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  • Food anaphylaxis

    Aug 15, 2024

    by Mark E. Bubak, MD True food allergic reactions cause anaphylaxis. Eating even a tiny bit of the allergenic food causes the patient to quickly develop symptoms that can include shortness of breath, hives, vomiting, diarrhea, throat swelling, passing out, and at times it can be fatal. The patient makes IgE allergy antibody to the food. The cause of the reactions can be determined by the history and confirmed by allergy skin or blood testing. Once we know the allergenic food, a treatment plan can be put into place. The three parts are...

  • Guard your thoughts

    Aug 15, 2024

    by Jill Pertler “A quiet mind makes way for the soul to speak.” (Me) The mind is an abundant entity - spewing, spawning, spilling, speaking, squeaking, splaying, spraying, saying, replaying, spouting, sprouting, shouting, re-routing, doubting and outing our thoughts, often in ways that seem beyond our control. Just today, I was about to run to the store, but thought about something I wanted to do beforehand. Then I rinsed out my coffee cup and my mind had already moved onto a whole new topic and I’d forgotten what task, exactly, I needed to do...

  • Recovering from mistakes

    Aug 8, 2024

    by Bryan Golden As careful as you may be, you will make mistakes. Although it’s not possible to live mistake free, there are effective strategies you can use to recover from your mistakes. Let’s start by considering basic causes of mistakes. You are impatient and act too quickly. You lack knowledge or expertise. You don’t have enough information to make a sound decision. You make a decision based on wrong information. Regardless of the cause, you need to recover from your mistakes. Once you have recovered, you can identify and address the c...

  • Lived experiences

    Aug 8, 2024

    by Curstie Konold MPH, LCSW, QMHP Everyone we know, meet, or pass in the grocery store has their own set of personal life experiences that are unique from our own. We all come from different places, have our own set of genetics, and have different parents or families, which is part of what makes us unique from each other. We can even have different experiences than our siblings who grow up in the same home as us. Our experiences are part of what help us learn, create adaptations to the world around us, and how we continue to grow into who we...

  • Complaining is unproductive and destructive

    Jul 25, 2024

    by Bryan Golden Is complaining an effective strategy for solving problems? Will complaining improve your situation? Do others enjoy listening to you complain? The answer to all three questions is no. Then why do people complain? There are a number of reasons a person complains. He or she may be looking for sympathy, assistance, support, or just letting off steam. There are also people who are habitual whiners who are never satisfied or content. In the case of sympathy, there is an erroneous assumption that if enough other people feel sorry for...

  • What's in a (medical specialty) name?

    Jul 11, 2024

    by Jill Kruse, DO Doctors are taught medical terms and jargon in medical school like a secret code. Many medical terms are rooted in Greek and Latin. Over the course of our training, these words become second nature and we become fluent in this medical “language”, although we are also expected to talk to our patients using simple terminology. However, most specialties in medicine still use the original Greek and Latin roots for their names. Once you know where these names come from, everything makes sense. Most names start with a Greek or Lat...

  • Remembering the cost of our independence

    Jul 4, 2024

    This week we celebrate Independence Day which is also commonly known as the Fourth of July. It’s a federal holiday commemorating America’s independence from the British empire which over the past 250 years has maintained a public display of pride and patriotism. This past Sunday at church we sang a heartfelt melody of patriotic songs that declared, America. America, God shed His grace on thee, Glory, Glory Hallelujah His truth is marching on, and God bless the USA! There were American flags at every entrance with beautiful decorations. Many wor...

  • How to prevent sudden death

    Jun 20, 2024

    by the late Richard P. Holm, MD My first experience with cardiopulmonary resuscitation was during the summer of 1969. I was an orderly in a Minneapolis intensive care unit (ICU) when my patient stopped breathing. I called for help and provided mouth-to-mouth breathing until the team arrived. Later the doctor told me I saved the patient’s life, further convincing me that medicine was my life’s purpose. Cardiopulmonary resuscitation (CPR) is the act of rhythmically pushing on the chest and breathing into the mouth of a person whose heartbeat and...

