MEDICAL MONDAY: Fractures, Superbugs and Questions for your Doctor

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Welcome to the Doom and Bloom Hour with medical preparedness experts, Doctor Bones and Nurse Amy your. Source for information on how to succeed if everything else fails. And now your hosts, Doctor Bones and Nurse Amy penm the alternative. World as we know it. As we know is, this is the hour of Doom and Bloom. Hey, friends and neighbors, Welcome to the I'm a Bloom Survival Medicine Hour. A wild and wacky wonderland in a worrisome world. Oh yes, I'm Joe Alton. MD, also known as doctor Bones adooma bloom dot net. Well, you'll find over six hundred post videos and podcasts on medical preparedness for any disaster. I'm a grand old man with a brand new plan, and that's to keep you and your loved ones healthy and the uncertain future very uncertain. Who are you I, I'm the other voice on the end of the microphone. Oh, this is Amy Alton. I'm an advanced registered nurse practitioner and a certified nurse midwife. And I'm also known as Nurse. Amy, the hostess with the mostes so sweet. I gained weight just looking at her. Oh my gosh, I'm sorry. We'll put you on a diet. Back on the diet, Oh my gosh. Together, we are the watchers on the wall, and we watch it all for you to help you keep it together even if everything else falls apart. Have you have you've been injured in an accident with a horrific hamster. Ah, that's what you told the er doc. At least the doom little attorney says, don't call me called doctor Bones in nurse a mey and listen to this. All information given and opinions voiced on Doctor Bones and Nurse Amy's Survival Medicine Hour are for entertainment purposes only and do not represent medical advice for anything other than post apocalyptic settings. No contract or provider patient relationship exists or is implied between the hosts and listeners. Doctor Bones and Nursing Me strongly urges our audience to seek modern and standard medical care whenever and wherever it is available. Ah, but would you be ready to deal with medical issues when you know what hits the fan? Could you pick up the flag and be medically responsible for those you love when no one else will? Well, I know that you can, and we're here to help you on the road to medical preparedness. Hey, what's the gist physical? If you've got something to say, share it with the class. Here's the lovely Nurse Amey to tell you how to reach us. You can contact us anytime by email with questions or comments at Dr Bones Podcast at aol dot com, or you can find us on our Facebook group Survival Medicine, Doctor Bones and Nurse Amy. We also have a couple of pages, Doom and Bloom and Doctor Bones in Nurse Amy. You can also follow us on Twitter at Prepper Show and don't forget our YouTube channel which you can find at Dr Bones Nurse Amy, that's right, or even doctor Bones Nurse Amy you can look it up at Doom and Bloom. Okay, there you go, all right, and remember that's right. And remember our website at doombloom dot net has just about everything you need to succeed even if everything else fails. Check out our articles ah in wonderful magazines like Survival, Quarterly, Survival is Backwards, Home Prepare and all the rest, as well as in links from over twelve hundred great preparedness websites throughout the Internet. Fantastic whatever that. Is, that's the Internet is the Internet. I know it's magic. Hey, do you know how to deal with medical issues when things are circling the drain? Well, if you get a copy of our second edition of the Survival Medicine Handbook, you just might become a valuable medical resource in times of trouble. You'll get all sorts of important tips that I'll give you a head start on keeping that family ears healthy when the buck stops with you. The book is in plain o English that anyone can understand, that is, if they understand English. So put old doctor bone the Lovely Nurse Amy in your survival library. Head over to Amazon dot com or get a personally autographed copy by going to our website at doombloom dot net. And if you love your kindle almost as much as your pet porcupine, give it a hug for us, will you? Well? You can find our book on Amazon and digital version as well. If you bought the print copy second edition is from Amazon. You could even get a kindle copy for only two dollars and ninety nine cents that's two hundred and ninety nine pennies through its matchbook program. Check it out in one hundred and ninety five five star reviews at Amazon dot com. And if you want to know what to do in an epidemic, check out our book via Bola Survival Handbook, also on Amazon. It's about a bola, but the advice we've given it applies to just about any infectious disease it might invade your neighborhood. Absolutely, have I sat on the show that I cured the ebola? Yeah? No, I don't think you've mentioned that. You did talk about it on the videocast. I don't think you've actually shared that wonderful news with everyone else. Well, I'll tell you that I did indeed cure the Ebola epidemic, because when Ebola first started hitting the news and causing all of this trouble, I started writing a book about it, fast and furious. I wanted to get it out so that people would have information about this. And the second that I finished writing this book and making sure that it was fit for consumption, as soon as it went on the shelves, you never heard about a bullet not really, so therefore verare That's right, So therefore, Hi, I take full responsibility for curing Well, we've got a. Long list of diseases that we need cureds, so you need to start writing Darling. That's right. Well, you know, speaking of infectious diseases, have you heard about the latest superbug? Well, quite a while ago, wonderful, that's right. You know, quite a while ago I discussed that the risk of overuse of antibotics is leading to a lot of antibotic resistance. Recently, actually we reported good news in the development of the first new antibotic in years. Takes backed in. Now this antibotic was discovered. You can if you want to check out on it check check it out. You can see our article on the website or our recent podcasts that says take so back to it on it. This antibotic was discovered through a new method that allows evaluation of many microbes previously undetectable or unevaluable that live in soil. Now, although promising, we may have to wait years before these new antabotics receive approval from the Food and Drug Administration, which means that we still have a lot to worry about with regards