Showing posts with label MD. Show all posts
Showing posts with label MD. Show all posts

Monday, May 7, 2012

Why I am Grateful for the Bullies Who Tormented Me


Fight to Surviveby Gina Simmons, Ph.D.

When I was in the fourth grade, a popular girl named Paula led a gang of girls and boys to engage in a disturbing game at recess.  In this game she commanded the boys to ambush select girls, take off their clothes, and toss the clothes into mud puddles. I became one of Paula’s unfortunate victims. At the time my parents were away on a week-long vacation and I was staying with family friends. Humiliated, tearful, and muddy, I went to the principal’s office. I named names. The principal interviewed all of the children involved. He announced “since all of you told different stories I’m going to punish you all. This week you will all be benched at recess.” My sentence came down to a week of humiliation sitting next to my tormentors during every recess period. By the time my parents returned from vacation I had already served my time.

I learned some valuable lessons from this bully, and others I’ve encountered over the years. I learned that popular people and good people aren’t often the same people. I learned that I could suffer humiliation and survive.  This knowledge gives me the courage to take risks that have paid off in my life. I learned that people in authority look for easy explanations and solutions. I now keep my communication clear, simple, and precise whenever I speak with someone in authority. Complexity and political success do not work well together.

Bully prevention programs have become a cottage industry in this country. The tragic suicides of bullied children break my heart and inspire many of us to find solutions to the problem of human cruelty. Social scientists find that when one person comes to the aid of a victim, it encourages others to step up as well. When we motivate children to speak up for others, it can make a huge difference in the life of a tormented child. 

It’s equally important to help our children develop the inner strength necessary to cope with the inevitable injustice and cruelty they will encounter in life. Kenneth Ginsburg, M.D., a pediatrician joined forces with the AAP in their book, A Parent’s Guide to Building Resilience in Children and Teens: Giving Your Child Roots and Wings. Dr. Ginsburg writes that parents can help their children and teens recover more quickly from painful experiences by fostering what he calls the “seven C’s of resilience.” I’ll talk about four of the C’s here: 
    NO MORE BULLYING
  •  Competence: focus on something your child does pretty well, and encourage them to grow in that area. When a child works every day on skill development they can transfer that habit to learning other things important for survival.
  • Confidence: when children develop competencies they grow in confidence. Encourage persistence and effort rather than competition and success. I always tell my children, “I’m proud that you worked so hard for that competition,” not “I’m proud that you won.”
  • Connection: when children feel secure and loved at home they can suffer at school but have a safe place to recover when they go home. For many children home is just another battlefield. Encourage your child to share feelings with someone they trust.
  • Character: children who are taught strong morals and values can find strength in those values when confronted by unethical or cruel behavior. Teach your child to take pride in being a good, caring, compassionate person.
Of course lecturing our children about good character won’t help them learn if they watch us behave badly. In this election year our political discourse remains hostile, rigid, and filled with personal attacks. It might help to listen to your political rhetoric and try to remove the hostile tone. Your children are listening to you, and following your lead.  

Photos courtesy of: j.abalos and Kenziepants.


Friday, April 8, 2011

Ways to Die: Hanging


I am pretty sure it's not often that you sit around and imagine what it's like to die by hanging, gunshot wounds, drowning, and all the other means to expire. But mystery writers and novelists have to consider these things for their own fictional world. So, who do you turn to for information? 

Well, a lot of Mystery Writers of America members look to Doug Lyle, MD for answers. You remember D.P. Lyle when we featured his book, Stress Fracture on Women In Crime Ink not too long ago? Today, we welcome him back as a guest editor to answer a question he received on his own blog, The Writer's Forensics Blog, and this particular query is about hanging. Here's Doug's answer to this question:

Question: What Happens When Someone Is Hanged?

Q.: I’ve got a couple of questions about hanging. I have a 140-pound man of slight build who has been hanged. His neck is not broken and thus he is strangling. His hands are bound. How long might he survive before death? Would he lose consciousness well before or shortly before death? If he is taken down before death, we would certainly see abrasion of the neck. What else would we see? If unconscious, would he revive quickly? Could his injuries be life-threatening? (I’m thinking of throat swelling here) I am looking at pre-modern society here. No ER or modern medicine. 

Doug Lyle: In hangings, death results from asphyxia, which is the reduction of oxygen to the brain. Asphyxia in hangings results from the compression of the airways and the carotid arteries (the arteries on either side of the neck that carry blood to the brain) by a noose or other ligature that is pulled tight by the body weight. Thus, the victim must be completely or partially suspended.

Though the airway can be compressed and breathing can be interrupted, the real cause of loss of consciousness and death in most hangings is compression of the carotid arteries, which blocks blood flow to the brain. 

Except for judicial (legally directed) hangings, fractures of the cervical vertebrae (spinal bones of the neck) are uncommon. The reason is that these fractures require that the body drop a sufficient distance to break them. How far is this? The answer depends upon several factors. Individuals who are obese, have small neck musculature, or who have arthritis of the cervical spine may suffer neck fractures quite easily. Just the opposite is true for muscular, thick-necked persons. In judicial hangings, these factors are considered in gauging the distance of the drop. Too little drop and the condemned person is strangled to death, too far and he could be decapitated.

The neck markings seen after hanging depends mainly on the nature of the noose used. Soft nooses such as sheets may leave little or no markings. Bruises and abrasions are not common with softer devices. In fact, if the victim uses a soft noose and if the body is discovered fairly quickly and cut down, the ME may not be able to find any marks at all. A rope or cord may leave a very deep, distinct furrow in the victim’s neck. The longer the body hangs, the deeper the furrow. Abrasions and contusions are more common with these types of nooses. Occasionally the furrow and any associated bruising may reveal the braid pattern of a rope or the link configuration of a chain.

In hangings, the furrow and the bruising will follow a typical course. The pattern is that of an inverted V. The furrow tends to be diagonal across the neck with its high end where the knot is located. The knot is usually to one side. This means that if the knot is to the victim’s left side, the furrow will be lower on the neck and much deeper on the right side and will angle upward toward the left ear. Near the knot, the furrow may shallow and disappear. This pattern is due to the body hanging by the “bottom” of the nose.

Okay, enough about hangings, let’s get to your situation. Since the asphyxia is due to compression of the arteries and not the prevention of breathing, loss of consciousness occurs very quickly, usually in a minute or less and maybe as short as 20 seconds. The brain needs a continuous supply of blood and when this is interrupted, consciousness is lost quickly. Death may take from one to five or six minutes.

If your victim is found within two to three minutes, he would be unconscious but could wake up fairly quickly—in a couple of minutes. Or not. Some people die in a minute while others can take many minutes. Go with a couple of minutes but not longer and you’ll be okay. He would probably have the typical V-shaped bruises on his neck and a furrow that would resolve over a half hour or so.

He could return completely to normal or be left with brain damage or even remain in a coma for hours, days, weeks, months, years, or forever. It all depends upon how long the brain was deprived of blood and luck. This varies from person to person.

D.P. Lyle, MD
Coming June 2011: HOT LIGHTS, COLD STEEL, a Dub Walker Thriller

Image Credits:
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