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As one young woman said to me, after a fall onto her knee with a negative x-ray, "Well, if it's not broken, then how come it hurts, huh? He has spent many years practicing in rural and critical access facilities, including work as a locums provider for Weatherby Healthcare. Likewise, a skinny husband can't handle an amply proportioned wife. He practices full-time in a rural community hospital in South Carolina. I have decided that, as an emergency medicine physician, I have a sub-specialty. Seniors with falls from a standing position are sicker than ever with neck and head injuries, rib fractures, and other significant trauma. However, we can only add so many nursing homes, so many fall-prevention devices, so much home health care.

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An ankle sprain, a knee contusion, not even a fracture, and younger and younger people seem incapacitated.

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It is indeed a blessing that we can delay death so handily with our incredible science. Family members are also in a difficult situation. But I believe we have more falls in the aged because of the hard reality that as a nation, as a civilization, we're just out of shape and weak.

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3 COMMENTS

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