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PREPARING FOR YOUR VIRTUAL HEALTHCARE APPOINTMENT

Since the COVID-19 lockdown began and even now as things begin to open up across the country, many health professionals have been consulting with their patients on-line or on the phone to maintain social distance and help prevent the spread of the virus. Here are some tips to help you make those appointments more successful. Note that these tips are meant primarily for patients with osteoporosis.

  • Check your email the day before and day of the appointment to make sure there is no change in date or time, or in case information has been sent that is related to your call, and to make sure that your appointment is a virtual one.
  • If someone else is taking part, a relative or friend for support or a translator, make sure they know the date and time. If your appointment is by video (such as Zoom) or teleconference, if they are at another location, they will need to know the video link or the teleconference number.
  • If you are taking the call by phone, be in a safe, secure and quiet place. Do not do it while driving, taking transit, or on the beach. (Yes, people have been known to do this.)
  • If you are being called, pick up the call even if the call display shows an unknown or blocked number.
  • For a healthcare appointment by video, it is especially important to be in a well-lit place, with your face visible, not in front of a bright window.
  • Allow time before and after the stated time in case the healthcare provider is running late.
  • Make a list of questions to discuss ahead of time and have it with you so you don’t forget.
  • Make sure the hospital has your email or phone number.
  • Have close at hand eyeglasses and hearing aid if you use them, pen and paper to make notes, prescription bottles for easy reference, contact information for your pharmacist.

LET THE HEALTHCARE PROVIDER KNOW

  • If you are due for a Prolia® or Evenity® injection or an Aclasta® infusion
  • If you usually have a bone mineral density test before your meeting. This may have been cancelled, and may have to be rescheduled; however, the appointment can go ahead without one
  • If you are having unexplained back pain. This may require a spine x-ray to check for a possible spine fracture
  • If you have any new symptoms or changes in health since your last appointment.

YOUR HEALTHCARE PROVIDER WILL REVIEW WITH YOU

  • Your vitamin D dose
  • Your intake of calcium-rich foods and calcium supplements if you take them
  • Your physical activity or exercise
  • Whether you have fallen since the last visit
  • Whether you have had a new fracture

Whether you have had a new diagnosis or been prescribed a new medication. Some conditions and medications may contribute to bone loss or fall risk. If you are on an osteoporosis medication, are you taking it according to directions and are you experiencing any side effects.

During this lockdown, hospital emergency departments are still open. If you are having an emergency and need help, do not hesitate to go to the emergency department. Do not feel that you must wait for your virtual appointment.

ZOOMING MY WAY OUT OF ISOLATION

I am 75 years old. Six months ago, I thought that “zoom” was a word that little boys and girls used when they were playing with toy cars. However, since the COVID-19 lockdown began, the word has taken on quite a different meaning when, like thousands of others, I turned to Zoom, an online video communications tool to stay in touch with others. There are many other such tools, but Zoom is the one I am most familiar with and it is used by many organizations and individuals.

I have participated in Zoom meetings for work, with book club members, with friends, and to continue my involvement with various organizations to which I belong. I don’t know how to set up a Zoom meeting, but I have gotten pretty good at being a participant.

At first, I was anxious. I didn’t know if the link would work, if I had to download the app, which devices would work (I have a smartphone and a laptop). I didn’t know how to mute or unmute to take part in the discussion; how to turn off the video if I was having an awful hair day (that happened a lot). I didn’t know how the “raise hand” function worked. I got frustrated and confused when everyone talked at once. I didn’t know what “chat” was for, and when I did figure that out got very irritated with participants who kept chatting and distracting me from the presenter. I read disturbing stories about hackers, privacy concerns and unwanted guests interrupting meetings. But now that I’ve become more familiar with Zoom, I realize my worries were unfounded; Zoom is an effective way to stay personally and professionally connected.

During these challenging times, Osteoporosis Canada has increasingly turned to virtual tools like teleconferencing, videoconferencing and other Internet-based applications. For instance, support groups, educational sessions and other events are now being offered virtually, often via Zoom. Are you interested in participating but nervous about how to get started? Read on for some helpful hints, based on my experience, that may help you feel less anxious about accepting the next invitation to an Osteoporosis Canada Zoom event.

  • The organizer of the event will send you an email with a description of the event, a link and possibly a password. If a password is given, take note of it; you will need it. The purpose of the password is to prevent unwanted guests from taking part and to protect your privacy.
  • When you click on the link, if this is your first time you will be asked if you want to download the app. You do not need to do this in order to join a meeting. If you click yes, the download will be very quick. You also do not need to have a Zoom account to join a meeting.
  • If required, you will be asked to enter the event password. Then you will be prompted to “join meeting,” and there you are.
  • For those who do not have Internet access, or whose access is very spotty, a telephone number will be provided that allows you to phone in. If you are using a desktop computer, laptop, iPad or tablet, or smartphone, choose Internet audio for sound.
  • Depending on your device, somewhere on the screen you will see several icons: a video camera to show your image, a microphone if you want to speak, an icon of a couple to indicate participants. When you click on that icon, a list of all the participants will appear, along with more icons. One important one is the blue hand image, which you click on to indicate that you want to speak. The host will keep track of raised hands and let you know when it is your turn. To mute your microphone, which you should do whenever you are not speaking to avoid interrupting others with background noise, or to turn off your image, click on the icon. A red line through the icon will indicate that it is turned off. When it is your turn to speak, make sure to unmute.
  • If possible, find a quiet space for your Zoom meetings; let housemates know so they don’t  wander accidently into your screen space; keep your device stable; and if you need to move around turn your video off to avoid distracting other participants. Try to have good lighting so your face is visible and don’t sit in front of a bright window.

