LIVE TRAINING RESOURCES

Survival Medicine Workshops with Doc Cindy

Casting, suturing, labs, diagnosis, triage, labor, delivery, emergencies, and more

Upcoming workshops

Most classes held just outside Akron, Ohio

For additional information CLICK HERE* * *

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Armageddon Medicine – the book

How to be your own doctor when there’s no other choice

For more information CLICK HERE

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ONLINE RESOURCES

Hundreds of free articles with more added on a regular basis

Check categories to the left or search for any topic in the search bar, top right

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Survival Medicine 101 (open to all)

2013 CLASSES:  Fri-Sun, July 26-28 and October 18-20, 2013

CLICK HERE for dates and information

• Suturing and minor surgery
• Splinting and casting
• Labs and clinical procedures
• Bioterrorism and radiation exposure
• Antibiotics and infection
• Treatment of chronic disease

Survival Medicine 102 (open to all)

2013 CLASSES:  Fri-Sun , May 24-26, and September, 20-22, 2013

CLICK HERE for dates and information

• Triage, quarantine, and isolation
• Childbirth, labor, and delivery
• Poisonings
• Adult and childhood emergencies
• Herbal remedies
• Do-it-yourself dentistry

Survival Medicine 201 (requires 101 as prerequisite)

2013 CLASSES:  Fri-Sun, JUNE 21-23, and November 15-17, 2013

CLICK HERE for dates and information

• Advanced casting in special situations
• Treatment of open fractures
• Treatment of dislocations
• Principles of traction
• Advanced suturing
• Suturing under challenging conditions
• Major trauma
• Management of burns
• Emergency tracheotomy
• Chest wounds
• RFID removal
• and much more

]]> http://armageddonmedicine.net/?feed=rss2&p=6218 10 http://armageddonmedicine.net/?p=7143 http://armageddonmedicine.net/?p=7143#comments Thu, 02 May 2013 01:53:12 +0000 Cynthia J. Koelker, MD http://armageddonmedicine.net/?p=7143 SURVIVAL MEDICINE 201 – Advanced

New! Live Advanced Workshop with Doc Cindy

Tuition only $365/person for 3 full days of instruction (9-4:30 daily) with Doc Cindy  

2013 WORKSHOP SCHEDULE  

Friday-Sunday, June 21-23, 2013 (In Atwater, near Akron, Ohio)  

Friday-Sunday, November 15-17, 2013 (In Atwater, near Akron, Ohio)  

REGISTRATION NOW OPEN - scroll down to register  

If you’ve taken Survival Medicine 101, and learned to suture, splint, and cast . . .

Are you ready for the big time?  Here’s your chance to hone your skills. 

Hands-on training will include: 

• Advanced casting
• Treatment of open fractures
• Treating fractures that are difficult to cast
• Principles of traction therapy
• Management of dislocations
• Advanced suturing
• Suturing under adverse and realistic conditions
• Management of bullet wounds
• Major trauma
• Emergency tracheotomy
• Removal of RFID chip

CLICK HERE to download a complete PDF brochure including course outline, payment details, location and directions, accommodations, and registration form.

Register using drop-down menu below (PayPal and Credit Cards accepted) and be sure to mail in pages 11 and 12 of the downloadable PDF brochure above.

• Or mail-in registration payment with pages 11 and 12 of the downloadable PDF brochure.

CLASS REGISTRATION IS FIRST-COME, FIRST-SERVED and will close once the class is full.  

QUESTIONS? Email Doc Cindy (at) Armageddon Medicine (dot) net – (use no spaces in email address) 

BEGIN REGISTRATION FORM HERE

SURVIVAL MEDICINE 101, 102, & 201/ADV – Registration and Payment

1st-Registrant $365.00 USD 2nd-Registrant, shared materials $315.00 USD 2nd-Registrant, own materials $365.00 USD Down-payment (per person) $200.00 USD Bal. due by 2 wk before class $165.00 USD Bal. due by 2 wk before class $115.00 USD Will mail payment $0.00 USD

CHOOSE CLASS

Survival Medicine 101 Survival Medicine 102 Survival Medicine 201/Adv

MONTH

January February March April May June July August September October/November

PLEASE SPECIFY DATES

END REGISTRATION FORM HERE ***    CLICK HERE to download a complete brochure.  

