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Loss of smell and taste has been anecdotally linked to COVID-19 infections. In a study published April 12, 2020 in the journal International Forum of Allergy & Rhinology, researchers at UC San Diego Health report the first empirical findings that strongly associate sensory loss with COVID-19, the respiratory disease caused by the novel coronavirus.

HEALTH & WELLNESS The Newsletter About Your Health and Caring for Your Body

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WWW.PELHAMREHAB.COM

HEALTH & WELLNESS The Newsletter About Your Health and Caring for Your Body

WWW.PELHAMREHAB.COM (718) 823-3900 LOSS OF SMELL & TASTE VAL I DATED AS COV I D-19 SYMPTOMS WE ARE CURRENTLY OPEN & HERE FOR YOU! The health and safety of our patients and staff is our highest priority. We are requiring a mask for everyone entering the facility. We are also using a contactless thermometer to check temperatures and are asking each patient to wash their hands or use hand sanitzer when they come in. To observe social distancing guidelines, we have reduced the number of chairs in our waiting area. We also only schedule a minimum amount of patients per hour. We are sanitizing therapy equipment, beds, and chairs in-betweenpatientswithEPAdisinfectants. Our staff uses PPE (gloves, masks, face shields, hair covering, and isolation gown) as needed. We have also installed sneeze guards in our reception area. We ask that everyone wash their hands and do not touch their face. Most importantly, if you have the following symptoms, we are asking that you please stay home: • Cough • Shortness of breath or difficulty breathing • fever • chills • repeated shaking with chills • muscle pain • headache • sore throat • new loss of taste or smell Please get emergency medical attention immediately if you develop trouble breathing, persistent pain or pressure in the check, new confusion or inability to arouse, or bluish lips or face.

INSIDE: Strengthen Your Body Against Viruses Like Covid-19 • We’re Staying Safe! • Immunity Boost Recipe • Exercise Essentials • We Offer Telehealth!

recoverywas generally rapid,” said Yan. “Among the Covid-19 patients with smell loss, more than 70 percent had reported improvement of smell at the time of survey and of those who hadn’t reported improvement, many had only been diagnosed recently.” Sensory return typically matched the timing of disease recovery. Interestingly, the researchers found that persons who reported experiencing a sore throat more often tested negative for COVID-19. In an effort to decrease risk of virus transmission, UC San Diego Health now includes loss of smell and taste as a screening requirement for visitors and staff, as well as a marker for testing patients whomay be positive for the virus. Other known symptoms of COVID-19 include fever, fatigue, cough and difficulty breathing. Respondents in Yan’s study were most often persons with milder forms of COVID-19 infection who did not require hospitalization or intubation. The findings, she said, underline the importance of identifying early or subtle symptoms of COVID-19 infection in people who may be at risk of transmitting the disease as they recuperate within the community. “It is our hope that with these findings other institutions will follow suit and not only list smell and taste loss as a symptomof COVID-19, but use it as a screeningmeasure for the virus across the world,” Yan said. Co-authors include: Farhoud Faraji, Divya P. Prajapti, Christine E. Boone and Adam S. DeConde, all at UC San Diego. Funding for this research came, in part, from the National Institutes of Health (grant UL1TR001442). Source: https://health.ucsd.edu/news/releases/Pages/2020- 04-13-loss-of-smell-and-taste-validated-as-covid-19- symptoms-in-patients-with-high-recovery-rate.aspx

Yan and colleagues surveyed 1,480 patients with flu-like symptoms and concerns regarding potential COVID-19 infection who underwent testing at UC San Diego Health from March 3 through March 29, 2020. Within that total, 102 patients tested positive for the virus and 1,378 tested negative. The study included responses from 59 COVID-19-positive patients and 203 COVID-19-negative patients. Yan said the study demonstrated the high prevalence and unique presentation of certain sensory impairments in patients positive with COVID-19. Of those who reported loss of smell and taste, the loss was typically profound, not mild. But encouragingly, the rate of recovery of smell and taste was high and occurred usually within two to four weeks of infection. “Our study not only showed that the high incidence of smell and taste is specific to COVID-19 infection, but we fortunately also found that for the majority of people sensory

Loss of smell and taste has been anecdotally linked to COVID-19 infections. In a study published April 12, 2020 in the journal International Forum of Allergy & Rhinology, researchers at UC San Diego Health report the first empirical findings that strongly associate sensory loss with COVID-19, the respiratory disease caused by the novel coronavirus. “Based on our study, if you have smell and taste loss, you are more than 10 times more likely to have COVID-19 infection than other causes of infection. The most common first sign of a COVID-19 infection remains fever, but fatigue and loss of smell and taste follow as other very common initial symptoms,” said Carol Yan, MD, an otolaryngologist and head and neck surgeon at UC San Diego Health. “We know COVID-19 is an extremely contagious virus. This study supports the need to be aware of smell and taste loss as early signs of COVID-19.”

