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Category Archives: Medical Issues

Criminal Mischief: The Art and Science of Crime Fiction: Episode #10: Rattlesnakes and Murder

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Episode #10: Rattlesnakes and Murder Podcast: https://soundcloud.com/authorsontheair/criminal-mischief-episode-10-rattlesnakes-and-murder

Past Criminal Mischief Podcasts: http://www.dplylemd.com/criminal-mischief.html

SHOW NOTES

“Good fences make good neighbors”—Robert Frost, “Mending Wall” 

I suspect Ryan Felton Sauter’s neighbor, Keith Monroe, would agree.

People commit murder for a host of reasons. Things like financial gain, revenge, lust, anger, to cover another crime, and many other motives. It seems that these motives can even include a dispute with the dude who parked his RV next to yours.

All sorts of weapons are used for committing murder. Guns, knives, poisons, explosives, ligatures, drownings, and gentle pushes off buildings or cliffs. Oh, don’t forget rattlesnakes. This seems to be what Mr. Sauter decided to employ. Simply slipping the reptile into his neighbors RV might not work since rattlesnakes make that buzzing noise to warn people away. So, wouldn’t it be best to simply remove the rattle. And I guess the best way for that is to bite it off.

You simply can’t make this stuff up.

But snakebites are not always the result of some criminal activity. In fact, they rarely are. Most snakebites occur accidentally. Hunters and hikers know this all too well. As a kid growing up in Alabama, and stomping around in the woods on a daily basis, I knew snakes well. I knew which ones to avoid and which ones were harmless. A black racer was scary and fast, but harmless. Stumble on a rattlesnake or a copperhead and that’s a different story. And until you’ve seen a water moccasin, or as we call them cottonmouth, you haven’t seen an evil looking serpent. These guys are thick, dark, and prehistoric looking. And very dangerous. Yes, they can bite you in the water. So before you jump into that swimming hole deep in the woods, you better make some noise and shake up the water runoff any cottonmouth might be around.

But other people are bitten while they are handling snakes. I don’t mean just biologist or herpetologist, those that study these creatures, but also those who use them in religious ceremonies. You might think that snake handling is a thing of the past and something that is only found in the South, but that’s not true. There are still several snake handling churches from coast-to-coast. Even though in many locations snake owning and handling is not legal, the laws get shaky when it’s under the guise of religion.

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Their justifications come from Mark 16:17-18

“And these signs shall follow them that believe; In my name shall they cast out devils; they shall speak with new tongues; They shall take up serpents; and if they drink any deadly thing, it shall not hurt them; they shall lay hands on the sick, and they shall recover.”

Snake handling in churches is often traced back to 1910 when George Went Hensley began incorporating them into his services at his Church of God with Signs Following. Many others have followed in his footsteps. And many have been bitten such as John Wayne “Punkin” Brown and Jamie Coots, whose son Cody was also bitten while preaching but saved when friends defied the church dictates and got him medical treatment.

For the most part, medical treatment is not offered in the circumstances because it is felt that it’s up to the Lord whether the preacher survives or not. After all, it is religion and the Lord can save you then what’s the point? Not to mention, that many of these groups feel that sipping strychnine is also good for you and will prevent you from dying if you are bitten by a snake. Yeah, that makes good medical sense. Add another poison to the poison authority in your system.

I use much of this in my third Samantha Cody book, Original Sin. One of the bad guys in this story is a snake-handling preacher. During my research for this book, I stumbled across a wonderful book titled Salvation on Sand Mountain. Sand Mountain is maybe 30 or 40 miles from where I grew up so obviously the title intrigued me. Once I got the book and began reading it I discovered it was wonderfully written and then discovered that it was nominated for a National Book Award. It is written by Dennis Covington and is the story of Glenn Summerford, a snake-handling preacher who attempted to kill his wife with a snake.

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From ORIGINAL SIN:

“I knew you’d come back to us,” John Scully said as Lucy and Sam walked into the church. He and Miriam were standing near the pulpit. 

“Back?” Lucy said. 

“Back to the church.”

“That implies I was ever here.”

“You were,” Miriam said. “From the moment you breathed your first breath.”

“You’re not making sense.”

Scully smiled. “You have always been a part of us. Martha and your parents saw to that.”

Lucy glanced toward Sam. “Am I missing something here?”

“Doesn’t make sense to me either,” Sam said.

“You were baptized into the church when you were only days old.”

