Articles written by Debra Johnston


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  • Recognizing suicidal signs and offering help

    Debra Johnston MD, Prairie Doc Perspectives|Sep 22, 2022

    One summer during my college years, I had a roommate who suffered from suicidal thoughts. She’d attempted suicide before we met, and been hospitalized, but continued to struggle. Back in the late 80s, there was very little public understanding of mental health issues, and the stigma was even stronger than it is today. Our other roommate and I didn’t know what to do, or where to turn. Not surprisingly, we didn’t handle it well. However, we did one thing right: we restricted access to lethal means. We secured the knives, and took control of her m...

  • Let's put ourselves in their shoes

    Debra Johnston, The Prairie Doc|Nov 11, 2020

    When I met her, she was younger than I am now. I was responsible for admissions to our hospital that day, and the ER doctor called me about a woman with intractable bleeding. It had been going on for several months, but she was embarrassed and unsure. She hid the severity of her bleeding from her husband, until the day she passed out in the kitchen. Ultimately, we diagnosed her with cancer, and she started down a difficult road of surgery, chemo, radiation, and more surgery. But they faced many hurdles beyond her disease. She and her husband...

  • Life lessons take time to appreciate

    Debra Johnston MD, The Prairie Doc|Jul 29, 2020

    Sometimes, life has lessons for us that we don’t truly appreciate until much later. Many years ago, when I was a very wet behind the ears new doctor, I had the privilege of being part of the care team for an elderly Native American woman. She had been transferred from somewhere in rural South Dakota to our hospital in the city in hopes of identifying her disease and ascertaining how best to help her. Her daughter accompanied her. The medical team was convinced we knew “best,” while her daughter was determined that we were not going to take...