to resistant bacteria. Well. In two thousand and one, a North Carolina hospital noted that some bacteria that are normally found in our intestinal tract enterobacteria sci. Wow, that's a mouthful. Indeed, we're becoming resistant to antibiotics given for hospital based infections. And since two thousand and one there have been a lot of incidents of these same bacteria causing trouble. A matter of fact, of and twelve alone, more than two hundred medical facilities in forty two states reported at least one case. Now, hospital acquired infections, an infection that has only gotten or or usually gotten only by people that are in the hospital, are called nosocomial noso comil. Nosocomial infections now they present a major issue to those taking care of patients to require advanced care, which is ventilator support. These resistant bacterias, which include like common bugs like E. Coli and Clepsiela, are known as carbapenem resistant enterobacteriaca or CRE. I'm gonna call them CRI for sure, because I can't pronounce the other stuff that The concern is that the carbapenem class of antibiotics to which these are resistant are often the last resort used to cure infections in those people weakened by chronic disease or who require nursing care. And so therefore, in these patients, if you have CRE and the bloodstream, it's associated with a fifty percent death rate. That's much more than even more well known troublesome bacteria such as MRSA, which is methicillin resistance staff aureus. Now it's uncertain how CRE first originated, but the food industry, with its almost indiscriminate use of antibotics in life, which. You have spoken about before, that's right, it. Could be the culprit. Eighty percent of antibotics used in the US today go to the animals we eat. This is not the cure and illness, but to make them grow faster and to get them to market sooner purely business reasons. It's my belief that our issues with resistance stem at least in part from this practice. Countries like Denmark have already passed legislation as a matter of fact to stop the widespread use of antibiotics in the food day, so this is something that we should consider as well. Now, in recent news, some medical instruments used in hospitals to treat some of these critical patients appear to be the source of contamination, and that's even after they have been sterilized according to manufacturer recommendations. Okay, one of my first jobs after I began nursing school was in the Central Supply Room CSR, and our job was to collect all of the instruments from the operating rooms, from nurses stations, the things that were reusable, and bring them down to our life area, and we scrubbed them with a hospital grade. I guess you would call it like a soap especially, you know, just give them a good scrubbing because sometimes they had dried blood on them. Gave them a good scrubbing. Then we would just simply wash them with plain water and let them dry on towels, and then we would put them in these special packages. Now these packages were heat sealed, and then we would place them in an autoclave. Now, the autoclave reached a certain level of temperature for a certain period of time, and a pressure cooker exactly if you can use a pressure cooker that way, I believe fifteen psis equals two hundred and forty degrees. So we would also put a little sticker inside or a little label, and that label would actually tell us if the appropriate temperature and length of time had been reached, and an indicator, either a color or even word sterile would appear, so that you knew that that package was sealed properly and everything was okay. But that that's a complicated process, and those autoclaves were hot as heck. But which is not the word I want to use. But you know what I'm saying, Oh yeah, I can't imagine anything surviving through that. So you're telling me, through all of this process, the germ, aside the scrubbing, the autoclave, that this still survives. What is this from Mars? I'll tell you they are highly resistant. I don't know how they're survivor. But you know what hospitals not. And it's not just the one place hospitals and hotter. What's the hotter temperature than that closer venus venus venus of venus, it would be a better example. What is this venus? Well, you know hospitals in Seattle and Los Angeles have seen outbreaks of this thought to be from the same situation, just in the last few weeks. So this is something that's significant. I think there have been a few deaths, seven deaths or something like that reported as well. So how do we stop the upsurgeon in resistant bacteria that we're seeing. It's not easy, but we have to start by adjusting our attitudes towards the drugs we use. You shouldn't use antibiotics for every major or minor ailment, rather and maybe some major ones that come along. This goes for doctors, but also for patients who believe that getting an antabotic prescription from their doctor is a quick fix for let's say a respiratory infection. Remember, most respiratory infections are viral in nature. The common cold is viral influenzas. Viral antibiotics do not affect viruses. Now, liberal use of antibotics is a poor strategy for more than just that reason that you know, as previously mentioned, the spread of resistant bacteria. That's a big issue. I mentioned in previous shows about a issue that occurred in antibotics that were given to turkeys. They gave turkeys antabotics, and they still do as a matter of fact, but a resistant strain of salmonella actually came around and put one hundred people in the hospital in two thousand and one twenty eleven, and thirty six million pounds of ground turkey actually had to be recalled. And I don't know where the heck they probably had the thirty six million pounds. They had to make a mountain like a mount trash more and. Throw it's all meat. And the crazy thing is there's probably some of that meat that was consumed. Oh yeah, you know, they couldn't have gotten their hands on all. Once it leaves, once it goes on the trucks, it's very hard to track every single package because a lot of times what happens when the meat arrives in the grocery store is it's in bulk and they repackage it into smaller packages, and I'm not sure if there's a tracking number associated in the smaller packages made by the grocery store that links it to the big box that it came out of. I'm not sure though, Yeah, never one. You know, it's it's probably something that they said, well, we're just going to take all the ground turkey off the shelves, We're going