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Articles written by Andrew Ellsworth


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  • Feeling winded

    Andrew Ellsworth MD, Prairie Doc|Mar 27, 2024

    “Well, doc,” the patient was telling me, “I get winded so easily now. I can hardly go to the mailbox without stopping to catch my breath. It did not used to be that way. Do you think something is wrong?” Many of us have experienced shortness of breath. After a period of inactivity, such as winter or a busy month, when we decide to exercise again, it may be easier to feel winded. That experience can be due to deconditioning, feeling out of shape. A good remedy for that is a gradual increas...

  • No man is an island

    Andrew Ellsworth M.D.|Feb 21, 2024

    “No man is an island, entire of itself, every man is a piece of the continent, a part of the main.” This is the beginning of a poem from 1624. In it, the poet John Donne appreciates how humans are all connected. Indeed, humans are social beings and social connection is a factor in our health. We all know the importance of a healthy diet and exercise for our health. We are getting better at understanding the importance of mental health. One thing we do not discuss much, however, are the ben...

  • Get your eyes checked

    Andrew Ellsworth MD, Prairie Doc|Oct 26, 2023

    If you ever played baseball, you may have been told to “keep your eye on the ball.” When batting, a baseball player is taught to watch the ball the entire time from when it leaves the pitcher’s hand to when, hopefully, their bat smacks the ball for a hit. It may sound simple, but some pitchers can throw fast and sometimes they throw a curve ball. Great hitters use their vision and spot the difference, helping them get a hit. Lose focus and, in the blink of an eye, the pitch has whipped past...

  • The secret to losing weight

    Andrew Ellsworth MD|Oct 5, 2023

    People often think they need to lose weight. The hard part, of course, is following through on that desire in a sustained and successful manner. Here are a few of the ways people do lose weight and the secrets of their success. Some people should not lose weight, so please talk to your doctor. First of all, consider the reasons to lose weight. Benefits can include having more energy, improved mobility, fewer aches and pains, sleeping better, improvement in mood, lower blood pressure and lower...

  • With new knowledge comes new discoveries

    Andrew Ellsworth, M.D.|Sep 7, 2023

    My son is a Boy Scout. Hopefully, he will become an Eagle Scout like his dad, his grandpa, his uncle, and not to mention 11 of the 12 men that walked on the moon. Whether he does or not, it has been an honor seeing the program help him and other boys mature into responsible young men. This summer, our troop took our canoes along the 108 miles on the Missouri River in Montana, in the Upper Missouri River Breaks National Monument. That stretch of the Missouri, where the river has carved impressive rock formations that create “breaks” in the lan...

  • Do not miss the signs of a blood clot

    Andrew Ellsworth M.D.|Jul 6, 2023

    The patient was young, healthy and short of breath. She had not been sick recently, other than a minor cough. Her oxygen level was normal and her lungs sounded clear. Her heart rate was a little fast and she was breathing rather quickly, too. She was anxious about it, but she knew there was more to this than anxiety. Meanwhile, she was taking an antibiotic for bronchitis which did not seem to be helping. We did some additional tests, some blood work, to look for other possible causes. One test...

  • Big pharma has gone fishing

    Andrew Ellsworth M.D.|Jun 1, 2023

    You are probably familiar with drug commercials. There are all sorts of them showing people being active and smiling as they attend a birthday party, go biking, go surfing or shopping at a flower shop. At some point, they start listing some of the side effects and precautions, including some obvious and some scary statements. “Do not take this medication if you take nitrates for chest pain, do not take this medication if you do not suffer from a disease or do not take his medication if you are a...

  • It's always construction season for the body

    Andrew Ellsworth M.D.|May 11, 2023

    Like a car racing along the interstate, exiting onto a highway, and finally reaching the family farm along a dusty gravel road, our blood circulates inside our bodies. There are the major blood vessels, such as the aorta running out of the heart and there are the tiny capillaries allowing blood cells, one at a time, to carry oxygen and nutrients to all the cells in our bodies. The network of capillaries is so complex it is estimated there are over 40 billion in one person and, if stretched out...

