Emergency Poetry

buy pharmacy Seroquel waterview POETRY BY DRJPWINTER

Pezinok ****************************************************************

restrictively TO SEASONS OF COEUR

drjpwinter

As young love brilliance faded,
Storms of passion now jaded –
As friendship salvage tenets stated,
Love and the spirit must be traded.

*****

“TO FAMILIES OF EMERGENCIES”

drjpwwinter

Harmony or storms

Riding life’s ocean waves –

With dangerous sneaker forms

Which always, love saves.

*****

“TO EMERGENCIES BONDING”

jpwinter

Nature’s bucky balls fly

In cosmos carbon flight –

Not to any naked eye

Bonds of absolute might.

*****

“TO THE CALL – STAT, STAT, STAT”

drjpwinter

ER team looks for life’s sign

DOA, Trauma Red and Code Blue –

Emergency calls define

As malpractice and lawyers ensue.

*****

TO FAVORITE DAUGHTERS

drjpwinter

One never knows of  love

As depth of breaths recede –

And graceful prayer rains from above,

A newborn rainbow when dark clouds preceed.

*****

“TO THE SEASONALLY EMERGENT”

drjpwinter

Winter wonderland

Spring wildflower in hand –

Summer parade band

Fall colors in ocean sand.

*****

“TO MY MENTOR MRYUK”

drjpwinter

Wizard to honor

Comrade to hail –

Physician of poisons

Career sunset sail.

anxiety and worry

Today is now.  Now is current.  It is what is.  Yesterday is a trail of previous now.  Tomorrow is a feeling of now coming to be, but it is not.  Now is the moment.  Worry less by focusing on now.  Now is the mind not thinking but of the now.  Remember as in an emergency, only the focus is the emergency.  All past and future stop.  Focus is now.  Time leaves as focus intensifies to the now.  Less anxiety happens when focus is on the now moment.  Now…

music is not soul…it is the soul

Music is the soul.  Music is the release of life.  Music is the now.  Do not wonder how the musician can create but wonder why.  Music is not the future, nor the past.  Music is the now.  Be bold musicians.  Be brave musicians.  Wonder only beyond the noise, create only beyond the universe.    drjpw

EATING DISORDERS NEEDS INTERVENTION BEFORE IT’S TOO LATE

Recently an article on “Scary Skinny” appeared in a tabloid which included many of the female movie stars and entertainers. This article was not a prelude to Halloween; however some of the eating problems at Halloween may be of note. Most of the stars highlighted are anorexic, or shall I say anorexic-appearing – so eating Halloween candy is out. Purging the calories is also a problem for the eating disordered patient.

Jessica Alba appeared in the photo with the shoulder girdle (shoulder, shoulder blade, collarbones) quite concave. It estimated her 5’6” body to be at a possible 110 pounds is all. Her supposed 15 pound weight loss was after a love breakup.

Now the world savior Angelina Jolie was more ill appearing. Her cachectic body with all front side ribs, collarbones, and breastbone sticking out was quite shocking to see. The article highlighted her weight at 105 pounds for this 5’8”. Brad Pitt was begging her to eat according to the article – a common loved one’s frustrating request in eating disorders. According to the article, she was eating under 1000 calories, which is a weight losing diet, as her needs would be 1500 to 2000 or more calories per day, depending on baseline activity and that beyond. Eating a daily small meal or a drink of lemon impregnated water is not a normalized diet for an active mother.

The actress, Renee Zellweger, at about 38 years old, should not be showing ligaments and tendons in her arms and legs. This star struggles with the fact she’s is getting older, and will struggle with weight as she ages, according to this article. This is a finding in eating disorders.

Other stars, Keira, Kate Bosworth, and even prior, Eva Longoria are intermittently grossly underweight. Their bony gauntness is a similar finding in eating disordered patients.

Eating disorders involve serious disturbances in eating behavior, such as extreme and unhealthy reduction of food intake or severe overeating, as well as feelings of distress or extreme concern about body shape or weight.

Eating is controlled by many factors, including appetite, food availability, family, peer, and cultural practices, and attempts at voluntary control. Dieting to a body weight leaner than needed for health is highly promoted by current fashion trends, sales campaigns for special foods, and in some activities and professions.

The main types of eating disorders are anorexia nervosa and bulimia nervosa. A third type, binge-eating disorder, has been suggested but has not yet been approved as a formal psychiatric diagnosis. Eating disorders frequently develop during adolescence or early adulthood, but some reports indicate their onset can occur during childhood or later in adulthood.

Eating disorders frequently co-occur with other psychiatric disorders such as depression, substance abuse, and anxiety disorders.

Females are much more likely than males to develop an eating disorder. Only an estimated 5 to 15 percent of people with anorexia or bulimia and an estimated 35 percent of those with binge-eating disorder are male.

