Archive for the ‘STREET SENSE DOA’ Category

POISON CENTERS AND TOXINS AND POISONINGS METH to METHANOL to MUSHROOMS – One Call 1-800-222-1222

Friday, April 27th, 2007

This is the time of year when lawn chemicals, yard cleanups, and neighborhood events start to be exposed and available to little hands.  Certainly many chemicals, including pesticides, herbicides, fuels, and cleaning agents are ubiquitous in homes and garages.  But beware.  Many of these chemicals are poisonous and dangerous with regard to flammability, explosiveness, and chemical burns.

Each dollar invested in poison centers saves about seven dollars in expenses not needed if the patients go into their doctor, their clinics, or their hospitals.  This is a great public health service.

Over the years since the early 60's, the poison centers have become an integral part of the healthcare network.  Now with the terrorism issues, the poison centers have become an integral monitoring source of information, as many times calls come to the poison centers early and often, thereby making a grid of what is happening and where it is happening.

For instance, when the bad botulism toxin product that was being used by spas and clinics that were trying to save money by not buying and using the approved botulinum toxin brand, the poison centers were seeing a problem early.  Patients across the country, in pockets, were being paralyzed – not just the muscles of the eyebrow, forehead, and other smaller muscles.

The poison centers across the USA now have a single number.  Depending on your area code, your call will be forwarded to the center in your area, or the one contracted by your state officials.  For instance, Idaho calls go to Denver's poison center.  Alaska's poison calls go to Oregon.  Washington's poison center gets all of Washington State's calls.  This year that number will be around 150,000 calls!   Poison calls are answered by an expert group of pharmacists, nurses, Pharm Ds and have backup by physicians specializing in toxicology and poisonings.  It is the number that the experts in all fields, from dermatologists to kidney specialists, call when the patient has been poisoned, or is toxic from unknown sources, or when the patient doesn't act or change based upon "normal" disease states.

The goal of Poison Prevention Week is to reduce illnesses, injuries, and deaths due to poisonings; build safer communities; and reduce unnecessary health care costs for everyone.

 

Here are some ways to be poison cautious:

Obtain syrup of ipecac and keep it in your home – but use it ONLY if instructed to do so by a poison center or physician

Use child-resistant containers and remember, they are not childproof

Keep products in their original containers

Never call medicine candy or take it in the dark

Return products to storage areas immediately after use

Teach children about Mr. Yuk

Put Mr. Yuk stickers on all poisonous products  

Call the Poison Center for a free information packet and Mr. Yuk stickers  

Keep emergency numbers next to your phone:

1-800-222-1222

 

What is National Poison Prevention Week?

Public Law 87-319 authorizes the President to designate annually the third week in March as National Poison Prevention Week. This act of Congress was signed into law on September 16, 1961, by President Kennedy, after which the Poison Prevention Week Council was organized to coordinate this annual event. Congress intended this event as a means for local communities to raise awareness of the dangers of unintentional poisonings and to take such preventive measures as the dangers warrant.

(PC week and listing adapted from WAPC.org website with commentary from castMD.com)

EATING DISORDERS AND DISORDERED EATING CALL FOR SURVIVAL – IS YOUR TEEN AT RISK

Friday, March 9th, 2007

EATING DISORDERS OR DISORDERED EATING is a reflection of SELF-PERCEPTION and A SERIOUS CALL FOR HELP !

Significant focus lately has been on the “models” around the world and their associated “thin” look.  American Idol, the next Super Model, and others show the associated forces of “thinness.”   Also, many articles and news reports have been on the obesity problem in the world, especially the United States.

Challenges have come so forefront with this terrific medical problem for our young women and some men, that even the modeling companies, worldwide, have taken newer roles of healthy expectations to limit the “skin on bones” starved look of current models.

Medically, the disordered eating individual includes new changes in diet in teens, especially if going from “normal” family eating habits to vegetarian, isolation during meals, or dieting.  Many time friends know of problems, but do not want to “rat” on their friend.  A sudden change in baggier “hiding” clothes may be a clue to a weight losing teen, unable to stop the spiral of destructive behavior. 

