“Welcome home and thank you for your service.” Veterans Day

The public’s anger at our government for pursuing an unpopular war was often directed at the service members who believed they were doing the right thing by serving their country. They were blamed, and unfortunately felt shame for the mistakes made by those in authority.

On the 11th day of November every year, we in the United States pause to honor the men and women who have served in our armed forces. We call it Veterans Day.

Military veterans today are held in high regard, and receive public and private recognition in many ways. This was not the case 40-50 years ago, when Vietnam veterans like my husband were not respected or appreciated.

The public’s anger at our government for pursuing an unpopular war was often directed at the service members who believed they were doing the right thing by serving their country. They were blamed, and unfortunately felt shame for the mistakes made by those in authority.

When called upon, they served their country but their country did not serve them well. Perhaps saddest of all, they received little if any welcome when they came home.

Vietnam veterans statue in Washington, D.D.

A national monument honoring Vietnam veterans now stands in Washington, D.C., as well as memorials elsewhere, like the one in Angel Fire New Mexico. There is a travelling “Wall” , a replica of the one in the nation’s capital.

a replica of the Vietnam Memorial Wall with an American flag and a wreath of red, white, and blue flowers
a travelling replica of the Vietnam Memorial Wall in Washington, D.C. visits towns throughout the United States

My husband has caps and shirts identifying him as a veteran; when he wears them in public, people will come to him and thank him for serving. Sometimes they will ask about his service experience, especially if they are also a veteran. Fellow veterans always offer a hand, saying “Welcome home.”

A ceremony honoring a fallen soldier at the Vietnam veterans memorial in Angel Fire, New Mexico

We meet relatives of service members who eagerly share their loved one’s story. Sometimes, it is a story of one who did not come home. These stories are often heart wrenching and we walk away choked up and silent.

To all of you who do or have served in the military, and to your loved ones-

“Welcome home and thank you for your service. We can never repay our debt to you. “

My husband, Raymond Oglesby wrote a personal account of his military experience, here is an excerpt-

” I didn’t want to ever go to Vietnam again when I came home in 1972 after a one-year tour of duty with the United States Army. I was stationed with the Americal Division, 3/18 Field Artillery Battalion near Tra Bong, a major village located about 25 miles west of Chu Lai, the headquarters of the Americal Division, on “China Beach” at the South China Sea.

When I came home, I did not talk about my involvement in the Vietnam War for over fifteen years. I only told two or three people what really happened. I thought only  another Vietnam vet could understand. “

Continue reading at-

From Bullets to Blessings-One man’s journey to recovery from war

I appreciate all of you who follow this blog; there are numerous other blogs to choose from so I am honored you chose to spend some time here. A special welcome to all my new followers from this past month.

I appreciate all of you who follow this blog; there are numerous other blogs to choose from so I am honored you chose to spend some time here. A special welcome to all my new followers from this past month.

                              Dr. Aletha 

Advertisements

Meet the new doctors caring for you soon

Who will be your next doctor? What will your future doctor look like?

Your doctor within the next 10-20 years is likely in medical school or a residency program in a United States medical center right now. Within 1-10 years, they will join the ranks of practicing physicians, while some currently in practice will change to a non-clinical job, retire, or die.

In a previous post I told you about the students and residents in U.S. medical schools, the surprising new doctors caring for you. Here is an update.

 

Your doctor within the next 10-20 years is likely in medical school or a residency program in a United States medical center right now. Within 1-10 years, they will join the ranks of practicing physicians, while some doctors currently in practice will change to a non-clinical job, retire, or die.

More women physicians are coming

For the academic year 2017-2018,  83,000 students, attended United States medical schools ,  slightly more males than female. However, in 2017, the entering class of medical students was slightly over 50% female, for the first time ever.

UPDATE

For the second year in a row, more women than men started their journey as physicians, 11,382, 328 more than last year. From 10,752, the number of men decreased to 10,634.

According to the Association of American Medical Colleges, since 2015 the number of women students has increased by 9% while the number of men has decreased by 2 %.

And already, the majority of  young practicing physicians-under age 40 years old-are female.

So you are likely to be treated by a female physician eventually, if you haven’t already,  especially if you go to a primary care doctor. Gynecology and pediatrics  residency programs are now overwhelmingly comprised of female residents.

 

Ethnic diversity is still low but is improving

Entering classes at the nation’s medical schools continue to diversify.

Medical students and residents, both male and female, are still predominantly white. The ethnic percentages of most other students is far below their representation in the general population. Based on self-identification, race and ethnic origin of medical residents in 2017 was

a male doctor holding a tablet
  • White-60%
  • Black- 7%
  • Hispanic(any race)- 6%
  • Asian-26%
  • Multiracial- 3%
  • Unknown/other-7%
  • Native American/Alaskan/Pacific Island -less than 1%

UPDATE

In 2018, the numbers of black, Native American/Alaskan, Asian, Hispanic/Latino, and white women increased, while the number of white males decreased. 51% of students in medical schools are white.

original source at this link

 

How many U.S. physicians are foreign born ?

