Quick answers to reader’s questions

 
 
Yesterday’s questions covered a gamut of medical conditions, but can be broken down into several categories.  Here are a few prelimary answers, but each one deserves more attention, as soon as I can address them and do further research.

But for now, a few quick answers.

  
Army Sgt. William A. Peyton, Jr. a JDOG dog ha...
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Can veterinary medication be safely substituted for human medication?

 I know of one veterinarian who has used veterinary cephalexin, an antibiotic, to treat his family for years.  I’ve seen no ill effects.  I don’t know if he orders his medicine from a human or animal supplier, but will have to ask.  I don’t think veterinary medicines are necessarily cheaper, but they may be more readily available.  Still, veterinary suppliers state that a prescription is required for veterinary antibiotics, and I don’t suggest circumventing the law.  If there is no other medicine available and the condition is life-threatening, I would be willing to take veterinary antibiotics myself, at least the canine variety.  This topic will be covered in more detail at a later date. Continue reading

Posted in Arthritis, Expired medications, Hypothyroidism, Medical archives, Stockpiling medications | 6 Comments

Expired medications – are they safe? Interview with Dr. Koelker

Live interview with Dr. Koelker today at 1:30 p.m. EDT on Health, Wealth, and Happiness with Gary Pozsik.

Listen live online at www.wgcv.net
http://broadcasturban.net/player/wgcv/player.htm

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Free Medical Downloads for Treating Yourself

If you’re worried you may end up where there is no doctor,  you’re not alone.  For Americans, this is largely a concern of the future.  For Third World countries, it’s a problem today.

The Hesperian Foundation has several publications available for free download at:  www.hesperian.org/publications_download.php.  A sampling of titles available in English includes those listed below.  Most are also available in Spanish, and some have been translated into other languages.  The publications are written at a very basic level, appropriate to countries with very little technology or education.  Several are also available for purchase as books.

 A Community Guide to Environmental Health
Where There Is No Doctor
Where Women Have No Doctor
A Book for Midwives
A Health Handbook for Women with Disabilities
Disabled Village Children
Cholera Prevention Fact Sheet
Sanitation and Cleanliness for a Healthy Environment
Water for life
Pesticides are poison
Safe Handling of Health Care Waste

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Medical Quarantine – Protecting Your Family from Infection

Cholerabaracke in Hamburg während der Cholerae...

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Plague.  Yellow fever.  Cholera.  Diphtheria.   

Diseases which evoke images of death and despair.  

Though less likely to transmit a fatal illness, would you open your door to someone with hepatitis, strep throat, or methacillin-resistant staph?  What about a person suffering from vomiting, diarrhea, a cough, or lice, or a fever?  Are you immune to measles, polio, and whooping cough – and would you even recognize these conditions?  How will you know if someone is going to come down with influenza in the next day or two?

[To read the entire article on SurvivalBlog.com, click here.]

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Posted in Acute diseases, Education, Immunization, Medical archives, Preparation, Public health, Vaccination, Waste disposal | Tagged , , , , | 2 Comments

Stocking Stuffers for a Belated Christmas

Book cover from children;s novel, Christmas Ho...

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Sorry about the delay . . . I fell off Santa’s sleigh

1.  Primatene Mist Wonder about treating an asthma or severe allergy attack if no doctor is around?  It’s amazing that this epinephrine inhaler is available over the counter.  But it may not be much longer.  After December 31, 2011 it will not be sold in it’s current form, although the manufacturer hopes to have it’s new chlorofluorocarbon-free version available by then.  Although doctors never recommend this inhaler for asthma due to side-effects of increased blood pressure, increased heart rate, and short duration of action, still, if nothing else is available, it does open the airways during an acute asthma attack.  Though I have never used it for an acute allergic or anaphylactic reaction such as to a bee sting, theoretically it should be effective, but should probably be used along with an antihistamine, such as Benadryl (similar to the EpiPen).  (Primatene Mist, $21.99 online)

2.  Compound W Freeze OffWhat about treating skin cancer at TEOTWAWKI?  Although indicated for wart removal, the over-the-counter freezing kits could also be used for treatment of pre-cancerous and certain cancerous skin lesions (not melanoma).   Dermatologists freeze pre-cancerous lesions and superficial skin cancers daily, killing them with a localized frostbite that then allows new tissue to regenerate from beneath.  Although cauterizing or excising such lesions also works, at TEOTWAWKI freezing them is probably a more reasonable alternative for the layman, and requires no anesthesia.   (In drugstores and online for $18.99-25.00)

3.  Suture Tutor – Repairing a minor skin laceration is no more complicated than sewing a dress (and much easier than installing a zipper or collar!)  The Self-Directed Skills Lab – Suture Tutor, available for purchase online will show you how, and includes practice equipment and artificial skin to suture.  A bit pricy at $142.10 (at www.med-worldwide.com), it’s still a lot less expensive than professional instruction would be. 