These eating disorders or better stated, disordered eating patients represent a body dysmorphism – an unhappiness of self – yet usually a symptom of feelings –sometimes brought on by the patient’s world.   Many are perfectionist personalities doing well in personal growth, school, friends, and even family.

What is anorexia nervosa?

Anorexia nervosa is an illness that usually occurs in teenage girls, but it can also occur in teenage boys, and adult women and men.  People with anorexia are obsessed with being thin. They lose a lot of weight and are terrified of gaining weight. They believe they are fat even though they are very thin. Anorexia isn't just a problem with food or weight. It's an attempt to use food and weight to deal with emotional problems.  This problem demands professional help.

What is the difference between anorexia and bulimia?

People with anorexia starve themselves, avoid high-calorie foods and exercise constantly. People with bulimia eat huge amounts of food, but they throw up soon after eating, or take laxatives or diuretics (water pills) to keep from gaining weight. People with bulimia don't usually lose as much weight as people with anorexia.

Why do people get anorexia?

 
 

Warning signs of anorexia

  • Deliberate self-starvation with weight loss
  • Fear of gaining weight
  • Refusal to eat
  • Denial of hunger
  • Constant exercising
  • Greater amounts of hair on the body or the face
  • Sensitivity to cold temperatures
  • Absent or irregular periods
  • Loss of scalp hair
  • A self-perception of being fat when the person is really too thin
 
 

The reason some people get anorexia isn't known. People with anorexia may believe they would be happier and more successful if they were thin. They want everything in their lives to be perfect. People who have this disorder are usually good students. They are involved in many school and community activities. They blame themselves if they don't get perfect grades, or if other things in life are not perfect.

What are the problems caused by anorexia?

Girls with anorexia usually stop having menstrual periods. People with anorexia have dry skin and thinning hair on the head. They may have a growth of fine hair all over their body. They may feel cold all the time, and they may get sick often. People with anorexia are often in a bad mood. They have a hard time concentrating and are always thinking about food. It is not true that anorexics are never hungry. Actually, they are always hungr
y. Feeling hunger gives them a feeling of control over their lives and their bodies. It makes them feel like they are good at something–they are good at losing weight. People with severe anorexia may be at risk of death from starvation.  As dying continues, heart rates drop, kidney damage and liver damage can occur.  Odd changes can occur, such as high cholesterol and other heart disease.

What is the treatment for anorexia?

Treatment of anorexia is difficult, because people with anorexia believe there is nothing wrong with them. Patients in the early stages of anorexia (less than 6 months or with just a small amount of weight loss) may be successfully treated without having to be admitted to the hospital. But for successful treatment, patients must want to change and must have family and friends to help them.

People with more serious anorexia need care in the hospital, usually in a special unit for people with anorexia and bulimia. Treatment involves more than changing the person's eating habits. Anorexic patients often need counseling for a year or more so they can work on changing the feelings that are causing their eating problems. These feelings may be about their weight, their family problems or their problems with self-esteem. Some anorexic patients are helped by taking medicine that makes them feel less depressed. These medicines are prescribed by a doctor and are used along with counseling.

How can family and friends help?

The most important thing that family and friends can do to help a person with anorexia is to love them. People with anorexia feel safe, secure and comfortable with their illness. Their biggest fear is gaining weight, and gaining weight is seen as loss of control. They may deny they have a problem. People with anorexia will beg and lie to avoid eating and gaining weight, which is like giving up the illness. Family and friends should not enable to an eating disorder patient’s demands.   Group therapy for the family, and even the friends can be very helpful, and much more informative for a consolidated unified front to help save the life of a disordered patient.   

 

Some books that castMD would recommend are: 

The Body Betrayed 

Dying To Be Thin 

Starving For Attention 

Body Traps 

(Caveat:  some discussion is extremely serious, and adult oriented but may be used with  proper counseling and medical assistance.)