Will your physician come from another country?

Female doctor looking at an xray

70% of  U.S. medical residents are native citizens,  8% are naturalized citizens and 6% are permanent residents. ( adds to less  than 100% due to some status’ unknown.) These numbers remain the same as last year.

 

 

Credentials of today’s physicians

The average grade point of entering medical students was 3.56.

77% had done some type of volunteer medical service .

77% have experience in medical research.

These statistics gleaned from JAMA, December 19, 2017 

Goals of new physicians

“Most students, including minority, disadvantaged, and marginalized students, enter medical school pursuing a lifelong dream of practicing medicine with little sense of projected incomes or what specialty they would like to pursue.

Most students do not make specialty choices solely on the basis of the high cost of medical school or the overall potential revenue based on specialty.

Most specialty choices are likely based on social, educational, and health care experiences; experiences in medical school; and the prospect of a 30-plus-year career in an area of medicine that provides a level of personal comfort, support, and fulfillment.”

Thomas B. Free Medical School Tuition: Will It Accomplish Its Goals? JAMA. 2019;321(2):143–144. doi:10.1001/jama.2018.19457

 

The specialization of medical care- the good and the bad

March 16 was Match Day. Not a match as in color choice for an outfit nor a match as in finding a spouse, but the concept is similar.

On Match Day,  graduating medical students learn which  residency program they will enter through the National Resident Matching Program , which “matches” them with available positions in residencies at medical centers all over the United States. A kind of medical “matchmaking” you could call it.

Why should you care? This matching process determines who will care for our medical needs in the next 30-40 years; our family physicians, internists, pediatricians, general surgeons, obstetricians, and the multitude of other medical specialties. Most doctors will continue in the same speciality their entire career, although some  switch after a few or many years.

doctor talking to a woman
Ted Epperly, M.D., consults a patient at his practice in Boise, Idaho.photo compliments American Academy of Family Physicians

 

Some medical students know what speciality they want to pursue before they enter medical school, while others decide after trying the different types of medicine while students. We still have the traditional specialities that most students enter- (there are also many subspecialities under each of these categories.)

Primary care 

  • Family medicine
  • Internal medicine -(adult medicine)
  • Pediatrics-children and adolescents
  • Obstetrics/Gynecology- care of women’s health and pregnancy

Surgical specialities

  • General Surgery-  surgery on skin and internal organs
  • Orthopedics-bones and joints
  • Otorhinolaryngology- ear, nose, throat
  • Ophthalmology-eyes
  • Neurosurgery-the brain, spine, nerves
  • Plastic and Reconstructive surgery
  • Cardiac and vascular surgery

Others 

  • Dermatology-skin
  • Psychiatry-mental health
  • Anesthesiology-surgical sedation and pain relief
  • Emergency medicine- emergencies and trauma
  • Radiology- xrays and other imaging-CT, MRI, US
  • Pathology-laboratory medicine
  • Allergy
  • Physical medicine and rehabilitation
  • Oncology-treatment of cancer
  • Integrative and complementary medicine

As medical care has become more complex and technological, so have the specialties of physicians. This has produced a plethora of new highly specialized fields of practice.

  • Sleep medicine
  • Medical genetics and genomics
  • Pain management
  • Geriatrics- care of the elderly
  • Palliative care-managing diseases that cannot be cured and are likely terminal
  • Hospital medicine-care of patients admitted to a hospital
  • Critical care medicine-care of patients in an ICU (intensive care unit)
  • Aerospace medicine
  • Wound management
  • Medical informatics – use of computers and medical software in medicine
  • Bariatrics- treatment of obesity with or without surgery
  • Sports medicine-treatment of athletic injuries and fitness training
  • Transplant medicine- surgery to transplant organs and after care
  • Addiction medicine

A recent viewpoint in JAMA suggested that we need a new specialty, virtual medicine, to describe physicians who treat patients through a virtual medium, telemedicine or  web based, on a computer or a mobile app.

Consider that in the early 1970s, there were only 20 medical specialties !

THE SURPRISING NEW DOCTORS CARING FOR YOU
photo from Lightstock.com(affiliate link) graphic created with Canva

 

 

 

What this means for you as a patient

According to the New England Journal of Medicine,

“the progress of biomedical science is a major factor in the emergence of new subspecialities. There are some patients who benefit from highly focused knowledge and skills.”

All of these specialities mean more medical  knowledge and experience will be  available to both treat and prevent a diverse and growing  variety of disorders.

Today’s new specialist will have a high degree of expertise in their field, making them better able to treat your problem in the most efficient, effective, safest way.

