A FRIENDLY PAT - Pediatrics patient Brett Getting, 1, can't resist the furry nose of "Bubbles" the bunny, who helps children at St. John's Hospital feel more at ease with their hospital stay. Brett is the son of Mr. and Mrs. Journal Photo Roger Getting, Tescott Rt. 1. Holding him is Cynthia Forssberg, R.N. Detecting illness in tiniest patients NEW YORK (UPI) - This is the era of in utero diagnosis and, in some cases, treatment in the womb of the tiniest patient of all, the human fetus. An update of so-called prenatal diagnosis and treatment by the American College of Radiology was replete with such words as j amniocentesis, ultrasound, and fetoscopy. • All are precise and sophisticated diagnostic tools physicians now use to detect, in utero, a range of fetal abnormalities. These range from Down's syndrome, a form of genetically-caused mental retardation, to spina bifida — a condition in which the bony enclosure of the spinal cord does not close completely. Radiologists who specialize in fetology — the study and care of the fetus — told science writers fetal diagnosis and intervention can markedly improve the outlook for some children with correctable defects. One panelist, Dr. Carol M. Rumack, assistant professor of radiology and pediatrics at the University of Colorado School of Medicine in Denver, said she and her colleagues found a potentially fatal kidney obstruction in a 34-week fetus while performing a routine ultrasound scan of the mother's womb. The doctor said had the defect not been found and the baby been delivered normally, it probably would have died of kidney damage. To save the life, the doctors induced labor • month early and corrected the defect within 24 hours after birth. Dr. Rumack said the baby is healthy today. Also at the Denver facility, radiologists were able to drain excess fluid from the brain of a fetus with hydrocephalus — excess water in the brain cavities. Pressure from same leads to mental retardation, seizures and other developmental ailments. In another in utero treatment, Dr. Jason C. Birnholz, an associate professor at Harvard Medical School and radiologist at Brigham and Women's Hospital in Boston, corrected fetal hydrocephalus by performing a series of six punctures in the fetal skull — to drain the water and relieve pressure on the fetus' brain. Other prenatal accomplishments cited include: • Intrauterine correction of a urinary tract blockage in a twin fetus. • Intrauterine drainage of excess fluid in the fetal chest, abdomen and lung. • Intrauterine transfusions of red blood cells to fetuses suffering from the Rh in- compatability illnesses. • Selective abortion of a twin fetus suffering from Down's syndrome, a congenital form of mental retardation. Here are definitions of some of the diagnostic techniques utilized in looking in on the tiniest patient: 1. Amniocentesis. This involves puncturing the amniotic sac to withdraw, then analyze, a small sample of amniotic fluid that makes up the fetus' watery prenatal environment in the womb. 2. Ultrasound. This is a technique that helps guide doctors puncturing the amniotic sac. They must be careful not to hit the fetus or its eyes or heart and so forth. Ultrasound enables radiologists to get a television-screen image of the fetus and the placenta — through the production and transmission of sound waves. Ultrasound is an "non-invasive" technique. That is, it does not entail entering the womb. As a result, that technology is growing in popularity as a routine prenatal diagnostic technique. Doctors at the forum said it is especially recommended as a trouble check when the mother-to-be has diabetes, hypertension, or previously has had a troubled pregnancy. Sunday,. November 15,1981 - Tbo Salina Journal Page 18 Living Today The Salina Journal oo si orat) By SHERIDA SCHURZ 'Living Today' Editor With his big floppy ears, cute cotton tail and fur the color of cotton candy, he looks something like the Easter Bunny must. His name is "Bubbles" and, rather than candied eggs, he brings the children punch and cookies at a pre-operative party at St. John's Hospital. The man-sized rabbit, who incidentally is able to speak our language, is the star of a film designed to inform and assure children who are scheduled for surgery. Twice a month the party is given for children, up to 12 years old, and their parents. After the film, they are given a tour of the surgical ward, recovery room and the pediatrics ward. RNs Patsy Kroboth and Clydene Young, assistant supervisor of surgery were hostesses at one of the parties Thursday evening. The parties are not restricted to surgical patients. "Anyone is invited to come," says Kroboth. She stresses the importance of children knowing what to expect if hospitalization should become necessary. Four of the seven children who attended Thursday are scheduled for tonsils, adenoids or ear surgery within the next two weeks. The nurses took their blood pressure and let them listen to their own heartbeats with a stethoscope. A heart monitor, which is part of the standard procedure during surgery, was passed around the room so the children also could become familiar with this. And, Young wore a green surgical scrub suit and cap during the party. Questions of parents and children were answered. Can my brother visit me? If he is at least 14 years old, according to hospital policy, is the answer. The first evening after being admitted, however, patients can eat supper downstairs in the hospital cafeteria with family members and have visiting time in the lobby, Kroboth explains. Parents have 24-hour visiting privileges on the pediatrics ward, they are told. There were more questions about blood tests and shots. Replies were honest yet reassuring. Kroboth suggested the patients bring a special toy and/or blanket with them which can be taken along on the trip to the surgery ward. Afterward, the children receive surgical masks, caps and coloring books to take home. Guess who is featured in the coloring book? "Bubbles" the bunny, of course. Finding a JOB can be hard work These Salinans joined a CLUB to learn how By SHERIDA SCHURZ •Living Today' Editor His daughter is only six months old and his wife is expecting their second child in April. And, the 18-year-old says he has not worked since August. Glen Milleson, 1007 N. 