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STAY HEALTHY. STAY OUT OF THE ER.


We love interacting with the people of the Laredo community, but we’d much rather do it outside the ER than inside it. Keep up with the latest knowledge from our professionals to help keep yourself in the peak of health.




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04/Aug/2020

As the coronavirus pandemic intensifies throughout Texas, those with chronic conditions like asthma may be particularly concerned. Because the virus is still so new and scientists are having to learn about it in real-time, our understanding of COVID-19 grows over time, shedding new light on how it affects people both with and without chronic conditions. What we’ve recently come to understand about how COVID-19 affects those with asthma has come as a bit of a surprise because for many asthma sufferers, it is not as concerning as you might expect.

As it turns out, evidence is starting to emerge showing that it is only those with non-allergic asthma that are at any increased risk for more severe COVID-19 complications. These are people who experience asthma attacks triggered by exercise, stress, and other factors. Those who experience seasonal asthma flare-ups due to allergens, such as mold or pollen, do not appear to be at any heightened risk for COVID-19 complications or severity. This means that about half of adults and most children with asthma are at no increased risk for severe coronavirus complications.

What to do if you have asthma

Whichever of the types of asthma you have, you likely treat your condition with steroid medication. And because steroids can suppress the immune system, you may be tempted to stop your medication. Here at Laredo Emergency Room, our advice is: don’t. Keeping your asthma controlled is your best strategy for staying healthy and out of the emergency room. You also may be encouraged to know that some scientists think that because steroids work to reduce inflammation, they may actually help protect COVID-19 patients who use them. This means sticking with your medication and using your asthma spray at the first signs of asthma symptoms or an asthma attack.

During the pandemic, you can reduce your chances of contracting the coronavirus in the first place by continuing to clean and disinfect high-touch surfaces, keep your hands clean, avoid touching your face, maintain a distance of 6 feet from others, avoid large crowds, and wear a face covering if you are able.

As someone with asthma, you’ll want to take some extra precautions, too. Talk to your treating physician and insurer about having an extra supply of emergency inhalers, allergy drugs, or other medications so that you can refill them less frequently and so that you have all you might need in case you need to avoid leaving home. Take extra care in avoiding the things that trigger an asthma attack. And take steps to reduce stress, such as by disconnecting from the news or electronic devices.

If you do experience asthma symptoms or an asthma attack during the pandemic, be sure to use your emergency medication ñ and to come to a fast ER like Laredo Emergency Room if needed. We’re taking extra precautions and making sure to keep our facilities clean so that we can safely care for you, no matter what.


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04/Aug/2020

The link between obesity and numerous health conditions has long been established. High cholesterol. Diabetes. Arthritis. High blood pressure. The list goes on. Unfortunately, there’s a new entry on this list: risk of death from COVID-19.

To be clear, obesity does not put a person at greater risk of contracting the coronavirus. We well know by now that COVID-19 is spread through respiratory droplets and that together we can all reduce our risk of infection by wearing face coverings, social distancing, cleaning our hands, and disinfecting high-touch surfaces. The problem instead is that once a person has contracted the virus, the risk of developing more severe symptoms and complications is seen as rising with the patient’s body mass index, which is a ratio of weight and height and used to estimate a person’s percentage of body fat.

It’s still unclear whether the problem is simply obesity by itself or rather due to the strong link between obesity and chronic conditions that make an obese COVID-19 patient suffer worse outcomes. Regardless, the bottom line is clear: obesity is linked to a higher risk of respiratory failure, other complications, and even death from the virus.

In fact, having a BMI of 40 or above is now listed as a risk factor for severe COVID-19 by the Centers for Disease Control and Prevention (CDC). Obesity is now considered a top risk factor for COVID-19 complications, second only to advanced age.

It’s news enough to get people who have been gaining their “quarantine 15” to think long and hard about their diets and lifestyles. But that’s easier said than done – and many people have long had good reasons to try to tackle their extra pounds but few or no resources to actually get the job done. In many cases, it’s an obesity-related chronic disease itself that prevents a patient from getting active and healthier. In others, the higher-quality food or resources needed to lose weight and get healthy are too expensive or unavailable within a community. Other times, patients view themselves as harmlessly overweight, not realizing that they are actually morbidly obese and at risk for health complications.

Healthcare strategies for obesity are scarce as well, with most physicians simply addressing the concern with a brief comment during a patient’s checkup, rather than introducing specific weight-loss recommendations. Instead, problems related to obesity are more often addressed when associated chronic and even life-threatening conditions crop up. Too often, those patients end up at Laredo Emergency Room in need of lifesaving care.

While self-isolation can make matters worse, this extra time we have on our hands can also give us the opportunity we need to take control of our community’s obesity problem. A few minutes a day is all we need to fit in the moderate exercise that can make a big difference over time – and to explore healthy lifestyle and food options, rather than a fad diet plan that doesn’t last. Here at Laredo Emergency Room, we also encourage you to seek out specific recommendations for weight-loss and healthy diet strategies from your primary care physician and to make weight control a health priority, before winding up here. For anyone suffering from obesity, a goal to lose weight is about more than simply looking and feeling better. It’s an achievement that may ultimately save your life, even in a pandemic.