4.  Dentemp Maximum Strength Temporary Filling MixWhat will you do if your filling falls out and there’s no dentist to call?  Before the cavity fills up with food and debris, patch it yourself using this OTC zinc oxide/eugenol mix.  Of course, eventually you’ll need a longer-term answer, but for $4.85 you can save yourself a toothache, at least for awhile.  The zinc oxide fills the hole (or cements a loose cap to a tooth), while the eugenol (oil of clove) relieves tooth nerve pain.  (Eugenol is irritating to the gums, however, and should be confined to inside the tooth.)

5.  101 Ways to Save Money on Health Care – a book near and dear to my heart, it even features green and red Christmas colors!  But beyond that, the book offers practical advice on treating: respiratory infections, pink eye, sore throats, nausea, diarrhea, heartburn, urinary infections, allergies, arthritis, acne, hemorrhoids, dermatitis, skin infection, lacerations, lice, carpal tunnel syndrome, warts, mental illness, asthma, COPD, depression, diabetes, enlarged prostate, high blood pressure, high cholesterol, and much more. Only $13 retail, available online for under $10.

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How to Remove Dental Braces

A reader has asked how to remove dental braces in case of emergency.  Is there a danger of fracturing a healthy tooth?  How can the clasps be removed?  What about removing the extra glue?   

Jaw prior to surgery

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I submitted the question to our contributing Tooth Doctor.  Here is his reply. 

 * * *  

Ortho bands…there are three parts. Brackets and bands, arch bar, ligatures. One removes the ligatures, either tiny rubber bands with a pick, or fine wire twists, with a fine hemostat or something like that, lefty loosy righty tighty. 

When the ligatures are all gone then the arch bar should slide off pretty easily. Watch for a strong spring back. Many of the new wires are amazingly resilient. They will always return to their fabricated shape (Usually Straight) for ever and are really cool.  

Needle-nose pliers

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  Bands and brackets will pop off with a pair of heavy hemostats or needle nose pliers. The ones with the curve at the tip would work really well. I would put a couple of wraps of your white tape on the tooth side (of the hemostat or pliers) for padding, with one beak on the top of the tooth and the other under the edge of the bracket. There will be a pop but it will be the cement or more commonly today resin. Rarely, the bond is stronger than the enamel and you will pull a very small bit from the tooth surface, but there is enough still left to do the job. There will probably be some residue of the cement on the tooth that may be rough…even real orthodontists leave a surprising amount of this stuff on our kids.  That can be picked off sometimes or it can be filed smooth if you can get to it. Otherwise other than being annoying it will not hurt anything.  

* * * 

Whereas the above may be sufficient for a health professional, a picture is worth a thousand words.  Surfing around YouTube,I found several demonstrations of orthodontists removing braces.  The first link below shows Dr. Ted Rothstein demonstrating how he removes braces.  The other videos feature less explanation, but show how easily the process is done.  A small set of pliers and/or wire cutter is sufficient to remove the hardware.  Scraping the glue off is done with a dental scaling tool.  The book, Where There Is No Dentist, explains how a non-professional can clean and scrape the teeth without harming the enamel. 

 Though I’ve never removed dental appliances, the above explanation along with the video below is sufficient to allow any physician to remove standard braces.  In a pinch even a careful adult without medical training should be able to accomplish the process.  In the field of medicine, it isn’t that everything is so difficult.  Rather, it’s having the nerve to just do it – to make an incision, to suture a laceration, to remove a dental appliance.     

  

YouTube Videos demonstrating braces removal 

 www.youtube.com/watch?v=_kLmJ0avBS8  by Dr. Ted Rothstein, DDS, PhD 

www.youtube.com/watch?v=WUmd2xSxoNY&feature=related  

www.youtube.com/watch?v=VFOEl68uR-0&feature=related  

http://www.youtube.com/watch?v=kx9B0n1sIPo&feature=related(clear braces)  

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Posted in Dental, Equipment, Medical archives, W Hampton - Tooth Doctor | Tagged , , , , | 1 Comment

Safe Needle and Sharps Disposal

Our friendly Tooth Doctor shares this post on needle disposal when standard sharps disposal is unavailable.  (He also mentions that in times of scarcity we may want to save and reuse needles and scalpels after careful sterilization.) 