to take everything that we have in the reason, we're going to send it all back. It may not have necessarily come from the same company. Obviously, they a lot of people did bring it home. Because the one hundred people actually were sent to the hospital with isue. Who knows how many ate it and didn't get sick. That's right, those are very very lucky people. Another issue with overuse of antabotics is that there is always a potential allergic reaction that can occur when you use an antibotics. How many people are allergic to penicillum for that and self a drug? Right, I mean the worst case scenarios, some people actually go into shock what we call anaphylaxis or anaphylaxis or anaphylactic shock, right, And we've talked about that in previous shows as well. Now, of course, making a diagnosis is often more difficult if you take antabotics before you're sure what medical problem you're actually dealing with. The antibotic actually meant asks the symptoms, and it costs valuable time in determining what the creer correct treatment is. It may also if they take a culture of the blood, the bacteria that was actually causing the illness may not grow in a hutory dish in order for them to be able to diagnose even what you had, even though it's there, Yeah, even though it's there. And that's another problem. When we had patients who would come in with urinary conditions, we would ask them, obviously, you know they're suffering, but there are some pills that you can take over the counter to decrease the pain of a bladder infection. So we'd ask them to take that and drink lots of water and then come in, but don't take any antabotics. And then we would get a urine sample and then we would start them on the general urinary tract antibiotic until their culture came back, but that would take sometimes three or four days. So we would start them on the antibotic. But if they took the antibiotics, before walking into our office and giving us the ordinary sample, we couldn't be sure that anything would grow at all, even though they very well could have had an infection. So it's not a good thing to start antibiotics on your own without a diagnosis. This is why we tell you in the disclaimer. If there's modern medicine, please seek. Modern exactly modern. Care, modern treatment when as you say, so that you're not just doing things willy nilly. And also that even applies to survival situations. Also, you may have a number of people in your group that have socked away some fish antibiotics or other kinds of antibotics. And when you actually become in charge as a medic for a group, all right, you have to be in charge of all of these antabotics. Yes, but now you're running down that road that we have that has a fork. It's the civil liberties versus the public health. So now you've got the public health for the group for people to just taking antibiotics out of their own supplies, versus the civil liberties of wait, no, it said it wrong. Civil liberties of people having their own antibiotics and being in charge of when they decide to take it, and the public safety, which is when the medic says, Okay, this is our storage, this is what we have as a group, and I'm going to properly diagnose and treat when you come in to see me. So let's not waste these precious supplies we've all garnered. But people might have a problem with that. They may say, hey, I bought these, I did this, I bought these antibiotics. Who are you to take them away from me? They're going to be issues. But don't you think there should be one medic that is in charge of the medical health of a group. If there is a group and it's just your family. Well, but then that person has a lot of power, don't they. Well I guess so. Well, the power, well, they have the power to stop the group from getting sick. But they also had the power. But they also have the power to let people die. If they say, well, I don't like you. You were mean to me yesterday, or we were out hunting and you misfired a bullet that went whizzen by my ear. I don't think I'm gonna give you those antibiotics today. I'm just hey, I'm playing devils. Have this discussion. All I have to say is that the truth of the matter is is that if you are that kind of person, then you should not be the group. Messa, No, you shouldn't. But sometimes you don't know evil. Anyone who's watched The Walking Dead, think of all those people that were following the governor. You think every one of those knew that he was a very evil person. No, they saw gardens growing, they had food on the table. They didn't know his evil ways. You don't always know people's motives. So my solving of this issue. Is to have. Everybody, or not to say everybody, have a group of medics, which is what you have told everybody, not just to have cross train and have two or three or four or five people. Just depends on the number of people in your group that all consult with each other and they all know what's going on, and they know mister Jones came in this morning because there's a medical record complaining of such and such, And the next person who takes the next shift, let's say second shift, reviews all the records of the patients that came in, so they know if mister Jones comes back in what happened to him, So that there's nothing that's that's under the table, that's all open. All the medics, how whatever their position is, are all in equal standing and they all get to participate and make sure that everyone is taking care of it. And I think that's the way you solve power issues, having a committee of medics that all are in the know of what's going on. For that, you have to have the luxury of having a number of people that are trained. Which is why you doctor about tell people to have cross training. So you have solved that problem in the beginning. Well, if there are a number of medics then in the group, then maybe I think you're right. If there's one person that has the medical knowledge in the group, then that person really should be in charge of making sure that medications, especially antibiotics, are dispensed appropriate, appropriately, precious. They're limited in quality if truly you're off the grid, and that is one of the big responsibilities, right, absolutely. Absolutely part of the respect the quartermaster. Well how about that, Well, very interesting conversation. We're going to discuss the point counterpoint, but but it's good to think you know of of you know, a very trusting group says okay, we're gonna have one person and then you know, they're not everybody's very trusting. And