You may find your doctor recommends more testing which may lead to more treatment than might otherwise have happened; some of which may not necessarily improve outcomes. More specialized testing and treatments may increase the cost of medical care.

Dr. Sandeep Jauhar addresses this issue in this article from Time.

One Patient, Too Many Doctors: The Terrible Expense of Overspecialization

With a more narrow focus of experience, that doctor may be less familiar with other aspects of your medical status.

So, to close this gap, primary care physicians have become increasingly important to oversee and coordinate care, especially for complex patients.

So there was good news in the Match this year. The upward trend in students matching into family medicine continued for the ninth consecutive year . In 2018 more students matched into family medicine than in any  previous year, 3,535 compared to 3,237 in 2017. 

3,848 medical students and graduates matched to family medicine residency programs in 2019, the most in family medicine’s history as a specialty, and 313 more than 2018. The results marked a decade of growth in overall positions offered and filled for family medicine in the Match.

“The number and proportion of U.S. medical graduates going into family medicine is the strongest indicator of the future of the primary care workforce because family medicine is the only specialty completely devoted to primary care,”

said Michael Munger, MD, president of the American Academy of Family Physicians.

graphic provided by the American Academy of Family Physicians

 

My specialty-Family Medicine

I’ve often been asked ,”Why didn’t you specialize?” My answer, “I did. I specialize in Family Medicine.”

Once called “general practice”, Family Medicine is now a recognized specialty, requiring a residency and certification by  the American Board of Family Medicine.

 

Dr. Sandeep Jauhar wrote about his first year as a resident in

Intern: A Doctor’s Initiation

“In Jauhar’s wise memoir of his two-year ordeal of doubt and sleep deprivation at a New York hospital, he takes readers to the heart of every young physician’s hardest test: to become a doctor yet remain a human being.” ― Time

Lightstock photos

Unless otherwise stated, the doctor photos in the post are from the Lightstock.com collection . Get a free 30 day trial at this affiliate link. (This blog can earn a commission if you buy photos which helps support the mission of Watercress Words.)

sharing the HEART of health

Thank you for joining me to explore the surprising new doctors caring for you. I hope you’ve learned something. Please contact me about topics you want to read about.

Please share this and other posts on social media and consider my affiliates and ads that help fund this blog and support projects to deliver the HEART of health around the world.

To start following Watercress Words , use this form to get an email notification of new posts . Please find and follow me on Facebook, Pinterest and LinkedIn. Thanks so much.

my regards, Dr. Aletha 

 

What women doctors want you to know about healthcare

September is Women in Medicine Month, so in this post I’m introducing you to some women physicians who promote health in creative ways-writing, speaking, coaching, and advocating.

September is Women in Medicine Month, so in this post I’m introducing you to some women physicians who promote health in creative ways-writing, speaking, coaching, and advocating.

At Dr. Momma Says, Dr. Deborah Burton, pediatric ENT surgeon reviews her reasons for recommending vaccination.

“The growing antivaccination (anti-vax) movement has me confused.  I think it is a developed world thing to celebrate where we are, but we forget where we came from.

As an ENT surgeon who has studied and worked in the healthcare field for about 30 years, I have borne witness to the miracles that vaccines have done. There is no question in my mind that vaccines work.” She goes on to describe

MY AUTHENTIC 30 YEAR JOURNEY REVEALING SPECTACULAR WAYS THAT VACCINES WORK

Recommended Child and Adolescent Immunization Schedule
2019 Recommended Vaccinations for children and adolescents

Psychiatrist Dr. Melissa Welby writes

“Anxiety is a treatable condition. Depending on the intensity, some people can get better on their own and others need therapy and/or medications to help with anxiety. Either way, recovering from anxiety is possible! There are great self-help options available to assist with the treatment of anxiety which includes websites, apps, and books on overcoming anxiety.” Find her list at this post-

48 Resources to Overcome Anxiety for Adults and Children

From Charmaine Gregory, M.D., an ER doctor and fitness coach blogs at Fervently Fit with Charmaine with nutrition and fitness tips.

“Trips to the grocery store are almost as crucial as trips to work. We all need to eat. Some people have stress when they try and go in without a plan. Creating a routine is a good step. Following a few helpful hints can make your shopping easier on you.” Read her tips at

Quick Tips for Easier Grocery Shopping

a basket filled with fruits and vegetables
Will you commit to buying, preparing, and eating more fruits and vegetables? image from LIGHTSTOCK.COM, stock photo site, an affiliate

Dr. Aletha Maybank , a pediatrician, served as deputy commissioner for the New York City health department and now is the first chief health equity officer for the American Medical Association. She believes

Good Health Goes Beyond Having a Doctor and Insurance

“Health is created outside of the walls of the doctor’s office and at the hospital. What are patients’ jobs and employment like? The kind of education they have. Income. Their ability to build wealth. All of these are conditions that impact health. “

(And I’m thrilled that Dr. Maybank and I share our first name.)

