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SILENT KILLER

Article from September, 2016

DIABETES and TRAVEL Michael J. Manyak, MD, MED 92 Medical preparation for a trip into the field is more than having your shots and your diarrhea medicine packed. One increasing problem that gains little attention on remote travel is the traveler with diabetes. Diabetes mellitus (DM) is serious chronic condition that affects over 350 million people globally...

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ITCHING TO GO

Article from September, 2016

A Rash On Your Ash Michael J. Manyak, MD, MED 92 Whether distasteful to look at or causing discomfort, rashes are annoying and possibly quite uncomfortable though rarely an emergency. But when is a rash, an annoying discomfort, something more problematic? Aye, that is the rub. Many skin disorders result from chronic conditions, like eczema, that do not...

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A BLOODY MESS

Article from September, 2016

Keeping Your Nose Out of Trouble Michael J. Manyak, MD, MED 92 A common problem on expeditions is the occurrence of nosebleeds. Many of us have faced this issue at some time in our lives and these usually can be controlled even in a remote area without access to advanced medical care. The nasal cavity has a lot of rather fragile blood vessels close to the...

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