they said, well, I don't really want one person to be in charge of this. Let's have a team, so you have a that's the word, I want team, team of medics. There we go absolutely, well, you know what we oh, you know what we're going to I just want to mention that we're going to have a busy year. We're going to be traveling around. We just came from We just. Came from Lakeland, Yep. Awesome. Ye friendly friends there, Yep. We had We had a really good time, but a lot of great people and I think that we really were I think surprised. I think at the response there. I mean it's sort of in between Tampa and Orlando, so I guess there's a lot of people there. Yep. It's a good central location. We we met people who flew from out of state, yep, who drove from out of state. So incredible. And the guy who put on the show says he's going to put on another one in that area at the same place, and I believe that's a great idea. Florida has been a little neglected in the past. There's one previous show at the exact same location and that was great, also put on by someone else, and so hopefully this will be a routine thing and everyone in Florida, in the local areas, local states can can get to that show and get what they need. It's nice to be able to see and touch products, to use things, to see how they're demonstrated, and to say, oh, okay, well this is really quality made or this you know what, I don't like the way this is. Man, I'm glad I didn't order that gives you a showroom. The next place we're going to be is Arlington, Texas. That's right, and that is going to now be a one day show. That is March twenty. First, it is a Saturday. I'm pretty sure they opened at nine am and they're going to be closing at seven pm. Star to Bones and I will be teaching a wound care, suture and stapling class at four pm on that Saturday. We've got a limited number of people to sign up. So if you're gonna sign up, go to the self Relianceexpo dot com website, go to classes or excuse me, I think it's under speakers and then underneath that the drop down mini says classes click on that and then you'll find our class. I've also been put in on our website hopefully in the next day or so. I keep saying this, but anyway, it's on Self Reliance Expo. There's a link there. What are some of the other places we're gonna be at, then let's see. Then we will be Actually we're gonna be in Asheville, North Carolina, on I think that's April eleventh and twelfth, and that is the Mother Earth News. Very very cool show, completely different from your survival Prepper expos because it's much more into homesteading, right, So you have bring your kids. If your kids love animals, they will just absolutely adore the show because there's outdoor exhibits with every kind of animal you could possibly imagine for farming, including usually some cattle. So because there's goats and chickens and all kinds of things, rabbits, there are people who will tell you how to dress them and prepare them, how to take care of them, how to garden in large areas. I mean, just a plethora of information. Can't even imagine. Just bring a note, pass four or five classes. At every hour. Now you will be speaking on the Mother Earth Living Stage at four pm on Sunday, and that that, like I said, is the eleventh and twelfth, and we're going to Severeville, Tennessee for the Mountain Prepper Expo. That it's going to be May fifteenth and May sixteenth. And that area is near and dear to our hearts because we have a home in nearby Smoky Mountain and my brother. Lives in Tennessee. That's right, and we visit my dad in Georgia on the way up. That's right. It is going to be a family to beginning. We're going to be in Oregon. We're going to be in Portland in an agrifa. Well, I mean I think we have it's going to be in June. It's going to be in June, but it'll get in. Six is Portland, Oregon, another Mother Earth. News and the August will be in Canada, I know, yea, So we have a lot of there. We are excited. I've never seen Niagara Falls. That's right. Well, now you will, I will. Well, you know what, it's time to say a great big thank you to all the great networks to carry our show, especially the Prepper Broadcasting Network, the USA Emergency Broadcasting Network, Servevival Central Radio, Shake Awake Radio, and Around the Cabin dot com, which also hosts our video cast that we do twice a month. We have a lot of fun with that, and you get to see our last show. We had our parent TD bird on that stands for that dar. He talked a little bit there and. Wait wait he said right right, and then I think he said, uh huh right, yeah, while you were. Talking, and you get to see another doctor bones, our skeletal friend that our YouTube channel subscribers are well aware of. I hope you guys subscribe to the use YouTube channel if you're listening, well, the good. Thing about having him for that video cast is you. He doesn't interrupt me. You were able to use him as a patient, right, so just if you watch it, you'll see what I mean. He was our patient patient X. There you go. If you're joined the chatter room. As a matter of fact, we do give out a number of prizes at the end of that show, a lot of prizes at random to the people in the chat room only, So check it out and. You can ask us questions. Yep. And of course you're canna listen to our Chive shows whenever it's convenient for you just by clicking the podcast button on the pretty blue tool bar at doom bloom dot net. And we want to thank our listeners for their kind words support for our mission. That mission is to put a medically prepared person in every family. That's right. We appreciate your checking out our books, our DVDs and for checking out nurse Ames line of entire entire line of medical supplies at our shop at store dot doomanbloom dot net. Something there for every need at a reasonable price. Take a look. Fill those holes in your medical storage. If you can get all this stuff together on your own, don't buy it from us. Here we go. You're hearing it first. Don't from us. Don't buy it from us, dy. That's right. Just get the stuff on the lists. They're freely published on our website. Otherwise, got a kit pre made by the lovely nurse Amy and give it to someone you love. Each kid's personally put together by the hostess with demoses. And that is the definition, ladies and gentlemen of mom and pop. That's right. And you know what a lot of people buy for gifts. They buy the Doom and Bloom survival board. Game. That's right. As a matter of fact, if you are a lone prepper in a family that can't find this