The Frugal Physician, Dr. D. writes about finances, specifically how to live debt free. Her main audience is other physicians but she offers advice to patients too.

“Take note of the deductible for your plan and whether your employer chips in. High deductible plans can be alluring because of their low cost and the option to enroll in a Health Savings Account (HSA).  But, if you sign up for one of those, make sure you have the cash to spend the deductible during the year. ” Read the other 9 tips at this link-

10 Ways to Maximize your Doctor’s Visit

a woman in white coat with mask over mouth
Know your health history and medications.

Dr. Eileen Sprys is a family physician who wants you to know

When you have a cold, why I’m not giving you an antibiotic

“I want you to know that as a physician, I feel a pang of insecurity, guilt, and sadness when a patient tells me they’re upset because I won’t write an antibiotic.  I don’t want you to be sick or miserable.

I understand how inconvenient and sometimes life altering a cold can be. I desperately, desperately wish that I had a cure for your cold, but none of us do.

I also want you to know that for every antibiotic I over-prescribe, that I run the unnecessary risk of making someone even more sick, even to the point of hospitalization or death. I went into medicine to help you and to relieve your suffering with integrity — and that by giving you antibiotics without indication, I am betraying my own purpose.”

six-facts-graphic

Emergency medicine physician K. Kay Moody, M.D. wants you to know she is not a “provider” (and neither am I).

“Hi, my name is Dr Moody and I’m NOT a “provider.”

.

Here’s why your doctor isn’t your “provider”.

“The term “provider” levels distinctions and implies a uniformity of expertise and knowledge among health care professionals. The term diminishes those distinctions worthy of differentiation such as education, scope and range of ability.

Generic terminology implies an interchangeability of skills that is inappropriate and erroneous, as well as conferring legitimacy on the provision of health services by non-physician providers that are best performed by, or under the supervision of, physicians.”

position of the American Academy of Family Physicians

a nametag reading ALETHA OGLESBY, M.D.

Women physicians are sharing the HEART of health

I appreciate my female colleagues who share their knowledge and experience through writing in addition to caring for patients. I am honored to share their insights here.

I appreciate all of you who follow this blog; there are numerous other blogs to choose from so I am honored you chose to spend some time here. A special welcome to all my new followers from this past month.

To start following Watercress Words , use this form to get an email notification of new posts . Please find and follow me on Facebook, Pinterest and LinkedIn. Thanks so much.

Dr. Aletha 

August Timely Topics- back to school

August is a strange month. It’s the only month without a major holiday. Although it still feels like the height of summer, by the end of the month kids are back in school. I remember the struggle to get my sons into bed early when it’s still daylight at 9 PM.

August is a strange month. It’s the only month without a major holiday. Although it still feels like the height of summer, by the end of the month kids are back in school. I remember the struggle to get my sons into bed early when it’s still daylight at 9 PM.

Photo by Pixabay on Pexels.com

August Timely Topics

Most schools encourage and even require vaccination to protect all children from disease. This has become a controversial and contentious topic so we’re going to visit the medical reason vaccinations make sense.

Measles-not gone, not forgotten

Recommended Child and Adolescent Immunization Schedule
from the Centers for Disease Control and Prevention

The start of school in August reminds me of my college days- especially since I met my husband in college, the University of Oklahoma. I was studying pre-med; he was in graduate school, using his veterans’ educational benefit after discharge from the Army. Here are a couple of posts about his military service and our courtship.

Bullets to Blessings

Two Words and Two Left Feet

Of course, the main goal of school is education- lectures, textbooks, assignments, studying, projects, experiments, and tests. Reading is vital to all of these-books are the basic building blocks. That’s why Dolly Parton gives books away- read why here.

Overcoming the Dream Killers

Overcoming the dream killers-Watercress Words.com

Can medical knowledge make you a better patient?

And speaking of tests, here’s one for you. Find out how much you know about medicine by taking this quiz that I wrote especially for blog readers.

CAN MEDICAL KNOWLEDGE MAKE YOU A BETTER PATIENT?

sharing the HEART of health

I appreciate all of you who follow this blog; there are numerous other blogs to choose from so I am honored you chose to spend some time here. A special welcome to all my new followers from this past month.

To start following Watercress Words , use this form to get an email notification of new posts . Please find and follow me on Facebook, Pinterest and LinkedIn, links are on the left side bar here and the Home page. Thanks so much.

                              Dr. Aletha 

These are affiliate links you may find helpful and which help fund this blog with a commission when a purchase is made using them.

myReader Rewards club- photo of woman on a bench reading a book

My Reader Rewards Club is a great way to earn free books and Bibles for yourself, friends, and family! Your journey to earning free faith-based products starts HERE.
(When you sign up through these links, I can earn free books too.)