STRENGTHEN YOUR BODY AGAINST VIRUSES LIKE COVID-19

The best way to keep your body healthy during this time is to stay moving and reduce inflammation. Being sedentary and making poor diet choices has the potential to hurt your immune system and make you a target for sickness and disease. 1. Wash your hands. 2. Decide to get up and get moving. 3. Eat nutrition rich food. 4. Drink plenty of water. 5. Don’t smoke. 6. Get a good amount of rest. 7. Stretch. 8. Take frequent breaks for breathing exercises. Inhale and exhale deeply. 9. Continue your home exercise program 2-3 times per week. In order to be healthy, there needs to be a large emphasis on movement. When your body is flexible, strong, well-balanced, and fueled by a nutritious diet, it is able to fight infection and reduce the impact of viruses. We are dedicated to helping you live the best life you can. During this time, if you cannot make it to your physical therapy appointments, continue your exercises at home. We care for you and remember you are part of our physical therapy family.

We're Staying Safe!

The staff at Pelham Physical Medicine is focused on keeping you healthy and our equipment and facilities clean. To prevent the spread of COVID-19, we want to also encourage our patients to help prevent the spread of coronavirus by:

STAYING HOME IF YOU ARE SICK

CLEANING HANDS OFTEN

AVOID TOUCHING YOUR FACE WITH UNWASHED HANDS

We are open and here for you in this difficult time. Call Pelham Physical Medicine today at (718) 823-3900 or visit our website at www.pelhamrehab.com.

STAY HEALTHY! GIVE YOURSELF AN IMMUNIT Y BOOST These three tips can help you stay healthy and strengthen your immune system: 1. Aim for 8-9 hours of sleep each night. 2. Make a habit of 20-30 minutes of physical activity a day. 3. Maintain a nutritious diet heavy on fruits and vegetables. The essential vitamins are key to making sure your immune system is as healthy as possible.

IMMUNIT Y BOOST RECIPE VEGAN BEAN SOUP Ingredients: • 1/4 cup extra virgin olive oil • 1 red onion, diced • 4 cups lima beans • 1 tsp turmeric powder

• 1.5 L (6 cups) vegetable broth • 1 small bunch of Tuscan kale, roughly chopped • Salt & pepper to taste

• 4 garlic cloves, minced • 2 medium carrots, diced • 2 tbs ginger, finely grated

Directions: In a large saucepan, heat the oil and onion on medium heat until onion has slightly browned. Add in garlic and cook for another 1-2 minutes, followed by carrots, ginger, beans, and turmeric cooking for a further 5-7 minutes. Once the ingredients are well combined, pour in the vegetable broth. Bring to a boil and simmer for 10 minutes. Add in kale and season to taste. Once the kale softens a little, the soup is ready.

EXERC I SE ESSENT I ALS KEEP UP WITH YOUR PT AT HOME

WE OFFER TELEHEALTH! KEEP UP WITH YOUR PT AT HOME

Forward Bend - Long Sitting

In light of the COVID-19 pandemic that has been causing numerous health care facilities to shut down, we as medical professionals are diligently trying to serve our patients in the best ways possible without risking the spread of this disease.

Sit with legs straight out and lower back tall. Bend forward keeping lower back tall to feel a stretch in the back of your thighs. This helps with lower back pain. Hold for 20 counts and repeat as needed.

Because of this, in addition to keeping our facilities open, we are also oftfering e-Visits (via the Zoom app) as well as Telehealth services for those who wish to stay at home. By providing care for our patients virtually, as opposed to in person, we are able to keep both our patients and PT providers safe. Telehealth services can be accessed via your smartphone or computer, with which you’ll be free to perform your PT treatments from the comfort of your own home. Using this service, you can view and log your prescribed daily exercises, track your progress, and even access our blogs and other helpful resources–you can even use the app to send tips to friends and family! New patient or new injury? Schedule live e-Visit consultations with a qualified physical therapist without even walking in the clinic! Our physical therapists will be able to discuss and walk through your treatment plan online! Ready to get started? Visit us www.pelhamrehab.com or call us today at 718.823.3900!

Sidelying Trunk Rotation

While lying on your side with your arms out-stretched in front of your body, slowly twist your upper body to the side and rotate your spine. Your arms and head should also be rotating along with the spine as shown. Follow your hand with your eyes. Hold for 20 seconds repeat 3 times on each side.

Exercises copyright of

Always consult your physical therapist or physician before starting exercises you are unsure of doing.

SHARE THE PATH TO BETTER HEALTH Do You Have Friends or Family Members That Have Trouble:

DIRECT ACCESS WHAT DOES IT MEAN? Physical Therapy is Easier to Get Than You Think! • A physician referral

� Sitting for long periods � Walking for long distances � Living active & healthy

� Moving without pain � Bending &moving freely � Balancing confidently & securely

Share the Benefits of Physical Therapy with a Friend! We appreciate your confidence and will do our best to help those you refer meet their health and rehab goals. Thank you to all of our friends who refer others to us!

• Therapy may begin with a full evaluation by a licenced physical therapist • In New York, up to 10 visits within 30 days is allowed, with some exceptions

no longer needed, whether you want a check-up, suffered a recent injury, or if you want to improve your overall health and wellness

Don’t let your pain hold you back. Call us today at (718) 823-3900 or visit our website at www.pelhamrehab.com.

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