ALSO – DON’T MISS!

HOMESTEADING CLASSES AT STONE GARDEN FARM

ENJOY A CLASS OR AN EVENING AT STONE GARDEN FARM & VILLAGE

In conjunction with my Survival Medicine events, my good friends Jim and Laura Fry offer homesteading classes at their farm, Stone Garden Farm and Museum, either the day before or the day after my workshops (or both). Or sometimes we arrange an informal evening with the Fry family just to socialize, get to know each other, and explore their unique farm. I’ve listed their classes on the next page – be sure to avail yourself of this wonderful opportunity. Check my web site to see which class is offered in conjunction with the Survival Medicine Workshop you’ll be attending, or call the number below for additional details.

The Fry’s farm is located at 2891 Southern Road, Richfield, Ohio 44286, approximately 30–45 minutes north of my “Farmageddon” location. They also offer overnight camping space for $5, or teepee rental for $15 per night. Museum and farm tours along with viewing of all the tools needed for self-sufficiency are free. For info on other classes offered visit http://heritagehomesteadclasses.blogspot.com. For village & museum information visit www.ohiofarmmuseum.com or call (330) 659-3507 or email stonegardenfamily@yahoo.com.

Homesteading Classes with Jim and Laura Fry

• Classes offered the day before and/or the day after Survival Medicine 101, 102, and 201
• $40/class or $60 for both – Home-cooked lunch included with each class
• Call Jim or Laura Fry at (330) 659-3507 or (843) 469-4060 with questions or to register, or email stonegardenfamily@yahoo.com  

Homesteading/Survival Series 1 – Hands-on Class – call or email for dates

Essential Needs – Learn useful skills for the homestead or survival situation

Featured topics

• Rendering animal fat into easily storable, useful tallow or lard
• Using that tallow to make candles
• Basic hot process using tallow to make lye soap that can be used for body, laundry, or dishes
• Wild edible/medicinal walk to learn the abundance of foods and medicine in our area
• Using herbs to make healing/medicinal salve and discussion of other ways to preserve/use herbs including tinctures, glycerites, and dried herbs
• Tour our many useful buildings, such as our blacksmith shop, weaving mill, tin shop, etc. and see our sustainable farm.

Homesteading/Survival Series 2 – Hands-on Class – offered Monday, November 18, 2013

Our Daily Bread – Acquiring, using, and storing meat, vegetables, and grain

Featured Topics

• Catching, cleaning, and preparing small game: traps and snares, slaughter, cleaning and dressing
• Fire cooking: using fire and/or heat to prepare small or very large portions of food with easy-to-find or salvaged materials
• Organic/Survival gardening: seed saving, permaculture, edible landscape, gardening for winter, compost, etc.
• Fermented foods and food preservation: simple age-old techniques for long-term food storage without complicated equipment or ingredients; make a batch of sauerkraut, discuss many other preservation methods including proper root-cellaring and over-winter gardening techniques
• Grain grinding/grain usage: learn what to look for in a good grinder, how to use one, and the many uses of simple grains
• Tour our many useful buildings, such as our blacksmith shop, weaving mill, tin shop, etc. and see our sustainable farm.

I’m posting this for those who are considering coming but would like feedback from someone who’s attended.  Is this class for you?  I think so . . . but then I’m biased.  So take a look and decide for yourself!

And thank you, RH, for taking the time to make this helpful video.

* * *

To begin I’ll be joining Sylvia of the Christian Home Keeper, who kindly invited me to her show.

Our first podcast features an overview of Armageddon Medicine, with future shows dealing with specific topics.

Check back often for updates and enjoy the show!

* * *

* * *

March 2, 2013 – Overview of Armagddon Medicine with Sylvia and Doc Cindy

Live Workshop with Doc Cindy

Tuition only $365/person for 3 full days of instruction (9-4:30 daily) with Doc Cindy

2013 WORKSHOP SCHEDULE

 Friday-Sunday, July 26-28, 2013 (In Atwater, near Akron, Ohio)

August Dates and Location TBA

Friday-Sunday, October 18-20, 2013 (In Atwater, near Akron, Ohio)

 REGISTRATION NOW OPEN - scroll down to register

If you’re entirely on your own, can you take care of your family and yourself?