As a member, you’ll have access to inspiring literature, Bibles, special promotional offers, and much more. Earning points is easy—you’ll receive 25 points just for signing up!

Get active

Summer is the perfect time to start or increase physical activity. I’ve been using a fitness app on my phone, Aaptiv. Consider trying it. I’d appreciate you using this affiliate link through which you can help fund this blog. Thanks and enjoy.

July Timely Topics- Celebrations and Souvenirs

For July topics we’ll look at summer safety and wellness. We often call winter the cold and flu season, so we could call summer the poison ivy, sunburn, and blister season. Unfortunately, it’s also the season for drownings and water sport accidents.

Where I live, we just saw the first day of summer come and go. It was the longest day of the year and so far one of our hottest. Summer activities are in full swing. Many of the patients I see now are either just coming back from a vacation or getting ready to leave. I envy them because I am staying home since my husband is recovering from a broken ankle that dashed our plans for a summer trip.

Join My Reader Rewards Club to earn free books and Bibles
Check out MY READER REWARDS CLUB– it’s free and you can earn free stuff

For July topics we’ll look at summer safety and wellness. We often call winter the cold and flu season, so we could call summer the poison ivy, sunburn, and blister season. Unfortunately, it’s also the season for drownings and water sport accidents.

Here in the United States we have our most important holiday of the year-Independence Day, or commonly called the 4th of July. On this day in 1776, the North American colonies of England declared political independence, and the rest, as they say, is history. Much has happened in the 243 years since, and the United Kingdom is now an ally; an American citizen, Meghan Markle, recently married into the British royal family. Friendship is worth pursuing between people and countries.

Statue of Liberty
Lady Liberty lifting her torch in New York harbor

Here are links to July’s Timely Topics, or just search for what interests you

Life, Liberty, and the Pursuit of Healthcare

Don’t drink the water-how to avoid water related illness

Safe and healthy cruising-keys to an enjoyable vacation

5 insect repellents to keep you safe this summer

Christmas in July

Happy Campers

sharing the HEART of health

I appreciate all of you who follow this blog; there are numerous other blogs to choose from so I am honored you chose to spend some time here. A special welcome to all my new followers from this past month.

To start following Watercress Words , use this form to get an email notification of new posts . Please find and follow me on Facebook, Pinterest and LinkedIn, links are on the left side bar here and the Home page. Thanks so much.

                              Dr. Aletha 

My Reader Rewards Club is a great way to earn free books and Bibles for yourself, friends, and family! Your journey to earning free faith-based products starts HERE.
(When you sign up through these links, I can earn free books too.)

As a member, you’ll have access to inspiring literature, Bibles, special promotional offers, and much more. Earning points is easy—you’ll receive 25 points just for signing up!

Get active

Summer is the perfect time to start or increase physical activity. I’ve been using a fitness app on my phone, Aaptiv. Consider trying it. I’d appreciate you using this affiliate link through which you can help fund this blog. Thanks and enjoy.

Can medical knowledge make you a better patient? Take this quiz.

The purpose of board certification is to make sure you, the patient, are getting the best care possible from a physician.

Parents and educators in my state have been debating the merits of standardized testing for school children and maybe where you live also. And it’s not just a question for children, adults can be subjected to professional testing also.

After I finished my family medicine residency, I took an 8 hour paper multiple choice written exam to become certified by the American Board of Family Medicine (ABFM). And every 10 years since I have taken the test to re-certify. (Originally it was every 7 years).

The purpose of board certification is to make sure you, the patient, are getting the best care possible from a physician. According to the ABFM,

We promise that board certification means that the family physician you choose for your care meets high standards. 

My certification expires at the end of 2019.

Eventually the Board transitioned to a computer based exam taken at a local testing center, still 8 hours long. This year they are trying something new- doctors can take the test on their own computer or tablet whenever and wherever they choose.

The new system is a trial and voluntary. Those of us who have chosen to do it give feedback on the process, what we like and don’t like about it. They hope this will prove to be a workable system that eventually everyone will do.

Here is another experience and opinion about the exam from Clif Knight, M.D. , who is the AAFP’s senior vice president for education.

Certification Pilot Proves Worthy Alternative

a male doctor using a tablet while working
Doctors can answer questions on a computer or tablet any time of day or night.

This exam consists of 25 questions posted quarterly over 3 years, with a 5 minute time limit for each question . Besides being able to take the exam in my pajamas, I can research the answers online if I need to-as long as I can do it in 5 minutes. The rules prohibit me from discussing the questions with another person, based on an honor system that I attest to before beginning each session. Being able to look up information is more like actual medical practice.

More aligned with adult learning principles, this approach allows for use of references and promotes greater retention of new knowledge to be applied in daily practice.

ABFM web site

You can learn more about the value of board certification at this link

American Board of Family Medicine Patient Page

While board certification is a voluntary process, many organizations prefer or require the physicians they hire or work with to be board certified.

