Amy Sugimoto - Sacramento - ALS Association
Amy Sugimoto - Sacramento - ALS Association
Amy Sugimoto - Sacramento - ALS Association
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Page 4<br />
Ask the Doc: Q & A with Edward Kasarskis, MD, PhD<br />
Ask the Doc<br />
Q: What would an emergency department physician need to know about me if I<br />
have to go to there?<br />
Dr. Kasarskis: Sometimes the diagnosis of <strong>ALS</strong> is so overwhelming in and of itself that<br />
people forget that they’re still susceptible to everyday health problems and the occasional<br />
emergency, ranging from “pink eye” and bladder infections to cuts, sprains, broken bones<br />
and back problems. And depending on the severity of the problem (which always seems<br />
to occur on weekends or after your physician’s office hours), an emergency room visit is a<br />
distinct possibility.<br />
Emergency room physicians and staff will first need to know that you are a person with <strong>ALS</strong>, because that diagnosis can<br />
affect not just how your symptoms are approached, but what medications and treatments will be prescribed. If you<br />
should need anesthesia, it is critical that the staff understands you have <strong>ALS</strong>. If you have any significant allergies, those<br />
should be prominently noted, too. I urge everyone with <strong>ALS</strong> to wear a MedicAlert bracelet or locket to make sure that<br />
this essential information is quickly communicated.<br />
The staff needs to know what other conditions or diagnoses you have, such as diabetes, heart disease, chronic obstructive<br />
pulmonary disease (COPD), high blood pressure, thyroid conditions, and others. They’ll also need to know your<br />
medications, and the exact dosages. Please prepare a list of both your diagnoses and your current medications – and<br />
stow it in your wallet – so it will be easily accessible in an emergency. Ideally you’ll also have a list of your physicians<br />
with their address and phone numbers.<br />
If you have communication challenges, it is important that the ER staff be aware of that. If possible, try to have a spouse,<br />
friend, or neighbor come with you to the Emergency Department to assist you with communication. The <strong>ALS</strong> <strong>Association</strong><br />
has wallet cards available to describe your communication challenges to someone quickly and easily; the cards are also<br />
handy if the police pull you over so they don't misinterpret any communication problems you may have.<br />
Emergency room physicians may, in serious circumstances, need to understand your wishes about medical intervention.<br />
It’s important to discuss this with a family member BEFORE such an emergency arises, and designate someone to serve<br />
as a surrogate for medical decision making. This means this individual would have the authority to express your wishes<br />
to the physician in case you’re unable to express yourself or are unconscious.<br />
Sometimes it’s hard to decide whether a health problem necessitates a trip to the emergency room. There are particular<br />
problems that should get immediate attention, and they include breathing problems, allergic reactions, a fever, symptoms<br />
of a blood clot in a leg or an arm (deep vein thrombosis), or a sudden acceleration of the symptoms you experience with<br />
<strong>ALS</strong>.<br />
If you live alone or are sometimes alone in your home, (or have a spouse who can’t drive) it’s smart to have a preidentified<br />
friend or neighbor to call in case you need to be taken to the emergency department.<br />
Your question shows you’re already thinking ahead and planning for the unexpected. With <strong>ALS</strong>, the Boy Scout motto<br />
always applies: Be Prepared!<br />
In loving memory of the P<strong>ALS</strong> we lost in September<br />
Denise Dourgarian