care system — expanding and modernizing telehealth is commonsense,” said Thompson. “This legislation will ensure that telehealth remains part of treatment plans for millions of Americans, especially those living in rural and underserved communities. I am proud that this bill includes provisions I wrote to eliminate geographic restrictions, expand the range of providers eligible for Medicare reimbursement, and allow the use of audio-only telehealth services. I know that this bill will improve the quality of life for countless residents of our district, and I urge the Senate to pass this bill quickly.”

H.R. 4040, the Advancing Telehealth Beyond COVID-19 Act, will:

• Allow Medicare beneficiaries to receive telehealth services from any location, including their homes;

• Expand Medicare coverage of telehealth services for all beneficiaries, instead of only those in rural areas;

• Allow for more types of providers such as Federally Qualified Health Centers and Rural Health Clinics to provide telehealth under Medicare;

• Allow Medicare beneficiaries to receive audio-only services, instead of only telehealth services with an audio and visual component;

• Delay the in-person requirements for mental health services to be provided through telehealth; and

• Allow hospice providers to conduct face-to-face requirements via telehealth.

Thompson represents California’s Fifth Congressional District, which includes all or part of Contra Costa, Lake, Napa, Solano and Sonoma counties.

Gov. Newsom has signed a bill (AB 1954 — Quirk) to protect the right of patients to medical treatment if they use marijuana, and the right of physicians and clinics to treat them.

The bill was sponsored by Cal NORML and co-sponsored by Americans for Safe Access.

“Many physicians are under the mistaken impression that they can’t prescribe medication to patients who test positive for cannabis,” said Dale Gieringer, director of Cal NORML.

The new law clarifies that physicians cannot be punished for treating patients who use or test positive for cannabis, notwithstanding its illicit status under federal law.

Cal NORML regularly hears from patients who are terminated from pain management medications on account of their use of medical cannabis.

An online survey with nearly 600 respondents found that 18.5% have been denied prescription medications by a doctor due to their cannabis use.

A great many studies have shown cannabis is effective for pain, and can help patients reduce their use of opiates. The survey showed that 24 to 30% of respondents have increased their use of opiates or other medications due to drug testing by their doctor or employer.

The California Medical Association House of Delegates adopted a resolution in 2019 condemning the automatic elimination of patients who use medicinal cannabis from pain management programs.

AB 1954 would specify that a positive drug test for cannabis should not in itself be the sole basis for denying medical treatment to a patient absent a medically significant reason.

“It is irresponsible and unethical for pain management programs to eliminate patients who are using medical cannabis for their chronic pain, because there is conclusive scientific evidence that cannabis is a safe and effective treatment for chronic pain,” said Larry A. Bedard, a Marin-based physician who authored the CMA resolution.

"I’m so happy this bill has passed. Patients can’t wait any longer,” said Yami Bolanos, a patient and advocate from Los Angeles who was instrumental in the passage of AB 258 (Levine; 2015), ending discrimination against organ transplant patients who use cannabis in California.

AB 1954 passed the legislature with bipartisan support. Many thanks to Asm. Bill Quirk for sponsoring and to Gov. Newsom for signing it.

Founded in 1972, California NORML, the state chapter of the National Organization for the Reform of Marijuana Laws, is a nonprofit membership organization that advocates for the rights of cannabis consumers in California.

Megan Smith, MD. Courtesy photo.

CLEARLAKE, Calif. — Adventist Health welcomes Megan Smith, MD, to the Clearlake community and the care team at Adventist Health Clear Lake Medical Office in Clearlake.

Dr. Megan Smith specializes in the assessment and treatment of mental health concerns, such as schizophrenia/schizoaffective disorder, bipolar disorder, depression, anxiety and substance use disorders.

She focuses on providing hope to patients and their families and is passionate about reducing the stigma surrounding mental health concerns.

Dr. Smith has volunteered extensively both in the United States and on medical mission trips abroad.

She is an advocate for helping people to find the healthcare they need and to improve their wellbeing.

She treats adolescents ages 12 to 21 and adults ages 21 and older.

Dr. Smith is from Central California and enjoys video games and pub trivia with friends. She breeds and raises canaries and finches and has a menagerie of pets.

Patients can schedule appointments with Dr. Smith by calling the clinic at 707-995-4500

To learn more about all Adventist Health providers, visit www.AdventistHealth.org/clearlake.

CLEARLAKE, Calif. — Adventist Health Clear Lake Hospital has received the Overall Hospital Quality Five-Star Rating for 2022 from the Centers for Medicare & Medicaid Services, or CMS, the highest possible rating a hospital can achieve.

“This incredible achievement would not have been possible without the remarkable dedication and commitment of our amazing team,” said Colleen Assavapisitkul, president of Adventist Health Clear Lake. “Each member of the team was instrumental in achieving this recognition, and it truly is a testament to their devotion to provide the best possible care to our patients.”

According to CMS, the Overall Star Rating summarizes a variety of measures across five areas of quality into a single star rating for each hospital.

The measures include mortality, safety, readmission, patient experience and timely and effective care.

Each hospital has a star rating that ranges from one to five stars, with five stars signifying the highest quality.

Of the 4,500 hospitals evaluated by CMS, Adventist Health Clear Lake is the only hospital in Lake County to achieve this five-star rating. O

nly 14% of hospitals nationwide have earned five stars.

For more information about Adventist Health Clear Lake, visit www.AdventistHealthClearLake.org.

Upcoming Calendar

27Apr
04.27.2024 10:00 am - 2:00 pm
Northshore Ready Fest
27Apr
04.27.2024 10:00 am - 2:00 pm
Prescription Drug Take Back Day
27Apr
04.27.2024 7:00 pm - 9:00 pm
Inaugural Team Trivia Challenge
2May
05.02.2024 5:00 pm - 8:00 pm
Neighborfest
4May
05.04.2024 2:00 pm - 4:00 pm
Park Study Club afternoon tea
5May
05.05.2024
Cinco de Mayo
6May
05.06.2024 11:00 am - 4:00 pm
Senior Summit
12May
05.12.2024
Mother's Day
27May
05.27.2024
Memorial Day

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