Take an “exam” designed for patients

I thought I would give you a taste of what I am doing by creating a patient certification exam for you. The rules prohibit me from sharing actual test questions so I have written my own, in simple medical terms, but using a format similar to the questions I answer.

When I answer questions, I get immediate feedback if my answer was right or wrong, with an explanation and a reference. So I have done the same for you. In this case, the reference is from a blog post I have written.

There’s no time limit for each question and for this exam, feel free to discuss your answers with someone else, I encourage you to. Choose the single best answer. Check at the end for the correct answers.

I had fun writing these questions so I hope you have fun answering them. Good luck! I hope you pass.

Question 1

A woman came to her doctor with a skin rash soon after starting to take a new medication. The medication is most likely

  1. An Antidepressant
  2. A blood pressure lowering drug
  3. An anti-inflammatory drug
  4. An antibiotic

Question 2

A 25 year old woman notices that the skin on her face has darkened over the past several months. This condition is called

  1. Melasma
  2. Eczema
  3. Psoriasis
  4. Tinea

How common meds hurt skin

Skin: Epidermis and Dermis illustration
Line drawing showing cross-section of dermal and epidermal skin layers. National Cancer Institute Creator: Unknown Illustrator This image is in the public domain and can be freely reused. Please credit the source and, where possible, the creator listed above.

Question 3

A mother brings her 8 year old daughter to her family doctor. The child has a cough, runny nose, and mild sore throat. Her temperature is 100.2 degrees. The doctor diagnosed the illness as a cold, or upper respiratory infection and explains this is caused by a virus. She does not prescribe an antibiotic because

  1. The child is allergic to penicillin
  2. The family does not have health insurance
  3. The mother has left over antibiotic from another child at home.
  4. An antibiotic will not help an infection caused by a virus.

How to cope with winter illness

Question 4

A 30 year old woman comes to her doctor because she is losing an excessive amount of hair. She is afraid she will become bald. Most likely she

  1. Started using a cheap shampoo
  2. Delivered a baby
  3. Needs vitamins
  4. Should investigate hair implants

Effective solutions if you experience hair loss

Question 5

Dr. Oglesby believes that certain medications should be used more often because of their benefit to patients. These drugs include all except

  1. Antibiotics
  2. Vitamins
  3. Sleeping pills
  4. Stop smoking drugs

7 underused drugs

Question 6

A young man who is a computer programmer has difficulty falling asleep. His doctor may recommend

  1. Buy a new mattress
  2. Taking a sleeping pill an hour before bedtime
  3. Regular exercise and relaxation techniques
  4. Watching television until he falls asleep

Expert advice to sleep

a simple bed, window shade down, small lamp on a side table

Question 7

Author and motivational speaker Nick Vijucic was born with amelia. This term means he lacks certain parts of his body which are his

  1. Limbs
  2. Eyes
  3. Ears
  4. Teeth

Light and life without limbs

Question 8

A woman sees her doctor because she researched her symptoms online and believes she has endometriosis. She thinks this because

  1. She does not have regular periods.
  2. She had a miscarriage.
  3. She has not been able to get pregnant.
  4. Her sister has it.

Women’s health update

Question 9

The HPV (human papilloma virus) causes cancer. Vaccination against this virus decreases the risk of cancer of the

  1. Cervix
  2. Uterus
  3. Breast
  4. Ovary

Women’s health update

Question 10

Kristin Chenoweth, Tony Award winning actress and singer, suffers from Meniere’s syndrome. She was born in a small town in Oklahoma named

  1. Muskogee
  2. Broken Arrow
  3. Ada
  4. McAlester

Kristin Chenoweth– a review of her memoir

a letter jacket, bag, and shoes, belonging to Kristen Chenoweth
Kristin’s jacket from high school on display at the Performing Arts Center

ANSWERS TO QUESTIONS

  1. The most common drug that causes a skin rash is an antibiotic.
  2. Melasma
  3. Antibiotics do not help a cold or any other viral infection
  4. delivered a baby; hair loss is common after pregnancy
  5. Stop smoking drugs can be useful to help smokers quit. The other drugs listed are often overused.
  6. Exercise and relaxation can improve one’s sleep.
  7. Nick was born without limbs.
  8. Infertility is a common symptom of endometriosis.
  9. Cancer of the cervix is caused by the HPV virus.
  10. Broken Arrow. The other Oklahoma towns produced Carrie Underwood, Blake Shelton, and Reba McIntyre.

testing the HEART of health

Thanks for testing your knowledge with this first ever Watercress Words Certification Exam. If you liked it, let me know, maybe we’ll do it again.

I appreciate all of you who follow this blog; there are numerous other blogs to choose from so I am honored you chose to spend some time here. A special welcome to all my new followers from this past month.