There are many reasons to learn to feel comfortable with Zoom: connection with family and friends, education, entertainment. One of the most important is to take care of your health. There is no need to wait until the pandemic is over; exercise programs, private physiotherapy sessions, counselling sessions for mental health and appointments with your healthcare provider(s) can all be offered through such platforms as Zoom.

For tips on how to have a successful virtual healthcare appointment, click here.

This is a very basic introduction to using Zoom. The Internet has many well-illustrated websites to help you. Google Zoom for Seniors, Help with Zoom, or just Zoom as their website has tutorials. Good luck and have fun. You know the saying – it’s never too late to teach an old dog (like me) new tricks.

WRITTEN BY

Tanya Long
Senior Manager, National Education
Osteoporosis Canada

Your Bone Health During COVID-19

Take action to make sure you are staying fracture-free and are taking care of your bone health. This pandemic has put enormous pressure on our healthcare systems stretching our resources to the limit and the general recommendation is for people to avoid hospitals and doctor’s offices unless absolutely necessary.

Remember that older adults and people who have certain chronic medical conditions such as diabetes or lung, heart or kidney disease are at higher risk of the more serious complications of COVID-19 illness. We urge you to stay safe by taking the necessary precautions as recommended by government health agencies.

PROTECTING YOUR BONES

WHAT YOU CAN DO

  • Fall Prevention: ensure that your home environment is free of clutter and any obstacles. Take care when walking outdoors.
  • Do not stop any osteoporosis treatment you have been prescribed. Talk to your doctor if you have any concerns.
  • Physical/Social Distancing does not mean self-isolating! Make sure to call and speak to friends or family at least once a day. Video chats are also a great way to stay connected.
  • The Government of Canada has advised you to stay home. Contact your doctor and/or pharmacy if you need a prescription filled or a consultation.
  • Ask for help! There are many ways to get the support you need for getting prescriptions filled and groceries delivered. Most grocers have a delivery service or an online order system where you can go pick up your order. If you do not have the ability to order online, many volunteer groups have popped up. Call your local elected representative and ask for help in locating such services. Also try contacting a neighbour to see if they can drop off supplies at your door or provide information on a service.

Be prepared to manage your bone health and osteoporosis and reduce your risk of breaking a bone during COVID-19.

  • Nutrition: Many pantry staple foods like beans and canned fish contain calcium and protein. Read product labels and also view the list of foods with calcium here. Click here
  • Get the amount of vitamin D you need daily. Click here
  • Stay active! Safely exercise daily by adapting exercises you can do at home. Click here

FROM THE PUBLIC HEALTH AGENCY OF CANADA

It’s important to follow recommendations from the Public Health Agency of Canada (PHAC) to stay safe and well informed.

PHYSICAL/SOCIAL DISTANCING

Together, we can slow the spread of COVID-19 by making a conscious effort to keep a physical distance between each other. Social distancing is proven to be one of the most effective ways to reduce the spread of illness during an outbreak.

This means making changes in your everyday routines to minimize close contact with others, including:

  • avoiding crowded places and non-essential gatherings
  • avoiding common greetings, such as handshakes
  • limiting contact with people at higher risk like older adults and those in poor health
  • keeping a distance of at least 2 arms-length (approximately 2 metres) from others

VULNERABLE POPULATIONS

There is an increased risk of more severe outcomes for Canadians:

  • aged 65 and over
  • with compromised immune systems
  • with underlying medical conditions

Think you may have COVID-19?

Click here to take the Government of Canada’s Self-Assessment

WRITTEN BY

Hassan Vatanparast is a member of Osteoporosis Canada’s Scientific Advisory Council.  He is a Professor with Joint Appointment to the College of Pharmacy and Nutrition and School of Public Health, University of Saskatchewan. He is actively involved in research and health promotion initiatives targeting bone health. Hassan is leading several projects at the local, national, and global levels aimed to improve the nutritional health of the general population, newcomers and indigenous communities.

VITAMIN D IN SUMMER: SUN, FOOD, SUPPLEMENT

Vitamin D is an essential nutrient for proper growth and formation of teeth and bones. We need vitamin D for the absorption of calcium and phosphorus from the foods that we eat. Vitamin D has some other roles in the body, and it is important for our muscles and our immune system. Low levels of vitamin D, known as vitamin D deficiency, has been linked to a wide variety of health issues such as osteoporosis, heart disease, depression, cancer, and multiple sclerosis.

