July 28, 2011

Drowning -- It Doesn't Look Like You Think it Does

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July 28, 2011
Bottom Line's Daily Health News
In This Issue...
  • The Best-Kept Secret in Alternative Health...
  • Drowning -- It Doesn't Look Like You Think It Does
  • Why NSAIDs Are Making Your Arthritis Worse
  • Clean Your Ears!
  • Erase Tumors in 2 Months

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Drowning -- It Doesn't Look Like You Think It Does

Every summer, I hear at least one sad story of a person who drowns in a place where there is plenty of help to be had -- whether boating... at a crowded beach... or in a pool with lots of people nearby. Why do we let this happen to each other? The answer, all too often, is that most of us are clueless about what a drowning person actually looks like. So I set out to educate myself -- and all of you -- about signs that indicate a person may be drowning.

I called a nationally recognized expert on the topic, Linda Quan, MD, a pediatric emergency physician at Seattle Children’s Hospital and professor of pediatrics at the University of Washington School of Medicine. She told me that this is important information to take in -- because you have only about a minute to react and rescue a drowning person before he/she goes under. Drowning happens quickly -- the larynx goes into spasms, shutting off airflow and thus oxygen and leading to cardiac arrest. In her 30 years of studying this topic, Dr. Quan told me, "The thing you keep hearing, over and over again, is that the people around a drowning victim didn’t know it was happening."

If that surprises you, you probably think there are obvious signs that signal a person’s distress in the water -- such as splashing, screaming and thrashing about. But no, Dr. Quan said...

A person who is drowning cannot call for help. People instinctively try to keep what air is in their lungs -- screaming expels that air. Also, she said, most drowning victims inhale water very early on and are unable to make a sound.

A drowning person doesn’t usually appear desperate. Describing it as "almost understated," Dr. Quan said that in the process of drowning, a person stays in one spot in a vertical (upright) position. "All of that individual’s effort goes toward keeping the nose and mouth above water, which means he can’t move or propel himself out of danger," she explained. "That’s why people so frequently drown even though they are close to shore -- they just can’t get there." There’s also great fear, which is paralyzing in its own right.

It happens fast -- unbelievably so. "Generally, once a person gets into trouble, you have 30 to 60 seconds before he or she goes down and doesn’t come back up," Dr. Quan said.

Signs of Trouble

Before I get into the signs that indicate a person is in danger of drowning, it’s important to note that drownings among young children can be very different -- for instance, they struggle even less and sink sooner. And babies and toddlers do not even need to be fully submerged -- a study recently published in the journal Pediatrics reported that about two dozen children in the US die each year in shallow, portable wading pools. Basic advice -- don’t take your eyes off a child who is in or around water.

Speaking more broadly, Dr. Quan identified the following signs that a person in the water needs rescue...
  • The body is vertical in the water rather than in the much more sustainable position of floating on the belly or back.
  • His or her head bobs to the surface once or twice... then disappears, with little of the dramatic thrashing you might expect. If you can see the arms at all, they are flailing or reaching upward. "It’s kind of an exaggerated movement that can be mistaken for fooling around," Dr. Quan said, noting that therefore with teens, in particular, onlookers may be slow to react.
What Should You Do?

If you see any of these signs, do not hesitate for a second, Dr. Quan urges. And don’t worry about feeling foolish. Dr. Quan recalled that in her own community, a fellow physician was unable to revive a teen who he actually saw drowning -- the boy’s brother had insisted that the teen was just joking around, and the few minutes the doctor waited to jump in and grab the boy proved too many. When you notice any of the above signs, you should...
  • First and foremost, shout for help and do everything you can to attract the attention of a trained lifeguard. Simultaneously, if possible, dial 9-1-1 or instruct someone else to do so. Be aware that there are certain distinct dangers facing rescuers. The sad truth is there often are not one but two drownings -- the victim and the would-be rescuer. A drowning person will instinctively do everything possible to stay alive, often, tragically, trying to climb up onto someone attempting a rescue and dragging the rescuer down. However tempting, unless you are certain of your own safety, do not get into the water unless you have been trained in how to safely perform an in-water rescue.
  • What you can do safely, if no lifeguard is around, is grab a long stick or pole and extend it for the drowning person to grab onto. Hold on firmly and pull the person toward you, but don’t let the person pull you into the water. You also can grab and throw something that floats (such as a raft, life jacket, donut life preserver or even a beach ball or a styrofoam cooler) to the person who is drowning, providing something he or she can hold onto to get to shore or to the pool’s edge. Assess the situation and, if able and capable, act immediately. Remember to keep yourself safe.
Most important, said Dr. Quan, never assume that any swimming situation is perfectly safe -- stay alert and focused on what’s happening in the water and you may end up saving a life.

Source(s):

Linda Quan, MD, pediatric emergency medical physician, Seattle Children’s Hospital, professor of pediatrics, University of Washington School of Medicine, Seattle. She is a nationally recognized drowning expert involved in drowning-prevention research for 30 years.