* * *

One comment on the need for safe needle/sharp disposal.  As a dentist with experience in third world dental missions, I can offer our solution to avoid accidental needle/sharps sticks…
 
Plaster….we mixed up a soupy mix of plaster (cement will work as well).  In a plastic bucket, can etc. we first placed about an inch of thin, mixed plaster in the bottom of the bucket, and as it set we would roll it to coat the sides with a layer of the mix.  This was allowed to harden.  This process allowed a layer of clean plaster to prevent any points from being on the surface when we were done.  A couple of times each day we would take our used sharps and mix them into a fresh batch of plaster in the bucket.  The plaster will set and on many of the metal surfaces it will bind to the metal just like rebar in concrete.  At the end of the day we would add a cap layer of plaster and allow it to set over night.  The block that you have in the morning is ready to dump out of the bucket for burial, or just bury the whole thing in a dump site.   We had a pit, but a latrine or outhouse would work as well.  Individuals could adjust the size of the block to meet their needs. 
    
The only thing to state as a requirement is that the points are deep inside the surface and that the final product is buried beyond the reach of kids and animals.

 

 

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Posted in Contributors, Dental, Diabetes Mellitus Type II, Equipment, Immunization, Medical archives, Sharps disposal, Vaccination, W Hampton - Tooth Doctor | Tagged , , , , , | 1 Comment

It’s 2012 already – Part 8

This post is eighth in a series by Edward W. Pritchard.  To read more of his writings please visit: http://eddwardwpritchard.blogspot.com 
 
It’s 2012 already – part 8
fiction
Copyright © 2010 Edward W. Pritchard

 

My exposure to Armageddon began long before my walk in the mountains of northern Georgia, heading southeast towards the Georgia Sea islands. On the last day of 2011, I received a prequel of the terror that the deadly Armageddon winds would bring to America.

Like most older people who live alone, I seldom venture out at night, preferring the comfort of my modest home. However on December 31, 2011 I sauntered through downtown Akron, Ohio for a First Night celebration, to hear a local band pay tribute to blues singer Big Joe Turner. I planned on being home by 10:30, then listening to some more blues music over a beer or two, before retiring to bed by midnight.

Well-satisfied as I left the blues concert about ten PM, a sub-zero snowy wind met me, providing limited visibility as I sought my car.  Small groups of young people milled around unnaturally in the frigid gloom, staring at me and several older couples walking toward the parking decks. Normally this would be of little concern to me.  For several years I have been unconcerned with what happens to myself, and I have little fear of ruffians or muggers.

That day, however, something sinister was occurring.  The winds seemed preternaturally cold, strangly ominous, as if a threat were germinating among the crowds of young people milling about. As I walked, I noticed that the young were beginning to follow the older adults as they headed home, showering belligerent behavior toward any elderly who appeared weak or vulnerable, or were alone. Several older people were being pushed and jousted about for no apparent reason by groups of seven to ten young men and women.  
 

Finally an old couple pleaded with me for help. They were being followed and a crowd was beginning to circle them. I, however, was being left alone.  For though I looked every day of my sixty years,  with an age-lined face, inanimate eyes, and thinning hair hidden under an arctic hat, I can truthfully report that I have a thug-like appearance. To the crowds, especially when seen from the back, I was not someone they would normally dare to confront.

The elderly man walked poorly, moving more side to side than forward, and his wife was stooped from the waist from back problems, staring intently at the ground as she walked. Just before they stopped to beg my help, I saw the wife kiss her husband and presumably exchange a short proclamation of love. I decided to help the old couple, out of habit, for old times, to honor feelings now gone.  
 

The six young people following us were (I later decided) a small mob, under the influence of the madness of crowds. In an instant they completely encircled us, like a wolf pack. But though they outnumbered us, they seemed cautious, perhaps hesitant to strike.

Surmising that they were assessing our strength, I shouted tauntingly, aggressively moving toward the lone woman in the group.  “Why are you stalking us?” I demanded.
 
The young woman of about eighteen looked straight at me with hate and said, “Because there won’t be enough.”
 
“Enough of what,” I hissed at her, as I leaned toward one of the larger men in the group.
 
“Of everything” said two or three of her mob simultaneously.
 

As quickly as the mob circled us they moved away, vanishing into the gloom. I escorted the old couple to their car and returned to my home. 

I slept that night with a tire iron near my pillow, dreaming of proper techniques to strike with my makeshift weapon. Use the wedged pointed end, or risk a cut to the hand and swing the weapon without mercy? Such dreams have preserved me through the Armageddon of 2012.
 

