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Diabetes Madlib #2

Clueless About Diabetes Madlib

[source: diabetesduo.com]

With November being National Diabetes Awareness Month, here is another version of the Diabetes Madlibs.  How many of these misconceptions have you held?  Have you ever thought that all types of diabetes are the same?  It may be time to get to know someone with diabetes, they can teach you a lot.

(Answers provided by Ronei, but they are not representative of her knowledge and support of people with diabetes, this is for comic value only.)

“Oh, you have Diahbeedees? So your stomach doesn’t work, right? Well, at least you don’t have emphysema. My Grandmother has it and got it because she ate too much fruit. Last year, she had her toe cut off! I hear you can cure it by drinking water? I feel joyful for you because those fuzzy needles would make me pant. And I could never have someone burp one of those pump things in my knee. My cousin had juvenile diabetes but outgrew it when she turned 54. I was reading in the Enquirer that Helen Mirren had it but reversed it by eating only sushi. And Jimmy Fallon has it and he’s lived a long time with no problems. I also read where lots of people who have it bad travel to Ireland because they have a cure for it there. Don’t get excited, Dr. Who said there will be a cure here in America in 9 years. Then you can start eating kale again!” 

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When I Was A Little Girl…My Story

My story starts like this…

When I was a little girl…

Don’t freak out, this is not my whole life’s story.
When I was a little girl, I told everyone that I wanted to be a cheerleader when I grew up. Later, I changed my mind and decided I wanted to be a teacher, like my mom (*Hi Mom!*). That was my career of choice until my favorite Jewish Physics teacher from New Jersey, with one leg shorter than the other, and a love for hiking pointed me in the direction of medicine. I ruled out every option that involved large amounts of blood and high risks of smelling people’s bath breath and settled on being a Pharmacist. And this is the trajectory I’ve been on ever since.

Yet something was missing from my story…

So, I ask myself “Is it possible to be a cheerleader, a teacher, AND a pharmacist?”
That is how the Pharmacist Answers Podcast was born. It is a place that I can take my expertise as a pharmacist, teach it to you, and cheer you on to independent and collaborative decision-making in your own health (rather than the amorphous entity we call Healthcare or Big Pharma making those decisions for you)!
Visit my Patreon page to see how you can help support this dream of mine and get another chapter of why The Pharmacist Answers Podcast is here!

Essential Oils Crash Course

Crash Course

Always choose quality oils. This mainly ensures that impurities are removed and the risk of irritation is reduced. Always read the instructions and ALWAYS follow them. Some require dilution, some require carrier oils. Mix appropriately, FOLLOW THE DIRECTIONS.

Some Basic Science

The reason you can smell something is that some compound that makes up the thing you’re smelling is volatile. In chemistry, that means it’s easily evaporated into the air. Some part of that thing evaporates into the air and floats in your nose. It lands in your olfactory center in your nose. That is a special patch of tissue that has lots of “keyholes” for different shapes of molecules. That center sends the message to your brain and your brain translates it as a smell. There are a few families of molecules that contribute to the smells desired in essential oils. All of these families are labeled as “organic molecules”. Not in a chemical-free, USDA kind of organic, but in a chemistry way. It means they are built around chains of carbon atoms. Many of them are put together so they are volatile (evaporate-able) yet stable (don’t crumble to bits). Nature can build these chains as big as they want until they’re just so big they fall apart (unstable). Of course, the larger they get, the harder they are to get off the ground so to speak.

Molecule Classes

  • Terpenes are why some bugs leave a smelly residue on your hand. And why tree resin and sap smell, and why some plants smell when you break their leaves or stems.
  • Phenols are another group of volatile compounds that are detected by your sense of smell. Natural ones are kind of fun. They are found in chili peppers, oregano, thyme, cloves, and roasted coffee.
  • Esters are volatile compounds that are produced by some fruits like apples, pears, bananas, and strawberries.
  • Aldehydes are responsible for the smell of cinnamon, vanilla, and cilantro.