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Joe’s doctors had prescribed painkillers such as NSAIDs and aspirin to ease his agony. But Dr. Stengler worried they were making matters worse. When he told Joe these medications could actually cause his joint cartilage to deteriorate faster, Joe replied, "Great! Why didn’t the other doctors tell me this?"

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Clean Your Ears!

Ever hear the one about the guy who lit a candle and stuck it in his ear? People actually do this -- it’s called candling -- and it supposedly removes earwax and improves health. But it doesn’t take a rocket scientist -- or an emergency room doctor -- to realize that this is a foolish and dangerous practice. Even though the lit end of the candle isn’t placed in the ear, the varieties of injuries that have resulted from candling are horrifying -- including hot wax dripping down the center of the hollow candle into the ear canal.

Richard O’Brien, MD, FACEP, a contributing medical editor to Daily Health News, isn’t surprised at the notion of candling. He’s seen it all in his Scranton, Pennsylvania, emergency room -- patients who have put any number of appalling items into their ears, usually in an attempt to clean out earwax. These items have included safety pins, hairpins, toothpicks and pencils. It all makes me think of a song my nephew used to play on his little CD player when he was small... it went "My mommy said not to put beans in my ears, beans in my ears, beans in my ears!" Clearly, something is driving us, tots and grown-ups alike, to abuse our ears -- so I thought it would be good if Dr. O’Brien told us what we really should be doing with them.

What’s In There?

Your ear is a complex and delicate organ consisting of three vital parts -- the inner, middle and outer ear. We all produce earwax (doctors refer to it as cerumen), which performs an important biological function -- it acts as a barrier to capture those things from the environment such as dirt, dust and all manner of debris that drift into your ears each day. But some people produce too much wax or fail to practice proper ear hygiene and end up with wax buildup. Over time, this causes problems such as mild-to-moderate hearing loss and/or discomfort. If you continue to leave the accumulation unattended (a not-uncommon problem with older people), it can cause discomfort... pain... ringing or tinnitus... trouble hearing... and even loss of balance.

Should you reach that point, you’re in for an unpleasant medical experience. When earwax is really impacted, Dr. O’Brien said, removing it in the ER takes about 45 minutes per ear, and it can really hurt (suction and scraping instruments are used to dislodge the wax). In fact, the process is so time-consuming that many ERs are no longer willing to do it, and neither are many family doctors! They’ll send you off to an ear, nose and throat specialist who can remove wax using special tools (and an operating headset light to see what he/she is doing) before irrigating your ears with warm water.

Practice Proper Hygiene: Don’t Mess with Your Inner Ear!

Good ear hygiene entails caring for the outer part of the ear only, but oftentimes overzealous individuals reach in too far to clear out wax with cotton swabs -- not to mention cringe-inducing implements ranging from fingers to lollipop sticks -- and risk serious damage to their fragile middle and inner ears. In reality, extending your reach beyond the visible portion of your ear just pushes wax in further, potentially leading to blockages and infections. If you overdo it, in the worst-case scenario you may rupture your eardrum and permanently damage your hearing.

Dr. O’Brien gave me the lowdown on proper ear hygiene. Simple but important:
  • Practice regular self-care. Whenever you shower or bathe, gently use a warm, wet washcloth to clear any excess wax present in the outer ear.
  • Use an over-the-counter (OTC) ear-care kit. If earwax still starts to get out of hand -- you’ll know because your ears might feel "full" or sound may seem muffled -- visit your drugstore and buy an ear-care kit. In it, you will find drops to soften excess wax and a rubber bulb or syringe to gently squeeze warm water into your ear canal to help coax wax out. Wax flows easily when softened because the ear is naturally self-cleaning -- tiny muscles lining the ear canal continually push the wax toward the outer ear, says Dr. O’Brien. To avoid a mess, he recommends that you do the job in the comfort of your own bathtub.
  • Don’t put foreign objects in your ear. This includes cotton swabs! If you’re old school and feel that you must use a cotton swab, apply it to the outside part of your ear only -- the part you can see with your naked eye. And never put anything else in your ears, including a finger, pencil, tweezers or (heaven forbid) pins.
  • If you are in pain, go to the ER. Pain can be a sign of a serious problem such as a punctured eardrum. One of the most common causes -- pushing a cotton swab too far in. Don’t do it!

Source(s):

Richard O'Brien, MD, FACEP, spokesperson, American College of Emergency Physicians, associate professor, The Commonwealth Medical College, emergency physician, Moses Taylor Hospital, Scranton, Pennsylvania.


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Erase Tumors in 2 Months

"Within two months, every tumor had shrunk, dried up and fallen off," said Tom to Dr. Gary Null about the miraculous disappearance of his rapidly spreading cancer.

Tom had already gone through surgery once for skin cancer on his forehead. Unfortunately, his skin cancer was melanoma. Just 10 days after the operation, the cancer was back with a vengeance. It reappeared on his forehead, and quickly spread to his arm, upper body and chest.

Four doctors all agreed: There was nothing they could do to cure this cancer. They all still wanted to operate. But Tom wanted to live -- not just get sliced up.

Read on to learn what Tom did to save his life...


Be well,


Carole Jackson
Bottom Line's Daily Health News


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