What would you do if . . .

What would you do if . . .

. . . a child approaches with a terrible-looking rash?

. . . your wife is in labor and no help is available?

. . . you develop chest pain and cannot breathe?

This page will link to others featuring possible medical scenarios after an Armageddon event.  After comments have been received for a few days, Doc Cindy will add her own thoughts on how she might handle the situation.  Other health professionals are encouraged to contribute.

Feel free to submit a scenario of your own in the comment block below.

1. Chest pain in the middle of the night 

2.  All alone with a wife in labor (link pending)

3.  Child approaches with a terrible rash (link pending)

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Protected: What Have You Done to Prepare?

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Horse and Buggy Dentistry

A third molar.

Image via Wikipedia

 

This blog post is contributed by a dentist colleague, who has offered to submit a series of posts about dental options when no dentist is around.  Thats, wh2thdr, for a look into the past . . . and possibly the future.

He begins with a true story about Horse and Buggy Dentistry . . .

Let me relate a story that was told to me by an old timer (80+) probably 35 years ago. The tale was his memory of some tooth trouble that his dad was having and the way that it was taken care of. The story takes place in the foothills of South Carolina, probably in the 1890-1900 time frame. The locals in this area are the same self-reliant, tough, industrious breed that populates the Appalachian Mountains. (For reference to the type:  Cold Mountain Book and/or Movie, and Foxfire book series) The more I thought about this story over the years, I have come to realize that it was told through the eyes of a small child, some of the details that an adult would comment on are missing. All in all, it is as good a look at historic dentistry that I have from a first hand witness.

The story begins at the same general store in which it was being told. Dad and Son were on their Saturday trip for supplies in early spring. Dad had been having trouble with a tooth, so he notified the proprietor of the store that he needed the traveling dentist to come see him when he came into the area. Continue reading

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Premiere Author Interview with Dr. Koelker

David English interviews Dr. Koelker regarding her book, 101 Ways to Save Money on Health Care at:

Premier Author Interviews

  • Tons of practical tips for everyday living
  • How to get more from your time with your doctor
  • How to save money on medicine and health care

Don’t mind the dogs barking in the background.  They’re my grand-puppies.

Continue reading

Posted in 101 Ways / Health Care, 101 Ways to Save Money on Health Care, Medical archives, Perennial Favorites, Save Money | Tagged , , , | Leave a comment

Egypt 911 . . . and other thoughts

Musings from a contributing dentist, Wade Hampton, tooth doctor.

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Dentistry the way that I practice is an interesting experience. I really only schedule one patient at a time and if they do not show, I am free to find myself something to do.  Often this is because we require payment up front for procedures. This morning’s case was a girl that needed a root canal. She had come to us in pain last week and this was the first opening that we had on the schedule. Well, she must have gotten better and thought that parting with the fee would be more painful than the tooth ache …. We know the end of that story, and she will as well, all too soon.

Later this week I pass over into my 35th year of practice.  Other than longevity, I am not sure what that really means. In ways it seems to be a long time, in others it is less than a heartbeat. Stepping back a bit, this must be what a life and a career really is. All in all, I am very satisfied. I do love what I do, really more now than at any time in the past. As I look around my world today, I realize that there is a good chance that I will live to practice in a style that would be more recognizable to the civil war era than 2011. I pray God that I am ready in every sense. I am doing my dead level best to see that happen.

This weekend we watched Egypt spinning apart. I want to point out two of the hundreds of headlines that speak to me. First, the internet and cell phones were squelched. Two way communications from a distance greater that line of sight were cut off.  Let that soak in for a moment. Can anyone rely on one way communication to provide unvarnished truth? Will even your police scanner pick up much if the cops stay home as they are in Cairo today? I guess that the more different ways to pick up information the better off one will be. I am thinking CB and Ham. Does anyone know if there is a scanner for Military/National Guard Coms?

The second headline pop-out is the empting of the prisons. The idea of the turning loose those vicious wolves from confinement is a truly sobering thought. How many months, if ever, will it take to get those predators rounded up? I think that the US is a bit different than many countries, in that many of our Maximum Security prisons are away from major population centers. Not that this is any real insurance, but a mob is less likely to storm the Bastille in the country than one down the street.  Local lock-up facilities are at risk, and their population is bad enough, but at least they are less likely to house the worst of the worst.

How does this apply to a medical blog? Does anyone think that Egyptian 911 is working today? How would one even dial 911 if the phone lines are down?  Are we as individuals ready to set up a makeshift treatment tent if we are caught on the edge of a riot? Who would we treat? Would we be ready to provide initial treatment for a gunshot wound? How about tear gas exposure. Crush injuries are a real possibility.  What if we are isolated and cut off either in town or the country and it ends up being days, weeks or longer till calm is restored? I cannot offer any answers, just pose the questions.