In over two hundred northern cities and towns celebrating First Night,  December 31, 2011, more than four thousand elderly were accosted by mobs, including ninety-eight deaths among these frail victims, primarily due to falls or heart problems. (There was little punching or striking, or other outright violence.)  Of course later, throughout 2012, a few thousands injuries or deaths would be insignificant of mention. I am just referring now to mob violence against the feeble elderly, not to terminations caused by nature and the winds described earlier.

At that time, as the first day in 2012 dawned, the mob violence was blamed on economic concerns, such as the housing crisis in America, or rich vs. poor issues concerning jobs. Looking back, however, I believe the violence at first night was an early indicator of changes occurring in urban America, part of the same divinely-directed efforts to cull the herds of humans, starting with the weak and elderly.
 

I mention the two older people and the effort I took to intervene on their behalf less than one year ago, before I explain my failure, despite my efforts, to protect my two new friends at the horse farm in northern Georgia (see Part 9). It provides an illustration of how the value of a human life has changed due to Armageddon, 2012.

Looking back on that first night December 31, 2011 I am now convinced that the divine first unleashed the forces of destruction against humanity at 10:15 PM, December 31, 2011. It’s been less than a year since I helped those two old people, that loving couple. I, the preserver. They, the weak, protected previously from the forces of nature by civilization. I fear for people like them and I doubt my ability to trek on helping people like that old couple. Please don’t tread on me, I fear what we will become.

Here is something I wrote previously, sub-titled Fears
Sunday, September 12, 2010

When they came 
for Frantz Kafka

when they came my neighbors stout iron cyclone fence didn’t stop them
when they came two flights of stairs didn’t slow them
when they came a dead bolt lock and and solid oak door didn’t deter them
when they came uncle’s Smith and Wesson didn’t faze them
when they came my wife’s pleadings didn’t help me
when they took me my arguments didn’t interest them

when i looked through the cyclone fence up two flights of stairs through the broken-down oak door at my sobbing wife, her tears didn’t comfort me as they took me away
 
end part 8 – the prequel
Next :  At the Horse Farm
 
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Post-Apocalyptic World Medical Book List by WolfBrother

The following suggestions are contributed by a reader under the name WolfBrother.  Thanks, WB. 

Readers with additional ideas are encouraged to contribute. – Doc Cindy

* * *

The PAW (Post-Apocalyptic World) medical book list I give to folks is:

A list of books you might want to have/read/study before bad times happen.

1 – Get the Red Cross 1st Aid manual.
2 – TAKE THE COURSE
3.- Download/purchase what you can from below
4.- Get more training.

Remember – a book – a healer does not make.

Survival and Austere Medicine: An introduction
http://www.aussurvivalist.com/downloads/AM%20Final%202.pdf

Where There Is No Doctor
http://www.hesperian.org/publications_download_wtnd.php

Where There Is No Dentist
http://www.hesperian.org/publications_download_dentist.php

The Ship Captain’s Medical Guide
http://www.mcga.gov.uk/c4mca/mcga07-home/workingatsea/mcga-medicalcertandadvice/mcga-dqs_st_shs_ships_capt_medical_guide.htm

Fundamental Skills in Surgery [Hardcover]
By Thomas F. Nealon, William H. Nealon
http://www.amazon.com/Fundamental-Skills-Surgery-Thomas-Nealon/dp/0721664601/ref=sr_1_1?ie=UTF8&s=books&qid=1232219916&sr=1-1ISBN-10 : 0721664601
ISBN-13 : 9780721664606
Binding : Hardcover
Pages : 468
Publisher : W.B. Saunders Company

Fundamental Skills for Surgery
Richard Perry
http://www.amazon.com/Fundamental-Skills-Surgery-Iain-Skinner/dp/0074713353/ref=sr_1_2?ie=UTF8&s=books&qid=1232219859&sr=1-2
ISBN13: 9780074713358,
ISBN10: 0074713353,
Division: Professional,
Pub Date: OCT-08,
Pages: 320
Edition: 02

Two sources
Ditch Medicine
http://www.scribd.com/doc/2205119/Ditch-Medicine-Advanced-Field-Procedures-For-Emergencies-1993
Ditch Medicine: Advanced Field Procedures For Emergencies (Paperback)
http://www.amazon.com/Ditch-Medicine-Advanced-Procedures-Emergencies/dp/1581603908/ref=sr_1_1?ie=UTF8&s=books&qid=1232743604&sr=1-1
Hugh Coffee
ISBN-10: 1581603908
ISBN-13: 978-1581603903

ALL of the following books are in use over the world by those who are not necessarily trained in surgery to perform any number of surgeries.