“No offense, but I don’t remember that. And no one ever bothered to tell me.”

“But deep inside you know it’s true,” Scully said.

“I don’t think so.”

Felicia walked in, carrying a wooden box. She placed it on a table to Scully’s left. The unmistakable buzzing of snakes rose from the box. Scully raised the lid and casually removed a fat rattlesnake. Its buzzing now adopted an angry tone.

Lucy and Sam each took a step back. 

“I don’t think that’s a good idea,” Sam said.

“Don’t worry. I’m immune to the poison.”

“I’m more worried about me and Lucy,” Sam said.

“He’s been bitten a dozen times,” Miriam said. “His faith protects him.”

“That and a little strychnine,” Scully said.

“Strychnine?” Lucy asked. Her attention never drifted from the snake that now waved its head around as if looking for a suitable target. She felt perspiration gather along her back as her heart rate clicked up a notch. God, she hated snakes.

“A little sip neutralizes the poison,” Miriam said.

“I must have missed that day in med school,” Lucy said.

Miriam offered a maternal smile. “Can’t learn everything from man’s books. Only from the word of the Lord.”

The snake coiled around Scully’s arm, head raised. Lucy felt as if it was watching her. She took another half step back, Actually, she wanted to run out the door, but fought the impulse.

“Why snakes?” Sam asked. “What do they have to do with Jesus?”

Lucy knew Sam was playing cop now. Ty and Bump had told them about Scully’s insane beliefs. And Sam had told her that Gladys Johnston had said the same thing. Sam was merely asking questions she already knew the answer to. Seeing if Scully changed his story in any way. 

Now it was Scully’s turn to offer a paternal smile. It faded and his gaze seemed to glaze over. He spoke.

And he said unto them, Go ye into all the world, and preach the gospel to every creature.

He that believeth and is baptized shall be saved; but he that believeth not shall be damned.

And these signs shall follow them that believe; In my name shall they cast out devils; they shall speak with new tongues;

They shall take up serpents; and if they drink any deadly thing, it shall not hurt them; they shall lay hands on the sick, and they shall recover.

So then after the Lord had spoken unto them, he was received up into heaven, and sat on the right hand of God.

And they went forth, and preached everywhere, the Lord working with them, and confirming the word with signs following. Amen.

The quote Sam had shown her. The one Scully had written on the back of a menu.

“Mark Sixteen,” Felicia said.

“I’m afraid I don’t understand,” Sam said. “This is the scripture that tells you to play with snakes?”

Scully gaze hardened. “It’s not play. But you wouldn’t understand.”

 

LINKS:

https://www.mystatesman.com/news/local/police-caldwell-county-man-uses-rattlesnake-neighbor-dispute/NUFO8d5JNM4ggWDdliKS2I/

Snake Handling In Religion Wikipedia: https://en.wikipedia.org/wiki/Snake_handling_in_religion

Snake Handling Churches: http://www.cerm.info/bible_studies/Apologetics/snake_handlers.htm

Church of God With Signs Following: https://en.wikipedia.org/wiki/Church_of_God_with_Signs_Following

George Went Hensley—the First Snake Handler?: https://en.wikipedia.org/wiki/George_Went_Hensley

Punkin Brown: http://www.hiddenmysteries.org/religion/pentecostal/snakeskill-fool.shtml

Jamie Coots Wikipedia: https://en.wikipedia.org/wiki/Jamie_Coots

Cost Coots: https://www.dailymail.co.uk/news/article-6070685/Snake-preacher-gets-bitten-four-years-father-killed-rattlesnake.html

Salvation on Sand Mountain: https://www.amazon.com/Salvation-Sand-Mountain-Snake-Handling-Redemption/dp/0140254587?_encoding=UTF8&redirect=true

Original Sin: http://www.dplylemd.com/book-details/original-sin.html

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Cancer Isn’t a Modern Disease

What is cancer? You know the term and odds are great that you know someone personally who has suffered from a member of this constellation of diseases. But what exactly is it?