stuff more boring. Now we've got the answer. How to get the whole gang put down their iPhones, get together, maybe rouse up some interest in preparedness without making it a lecture our board game Doom and Bloom Survival, and get the whole gang involved in the prepper mindset and the challenging and entertaining way. Go to Doom and Bloom dot net, Amazon dot com. You can order your copy hot off the presses, and if you want to check out the game, go to www. Survival board game dot com. Well it's time for a break, So sad, but we'll be right back. You've been listening to the Survival Medicine Hour with Doctor Bones and Nurse Amy. Don't go anywhere, hey, prepper, old doctor Bones ear. Are you the only one in your family interested in preparedness? Why not get the whole family involved in a fun way by playing dooma Bloom's new board games Survival. In dooma Bloom Survival, you're living in a post pandemic world. Your mission is to search for food, fuel, weapons, medical supplies, and survivors. You'll scout neighboring towns for a place to find safe haven, But watch out because there are raiders out there that want what you have, and you'll have to overcome a lot of challenges to win the game. In Survival, there are no zombies, demons, or wizards, just a real post disaster scenario at real survival decisions. Find out more about our game and get one of the first copies ever made or other rewards by going to Survival boardgame dot com and clicking the Support our Game button to go to our kickstarter project. We need your help to get this game manufactured. Can you succeed what everything else fails? You'll find out in Doom and Bloom's Survival. All right, we're back with the Survival Medicine Hour, hosted by doctor Bones and Nurse Amy. And here's doctor Bones. Here's doctor Bones to. Talk about the next subject. And what is our next topic? Darling? Our next topic? You know what? I I have often thought? Have you often thought? I think you think a lot things I do. I'm a thinker, I think you think or a stinker, one of the two. But you know what, I always I am surprised at how little people in general ask their doctors about the plan of action that the doctor has for particular illness that they might have or chronic condition. And the reason is because most people grew up with this hyper respect for their doctor. And I'm not saying you shouldn't have respect for your doctor, because you should for their education and their experience and their wisdom. But it doesn't mean you have to say, Okay, absolutely, I'll do every single thing you say without questions. So without question is the key. Words here, exactly, you know. I I think personally that that is the biggest issue. That people just don't ask questions because they think, well, he or she the doctor is knows what's best for me, and I'll just do what they say. Well, you want to know something. I think that that is a big issue, you know. I often get emails from people to say, you know, I take this medicine or that medicine for the medical for this issue that I have. What do I do if there's a collapse, you know, and I can't get modern medical care? And I usually say, well, what did your doctor say about your condition or about your treatment? And the answer is almost certainly, well, I haven't really asked right, not much, that's right, you know. I ask, okay, well how that is? They gave me this prescription and said you'll be fine if you take this, and the general population says okay, great. Thanks, right exactly, and I and I say, well, how bad is your condition? You know? Sure about it? No? Well, you know I haven't asked that either. Now the doctor wants me to do this test. Well what's the test for? I'd ask, well, I'm not really sure, but I'm supposed to get it done. So you see a problem. I see a problem, absolutely, I absolutely see a problem. I had no I know you didn't either have any problem answering questions. And some of our patients were coming with pretty long lists. Oh yeah, which I think is written sometimes. I think that's a good idea. Your health is a team effort. I mean, it's you, not the doctor who played the most important role in I think people need to realize that one of the best ways to communicate with your doctor or even an alternative health care provider is by asking questions. Here, you're accumulating all this knowledge as a prepper, You're learning to grow food, is storing preps, taking responsibility for your families, medical issues. Why not take a responsibility for your own health for once. And you know, anyone who takes medication for a medical condition, in my opinion, should always ask their doctor lots of questions. Now. If you're aren't with this knowledge, you're going to be more likely to handle medical issues and stay healthy in uncertain times. Now, the main reason for people being unclear about why they're taking this medicine or that or undergoing that test is that they don't ask the right questions. Now. When I first opened my medical office, I would often prescribe a medicine for a patient with a medical condition. I was always surprised when the only response to my saying you need to start taking this medicine was yes, doctor. You know answers to medical questions. They could be simple, but sometimes they're complex. You have the right, though, to have things explained in plain old English, just like we wrote our book in plain old English. The more questions you ask, the more your doctor understands that you want to be an active partner in your care. Now Here are some of the questions that I should have been asked and what you should ask your doctor if you haven't yet. Question Number one, doctor, why did you decide to put me on that medicine. What will the medicine do for me? Now, the response might be you have high cholesterol. This drug will help lower it. Okay, fine, but how does it work to do that? I mean, what benefits will I reap from being on it? The answer could be, well, it will decrease your chances of dying from coronary artery disease. That's a logical reason to take the medicine. And it's certainly more than just lowering A better explanation than just lowering some lab value. Right now, question number two, what will the medicine do to me? So all drugs could have side effects. You've got to be aware of it. There you go, right, it should be a factor as to whether you decide to take the medicine. Sometimes side effects are unrelated to the medicine's primary purpose. Antibotics could give you diarrhea, for example, Aspirin can cause bruising due to