One of the reasons that a Blog like this is valuable is that we can pool our insight and experiences at least for a while longer. 

Copyright 2011 © WH2thdr

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Why Armageddon Medicine?

What if the unthinkable happens?  World War III? Economic collapse?  Worldwide plague?  Biblical Armageddon?

What about our not-so-friendly nuclear neighbors?  Or a flu pandemic reminiscent of the Andromeda Strain?  Or an EMP event resulting in a power grid collapse?
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Assuming you’re fortunate enough to live through the initial event, will you be able to care for yourself in an era of no doctors, no hospitals, no pharmacies? Perhaps a few physicians will survive as well, but where are they? Can the few remaining assume care for the devastated population? Continue reading

Posted in Welcome, Welcome to Armageddon Medicine | 15 Comments

Rheumatoid arthritis – cost and treatment considerations

 

Typisches Röntgenbild einer Rheumatoiden Arthr...

Image via Wikipedia

On 9/23/10 Concerned said:   Any advice for a 40 something RA patient on Rituxan?

The cost for Rituxan, a drug used for both cancer patients and rheumatoid arthritis, is approximately $665/bottle, making it unlikely that stockpiling the drug is a viable option.  Stability of the drug is another issue, as it comes in liquid form and requires refrigeration.  Additionally, it’s not a medication most primary physicians are familiar with, and so monitoring treatment is a problem as well.

In the event of Armageddon or  TEOTWAWKI resorting to non-steroidal anti-inflammatory drugs, pain meds, and steroids is almost a certainty.  Although steroids have long-term side-effects, I expect that would be a secondary concern when the survival of the world is at stake.  But at least prednisone and other steroids are dirt-cheap, readily available, and likely to remain stable in the original packaging for a number of years. 

My advice is to talk to your doctor about other options, maybe not for now, but just in case.  I don’t know your degree of arthritis, or whether the medicine is for comfort or life-saving, but it’s a legitimate question to ask, “If I couldn’t get this drug, how do you think I’d be if I had to take steroids?”  In a future blog I’ll address the rational use of steroids for acute and chronic illness when other options are unavailable.

The remainder of this article is excerpted from my other blog at www.101waystosavemoneyonhealthcare.info. Continue reading

Posted in Arthritis, Aspirin, Celebrex, Chronic diseases, Diclofenac, Humira, Ibuprofen, Medical archives, Medications, Naproxen, Naproxen (Aleve), NSAIDs, OTC NSAIDs, OTC Pain meds, Prescription Medications, Rheumatoid arthritis, Stockpiling medications | Tagged , , , , , , , , , , , , , | 4 Comments

Welcome to Armageddon Medicine

Welcome to Armageddon Medicine

I started this blog in September 2010 as a service to all those interested in responsible preparation for the future.  An educator at heart, I enjoy sharing what I’ve learned about medicine over the past few decades, especially regarding those things people can do to take care of themselves. 

The response from the community has been amazing.  More people are concerned about the not-too-distant future than I had imagined.  I am appreciative of all who offer helpful comments, especially those who’ve become contributors, and those who educate me in return. 

I’ve named the blog Armageddon Medicine primarily because the words flow nicely and are easy to remember, but also because it conveys the sense of what health care may be needed in the face of national or global catastrophe, and what people can do to prepare. 

I still have my day job as a family physician, and realize it will take many months, or more likely years, to make this site the resource I imagine it can become.  Anyone with practical or professional knowledge who is interested in contributing an article or information is encouraged to leave a comment and contact information in the block below.

May God bless your efforts in making the world a better place for yourself and future generations.

Doc Cindy

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Is it safe to stockpile influenza medication?

 Here’s one good thing that came from the H1N1 epidemic . . .
 

Tamiflu
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With the 2009 H1N1 influenza scare, the FDA issued  an Emergency Use Authorization (EUA) for two antiviral treatments, Tamiflu and Relenza.  Although as of 6/23/2010 this EUA has expired, some relevant data regarding the use of  medications beyond their expiration date has become available.

Of these two anti-influenza drugs, Tamiflu is by far the more popular among physicians, and is generally easier to use, and so will be addressed here. 

Basically, since the concern was that there would not be sufficient in-date medication to go around, the FDA evaluated lots of Tamiflu near or beyond their expiration date for continued safety of use.  Continue reading

Posted in Acute diseases, Anti-viral meds, Influenza, Medical archives, Prescription Medications, Shelf life, Stockpiling medications, Tamiflu | Tagged , , , , , , , | Leave a comment