Bye

 

 

 

adapted from:   FamPhys with commentary by castMD

castmd.com turns first anniversary

Tuesday, February 13th, 2007

 

Thanks to all readers, thinkers, blogophiliacs, brainiacs, and compulsory castMD critics.  Just as we remember the days, we remember moments. 


happy valentine's day from www.castMD.com

castMD.com will continue to decipher the elusive probability from the oh so common possibility in the world of risk on the blogosphere…

vote hillary – intowin or INTOSPIN

SUPER BOWL DOMESTIC VIOLENCE — C.A.G.E. THIS HOP’S FOR YOU

Saturday, February 3rd, 2007

THE DEBATE OF SUPER BOWL ASSOCIATED EVENTS RAGES ON.  THE DEBATE OF DOMESTIC VIOLENCE RAGES ON.  WHERE AND WHEN THE TWO MEET IS CONTROVERSIAL.  EXAMINATION OF THE DATA IN MANY PLACES DOES NOT EQUATE TO A HIGHER RATE.  AGENDA AND POLITICAL ACTIVISM RAISES THE RELATIONSHIP MOSTLY.  HOWEVER…..

AND YEARS AGO, EVERYTHING WAS LINKED TO THE "FULL MOON CONSPIRACY" OF ILLNESS, INJURY, PSYCHIATRIC MALADIES, AND JUST PLAIN WEIRDNESS IN THE EMERGENCY ROOM…..AND SHOWN TO BE DATA INSUFFICIENT TO PROVE THE POINT…..CAN'T BLAME THE MOON THIS SUPERBOWL, AS THAT WAS A DAY OR TWO AGO….. 

DOMESTIC VIOLENCE DOES OCCUR AS WELL AS ALCOHOL OVERUSE AND ABUSE – ALL HAPPEN ON SUPER BOWL SUNDAY.  BUT THESE EVENTS HAPPEN ON NON-SUPER BOWL SUNDAYS ALSO, AND MONDAYS, AND TUESDAYS, AND WEDNESDAYS, AND THURSDAYS, AND FRIDAYS, AND SATURDAYS.  SO…..

WHAT MATTERS IS THAT ALL THOSE SUPERBOWL COMMMERCIALS SPONSORED BY THE BEER INDUSTRY CERTAINLY ENCOURAGE THE "FUN" OF THE ALCOHOL OVERUSE AND ABUSE.  WHAT THEY DO NOT ADVERTISE IS THE DARK SIDE OF THE ALOCHOL OVERUSE AND ABUSE…AND THE SUBSEQUENT POSSIBILITIES OF DOMESTIC VIOLENCE, CRIME, DUI, CHILD ABUSE, AND FAMILY DISCORD – NOT TO MENTION JOB LOSS, WORKPLACE INEFFICIENCY, FINANCIAL RUIN, AND HIGH PERSONAL RISK.  SO…..

TAKE THE TEST ON THIS SUPERBOWL SUNDAY:

Screening Test Questions:

  • Have you ever thought you ought to Cut down on your drinking or drug use?
  • Do you feel Annoyed at criticism of your drinking or drug use?
  • Do you feel Guilty about your drinking or drug use?
  • Do you ever take an Early-morning drink (eye-opener) or use drugs upon awakening  ("a little hair of the dog that bit you") to start the day or to feel better?

SOME SAY AT LEAST ONE-THIRD OF ALL WOMEN WILL BE INVOLVED IN SOME FORM OF DOMESTIC PARTNER VIOLENT BEHAVIOR IN THEIR LIFETIME.

AN ESTIMATED 5 MILLION INCIDENCES OCCUR ANNUALLY.

AN ESTIMATED 1500 WOMEN DIE YEARLY FROM DOMESTIC VIOLENCE.

EMPLOYEES MAY REPRESENT 20-25% OF VICTIMS OF THIS TYPE OF LIFESTYLE.

IMPACT ZONE:  INTERVENE WITH A FELLOW EMPLOYEE, ASSOCIATE, FRIEND IF YOU THINK THE QUESTION IS APPROPRIATE.   "ARE YOU SAFE?"  "CAN WE HELP?"  "HOW CAN WE HELP?"

METH LABS — smurfing — AFTER THE CLEANUP IS RISK REAL? TOXIC TALE?

