Archive for the ‘chronic’ category

10% Dead

February 19, 2010

[originally published in KCN, May 2001]

Ten percent dead?  What?  Now before you stop reading, hear me out.  It’s interesting if you stop to think about it:  dead or alive.  Pretty much an all or none proposition.  Right?  Well, maybe not.  What about instead of being completely alive, you were partially dead?  What would that feel like?  What might some of your symptoms be? While we all can understand the concept of being alive, and  all have a firm grasp on the concept of being dead, the notion of  being somewhere in between might be a new one for us.

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Steer Clear of Neck Braces

November 27, 2009

[originally published in KCN, December 2009]

Cervical Soft CollarEver so often I will spot someone wearing a brace around their neck. To be clear, I’m not talking about the rigid neck braces that EMT’s and paramedics employ to stabilize a suspected neck injury when they arrive on an accident scene. I’m talking about the soft, usually white, neck-supporting collars that are worn by people who are suffering from neck pain. These devices are often prescribed by well-meaning doctors, or are purchased by patients themselves at local pharmacies as a form of self-care for neckache. And while they look official, the irony is that they don’t do a bit of good. In fact, according to most research, they actually do more harm than good!

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Consternation over Constipation

August 28, 2009

Constipation Outhouse

[originally published in KCN, September 2009]

For many of us, going “number 2” is just something we fit into our day.  Not much thought is given to it.  Sure, most of us have experienced an occasional, short-term bout of constipation, perhaps due to a shift in diet, not drinking enough water, or emotional stress.  But unfortunately, the $800 million spent each year in this country for laxatives tells us that for some, constipation is hardly “an occasional bout” — it’s a way of life.

Consider the story of an 8-year-old boy who, since the day he was born, would only experience a bowel movement once every 7 to 10 days — sometimes almost 2 weeks would go by.  And when he would finally “go,” it was a 1 to 2 hour experience in the bathroom that almost always ended up with mom or dad fetching the plunger. (more…)

Cost-Effective Strategies When Your Employee is on L and I

August 1, 2009

[originally published in GKCCC Newsletter, May 2009, and then in KCN, August 2009]

Counting moneyIronically, the biggest driver of  costs associated with work injury claims often is not the actual health care rendered to the injured worker, but rather the amount of time-loss wages paid to the worker themselves.  And, for us employers, this usually translates to the ever-dreaded premium hike.  So what’s a cash-strapped employer to do when one of his workers is stricken with a debilitating work injury?
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On-the-Job Back Injuries and Chronic Disability

May 29, 2009

[originally published in KCN, June 2009]

chronic disabilityWhile it goes without saying that no employer relishes the thought of having one of his employees on L&I due to a work injury, having that same work injury blossom into a long-term, chronic disability is enough to make any boss lose his lunch.

And while most work injuries do not turn into chronic disabilities, that fact is, some do.  As employers (or employees for that matter), is there any way we can see this coming?  Are there any risk factors to watch for, and if so, are there ways we can reduce these risks?

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Is Your Table Set?

January 31, 2009

[originally published in KCN, February 2009]

Place SettingIt’s not uncommon — when I query someone who has come to my office, if they have any neck pain, headaches, or lower back pain —for them to say, “Yes but….”

“Yes, but… my neck pain is because I have a bad pillow.”

“Yes, but… my headaches are brought on by stress.”

“Yes, but… my lower back pain is because I drive a lot.”

And my response is, “That may be so, but….” (more…)