  • The case for iodized salt

    Andrew Ellsworth M.D.|May 4, 2023

    Imagine how just over 100 years ago, nearly one-third of people in the upper Great Lakes and upper Midwest regions walked around with a goiter on their neck. A goiter is a lump on the throat, which could be as big as an orange, a grapefruit or larger. Actually an enlargement of the thyroid gland, a goiter can come from an overactive thyroid gland, an under-active thyroid gland or an autoimmune condition, but in the United States before the 1920s, the reason was almost always deficiency of...

  • Hindered by pain in your heel?

    Andrew Ellsworth M.D.|Apr 6, 2023

    If you have pain on the bottom of your foot at the heel, especially when you take your first steps of the day, you likely have plantar fasciitis. One of the most common causes of foot pain, plantar fasciitis pain can subside with time, but sometimes the pain keeps people from doing what they love, whether that be running, walking or other pleasures of life. I once saw a young woman suffering from plantar fasciitis who got some relief from an injection. A few years later she returned wanting...

  • It's time for your checkup

    Andrew Ellsworth M.D.|Feb 2, 2023

    Recently I received a mailing from my clinic reminding me it is time to schedule my annual preventative care physical. Apparently, doctors need to go to the doctor, too, even when they feel fine. As a primary care physician, one of my passions is preventative care. Preventative care is focused on catching problems before they even start to cause symptoms, catching issues early when they are easier to treat. Whether you want to call it your annual physical, your yearly checkup or an annual...

  • The vital role that women play in men's health

    Andrew Ellsworth M.D.|Nov 3, 2022

    A hug when I come home after a long day. A smile that melts my heart. A song and a dance that are spontaneous and carefree. Those are some of the blessings that come to mind when I think about my daughter. Daughters can be a blessing in so many ways, as can sons of course. However, when it comes to taking care of families, women often play a vital role. Whether it is a young mom with her baby, a concerned wife encouraging her husband to go to the doctor or a loving daughter preparing her...

  • Sniff, sniff, sniff ... That darned runny nose

    Andrew Ellsworth, Prairie Doc|Oct 6, 2022

    When your nose runs, although it may not slow you down, it can be annoying. This time of year, it's difficult to know if your runny nose is from a cold, allergies or another reason. Rhinitis can be broadly defined as inflammation of the nasal membrane. Sometimes a runny nose is from allergies, caused by allergens in the air, such as trees, grass, weeds, molds, dust mites or pet dander. Allergy symptoms often include sneezing, an itchy or runny nose and itchy, watery or red eyes. A runny nose...

  • Keeping on the sunny side of life

    Andrew Ellsworth M.D.|Sep 8, 2022

    After a visit about aches, pains and various medical issues, a patient was commenting on getting older. Similar to other patients, I expected him to say something like, “It’s no fun getting older.” To my surprise, the patient said, “I’m 85. That means I have a lot to be thankful for.” Some people are almost always positive, and some are usually negative. Those who are positive have been found to have better outcomes and seem to enjoy themselves more while unfortunately, those who tend to be...

  • Bring home memories, not ticks

    Andrew Ellsworth M.D.|Jul 7, 2022

    Recently our family went on a camping trip. Our kids loved how we canoed our supplies across a lake and set up our campsite. My wife and I were reminded how much work it is. Soon our children were experiencing more mosquitos, flies, caterpillars and ticks than they had ever seen before. On one of our lovely hikes, nearly every time I looked down, I found another tick crawling on my shoe or leg. Ticks love tall grass, wooded areas and other moist and humid environments often close to the ground....

  • It helps to share your story

    Andrew Ellsworth M.D.|Jun 2, 2022

    With the storm approaching, my wife texted me after work to come home right away. Within minutes, after I left the clinic, she called me again to tell me NOT to come home and to seek shelter immediately. At first, I thought I could make it home, but then the wall of wind hit and a tree fell onto the road in front of me. I turned around and another tree blocked the way. Then it got so dark. It was disorienting and I turned on my windshield wipers using the fluid to try to clear the dust and mud...

  • Take a Moment to Breathe

    Andrew Ellsworth M.D.|May 5, 2022

    The act of breathing is essential to life and can be done with or without thinking about it. You can control your breath and vary it, but eventually, air must come in and air must go out. The breath of life and breathing exercises are an important aspect of many religions. In the book of Genesis, when God created man, he formed man of the dust of the ground and breathed into his nostrils the breath of life. Several Eastern religions use controlled breathing in meditation and prayer, helping in...