Many Uses

As aromatherapy, Essential Oils are mostly harmless. Honestly, I think the biggest harm is when they are promoted as “cures” or “treatments” of things. A little secret about our sense of smell:  because it has such a strong direct connection to the emotional center of our brain, science has found that our sense of smell “memory” is stronger than any other stimulus. When you smell something familiar, the number of memories and stories your brain can connect is much larger than the memories recalled from sound or sight. And even though those volatile molecules that go in your nose send really strong signals to your brain, those oils do not soak into your body by just smelling it. Aromatherapy works probably because of the chemical cascade it triggers in the brain after you smell the scent.  It might be just a basic brain chemistry cascade or a memory trigger that starts a more complex cascade. But I also think the power of suggestion is at play.  Does the scent of cedar help you feel calm and cozy because of pure chemistry or is it because cedar is promoted for calming? Either way, you’re going to say “oh yeah, I feel calmer with cedar”. Some say it’s calming because it reminds them of being out in the woods. Is that a pure chemistry thing or a memory cascade thing? What if the smell of cedar reminds someone of the forest fire that burned down their house? No matter what pure chemistry or advertisements say, cedar will never be calming to them!

A Caution about Research Sources

While writing this piece, I read some articles about “essential oil chemistry”. There were claims about those compounds I listed above regarding cellular and DNA repair. There were no resource links to indicate where that information came from, and I could not find any other reputable sources to support those claims. It is still difficult to decide how much of these compounds actually circulate in your body, and if it’s enough to produce a noticeable change. One thing I do know for sure, any results someone gets in a lab, even if it’s repeatable and generally agreed as true, does not mean it works that way in the human body. So if compounds found in pine oil kill microorganisms in a petri dish, please do not assume that it is going to kill microorganisms in your house, much less your body. Your body is too complicated for there to be a “simple” answer to what ails it.

Another Bit of Science

A majority of the moisture in your skin is oil based. So when you put oils on your skin, the gaps that allow your natural oil out are more willing to allow and outside oil in. This is useful when science develops medicines that they want to soak into your skin. Whether the purpose is for it to just work locally, or whether the purpose is to avoid the destruction of a drug by your stomach acid or a filtration process of your liver known as “the first pass”. But it can also be dangerous because oils that easily gain access to your body can also carry dangerous things into your body. Hardware store solvents like paint thinner and WD40 can be dangerous and soak into your skin, and possibly take other chemicals with it.

Sorry to Scare You

Ok, enough of the scary stuff. But this science of the skin is how carrier oils work, they act as the doorway into your skin for the EO compounds as well as keep them there for a prolonged period of time. I know some instruct you to rub your EO mix on places where blood vessels are close to the surface (hands, wrists, face, feet) then it will get into your bloodstream. I’m not convinced that’s such a good thing, especially if you are not aware of the purity and quality of the oils you are using. But I’m also not clear on how much actually soaks far enough into your body to reach your bloodstream. I think a majority of the time, your body is just acting as your own personal diffuser.  One thing’s for sure, I find EO’s more pleasant than lab-created perfumes.

Don’t Be Stupid

As for ingesting EO’s: DON’T BE STUPID! You may read things and they say “your body is built to protect itself….” but obviously things can get through that protection. Your skin is your body’s biggest defense, but as I mentioned, oils are really good at getting through that. They may also say “if they’re made it nature, they should be safe to eat…”. You don’t eat poison ivy, do you?? Even Bear Grylls taught us that some plants are not friendly to our bodies, on the outside or the inside. So why would we believe that everything that produces oils would be safe? A pharmaceutical medication called Digoxin was originally developed from the foxglove plant. Please don’t ingest foxglove – digitalis poisoning is a real thing and can cause symptoms as severe as life-threatening arrhythmias.

My Essential Oils Rule

If I had to come up with my own rule, it would be this: if you would normally eat the thing the oil is made from, then it MIGHT be okay. You don’t eat pine bark, do you? See, to me, that’s silly. On the other hand, lemon oil? Okay. Orange or grapefruit? okay. Peppermint and cinnamon? Eh, maybe when they’re diluted enough (like in candy!). My thought on this: If you want more spice in your life, add more spices to your life. Salt and pepper are boring! Season your food with herbs and spices, freshly picked or ground ones are preferable.  You can have more benefits than you’d care to count including the natural oils from those natural products.

Certified Certification

The other problem is that anyone can go on the internet and join or create a program, and come out the other side with a “certification”. On every Essential Oil site, brochure, and label, companies should be using a statement that reads something like this:
*These statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure or prevent disease.*
That means “no one is watching us, and as long as we don’t use certain keywords, we can say whatever we want, and no one will check up on us, ask for our recipes, or try to prove us wrong”. So words like “therapeutic grade” are just bogus fluffy words they want to use to convince you they’re “better” or “safer”. As much as I don’t like overbearing government regulations, and I know lobbyists have deep pockets in some branches, there are groups that grade foods as well as chemicals to determine their purity and quality before they are allowed to be put in products that humans will eat. The USDA puts grades on many agricultural products to determine what’s safe for humans to eat. The FCC judges lab-produced chemical. And I know many of the items on the FCC’s list (including food preservatives and coloring agents) are under scrutiny based on “pure and high quality, but really safe?”. But I have not found this level of transparency in EO manufacturers, thus they will not be going in my mouth.

