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  • Suicidal Thoughts 2

    Mental Health

    Signs & Symptoms

    *  Writing a suicide note.

    *  Suicidal threats, gestures, or attempts.

    *  Thoughts of suicide that don’t go away or occur often.

    Causes

    *  Depression.

    *  Bipolar disorder.

    *  Schizophrenia.

    *  Grief. Loss of a loved one.

    *  A side effect of some medicines. One is isotretinoin. This is prescribed for severe acne. Some antidepressants have this effect, too. This is more of a risk in the first days to the first month they are taken.

    *  A family history of suicide or depression.

    *  Money and relationship problems.

    *  Increasing use of alcohol and/or drugs.

    *  Withdrawing from others.

    *  Showing rage or seeking revenge.

    *  Behaving recklessly.

    *  Talking about feeling trapped, hopeless, or in unbearable pain.

    Treatment

    *  Emergency care.

    *  Treating the mental and/or physical problems that lead to thoughts and attempts of suicide. Examples are bipolar disorder and depression.

    *  Counseling.

    *  Talking with family and friends often.

    Questions to Ask

    Self-Care / Prevention

    For Suicidal Thoughts

    *  Call the National Suicide Prevention Lifeline at 800.273.8255.

    *  Let someone know. Talk to your doctor, a trusted family member, friend, or teacher. If it is hard for you to talk to someone, write your thoughts down. Let someone else read them.

    To Help Prevent a Suicide

    *  Keep firearms, drugs, etc., away from persons at risk.

    *  Take courses that teach problem solving, coping skills, and suicide awareness.

    *  If you think the person is serious about suicide, get help. Watch and protect him or her until you get help. Keep the person talking. Ask questions such as, “Are you thinking about hurting or killing yourself?”

    *  Urge the person to call for help (e.g., his or her health care provider, a suicide prevention hotline, EMS, etc.) Make the call yourself if the person can’t or won’t.

    *  Express concern. The person needs to know that someone cares. Most suicidal persons feel alone. Tell the person how much he or she means to you and others. Talk about reasons to stay alive. Don’t judge. The person needs someone to listen, not preach moral values.

    *  Tell the person that depression and thinking about suicide can be treated. Urge him or her to get professional care. Offer help in seeking care.

    Resources

    Mental Health America (MHA)

    800.969.6642

    mentalhealthamerica.net

    National Suicide Prevention Lifeline

    800.273.TALK (273.8255)

    suicidepreventionlifeline.org

    Healthier at Home book by the American Institute for Preventive Medicine. www.HealthyLife.com. All rights reserved.

    © American Institute for Preventive Medicine

  • Avoiding Stranger Danger Isn’t Just For Kids

    Home Safety

    Image of a person in shadow.

    Always be on alert and aware of your surroundings.

    You don’t have to be paranoid that people are out to get you, but you should be cautious to avoid being robbed, carjacked, raped, and even killed for nothing more than a pair of shoes. Protect yourself and those you love.

    At home:

    *  When you move into a new home or apartment, change all locks right away.

    *  Use deadbolt locks on doors. Secure windows so they can’t be opened more than five inches from the outside.

    *  Keep shades or curtains drawn after dark and turn on outside lights.

    *  Install motion sensor lights that turn on when someone passes by.

    *  Don’t open your door to anyone you don’t know.

    *  Don’t list your first name in the phone book. Keep your name off your mailbox.

    On the go:

    *  Carry a cell phone with you. Make sure it’s charged.

    *  Walk tall on the streets and stay alert. Avoid walking alone at night, dark alleys, and people who look suspicious.

    *  Carry a whistle or stickpin.

    *  Make sure your car has plenty of gas.

    *  If your car breaks down, call for help. Stay inside with the doors locked and the windows up. Turn on your flashers and wait for police or other help to arrive.

    *  If someone approaches your car, crack your window and ask him or her to call for help. Don’t let the person into your car.

    *  Don’t hitchhike or pick up hitchhikers.

    *  If you are going on a date with someone you just met, meet him or her in a public place.

    Action Step

    Use common sense. Don’t jog, bike, or hike alone in secluded areas day or night. Instead, join a club or ask a friend who shares the same interests to join you.

    Ways to Well-Being book by the American Institute for Preventive Medicine. www.HealthyLife.com. All rights reserved.

