The Survival Doctor

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Unconscious. What would you do?

by James Hubbard, MD, MPH

Here’s a scenario that happens more often than you might think. You come home from work and find your loved one lying unconscious on the floor in your house. What would you do?

Call 911? Sure. A#1 yes. But what can you do until first responders get there? Or what if they’re running late, or can’t get there at all? It happens. You need a system: First do this, then do this.

Okay, first thing after calling for help?

Your answer: _______________________


My answer:

  • Make sure you’re safe. Yeah, if it’s your loved one you’re going to make a beeline but remember to look around. What if there’s an intruder, a wild animal? If you’re the next victim you’re not going to be of much help. Same thing when you’re stopping to help with a highway accident. Every year people get hurt when they open their door and a car slams into it.

    Next? (Think about it before you read my suggestion.)

    Your answer: ________________________


    My answer:

    2. Check for signs of life. How? Check for breathing; yell, “Hey, are [... continue reading]

    Author: James Hubbard, M.D., M.P.H.
    Posted: September 1, 2014, 1:50 pm

    by James Hubbard, MD, MPH

    When you’re sick and go to the doctor, one of the first things we often do is feel your neck. We’re looking for swelling in certain places, which can indicate an infection.

    So if your child gets sick and you’re unable to get expert help, if there’s swelling in the neck, that can give you clues about what’s going on.

    Here, I’ll talk about three causes: strep throat, mumps, and diphtheria. In the U.S., strep throat is the most common. Because of childhood immunizations, mumps is much less frequent these days, and diphtheria is virtually wiped out. But it is still around in other countries and is occasionally seen here.

    What Causes the Swelling

    The swelling is usually from enlarged lymph nodes under the jaw and on the sides of the neck. These lymph nodes, or glands, are just doing their job to try to catch an above-the-neck infection (like in the ear, throat, or face) and keep it from spreading.

    Neck swelling from mumps comes from a different source: an infected parotid gland. Parotid glands produce saliva to keep your mouth moist. They’re [... continue reading]

    Author: LAwordsmith
    Posted: August 25, 2014, 10:00 am

    by James Hubbard, MD, MPH

    I thought I’d have a little fun today and walk you through what to do in some scenarios to test your basic survival medicine skills.

    To get the most out of this post, wait for a minute after reading each scenario and think what you’d do in such a situation. Then you can see my answers. And maybe together, we can come up with a better plan. You know, two heads and all that. (In this case, thousands of heads.) I think if you really participate we’ll all be the better for it.

    Thanks to Sara Hathaway for providing the scenes from her new novel, Day After Disaster. “The novel takes place in a world being ravaged by earthquakes and rising water levels,” Hathaway says. A good world to know some survival medicine in.

    Scenario 1: Travel Threats

    The main character, Erika, starts out trapped in Sacramento, CA, and must make her way back to the foothills of the Sierra Nevada Mountains. Sacramento has been inundated with toxic water, making it a treacherous journey to dry land. Toxic water aside, once Erika reaches dry land and is journeying [... continue reading]

    Author: James Hubbard, M.D., M.P.H.
    Posted: August 18, 2014, 10:00 am

    Part 2 in my childhood charts series. See more charts here.

    by James Hubbard, MD, MPH

    This is part two of my series about tips on recognizing childhood illness. Last time, I talked about illnesses with rashes. This time, it’s illnesses that come with bad coughs.

    If you can’t get expert help, you need to be able to recognize them so you’ll have an idea of how long they’ll last, what the most common complications are, and which can be helped with antibiotics in case you have them or can get to a doctor for them.

    If you wish, print out and store the chart, along with the one on rashes and the upcoming one on illnesses that can cause neck swelling.

    As you can see many of the symptoms are initially the same for each disease in this chart. So are the general treatments except for whooping cough’s. Early treatment with antibiotics can decrease the severity and length of this bacterial disease. In fact, if it’s going around, close contacts can go ahead and start antibiotics before symptoms.

    How Common Are These Diseases?

    All [... continue reading]

    Author: LAwordsmith
    Posted: August 11, 2014, 10:00 am

    Disease scares getting you down? 4 action-based tips you can take other than just worry.

    by James Hubbard, MD, MPH

    Scares … can be quite scary. And the scarier the news, the more it sells. So headlines emphasize the worst scenario.

    A few years back, a producer of a popular television program told me their crew called this phenomenon of headlining the latest bad health news their “scare of the week.”

    Well, OK, they’ve scared us. Now what do we do?

    Just in the last few weeks I’ve read of MERS, multidrug resistant TB; listeria; plague; and the flesh-eating bacteria Vibrio vulnificus, found in warm seawater. Let’s see. Oh yeah, and Ebola. And there will, no doubt, be multiple scares to come.

    I worry about what might be called “disease-scare burnout,” especially if you read only the headlines or start worrying about the what-ifs too much. And all of these diseases have those rabbit-hole what-ifs. What if they become even more contagious and start spreading like wildfire? What if terrorists alter one into a bioweapon? What if I become exposed and don’t even know it? I mean, the possibilities are limited only by your, or a [... continue reading]

    Author: James Hubbard, M.D., M.P.H.
    Posted: August 4, 2014, 9:44 am

    Ebola Facts, Risks, and Air Travel

    by James Hubbard, MD, MPH

    Ebola is highly contagious and kills nine out of 10 people infected. So, why do I think headlines like USA Today’s “Ebola only a plane ride away from USA.” paint the wrong picture? Now that I think of it, why does my first sentence do the same? It’s all about perspective.