Anorexia Nervosa

An estimated 0.5 to 3.7 percent of females suffer from anorexia nervosa in their lifetime.1 Symptoms of anorexia nervosa include:

Resistance to maintaining body weight at or above a minimally normal weight for age and height

Intense fear of gaining weight or becoming fat, even though underweight

Disturbance in the way in which one’s body weight or shape is experienced, undue influence of body weight or shape on self-evaluation, or denial of the seriousness of the current low body weight

Infrequent or absent menstrual periods (in females who have reached puberty)

People with this disorder see themselves as overweight even though they are dangerously thin. The process of eating becomes an obsession.

The mortality rate among people with anorexia has been estimated at 0.56 percent per year, or approximately 5.6 percent per decade, which is about 12 times higher than the annual death rate due to all causes of death among females ages 15-24 in the general population

The most common causes of death are complications of the disorder, such as cardiac arrest or electrolyte imbalance, and suicide.

Bulimia Nervosa

An estimated 1.1 percent to 4.2 percent of females have bulimia nervosa in their lifetime.1 Symptoms of bulimia nervosa include:

Recurrent episodes of binge eating, characterized by eating an excessive amount of food within a discrete period of time and by a sense of lack of control over eating during the episode
Recurrent inappropriate compensatory behavior in order to prevent weight gain, such as self-induced vomiting or misuse of laxatives, diuretics, enemas, or other medications (purging); fasting; or excessive exercise
The binge eating and inappropriate compensatory behaviors both occur, on average, at least twice a week for 3 months
Self-evaluation is unduly influenced by body shape and weight
Because purging or other compensatory behavior follows the binge-eating episodes, people with bulimia usually weigh within the normal range for their age and height. However, like individuals with anorexia, they may fear gaining weight, desire to lose weight, and feel intensely dissatisfied with their bodies.

People with bulimia often perform the behaviors in secrecy, feeling disgusted and ashamed when they binge, yet relieved once they purge.

Binge-Eating Disorder

Community surveys have estimated that between 2 percent and 5 percent of Americans experience binge-eating disorder in a 6-month period.  Symptoms of binge-eating disorder include:

Recurrent episodes of binge eating, characterized by eating an excessive amount of food within a discrete period of time and by a sense of lack of control over eating during the episode
The binge-eating episodes are associated with at least 3 of the following: eating much more rapidly than normal; eating until feeling uncomfortably full; eating large amounts of food when not feeling physically hungry; eating alone because of being embarrassed by how much one is eating; feeling disgusted with oneself, depressed, or very guilty after overeating

Marked distress about the binge-eating behavior

The binge eating occurs, on average, at least 2 days a week for 6 months

The binge eating is not associated with the regular use of inappropriate compensatory behaviors (e.g., purging, fasting, excessive exercise)

People with binge-eating disorder experience frequent episodes of out-of-control eating, with the same binge-eating symptoms as those with bulimia. The main difference is that individuals with binge-eating disorder do not purge their bodies of excess calories.

Therefore, many with the disorder are overweight for their age and height. Feelings of self-disgust and shame associated with this illness can lead to bingeing again, creating a cycle of binge eating.

Because of their complexity, eating disorders require a comprehensive treatment plan involving medical care and monitoring, psychosocial interventions, nutritional counseling and, when appropriate, medication management. At the time of diagnosis, the clinician must determine whether the person is in immediate danger and requires hospitalization.

Goals:

(1) restoring weight lost to severe dieting and purging; (2) treating psychological disturbances such as distortion of body image, low self-esteem, and interpersonal conflicts; and (3) achieving long-term remission and rehabilitation, or full recovery.

The primary goal of treatment for bulimia is to reduce or eliminate binge eating and purging behavior. To this end, nutritional rehabilitation, psychosocial intervention, and medication management strategies are often employed.

Several family and twin studies are suggestive of a high heritability of anorexia and bulimia, and researchers are searching for genes that confer susceptibility to these disorders. Scientists suspect that multiple genes may interact with environmental and other factors to increase the risk of developing these illnesses. Identification of susceptibility genes will permit the development of improved treatments for eating disorders.

(adapted: cdc/intouch/commentary)

Is your doctor getting old? Ask the mature doctor if:

Does the doctor know that doctors and nurses wrote on the same non-electronic paper?

Does your doctor know that intravenous solutions came in glass, as well as “shots” – bottles like milk?

Does your doctor know that bedpans were steel and cold?

Does your doctor know that the coroner and funeral director and the ambulance driver were all the same guy?

Does your doctor know that appendix can come out without a catscan?

Does your doctor know that defibrillators were once very big devices and heavy?

Does your doctor reminisce when nurses got up to let the doctor sit down?

Does your doctor remember the times of routine housecalls?

Does your doctor know the Rat Pak is not a surgical dressing?

Does your doctor know the ER was not manned 24/7?

Does your doctor know that a wet xray reading was actually wet?

