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|Is It Asthma Or Is It Something Else?
When I first begin working with survivors of
strangulation, I was not surprised to hear
them report about the development of
persistent and chronic neck pain. What amazed
me was hearing these same survivors report
developed asthma after their assaults.
manager in a forensic medical unit told me
in a casual conversation that she was amazed
how many women showed up in her unit
clutching an ever-present asthma inhaler in
What If It's NOT Asthma?
What if the problem of "acute asthma attacks"
in these survivors reflects not a problem
in the chest, but a problem in the neck? And
what if the persistent neck pain were related
to the "asthma?"
Fractures of the larynx are reported
in the medical literature following
strangulation assaults. However, this occurs
mostly in fatal strangulation attacks or in
patients in whom the strangulation was from
a form of hanging and not from manual
strangulation, which is the form of
strangulation reported in 97% of IPV
strangulation assault survivors.Perhaps it is
rethink all this.
what if fractures of the larynx did occur
often in manual strangulation assault but
could not be detected in the early stages of
An article in eMedicine notes, "Manual
strangulation is a low-velocity,
high-amplitude injury that commonly results
in multiple fractures without significant
displacement of cartilage, early presentation
of hematoma, or endolaryngeal mucosal tears."
 In other words, patients can present to
the hospital with no or few findings seen at
the time of their arrival. However,
persistent symptoms may
appear later and cause the patient to have
long-standing health consequences from the
This could be the perfect breeding ground for
paradoxical vocal cord dysfunction, a
condition that can be caused by trauma or be
related to working/living situations.
To learn more about paradoxical vocal cord
dysfunction related to working or living
situations, check out the report filed by
Pittsburgh medical editor Marilyn Brooks by clicking
More information about
paradoxical vocal cord dysfunction can also
be found on the website of the Everett
here to access this additional data.
 Pancholi SS. Laryngeal Fractures from
eMedicine Web MD website. Visit
Accessed February 25, 2008.
|Writing Your Story
Whether you are a survivor of trauma or abuse
or a professional supporting survivors, you
no doubt have many, many stories to tell.
Perhaps you have thought, "I should write a
book." Or friends and family have said, "You
need to write a book!"
Either way, make the leap from talking
stories to writing stories by joining us in
Half Moon Bay, CA this coming April.
From the course announcement:
Save Saturday, April 19th, or Thursday, April
24th, 2008, to attend a one-day workshop at
Cameron's Inn at The Outback. 1410 S.
Cabrillo Highway, Half Moon Bay, CA. Choose
to attend whichever day works best in your
schedule or elect to attend both days to
experience the same material with a different
group of attendees.
The $95.00 fee includes lunch.
|Health After Trauma Newsletter Will Be Moving
In the first quarter of 2008, our
address-in-the-cyberspace will be moving to
Towards this end we will be sending you
several emails asking you to "opt in" or stay
subscribed to the eZine by clicking a link
and signing up for the eZine again.
We apologize for whatever inconvenience this
causes you. However, in the long-run, life
will be better!
If you do not wish to keep getting
this eZine, then just ignore these email
If you want to continue getting this
newsletter, you do not have to wait for the
email invite. You can just click below and
sign up now.
|Do You Need An Expert Witness?
From time to time, I am asked to serve as an
expert witness for an IPV case involving
manual strangulation. When my schedule does
not permit my doing so, the second question
is always, "Can you recommend someone?"
The answer to that question is always yes. The
list of health providers who have the
expertise to serve as an expert witness
involving IPV strangulation is short but
If you, or a physician or
nurse you know is available to serve in such
a role, please contact Dr T at
Meanwhile, please note that Dr. George
McClane is once again available to serve as
an expert witness from time to time. You can
contact Dr. McClane via his website.
|Conference Announcement: "Justice and Hope 2008"
I have had the opportunity to attend this
conference twice. You will find it to be an
excellent opportunity to learn with a wide
assortment of providers in the beautiful
Longview WA area. Comfortable setting, good
food, and excellent staff and volunteers.
Here is their announcement:
Please join us for Justice and Hope
Justice and Hope
March 20, 2008
Lower Columbia College
SAVE THE DATE
For more information:
Call Chere Weiss at (360) 225-4768
Or email at firstname.lastname@example.org
|Medical Director Sought for A Child Abuse Program
The Department of Pediatrics of the
University of Illinois College of Medicine at
Peoria (UICOMP) and Children's Hospital of
Illinois (CHOI) have initiated a national
search to identify candidates for an opening
as Medical Director of a well-established
child abuse program.
The new UICOMP Medical Director will join an
experienced team in the Pediatric Resource
Center that is made up of an Executive
Director, physicians, experienced social
service personnel (case coordinators), and
administrative support staff. This is an
academic position with UICOMP requiring
provision of clinical services, teaching,
scholarship and advocacy. The candidate
responsibilities include evaluation of
children for possible physical abuse, sexual
abuse, and neglect; providing leadership to
other Illinois health care professionals on
child abuse matters; teaching of medical
students, residents, attending physicians,
nurses and other non-medical members of the
multi-disciplinary team; and preparation and
testimony in court cases. Although not
required, an interest in development of a
clinical research program would be viewed
The candidate should be a
board-certified or board-eligible
pediatrician. The compensation package and
academic rank will be competitive and
commensurate with experience and the
responsibilities of the candidate within the
Please contact Jennifer Schaulin at (972)
768-5350 or via email at
All inquiries and referrals
will remain confidential without your prior
approval. Thank you in advance for your time
The University of Illinois is an Affirmative
Action/Equal Opportunity employer
The University of Illinois is an Affirmative
Action/Equal Opportunity employer.
|Wait: Don't Leave Yet
Time for a little chuckle or
A Cure for the Workplace Blues
For those of you who enjoyed last eZine's Classical
Smile, here is another video showing how
to have fun while creating a harmonious
From Dr T and Creekside Communications
2008 kicked off with a very busy January and
early part of February. Much of our work to
date has focused on:
- Developing a writing practice for
improved health, well-being, and
- Manual strangulation as a form of
intimate partner violence (IPV) assault
In addition to presenting seminars and
workshops on both of these topics, I have
spent a large part of the last few weeks
working with a superb writing team consisting
of Dean Hawley MD, George McClane MD, and
Gael Strack JD to
finish a book chapter on "Strangulation in
Intimate Partner Violence" for the upcoming
Partner Violence: A Health Based
Perspective. C. Mitchell, D. Anglin
(eds.), Oxford University Press.
(pending publication 2008).
Now that the chapter is submitted, work turns to
- Hosting April Writing Seminars in Half
- Working on my current book project
addressing a writing
practice for improved health, well-being, and
Toward this end, drop by my new blog, The
Writing Practice Prescription, by
clicking on the link below. All feedback and
suggestions are quite welcome.
Buy The Physician's Guide to Intimate Partner Violence
Buy "Respond to Intimate Partner Violence--10 Action Steps You Can Take to Help Your Patients and Your Practice"
Family Justice Center Books
WellWriting for Health After Trauma and Abuse