    © American Institute for Preventive Medicine

  • See Your “Primary” Doctor Before You See A Specialist

    Medical Care

    Internists, family doctors, and pediatricians are examples of primary care doctors. They give general medical care. If you are a member of a Health Maintenance Organization (HMO), your primary care doctor is the doctor you select from the HMO plan to be the “gatekeeper” of all your medical needs. This person could be a family doctor, internist, obstetrician/gynecologist, etc. Whether or not you belong to an HMO, call or see your primary care doctor before you see a specialist. If your primary care doctor cannot take care of your health problem, he or she will refer you to a specialist.

    Doctors and Their Specialties

    Common doctors and a description of their specialties are listed below.

    *  Allergist. Diagnoses and treats allergies.

    *  Anesthesiologist. Administers anesthetics that are used during surgery.

    *  Cardiologist. Diagnoses and treats diseases of the heart and blood vessels.

    *  Dermatologist. Diagnoses and treats diseases and problems of the skin.

    *  Emergency Medicine. Specializes in rapid recognition and treatment of trauma or acute illness.

    *  Endocrinologist. Diagnoses disorders of the internal glands such as the thyroid and adrenal glands.

    *  Family Practitioner. Provides total health care of the individual and the family. Scope is not limited by age, sex, or organ system.

    *  Gastroenterologist. Diagnoses and treats disorders of the digestive tract: stomach, bowels, liver, gallbladder, and related organs.

    *  Gynecologist. Diagnoses and treats disorders of the female reproductive system.

    *  Internist. Diagnoses and treats diseases especially those of adults.

    *  Nephrologist. Diagnoses and treats diseases and problems of the kidneys.

    *  Neurologist. Diagnoses and treats disorders of the nervous system.

    *  Obstetrician. Provides care and treatment of females during pregnancy, labor and delivery, and six weeks after delivery.

    *  Oncologist. Diagnoses and treats all types of cancer and other types of benign and malignant tumors.

    *  Ophthalmologist. Diagnoses, monitors, and treats vision problems and other disorders of the eye and prescribes prescription lenses.

    *  Orthopedist. Diagnoses and treats skeletal injuries and diseases of the bones and muscles.

    *  Otolaryngologist. Diagnoses and treats disorders that affect the ears, respiratory, and upper alimentary systems (in general, the head and neck).

    *  Pathologist. Examines and diagnoses organs, tissues, and body fluids.

    *  Pediatrician. Diagnoses and treats the physical, emotional, and social problems of children.

    *  Physiatrist. Provides physical and rehabilitative treatment of muscle and bone disorders.

    *  Psychiatrist. Treats and prevents mental, emotional, and/or behavioral disorders.

    *  Radiologist. Uses x-rays and radiant energy for diagnosis and treatment of disease.

    *  Urologist. Diagnoses and treats diseases of the urinary or urogenital tract.

    Page from A Year of Health Hints book by the American Institute for Preventive Medicine. www.HealthyLife.com. All rights reserved.

    © American Institute for Preventive Medicine

  • Saving Money In The Hospital

    Medical Care

    Image of women in wheel chair talking with two nurses.

    Don’t stay in the hospital unless you need to! The daily hospital rate in some sections of the country is now as high as $1,000. And that doesn’t include the costs for treatments, medicines, or doctor’s fees. The hospital should never be viewed as a place to get a good rest. Consider these tips:

    *  Choose outpatient services whenever you can. Many routine lab tests, diagnostic tests and surgeries can be done for less money as an outpatient. You avoid the cost of an overnight stay in a hospital.

    *  As an inpatient, stay only the prescribed time that is necessary. Ask your doctor about home health care, which can provide a wide range of services at less cost than in a hospital.

    *  Beware of duplication of tests. Be sure to ask the doctor about what blood tests, X-rays, and medical procedures you can expect.

    *  Be sure you know when checkout time is and make plans to observe it; otherwise, you’re likely to be charged for an extra day’s stay.

    *  If your health problem isn’t an emergency, avoid being admitted to a hospital on a weekend. The hospital staff is reduced then, and testing will usually not begin until Monday.

    *  Same-day or ambulatory surgery is a big moneysaver when compared to inpatient surgery.

    *  Keep a list of all services you receive in the hospital. Ask for an itemized bill so you can make sure you are billed correctly.

    Hospital Admissions

    Arrange as much as you can before being admitted. Ask the following questions:

    *  Can you have the needed forms mailed to your home before being admitted? This will give you more time to review and complete them. Can you be “preadmitted” over the telephone?