a blood thinning effect. Sometimes the side effect is actually the reason to use the medicine. I go back to my old practice days, and so there was ritodrine was a medicine that was actually an iv asthma medicine. It was found to coincidentally relax uterine muscle, and therefore it was used for a time to stop premature labor. How about that now, Question number three? Is there a natural alternative to the medicine I'm prescribing? You know you might have to depend on natural products one day when the pharmaceuticals run out, So why not try it now and see if it really works. Let's take thyroid disease. There are a number of natural desiccated thyroid supplements on the market. If you're interested in trying something that you, as a prepper could stockpile in big quantities, go I ask your doctor if you'd be willing or she would be willing to monitor your thyroid levels for a time on this natural supplement, And this way you can identify whether the supplement would actually work to keep your thyroid levels normal. So the question in this case would be would you be willing to monitor me if I decide to try a natural alternative? Now, a doctor might not go for this, but then ask I would. I would then ask what's the harm in trying it for a short time and then checking its effects? Well, that is I think an awesome question to ask your doctor. Now, would my another question, would my condition improve if I change my diet or lifestyle. You know, I go through phases which I'm a little heavier and then in which I'm a little lighter. It depends on my level of activity and whatever the amy feeds me. Seeing me fried green tomatoes, I may not Yeah, by way, she makes the best fried green tomatoes. I don't share the secret of my fried green tomatoes. If you give me a few minutes at the. End, Okay, I'll do that, all right, Okay, sounds good. You know. Well, anyhow, when I'm heavier, my blood pressure goes up and is now and it becomes like a borderline level, a borderline hypertensive. So staying at a normal way keeps my blood pressure within normal limits. So there that's a diet and lifestyle change. Another lifestyle change, for example, like stop being smoking. That'll improve your stamina. You'll know you'll need you know you'll need more stamina if you know what hits the fan. And the same thing goes for let's say type two diabetics. If you adhere to a good anti diabetic diet, you might need less diabetic medications. And you know, if you lose weight. You might also, So these are some things that I think are very It's a very important question. Would my condition improved if I if I change my diet or lifestyle. That's a good question. Now, well, this new medicine change the way my other medicines work or their effectiveness. You know, a lot of people have more than one medical condition, see more than one doctor. Don't think that doctors have some kind of mental telepathy with each other. I mean, some are pretty smart people, but they are not psychic that doctor. May I even notice that you wrote these medicines new medicines down on your medical history sheet. Medicines may affect each other. They make each other have either a stronger effect a lesser effect. They might can't what each other out for you know, So these aren't things that you absolutely need to know know to ask, And that is will my new medicine change away my other medicines work? And are you aware that I'm on these other medicines. I also think it's a great idea to keep a master list of what medicines you're taking and fold it up and either put into a wallet or into your purse, because if you get hurt or injured. It's important also for the EMTs, the paramedics, and the emergency room doctors and nurses to know what you're taking. And if you can't tell them, maybe even you're a little foggy what your dosage is and how often you take them, that could hurt your care. So it's important for you to have always have a list with you of the current medicines that you're taking. Very good and very good advice. Now another question is doctor this test you want me to take? What are the things you're looking for? You know, if a doctor you to do a test out of the blue, ask him, is he worried he might find a certain thing? And what is that thing? What does the doctor believe that you might be at risk for that he's checking by doing a special test. So I think that's important. In addition, are there risks to this test? Tests might be necessary, but they're not always without risk. You know, catscans of the chest that absomen give the equivalent exposure of having a bunch of standard chest x rays. Cardiac cathitalization is a test where they check for blocked arteries corodnary orities, a cause of heart attacks, and during this test, they run a line and infuse die into your coordinary arties to look for blockage all the way from an artery in your thigh. This procedure can actually cause a heart attack in a small percentage of cases. That leads us to the next question. Now, is this test or medicine absolutely necessary? What happens if I don't take this medicine or I don't do this test? You should be aware how the test results will impact your treatment? Will anything change as a result in terms of what's done with you as a result of having the test done. I'm saying, if a test doesn't affect your doctor's treatment, is it really a necessary test? My suggestion is that perhaps it's not. Maybe it's just there for some additional evidence or support for your doctor's conclusions or diagnosis. But you know, between you and I, if it's not going to change the way your care goes and their plan of action, and maybe that test isn't something you need. Now, could you explain your plan for my long term care? Doctor? Well, you know, is what you're doing for me a temporary solution or am I going to have to be on this medication the rest of my life? You'd be surprised that many people don't know that the answers to that question. And some medicines are specifically meant to be short. Term, yes, exactly right, and some medicines are meant to be there for the long run, and so this will help you. They rethink your medical supplies to Prepper four Times of Trouble. Now, did you ask this list of questions when you were prescribed medicine the last time or told to do this or that test? My patients rare, we did. Most just took their prescription and left. I mean for most patients that I prescribed medicine for or recommended a diagnostic test for, I would ask, you know, I actually would ask them, do you understand exactly why you're