Logical Fallacy

The last thing I’m going to mention is the logical fallacy of Appeal to Ancient Wisdom. This is the misconception that the oldest treatments for ailments are the best because they are the oldest. If you want to hear about some of the stupid and horrific things ancient (and not so ancient) people did in the name of trying to treat and heal people, listen to the podcast, Sawbones, they go over it a lot.Now, I’m not trying to negate what ancient cultures have contributed to the increased understanding of the human body and compounds found in nature. Science has actually proven the benefit of some ancient but now modernized treatments. But that doesn’t mean the “truth” of all ancient medicine is now proven true. This is a classic case of “when you know better, do better.” Modern science has allowed us to gain

Science Has Done Us Good

Now, I’m not trying to negate what ancient cultures have contributed to the increased understanding of the human body and compounds found in nature. Science has actually proven the benefit of some ancient but now modernized treatments, but that doesn’t mean the “truth” of all ancient medicine is now proven true. This is a classic case of “when you know better, do better”. Modern science has allowed us to gain an understanding of how diseases are caused rather than blaming it on “Evil”. Microscopy has allowed us to see things that are way too small for our eyes to see, including things that make us sick and things that our bodies are made of. The scientific method gave us a process to be able to test and retest theories and processes, and accept them as true rather than a “one and done” type of experiment. Evidence-based medicine allows the modern world to make objective decisions about treatment and healing, so someone’s personal feelings about you or spiritual beliefs about the cause of the illness do not affect the quality of your care. I say all of this to say EO’s may have their place in your health plan, but please don’t assume that they are superior because they are “natural” or because they are “ancient”.

The Bottom Line

It’s ok to diffuse them in your house: they smell good. It’s ok to put them in your body lotion or massage oil or face moisturizer: they smell good. I’d prefer you not swallow them. But if you’re going to swallow them, you BETTER be talking to a physician or practitioner who knows a thing or two about the human physiology and biochemistry and has real and solid credentials. And for heaven sake’s don’t take advice from Dr. Google!

Flu Season Madlib

Flu Season Madlib

I found a website that had several medicine-related madlibs on it.  I find madlibs great fun!  I’ll share them every so often in the Pharmacist Answers Podcast Community.

Here is a few of the outcomes from the group.  Things people say during flu season:

Laura says:

“I’ve had, like, six weeks of wheezing. I’ve been to the Kauffman Stadium and got a prescription for filet mignon. And then I kept having dry abs, and I went to Mosque and got another prescription for Pringles. That was 12 hours ago, and I’m not any better. I think I need some mascara because my friends took it and got better. And I’m just so tired of feeling bored. Can you give me something to make me teleport? Every year my regular doctor gives me brandy, and I always get better immediately.”

Ronei says:

“I’ve had, like, six weeks of bronchitis. I’ve been to the Bridgestone Arena and got a prescription for crab cakes with tartar sauce. And then I kept having dry glutes, and I went to Temple and got another prescription for french fries. That was a month ago, and I’m not any better. I think I need some keratin conditioner because my friends took it and got better. And I’m just so tired of feeling fearful. Can you give me something to make me invisible? Every year my regular doctor gives me wine, and I always get better immediately.”

The sad part is that this is a very accurate example of what people will say to me at the pharmacy counter!

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Diabetes Madlib #1

Clueless About Diabetes Madlib

[source: diabetesduo.com]

While science understands many of the aspects of diabetes, and it still continues to learn more, society as a whole doesn’t have a clue.  If you have diabetes, I’m sure you’ve had some of the following statements said to you.  If you don’t, read this as a list of things to never say to someone with diabetes.

(Answers provided by Ronei, but they are not representative of her knowledge and support of people with diabetes, this is for comic value only.)

“Oh, you have dyebabeetees? So your lungs don’t work, right? Well, at least you don’t have cancer. My sister has it and got it because she ate too much sushi. Last year, she had her legs cuff off! I hear you can cure it by drinking water? I feel joy for you because those fuzzy needles would make me cook. And I could never have someone skate one of those pump things in my eyeball. My cousin had juvenile diabetes but outgrew it when she turned 102. I was reading in National Enquirer that Meryl Streep had it but reversed it by eating only enchiladas. And Olivia Davis has it and she’s lived a long time with no problems. I also read where lots of people who have it bad travel to England because they have a cure for it there. Don’t be sad, Dr. Paschall said there will be a cure here in America in 9 years. Then you can start eating chocolate chip cookies again!”