  • Safety tips for summer

    Jun 6, 2024

    Summer is synonymous with relaxation and fun in the sun. Remembering these tips can help you enjoy summer as safely as possible. • Avoid heat-related illnesses: Hot summer days pose a significant threat if the proper measures aren’t taken to avoid heat-related illnesses. According to the National Safety Council, heat exhaustion, which occurs when the body loses excessive water and salt, and heat stroke, which the Centers for Disease Control and Prevention notes is marked by the body’s inability to control its temperature, can escalate rapid...

  • The pitfall of worry

    Jun 6, 2024

    by Bryan Golden Everyone is conditioned to worry. Our conditioning begins as soon as we learn to speak. Since we see everyone around us worrying, we emulate their behavior. There are no limits to what you worry about. You worry about the past. You worry about the present. You worry about the future. You worry about what might happen. You worry about what might not happen. You worry about what other people think, say, or do. You worry about the opinion others have of you. You worry about making mistakes. You worry about what you say. You spend...

  • Kindness is the best medicine

    Jun 6, 2024

    by Joanie Holm, RN, C.N.P. My name is Joanie Holm. I am a certified nurse practitioner in Brookings, South Dakota and I am the person fortunate to have been the life partner of the original Prairie Doc, Richard P. Holm, M.D. Rick and I were married for 40 years before his passing in March of 2020. During those wonderful decades together, if I could point to one powerful action that strengthened our relationship with each other, with our family, our community and with our patients, it would be the act of kindness. Thankfully, Rick was alive to...

  • Lawmakers are asking the right questions about AI

    May 30, 2024

    Jake Goodrick, Gillette News Record There’s a flawed duality that fixes in many people’s minds when it comes to the rise in artificial intelligence. Often the rapidly advancing technology is viewed as either apocalyptic or a godsend, delivered to enhance just about every part of our lives where an inefficiency exists. The be-all and end-all, in either direction. Maybe this fallacy isn’t unique to AI, as it’s accompanied new technology throughout recent decades. New technology often comes with risks. So far, there’s been no apocalyps...

  • Let's have a nice, clean campaign season

    May 23, 2024

    by Zac Taylor, Powell Tribune Last Thursday marked the beginning of the filing period for the primary election season. While obviously this paper has done stories on a number of candidates already declared to run, from state House and Senate to county commissioners, expect a whole lot more partisan and municipal candidates to declare in the next couple of weeks. Filing period ends May 31. Then we’ll have a long sprint to Aug. 20 and Election Day. The nearly three months in between can be fun and informative or miserable for followers of l...

  • Ghosting simply doesn't cut it

    May 16, 2024

    by David Peck, Lovell Chronicle Pet peeve time here. Are you familiar with the communications concept known as ghosting? For the uninitiated, the word refers to an electronic communication during which one of the parties simply stops responding to a conversation or disappears from contact in the first place. I guess it could also refer to any communication, such as refusing to return a call or something like that. But for the young people out there, I have one thing to say: Don’t do it. At least if you want to get or keep a job. Let me tell y...

  • Thoughts on confidence

    May 16, 2024

    I read something today that changed my perception of the concept of confidence. It said something along the lines of: “Confidence can’t be seen or heard. It can’t be created by anyone but you.” I found this profound. I’ve always believed I lacked confidence. I’m guessing many of us feel this way. I lived my life thinking my lack was simply the way things were. I saw other people as confident – born that way – and I envied them. I thought their confidence came from abilities or talents – a knowledge that they had what it took to stand out from...

  • Your words matter

    May 9, 2024

    by Bryan Golden, Dare to Live Without Limits You are usually conscious of what you say to others. The things you say are based on what you want to achieve. You know from experience that the words you chose have a big impact. When you use the wrong words, the reaction of others is not what you intended. What you say to yourself is just as important as what you say to others. Yet, too many people are not fully aware of the impact their self-talk has on their own wellbeing. Your words to yourself program your mind. Your mind follows whatever...

  • Paper patch gardening

    May 2, 2024

    by Sara Ready “I’m heading out to mow the garden” my dad announced. Then I heard him mutter, “I never thought I would put those words together in a sentence.” My garden had been a source of embarrassment for years. I was raised better. My mother was a fantastic gardener, I learned and helped her throughout my childhood. I thought gardening was pretty strait forward. Then I married, and moved to a bentonite hill. I borrowed a tiller, and started my first garden. For three years I scrached my so called garden out of the bentonite. My rows were...