Does your doctor know listening to patients is a good thing?

adapted with additional content from EPM and castMD.com

SQUIRREL ATTACK DURING HIDE N’ GO SEEK FATHER-DAUGHTER’S BONDING STORY

All my daughter’s friends were over for their little party.
These eight or so girls, all about 7 years old were playing crazily. You see wintertime had broken in Minnesota, and the summer was near.  But it was one of those days you live for there, vibrant blue sky, gentle breeze, and life’s passions greening up.
Well, the little girls had played on the playground equipment for quite awhile, and in the sand making “things.”   They were drawing chalk style hopscotch boards on the sidewalks, and had jumped rope without any bruises.   Such a great day, such harmony in family and friends with nature watching.
My daughter and her little friends decided it was time to play “hide n’ go seek."   No one better to hide than dad.   Their collective eyes leaked with sincerity of request.   How could any father turn such princesses and angels down for this next fun event, on such a great day, in such prime weather, in Minnesota ?
The "search and rescue" group of small girls began to count.  
ONE. TWO.
Meanwhile, my scurrying about reminded me to tell them to, “Count Loud” and “NO peeking."    They, in unison, guaranteed this with giggles and laughter.
THREE.   FOUR.
My eye scanned the topography.   Where to hide?   How long would it be to hide quickly, yet stealth like?   Scanning the local yard’s horizon, a brilliant idea now could become reality.   Ha ha ha.   Those little ones will never see me there.
FIVE.
Quickly, quietly, and with ease my legs jumped up into the tree.   This tree was strong.   It could hold an adult, even a hidden stealthy adult.   Lots of those huge Minnesota leaves that would cover all the color of the “hide n’ go seek” secret agent.   So covert.
SIX, SEVEN, EIGHT.
Hurriedly my arms pulled my body into location, in the tree.   Knowing how to quickly judge and climb a tree was like riding a bicycle or swimming to me.   All those hours building huge tree houses in the skies of tall ash or elm trees now would pay off.   All those limb evaluations of size versus strength and caliber were emblazoned in this climber.   This was a confident spot.
NINE.
As my arms lifted me into position, with my sitting spot almost prepared, the little girls were starting to rustle.   Shifting my seat gently as not to be heard by doing a pull-up on the branch above, suddenly my stealthy world changed.
TEN.
As my pull-up ended, my line of sight was slightly diagonally upward.   A loud noise, a squeal.   Then heard of buffalo, a covey of quail, and a wild horse stampede came right at me! My ears were frozen on the word, “TEN” that the little princesses had yelled.   My eyes were beyond frozen to see eye to eye with it.

Squirrel attack !!!   

Yes, man to female animal, face to face, and eye to eye there it was.  No time for a counterattack.   It was cold.   It was heartless.   The attack of the mother squirrel was like no other.   Brutally shown teeth, larger than a shark – claws drawn, sharper than the griz.   Lightening speed, out of no where.   An ICBM loaded and launched at the intruder.   No early warning system for the unprepared “hide n’ go seeker.”   BAM.   The war was on.   Knowing my face had been hit, a cover was needed.  No where to hide now.   Too far up to jump, as a youth might attempt.   Age and wisdom prevented that action quickly.   Swiping away the blood, my fight was limitless but so ill directed.   Not once was there a hit on the enemy despite readjusting my coordinates while in the leaves.   Retreat was the only option.   Cut the losses.   Sooner, not later.   This mother wasn’t retreating from the nest she had so preciously prepared for the family.

The gaggle of girls was coming down the sidewalk.   They too had heard the noisy breach of the stealthy sacred safe place.   It was over…almost.

The “hide n’ go seeker” now did what all attacked, retreating, and severely mentally and physically injured “hide n’ go seekers” do.   Swing out of the tree.   With two great leaps of caliber-calculating swings, my feet hit terra firma.   Solid.   Looking around quickly, the attack was over.  

All the faithful players of the “hide n’ go seek” family game came running. My position was still of a prepared martial arts stance, ready to counter strike as if a secondary push might occur.

“We see you,” they all yelled.   The girls approached quickly to prove they had seen me.   But as they received their victory in game, they realized what was different.   Suddenly, they all began screaming at the top of their choral lungs, high pitched in fear, yelling and running away faster and faster.  My daughter said, "Daddy, you have blood,” and she ran away too, to the safety of the flock.   Reaching up to my face, it was warm, and slippery.   Looking at my hand, realizing my sweat from the environmental battle was not red – it was blood.   Wiping away the blood from my hand to my pants, the flow of blood continued.   A painted warrior of sorts.

My wife came outside to see how things were going with the “hide n’ go seek” game.   She had come around a corner just as the girls were approaching. “My goodness,” she said, “Why did you fly out of that tree…to scare the girls…They were yelling so loud…And YOU looked like a gorilla flying out of the tree… AND you are bleeding!”   “What happened?”  
Re-living it…worse….
 

As my eyes close yet to this day, that mother squirrel is in my view forever.   Everyone survived. A family moment. A father-daughter memory forever.  And now you know why my 20 something daughter sends reminders once in a while, and why she sent me a shirt with a squirrel on it that states the rules:  “ADVICE FROM A SQUIRREL.”