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Wade Kartchner, MD, MPH
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Tucker, I would tend to agree. This slant has only deepened since I wrote the original post. Dr. K
It was very hot and muggy that summer. As best as I can remember, we were sent by my dad to watch the irrigation as it slowly wound its way down the furrows, just as the memories of that long ago time trickle through my mind. My older brother was... Continue reading
Posted Oct 11, 2013 at Public Health and Pediatrics
My home state of Arizona has always been dry and hot. This fact was not lost on those in the United States Army who were called upon to toil in this environment in the 1840’s. A proposal was put forth by various Army officers to use camels as transportation in... Continue reading
Posted Aug 16, 2013 at Public Health and Pediatrics
As I watched the news the other day, the old saw about a man and a woman at a dinner party came to mind. You know, the one where he asks her if she would sleep with him for 10 million dollars and she replies in the affirmative. He then... Continue reading
Posted May 8, 2013 at Public Health and Pediatrics
The passing of Stan the Man a few months ago got me “musing” the other day. When I was younger I was quite the baseball fan and I would imitate the various batting stances of the noted players of the day, and Musial’s twisted left-handed stance was prominent among these... Continue reading
Posted Mar 4, 2013 at Public Health and Pediatrics
The large slab of metal that passed for our family vehicle in the late 60’s was a seventh generation rendition of a Chevy Suburban. As it was green inside and out, we kids had no recourse but to christen it “the Green Hunk”. What the G. H. lacked in aesthetic... Continue reading
Posted Jan 22, 2013 at Public Health and Pediatrics
When I was in high school, our sports teams traveled throughout southern Arizona to games and meets. This travel often necessitated stopping at some fast food establishment for some after-competition sustenance, usually at the local McDonalds since the Golden Arches were the end-all and be-all of the fast food culinary... Continue reading
Posted Jan 9, 2013 at Public Health and Pediatrics
There appears to be a public health disaster looming of epic proportions, one that apparently will dwarf the impact of smallpox, HIV/AIDS, heart disease, or even bed bugs. The statistics are startling, yet the American public seems to be blithely ignorant of the problem. As a public health official in... Continue reading
Posted Dec 12, 2012 at Public Health and Pediatrics
There once was a goose that had the proclivity to lay golden eggs. Whether this was a genetic thing or a miracle is for others to decide. All the goose knew was that out came an egg that was 24-carat gold, just about every day. The goose’s owner thought this... Continue reading
Posted Nov 26, 2012 at Public Health and Pediatrics
H. L. Mencken said it best- “Nobody went broke underestimating the intelligence of the American public.” It would seem that we need to include Australia in that quote as well. In the same spirit as those safety notices we find on costume capes (This garment does not allow the wearer... Continue reading
Posted Nov 19, 2012 at Public Health and Pediatrics
As a fourth year medical student, I took an elective in Physical Medicine and Rehabilitation. I also have a niece whose husband is a physical therapist, and a number of my friends are likewise. I have also undergone three knee surgeries, so my exposure to the rehab field is fairly... Continue reading
Posted Nov 2, 2012 at Public Health and Pediatrics
I admit it. I have a fondness for the history of my home state of Arizona. The trick is to figure out a way to work this penchant for history into a blog about public health and pediatrics. It’s not always easy, but it can be done with a bit... Continue reading
Posted Oct 31, 2012 at Public Health and Pediatrics
Dad kept bees. I’m not sure he liked bees, or if this was merely another one of those “let’s do this so the boys (I am the second oldest of seven brothers) can learn the merits of hard work” gambits. Or maybe he liked honey as mesquite honey does have... Continue reading
Posted Oct 15, 2012 at Public Health and Pediatrics
My last post regarding the New York City school system and its provision of Plan B contraception was met with a number of replies that took issue with my characterization of the problem. Perhaps I have been less than artful in my explanation of this issue. Public health is at... Continue reading
Posted Sep 27, 2012 at Public Health and Pediatrics
Perhaps I have been less than artful in my explanation of this issue. Public health is at its core a preventative specialty. As many know, prevention can be of a primary, secondary, or tertiary nature. In most areas of medicine, primary measures of prevention are lauded as the most beneficial, and tertiary measures are considered a failure in a population context. As a simple example, hypertension and its complications can prevented in a primary fashion by proper diet and exercise, in a secondary way through medications, and finally, the complications of hypertension, such as heart disease, can be treated in a tertiary manner through more invasive means such as surgery. Traumatic brain injury due to firearms is another example. Tertiary means of prevention such as treatment of brain injury by the neurosurgical crowd is certainly not the ideal. Secondary prevention such as gun safety education is not considered adequate by some segments of the population. The true primary preventative intervention would be to ban guns altogether, and, again, certain voices in and out of medicine propose that as well. Why should prevention of teenage pregnancy be any different? Would it not be better to facilitate a primary prevention model for the problem? Because it doesn’t work? The same thing could be said for the obesity problem, yet millions of dollars are spent in figuring out how to provide the health education necessary to convince millions of us to adjust our diets and eating habits, clearly a primary prevention model. If the current model of primary prevention of teenage pregnancy is ineffective, then it would seem that there should be a push to find a model of primary intervention that does work and not be satisfied with secondary and tertiary results. Our profession doesn’t accept this in most other areas of medicine. The point is, this continuum of preventative measures is found all throughout medicine, and in my opinion, the New York City school system’s move to provide Plan B is an example of secondary or even tertiary prevention, and could be construed as a failure in the public health context as outlined above.
