The Salina Journal from Salina, Kansas on October 2, 1997 · Page 11
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The Salina Journal from Salina, Kansas · Page 11

Salina, Kansas
Issue Date:
Thursday, October 2, 1997
Page 11
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THURSDAY OCHSSIR £, 1997 THE SALiM'JOURNAL BRIEFLY Doctors must ease terminal patients' pain NEW YORK — Medical schools ftnd residency programs must begin teaching future doctors the importance of easing dying patients' pain, according to a Mount Sinai Medical Center study. "Just as we expect every medical student and intern to learn to manage diabetes and high blood pressure, we should require (them) to become sophisticated in the management of pain... and the basics of communication with patients and families," said Dr. Diane Meier, a geriatrician and co-author of the study. The article, published this month in the Annals of Internal Medicine, the journal of the American College of Physicians, cited doctors' attitudes, fiscal constraints and confusion about the difference between withdrawing life support and actively helping a patient commit suicide as some of the biggest barriers to good end-of-life care. Some people are more tempting to mosquitoes MILWAUKEE — Some people are more attractive targets for mosquito bites than others, a researcher says. Active people, as well as larger folks and fidgety people with faster metabolisms, are more susceptible to getting bit, said Jonathan Day, a professor at the University of Florida's Medical Entomology Lab. People exhale more carbon dioxide when they are larger or more active. Mosquitoes sniff out carbon dioxide plumes to locate their targets from up to 18 feet away. As mosquitoes move in, they see movement, so active people stand out again, Day said. People wearing dark clothing also stand put because mosquitoes see color in terms of contrast with the light horizon. They also detect lactic acid on the skin and use it to identify their targets. If a mosquito can't detect lactic acid, it moves on to a more promising body, said Phil Pellitteri, insect diagnostician in the department of entomology at the University of Wisconsin-Milwaukee. Radioactive seed treats prostate cancer Men with early-stage prostate cancer have a new option for treating their disease without surgery or external beam radiation treatments. A radioactive Iodine or Palladium "seed" implanted directly in the prostate delivers a very high dose of radiation to the cancer more efficiently than external beam radiation and without the risks of surgical removal of the prostate. "Basically, this is an outpatient procedure," said Dr. Eashwer Reddy, professor of radiation on- .cology at University of Kansas Cancer Center. The latest advance in the procedure is now available at the Cancer Center. For more information, call 913-588-3632. . From Wire Service Reports T FITNESS Health NEWS / C3 CLASSIFIED / C4 c Photos by Scripps Howard News Service Vlckl O'Neal, 32, a quadriplegic since an auto accident left her paralyed, talks about her determined struggle to get back Medicare benefits after they were taken away last year. Homebound Quadriplegic lost her federal health beneifts after home health aides helped her roll outside By JAY PRICE Raleigh News & Observer C ARRBORO N.C. — Gazing calmly from a color spread in the September- issue of New Mobility magazine, Vicki 'O'Neal looks like a woman in control: in control of the hand propping up her cheek, in control of her life. The truth is, she has little control over either. It has been more than a year since a federal Catch-22 cost O'Neal, 32, her Medicare benefits. And even though the former teacher has gained powerful allies in her fight to get them back — including a state-funded lawyer, Rep. David Price and a Washington lobbying group — it is far from certain that she'll win. O'Neal's troubles came to light a year ago. Since an auto accident in 1993, she has been quadriplegic. She can move her left arm enough to push the stick that controls her wheelchair, and sometimes can bend at the waist without needing help unbending. According to a Medicare rule, to get in-home health care, she must be homebound. Without home health aides, O'Neal can't get out of bed, much less out of her modest apartment. With in- home assistance, she is able to get into her electric wheelchair and go outside regularly. This, according to the regulation, means she is no longer homebound and thus no longer entitled to aides. O'Neal of Carrboro, N.C., is featured In the September Issue of New Mobility magazine. The rule dates from 1965, before electric wheelchairs with sophisticated controls opened up some of the world to people in O'Neal's condition. Last year, O'Neal's home-health agency decided that it didn't want to risk being accused of fraud, so it stopped billing Medicare for her benefits and cut her off. Since then, she has been fighting on two'fronts, trying to get her own benefits back and also firing off letters to the news media, various lobbying groups and the state's congressional delegation in an effort to get the regulation changed. "It's been a very stressful year, and I'm stressed all the time," she said in an interview. "I don't know the future of my care, and I don't know the future of this issue." Lobbying group involved It takes a long lever to move the federal government, but O'Neal may have found it. Among those she has recruited to help are Price, the Democratic congressman from Chapel Hill, and a Washington lobbying organization called the National Association for Home Care. In addition, the