Hands-on training will include:

• Wound care – suturing and other wound closure techniques
• Fracture care – casting and other aspects of care
• Outpatient labs and procedures you can perform without electricity
• Local anesthesia including digital blocks
• Minor surgery including shave biopsy, cryosurgery, excisions, nail removal
• Using OTC drugs like prescription medication
• Hydration techniques
• Treatment of life-threatening infection
• Treatment of chronic diseases

CLICK HERE to download a complete PDF brochure including course outline, payment details, location and directions, accommodations, and registration form.

• Register using drop-down menu below (PayPal and Credit Cards accepted) and be sure to mail in pages 10 and 11 of the downloadable PDF brochure above.
• Or mail-in registration payment with pages 10 and 11 of the downloadable PDF brochure.

CLASS REGISTRATION IS FIRST-COME, FIRST-SERVED and will close once the class is full.

QUESTIONS? Email Doc Cindy (at) Armageddon Medicine (dot) net – (use no spaces in email address)

BEGIN REGISTRATION FORM HERE

SURVIVAL MEDICINE 101, 102, & 201/ADV – Registration and Payment

1st-Registrant $365.00 USD 2nd-Registrant, shared materials $315.00 USD 2nd-Registrant, own materials $365.00 USD Down-payment (per person) $200.00 USD Bal. due by 2 wk before class $165.00 USD Bal. due by 2 wk before class $115.00 USD Will mail payment $0.00 USD

CHOOSE CLASS

Survival Medicine 101 Survival Medicine 102 Survival Medicine 201/Adv

MONTH

January February March April May June July August September October/November

PLEASE SPECIFY DATES

END REGISTRATION FORM HERE ***  CLICK HERE to download a complete brochure.

 The following outline is taken from the workshop brochure

Module 1	Module 4
Clinical Procedures without Electricity	Suturing and Minor Surgery – Part II
Ear examination, treatment, and irrigation Strep throat diagnosis and testing Quick aids for hearing and vision Respiratory distress – procedures to aid diagnosis and treatment (PF, HCT, EKG) Improvised nebulizer treatment Urinalysis – testing and interpretation Dehydration and hydration techniques	Abscess incision and drainage Excision and repair Cautery techniques Cryosurgery technique Digital nerve block Ingrown nail removal Wound dressings and care
Module 2	Module 5
Infection and Illness – How to treat on your own	Splinting and Casting – Part I: Upper Body
Deadly diseases you can treat on your own Bioterrorism Radiation – risks and treatment Alternative therapies When antibiotics don’t work Treatment of chronic disease: diabetes, arthritis, thyroid disease, asthma/COPD	Working with plaster Diagnosis and treatment of fractures, sprains, and other injuries Upper extremity splinting and casting Injuries you can treat on your own and  those you cannot Immobilization techniques
Module 3	Module 6
Suturing and Minor Surgery – Part I	Splinting and Casting – Part II: Lower body
Surgical knot tying Suture and staple removal Sterile technique Wound cleansing and debridement Local anesthesia Suturing of lacerations Other wound closure techniques	Injuries you can treat on your own Diagnosis without X-rays Immobilization techniques Lower extremity splinting and casting Cast removal without electricity

CLICK HERE to download a complete brochure.*** Class size is limited

Register ABOVE to assure yourself a spot.

 

 

ALSO – DON’T MISS!

HOMESTEADING CLASSES AT STONE GARDEN FARM

ENJOY A CLASS OR AN EVENING AT STONE GARDEN FARM & VILLAGE

In conjunction with my Survival Medicine events, my good friends Jim and Laura Fry offer homesteading classes at their farm, Stone Garden Farm and Museum, either the day before or the day after my workshops (or both). Or sometimes we arrange an informal evening with the Fry family just to socialize, get to know each other, and explore their unique farm. I’ve listed their classes on the next page – be sure to avail yourself of this wonderful opportunity. Check my web site to see which class is offered in conjunction with the Survival Medicine Workshop you’ll be attending, or call the number below for additional details.

The Fry’s farm is located at 2891 Southern Road, Richfield, Ohio 44286, approximately 30–45 minutes north of my “Farmageddon” location. They also offer overnight camping space for $5, or teepee rental for $15 per night. Museum and farm tours along with viewing of all the tools needed for self-sufficiency are free. For info on other classes offered visit http://heritagehomesteadclasses.blogspot.com. For village & museum information visit www.ohiofarmmuseum.com or call (330) 659-3507 or email stonegardenfamily@yahoo.com.

