Dr. Ryan Firth’s COVID19 Testing Presentation

Dr. Firth gave this presentation at our staff meeting.  It has great information about COVID19 antibody testing, so we thought we’d share it!

We apologize for the shaky cam at the beginning.

Dr. Firth Video

COVID-19 Latest Update

We appreciate your understanding with the many updates and changes. Please know that we are still seeing patients in the clinic for wellness, follow-up visits, and sick visits.

In an effort to minimize exposure to patients and staff:

  • We have telehealth options for appointments.
  • Follow directions by staff and signs to go to the correct entrance; this is an ongoing effort and may be subject to change, please have patience and be courteous to our staff directing you.
  • We are checking the temperatures of everyone who enters the building.
  • We are asking that you wear a face mask while in our buildings.
  • For most concerns regarding respiratory symptoms, we are trying to see patients in their cars or our Urgent Care area.

We have changed our hours for Urgent Care to 8AM – 5PM Monday – Friday.  This is a temporary measure and we will notify the community of further changes.

We are committed to keeping our patients and staff as healthy and safe as possible. We are proud to support our community in this ongoing situation.

Thank you,
Lander Medical Clinic & Western Family Care

Let’s stay healthy together!

COVID-19 Latest Update – Expanded Telehealth Services

Telehealth has been proven to improve overall health outcomes for chronic disease patients, reduce hospitalizations and re-admissions among high risk patients, prevent acute events, support adherence to prescribed plans of care, improve patient experience, and lower costs to both patients and providers.

Karen R. Thomas, founder of Advanced Telehealth Solutions

As we work our way through the month of April amidst the current COVID-19 situation, we would like our patients to know that we are now offering HIPPA compliant and secured telehealth or “Virtual Visits” as a way to see our providers from the comfort and convenience of your own home — or office, or anywhere! — on your computer, tablet, or smart phone.

We are wanting to continue to provide you with quality healthcare services, and feel that these options will help keep everyone safe and continue such things as medication refills, blood pressure monitoring, etc. We are doing our best to keep you safe and not interrupt any healthcare services you may require.

All you have to do is call the office and make your appointment, the same way you would for an in-office visit. When your appointment time comes, just sign in through the Zoom link that has been emailed to you, and we’ll connect directly to you.  It really is that easy.

Here is a visual of how to set up Zoom for both Apple and Android users:

Also, if you do not have access to a tablet, smartphone or computer, but have in home WIFI, we can lend a tablet to you for the virtual visit.  Just let us know what you need. 

Finally, if none of this will work for you, we still are seeing patients in our offices for regular patient care.  If you are too nervous to come in to our clinic, please call us to see if we can schedule a telephone visit or see you in your car. 

During this uncertain time of the COVID 19 Pandemic, we are working hard to provide the best care in the most convenient way.  We hope to hear from you. 

Let’s stay healthy together.   

Pregnancy and Nutrition

In honor of National Nutrition Month, we sat down with our newest OB/GYN provider, Sam Skelton CNM, and asked a few questions of her about pregnancy and nutrition. We’ve compiled her information with some helpful charts and links to share with you.

So what are some common issues or misconceptions?

A big issue with pregnancy is the common misconception of ‘eating for two’, which is not recommended as this is generally going to cause a woman to have too much caloric intake. Sam notes that an expectant woman should be consuming around 300 extra calories per day in regard to her normal diet. A woman’s normal diet is going to depend on what her BMI (or Body Mass Index) was before she was pregnant.

Here is a chart showing the recommended weight gains for your body type:

BMI Before Pregnancy Pregnant with one baby Pregnant with twins
Underweight = <18.5 Gain 28-40 lbs Gain 50-62lbs
Normal Weight = 18.5-24.9 Gain 25-35 lbs Gain 37-54 lbs
Overweight = 25-29.9 Gain 15-25 lbs Gain 31-50 lbs
Obesity = 30 or greater Gain 11-20 lbs Gain 25-42 lbs

Sam notes that for her patients, she often says that a good way to think of weight gain (for normal BMI) is to break it down by trimester: 0-5 lbs for the 1st trimester, 5-10 lbs for the 2nd trimester, and 10-15 lbs for the 3rd trimester.

So what should women be focusing on for a healthy diet while pregnant?

Sam encourages a good intake of nutritionally dense foods, like raw fruits and veggies. She recommends also to take in Omega 3’s and fatty acids.  A good prenatal vitamin is greatly encouraged as well. Sam notes that one should watch where calories can come from and avoid drinking too many, and to decrease an intake of simple carbs (e.g., baked goods from white flour, sodas, packaged cereal).

A good list of other things to avoid would be:

  • Raw or under cooked fish
  • Raw, under cooked or processed meat
  • Hot dogs and luncheon/deli meat (unless steaming hot)
  • Raw eggs
  • Refrigerated paté and meat spreads
  • Refrigerated smoked seafood
  • Unwashed raw fruits or vegetables
  • Unpasteurized milk or soft cheese
  • Unpasteurized fruit juice

Getting proper nutrition can be challenging, and if you have any concerns about further issues such as gestational diabetes, Sam encourages talking with your provider and getting a possible consultation with our nutritionist, Carolyn Renner.

All in all, healthy food choices and good nutrition are important to the health of both mom and baby; gaining too much weight can affect the health of mom and baby in the short and long term, plus it can also affect such things as the mode of delivery (e.g., cesarean section delivery vs. natural birth). Our recommendations are for the best outcomes for both mom and baby, so that they may have a happy and healthy pregnancy and delivery.

 

If you want to learn some more about good nutrition while pregnant, please check out the following websites:

A message on COVID-19 Coronavirus

Keeping you informed and safe is a top priority with Lander Medical Clinic and Western Family Care. We have been working with our Public Health Department and keeping up to date on current CDC and Wyoming Department of Health recommendations and statements.

We have compiled the following letter to address patient concerns and questions. As always, prevention is best and one should follow the guidelines to avoiding flu, such as

  • Washing hands often for 15-20 seconds or using an alcohol based sanitizer with at least 60% alcohol
  • Avoid contact with sick people
  • Stay home when sick yourself
  • Avoid touching your face with unwashed hands
  • Cough or sneeze into a tissue, promptly dispose of tissue and wash your hands

Please call our clinics if you have concerns or questions.

Thank you for allowing us to take part in your healthcare.