The mantra of the sex education crowd for years has been that if we only taught these sweet little cherubs the intricate details of sex and the downside of teenage pregnancy that they would catch the vision of proper precautions and the teen pregnancy rate would decrease. Well, the enlightened... Continue reading
Posted Sep 25, 2012 at Public Health and Pediatrics
Make believe. It has a nice ring to it. Living in such a land can be fun. Enjoyable. Enchanting even. We all wish we had a visa to this country. Because if we did, we would want to stay there forever. However, the hard truth is that when we visit... Continue reading
Posted Sep 21, 2012 at Public Health and Pediatrics
If we were going to devise the quickest way to increase the fatness of our children, where would we go for inspiration? I do believe that the science of seeing how quickly we can turn our children into tubs of lard just took a quantum leap forward with something that... Continue reading
Posted Sep 10, 2012 at Public Health and Pediatrics
How many times have you heard this refrain? This is likely number 1, or at least 1A on my list of irritating things a parent would say to their kids during a visit to our pediatrics office over the years. The kiddos are often scared enough as it is; they... Continue reading
Posted Aug 24, 2012 at Public Health and Pediatrics
I'm going to step into this one gingerly. I have never seen a Medicare patient in my entire career. True, as a pediatrician, I never had the occasion to. I do feel sorry for my colleagues that do see Medicare patients, because they are going to be hit with a... Continue reading
Posted Aug 17, 2012 at Public Health and Pediatrics
Tuberculosis has been around for a great while. It was one of the scourges of mankind and has the potential to still be so, with the resurgence of multi-drug resistant strains of the germ. It has had an effect on much of history, and Arizona’s history is no different. A... Continue reading
Posted Aug 10, 2012 at Public Health and Pediatrics
The 2 am call jolted me out of a deep, peaceful slumber. There might have even been a snore going on there. “Hello?” I mumbled. “Is this Dr. K?” the disembodied voice queried. “Yes, how may I help you?” “You said to call if he got a rash.” “Um, who... Continue reading
Posted Jul 31, 2012 at Public Health and Pediatrics
Once upon a time in a country that shall remain unnamed (but it rhymes with Barizona), there was a federal program known as WIC that provided foodstuffs for women who were pregnant or had small children. This program, with origins dating back to at least 1972, had been a resounding... Continue reading
Posted Jul 13, 2012 at Public Health and Pediatrics
When I think of Congress, I am reminded of the Mark Twain quote: “Suppose you were an idiot. And suppose you were a member of Congress. But I repeat myself.” After the Robert’s decision from the Supreme Court, there has been talk of repealing Obamacare by many members in Congress.... Continue reading
Posted Jul 6, 2012 at Public Health and Pediatrics
I went grocery shopping the other day and was cruising through the dairy section when I was hit by an epiphany. This is one of my favorite sections, what with all the yogurt, sour cream, milk and the like in abundance. What I realized at that moment was that I... Continue reading
Posted Jun 26, 2012 at Public Health and Pediatrics