Dr. Crutchfield

Recent Articles

What is selective mutism?

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Some children show a complete shutdown of communication and a total inability to speak. In other children, their communication may turn into a whisper to people they feel extremely comfortable with, or, if possible, they may physically abandon the area and hide until they feel safe and more secure. Some parents describe their children as being extremely timid or shy, and some experts think that selective mutism is on the extreme end of the social shyness scale. Continue Reading →

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Healthcare directives are good for everyone

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What would happen to you if you were in an accident or sick or if you were just getting older an unable to communicate effectively about the type of health care you wanted? Unfortunately, if you don’t take the time to plan for this type of situation your medical care might be left up to someone else who may not have a good idea of what medical care you would or would not want in a challenging medical situation. Continue Reading →

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Uncontrolled diabetes can have devastating consequences

 

 

 

 

 

Dr. Crutchfield, there has been a lot of discussion in the news lately about diabetes. What is diabetes?  

Diabetes, also known as diabetes mellitus, is a group of diseases in which there are high levels of sugar in the blood over an extended period of time. Diabetes is considered a metabolic disease. Over 30 million people in the U.S. have diabetes. The health complications of diabetes can be both devastating and deadly. High blood sugar levels, over time, are very damaging to blood vessels. As a result, uncontrolled diabetes can cause serious and life-threatening complications including heart disease, stroke, kidney failure, non-healing skin and foot ulcers, recurrent infections, nerve damage, eye damage and coma. Symptoms of high blood sugar levels may include frequent urination, fatigue and increased thirst, and increased hunger. The molecule that controls sugar levels is called insulin. It is produced by the pancreas. It is simply thought of as an “usher” gently showing sugar in the blood where to go into certain areas like the liver, muscle and fat. Continue Reading →

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Treating skin of color

Conclusion of a 4-part column

 

 

Most skin diseases occur in people of all nationalities, regardless of their skin color. Certain problems encountered in the skin are more common in people with different hues of skin, and sometimes a disorder seems more prominent because it affects skin color. This week concludes our review of these disorders and their treatments.  

 

Tinea capitis

Tinea capitis, also known as ringworm, is endemic in African American children. Any child with a scaling, itching scalp should be thoroughly investigated for tinea capitis. Continue Reading →

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