I love taking care of the tough people who live in beautiful Teton Valley. If you live here, you are “tough”. This is not a sit-and-play-checkers-as-the-sun-goes-down kind of place. Our valley is full of tough people. They ski on torn ACLs, they board with broken tailbones, they sled with ripped rotator cuffs, they drive tractors with broken wrists and they go on with their work and recreation for years with these injuries. Really, I have to marvel at the pain these people must endure and the inventions they create to keep on moving.
If you think I’m writing about you, then please read on.
I admire your high pain threshold and your unwillingness to give up any time for rehabilitation because you’re having too much fun or have too much work to do. Just know this: It’s better for you and your orthopedic surgeon to have something to work with when you decide to get “it” fixed, whatever “it” may be.
Just know this: It’s better for you and your orthopedic surgeon to have something to work with when you decide to get “it” fixed, whatever “it” may be.
Orthopedists see X-rays and MRIs that tell the whole story in a few simple images and sometimes, it isn’t pretty.
A good example of long-term damage being the end product of ignoring an injury is a meniscus tear in a knee joint. It’s very common for me to see patients with a “torn and ignored” meniscus. The meniscus is designed to be a protector of the knee joint. But when torn, it becomes a defector and can destroy the joint’s surface cartilage. I see too many patients that have put off treatment because some days it feels fine and they can live with the popping and occasional pain. It’s a bummer to see the joint surface severely damaged when we finally get around to fixing the problem. If I can offer treatment soon after the injury, there is much less damage to the joint surface resulting in a quicker, better recovery and much better long term outlook.
In modern sports medicine we are generally more aggressive when it comes to early rehab. ACL patients start rehab right away — a big change from casting (eek!) and a year in rehab in the early days of ACL reconstruction. However, recent data regarding ankle sprains has led to a step back in how those injuries are managed. Instead of pushing immediate movement, it’s clear that a period of casting or boot immobilization produces better outcomes.
Again, I see lots of patients who ignore a bad ankle sprain and keep on truckin’. They sprain their ankle over and over and ultimately require surgery to reattach or reconstruct the ligaments.
Now, I’m not throwing stones here. I’m just as guilty of delaying treatment. But take my advice: if you get hurt, have it checked out. If you wait too long, what could have been a little R & R with physical therapy or maybe a minor surgical repair can morph into a more complex procedure such as joint replacement.
If you get hurt, have it checked out.
Mo Brown and patient
It’s important to know what the consequences can be if you put off medical help for injuries. You may be mentally able to handle physical pain, but your body is sending that pain signal for a reason.
For all of you die-hards out there, let me put it this way: The toughest thing you can do in these situations is to stop your activities, see your doctor and get “it” fixed before it becomes a bigger problem.
Teton Valley Health Care recently received a bronze level award from The Aster Awards for its website, tvhcare.org.
The Aster Awards, one of the largest national competitions of its kind, is hosted by Marketing Healthcare Today Magazine and Creative Images, Inc. This elite program recognized outstanding healthcare professionals for excellence in their advertising/marketing efforts for the calendar year 2014.
The 2015 Aster Awards received nearly 3,000 entries from across the United States as well as several foreign countries. All entries are judged by industry experts and are scored on multiple criteria with a possibility of 100 total points. Participant’s entries competed against similar-sized organizations in their specific groups and categories.
Awards were issued for entries that received top marks from judges placing them in the top 16% of the nation for advertising excellence. Judging criteria included creativity, layout and design, functionality, message effectiveness, production quality and overall appeal.
“The creativity of this year’s participating healthcare marketing professionals exceeded our expectations. The 2015 Aster Awards program contained some of the best and most creative advertising in the world,” said Melinda Lucas, Aster Awards program coordinator.
Teton Valley Health Care competed in the “Hospitals with under 75 beds” group, and earned a third place recognition among the website category’s 32 submissions.
All winners are posted on the Aster Awards website as well as published in Marketing Healthcare Today.
So, you’ve had a heart attack and you lived to tell about it. Great! Now what?
You were probably told about your medications and how important they are when you left the hospital. Yes, they are very important. Most of the medications are ones you’ll need to take for the rest of your life. Your doctor probably put you on an aspirin, a cholesterol medication called a statin, and likely one or two blood pressure medications. These blood pressure medications are not necessarily for your blood pressure; they’re good for remodeling your heart. Think of them as good medications for your heart health.
If you had a stent (a stent is what is used to open up a blockage in your coronary arteries), then you likely were put on a medication to help keep the stent open. You will need to be on this medication for at least one year (after a year, discuss with your doctor whether it is safe to stop it). You may recognize this medication by their brand names Plavix or Effient. These medications are important for your stent, and if you miss even one dose it could be catastrophic and your stent may close up (so don’t mess with this one). It is important that you do not stop any of your medications without consulting your doctor.
Your daily routine
Now that we have the medications taken care of, there are a couple other items on the agenda including diet and exercise. It’s time to eat healthy! Cut out the fast foods and most restaurant foods. Learn to eat foods with lower cholesterol, lower sodium and less processed foods. Go buy a cook book. Look into the DASH diet – it’s good for high cholesterol, weight loss, heart failure, high blood pressure and diabetes.
After you are discharged you were likely referred to cardiac rehab – GO! That’s important. Don’t sit on the couch and feel sorry for yourself. Get out there and exercise. Lose weight, but more importantly, enjoy your second chance at life!
A note to spouses of heart attack survivors: Don’t wait on your loved one hand and foot – that’s the worst thing you could do! Don’t enable. Instead help them work on exercising more and make sure they go to cardiac rehab.
Now, last but not least: smoking. Yep, we had to talk about it sooner or later. You HAVE TO STOP. Please discuss ways to stop with your doctor. No pills or hypnotic therapy will help if you don’t WANT to stop. Find the motivation and do it. I have helped many patients in my clinic stop smoking by exploring the reasons they smoke in the first place and helping them find substitutions for their behaviors.
Having a heart attack is scary. Surviving one means you have another chance at living. Change your life for the better and eat healthy foods, exercise and stop smoking. Make sure you’re around for your loved ones when they need you and work to prevent another cardiac event in your life.