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Pre-Pharmacy Existential Crisis

Day 1

When I got accepted into college and declared my major as Pre-Pharmacy, the next step was to meet with an advisor and register for my classes. The typical advice for Pre-Pharmacy was to be assigned to the Biology department. It was also recommended to register for 18 credit hours per semester to complete the Pre-Pharmacy requirements in the coveted 2 years. So, there I was, a Pre-Pharmacy Biology student with 18 credit hours on her schedule. This included Bio 1101 plus lab, Chem 1101 plus lab, English Composition 1101, some freshman intro orientation course, World History, and Philosophy & Ethics. Awesome!
The year started off with a bang!  Chem 1101 was a little review from the high school chemistry I took, and then much more. Bio 1101 was a review of the Hierarchy of Life and then dove straight into evolutionary taxonomic Latin.  Literally, I was learning Latin!  The only other stunner was Philosophy & Ethics. Here I was, brought up in the Christian faith, and the best advice I got regarding my spiritual survival of university-level Evolution and Philosophy & Ethics was “learn just what you need for the test and ignore the rest”. Oh great!

Crisis Ensues

So, at 18 years old, I have my first major existential crisis.  A 2-pronged crisis regarding the battle between humans’ philosophy of life and my belief in spirituality, as well as the evolution of life and my belief in Creation. This results in several C’s on my transcript (which caused another, albeit slightly less severe crisis).
When I knew there was no recovering of my grades, I sat in my advisor’s office, distraught and holding my head in my hands. I remember saying “all of this taxonomy means nothing to me on the path to becoming a Pharmacist”. In the Biology department, this path was leading me to classes like Botany and Evolutionary Biology. He simply nodded, and said, “what if you moved to the chemistry department?” “What?! Change departments? Pre-Pharmacy Chemistry? That’s a thing?!?! Why did nobody tell me that was a thing?!?! Where do I have to sign????”. We filled out the “Change of Major” form to get me to the Chemistry department and he happily signed off as my former advisor.

A Clear Path

When 2nd-semester registration opened, I met with my new advisor – a Chemistry professor. I still had 16 hours of credit hours.  Bio 1102 plus lab, Chem 1102 plus lab, English Composition 1102, PE, and Spanish were ahead of me. The weight was lifted because I could finally finish Biology and “learn just what I needed for the test”. This semester’s transcript has many more A’s and B’s on it and my path to Pharmacy was much more clear.  I knew the future held stops by Organic Chemistry, Biochemistry, Physics, and Physiology on the map.
Why did this change from Biology to Chemistry make such a big difference? Part of it was because my original plan was to graduate with a Bachelor’s degree before I went to Pharmacy School. (That plan changed, but that’s a story for a different day.) Another part of it was because Chemistry was the first science that allowed me to reconcile science with my faith on a scale that I was comfortable without another soap opera-worthy existential crisis.

So what’s the point of this story?

You have to find what works. What fits with your natural bent and the values and beliefs that are planted so deep inside of you that nothing that you can perceive could remove them from you. If you approach your health and your healthcare relationships and decisions in this way, you will find what works for you.

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Chameleons of the Art, Science, and Business of Healthcare

The Healthcare Professional and The Expert

A perception that has stuck around despite the rapidly changing world around us is that “if my doctor said it, then that’s what I should do”. Doctors are listed among the most trusted professionals in America (3rd to nurses and pharmacists). Everyone knows that medical professionals take this oath where they promise to help and not to hurt. Society trusts them to do just that in all their interactions. So why not do everything they say because their intention is to help me? They studied medicine for 17 years to become a doctor so they REALLY know their stuff, right?

And it’s true.  Medical professionals of all kinds study their brains out to earn the status of “expert” in their field. Then they continue to study and learn for the rest of their lives to keep up with the changes in their industry. Another thing the oath they take says is that “medicine is an art as well as a science”. Science tells us what appears to be best for “most”, the art comes in when we figure out what’s best for YOU.

Art? Science? Healthcare Business!