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04/Aug/2020

Let’s face it: pregnancy doesn’t get put on hold just because of a pandemic. And even in the face of the COVID-19 pandemic, taking care of yourself and your pregnancy is just as important now as in so-called “normal” times. We understand that you likely have additional concerns about getting prenatal care and even caring for your newborn during a pandemic, so we’ve put together some frequently asked questions that can help you in your pregnancy through these uncertain times.

Q: Should I still go to prenatal care appointments?

A: Yes! While some physicians limited appointments and access early in the pandemic, most have worked out processes for keeping you and your unborn baby safe now. You can expect your OB/GYN to have implemented a number of safeguards, including facemasks, extra sanitation of exam rooms, and social distancing. Skipping your regularly scheduled prenatal care visits can mean you miss identifying complications, risk factors, or problems with the development of your baby that, if caught early, can be better addressed. For this reason, it’s still important to keep up with your regular visits. If you have early pregnancy bleeding or go into early labor, contact your OB/GYN immediately.

Q: Is it still OK to deliver in a hospital?

A: Again, yes. Hospitals are isolating all coronavirus patients into separate wings or facilities in order to keep other patients safe. And as with your OB/GYN, you can expect your hospital to be taking extra precautions to ensure your and your baby’s safety. You will want to contact the hospital where you plan to deliver to learn of any unique restrictions they are implementing during this time, such as stricter limits on visitors and extra health screenings.

Q: What if I get sick with COVID-19 while I’m pregnant?

A: There is currently no evidence to suggest that COVID-19 is passed in utero to your fetus, so you can put that worry aside for now. But pregnant women do need to be extra cautious about any symptoms experienced while pregnant. If you start to have any symptoms of COVID-19, contact your OB/GYN and seek out testing as soon as possible. Rest assured that even if you have the illness, you should be able to receive the prenatal care and delivery experience you’ve planned unless your illness becomes severe – which is statistically unlikely, since the majority of COVID-19 cases are mild.

Q: If I have COVID-19 after my baby is born, can I still care for my newborn?

A: Yes, as long as you take extra precautions. Wear a face mask, sanitize surfaces frequently, and wash your hands thoroughly and often, especially before touching your baby. During times when you are frequently coughing, minimize close contact with your newborn and get the rest you need. When you feel up to it, you can still practice skin-to-skin contact with your baby and breastfeed, as there has been no evidence to suggest that COVID-19 is passed to a baby through the new mother’s milk. If you experience severe COVID-19 complications while pregnant, please know that it is safe to come to Laredo ER, where we are taking every precaution for our patients. We can give you the emergency care you need and work with your OB/GYN to protect the health of your baby going forward.


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04/Aug/2020

The coronavirus hot topic of the moment – or at least one of them – continues to be face masks. It’s no wonder some have been confused about the effectiveness of face protection, given that early in the pandemic when the virus was little understood, the Centers for Disease Control and Prevention (CDC) didn’t feel that face masks would be effective in slowing the spread.

It didn’t take the CDC long to change its guidance, however, once the transmission of COVID-19 was better understood. Now, given that it has been confirmed that people can spread the virus through exhaled droplets even without symptoms, wearing face masks is one of the top recommended ways the CDC and other health organizations say we can help reduce the spread of the coronavirus.

But how much protection face masks offer depends on one very important factor: mass adoption of the strategy.

This is because the benefit to wearing face masks is not in protecting the wearer against becoming infected – but in reducing the spread to others by those wearing face protection. The more people who wear them, the less likely it is you will get sick. In other words, it’s a group effort.

How face masks help in the fight against coronavirus

Imagine yourself working at home when suddenly you hear loud music coming from a family member’s room. You ask your relative to close the bedroom door. It doesn’t completely block the noise, but it helps enough for you to get back to work.

That’s how face protection helps.

When worn by people infected by the virus, face masks trap some of the droplets – and reduces the distance any droplets that do escape can travel – thereby reducing the chance of spread to others. They don’t completely block virus transmission, but they help enough to reduce and slow the spread.

What kind of mask is best?

One concern within the medical community has been that the use of N95 masks by the general public would make it harder for healthcare workers to obtain them – and this is true. But there’s also another important reason to avoid the use of N95 in the community: These masks are designed to release the wearer’s exhale unfiltered – so if the wearer has the virus, the virus will not be stopped by an N95 mask. These masks are specifically designed for use in contaminated environments where healthcare workers are caring for infected patients who are often unable to wear masks.

It is in this way that even a simple, homemade cloth mask can do a better job at helping reduce the spread of COVID-19 within a community. Multiple layers of tightly woven fabrics are best – and cloth face masks have the added benefit of being washable and reusable. A face scarf or tied bandana can also work in a pinch.

Other kinds of face guards are becoming popular, too – like safety face shields or face shield visors, which include a transparent guard over the entire face. These safety shields offer a few benefits over face masks in that they don’t inhibit speech and may be more comfortable.

Even when wearing a face mask, you should still take a variety of other precautions, too: clean your hands and high-touch household surfaces frequently, maintain distance from other people, and work from home if you can.

Here at Laredo Emergency Room, it’s our job to take care of our community. And we encourage you to help us in our effort to do exactly that – by wearing face masks. Together, and only together, we can slow the spread of COVID-19.


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