How much Vitamin D do I need?

Osteoporosis Canada recommends healthy adults between 19-50 years of age, including pregnant or breast feeding women, require 400 – 1,000 IU daily. Those over 50 or those younger adults at high risk (with osteoporosis, multiple fractures, or conditions affecting vitamin D absorption) should receive 800 – 2,000 IU daily.

What are the sources of Vitamin D?

Food and Supplements

There are very few foods in the nature that contain significant amounts of vitamin D. These include the flesh of oily fish such as salmon, tuna, sardines, and mackerel and fish liver oils. We can also get small amounts of vitamin D from foods such as beef liver and egg yolks. Some yogurts contain vitamin D if they are made with vitamin D fortified milk. In Canada, vitamin D fortification is mandated for margarine, infant formula, formulated liquid diets, cow’s milk and its substitutes, egg products, foods for use on a very low energy diet, meal replacements and nutritional supplements. Fortification is voluntary for butter substitutes, condensed milk, goat’s milk and goat’s milk powder.

It is nearly impossible to get enough vitamin D from your diet. You would need to eat a lot of these foods to reach the recommended level. Osteoporosis Canada recommends that all Canadian adults take a vitamin D supplement (specifically, vitamin D3 or cholecalciferol) year-round. This is the most common type of vitamin D found in supplements in Canada.

Examples of foods rich in vitamin D

Food Serving Size IU’s per Serving
Cod Liver Oil 5 mL/1 tsp 426
Egg Yolk, cooked 2 Large 64
Margarine, fortified 5 mL/1 tsp 25-36
Milk (all types) 1 c/250 mL 103-105
Mushrooms, white 125 mL/ 1/2 c 4
Orange Juice, Fortified 1/2 c/125 mL 50
Salmon (Sockeye), Baked or Broiled 75 g 394
Salmon, pink, Canned, Drained with solids and bones 75 g 435
Snapper, Baked or Broiled 75 g 392
Soy Beverage, Enriched 1 c/250 mL 86

Sun exposure

Vitamin D and Sun ExposureVitamin D, the “sunshine vitamin,” is produced when the sun’s rays interact with our skin. It helps build stronger bones by increasing the absorption of calcium. It also improves the function of muscles, which can improve your balance and decrease the likelihood of falling and suffering a fracture.

Canadians, particularly women,  have reduced their sun exposure and use sunscreen (which blocks UV rays) to prevent damage from the sun.  As well, Because of our latitude, we cannot produce vitamin D between October and March.

Furthermore, the skin’s ability to make vitamin D decreases as we age.

All this supports the need to get vitamin D through food and/or supplementation.

WRITTEN BY

Hassan Vatanparast is a member of Osteoporosis Canada’s Scientific Advisory Council.  He is a Professor with Joint Appointment to the College of Pharmacy and Nutrition and School of Public Health, University of Saskatchewan. He is actively involved in research and health promotion initiatives targeting bone health. Hassan is leading several projects at the local, national, and global levels aimed to improve the nutritional health of the general population, newcomers and indigenous communities.

References:

National Institutes of Health. (2018). Vitamin D, Fact Sheet for Health Professionals. Retrieved from https://ods.od.nih.gov/factsheets/VitaminD-HealthProfessional/#en26 (assessed May 28, 2019)

Institute of Medicine. (2011). Dietary reference intakes for calcium and vitamin D: Washington, DC: The National Academy Press.

Janz, T., & Pearson, C. (2013). Vitamin D blood levels of Canadians: Statistics Canada Ottawa (Canada).

Libon, F., Courtois, J., Le Goff, C., Lukas, P., Fabregat-Cabello, N., Seidel, L., . . . Nikkels, A. F. (2017). Sunscreens block cutaneous vitamin D production with only a minimal effect on circulating 25-hydroxyvitamin D. Arch Osteoporos, 12(1), 66. doi:10.1007/s11657-017-0361-0

Wacker, M., & Holick, M. F. (2013). Sunlight and Vitamin D: A global perspective for health. Dermato-endocrinology, 5(1), 51-108.

Whiting, S. J., Langlois, K. A., Vatanparast, H., & Greene-Finestone, L. S. (2011). The vitamin D status of Canadians relative to the 2011 Dietary Reference Intakes: an examination in children and adults with and without supplement use. Am J Clin Nutr, 94(1), 128-135.

Canadian Food Inspection Agency. (2018). Foods to Which Vitamins, Mineral Nutrients and Amino Acids May or Must be Added. Retrieved from http://www.inspection.gc.ca/food/requirements/labelling/industry/nutrient-content/reference-information/eng/1389908857542/1389908896254?chap=1 (assessed May 31, 2019)

Pinault, L., & Fioletov V. Sun exposure, sun protection and sunburn among Canadian adults. Health Reports. Statistics Canada. Health ReportsCatalogue no. 82-003-X. ISSN 1209-1367.

Did you know?

A Registered Dietitian or your doctor can help you regarding supplementing vitamin D in your daily diet.

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