Friday, January 12th, 2007

Methlabs continue to plague society. Costs continue to rise.  New laws embedded.  New techniques on how to get the drugs to help make meth continue, for example:

Typical mechanisms that the non-cartel methlab cooks get pseudoephedrine are: smurfing and shelf sweeping.  Individuals that “smurf” go to a large number of stores and buy amounts at each retailer of pseudoephedrine that are under the legal limit but in the aggregate are much more.  A less sophisticated version of smurfing involves sending many individuals into the same store to buy amounts of pseudoephedrine just below the legal limit.  “Shelf sweeping” occurs when an individual or a group goes into a store and remove all the pseudoephedrine on the shelf and then exit without paying.

 

 

photo courtesy srhd

 

 

Recently, radio listening to a report of the "significant" risks to persons entering into methlab areas that already have been cleaned up or decontaminated or remediated.  The report left me believing that any site with any amount of meth activity is the same.  Not true.

The report said after the cleanup process has occurred, the persons are still able to be "poisoned" and become "toxic" from being in the decontaminated room.  Not probable either.

The epidemic of methlabs across the country have spawned the entire "cleanup industry" making many companies extremely wealthy in the "abatement industry."  One operator told me, "If I just turn on the truck, the fee is $2500 dollars, then the bill goes up depending on what we do."

Most ingredients of methlabs are dangerous.  Some can be flammable.  Some have bombs or incindary devices. However, after the cleanup has occurred, risk is minimal, probably non-existent.

Do you clean out your garage or shed as a methlab decon project – the spaces that have been storage for such contaminants of lawn mower gasoline, oil, garden chemicals, camping or cooking supplies, glass cleaner, carburator fluids, drain cleaners, windshield washer fluids, antifreeze, and other highly toxic day to day chemicals of household use?

The risk of financial collapse for cleanup is hard hitting for any owner that needs to hire a "cleanup" company.  It is estimated that a methlab cleanup can cost from $1000 to hundreds of thousands, depending on cartel activity or the mom-pop variety.

Google "methlab cleanup companies" (remediation) and nearly 60,000 hits arrive at the "deal or no deal" option.

Searching and searching, little is found on "risk of after-cleanup toxicity."   Colleagues in this area have been surveyed.  An anwer is in waiting.  Thus far, experience has not shown me one person ill, sick, contaminated, physically harmed, toxic from a space declared "clean."

 

IMMEDIATE CARE urgent care CLINICS – WHY WAIT IN THE ER * MINOR EMERGENCY WALK IN * URGENT CARE * INJURY ILLNESS – WORKER OCCUPATIONAL CARE – DRUG-FREE WORKPLACE TESTING – MRO REVIEW – SPORTS CARE – FAMILY CARE – URGENT CARE

Tuesday, December 26th, 2006

IMMEDIATE CARE urgent care CLINICS – WHY WAIT IN THE ER  * MINOR EMERGENCY WALK IN * URGENT CARE * INJURY ILLNESS – WORKER OCCUPATIONAL CARE – DRUG-FREE WORKPLACE TESTING – MRO REVIEW – SPORTS CARE – FAMILY CARE – URGENT CARE

  • OVER THE PAST DECADE AT LEAST 400 (FOUR HUNDRED) OR MORE EMERGENCY ROOMS HAVE CLOSED
  • GREATER 120 MILLION PEOPLE WERE TREATED IN ERS A FEW YEARS AGO – GROWING
  • GROWTH IS AN ALARMING 20-30% EVERY 5-10 YEARS
  • COMPLICATED PATIENTS CONTINUE TO GROW – AIDS, TB, CANCER, ADVANCED DIABETES, STROKE, HEART DISEASE COMPLICATIONS, TRAUMA, SHOOTINGS, DRUGS OF ABUSE
  • NEARLY 50 MILLION AMERICANS HAVE NO INSURANCE OR LIMITED ACCESS

click on link -  http://www.nimcc.com

WHAT TO DO:

BRING A LIST OF YOUR ALLERGIES, MEDICATIONS, PAST MEDICAL HISTORY, EKG IF YOU HAVE IT, AND NAMES AND PHONE NUMBERS OF SIGNIFICANT OTHERS, AND INSURANCE INFO IF IN DATE 

 