[Begin_My_Opinion]
These 3 books are in the “Buy these to round out your already extensive Medical Library” category.
They are a bit pricey. The wikipedia source for copy/paste into Word/Print is incomplete.
[End_My_Opinion]

Primary Surgery: Non-Trauma v.1: Non-Trauma Vol 1 (Paperback)
by Maurice King (Editor), Peter C. Bewes (Editor), James Cairns (Editor), Jim Thornton (Editor)
Paperback: 656 pages
Publisher: OUP Oxford; New edition edition (14 Jun 1990)
Language English
ISBN-10: 0192616943
ISBN-13: 978-0192616944

http://www.amazon.co.uk/Primary-Surgery-Non-Trauma-v-1-Vol/dp/0192616943

Copy/Paste into word or print chapter by chapter – not all chapters are formatted nicely in the wikis:
http://ps.cnis.ca/wiki/index.php/Volume_I

Trauma: 2 (Primary Surgery) (Paperback)
by Maurice H. King (Author)
Paperback: 381 pages
Publisher: OUP Oxford (22 Jan 1987)
Language English
ISBN-10: 019261598X
ISBN-13: 978-0192615985

http://www.amazon.co.uk/Trauma-Primary-Maurice-H-King/dp/019261598X/ref=pd_sim_b_1/275-9104060-8185224

Copy/Paste into word or print chapter by chapter:
http://ps.cnis.ca/wiki/index.php/Volume_II

Primary Anaesthesia (Primary Surgery) (Paperback)
by Maurice H. King (Author)
Paperback: 288 pages
Publisher: OUP Oxford (19 Jun 1986)
Language English
ISBN-10: 0192615920
ISBN-13: 978-0192615923

One additional book suggested by one whom I know to be knowledgeable. I do not have the book nor have I read it.
It is on my list to get books.
Atlas of Minor Surgery
I.D. Cracknell & M.G. Mead
http://www.amazon.com/Atlas-Minor-Surgery-Ian-Cracknell/dp/0443053049/ref=sr_1_2?ie=UTF8&s=books&qid=1233412141&sr=1-2
Publisher: W.B. Saunders Company, 1 edition (June 1998)
ISBN-10: 0443053049
ISBN-13: 978-0443053047
Pages: 86

Available in German as well: http://www.amazon.com/Kleine-Chirurgie-Ian-D-Cracknell/dp/3456831315/ref=sr_1_3?ie=UTF8&s=books&qid=1233412108&sr=1-3

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Ten Essential OTC Medications to Stockpile

 Are over-the-counter (OTC) drugs really worth stockpiling?  As a family physician my answer is a resounding yes.  Most of the following were actually prescription medications when first released.  (In higher dosages, several still are.)  Although other OTC drugs are worth considering, these ten have been selected due to their ready availability, affordability, safety in both adults and children, and multi-use potential.  Used alone or in combination, they can effectively treat dozens of conditions including:  headache, fever, sore throats, ear ache, menstrual cramps, heartburn, arthritis, ulcers, diarrhea, allergies, hives, congestion, dizziness, mild anxiety, nausea, vomiting, poison ivy, athlete’s foot, ringworm, eczema, insomnia, backache, gout, diaper rash, yeast infections, and many more common illnesses. 

1.      Ibuprofen (Motrin, Advil) – Among the OTC anti-inflammatory medications, ibuprofen is probably the most versatile.  Primarily indicated for pain and inflammation, it may also be used to relieve headaches, earaches, sore throats, sinus pain, stiff neck, muscle strains, menstrual cramps, arthritis including gout, and back pain.  It is also effective at reducing fever and is generally safe for use in children.  It is not advisable for most stomach-related pain, although may decrease the pain of kidney stones, kidney infections, and possibly bladder infections.  The most common side effect is stomach irritation or heartburn.  When combined with acetaminophen it is nearly as effective as codeine, tramadol, or hydrocodone in relieving more severe pain. 

To read the remainder of this article, please click the link below:

 http://www.survivalblog.com/2010/12/ten_essential_otc_medications.html

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Posted in Acetaminophen - Tylenol, Antibacterial topical, Anxiety, acute, Arthritis, Bacitracin, Bonine - meclizine, Common cold, Constipation, Diarrhea, Dramamine - meclizine, GERD / Acid reflux, Ibuprofen, Kidney stone, Meclizine, Medical archives, Nausea, OTC Nausea/vomiting meds, OTC NSAIDs, OTC Pain meds, Over-the-counter meds, Pain, Perennial Favorites, Rash, Skin, Stomach flu, Toothache, Vomiting | Tagged , , , , , , , | 8 Comments