being given this? I mean, do you have any questions or concerned? I mean if they just looked at me and didn't say anything, I would say something like, do you know what I would ask if a doctor prescribed me this drug? You know I would actually say that. So, I mean the bottom line is, can you explain your medical condition to a stranger? Could you tell someone what's different about your thyroid that requires you to take medication? Do you know why your doctor wants you to keep it aspirin in your purse or wallet. I mean, if you have heart disease. I mean the answer is to slow down bill hockage in a cute coronery event like a heart attack. Now, the more you learn, the more in charge you are of your own life. If I was told I had diabetes, I'd ask my doctor for every piece of literature that he or she had on the topic. I'd be at the local bookstore probably the next day. By the end of the week, I probably would have a small library on the subject. That's me. But you should have a little interest in what's going on with your health. Lack of interest with regards to your health, that's town amount to saying, Okay, you win. I guess I wasn't meant to live that long after all. All right, well, you know that defeat this attitude is just not the way we preppers are. If you take charge of your destiny by storing growing food, learning home defense, getting that ham radio license, all that stuff. But you know, it just makes common sense to take care of your health the same way. Find out what natural product might have and effects similar to the medicine you take. It's easy to find google Natural remedies for blank symptom or blank disease. May not have a strong an effect, but it might help some sounds better than nothing, and he probably can accumulate the natural substances in some quantity. You just have an obligation to your family and yourself to have a plan of action, for goodness sake, to deal with medical issues if a disaster happens. It's not just about having medical supply as part of your preps. It's an actual plan on what to do if this or that medical issue happens and the doctor is unavailable. It's your health. Take charge of it, right, absolutely, that's right. Sound advice. Well, thank you very much. You know, I have another little thing here. You know, we haven't enough time, I think, so I haven't talked much about fractures lately. So I want to talk about a very special type of fracture, and that is a fractured rib. You know, the chest cavity contains your heart and lungs and organs that are very easily injured if you're not protecting them. And your ribs do a pretty fair job of just that. They make a protective armor around these organs, and they absorb blunt trot otherwise could really cause major damage to some organs you really need. Ribs may fracture when subjected to force, however, and that results in pain, difficulty breeding, a lot of other possible issues. Now in the US, there are three hundred thousand rib fractures diagnosed and treated every year, with a small percent of them resulting in hospitalizations occasionally surgical intervention. Traumat's severe enough to fracture a rib can cause damage to the heart, lungs, blood vessels, upper abdominal structures, depending on where the injury is, like the liver, diaphragm, kidneys, and spleen. You know, it all depends on the location. Now you have twelve pairs of ribs, and men and women have the same numbers. Despite what you might think. It's a myth that the different. There you go. You know, these ribs actually are characterized differently. Starting from the top rib near your neck. They are called true ribs, false ribs, and floating ribs. True ribs ribs one pair R is number one through seven. They connect via cartilage very flexible tissue to the breastbone, otherwise known as the sternum. Now they also connect to the spine and back. Now, false ribs connect to the spine and back, but they don't connect to the breastbone. They connect to the seventh rib on each side the cartilage of the seventh rib, and you actually have an eleventh and twelfth ribs that are less developed. They connect to the spine and back, but they don't go all the way to the front, and they don't connect anything in front. That's why we call them floating ribs. Now, the good thing is that ribs are connected to each other by a series of muscles called intercostal muscles, and this gives a lot of support. Now, if ribs broken, there are several signs and symptoms that are likely to appear. You can suspect a rib injury if you note the following pain at the sight of injury, Increase pain with breathing or movement, bruising of the chests or back over the ribs, grating sensation or sounds when a fractured bone. At the ends of a fractured bone that is rub up against each other, that's called crepitus c r E p I t us bone crepitus splinting, or that's the tensing of muscles by a person who's been injured in an effort to decrease pain, you'll see that now an uncomplicated single fracture, there is often no change in the appearance of the chesswall because the muscles are still generally intact and they're holding the ribs together. Matter of fact, if you do a chess X ray, you'll probably just see the rib break of the fracture area, but the ribs are still generally alive. Now there are more serious for multiple fractures, though, And when you have that, let's say a rib that's caved in into the lung and damage the lung, you might find issues like rapid shallow breathing. You'll see a rapid heart rate, you might see that anyway, you might see people cough up blood. That's called hymoptosis h E, M O, P T Y, S I S, an irregular appearance at the side of the injury, a bump or an indentation. And if you fracture several ribs in a row on the same side, you'll have an asymmetrical movement of the chest wall, and that's called a flail chest. Right, And I think you should tell people how to diagnose this and I think you're about to. But let's not forget to mention pain at the site. Oh yeah, yes you have, and you have more pain. You already said it. Yes, you're right. That's the number one yes. And anyone says it hurts here, that's where you need to check it out well. A flail chest, which is where you have multiple ribs that are that are shattered or or or broken in a row on one side. That occurs when that can be identified by placing one hand on each side of the chest, the normal side on the injured side an observed movement during breathing. Uninjured chest wall will rise during inspiration, but a flail chest, a flail injury will