    *  Is your insurance coverage well understood by both the billing department and you?

    *  Can you reserve a private or semiprivate room with your coverage?

    *  What identification will you need to have?

    *  Do you need special foods? If so, how can you arrange for them?

    Page from Health at Home book by the American Institute for Preventive Medicine. www.HealthyLife.com. All rights reserved.

    © American Institute for Preventive Medicine

  • Save With Medical Self-Care. It Makes You More Aware.

    Medical Care

    Close up of arm and hand using an at home blood pressure machine.

    *  Use a medical self-care book. It helps you choose when to seek medical care for a problem and when to treat it on your own. It gives information to help you feel confident when caring for the problem and helps you learn what to do to lower your risk of getting sick.

    *  Access your health plan’s online resources for health information.

    *  Call your Nurse Advice Line for information and assessment of symptoms and what to do for them.

    *  Use credible eHealth portals. Examples are:medlineplus.govand other online resources that are approved by Health On the Net (HON).

    *  Take a free or low-cost first-aid class in your community. Stock self-care supplies in your house.

    *  Take medications as prescribed by your doctor. If you don’t, you could end up paying significantly more for medical services including more frequent doctor visits, emergency care, and hospitalization.

    *  Follow your doctor’s treatment plan for exercise, diet, and other self-care measures, too.

    A Year of Health Hints book by the American Institute for Preventive Medicine. www.HealthyLife.com. All rights reserved.

    © American Institute for Preventive Medicine

  • Save On Medications

    Medical Care

    Image of mother and daughter at the pharmacy.

    Ask for freebies.

    If you are prescribed a new medicine, ask your doctor if you can have free samples or a prescription for fewer tablets. This allows you to try the medicine before you pay for a full month’s supply.

    No frills pills.

    Instead of brand name drugs, ask for generic ones. These usually cost less. Co-pays for generics cost less, too. Even if your doctor gives you free samples to try, ask if a generic form of the medicine can be prescribed. If the sample medicine does not have a generic form, ask if you can get another generic medicine that has the same effects. Find out more about generic drugs from 888.INFO.FDA (463.6332) orwww.fda.gov/cder/ogd.

    Split the pill, split the cost?

    When your doctor prescribes medicines, ask if it would save money to prescribe pills that could be split in half. This means you would get two months of medicine for the cost of one. Use a pill splitter from a drug store to help keep the halves an equal size. Split one pill at a time so you take the halves in back-to-back doses.

    Mail order your medicine.

    Use a mail order pharmacy for prescribed medicines you take on a regular basis. You usually get a 3-month supply for the same cost you would pay for one month at a drug store. Your doctor needs to write a prescription for 3 months.

    Shop around.

    Medicine prices can vary a lot. Call large chains first. They can pass along the savings of buying in bulk. Even so, your local pharmacy may have a lower price on some drugs. Make sure the pharmacy takes your insurance. Some pharmacies offer 24-hour emergency and delivery services. Some keep track of all the drugs you buy. They can check for harmful mixtures of drugs. Think about helpful service and convenience, as well as cost.

    Deal or no deal.

    Costs for medicines from foreign Internet sites may or may not be cheaper. A study by the FDA showed that generic drugs sold in the U.S. are often cheaper than both Canadian brand-name and generic drugs. Factor in shipping and handling costs, too. {Note: Get safety information on imported drugs fromwww.fda.gov/importeddrugs. Before you buy prescriptions on the Internet, make sure the pharmacy has the VIPPS seal. This stands for Verified Internet Pharmacy Practice Sites. Also, check with the National Association of Boards of Pharmacy atwww.nabp.netor call 847.391.4406 to find out if a Web site is a licensed pharmacy in good standing.}

    Medicare Part D may be free.

    If you are eligible for Medicare, you may benefit from Medicare Part D Prescription Drug Savings Program. To find out, contact: Medicare Choices Helpline at 800.MEDICARE (633.4227) orwww.medicare.gov. Before you call, have a list of all the medicines you take, their dosages, and your zip code.

    Take all of it.

    If your doctor or pharmacist says to take a drug until it is gone, do it. Don’t stop taking the medicine even if you start to feel better. This also applies to medicines you take for high blood pressure, diabetes, and heart disease. You can also avoid the cost of getting sick again. If you stop taking medicines because you can’t pay for them, talk to your doctor.

