look (listen and feel) or just treat?

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Is that even an option? Raise your hand if you or someone you love has ever been given a medication without even being examined. Recently that is the trend, and if we pause and look at who to blame, I believe it is a joint effort. My baby is cry and pulling on her ear, he is not eating or playing we must give him something, but they are afraid of the doctor, so the doctor does not give them a check up. This and a hundred more scenarios of a similar case are what causes false treatment and misdiagnosis as well as the feared creation of a super bug. Science is telling us its against good practice to treat ear infections, children get better all on their own if you allow their body to heal.

“Parents, if their child is up all night screaming and tugging the ear, they want something to make the child feel better,” says Dr. Richard Rosenfeld of the State University of New York Downstate Medical Center, who helped write the new guidelines.

But about 70 percent of children get better on their own within two or three days, and about 80 percent are better within a week to 10 days, he says.

And he says there are some real downsides to using antibiotics when they’re not necessary: They can cause upset stomachs, allergic reactions and other problems. And they can contribute to the development of superbugs — infections that are getting harder and harder to cure.

You heard it, straight from the horses mouth. So lets slow down hug our babies when they do not feel well and push forth, take their temperatures, read about fevers and try a little harder to be parents when that is an option.

http://www.npr.org/sections/health-shots/2013/02/25/172588359/pediatricians-urged-to-treat-ear-infections-more-cautiously

fragmentation

Sixteen-year-old John Doe enters the emergency room completely naked requires immediate attention for their psychosis. This is an adult emergency room and the patient must be transferred for their dehydration/renal disparities to the neighboring hospital. The neighboring hospital staff is hesitant to accept for they are not a psych facility and it is not in the best interest for this patient to be received by this facility. Supervisors are called and the plan of care is discussed the CEO accepts the patient wants them to get hydrated and then transferred to the psych facility.

This readers is called FRAGMENTATION in our health care system, health care is a business and the evidence is loud and clear for the patients are not receiving the care they need. “Fragmentation or looking at a problem from a narrow perspective leads to concerning issues that can cost a persons life. Underlying the current healthcare failings is a critical under appreciated problem: fragmentation—focusing and acting on the parts without adequately appreciating their relation to the evolving whole. This unbalance, this brokenness, is at the root of the more obvious healthcare crises of unsustainable cost increases, poor quality, and inequality. Fragmentation is at the heart of the ineffectiveness of our increasingly frantic efforts to nurture improvement.”

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The answer? Looking at the person as a whole, going as far as to having a relationship with the person and knowing what their about in order to understand their sufferings. We have moved far from knowing and loving the person and too much into how do I make money from this person’s health and vulnerable state. There is far to much detachment and isolation where there was once a relationship and care. Personally I believe its an integrity issue, we need to pray for a solution.

What about the Appendix?

We can all agree that our medical system here in America has one of the most intelligent technologies and most sophisticated systems. Our emergency rooms are bright and shiny and the doctors and nurses look like they know what they are doing. Nonetheless I had an 11 year old boy who came into the emergency room with sharp abdominal pain, nausea, low grade fevers and a distended abdomen. Diagnosis; constipation treatment and enema a large emergency room bill and the consequences a ruptured appendix and a 7 day hospital stay in the midst of his horse competition. We can all agree that we can’t always depend on the fancy technology or the bright and shiny lights. We have to know and be confident in it as others put the lives of the people they love in our hands as health care professionals.

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The Cleveland Clinic gives a cheat sheet so the next time you’re in the ER at 4 am with your 6 year old that you can help the doctors and nurses do the best job they can do. It might save you a hospital stay and a heck of a lot of money.

What are the symptoms of appendicitis?
Symptoms include:

Nausea
Vomiting
Pain when touched on the lower right side of the abdomen
Abdominal pain or tenderness, usually in the center of the abdomen above the belly button, then shifting to the lower right side of the abdomen. The pain increases when moving, taking deep breaths, coughing, or sneezing.
Fever, usually low-grade (under 100 degrees)
Inability to pass gas
Diarrhea
Constipation
Abdominal swelling
Lack of appetite
Note : Not everyone will have all of the symptoms.

If you have symptoms of appendicitis, it is important that that you do not take laxatives or enemas to relieve constipation. These medications could cause your appendix to burst. You should also avoid taking pain medications that could mask the symptoms the doctor would need to know about to diagnose the conditio