Homesteading Classes with Jim and Laura Fry

• Classes offered the day before and/or the day after Survival Medicine 101, 102, and 201
• $40/class or $60 for both – Home-cooked lunch included with each class
• Call Jim or Laura Fry at (330) 659-3507 or (843) 469-4060 with questions or to register, or email stonegardenfamily@yahoo.com  

Homesteading/Survival Series 1 – Hands-on Class – offered Thursday, July 25 and October 17, 2013

 Essential Needs – Learn useful skills for the homestead or survival situation

Featured topics

• Rendering animal fat into easily storable, useful tallow or lard
• Using that tallow to make candles
• Basic hot process using tallow to make lye soap that can be used for body, laundry, or dishes
• Wild edible/medicinal walk to learn the abundance of foods and medicine in our area
• Using herbs to make healing/medicinal salve and discussion of other ways to preserve/use herbs including tinctures, glycerites, and dried herbs
• Tour our many useful buildings, such as our blacksmith shop, weaving mill, tin shop, etc. and see our sustainable farm.

Homesteading/Survival Series 2 – Hands-on Class – call or email for dates

Our Daily Bread – Acquiring, using, and storing meat, vegetables, and grain

Featured Topics

• Catching, cleaning, and preparing small game: traps and snares, slaughter, cleaning and dressing
• Fire cooking: using fire and/or heat to prepare small or very large portions of food with easy-to-find or salvaged materials
• Organic/Survival gardening: seed saving, permaculture, edible landscape, gardening for winter, compost, etc.
• Fermented foods and food preservation: simple age-old techniques for long-term food storage without complicated equipment or ingredients; make a batch of sauerkraut, discuss many other preservation methods including proper root-cellaring and over-winter gardening techniques
• Grain grinding/grain usage: learn what to look for in a good grinder, how to use one, and the many uses of simple grains
• Tour our many useful buildings, such as our blacksmith shop, weaving mill, tin shop, etc. and see our sustainable farm.

Related articles

• Essential Medical Skills to Acquire: Introduction (armageddonmedicine.net)
• Feedback on Medical Training Classes (armageddonmedicine.net)

FREE DVD – BASIC SUTURING with Doc Cindy – with each Armageddon Medicine Resource Kit ordered 

Or order Doc Cindy’s new DVD, Basic Suturing, to learn how to suture like a professional

• How to sew like a pro and achieve professional results
• Necessary materials and equipment
• Knot-tying essentials
• Sterile field preparation
• Suturing instruments and how to use them correctly
• Tips for ideal wound closure and healing
• Correct placement of sutures
• Mistakes beginners make and how to avoid them
• Demonstrated and taught by Doc Cindy

***

Choose your resource kit, then choose your bonus.  For more details on the book or resource kit, CLICK HERE.

Order Books and Kits Below

Resource Kit/Softcover Book $145.00 USD Resource Kit/Hardcover Book $155.00 USD Basic Suturing DVD (alone) $25.00 USD

Free BONUS DVD with each kit

DVD – Basic Suturing with Doc Cindy No other DVDs available currently No other DVDs available currently

For more information on the Hypothyroid Self-Study Course CLICK HERE.  

Clostridium difficile infection generally occurs only after taking antibiotics, and requires a different antibiotic to cure it (metronidazole 500 mg 3x/day or vancomycin 125 4x/day for 10–14 days).  These antibiotics will be in short supply, should society or modern medicine collapse.  Unfortunately, at times even these special antibiotics are ineffective. 

C diff  produces two types of toxins, which cause inflammation of the colon and increased fluid secretion.  The susceptibility to these toxins varies from person to person, and seems to worsen with age.  New and more virulent strains have emerged, making the infection even harder to treat.  Although certain antibiotics are able to kill the active bacteria, they are ineffective against spores, which can lay dormant and cause infection again later.

If antibiotics won’t cure the illness, is there any other treatment?  Fortunately, yes.  First though, a question:  why doesn’t everyone who harbors C diff spores in their gut succumb to infection?  You may already carry them.  So may I.  But why aren’t we sick?

