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Rural living
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Cindy    Posted 01-22-2003 at 08:24:50       [Reply]  [Send Email]
Hi, I'm taking a course in rural living. I have some questions that I would appreciate an answer to, from someone who lives in an area that is rural:
1. Can you describe your background, age, gender, and position in the family
2. What does being rural mean for your health or your families health?
3. What are the main health problems encountered by people in your community?
4. What health services do you think are most urgently needed? Who provides emergency care to local residents?
5. What is your experiences in accessing health care the last time someone was seriously ill in your family? Who did you first consult? Who decided when to see the professional? How long did it take them to get to the hospital or doctor?

I appreciate any responses! Cindy

Ana    Posted 01-22-2003 at 14:55:18       [Reply]  [No Email]
We have very good access to health care, quick, thorough, all the things you have in big cities. But the problem is how to pay for them. This family has lived many years, on and off, without any healthcare insurance because we are private contractors. We simply paid for everything ourselves (new idea these days), but the price of healthcare has risen so much the last ten years that we can no longer afford to get sick. Now my husband and I pay $500 a month for hospital-only coverage at the highest deductible we can get, no frills, no office calls. Fortunately we are both healthy and will have to stay that way until Medicare age.

Cindy    Posted 01-22-2003 at 18:55:19       [Reply]  [Send Email]
Thank you for the comments! I'm posting them in my class on rural healthcare. Cindy

Ol' Broken Leg    Posted 01-22-2003 at 14:32:50       [Reply]  [No Email]
A course on rural living? What ever turns your crank!
Since I'm a 43 year old married, professional male who has lived in a rural area all of his life I guess that I can not compare our (rural) health against that of you (urban). But I believe that we suffer from the same health issues and concerns as anybody. Granted we are usually further from medical care and specialized care. But medical care and professional medical care is available. And I can't think that it is any more expensive that anywhere else.
Recently I fell and fractured (times three) my lower leg (one was compound). I was alone 100-150 yards from my vehicle and no cell phone (the d--- things don't work here I was anyway) and 1.5 miles from the nearest residence. I crawled to my vehicle, drove to the house and asked them to call the ambulance. The local volunteer EMT's arrived shortly and transported me to the nearest hospital (15 miles). The leg was stabalized as was I and then I was transported to the nearest trauma center (120 miles). During this I was treated by 1 volunteer EMS service, 1 federal PHS medical center, 1 paid ambulance service and 1 regional medical center. The care from each was EXCELLENT and professional and of the highest quality. You do waht you have to. 100 years ago medical care was less accessable to everyone, they survived and so will we.
Just a note regarding the volunteer service which was staffed by a farmer, a street maintanence worker and a retired minister. The care and concern shown by these individuals was as good or better than at any other point in this episode.These people are friends, neighbors and co-workers. They do not have a monetary intrest in the outcome but more importantly they care. Simple as that, if they did't care they wouldn't do it.
You want a course on rural living? Leave behind any preconceived notions about us hillbillys and come live out here in the sticks a while. We live darn good and altho we may not have some of the conveniencies you have but, we don't need them and neither would you (believe it or not). It'd be the best education you could get.

Cindy    Posted 01-22-2003 at 19:01:04       [Reply]  [Send Email]
Thank you for your comments! I live in Florida. I have paved streets, but there are cows two blocks away. I have the best of both worlds! Cindy