3rd, depends on assistance through Aid to Dependent Children. Until two weeks ago, the future looked bleak. But a new "Job Club" concept, adapted by the local Work Incentive Program (WIN), 114 S. 7th, has given him some hope and possibly an independent part-time income. I There's certainly no question about one thing - it has given Milleeon INCENTIVE. Since last Monday he has made 27 telephone calls to prospective employers and applied In person to eight or nine businesses. "It used to be when they (employers) asked me things, I didn't know what to say. This time, I wasn't as nervous as usual," Milleson says. Milleson spent three afternoons last week in training sessions for vacuum sales as a result of his efforts. He sees this as a part-time Income opportunity and still continues to spend mornings at the Work Incentive office making calls and being part of a support group with people in similar situations. Milleson says his interests lie in mechanical or assembly work, and another possibility might be moving furniture. Although selling is new to him, Mill- Milleson: 'Not os nervous. eson is encouraged by some techniques learned during the training period. So life is looking up for this Salina family. And that is what supporters of the "Job Club" want. Salinans Karen Anderson and Rosalie Pettit are the trainers who provide guidance for WIN clients voluntarily enrolled in the "Job Club." Anderson is an employment and training worker for WIN; Pettit is a Social and Rehabilitation Services social worker. Clients are referred by the SRS income maintenance department. The purpose of WIN is to help the clients accept responsibility for themselves. The agency's goal is not to find employment for its clients, but to help them be able to secure it on their own. Office 'manager Cora Larmer, Abilene, says that after an appraisal interview, clients form an "employabllity plan." This consists of setting a realis- tic goal and identifying the barriers, if any exist, to reaching that goal. A plan of action then is developed to attain it. "Job Club" is one tool clients may use to eliminate barriers and learn bow to find a job, Larmer says. The first session began Nov. 2 with five participants. Similar clubs are planned monthly. During the first week, job-seeking skills are taught through morning workshops on assessing personal skills, appearance, employers' expectations, writing resumes, budgeting and using the telephone to get interviews. "Job Club" members use the next two weeks applying what they've learned and actually searching for employment. Each morning they meet back at the WIN office to discuss their progress and encourage one another to keep trying. The trainers say they received an "excellent response" from club members. "It's exciting to see them apply the group dynamics, supporting each other," Anderson says. Larmer quotes Impressive success figures for WIN, which is federally funded and jointly administered by the Health and Human Services and the Department of Labor. Clients' ages range from 25 to 35 yean. "We placed enough people in jobs during the last fiscal year to return $3 for each $1 spent on local administration costs. It's one of the few agencies that Is cost-effective nation- wide. WIN assistance in Kansas during this time saved $4.8 million tax dollars, which is more than twice the cost of the state program." And, Larmer is proud of the local retention rate — 91.6 percent (employees still on the Job after 30 days). She views "Job Club" as an enrichment to resources already offered. The clients have positive comments about it, too. Milleson says it's a "pretty good deal." He says he believes the "Job Club" was worth his time. He learned some things he didn't know before, such as how to write a resume and how to assert himself over the telephone. "You don't ask if there's an opening or what the pay is ... you start telling them (prospective employers) what qualifications you have." Another member of "Job Club," Jean Smith, 209 E. Mulberry, says she, Smith: too, learned that certain words are better than others. "They teach us to use a hook; it's supposed to get the employers interested in what we have to say." This 22-year-old mother of two preschoolers says the telephone technique "usually" works. Telephones and other job information made available at the WIN office cut down on travel costs and tune these clients normally would spend going from business to business. And as far as transportation to and from work, the clients often depend upon their own ingenuity. For Smith, that means riding her bike. The whole program is geared toward "being responsible and taking care of your children," Smith explains. As for work, she has "lots of possibilities" but no job. Smith recently graduated from the Salina Area Vocational-Technical School where she trained in welding. "I just decided that's what I wanted. I was tired of working in restaurants and nursing homes." "Job Club" has given Smith more confidence in herself, she says. "It gets your interest up. When you don't have any family near, it's good to have someone to reassure you." Jim Davis, 801 N. Santa Fe, says he's had "pretty good luck" since joining "Job Club." Various phone calls have gained him several Interviews. He is looking for manufacturing work, such as running machinery or operating a press. Davis, 22, who has a 14-month-old daughter, says finding the right employment — something he'll be happy doing — is important. "Job Club" has Davis: 'Pretty good luck. ' given him a chance to think about what he really wants to do. "The people here really care; they help you look for a job." He agrees with Smith about the club helping him have more positive feelings about himself. When the frustrations of job-hunting arise, he doesn't "get as mad as I used to," says Davis. * -tr * WIN office manager Cora Larmer says several Salina employers are taking advantage of tax credits as a result of hiring WIN clients. Little red tape is Involved in the process, and the employers are eligible for credits of up to $6,000 of the worker's yearly wages, she says. Firms Involved at this time Include Brown Mackle College, Tony's Pizza Service, Salina Nursing Center, Vldr- icksen's Food Service and Elmore Cafeteria.
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