Thanks to this industry we’ve built called “health insurance”, the idea of helping but not hurting is no longer an art or a science. It’s a business venture. Before the Affordable Healthcare Act (ACA, ObamaCare), insurances could look at people applying for coverage as “investments”.  That is why women of childbearing age had more expensive premiums for the same type of coverage as their husbands. They evaluated the risk of that woman having a baby, and the insurance has to pay for it was an expensive risk. I remember when Ken and I first got married and he looked at putting me on his insurance. His premium for himself was $170/month, to add me increased the premium to $650/month. It is also why people with pre-existing conditions were denied coverage because the risk to cover them was too expensive. The removal of this level of discrimination and dehumanization of healthcare has been one of the positive aspects of the ACA. But it’s not completely gone…
Healthcare companies may not be able to deny coverage of the person due to age, gender, or illness, but they still approach healthcare as a business and not as science. As new drugs are developed and studies are published to show which ones are superior to the previous treatment standards, insurance companies are SLOOOOOW at adapting. They know the new medications are more expensive and have a lower Return on Investment (ROI). Thus for a long time, insurances preferred to pay for Warfarin (Coumadin, a blood thinner that required blood testing as frequently as once a week) over the new blood thinners that didn’t require testing and dosing adjustments.

Turning the Healthcare Titanic

It has also taken Insurance far too long to understand the cost-saving benefits of Preventative Care. If they pay for your vaccine, then they won’t have to pay the doctor or the hospital to treat you for a preventable disease and all the complications that go with it. The trade-off of paying for annual or bi-annual check-ups versus waiting until you have a heart attack to find out you had high cholesterol. Now there’s a multitude of problems to treat (and pay for). They’re finally getting a clue that they should pay for almost every contraception option (excluding OTCs) because birth control (even IUDs and implants) are cheaper than paying for a baby.
Trying to get the Compliance train rolling with insurances has been ridiculously hard. Compliance in Medicine means that you take 80% of your medicine when you’re supposed to and the way it’s intended. Many state Medicaid programs don’t allow members to use a program most pharmacies have that automatically refills prescriptions (Auto-Fill, Auto-Refills).  They actually think they’ll save money by waiting for the person to get severely ill or have a health emergency, rather than ensuring the person consistently takes the medication that is getting or keeping them well.

A Glimmer of Hope

Medicare, as well as a handful of other insurances, finally got a clue. They realized that allowing people to get three months of their medication at a time saves money.  Also, you’ve removed eight chances for someone to forget refills because they only visit the pharmacy four times a year.  This is the definition of improved compliance.

Be a Chameleon

Medical professionals still desire and strive to practice the art and the science of medicine. But most of our day, we find ourselves playing the part of a chameleon. We want insurances to understand that if they treat you as human, they actually save money. The biggest gap to close is the one where we want to help you stay well, rather than just take care of you when you’re sick.

Throwback: A Strange Hour of a Sunday Shift

This is a post I wrote a LOOOONG time ago, on my first blog.  Even though my industry and schedule has changed, what people want from me has not.

Originally posted October 3, 2011
I don’t work many Sundays, but this past Sunday I did so a co-worker could have the weekend with her family to celebrate her birthday.
And on the Sundays I do work, strange things seem to happen.  Not sure exactly why, though I do have my guesses:
  1. The hangover is gone.
  2. People go to church, get convicted of the weekend’s activities, repent, then come looking for solutions to the consequences realized.
  3. They think everyone else is at church so business will be slow, or they’ll avoid the judgmental eyes of the church-goers.
So, I had a very strange hour this past Sunday at work.

Customer #1

A man and his son.  Dad had skunk-streaked hair (as in dark on the outsides, white/gray down the middle), and the 15-year-old son was linebacker sized. The kid had a sinus infection and needed an antibiotic.

Customer #2:

An Ex-Marine who ran the 6-mile Currahee Challenge.  (If you’ve ever seen the series Band of Brothers, they were guys who trained at Camp Toccoa during WWII and running Currahee Mountain was all in a day’s work.)  This guy came hobbling to the counter.  He informed me that he had been out of the Marines for only a month and that running 6 miles should’ve been easy.  He described his pain and told me that “Icy Hot from hips to toes on both legs wasn’t working.”  Ibuprofen and real ice was a better option (and less smelly).Customer #3:  Nervous guy – he asked about purchasing Plan B.  I have