    First, a little background.

    The current Ebola outbreak in Africa has been going on for several months. It hit the American news cycle big time on Monday because an American doctor contracted it while in Africa. And someone on a plane there was found to have the disease. The media is asking, “Could it come here?”

    This is not the first outbreak in Africa, but past ones have been localized to small villages. The usual outbreak runs its course and eventually just goes away. But this one has been spreading—to multiple regions, including large cities.

    This is serious business. For those in Africa, it’s a nightmare. Horrible. Devastating. But here are some more facts to put it in perspective for the rest of us:

  • Ebola has never been shown to [... continue reading]
  • Author: James Hubbard, M.D., M.P.H.
    Posted: July 29, 2014, 9:55 am

    This is the first in my series of childhood-illness charts. See more here.

    by James Hubbard, MD, MPH

    Unless you’re of a certain age, you may have never seen some of the diseases in the chart on the next page. Join the crowd; many younger doctors haven’t either. Measles and rubella, which used to be so common, have been close to wiped out in the U.S. Chickenpox cases have come down to an estimated 80 percent of what they were in the 1990s. (Scarlet fever cases have remained about the same, but they’re still pretty rare compared with fifth disease and roseola.)

    So why should you care about them? The words “close to” are key. Measles and rubella are still very prevalent in many countries and crop up in outbreaks in children and adults here in the United States and other developed countries every year. (In fact, my daughter Beth Hubbard, a flight paramedic and owner of the Alaska wilderness medical survival school Solace of Safety, suggested I put together this chart. She plans to utilize it at work.) And you need to [... continue reading]

    Author: LAwordsmith
    Posted: July 28, 2014, 10:00 am

    Nectarines and peaches are in latest listeria recall.

    by James Hubbard, MD, MPH

    Listeria symptoms can sometimes take weeks to develop. Here are some tips on protecting yourself and your family—plus what to do if you get sick and can’t get expert help.

    Every so often, listeria gets in the news because of an outbreak found in commercial produce. The latest one is in peaches and nectarines at certain grocery stores, including Kroger, Walmart, and Whole Foods.

    Recalls happen periodically, and you should take them seriously. The one in cantaloupes in 2011 killed 33 and caused one miscarriage, and that was with a very quick, very publicized recall.

    One of the problems is the listeria symptoms can be pretty generalized in most people, and sometimes it can take as long as 70 days from infection to symptoms. Meantime, a lot of people could have eaten the contaminated food.

    Other than depending on recalls, there are precautions you can take, whether you buy your produce or are living off the land. And of course I’ll tell you what to do if you get the symptoms and can’t get expert help.continue reading]

    Author: James Hubbard, M.D., M.P.H.
    Posted: July 25, 2014, 9:49 am

    Notice how tiny the tick that causes Lyme disease can be.

    by James Hubbard, MD, MPH

    When someone comes in my office for a tick bite, their main concern is usually, what’s their risk for Lyme disease.

    And I can’t blame them. Lyme disease from tick bite warnings are all over the media (one reason probably is New York is a high-risk state), and since the disease has only been recognized in the U.S. since 1975 (first suspected by a physician in Lyme, Connecticut, who was seeing kids with unusual symptoms) we’re still learning about it. This, and its rather general initial symptoms, make it rife for myth and speculation.

    One thing’s for certain, Lyme disease is serious business. And it’s at full force in the summer because that’s when the ticks that spread it are most prevalent. So, in this post, I’ll try to answer some of the most common questions I’m asked.

    How is Lyme disease spread?

    Ticks. Ever had one on you? Yeah, it’s pretty creepy.

    Ticks are one of nature’s true vampires. The tiny specks sit silently on leaves of bushes and trees, patiently waiting for whatever warm-blooded creature (they’re attracted [... continue reading]

    Author: James Hubbard, M.D., M.P.H.
    Posted: July 20, 2014, 2:56 pm

    A chest X-ray from a person with tuberculosis (in right upper part of the photo).

    by James Hubbard, MD, MPH

    Lately I’ve had several interviewers ask me a question I haven’t been asked before: How contagious is tuberculosis? I’m guessing the reason is either the highly reported outbreak in a California classroom, a couple of publicized cases of multiple-drug resistant tuberculosis found in foreigners traveling here in the United States, or the news of camps of children—some reportedly with TB—at the U.S.-Mexican border.

    But then, I should never be surprised that people would like to know about the risk of one of the oldest, deadliest, and still most worldwide prevalent diseases around. And since this could well be a deadly concern in disaster situations, I thought it a good subject to address.

    Tuberculosis Truths
  • In the early part of the 20th century, tuberculosis killed about one in seven Americans.
  • In 2012, the latest year data is available, the CDC reports there were around 10,000 documented cases in the U.S.
  • Over 500 people died of TB in 2012.
  • If treated properly with the right antibiotics, tuberculosis is curable in most cases.
  • The [... continue reading]
  • Author: James Hubbard, M.D., M.P.H.
    Posted: July 14, 2014, 9:51 am

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