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Cancer is basically a genetic disease in that something changes in the DNA inside certain cells and this, in turn, disrupts their normal functions. These changes might result in uncontrolled growth and this can cause problems simply by the tumor’s size and location. The cancerous tissues might obstruct a bowel or a bile duct, or compress brain cells and increase the pressure inside the cranium, or erode into nearby organs of blood vessels. Others changes within these cells might alter their internal workings so that they no longer function as intended or they might produce chemicals or hormones that alter the function of other cells within the body. Cancer comes in many forms.

cancer-cells-growing

What causes cancer? This has been the subject of debate, as well as a tremendous amount of research, for many many years. We have some answers, but there are even more questions. We know that things such as cigarette smoking, exposure to the sun, certain chemicals, and many other things can trigger these genetic changes within cells that can lead to cancers of various types.

Medicine has made tremendous strides in our understanding of cancer and in our methods of early detection, diagnosis, and treatment. There are programs for the early detection of breast and colon cancer and newer treatment protocols have revolutionized the approach to these malignancies. The progress in leukemia and lymphoma treatment, as compared to when I was in medical school, has been nothing short of astounding. 

We often think of cancer as a modern scourge, but cancer is not a new disease. Not by a long shot. It’s been around for many centuries. Evidence for cancers have been found in Egyptian mummies and a recent report from Live Science underscores that.

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Beware the Rabid Dog—-and the Homeopath

Remember the scene in the classic “To Kill A Mockingbird,” where Atticus confronted and shot the rabid dog to protect Scout and her friends? A very dramatic scene and one that had played out in other communities during that era. A rabid dog roaming the streets was indeed a community emergency.

Atticus

But, I don’t remember anywhere in my medical training where the saliva of a rabid dog could be used to treat emotional problems, or anything else for that matter. Maybe I missed that day, though I doubt it.

Homeopath is a word everyone knows. You’ve heard it thousands of times. But, what does it mean? “Homeo” means “the same.” if something possesses homeostasis it means that it remains in a state of stability rather than one of flux or change. It’s static. “Path” means disease or a pathological state. So, homeopathic means a stable state of wellness that is unchanging.

A homeopath is someone who, by definition, practices medicine where nothing changes. No good, no bad, nothing. Homeostatic. Since most of what they do makes no difference, causes no changes in the body, their treatments also cause no harm. Well, except to your wallet. This is what keeps them from being more tightly regulated, or run out of business altogether. 

But that’s not always the case.

Jonah was a four-year-old boy who obviously had emotional if not truly psychiatric problems. He apparently was fearful of werewolves and would crawl around on the floor and beneath furniture and growl at his classmates. Odd behavior for sure. The proper course would have been for him to see a physician in order to determine if there was some infectious process, neuropsychiatric problem, or perhaps drugs involved in his behavior. If none of these were found, then psychiatric evaluation and care should follow.

Instead, he visited a homeopath. One Anke Zimmermann. Apparently, the treatment of choice under Zimmermann’s care was to give the young man a concocted medicine that contained the saliva of a rabid animal. Really? Odds are that this beyond bizarre treatment would do no harm, be homeopathic, but you just never know. The rabies virus is a hardy creature.

Rabies Virus

The key point here is that these types of treatments are neither regulated nor investigated and are far outside scientific thinking or procedure. The take-home lesson is, be careful out there. There are a lot of folks who, under the guise of being a so-called “health care provider,” do crazy stuff.

 
6 Comments

Posted by on June 19, 2018 in Medical Issues, Uncategorized

 

Yes, You Can Die From A Broken Heart

The term “broken heart” is well known to everyone. From Romeo and Juliet, to shattered romances, to many a teenager’s angst, a broken heart seems to be part of life. Everyone’s been there. But can you die from a broken heart? You bet.

In a very unusual medical condition known as Takotsubo’s Cardiomyopathy, dying from a broken heart can actually occur. Takotsubo is a Japanese octopus trap and is shaped like a dilated and damaged left ventricle as happens in a cardiomyopathy.

Takotsubo Pot and LV

Cardiomyopathy is a big word but when broken down into its components is fairly easy to understand. Cardio means heart, myo means muscle, and opathy means disease. So a cardiomyopathy is a disease of the heart muscle. It often results from coronary artery disease where multiple heart attacks (myocardial infarction or MI) have occurred, damaging the muscle severely. It also can occur after viral infections, certain meds and drugs that are toxic to the myocardium, odd diseases like amyloidosis, some members of the disease group we call autoimmune disorders, and other maladies.

We analyze the pumping function of the heart in many ways. Echocardiograms, CT and MRI angiograms, and with a ventriculogram done as part of a cardiac catheterization procedure. Here a catheter is passed through an artery and into the left ventricle—the heart’s main pumping chamber—and contrast material is injected while a digital video is made. A normal ventriculogram shows the heart squeezing in tightly as the heart muscle contracts.

