Sorted by date Results 1 - 11 of 11
Years ago, a family brought a 25-year-old farmer into the emergency room with a gunshot hole over his heart and with no pulse or breathing for more than ten minutes. It was a self-inflicted wound and this young farmer would farm no more. The family was besides themselves with loud and sorrowful wailing that wrenched my soul. They told me that the impending harvest looked poor, the loan was coming due, and he had been isolating himself, drinking more and getting angry at every little thing. They had no clue he was at risk of suicide. Sure, he...
Of the 40 million people with hearing loss in the U.S., 25 percent of those, or 10 million, have lost their hearing as a result of exposure to excessive noise. But how much noise is too much? Measured as decibels (dB), the acceptable manufacturing noise standard is to allow a daily exposure up to but not over 85 dB in an eight-hour period. More than that can cause permanent injury to our hearing. This is likely due to wear and tear on the tiny hairs that vibrate when sound is introduced. It’s like a line of kids walking across one path on the g...
A muddle and mixture of family and friends surrounded the dying elderly woman like she was a campfire. They came to honor and pay their respects; many generations, from all over the country. This group seemed well educated, well-read, and the intellectual discussions were tossed around in that room like a basketball. She had said, to all, that it was time. “Please stop the dialysis,” she insisted, and, it was stopped. At first, she was almost holding court, but over the days, as she was slipping across to the other side, the hymns started fil...
The elderly patient came back to our rural hospital from a hospital in a nearby larger city after having had major surgery and feeding-tube placement. The care from the bigger hospital was superb except that the patient was getting too much nutrient and fluids and was a bit “overloaded.” Also, the family was concerned that perhaps they had been too aggressive in getting stressful surgery for their elderly mom, whose memory had begun to slip. As her physician, I cut back on the feeding-tube supplements, stopped the intravenous fluids, provided a...
“Every once in a while, my heart seems to be jumping out of my chest, I get a weak feeling and short of breath,” the patient explained. When I listened with my stethoscope, his rhythm was different than the usual lub-dub, foot-tapping, sounds, which are regular as a band marching through town on a summertime parade. Instead his heart had the irregular rhythm of popping corn, chaotic and unpredictable, and I couldn’t tap my foot to it. As predicted, the EKG showed the rhythm of atrial fibrillation, with the atrial rate running at three to 400 b...
We have all had to deal with bullies throughout our lives, and I have had my share. One fall day, coming home from school, I saw two guys from my third-grade class beating up on a smaller kid and was moved to step in to help. I was chagrined, but not surprised when the victim ran home, and I became the new target. The beating I took that day was minimal, however, the sense that I did the right thing by standing up against bullies has propped up my self-worth my whole lifetime. Bullies and abuse are everywhere. While in medical school, I was in...
It is miraculous to consider how much access and exposure we have to information through our computers, televisions, radios and newspapers. Unfortunately, we need to be on guard because too much of this buzz can be false information. In an October 2017 article, the Pew Research Center found 43 percent of people in 2016 received their news from Facebook listening for information that aligned with their world view (not necessarily with facts). Pew also found 23 percent had shared, by intention or accident, untrue political messages on social...
Q: What are some types of skin cancer? A: The three major types are basal cell, squamous cell and malignant melanoma. In general, one in five, or 20 percent of people in the U.S. have had or will have some type of skin cancer. In Australia where the sun is intense, two out of three skin cancers are basal cell, one in four are squamous cell, and one in twelve are malignant melanoma. Q: Should I go to a dermatologist for screening? A: The dermatologist is the most experienced with skin cancer, but primary care providers can help, too. Realize,...
Nothing has touched my soul and spoken to aging with grace quite like the ancient Indian medicine wheel and the traditions that have evolved from it. From the National Library of Medicine, I learned that in the Americas, Indian tribes have multiple interpretations of the four directions, but the following prayer is my own, geriatrician’s interpretation of a version from the book “Black Elk Speaks” and Oyate (Nakota, Dakota, Lakota) tradition. First, we get down on our knees and feel the soil, the sacred Mother Earth, bringing the world aroun...
Addiction can be defined as the compulsive repeated use of a drug or substance (such as alcohol) or performance of a behavior (such as gambling). Dependence is different, occurring when repeated use of a drug (such as heroine) results in physical dependence which causes an unpleasant feeling of withdrawal when the drug is stopped. Addiction and dependence can occur separately, although they often run together. At five-years-old, I was a thumb-sucker. I recall not being proud of it as my folks seemed progressively upset about my “addiction.” The...
(Publisher’s note: The Prairie Doc is a new health column offered to us from the Wyoming Press Association. Let us know if you enjoy it.) My good friend, a single man in his 60s, didn’t like going to the medical clinic for anything, let alone a cold. His illness started with a fever, aches all over and a sudden overabundance of mucus. After one or two days of those obvious viral symptoms, for which we have no good therapy, he got better, except he acquired a new dry hacky cough. Initially he did what he should have and stopped going to wor...
