Category Archives: Libraries

THE INTERNET IS NOT A DOCTOR

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Do you grab your phone and head for Google, Bing, or one of dozens of other search engines the moment a question on any subject pops up? If you’re looking for driving directions or good rate on a motel, that’s usually not a problem.

On the other hand, maybe you’re concerned about a rash on your baby’s bottom or a sudden increase in her drooling or crying. You call your mother, who says it’s just diaper rash, or the drooling and crying is just teething. That’s only comforting if your mom is a doctor. If not, you want to be sure she’s right, but it is ten o’clock on a Saturday night, and your doctor’s office is closed. Do you call her answering service or make a trip to the Emergency Room?

Or do you go to your phone or computer to look up your baby’s symptoms? If you do that, proceed with caution. The Internet is not a doctor!

Your search engine cannot guarantee that the sites you visit will give you the medical advice you need. What you find online may be unreliable at best, or dangerous at worst. Consider recent false news of a cannabis cancer cure. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6426557/

To avoid those pitfalls, you might try visiting the National Institute of Health’s U.S. National Library of Medicine. https://www.nlm.nih.gov/

Let’s get back to that mother with the unhappy baby. The most helpful of the US NLM options for laypersons seeking information would likely be MedlinePlus.

After reading through causes, symptoms, exams, tests and treatment, let’s look at their advice about when to call the doctor for diaper rash.

Call your child’s provider if:
The rash gets worse or does not go away in 2 to 3 days
The rash spreads to the abdomen, back, arms, or face
You notice pimples, blisters, ulcers, large bumps, or sores filled with pus
Your baby also has a fever
Your baby develops a rash during the first 6 weeks after birth

What about the drooling and crying? Let’s see what advice the NIH site offers:

MedlinePlus indicates the signs of teething are:
Acting cranky or irritable
Biting or chewing on hard objects
Drooling, which may often begin before teething starts
Gum swelling and tenderness
Refusing food
Sleeping problems
Teething does NOT cause fever or diarrhea. If your child develops a fever or diarrhea and you are worried about it, talk to your health care provider.

Notice in both cases, the warnings about calling your health care provider. No matter how well you do your research, or how certain you feel that your mother’s diagnoses are correct, the NIH reminds you that consulting your doctor is your best choice when it comes to keeping your baby, or yourself, healthy and happy.

For more information about the U.S. National Library of Medicine, go to: https://www.nlm.nih.gov/


Aimee Machado, hospital librarian with a specialty in forensic collections, finds herself investigating a sordid crime involving medical procedures performed on undocumented immigrants in private prisons. Primary Source is book five in the Aimee Machado Mystery series published by Camel Press and Harlequin Worldwide Mysteries.

 

Coffee Chat With Ally Shields

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PictureCheck out my January 30 Coffee Chat with urban fantasy writer Ally Shields. https://allyshields.com/blog/archives/01-2019

I enjoyed answering her thought-provoking questions about my writing journey and about Primary Source, the soon-to-be-released fifth book in my Aimee Machado Mystery Series.

https://www.barnesandnoble.com/w/primary-source-sharon-st-george/1129752844?ean=9781603815833

IED HAS TWO MEANINGS – BOTH ARE EXPLOSIVE

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You might think you know what an IED is. I thought I did, but I was only half right. Most of us who have followed the various military conflicts in the Middle East are familiar with the term. It’s an abbreviation for a deadly roadside weapon called an Improvised Explosive Device.

There is another IED, however, which is often described as a “temper tantrum,”  or “flying off the handle,” but it is more than that. It is a psychological diagnosis found in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5 for short), and it’s called Intermittent Explosive Disorder. Coincidentally, it can also be set off on a roadside, as seen in cases of road rage. This diagnosis is another fact I’ve learned by writing fiction.

In Breach of Ethics, book three of my Aimee Machado Mystery series, an angry outburst occurs in a most unlikely setting—a hospital conference room during a meeting of the Ethics Committee. Until I wrote the scene, I had never heard of this other IED. Taking on the persona of my protagonist, a hospital-based health sciences librarian, I decided to research impulsive rage, and in doing so, I discovered Intermittent Explosive Disorder.

In some cases, as in extreme road rage incidents, this lesser-known IED does turn deadly. As defined by the Mayo Clinic, “Intermittent Explosive Disorder involves repeated, sudden episodes of impulsive, aggressive, violent behavior or angry verbal outbursts . . . grossly out of proportion to the situation. Road rage, domestic abuse, throwing or breaking objects, or other temper tantrums may be signs of intermittent explosive disorder.” Simply put, this explosive disorder brings out the beast in some of us in a terrifying manner.

Once diagnosed, treatment might include a combination of cognitive behavioral therapy and medications, including antidepressants, anticonvulsants, antianxiety and mood regulators.

For more detailed information on diagnosis and treatment of this disorder, visit the sites shown below.

https://www.mayoclinic.org/diseases-conditions/intermittent-explosive-disorder/symptoms-causes/syc-20373921
https://www.psychologytoday.com/us/conditions/intermittent-explosive-disorder
https://www.health.harvard.edu/newsletter_article/treating-intermittent-explosive-disorder
https://my.clevelandclinic.org/health/diseases/17786-intermittent-explosive-disorder

The Aimee Machado Mystery series, published by Camel Press and Harlequin Worldwide Mysteries, is available in print and e-Book format from Amazon, Barnes & Noble, and by request from your local bookstore. Visit again soon to learn more facts I’ve learned by writing fiction. Primary Source, book 5 in the series, is due for release in mid-February.

