Are you “Alert and Oriented”?

These blogs open a window into the medical community. You may be surprised that physicians have the same concerns about health and medical care as you , and some that you are unaware of. Most importantly, you will find they are on your side; they care about you,their patients, probably a lot more than you care about them.

updated August 5, 2024

As a blogger, I enjoy reading and supporting other bloggers, especially others who write about health, fitness, nutrition, and medical science.

These bloggers’ viewpoints often surprise and challenge me; I don’t always agree with them and you may not either.

Here is a blog I followed which is now dormant but still available with some interesting topics.  

“Alert and Oriented”

medicine-philosophy

Michel Accad, MD, practices internal medicine and cardiology in San Francisco.

” ‘Alert and Oriented’ is a medical phrase that describes the mental status of a patient who, despite being in serious shock from trauma or disease, maintains clarity of mind and focus of thought.

EKG tracing of heart activity on a cardiac monitor.
Based on the heart rhythm, this patient is likely alert and oriented.

Dr. Accad blogs about the healthcare system, the doctor-patient relationship, medical ethics, medical economics, and healthcare policy.

In this post he explains the

evolution of the food pyramid to the healthy plate nutrition recommendation.

healthy plate of vegetables , pita bread and hummus
photo by Dr. Aletha

In another interesting post, he explains

why mammograms may be over diagnosing breast cancer.

Breast cancer screening and treatment: One size doesn't fit all. bras hanging on a clothes line

exploring the HEART of health

I appreciate your time reading this post and invite you to follow this blog and me on social media.

I share information and inspiration to help you transform challenges into opportunities for learning and growth.

Add your name to the subscribe box to be notified of new posts by email. Click the link to read the post and browse other content. It’s that simple. No spam.

I enjoy seeing who is new to Watercress Words. When you subscribe, I will visit your blog or website. Thanks and see you next time.

Dr. Aletha

.

How to Recognize a Medical Emergency

updated April 13, 2026

For most of us, a medical emergency, or at least an urgent medical condition, is new, unexpected, worse than usual, uncontrolled, of unknown origin, not responding to treatment, not going away, and interrupts normal life.

However, to physicians and other health care personnel, the definition of an emergency is specific.

An emergent medical condition is one that

  • Threatens life
  • Threatens one or more limbs
  • Threatens vision/hearing/speech/mental function/ function of any major internal organ or organ system
  • Has the potential, if not treated promptly, to cause death or long term and/or permanent harm.
Minutes matter with heart emergencies
Minutes matter with heart emergencies

Some examples of conditions that meet this definition are

  • Acute changes in heart function, like a myocardial infarction (heart attack), arrhythmia (abnormal heart rate or rhythm) or congestive failure (poor pumping capacity)
  • Acute brain conditions including stroke, head trauma, seizure, psychosis
  • Pulmonary (lung) dysfunction including pulmonary embolus (blood clot), severe pneumonia, asthma or COPD
  • Multiple trauma , including large burns or trauma to any major organ
  • Significant changes in components of the blood; for example high blood sugar, low blood potassium, low platelets
  • Severe depression

When should you suspect any of these conditions?

The SYMPTOMS of an emergency  include

  • Shortness of breath, or difficulty breathing, especially if not associated with exertion
  • Uncontrollable bleeding
  • A seizure, especially in a person with no previous diagnosis of seizures
  • Sudden or severe loss or difficulty with vision, hearing , speech, or other functions such as swallowing, thinking, walking, passing urine or stool
  • Fainting, passing out, loss of consciousness
  • Hallucinations, confusion, thoughts or threats of harm to self or others
  • In a pregnant woman- any of the above plus loss of fetal movement

You notice that I did not list PAIN and FEVER. Even though these are symptoms that concern patients the most, BY THEMSELVES they do not define an  emergent condition. However, if they occur with any of the other symptoms, or are severe, then it is reasonable to call it an emergency.

Chest pain must always be taken seriously, even if mild.

Although in persons under 40 years old it is less likely due to a heart attack, there are other life threatening conditions that can occur in this age group. Again, especially if it is associated with any of the other symptoms, it is emergent.

While on a mission trip to Panama, my husband had a near emergency when a board flew into his leg causing a deep gash; our medical team members took care of the injury right on the clinic site, and he recovered without permanent damage
While on a mission trip to Panama, my husband had a near emergency when a board flew into his leg causing a deep gash; a local surgeon was working with our medical team , and with their help he sutured the wound at the small rural church where we were holding clinic; his leg has healed well, just a scar to remind us of the adventure.

So assuming it is an emergency, what do you do now? You do not call your doctor’s office or answering service, your mother, your best friend, or post a question on social media (which I have seen done!)

IN AN EMERGENCY  CALL 911!

Helicopters transport of emergency patients can make the difference between life and death.

Emergency Room vs. Urgent Care

If it’s not an emergency but is urgent, then the next best options are calling your doctor’s office or going to an urgent care clinic. Posting on social media is still a bad choice. Do you really want your “friends” giving you medical advice about something they know nothing about?

I think it is acceptable to go to an emergency room for problems that are serious but not emergencies. Since an emergency center is staffed 24/7, it should be utilized; there’s no reason to waste our health care resources.

Hospital sign- 5 miles to help.

And sometimes it may be your only choice- if your doctor’s office is closed or the schedule full, if you are away from home, or you don’t have a primary care physician.

Just be aware if you go to an emergency room instead of an office, clinic or urgent care facility you may

If you have any of these “99 ways to die”, you should go to an emergency room.

How 99 Ways to Die Might Save Your Life-a book review

In this post I review “99 Ways to Die and How to Avoid Them.” Dr. Ashely Alker, an emergency physician, humorously outlines various health risks and preventive measures. Combining personal anecdotes with medical insights, she emphasizes the importance of awareness in avoiding fatal incidents and advises readers to prioritize health habits over misinformation, and seeking…

Keep reading

Exploring the HEART of Health

I appreciate your time reading this post and invite you to follow this blog and me on social media.

I share information and inspiration to help you transform challenges into opportunities for learning and growth.

Add your name to the subscribe box to be notified of new posts by email. Click the link to read the post and browse other content. It’s that simple. No spam.

I enjoy seeing who is new to Watercress Words. When you subscribe, I will visit your blog or website. Thanks and see you next time.

Dr. Aletha