Author: Jeffrey Cummings, MD – Barton Health

Living in the mountains means embracing winter in all its forms, whether you’re clearing snow from your driveway, carving down the slopes, or simply navigating icy walkways. But winter also brings challenges, especially for one of the hardest-working parts of your body: your shoulder.

Shoveling Reality

Shoveling looks simple, but it’s tough work. Cold weather makes your muscles tighter and lifting heavy snow over and over can strain your shoulders. This can lead to problems like sore muscles or rotator cuff injuries.

Before you start any shoveling, whether it’s snow in your driveway or hay from a barn stall, warm up your shoulders with slow, gentle stretches. Bend your knees to lift and push the shovel instead of throw, taking breaks often. If your shoulder starts to hurt, stop right away. Pain is your body’s way of saying something isn’t right. You can also switch to a snowblower, ask for help, or move smaller amounts at a time.

Falls on Ice

Falls on ice are another winter threat. When you slip, your first reaction is usually to reach out and catch yourself. Some falls may cause fractures or rotator cuff tears, which need quick treatment. If you fall and can’t lift your arm afterward, get checked within the first week. Early care can make a big difference in how well your shoulder heals.

On the Slopes

When you’re snowboarding, skiing, or sledding, shoulder injuries can happen if you take a hard fall or run into something. Some common problems include dislocating your shoulder, tearing the rotator cuff, separating the AC joint, or breaking your collarbone (clavicle). These often happen when you land on an outstretched arm or take a big hit. Signs of an injury can include pain, swelling, trouble moving your arm, or even something looking out of place.

Stay Safe This Winter

Wear shoes or boots with good traction, salt or sand your walkways, warm up before being active in the cold, and never rush on ice.

If you fall or feel severe shoulder pain, notice a deformity, or can’t lift your arm, don’t wait. Getting help early gives you the best chance of healing fast and getting back to the winter fun you love.

Dr. Jeffrey Cummings is a board-certified orthopedic surgeon with Tahoe Orthopedics & Sports Medicine specializing in complex shoulder and knee injuries. He sees patients at Barton Health’s offices in Carson City and Gardnerville. Call 530.543.5554 to make an appointment or visit BartonHealth.org to learn more. Join Dr. Cummings for a free webinar, “Understanding Common Shoulder Injuries,” on Thursday, December 11 from 5:00 – 6:00 p.m.; details at BartonHealth.org/Lecture.

I know I shouldn’t write about things I know nothing about, but this has never been a deterrent to me in the past, so I’m hankering to write about Vivaldi, yes, that Vivaldi. So, recently inspired by Donna Axton’s Holiday Concert with the North Tahoe Community Choir, featuring Antonio Vivaldi’s Magnificat, I am writing on musical adrenalin alone. Yes, I am still high from the concert of a few nights ago…

I suppose all good music does that to us, though in this case, Vivaldi hit a vibrant chord that set me aglow. I felt a strong urge to attend a second performance scheduled for the next day, sing alongside Ariel Ramiriz, Ania Helwing, Mary Collins, and belt out the Magnificat in four-part harmony. 

I actually did start to sing along in that first concert, and in my best contralto too, until a cold hand cupped my neck from behind, and I couldn’t breathe.

I always thought Vivaldi was a cream cheese that you pull a string to open, but then the string never works and you have to lick your fingers to get to the cheese. But I did a little research. I went to the refrigerator, fished around, and discovered my cream cheese was not Vivaldi Cheese at all, but “Laughing Cow.”

My Latin, weak as it is, fetched me up onto the rocks until I found a translation into Italian, and from that into English. Herein is the translation that reeled me in and made me a fan of Vivaldi… “Now she smiles, the lovely Mary, and heaven grows bright with a radiant glow. Her voice is a song, her eyes like the stars that shine above Bethlehem.” 

Well, If that don’t fetch’em, I don’t know Bethlehem…

I’ve come a long way since fourth grade, when Miss. Blumberger introduced us to opera by playing a recording of “Madama Butterfly.” And I remember all too well, her announcing to our paralyzed class that, “Just because McAvoy does not appreciate this particular form of art, does not necessarily mean, ‘It stinks!’” 

Anyways, should I see Donna Axton around here in the village, I shall buy her the adult beverage of her choice and maybe a Ginger Man cookie to say thanks for a most memorable evening of Vivaldi. 

By the way, Miss Donna threw in Joy to the World, White Christmas and Silent Night at no extra charge. If she isn’t one of them Vivaldi angels from Bethlehem herself, well, I don’t know my Vivaldi, and I think I do…

In closing, instead of leaving the last word to Mark Twain as I am wont to do, I shall leave the last word to Vivaldi: 

“Move on! Move on! Little donkey move on!”

Audio: https://open.spotify.com/show/7Fhv4PrH1UuwlhbnTT23zO

Originally published in Moonshine Ink, 12/11/2025, Written by Alex Hoeft

In mid-October, I attended a Desert Research Institute symposium in Reno focused on resiliency, recovery, and response to the increasing intensity of wildfires across the U.S. (but especially the West).

I’ve written numerous articles about wildfire since my start with Moonshine in May 2019, including monitoring and reporting on the devastations of the Caldor, Dixie, and Tamarack fires in 2021. Firefighters have been telling me since the beginning that wildfire is not contained to the hot months anymore, but something about the various panels and discussions at this AWE+ 2025 Collaborative shifted everything into a new, glaring light.

Some of what I learned can be found on p. 14, regarding fire insurance coverage in California and Nevada. Other topics will be covered in future editions of the Ink.

READ MORE >

Originally published in Moonshine Ink, 12/11/2025, Written by Alex Hoeft

In mid-October, I attended a Desert Research Institute symposium in Reno focused on resiliency, recovery, and response to the increasing intensity of wildfires across the U.S. (but especially the West).

I’ve written numerous articles about wildfire since my start with Moonshine in May 2019, including monitoring and reporting on the devastations of the Caldor, Dixie, and Tamarack fires in 2021. Firefighters have been telling me since the beginning that wildfire is not contained to the hot months anymore, but something about the various panels and discussions at this AWE+ 2025 Collaborative shifted everything into a new, glaring light.

Some of what I learned can be found on p. 14, regarding fire insurance coverage in California and Nevada. Other topics will be covered in future editions of the Ink.

READ MORE >

Originally published in Moonshine Ink, 12/11/2025, Written by Jon Grant

The XXV Winter Olympics will take place Feb. 6 through 22 in Italy. The Milano Cortina Games will see over 3,500 athletes from 93 countries competing for 195 medals, and numerous Tahoe-area skiers and riders are currently vying to make the U.S. team.

With key qualifying events in December and January, final roster spots won’t be set until just days before the team embarks for Italy. Below is a sample of local athletes in the hunt for a spot on the team — and on the world’s stage.

READ MORE >

Originally published in Moonshine Ink, 12/11/2025, Written by Jon Grant

The XXV Winter Olympics will take place Feb. 6 through 22 in Italy. The Milano Cortina Games will see over 3,500 athletes from 93 countries competing for 195 medals, and numerous Tahoe-area skiers and riders are currently vying to make the U.S. team.

With key qualifying events in December and January, final roster spots won’t be set until just days before the team embarks for Italy. Below is a sample of local athletes in the hunt for a spot on the team — and on the world’s stage.

READ MORE >

Photo credit: XGames