To start following Watercress Words , use this form to get an email notification of new posts . Please find and follow me on Facebook, Pinterest and LinkedIn, links are on the left side bar here and the Home page. Thanks so much.

                              Dr. Aletha 

(This post contains affiliate links which, by paying a commission if used for a purchase, help fund this blog. )

RoboForm Password Manager. What I use to manage passwords.

Go to this link to try RoboForm Free; if you like it you can upgrade to RoboForm Everywhere version with all the features I mentioned above. With Roboform, you will have one less thing to feel stressed about.

From Doctor to Fashionista- the journey to Shelfie Shoppe

you might expect that once in practice, doctors would work at it for life, and most do. But a significant number don’t. After all those years, some doctors realize that medicine is not for them, either because they don’t find the work satisfying and fulfilling, or because their personal and family life suffers, or a combination of these and other factors. Several months ago I shared a guest post from another woman doctor who faced a similar dilemma. She solved her problem in an unconventional creative way. Here is her story, followed by an update.

Physicians spend from 10 to 15 years, sometimes more, in school and advanced training before beginning practice. Even though we begin receiving a stipend during residency, compared to the number of hours required, the financial return is minimal. Most physicians are in their late 20s to early 30s before earning a salary comparable with their training. And they often start out hundreds of thousands of dollars in debt.

So you might expect that once in practice, doctors would work at it for life, and most do. But a significant number don’t. After all those years, some doctors realize that medicine is not for them, either because they don’t find the work satisfying and fulfilling, or because their personal  and family life suffers, or a combination of these and other factors.

Doctors solve this dilemma in various ways. Some redirect their career to a different specialty, which usually requires going back into training and completing yet another residency. Some change to a non-clinical medical position- administration, teaching, consulting. Some continue using their medical knowledge by  writing, speaking, consulting, teaching, in a non-healthcare setting.

One physician did none of these. Several months ago I shared a guest post from another woman doctor who faced a similar dilemma.  She solved her problem in an unconventional creative way. Here is her story, followed by an update.

 

 

My Unexpected, Crazy Journey from Medicine to Fashion

By Joanne Jarrett MD

woman in an apron holding a wooden sign-
Dr. Jarrett enjoys cooking too.

“Hi! My name is Joanne Jarrett, and I am a retired family physician. Not the “golden years” kind of retired, but rather the “retired sounds better than I quit” kind.

a career in the making

If you’d told me in my twenties that I would be designing loungewear for women and preparing to move to a farm in rural Montana in my mid-forties, I’d have said you had the wrong girl. I was a determined, sharp, ambitious, successful medical student and resident, and I was planning to have it all.

My husband and I wanted kids, but that would have to wait until all of our training was complete. We took turns going through our residency programs, and we moved home to Reno, Nevada from a two year stint in Lincoln, Nebraska with 24 weeks of my first pregnancy under our belts and a new practice to run.

Needless to say, my being a stay-at-home mom was not plan A for our family.

a fast track career

When I became pregnant, I was working a full time family practice, seeing patients at 3 hospitals before and/or after my full day, doing urgent care some nights and weekends, and taking call for our large group a week at a time every 7 weeks. I knew that schedule was completely incompatible with motherhood, but we thought I’d work 2 or 3 days a week and have my mom nanny while I worked.

Then Delaney was born, and reality set in.

I realized that I didn’t have room inside of me to be the physician my patients deserved and to be the wife and mother I wanted for my family. I already knew that during those 6 years of marriage before kids I worked hard all day, gave every bit of myself away piece by piece, and then came home and offered my husband the crappy leftovers. He knew how hard I was trying and didn’t complain much.

It worked, but a baby tipped the scales. We couldn’t both work jobs where emergencies make the schedule predictably unpredictable. I was exhausted and knew there was no way I could face the emotional lability and intellectual demand of being a physician in my state. And I loved being with that baby girl. When I was away from her I felt an undeniable tug back.

Then Bailey arrived less than 2 years later and it was decided. I was staying home. For good.

 

a career crossroads

At first, I was in survival mode and didn’t care about the changes I saw in myself. I just wanted sleep and ice cream. But eventually I started to wonder if who I used to be would ever matter again and how to find her.

Over a decade in, that woman is back. But she’s better than she used to be. More patient. More settled. More fulfilled. Less scared. Looking back, I’ve transitioned from professional to harried new mom to seasoned household CEO, self respect and vigor for life mostly intact!

a woman walking with two girls on sand
Dr. Joanne’s grand mother  with her daughters

Running my family has been pretty much all consuming, but I’ve always had a creative side and, through the years, I have developed hobbies that foster that. Scrapbooking made sense when the kids were babies. Combining creativity with a means of wrangling the millions of photos we were taking was a win win.

A limited decorating budget and a very picky décor taste lead to me borrowing my mom’s sewing machine and making an entire house worth of curtains, learning on the fly.