Maggie/TX    Posted 01-22-2003 at 12:26:17       [Reply]  [No Email]
1. Background - born and raised in large city. Been living in rural area for 32 years. Age - 50+, female, co-head of household.
2. Living in a rural area means we are not exposed to nearly the amount of pollution that those poor city folks are.
3. Main health problems in this area that I know of are allergies, colds & flu, and accidents. Right now there is a flu epidemic in the northern part of the county and they closed the school there for the next two days. Occasionally there is a meningitis outbreak. One thing I have noticed is a lot more cases of multiple sclerosis and Lupus in the area in the last few years. Another problem is a high rate of cancer in a certain area that is rumored to have an old toxic waste dump buried near the city dump. Luckily, that is a long way from where I live.
4. We have several doctors in town 6 miles away, but could use one or two OLD FASHIONED doctors. Medical costs for just an office visit amount to highway robbery for folks without insurance. What is needed is a place where you can go and get a strep test and prescription and not have to drop a $100 bill just for the d--- doctor.
For emergency care, we have some of the finest volunteer fire departments you can imagine and a large percentage of the members are EMT, paramedics, first responders, etc. They know their stuff and call Life Flight in a heartbeat. We are 39 miles away from Houston Medical Center, one of the best medical centers in the country.
5. A few years ago my husband kept coughing and passing out from it. He became concerned enough to see his physician. The physician recommended an X-ray and a mass was found in his chest. Physician recommended surgery. Our HMO book just happened to list Dr. Denton Cooley, one of the two doctors who perfected heart transplants. Dr. Cooley was called and he saw my husband the NEXT DAY. He performed thorasic surgery on my husband the FOLLOWING WEEK and it all went well. Husband is just fine and HMO took care of the whole thing. (God, I wish we still had that HMO!)

Sorry too...    Posted 01-22-2003 at 11:15:36       [Reply]  [No Email]
But, chances are if you get answers by coming to an internet forum, you really aren't getting too rural. Don't get me wrong. I live 20 miles from town in the middle of nowhere and have computer access. But, I gotta agree with Salmoneye. Get out and do it in person with some of the poorer folks.

Sounds like you're asking questions about how to improve health care in a rural area. And that's good! Just ask in the right places.


Sorry...    Posted 01-22-2003 at 10:29:17       [Reply]  [Send Email]
But IMHO...That is all rather personal...

Why are you not out doing the research yourself and meeting the people living the life that you want to 'learn' about?

This seems like a useless way to get your info...For example...I could easily tell you that I am a 24 year old woman living in Bermuda, and that I have never been sick a day in my life due to eating Abalone 3 times a day...

Sorta reminds me of a reporter that makes up a story, cuz he can't find any real people to interview...

You want real interviews?...I can point you to the local Senior Center, where you will get the answers to all your questions and the folks there are dying for a nice young Lady to sit and chat a while...


WallSal55 - Salmoneye...fortunately or unfortunately...    Posted 01-22-2003 at 11:21:22       [Reply]  [No Email]
I have a son who is finishing up high school.
They have been allowed or trained to use the
internet as a source of resources for research.
I would think a good instructor, researcher, would recommend and use--all possibilities--even live, humans.
Unfortunately, I have seen my son and peers
get by so easily through the net.
I remember having to travel to two libraries
for books when I was in school. It's a different

Salmoneye    Posted 01-22-2003 at 11:32:15       [Reply]  [Send Email]
I hear ya...

Maybe I am just a paranoid skeptic at heart, but I do not answer that kind of question to anyone I have just 'met', let alone someone on the net...All we know about 'Cindy' is that she is a Roadrunner Cable subscriber in the Southwest and that her e-mail addy is an 'anonymous' Yahoo account purporting to have her full name and profession...Not likely or smart if it is real...

Granted, I use a Yahoo account when I post, but I am not asking personal info when I do...And no...My real name is not the one in my 'Yahoo Profile' LOL

The ones I 'know' and trust from here have my real name and address...

WallSal55 -    Posted 01-22-2003 at 10:14:19       [Reply]  [No Email]
Female homemaker, 47, We live one mile out of town near an excellent rescue service of a town
of 1,500. (we are very fortunate to have one of the best!) Nearest hospitals are 20 miles away.
We have trouble keeping doctor's offices open
in our small towns. So many have come and gone.
Some are open so many days a week. I recently
called to get an appointment for an infection, and
the answering machine said they would be closed
for l month, to call the standby doctor at the
next standby clinic--which was 25-30 miles away.
So I just got a new doctor who has time for me!
I travel 20 miles to him.
My aunt is in a hospital now. Her doctor left
for Chicago for 2-4 weeks. The doctor who took
his place will not be allowed to operate on her
as his surgeries have had too many complications
lately. She is 80 and just been lying around.

