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I rode a Penny Farthing once....once....scary as hell, would never do it again. i definitely would have broken something if my friend didn't help me off the thing.
Dear Rob and Swami,
RE: November Issue
Regarding the suicidal adolescent, I have found the question :What do you see yourself doing in 5 to 10 years?" to be a valuable one. While not 100% predictive of the future, it has served as a barometer for distinguishing gestures/cries for help from more serious pathology.
Regarding Michelle Lin's Migraine treatment favorites: Our Group covers two Ski Clinics above 9200 feet. High altitude seems to be a threshold lowering event for migraines and the headache of AMS (acute mountain sickness) is thought to be due to a very mild case of cerebral edema. We have found that the addition of 10mg of IV dexamethasone at the end of the patient's migraine treatment to be valuable in preventing recurrences.
Buzz Potts MD (a listener since Vol 1, issue 1)
Reading through for advice. I once (several years ago) saw what I recall was some type of silver-impregnated gauze product which was placed over a large road rash and left on to dry "into" the wound then flaked off over the next 5-10 days. This was (in theory) to dress the wound, prevent infection and mitigate the pain of having a patient attempt daily wound care at home. Are any of you familiar with this being used and if so what was it, is it still available?Thanks much!
What you do matters.