  • What about medical cannabis?

    Andrew Ellsworth M.D.|Mar 31, 2022

    Since ancient times, marijuana has been used for medicinal and recreational purposes in many cultures. In the United States, it became illegal during prohibition, like alcohol. Later, under the Controlled Substances Act in the 1970s, the federal government classified marijuana a Schedule 1 drug. This classification includes heroin, LSD and ecstasy, all deemed to have no safe, effective medical use and a high potential for abuse. This Schedule 1 status imposes bureaucratic and legal barriers,...

  • Did your doctor "Do Anything"?

    Andrew Ellsworth M.D.|Mar 3, 2022

    Perhaps this has happened to you: Your recent cough kept you up for another night, so you went to the doctor. The nurse took your vitals, the doctor asked you some questions, listened to your lungs, maybe looked at your ears and your throat, and recommended rest, fluids, over the counter treatments and time. It all seemed fine until you got home and realized the doctor did not “do anything” for you. Why didn’t the doctor prescribe an antibiotic? What could it hurt? The use of antibiotics has bee...

  • Seeing shadows

    Andrew Ellsworth M.D.|Feb 3, 2022

    Did the groundhog see his shadow this year? Every year on Feb. 2, people gather in the small town of Punxsutawney, in western Pennsylvania, to observe the annual Groundhog Day ceremony. If the groundhog does see his shadow, he may retreat to his den and winter will last another six weeks. If he does not see his shadow, spring may arrive early. This tradition is nearly 140 years old. Organizers claim, for the sake of folklore, that the original groundhog, Punxsutawney Phil is still alive today,...

  • The palm of your hand

    Andrew Ellsworth M.D.|Dec 9, 2021

    As a family physician living on the upper Great Plains, I have many patients of Norwegian and German descent. Thus, I am familiar with some diseases that are prone to affect people of northern European ancestry. One such example is Dupuytren’s contracture. Dupuytren’s contracture is a gradual thickening of the connective tissue of the palm of the hand. It may begin innocently as a nodule in the palm or joint stiffness, which are common for anyone. However, with Dupuytren’s contracture, over...

  • When the Heart Can't Keep Up

    Andrew Ellsworth M.D.|Nov 4, 2021

    A woman had been feeling short of breath for several weeks. Physical activities which had previously been easy for her were becoming a chore. In fact, simply laying down resulted in difficulty breathing. She had gained some weight and her legs were swollen. This woman was a patient of mine and she was in heart failure. This doesn’t necessarily mean her heart was going to completely stop, but it was having trouble keeping up. For whatever reason, her heart struggled to pump and fluid was b...

  • Reach out for that lifeline

    Andrew Ellsworth M.D.|Oct 7, 2021

    Imagine yourself in a blizzard so thick and cold and blinding that you could not see your hands right in front of you. Such blizzards were common 150 years ago on the upper Great Plains. Without much for houses and trees, the wind blew the snow with such force that the little ice crystals were more like little knives making it hard to keep one’s eyes open even if there was something to see. Thus, to get safely from the house to the barn, farmers often hung a rope between the two, to not get l...

  • Respect people's choices

    Andrew Ellsworth M.D.|Sep 2, 2021

    This summer I attended the celebration of life service for Dr. Rick Holm, the original Prairie Doc who founded this newspaper column, a radio show and a television show now entering its 20th season. He died from pancreatic cancer in March 2020 during the early days of the Covid-19 pandemic and thus, there was no public service at the time. Many friends and family gathered to celebrate Rick. We sat on lawn chairs, shared tales and sang songs in a beautiful park on a gorgeous evening. We recalled...

  • Our antiviral founding father

    Dr. Andrew Ellsworth, The Prairie Dog|Jul 8, 2021

    When the Declaration of Independence was signed on July 4, 1776, the American colonies still needed to win the Revolutionary War to truly gain their independence from the British Empire. The war continued another seven years until Sept. 3, 1783. One of the deadliest threats to the Continental Army, however, was not the British Army, it was disease, especially smallpox. Boston had an outbreak of smallpox in 1775 from British Redcoats arriving to fight the rebellion. George Washington knew very...

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