Tuesday, May 12, 2009

Psychological Troubles

I saw an interesting report on my local TV news last night. It was about psychologically trouble residents of New Orleans, or more precisely, about the fact that many of those are not receiving treatment for their illnesses or medication since the hurricane. It's because most of the psychologists and psychiatrists who practiced here (along with many other physicians) have left the city for practices elsewhere in the U.S.
The TV broadcaster gave a figure that surprised me. Allegedly, 87% of all psychiatrists and psychologists who practiced here before the August storm are no longer in residence. This means no medicine or treatment of many patients, in particular those with little financial means or the ability to locate treatment from the tiny pool of practicing doctors. The police department here reports three times the number of suicides after the storm than prior to it (and this with only about 45% of the city population still here), and a huge number of 911 calls reporting irrational behavior by a perpetrator. It's just another example of the effect of the storm and an indication that those with the most education and money (like the doctors I mentioned above) are most likely to be able to and want to relocate to other s cities. The impact on service by this out flight is a big problem the city will have to address if it is to be an attractive location in the future.
Some people try very hard to make their last wishes clear. In particular those involved in a living will that states whether they wish to be "revived" if incapacitate and hopelessly ill. Well, Mary Wohlford of Decorah, Iowa has taken that idea one step further. She made it perfectly clear what her wishes are by having "DO NOT RESUSCITATE" tattooed on her chest!
And to make extra certain, Mary (who is 80 years old) even has a living will hanging on the side of her refrigerator. "People think that I am crazy, but that's ok," she said. This is the modern age. You have to advance with the times"
Well, the idea did cross my mind that she may be a little extreme in making known her intentions, and some legal issues with her method. Experts in law there say her tattoo may not be legally binding if emergency workers see it when trying to revive Mary. The law in Iowa and all states here define when caregivers can stop life-sustaining measures. Tattoos are not mentioned in any of those state rules. The obvious, legal and common way to prevent resuscitation is to prepare a living will and give a copy to the individual's physician and local hospital. Oh....by the way....If I write too much stupidity to you in these E mails feel free to not resuscitate me. Your mail box would probably be healthier without me revived anyway.
Now for an important issue..the resolution of the hickey controversy. I refer to the Sentinel High School business teacher who was more interested in "monkey business" than in the business course he taught at the Missoula, Montana school where he worked. Dan Kucera has since resigned his position after being charged with misdemeanor assault for allegedly giving a student a hickey. Yep. Dan put a 17 year old male student in a head lock and sucked on his neck, causing the hickey. Calling it a "stupid mistake", Dan vacated his job and has not been seen often in town since the incident.
Well, maybe he is just giving hickey's in private now.

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