GO TO IMMEDIATE CARE IF UNSURE  – IF NOT SEVERELY ILL OR INJURED

IF YOU MUST GO TO THE ER, GO IN THE MORNING…LESS BUSY USUALLY

WHEN IN DOUBT –  IF ILLNESS OR INJURY IS SEVERE…CALL 911

TELL THE TRIAGE NURSE YOUR SYMPTOMS…ALL OF THEM

KNOW THE CREDENTIALS OF YOUR DOCTOR…EXPERIENCE

IS THE EMERGENCY PHYSICIAN RESIDENCY TRAINED IN EMERGENCY MEDICINE

IS THE EMERGENCY PHYSICIAN BOARD-CERTIFIED IN EMERGENCY MEDICINE

BRING AN ADVOCATE TO WATCH, LISTEN, AND ASK QUESTIONS – ESPECIALLY IF VERY ILL

MANY IMMEDIATE CARE CLINICS CAN TAKE CARE OF MANY ILLNESSES AND MINOR EMERGENCIES – CALL IF UNSURE

MANY IMMEDIATE CARE CLINICS CAN STABILIZE AND TRANSFER TO THE HOSPITAL

MANY IMMEDIATE CARE CLINICS HAVE BOARD CERTIFIED ER DOCS AND ER EXPERIENCED DOCS

Wii INJURIES – UNIQUE STORIES *911* COMMENTARY OF nintendo Wii EMERGENCIES * EXCITED, RABID, FROTHING – TELL YOUR STORY

Friday, December 15th, 2006

MANY PERSONS AND STORIES OF PERSONS HAVE RELATED UNIQUE AND FUNNY STORIES OF THIS HOT Furious DEVICE IN THE NEXT NEO-GAMING LEVEL OF ENTHUSIASM.  SOME ARE EMERGENT, SOME REQUIRE IMMEDIATE CARE, AND SOME ARE NON-EMERGENT.  FUNNY, UNUSUAL, AND CHAOTIC !

WHAT IS YOUR STORY………CLICK ON COMMENTS BELOW AND WRITE TO THE BLOGOSPHERE !

UPDATE:  After adding your emergency story or injury in comments below  – go to www.wiihaveaproblem.com as it is hilarious!

COCAINE “ENERGY DRINK” IS CAFFEINE BASED – ALOT ! OVERDOSE potential ?

Tuesday, December 5th, 2006

THE LASTEST CRAZE OF ENERGY DRINKS IS THIS PRODUCT BY REDUX BEVERAGES FROM LAS VEGAS.  IT IS NOT COCAINE.  IT IS CAFFEINE BASED.  EACH UNIT HAS ABOUT 280 MG OF CAFFEINE.  THE AVERAGE COFFEE CUP HAS ABOUT 80 MG.

THE QUESTION IS:  IS IT UNETHICAL ADVERTISING TO HIGHLIGHT AND ENTICE THE "ABUSE" OF OVERUSE, OVERDOSE, AND GETTING HIGH WITH SUCH PRODUCTS?

CAFFEINE OVERDOSE IS A SERIOUS MATTER.  MANY TIMES THE KIDS THAT RELY ON THE "HIGH" MAY ALSO BE ABUSING OTHER AGENTS OF TOXICITY.

SHOULD WE ADVERTISE THE "HIGH" OF SNIFFING PAINT, PAINT IS A LEGAL PRODUCT ?

SHOULD WE ADVERTISE THE "HIGH" OF HUFFING COMPUTER AIR, AIR IS A LEGAL PRODUCT?

SHOULD WE ADVERTISE THE "HIGH" OF ALCOHOL, ALCOHOL IS A LEGAL PRODUCT?

THE ANSWER IS THAT THIS PRODUCT AND OTHERS, I BELIEVE, HIGHLIGHT ABUSE AND OVERUSE. 

TELLING A PARENT THAT THEIR SON OR DAUGHTER HAS DIED IN THE ER OR WAS D.O.A. IS A REAL EXPERIENCE THAT SOME OF US HAVE HAD TO BARE…

THE ANSWER IS: YES, IT IS UNETHICAL ADVERTISING AND MARKETING.  THE COMPANIES SHOULD BE HELD RESPONSIBLE FOR THE "ENTICING" APPROACH.  

DEATH BY CAFFEINE IS NOT ANY MORE CALMING THAN DEATH BY OTHER OVERDOSE MEANS. PARENTS BEWARE.

 

(adapted:  aceommroupdt)