The answer lies in the “normal flora” of the bowel – that is, the normal, “healthy” bacteria which work with our own immune system to ward off potentially invasive disease.  If you have enough “good” bacteria, the “bad” ones can’t flourish.  Antibiotics such as amoxicillin or doxycycline (or nearly any common antibiotic) kill many of these beneficial germs, upsetting the balance between helpful and harmful bacteria, sometimes resulting in C diff gaining a foothold within the intestine.

So if the answer is more good bacteria, how can this be accomplished?  Live bacterial cultures (yogurt, probiotics) can help, but a more drastic approach may be required – which brings us to why I’m writing today.  I’d like to update you with essential information from an article in this month’s Cleveland Clinic Journal of Medicine.

In Chapter 30 of Armageddon Medicine I address treating Clostridium difficile colitis with fecal transplantation.  The recent Cleveland Clinic article outlines additional specifics.

Fecal transplantation involves instilling “blenderized feces” from a healthy donor into the GI tract of the infected person.  Such feces contain normal flora (or germs), which are expected to multiply and take over, reducing or eliminating the potential for C diff to cause illness.  The Cleveland Clinic protocol recommends considering fecal transplantation for patients who have had recurrent or severe C diff infections unresponsive to traditional antibiotic therapy.  But in an era lacking vancomycin (or even more advanced antibiotics) fecal transplantation should be considered earlier on. 

If your mother takes Augmentin for pneumonia and develops a foul-smelling diarrhea afterward that doesn’t resolve within a few days, she likely has C diff.  Anyone who takes an antibiotic for any reason is potentially susceptible.

If you’re going to consider fecal transplantation, the donor must be selected with caution.  A spouse/partner is first choice, other family household member second, or any other healthy donor third. 

The Clinic’s list of exclusion criteria for donors is extensive.  No one with HIV or hepatitis should be considered, nor anyone with known exposure in the past year.  Anyone who engages in high-risk behaviors should be avoided as well (high-risk sexual behavior, use of recreational drugs, tattooing within the past 6 months, any history of incarceration).  Likewise, don’t select a donor who has a history of bowel disease such as colitis, irritable bowel, or cancer.  It’s only common sense that people with current illnesses should be excluded as donors. 

Other important considerations are avoiding donors who themselves have taken antibiotics within the past three months, or anyone who has recently ingested a substance or food to which the recipient is allergic.  In general, the healthiest person available would be the best choice.

The donor is also advised to take a laxative such as milk of magnesia the night before the transplantation.  The recipient is to stop oral metronidazole or vancomycin three days before the procedure, and to use a bowel prep with polyethylene glycol (a large dose of MiraLAX given orally) the night before to remove as much stool as possible.  Then the morning of the transplantation a dose of loperamide (Imodium) is given to aid retention of the transplanted feces.

The feces should be obtained from the donor (with health care workers wearing gown/gloves/mask if available), then blenderized with normal saline or whole milk until smooth, then filtered through gauze pads or a coffee filter.  In the hospital 1-2 tablespoons of the liquid obtained is given through an endoscopic tube to the stomach.  I would not advise this approach outside the hospital.

However, the liquefied feces may be given rectally as well.  In the hospital this is accomplished using a colonoscope.  However, at home this is done via a retention enema, instilling 8 to 16 ounces of the liquid from the strained feces, repeated every 3 to 5 days as needed until diarrhea resolves.   The patient should be instructed to restrain from defecating as long as possible after the enema is instilled; some leakage is likely to occur. 

How well does this approach work?  In patients who have recurrent C diff infection it works better than traditional antibiotics (vancomycin).  I expect it would work equally well on patients who suffer their first round of C diff and who would normally be treated with oral antibiotics.  (A study of these patients is not likely to be done, however – who wouldn’t prefer a pill?)

Also remember, prevention is the best answer.  At TEOTWAWKI antibiotics should be reserved for life-threatening infections, not every little sniffle that comes along.

Copyright © 2013 Cynthia J. Koelker, MD

Related articles

• Feces Transplant May Help Relieve Severe Diarrhea (nlm.nih.gov)
• Feces transplant may help relieve severe diarrhea (foxnews.com)

If you’re worried about the future and being without medicine, and if your doctor won’t give you extra, what can you do?

Do doubt the thought of finding a different or second doctor has crossed your mind.  But does this thought make you feel guilty?  Will your insurance object?  Is it even legal to do so?  And who will find out?  Is anyone keeping track?