Customer #3

A nervous guy came up and asked about purchasing Plan B.  I gave him the 3rd degree: Who’s it for? How old are you? What about her? How long has it been? It’s funny cuz the guy’s squirming.  I sold him a pack: $53.  He calls a few minutes later and says “this box says for 17 and younger.  She’s not 17!”  I informed him that the label should say ‘Rx only for 17 and younger”, meaning if someone younger than 17 is going to use it, it requires a prescription from a doctor.  He was highly relieved (obviously if he had gotten the wrong thing, “the lady” was going to be angry!)
*Currently, Plan B contraception is fully OTC, the Rx requirement has been removed thanks to legislation from President Obama.*

Customer #4

The girl from the Chinese Buffet came in.  She is really sweet and I like helping her, but communication is a challenge. You’ve got to be able to laugh at some of the mistakes we make.  Today, she came in asking for advice on “cold medicine for a duck.” A duck?  Really?  I asked about symptoms, she said: “his nose is noisy”.  I head for the children’s medicine thinking “we can dose a duck by weight”, so I ask how much he weighed.  She said 140 pounds.  A duck?  Oooooh, adult!  She never knew I thought duck as in “quack quack” duck.  We got her dad some cold medicine and she was happily on her way.
Just another random Sunday at the pharmacy!

How to Become a Pharmacist

How did you become a pharmacist?  How many years did you have to go to school?  Was it hard?  Do you have to be good at math? I get asked all the time, whether at the pharmacy counter, on Facebook, or just out and about in town.

What does it take to be a Pharmacist?

  1. Decide you want to be a pharmacist.
  2. Go to college and make Pre-Pharmacy your area of focus.
  3. Take lots of chemistry, biology, anatomy, and physics. Take a little history, literature, and speech communications, and probably some PE…
  4. Research and apply to Pharmacy Schools.
  5. Take the PCAT (only after taking Organic Chemistry).
  6. Get invited for an interview.  Dress nice, comb your hair, practice good eye contact, and not saying “um, like” so much.
  7. Get accepted! *You don’t have to graduate with a degree before starting Pharmacy School*
  8. Start Pharmacy school. Move across town or across the country, if necessary.
  9. Study your brains out.
  10. Gain experience in different pharmacy settings through practical rotations and getting a job in a pharmacy.
  11. Pass all your classes (even if just barely).
  12. Graduate and get called Doctor.
  13. Study your brains out some more.
  14. Take a 3-hour test called the NAPLEX (North American Pharmacy Licensure Examination).
  15. Take a slightly shorter test called the MPJE (Multistate Pharmacy Jurisprudence Exam) – aka Pharmacy Law.
  16. Pass your board exams and become a licensed Pharmacist.
  17. Start work.  *Somewhere between your last year of school and passing your exams you should have applied for and accepted a job*

This is not the only path to becoming a pharmacist.  It is just one option, the straightest option.  You can take many other paths to become a pharmacist, and any path you choose is going to give you personalized experiences and a unique story.

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Location of Important Organs

Ever have a twinge and wonder what organs or body parts are in that area?  When the next step is to run a Google symptom search, you will find yourself faced with a potentially deadly diagnosis in approximately 3.2 seconds!
To avoid the unnecessary stress and anxiety of appointments with Dr. Google, help yourself make wise health decisions by knowing the approximate location of your organs.

Important Organs

Brain:  It’s in your head (obviously).  Interesting tidbit: your main is made of nerves but they are not sensory neurons, so your brain doesn’t feel.  The other things around your brain feel, like membranes and connective tissue inside and outside the skull.
Thyroid:  It is on the front of your neck right above the middle dip between your collar bones.
Heart:  Ball of your fist and put it right in the middle of your chest (yes ladies, right between your boobs).
Lungs:  They actually start way up high right below your collarbones and extend down and stop right about your last complete rib.
Stomach:  It starts in the middle, right under your sternum (or breastbone) and curves to the left. Interesting tidbit: laying on your left side causes gastric emptying, which is when the stomach dumps its contents into the top of the small intestines.
Liver:  It is shaped like a triangle on your right side, starts under your ribs. The long side of the triangle crosses over what you might call “the pit of your stomach”, the short side extends down about even with your belly button.
Gallbladder:  It’s located under the liver, a little to the right of “the pit of your stomach”.
Small intestine:  It snakes its way left and right across your abdominal region
Kidneys:  They are towards your back, under the bottom few ribs.
Colon:   It is right above your tailbone.  Interesting tidbit: this is why constipation can cause back pain.
Appendix:  It is on your right side, above your hip bone.
Bladder:  It is right above the pubic bone (the middle bone that connects the two sides of the pelvis). I mean, we all know what it feels like to have to pee, right?
So this is a list of the major things that you can’t see but you might be able to feel if something isn’t quite right.