And I have always had a thing for wrapping a beautiful gift. To the point where I have a whole wall full of paper, ribbons, and other do-bobs to help me wrap a stunner at a moment’s notice.

Sewing flat, square things like curtains and pillow covers slowly evolved into kids’ costumes and then street clothes. I have a thing for fabric, and the combination of creativity and precision that following a pattern requires satisfies my creative flair and my bent towards the analytical.

I began altering clothes in my closet to better fit my (ever varying, eye roll!) shape and began seeing the potential in clothes instead of the mere reality of what was on the hanger.

I also have a passion for downtime. This wasn’t always the case. Scott and I have been married 20 years, and at first I had no idea how to relax. Saturday would come and I’d say, “What do you want to do today?”

From the couch, he’d say “this!”

My skin would crawl .I just didn’t know how to have a recovery or leisure day.

Well, I’ve learned well! You’ll never catch me hanging around at home in my jeans and underwire bra. Huh-uuuuh! As soon as I get home at the end of the day, I head straight to my closet to get into my cozy clothes. I live in them when I’m home. Even if I’m busy with this and that, I like the psychological change triggered by putting on those comfy clothes.

But those clothes aren’t perfect. I’m setting out to change that! We need a little coverage and support despite that fact that the bra is off the team at home. I discovered shelf-bra camis and began wearing them as loungewear and pajamas. I could never figure out why this concept wasn’t expanded into other pieces.

a career changes directions

After years of googling “shelf bra pajamas” and “shelf bra nightgown” and coming up with nothing except slinky lingerie (get real!!), I decided to design a line of cozy loungewear for women who want to be comfortable at home in something soft, cute, flattering and supportive. Something that feels and looks great to wear in the “no bra zone” but that is fit for public consumption should the need arise. I figured if I couldn’t find them, I’d make them and maybe other ladies will like them too.

And not all shelf bras are created equally, if you know what I mean. I set out to design the perfectly soft but flattering shelf that has enough thickness for coverage and enough separation to look great. I embarked upon a know-nothing journey into apparel production and have learned an entirely new industry over the last year.

I call the line “Shelfies.” Shelfie Shoppe launched on May 8th , 2018 taking preorders as part of a Kickstarter campaign to fund the first production run.”

a shirt with a tag-shelfie

Like infatuation, excitement is fleeting. Strength of will and commitment will get me to the finish line.

Joanne Jarrett, M.D.

 

Where Shelfie Shoppe is now

In March 2019, Joann posted an update about the project on her blog (although she had been sending updates to her Kickstarter supporters, like me, all along). In the update she details all the bumps and unexpected detours that repeatedly slowed down her journey. I encourage you to read about it at the link I will give you, but here is a sample of what got in the way of progress.

  • She had to change factories when the one she contracted with lost too many employees.
  • A fabric she counted on using was unexpectedly not available.
  • A pattern piece wasn’t fitting correctly.
  • They had the wrong bra pads.
  • Her family moved and while staying temporarily in a camper, she didn’t have WiFi, making communication with her suppliers almost impossible.

What Joanne has learned on her journey

“It has been said that the most common cause of failure for entrepreneurs is simply giving up. After this roller coaster, I can see how that happens.

Discouragement can feel like eminent defeat, but they are not one and the same. I have allowed myself to get down-hearted at times, but difficulty is not a worthy adversary to my determination and perseverance. I am excited about Shelfie Shoppe, but like infatuation, excitement is fleeting.

Strength of will and commitment will get me to the finish line and excitement will be there to meet me.”

What we can learn from Joanne’s example

When the circumstances of life leave us feeling
• impatient
• unsettled
• unfulfilled or
• scared
we may need to evaluate if change is necessary.
It may not be as drastic a change as she made, but even small steps can get us to a place where we can use our talents and passions to create a life that satisfies us and blesses others.

However, we can expect bumps and snags along the way, which may seem like insurmountable problems but can be opportunities for learning and growth that we didn’t anticipate.

Here is Joanne’s update. Check it out and follow her blog to find out what happens next. And when I get my shelfie dress from her, I’ll post a photo and tell you all about it.

HERE’S THE LATEST IN THE CLOTHING LINE SAGA. KICKSTARTER CAMPAIGN SUCCESS AND THE BUMPS THAT FOLLOWED!

Thanks for exploring the HEART of health with me.

I appreciate all of you who follow this blog; there are numerous other blogs to choose from so I am honored you chose to spend some time here. A special welcome to all my new followers from this past month.

To start following Watercress Words , use this form to get an email notification of new posts . Please find and follow me on Facebook, Pinterest and LinkedIn, links are on the left side bar here and the Home page. Thanks so much.

                              Dr. Aletha 

Maybe you’d like to start a blog. Try WordPress.com; I did and here I am. (This is an affiliate link. )

WordPress.com