Next week, she will be taken to Peoria for the
surgery by competent surgeon. The other area
hospital north of us keeps up with technology,
and doesn't seem to have as many problems. Many
patients have switched there (and so have the
nurses!) It's hard to keep a good nurse!
Another problem of healthcare system--while I
am on a roll(!)--is this: I choose my doctor and
STAFF according to how much I get put on hold,
effective communication between the staff and the
doctor, how far in advance is the doctor booked up? (One month is a long time to wait for some
things!) I cannot tell you how many times I
cannot get past the receptionist to the nurse who
is the doc's right hand person. I get lost in
the shuffle or the administration (as a patient!)
I feel we are seeing a lot of elderly lying
around without doctor availability.
I would describe rural health care sometimes
frustrating and well--complicated!

My parents live 5 miles out from one village
and 10 miles out from another village. A barn
was on fire, and guess what, the fire dept got
lost using the 911 addressing! When the trucks
radioed the truck from the 5 mile village--the
crew said "Oh yeah, we know where that is! You're lost!" So, we've learned it's just best
to call your local fire #, for fastest response!
The police get called anyway for further assistance.

bob    Posted 01-22-2003 at 10:11:39       [Reply]  [No Email]
you might check SUSSEFULL FARMING mag. or ther e website they have a section every month relating to rural health. seems like specialists is one problem but here in Iowa Most have outlieing hospitals that they visit. Emergancys are mostly all taken to bigger cities. Local hospitals are mainly first aid and birthing places

mark ct    Posted 01-22-2003 at 09:50:36       [Reply]  [No Email]
a course in rural living? i thought it was more of a lack of knowledge that led to our rural living lol. but seriously, why is it that you would take a course for this sorta thing, do you think that it is somehow going to change your life and all the sudden all things wrong will be better if you live out in the country, if thats what ya expect then most likely you will be very dissapointed. i see it all the time where people from urban areas move out to the sticks and then get all upset cause there arnt all the conviniences there used to. im not accusing ya of that just want to point it out, but good luck in whatever you are planning

Ron/PA    Posted 01-22-2003 at 08:54:40       [Reply]  [No Email]
Hi Cindy, and welcome from central PA.
I am a 7th generation to live and work this farm in the Susquehanna valley. I am the 3rd of 3 sons with a younger sister. I am 49 years old, and male.
Not suffering from any allergies, "rural" means that we do not expose ourselves to alot of the polutants that are so prevelant in the cities. Our meat is all raised here on the farm, and is basically chemical free. Not organic but we know what our animals are fed so we know what we are eating.
I'm not sure of the health problems of our community, however here on our farm it appears that injury from equipment is probably our biggest problem.
We are rural, and off the beaten path, however we have no single health care issues as we are only 10 miles from one of the states largest hospital systems.
Since both my wife and I also work off the farm, we have typical health care coverage, and as far as getting to the emergency room, 2 four wheel drives, and a couple of tractors to plow the road help alot. If the need arises, the 20 acre field that we live in, makes a great landing site for the life flight helicopter.
We are rural, not stranded, shoot we even go to town once in a while LOl
I hope this helps

kraig WY    Posted 01-22-2003 at 08:50:13       [Reply]  [Send Email]
RE: Medical Emergiencies. In Oct. 1999, my wife came off a colt breaking her back. Crushed 2 vertabraes and pulberised a third. We lucked out. I took her to town, (10 miles)where upon x-rays discovered the damage. Vol. Fire. Amb. service took her to Rapid City Regional Hospital which is an exceptional hospital. The only major problem was my fault where as she was saying she only couldn't get her breath. She just wanted to get to the house. I took her to the hospital anyway. We could have gotten the medics here in about the same time as I got her to town.

On one other occasion my neighbor's adult son, fell down the stairs (he was drunk). My neighbor tried for a couple hours to wake him up. Finily called me. I knew someone, besides drunk and passed out was up. After we call the medics it wasn't long before they arrived and transported. Turned out he had a massive head injury and was in a comma for months.

The major problem I have observed regarding medical care in rural areas is us and not emergency care providers.

Doctors told us that my wife should have been paralized. Also said my neighbors son should have died.

Goes to show God looks out for idiots and provides adaquate care probiders when we smarten up enough to use them.

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