Governor's Advocacy Council for Persons with Disabilities has provided her with a lawyer, Bill Hatch. He is guiding O'Neal through the appeals process for her personal case, and he regularly consults with an attorney for the National Association for Home Care about the quest to change the regulation. See HOME, Page C2 Sculpt muscles by getting on the band wagon > »Alway* warm up. Avoid an injury that results from working cold muscles by walking In place or doing ' low-Impact aerobics • Exercise all muscles. Not working the entire body causes muscle imbalance, Which can lead to injury, t QQ plow. Controlling the , band and tube is a must. Keep them away from face. '/ «Check your body alignment. When standing during ; body sculpting, it's critical to ,Vhave proper posture. Keep *, shoulders, square, contract the abdomen, slightly relax the knees and maintain § 'natural spinal curve, ; t Proptrly cirt (or equip* ment, Store In a cool dry place. Heat and sun causes more likely to snap. To keep rubber pliable, sprinkle occaSource: 8m$n Plxvn. Resistance training with lightweight tubes, bands prevents osteoporosis By JULIE BAWDEN DAVIS Los Angeles Times Syndicate IRVINE, Calif. — If you're looking for a workout you can do just about anywhere, body sculpting may be right for you. This exercise uses rubber bands and tubes to strengthen muscles. The lightweight, small tubing is easily transported, easy to use and inexpensive. "Body sculpting is great for the busy professional," says Christian Barney, a certified chiropractic sports physician in Irvine, Calif. He uses tubing and bands in therapy for injury treatment and prevention. "You can keep tubes and bands in your desk at work and even carry them in your briefcase," he says. "Unlike weights, they're really easy to travel with, and they allow you to stay in shape when you're away from home. Do 10 minutes of body sculpting in your hotel room, and you'll feel good." Although they're small, the tubes are powerful and can be used to do almost any exercise that is done on weight machines, says Melane Barney, who is married to Christian Barney. She is an aerobics coor- Los Angeles Times Syndicate Although the tubes are small, they are powerful and can be used to do almost any exercise that Is done on weight machines. dinator at the Sporting Club in Irvine, where she teaches a rubber band and tube class known as "Body Definition." The strengthening exercise provided by body sculpting is necessary for good health, she says. "An American College of Sports Medicine study showed that you need to do resistance work at least three times a week. You must work each major muscle group, doing no less than two sets of 12 repetitions for each area," Melane Barney says. Resistance exercise produces a long, toned look, and regular weight-bearing ex- ercise prevents osteoporosis, according to fitness experts. Body sculpting is especially good for women, she says. "The rubber bands and tubing strengthen the entire body, including their upper body muscles, which tend to be weak. The best way to get that hourglass figure that most women want is to work out the upper body too, because this broadens the shoulders and back and provides a better contrast with the rest of the figure." Men also really enjoy the workout, says Susan Dixon, co-director of Irvine Valley College's aerobic instructor's certification program in Irvine, Calif. She also teaches body-sculpting classes. "Men like resistance work, and body sculpting offers them something different from weights and machines," she says. "They are also often surprised that it is harder than it looks; it can be a very intense workout." The rubber tubing and bands are used in a wide variety of ways and positions. Lots of reps are performed to increase muscle endurance, and the bands can be adjusted according to how much resistance you require. A typical tube class starts with 10 minutes of warm-up, then moves into sculpting, much of which is done while standing. "We begin by working the large muscle groups, first doing the chest and back, and then moving to biceps, triceps and shoulders," Melane Barney says. "Next we iso- late the legs, working out hamstrings, quads, and inner and outer thighs. We end with eight to 10 minutes of abdominal conditioning and five minutes of stretching." Although body sculpting isn't a true cardiovascular workout, it does raise the heart rate some. "It's a low-intensity workout, and people do burn a little fat while toning, which is an added benefit," Dixon says. Although body sculpting is gaining popularity, the concept of working out muscle groups with rubber bands and tubing is nothing new. Melane Barney started teaching the method in 15 years ago. She used to carry bands from class to class and was even bestowed with the nickname "The Rubber Band Lady." "For years rehabilitation centers have used bands and tubes to treat a variety of injuries," Christian Barney says. "1 use them for shoulder problems, tennis elbow, rotator cuff tears, lower-back problems, upper-back problems and neck difficulties. "I even have patients do preventive exercises with them. For instance, many people spend the day hunched over the computer. There are great tube upper-back exercises that counteract this bent-over tendency." Most clubs that offer body-sculpting classes provide bands for use during class. If you would like your own tubing or bands, check out sporting goods stores for what's available. SUGGESTIONS? CALL SHERIDA WARNER, LIFE EDITOR, AT (705) 823*6363 OR 1-600-827-6363 OR E-MAIL AT

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