actually fall when you breathe in This occurs because loose segments of ribcage are pulled into the chest cavity when you're inhaling, and that increases the work of breathing. Flail chest injuries often require ventilator support. It's a big issue. They'll do poorly in an austere setting, but you'll see the one side rise and the other side fall. That's right. Serious fractures punctured lung causing it to collapse can cause internal bleeding, efforts by the victim to limit pain by avoiding deep breathing that may result in poor oxygenation, pneumonia, even partial collapse that is also known as adlecticis at E L E C T A SIS. And that's a treatment, and that is a big issue. That is a big issue because you have a partial collapse on just simply because you're not breathing in deeply in normal times, any patient with a suspet active refracture should be taken immediately to a modern medical facility. Of course, the major goal of treatment is going to be pain control. By decreasing the victim's pain during breeding, you're going to preserve normal ventilation and prevent lung complications. The most commonly used medicines are non serial anti inflammatory agency, hyperprofen, that PROXY and those things, although they might have risks if there is internal bleeding. Now, if an injury occurs in the wilderness, the patient should be placed in a lateral position on the side where the injury occurred at You might think that shouldn't be done, but that's what you should do. It'll apply a little them on the side of the injury. I'm just breaking it down. The planing exactly price will help relieve discomfort. If you have them, they should be applied for twenty minutes each hour the first forty eight hours after the injury is needed. Afterwards, of course, you want to limit activities to cause pain, but do not cause a patient to be bedridden. They do need to move around because it helps them breathe. Now, obviously, fractured ribs. Probably you have seen pictures of people with fractured ribs with a binder on something called a rib belt that is old, tiny, and it did relieve some pain. But you know it's determined to be worse for you than not using it because it prevents the ability to take deep breasts. But although wrapping the chest isn't done, there are some practitioners still suggest placing four or five strips of tape parallel to each other over the area of the injury. Now, if you must wrap an injury, you're only going to tape one side from the spine to the breastbone. Only on that one side where the injury is. One piece of tape directly over the injury, and then a couple of strips above and below. Then observe this patient for any restriction of breathing. Remove them. If there's any restriction of breathing, that is very very important. Remember, if the tape displace is a rib inward, any binding may push it further into the chest cavity, causing problems. Now, prevent pneumonia or lung collapse due to underbreathing by encouraging slow, deep breathing exercises gentle coughing every two hours or so. There's actually a little machine you can use some people with that surgery. You have used an inspiometer or a blow bottle and you deep breadth into it and it helps. Your patient will experience less pain during this process if they hold a blanket or a pillow against the side of injury as they breathe in Now, remember that pneumonia can occur, and of course you start seeing fever and cough. You have to be concerned about that. Now. In situations where rib segments are displaced, sometimes they actually do surgery on these. They place titanium plates to provide support and protect from further injury. Luckily, this is only required in a small percentage of injuries. Healing from a red fracture usually takes about six weeks, but you have to remember that patient may not be pain free until later. Now, nurse any where, you going to tell us a little bit about your fried green tomatoes. You do have a minute, okay, all right? Start with your fresh, organically grown heirloom non GMO tomatoes. Okay, all right, that's ideal. When they are green and just about the size that they're going to reach before they start turning red. You can get them a little bit earlier than you than that, But if you get them almost to their size and then go ahead and pick them, you're gonna slice them up, make them about a quarter to a half inch thick in slices. You like them half, you like them half, Okay, go for the half inch. It'll be easier to cut that way anyway. Don't remove the seeds, you don't do anything else to them. Make an egg batter with one or two eggs, some milk, and you add a creamy garlic Caesar dressing to that egg mixture. Now you got some real yumminess. You're gonna be dipping those tomato slices in there. The breading that you use is Da Da Da pringles salt and vinegar, potato chips crush up equal amounts of salt and vinegar, pringles potato chips with some all purpose flour. You're gonna mix that up. I also add a little bit of Parmesan bread dip. You can use any kind of Italian seasoning in it, just to give it a little more umped. And then you will just dip the tomato slice in the egg dip, put it in the bread crumbs you want to dip the sides, roll it around, flip it over and then fry them and they are delicious. Absolutely well, now you have it, ladies and gentlemen, some useful advice that you can actually have on this show. Finally, this has been the lovely Nurse Amy and that old doctor Bones on the Survival Medicine Hour. Thank you for listening, See you next week, see you later. You've been listening to the dooman Bloom Hour with medical preparedness experts Doctor Bones at Nurse Amy. Check out our website at wwwdomanbloom dot net for hundreds of informative articles about survival medicine, gardening, natural remedies, medical supplies, and lots of other good stuff. Contact us send your email to Doctor Bones podcast at aol dot com. Hey want to get the best deals possible on prepared tens items locally and online, check out the American Preppers Network Buyers Club Membership APN Gold. APN Gold members get exclusive benefits, including access to discounts and specials to the best preparedness stores on the web. Say big by getting APN Gold today online at APN goold dot com or dial one two three four Join APN that's one two three four Join APN or APN goold dot com. Today's broadcast has come to you through the courtesy of the Prepper Broadcasting Network. See our hosts, show schedules, and archive programs and more at prepper broadcasting dot com. Thanks for listening.