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Posts Tagged ‘emergency medicine’

The Highway Don’t Care

Posted in Books, Journaling, Wedding, Country, tagged , , , , , , , , , , on May 18, 2013| 3 Comments »

Today I’m baking mini carrot cake muffins. The last time I made these the Bride was graduating from college, and I had to feed a few tents full of people in our backyard. And it was about that time, in 2001, that we heard about the first cell phone related car accident, It happened early one morning in Shrewsbury, NJ; a school crossing guard was hit and killed because a commuter was rushing to work and dropped his phone.

Nashville is where medicine and music meet, so in honor of  National Trauma Awareness Month this May, I thought I’d post this music video the Bride sent my way. There are a few of her colleagues in the Emergency Department shots. When I drive into Nashville, there is a huge sign that spans the highway telling drivers how many people have died so far this year on the road. Automatically, I slow down. Needless to say, distracted driving is something we’ve all been guilty of, but let’s all pledge to stop.

http://news.vanderbilt.edu/2013/05/vanderbilt-county-superstar-tim-mcgraw-share-important-message-regarding-dangers-of-distracted-driving/

“In 2011, 3,331 people were killed in crashes involving a distracted driver, compared to 3,267 in 2010. An additional, 387,000 people were injured in motor vehicle crashes involving a distracted driver, compared to 416,000 injured in 2010.”  Here are all the myriad ways we can lose our focus while driving:

  • Texting
  • Using a cell phone or smartphone
  • Eating and drinking
  • Talking to passengers
  • Grooming
  • Reading, including maps
  • Using a navigation system
  • Watching a video
  • Adjusting a radio, CD player, or MP3 player

Many of you know that I was raised by foster parents due to a drunk driver Don’t drive drunk, or tired and don’t drive to distraction, please. http://www.distraction.gov/index.html Thanks to Tim McGraw and  Taylor Swift and Keith Urban. Vanderbilt LifeFlight, Vanderbilt University Hospital and the Adult Emergency Department. Distracted-driving-pledge1

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An Easter Miracle

Posted in Books, Journaling, Wedding, Country, tagged , , , , , on March 31, 2013| 5 Comments »

Don’t worry, I’m not going to get all biblical on you. I have my fond memories of Sacred Heart Church shrouded in purple, singing in the choir, fake green grass in a basket, biting off the head of a chocolate Easter bunny. And later, hiding colored eggs and candy around my friend’s yard so all our friends’ children could come in their little Wellies and hunt for treasure. Spring is in the air, robins are bobbing their heads.

And hospital and health and safety workers are on the job year round, 24 hours a day. For them, pausing for a big family dinner, let alone searching for jelly beans, doesn’t really happen. What happens is saltines and peanut butter at the nurse’s station. The Bride is working, and so is Bob. And here’s what happened at my daughter’s ER.

A man in his 30s walked into the waiting room and promptly collapsed in a chair. He lost consciousness, nobody even heard a chief complaint. When they hooked him up to an EKG it was obvious he was having a major heart attack; I think they call it Vfib? My doctor daughter had the biggest guy in the room, a tech, pound on his chest while she got the paddles ready. The pounding didn’t help, so she shocked him with the paddles, and he converted but unfortunately he got belligerent and pulled everything out, then passed out. She shocked him again.

And he came back to life. He was discharged from the hospital yesterday.

He has a wife and 3 children and probably will never meet my daughter. And it made me think of the husband of a friend of mine in Pittsfield, MA. In his 30s too, he woke up one July 4th morning sweating, and instead of going to the ER, he took a shower. That is where he died, while his wife tried calling his doctor and finally called an ambulance, before 911. She had a new baby and a toddler so I made baked ziti for the shiva. And I helped her collect pictures of her husband for her children, because i know what it’s like to lose a father so young.

On this Easter morning, Christianity teaches that rebirth can happen to all those who seek God, who walk humbly. As my dear friend Eve quotes:

“I cannot help but think, on this Easter morning, of how many times I have been resurrected. Like so many others, I have known moments when I thought my life had entered a tomb. I saw that great stone rolling between me and the hope of any future I could imagine. But then, through God’s grace and healing, I emerged into a garden to find people who cared for me waiting, waiting for me to return to life. I pray, therefore, for all of those who have been resurrected like me. I celebrate this new life with all of you who have stepped out of the grave into the light of Easter.” S. Charleston

Many thanks to all those emergency personnel who are working today, and just a little note to the Easter bunny – really, you need a break?
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A Gun Gag

Posted in Books, Journaling, Wedding, Country, tagged , , , , , , , , , on January 9, 2013| 2 Comments »

I remember the first time I went to see my regular doctor at UVA for a general physical exam. The Bride had recommended him and it turns out he is a real life Dr McDreamy. Handsome and smart, plenty of time to answer my questions, not in any rush to shoo me out the door. Maybe this is what academic medicine is all about? I was surprised that he ordered tests for blood and bone density, mammography – and he didn’t actually touch me. I guess my Irish ancestors get the prize for giving me all the right numbers in blood pressure, and remember I didn’t come in with a problem. But my first surprise was the nursing assessment before Dr McDreamy walked in; she asked me if, “I feel safe at home?”