Normal LVgram

An abnormal one, such as is seen in a cardiomyopathy, will show diminished “squeezing” during the contraction phase (systole) of the cardiac cycle.

CMP LVgram

An odd form of cardiomyopathy is Takotsubo’s Cardiomyopathy. In this circumstance, extreme emotional upset changes the physiology of the heart muscle in some fashion and leads to it being “stunned” or damaged. The actual mechanism for how this happens is not known but the result is a significant weakness of the heart muscle, which, in turn, can lead to heart failure and death. It is not common, but it is real.

This is likely what happened to Joanie Simpson and perhaps the famous actress Debbie Reynolds.

 
 

Metal Pica: Hmmm, That’s Good—-Or Not

 

Pica is the persistent and compulsive eating of substances that have no nutritional value. Things like dirt (geophagia) or rocks (lithophagia), ice (pagophagia), paint chips, hair (trichophagia), paper (Xylophagia), metal, almost anything.

In the South, clay pica, more so in the past than now, still occurs. Red clay dirt is seen as having health benefits. It doesn’t, and in fact, the clay can bind iron, remove it from the body, and lead to significant anemia.

X-Ray of Geophagia

And oddly, ice pica can be a sign of iron-deficiency anemia. If someone says they feel the need to munch on ice constantly, a search for anemia is in order.

Metal pica is not common but cases do pop up from time to time. Kids swallow coins and paper clips and pieces of aluminum foil because kids do goofy stuff. But some people consume metallic objects in large amounts and, as should be obvious, this has significant health concerns. I mean, a belly full of metal can’t be good.

Such is the case with a 52-year-old man from whom surgeons removed over 100 pieces of metal.

 
1 Comment

Posted by on March 19, 2018 in Medical Issues

 

The Mystery of Chopin’s Heart

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Did Frederic Chopin die from Tubercular Pericarditis? And what the heck is that anyway?

Pericarditis is an inflammation has occurred of the pericardium, the sac that contains the heart. Most often it is due to a viral infection but there are many others causes. One of the worst is tuberculosis (TB).

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Tubercular Thickening of the Pericardium

 

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X-Ray Showing Thickened Pericardium
(White ring around heart shadow)

Tuberculosis has wreaked havoc in humans for centuries. It has been found in Egyptian mummies and has devastated entire populations. Treatment didn’t appear until the 20th century and in recent years new, more malignant forms have appeared. Even after several millennia, it remains a difficult medical problem.

It attacks the lungs and slowly destroys the tissues, leading to cough, fatigue, weight loss, and muscle wasting—-the reason it was called “the consumption.” It, at times, literally consumed the sufferer.

When it spreads to the heart, particularly the pericardium, it can quickly become deadly. A thick viscous fluid collects in the pericardial sac, compresses the heart, and interferes with its function as a pump. This fluid can also solidify into a leathery trap around the heart so that even survivors of the initial infection can suffer severe, long-term problems that we term constrictive pericarditis—-the encasement restricts cardiac filling and thus effects pumping.

Recent studies suggest that this is what happened to Chopin. His heart took a strange and convoluted journey. He had requested that at his death that his heart be removed and returned to his native Warsaw, Poland. When he died in Paris in 1849, his heart was indeed removed, placed in a crystal jar, and encased in a stone pillar at the Holy Cross Church in Warsaw. In a recent examination, researchers found evidence that suggested he had suffered from TB pericarditis.

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Holy Cross Church

 

Getting Lost in Your Own Home

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What if you couldn’t navigate your own home? What if your child is calling for you in another room, but you can’t figure out how to get there? You just might have Developmental Topographical Disorientation (DTD). Some resort to making detailed maps of their home just to navigate life.

An odd neurological condition for sure.

The Atlantic article: https://www.theatlantic.com/health/archive/2015/05/when-the-brain-cant-make-its-own-maps/392273/

New Scientist article: https://www.newscientist.com/article/dn25578-mindscapes-the-woman-who-gets-lost-in-her-own-home/?full=true&print=true#.U4neU16aGzA

Medical Daily article: http://www.medicaldaily.com/getting-lost-what-happens-when-brains-gps-mapping-malfunctions-245400

 
2 Comments

Posted by on January 11, 2018 in Medical Issues

 
 
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