Gregg Greenough, MD
Specialty: Emergency Medicine
Location and Office HoursBrigham & Women's Hospital Emergency Dept
Boston, MA 02115
- Beth Israel Deaconess Medical Center
- Brigham & Women's Hospital
What is Cardiotendonus Xanthomatosis?
Discovery Health answeredYou've been diagnosed with WHAT? Can you pronounce it? Where do they get these disease names? What do they mean? Dr. John Whyte explains in this Discovery Health video.
What is an Emergency Physician in the ER?
An Emergency Physician is a doctor whose practice is specifically directed toward conditions that most people would consider an emergency to a greater or lesser extent. This means that the physician must be able to handle the common illnesses that present in any doctor's office on a daily basis, such as colds, earaches, vomiting, urinary infections and the like. However, the Emergency Physician must always be ready to answer the call to treat a hear attack, a stroke, a major motor vehicle accident, a gunshot wound or a cardiac arrest. In addition, many Emergency Departments may perform deliveries, resuscitations of in-hospital patients and other highly critical medical care.
Typically, an Emergency Physician takes care of the patient during the "Golden Hour"--the first hour after a life-threatening illness or injury. Sometimes this means definitive treatment---treating a pneumonia patient so that admission is not necessary for instance. At other times, this means stabilizing the patient so that he or she survives until a surgeon or other specialist can perform definitive treatment--such as in the case of a severe auto accident with multiple fractures.
What should I know about hiking?
Jane Milliff, Physical Therapy, answered
“Hiking downhill is harder than going up– I’m always on guard and if there’s any scree, I slip.” says my friend.
“Besides, my back gets tight and sore. If only I could hike uphill for an hour or so, then paraglide down, “she says laughing.
“Try leaning forward a bit.” I say.
“What?? That seems counter-intuitive.”
Hiking downhill can be harder than it seems. You may be so afraid of falling, that you lean back, trying to avoid careening down the hill. Your back is arched so your shoulders end up behind your center of gravity. This is exactly what not to do. This is exactly what puts you on the backs of your heels and makes it likely you will land on your backside. In an attempt to slow yourself down, you actually decrease control. With your weight on the heels, you are stepping on the proverbial banana peel and setting yourself up for a fall.
Try this instead: Tune in to your sternum, (breastbone). Where is it? Is it pointed up towards the sky or angled down, perpendicular to the ground? If your chest is out, your back is arched and your weight is on your heels. A little loose gravel will be your undoing.
Keep your chest perpendicular to the ground as you descend so your weight is evenly distributed on the soles of your feet and your back is neutral. Now you have control. Now you will feel more comfortable – in all ways – as you hike.
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