  • Dry skin? Join the club

    Apr 25, 2024

    by Kelly Evans-Hullinger, MD An exceedingly common question I get in clinic, especially in the heart of a South Dakota winter, is how to remedy dry skin. And the questions arent just in clinic; my own kids, family, friends, everyone seems to have an occasional problem with dry and irritated skin. Dry skin is something we are all familiar with; if your dry spots come with a rash or anything else unusual, it may be worth showing it to your primary care provider, as it could be something else entirely. Eczema, a common inflammatory skin condition,...

  • Pain - It's no joke

    Apr 11, 2024

    by Jill Kruse, DO There is an old joke where a man walks into his doctor’s office and says, “Doc, it hurts every time I do this. What should I do? To which the doctor replies, “Simple, don’t do that!” While the advice seems trite and maybe even insulting, like most jokes, there is some truth in it. Pain is one of the ways your body tries to protect you from even worse injury. Pain tries to keep you from walking on a sprained ankle or lifting things with a broken arm. In those cases, the advice from the doctor is accurate. We cast broken bo...

  • Let go of the anchor

    Apr 4, 2024

    by Bryan Golden Imagine you are swimming while holding a heavy anchor which is pulling you under water. What would you do? Of course you would let go of the anchor to keep from drowning. Maintaining your grip on the anchor would lead to certain disaster. With your survival at stake, you wouldn’t hesitate to drop the anchor. Yet, in life there are issues you are hanging onto which are drowning you. Anger, hate, bitterness, resentment, and grudges are all anchors pulling you to the bottom. Trying to change circumstances outside of your control al...

  • Feeling winded?

    Mar 28, 2024

    by Andrew Ellsworth, MD “Well, doc,” the patient was telling me, “I get winded so easily now. I can hardly go to the mailbox without stopping to catch my breath. It did not used to be that way. Do you think something is wrong?” Many of us have experienced shortness of breath. After a period of inactivity, such as winter or a busy month, when we decide to exercise again, it may be easier to feel winded. That experience can be due to deconditioning, feeling out of shape. A good remedy for that is a gradual increase in exercise, helping us to r...

  • Five myths about Social Security

    Mar 21, 2024

    by Sam Shumway AARP Wyoming State Director For most of us, Social Security is – or will be – essential for helping to cover daily living expenses and pay bills as we get older. The bottom line is that Social Security is your money, earned through a lifetime of hard work. Yet there are persistent misconceptions about its long-term financial stability and how it works. Here are facts behind five of the most stubborn Social Security myths. Myth #1: Social Security is going broke. The facts: Social Security will not run out of money, as long as wor...

  • No man is an island

    Feb 22, 2024

    by Andrew Ellsworth, MD “No man is an island, entire of itself, every man is a piece of the continent, a part of the main.” This is the beginning of a poem from 1624. In it, the poet John Donne appreciates how humans are all connected. Indeed, humans are social beings, and social connection is a factor in our health. We all know the importance of a healthy diet and exercise for our health. We are getting better at understanding the importance of mental health. One thing we do not discuss much, however, are the benefits of social connection. Our...

  • Fundamental functions: Ear, nose, throat

    Feb 15, 2024

    by Debra Johnston, MD I confess that occasionally even doctors get squeamish. Or perhaps more honestly, this doctor does. My personal list has gotten pretty short, but one of the things that still makes me squirm is something I nevertheless frequently recommend to my patients. So what is this mysterious and rather ominous medical recommendation? Nasal saline irrigation. The practice of rinsing the nose out with liquid probably originated centuries ago in India, and it remains part of spiritual ritual as well as traditional medicine around the...

  • These boots were made for walking

    Feb 8, 2024

    by Jill Kruse, DO Winter weather has finally arrived this year. Getting outside for some activity, even in winter, is great for your overall health. However snow, ice, and cold can turn a stroll in the park into an obstacle course. Having proper footwear is not only important for warmth, but also the wellbeing of your feet. Choosing the correct boots for the elements could mean the difference between enjoying the outdoors and needing an urgent care visit. What makes good footwear for enjoying the outdoors safely? Good traction is essential for...

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