As I’ve said before, if your doctor believed TEOTWAWKI was around the corner, he or she would be encouraging you to procure enough medication for some time to come.  But assuming this isn’t the case, and that you cannot find a like-minded doctor, you’ll need to find another way to protect your family and yourself for an uncertain future.  No one thinks it’s unreasonable to have an evacuation plan if you live along the coastline.  Making future plans for potential medical needs is entirely reasonable and should be addressed before a crisis arises.  The government is stockpiling antibiotics and emergency medications for who-knows-what crisis.  Is it wrong for you to do the same?

So as for feeling guilty, there is no need to feel guilty about responsible behavior to protect your loved ones. But what constitutes responsible behavior?

The first part of responsible behavior is telling the truth – or at least not lying.  If you are receiving medications from two different doctors, they both need to be aware of every drug that you take.  Also, your insurance is only effective for a certain coverage period and is only obligated to pay for enough medication to cover this period.  Therefore, if you visit two different doctors to obtain extra medication for, say, diabetes, you should expect to pay one of these doctors out-of-pocket, and to pay cash for the extra medication as well.  Also, you need to be clear with each doctor how much medication you are taking each day.  This can be a difficult situation, and if either doctor believes you are not telling the truth about what you are doing, they can dismiss you as a patient.

As far as I know, obtaining extra medication for use in an uncertain future is not illegal, except for controlled drugs (narcotics, certain anxiety medications, stimulants, and the like).  If you are taking a controlled medication, it would behoove you to try to switch to alternative treatment.  Many patients find they can do without these medications if they are forced to do so.

If you want to have an extra year of medication on hand, this will take some time to procure – possibly as long as a year, since pharmacies cannot dispense medications for more than a year into the future.  If you obtain the same medication from two different doctors, eventually you will build up a stockpile (which soon would be considered outdated, but that’s a different discussion).  Is this legal?  To my knowledge it is not illegal (except again for controlled drugs).  Likely this would also require visiting two unrelated pharmacies, which again cannot dispense medication that is expected to be used beyond a year from sale date.  If asked, you cannot lie about what you are doing.  That is a sure way to cause problems for everyone.

Another thing you cannot do is to go to another physician within your network and say you’ll pay cash.  Physicians sign contracts with insurance providers, including Medicare and Medicaid, saying they will only take the negotiated (reduced) payment and comply with terms of their insurance.  It is actually illegal for doctors to take payment from Medicare patients for care that would normally be covered.  If you are on Medicare and visit a doctor who cares for Medicare patients, that doctor is obligated to submit claims to Medicare for covered services (which would include treatment for diabetes, asthma, hypertension, heart disease, and nearly everything else except cosmetic surgery).  Likewise, if you’re in an HMO, doctors within the network are legally required to comply with all terms of this arrangement, which precludes simply paying cash for services.

Let me emphasize:  for routine medical care, it IS best to see only one physician and to use one pharmacy.  It would be far better to find one physician who is willing to help you plan for future emergency medical needs.  (But I do recognize this is a problem.)  If my child had Type 1 diabetes, I would want to have enough medication and blood glucose testing supplies on hand for many months into the future. Your doctor would likely be willing to help you in this matter IF you behave responsibly.  If he or she gives you extra medication for emergency use and requests to see you again in three months, but you don’t show up again for a year, that will be the end of extra medication.  Doctors are only legally responsible to prescribe enough medication until your next appointment is due, and physicians are required to see you often enough to provide the best, state-of-the art recommended care.  The same is true whether you are seeing one doctor or multiple physicians.

Do your best to work within these guidelines and plan ahead to provide a secure future for your family and loved ones.

Copyright © 2013 Cynthia J. Koelker, MD

Related articles

• Why Your Doctor Won’t Help You Prepare–And What You Can Do About It, by Cynthia J. Koelker, MD (survivalblog.com)

SPECIAL OFFER: FREE DVD – BASIC SUTURING with Doc Cindy CLICK HERE

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Book Orders choose FREE CD here KIT orders choose DVD below 1 – Intro and Overview 2 – How to Use OTC Drugs 3 – How to Suture Like a Pro 4 – When Antibiotics Don’t Work 5 – Fish Antibiotics

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