(Bear photo by Andre Tan on Unsplash)

 

Music Makes Mystery Memorable

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As a very small child, I recall my mother playing “The Third Man Theme” on her accordion. It was a compelling tune that evoked vivid memories for her of the 1949 suspense film, The Third Man. If you’ve never seen it, I highly recommend that you add it to your film list. Visit the following link for more about The Third Man.

https://en.wikipedia.org/wiki/The_Third_Man

I suspect Mom’s fondness for the movie and the tune stemmed from her belief that Joseph Cotton, the handsome leading man, bore a remblance to my father.

The movie version of the “The Third Man Theme” was played on the zither. The YouTube version at the link below captures its essence and provides some still clips from the film, which the British Film Institute voted the greatest British film of all time. Listen for a bit and decide whether this theme might linger in your mind long after seeing the film.

https://www.youtube.com/watch?v=n2N5RXvzhrs

With this memory in mind, I began to think of the music I chose for my novels when writing the Aimee Machado Mysteries. As the series grew, each book lent itself to a different genre. So far, these have included country, blues, classical piano, and in Spine Damage, the most recently released book, fado. In the U.S., fado is likely the least known of these musical genres, but in the Azores Islands and in Portugal, it is part of the fabric of the country. Fado became my choice of music genre for Spine Damage, because the story spans the globe from rural Northern California to the Azores Islands of Faial and Pico in the nine-island Atlantic archipelago.

In this fourth book in the series, the solution to the mystery is advanced by the discovery of links between Ana Moura, a real-life Portuguese female vocalist who is possibly the most famous fado singer in the world, and two iconic American musicians: Prince and Mick Jagger. The links between these musical artists are real and easily researched.

https://www.youtube.com/watch?v=42p0_L_ycFk

Here is a sample of Moura’s artistry:

https://www.youtube.com/watch?v=_Ia1ECfWJCM

Visit these links for more about Ana Moura and fado music.

https://www.newyorklatinculture.com/ana-moura-fado-town-hall

https://www.visitportugal.com/en/node/73868

Books in the hospital-based Aimee Machado Mysteries are published by Camel Press (an imprint of Epicenter Press) and are available for purchase in print and eBook format from Amazon, Barnes and Noble, Kobo, and from your local bookstore.

Camel Press

Medical Interpreters – Saving Lives

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Facts I’ve Learned by Writing Fiction

This post is a result of my research for SPINE DAMAGE, book four in my Aimee Machado Mystery series featuring a hospital librarian with a specialty in forensics. 

Ever wonder what happens when a critically ill or injured patient with no knowledge of the English language arrives in an American hospital’s Emergency Department?

 

In Spine Damage, book four of the Aimee Machado Mystery series, that’s just what occurs at fictional Timbergate Medical Center in Northern California. The incident involves a young Portuguese-speaking man with a potentially fatal gunshot wound to his spine. It also results in a new mystery involving Aimee Machado, our hospital librarian.

The critically injured patient cannot tell his story to his doctors or to the police without the help of an interpreter. Aimee finds help for this fictional patient, but what would happen in real life?

Raise your hand if you speak English, and Portuguese, and if you’re also fluent in medical terminology in both languages. No one? The specialty of Certified Medical Interpreter (CMI) is currently experiencing a 29% growth rate, so if you like languages and you’re seeking a career path, it’s worth a look.

Before we go further, let’s clear up the difference between interpreters and translators. Both require a knowledge of more than one language, and both require skilled specialists, but for different reasons. The most obvious difference is the medium: translators interpret written text; interpreters translate orally.

Authorities in the field agree that expert knowledge of subject matter is equally as important as interpreting experience. When a medical interpreter is involved, the accurate oral exchange of information between health care provider and patient can be crucial. A qualified medical interpreter must have an extensive vocabulary, including medical terminology and an ability to express thoughts concisely in both languages. Beyond that, the interpreter must be familiar with both cultures.

Although the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) does not require that hospitals use certified interpreters, it has clarified the standards for qualified and competent interpreters. Qualifications and competencies can be met in a variety of ways (not simply through certification). Those include:

– Knowledge of medical terminology
– Language Proficiency Testing
– Training in interpretation best practices
– Interpreting experience in a healthcare setting

There are documented cases of patients being saved, or lost, because of the quality of medical interpretation. Who knew that second language we were required to learn in school could someday lead us into a profession that would offer the opportunity to save lives?

For more information on medical interpreters, visit one or more of the following sites:

http://www.certifiedmedicalinterpreters.org/

http://www.imiaweb.org/

https://www.aafp.org/afp/2014/1001/p476.html

http://blog.cyracom.com/joint-commission-standards-healthcare-interpretation

Visit www.sharonstgeorge.com again soon for another  fact I’ve learned while writing SPINE DAMAGE, book 4 in this series.

Books in the hospital-based Aimee Machado Mysteries are published by Camel Press (an imprint of Epicenter Press) and are available for purchase in print and eBook format from Amazon, Barnes and Noble, Kobo, and from your local bookstore.
http://camelpress.com