Cold and ice have caused dozens of people to land in the ER.
From frostbite to injury falls, it's been a busy season for weather-related accidents.
The extreme conditions outside have caused a flurry of patients to end up inside the doctor's office.
"We've seen a lot of falls with the icy weather lately." says Krissondra Klop, Family Medicine Physician with Sanford South Clinic.
The most common winter weather-related injury by far is from falling on the ice.
The number of spills reported at St. Alexius and Sanford's emergency rooms is significant.
"Seriousness of the falls goes from a minor sprain of a joint, so an ankle sprain or a knee sprain, hand if you fall on an outstretched hand, to a fracture..." says Klop.
"Broke it on the very top part near the shoulder." says Laura Jassek, Fractured arm during fall.
Laura Jassek was getting out her vehicle in her own driveway when she took a hard fall to the ground.
"I just swan-dived right into the ground and just realized I couldn't move my left arm very well and we went to the emergency room and they said yep, you broke it." says Jassek.
She says there's nothing funny about breaking your humerus bone.
She's had to sleep in a recliner for the past five weeks and missed a few days of work, but as hospital numbers show, she is not alone.
"It isn't people doing, making bad choices, they just start doing regular activity and forget how extreme the weather is..." says Klop.
Wearing cleats on your shoes is one suggestion.
Avoiding walking outside at night is another, it's harder to see icy spots then.
As for Laura, she has a checkup with the doctor Thursday and she's learned to really take her time as she continues to heal.
"I just park in a flat space and just be careful when I'm walking, if you want to pass me you pass me go ahead, I'm taking those baby steps until I get to the door." says Jassek.
A handful of mild and severe frostbite cases have also been reported at both hospitals in Bismarck.