Tag Archives: alcohol

From the desk of Doc Smo: More on Injury Prevention (article)

Many of you are probably aware that I attended and graduated from Rutgers Medical School. When I was there, Rutgers was a very young start-up medical school attached to a prestigious old university named Rutgers. Since my graduation, the school received a major endowment from the Robert Wood Johnson foundation (RWJF) of Johnson and Johnson fame. Since then, they have changed the name from Rutgers to—you guessed it—the Robert Wood Johnson School of Medicine. In addition to funding my alma mater, The Robert Wood Johnson Foundation supports a lot of health policy research. My interest in the Robert Wood Johnson Foundation brings us to today’s memo.

 

I recently read about a new policy study that was supported by the RWJF, which took a close look at various state laws with respect to child and adult safety.  The report is called: “The Facts Hurt: A State-by-State Injury Prevention Policy Report.” After grading each state on the strength of their laws, the researchers overlaid this data on the actual accident rates each state has suffered in the recent past. Did they find that states with strong safety laws had lower accidental injury rates…? You bet they did. While the correlation is not perfect, I think you will see if you look at their data that states with strong safety laws tend to have less accidental injury. The strictest laws are found in California and New York, and they have the lowest rates of accidents. The weakest laws are found in Montana, Ohio, Idaho, Kentucky, North and South Dakota, and South Carolina. All these states scored in either the worst or next to worst accident rates.

 

The point is that accident prevention, either by parents or by state legislatures, does make a difference in protecting both children and adults from accidental injury. Enforcing seatbelt, helmet, drunk driving, sports safety, and dating violence laws do have a positive impact on our health. Yes, these laws do encroach on some personal freedoms, but in my opinion this is a small price to pay when we are talking about protecting our children, neighbors, and fellow citizens from serious harm.  Take a little time to copy and past the link below and browse the report.   I think you will be glad you did.

 

http://www.rwjf.org/files/research/74400.5885.thefactshurt.20120521.pdf

From the desk of Doc Smo: Swimmer’s Ear Prevention 101 (Article)

If you have ever had it, you know Swimmer’s Ear hurts like crazy. However, most people have no idea what Swimmer’s Ear is and what causes it. Well, lets fix that right now. To understand the cause, we need to start by gaining an understanding of the architecture of the ear and how it is different than other places in the body. The ear canal is a dark tunnel lined with skin that is often very damp, especially in warmer weather. Water frequently gets in but gets trapped by the shape of the ear canal. Well, what happens to water anywhere it sits around without movement, especially when it’s at body temperature? You know it, yuk grows in it! This is especially true in your ear canal when you are in and out of water all day. Once the water enables fungus and bacteria to grow in the ear canal, it is easy to see how these microbes can infect the surrounding skin. Swelling occurs to the point that the ear canal can literally be shut, making things much worse. Oh man, that can hurt!
All of this leads to a tender ear, aching down the side of the neck, and a very miserable child. The children most prone to having bouts of Swimmer’s Ear are: those with eczema (lots of cracks in their skin), those who frequently use Q-tips, those who are in and out of water frequently (especially lake or ocean water), and those who go to bed with wet hair (yes, your mother was right on that one).

Once an outer ear infection gets started, it can be very difficult to control; prevention is the only game in town. Here is a simple way to prevent Swimmer’s Ear in your child, especially as they go off to camp and swim in lakes and rivers. First, buy a bottle of rubbing alcohol and pour half of it out. Fill the bottle back up with either white vinegar or apple vinegar. If you can get a bottle with a dropper on it, great. At the end of EVERY summer day, when no more water is going to get into your child’s ear (usually bedtime), put a few drops of the alcohol/vinegar mixture in their ears and rub it around. Dry the excess with a towel. The combination of the alcohol and acidic vinegar make a very hostile place for germs, and they simply don’t grow. Without the bacteria and fungus in abundance, the cracks don’t get infected. Make sure their hair is dry, and put those little puppies to bed. If you are religious about this, most children won’t be suffering from Swimmer’s Ear this summer. Miss a day or two and all bets are off. If they go to camp, figure out how to make this happen there. It is worth the effort.