Bob tells me that this is a relatively new question in the battery of things we patients must divulge when we are putting our lives into the hands of someone. I understood, I suppose if I was a battered and abused woman maybe I’d feel safe enough here to break down and tell? It made me wonder what protocol they use if a woman or man answered that question in a different way. How much do we drink, do we smoke, and btw how do we feel in our home? I remember when Bob worked on a baby who had drowned in a hot tub. I’m pretty sure they weren’t asking questions back then about pools and hot tubs.

Last month I accompanied the Love Bug to her 4 month Peds check-up. How’s the nursing going, sleeping? And political junkie that I am, I thought about the small battle that was waged last year to gag doctors in FL. Legislators there were fighting to silence their pediatricians’ general wellness questions; in particular, one question, “Are there guns in the home?” Yes sir, politics has slipped inside that HIPPA protected wall of the doctor/patient relationship – one I liken to a priest/confessor – and is yet again telling our health care professionals what to do.

“The way some doctors see it, asking patients whether they own a gun is no more politically loaded than any other health-related question they ask. So when a Florida law that prohibited them from discussing gun ownership with patients passed last year, they moved to fight it. A federal judge issued a permanent injunction blocking enforcement of the law in July.” http://www.npr.org/blogs/health/2012/11/27/165985266/taking-aim-at-restrictions-on-medical-questions-about-gun-ownership

I relaxed. I thought this will never do, it just can’t happen, if a federal judge in FL blocked this inane law, then it’s over. But no, it isn’t over.
http://edition.cnn.com/video/#/video/bestoftv/2013/01/09/ac-acosta-gupta-health-care-guns.cnn?iref=allsearch

A little known 5 sentence provision was slipped onto the end of the Affordable Care Act. Legislators agreed to slash the language of the bill until all health care professionals could do was ask about guns – there is to be

NO documenting of their conversation about guns,
NO collection of data on guns, and
NO research on gun ownership as it relates to injuries…

Legislators argued and preened around the policy, taking out the part about doctors being jailed if they so much as ask about guns, or even losing their license. As many as 8 states are still fighting to reinstate this criminal provision. Remember the good old days when all we worried about was a transvaginal ultrasound? http://edition.cnn.com/video/#/video/bestoftv/2013/01/09/ac-acosta-gupta-health-care-guns.cnn?iref=allsearch

Why should we care? 1 in 5 deaths of children in our country under age 20 is directly related to firearms – 1 in 5. In a 2 year study, for children ages 5 – 14, guns were shown to be the third leading cause of death. And now, the powerful NRA has basically stopped all research into this public health and safety problem. Let the newspapers print the names and addresses of gun owners. How many more rights are we willing to give up for the almighty money of the gun lobby?

Here is a picture of the graffiti that has appeared on our new bridge over the Rivanna River. “Love” on one side, and “Peace and Faith” on the other. I hope it stays there for awhile, that free speech travels upriver.
photo

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Home

Posted in Books, Journaling, Wedding, Country, tagged , , , , , , on December 25, 2012| 4 Comments »

Someone once told me that you have to live in a place for at least 10 years before it becomes home. When I was young, I called Victory Gardens home. It was a development in NJ for the support staff that worked at an arsenal during WWII. It was meant to be temporary; four rooms and one bath made out of concrete. We lived on Washington Avenue, all the streets were named after presidents. I would dream about this house for years, because this is where I learned what love is.

When you marry an Emergency Physician, you also learn to love moving. It was never easy. I’ve made friends in other states that will never be replaced, the kinds of friends who know where the spoons are in your kitchen. Women who would supply all the flowers and food for the Rocker’s bris without ever asking or saying a word about it. Women who would show up to escort an au pair to the train station, thereby saving her from physical harm and me from an arrest record.

And I learned to love each place. The snowy farmhouse at the edge of a bird sanctuary in the Berkshires. The brick, mid-century modern between two rivers on the Jersey Shore. And I’m learning to love my view of the Blue Ridge, on the cusp of Mr Jefferson’s Monticello and his Academical Village. This is the place where the Bride met her Groom and now the next generation is just beginning. They are making their home in the Music City and the Rocker and Ms Cait are feathering a new nest after super storm Sandy.

“Home” is the best gift we can give our children. That feeling that we belong, that we are loved unconditionally. It doesn’t matter where we find ourselves today. We were all tucked in our beds, in TN, VA and NJ. Well except for the Bride. Santa found her anyway. Wishing you all a warm and lovely Christmas.
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