    Store OTC medicines in a good place.

    The bathroom medicine chest is not a good place. Bathroom heat and humidity can make drugs lose their power faster. This means they would have to be replaced sooner. A kitchen cupboard or linen closet is better, especially if it has a lock.

    The best medicine may be no medicine.

    Don’t pressure your doctor to prescribe medicine if he or she doesn’t think you need it. For example, antibiotics treat bacterial infections, not viral ones, such as colds and flu.

    Find out about prescription savings programs.

    *  The Partnership for Prescription Assistance at 888.4PPANOW (477.2669) orwww.pparx.org. This program offers a single point of access to more than 475 public and private patient assistance programs. This includes over 150 drug company programs.

    *  NeedyMeds at 215.625.9609 orwww.needymeds.com. This Web site gives information to help you find programs to help you with the cost of medicines and other health care expenses.

    *  PAP Advocates for Patient Assistance Programs at 870.873.4629 orwww.prescriptionmedicationhelp.com. This helps you enroll in programs to be able to get prescribed medicines for free.

    *  RxAssist at 401.729.3284 orwww.rxassist.org. With this, pharmaceutical companies provide free medicines to people who cannot afford to buy their medicine.

    *  Together Rx Access atwww.togetherrxaccess.com. This is a prescription savings program for people with no prescription coverage. Persons enrolled get a Together Rx Access Card to present at drug stores to save money on certain prescriptions.

    *  FRxEE Medicine™ Foundation.com atwww.freemedicinefoundation.com.

    *  NORDs Medication Assistance Program atwww.rarediseases.org/programs/medication.

    Save money on store brands.

    When you do buy OTC medicines, buy store brands instead of name brands. Like prescribed generic medicines, these have the same active ingredients, but cost less.

    Keep it simple.

    When you buy over-the-counter medicines, don’t buy combination ones, such as cold pills that have a decongestant and an antihistamine. There will be times when you need only one of these ingredients.

    Read OTC labels.

    Don’t waste your money on over-the-counter (OTC) medicines that you don’t need. Read the label to make sure it’s the right product to treat your symptoms. If you have questions about how useful a product is, ask the pharmacist and/or your doctor.

    Simplify your home Rxs.

    Keep some OTC medicines handy for common problems like fever or heartburn. Only buy OTC medicines you use often because they lose their effects over time. Most are good for three years or less. (Check the labels for the expiration dates.)

    Cover image to the Healthy Savings book by the American Institute for Preventive Medicine. www.HealthyLife.com. All rights reserved.

    © American Institute for Preventive Medicine

  • Save On Hospital Services

    Medical Care

    Image of nurse helping a women walk.

    Hunt for hospital quality.

    Choose a hospital that has a good success record with the kind of surgery you need. You are less likely to die or have serious problems if the hospital does the surgery a lot. What is “a lot”? Some experts say the hospital should do a surgery at least 200 times a year. If the surgery you need is rare, that may not be possible. Ask about the hospital’s experience with surgeries like yours. Talk to your doctor, the hospital administrator, or the hospital’s chief of staff.

    Avoid hospital germs.

    Five to 10% of all hospital patients will get an infection they did not have before they were in the hospital. To protect yourself:

    *  Be well-rested and well fed before you go to the hospital.

    *  Check that persons who give you care wash or sanitize their hands.

    *  If a roommate gets pneumonia, ask to have your room changed.

    Control consults.

    You could get a hospital bill for a doctor visit that you didn’t even know about. To avoid this, try to make sure your doctor knows that you or someone acting for you must approve a consult with another doctor. If you can, ask your insurance company if the cost of the consult is covered in part or in full.

    Keep track of hospital services.

    Keep a list of services you get. Compare the list to your hospital bill. Have a friend or relative make the list if you can’t. Also, ask for an itemized bill and check it. Some common things to note are:

    *  Doctor visits. X-rays. Tests.

    *  Medicines (pills, shots, IVs).

    *  Giving blood samples.

    *  Consults and services with specialists.

    *  Anesthesia. Surgery. Receiving blood.

    *  Room charges. Telephone and TV charges.

    You stay, you pay.

    Find out when hospital check out time is and make plans to follow it. If not, you may be charged for an extra day.

    Cover image to the Healthy Savings book by the American Institute for Preventive Medicine. www.HealthyLife.com. All rights reserved.

    © American Institute for Preventive Medicine