Logansport Pharos-Tribune from Logansport, Indiana on March 23, 1988 · Page 7
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Logansport Pharos-Tribune from Logansport, Indiana · Page 7

Logansport, Indiana
Issue Date:
Wednesday, March 23, 1988
Page 7
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Pharos-Tribune, Logansport, Indiana, Wednesday, March 23, 1988 Page? HEALTH AND MEDICINE Backache Strap muscle: Turns head to the left or right Cervical ver Trapezius muscle: Lifts, lowers, and pulls back the shoulders Thoracic vertebrae" —"•f^RT Hemiated disc* Normal disc The herniated disc Cushioning each of back's vertebrae are discs composed of a fibrous cartilage network and a gelatinous core called the nucleus pulposus. Discs are more than 80% water, which makes them highly elastic and enables them to absorb jolts to !he back. With age, the discs dry out. The I fibers holding the core become torn, allowing the core to leak out and to form a bulge. If this bulge presses on any of the roots of the nerves radiating from the spinal cord, pain, weakness and numbness will occur. Deltoid muscle: Lifts and moves arm forward and backward, especially when. raised Vertebrae most likely to fracture Large round muscle: Turns arm toward the inside, pulls it toward the back and lowers it from a raised position. A broken back Most fractures occur where the more flexible neck and waist regions connect with the thoracic area which is more rigid because of the ribs. If the spinal cord is cut by jagged bone, death can occur or the person will be paralyzed from that point to his toes. Such catastrophic injuries occur most often to men between 16-35 years old and happen most frequently in auto crashes. vertebrae Broad back muscle: Pulls arm toward the back and inside; it is the apron string muscle Sciatic nerve Glutaeus maximus [large buttocks muscle]: Moves the thigh, stabilizes weight- bearing leg, aids in climbing stairs Sciatica One common symptom of a back in trouble is the excruciating pain that follows the body's largest nerve, the sciatic. This nerve emerges from the lower spine at each side of the hips and travels down each leg. Sciatica pain follows the same course—radiating from the lower back into the hip and down the legs. A herniated disc is the major cause of sciatica, but infections, injuries, tumors, degenerative arthritis and other diseases—anything that presses on or stretches a root of the sciatic nerve- may also cause the pain. Chicago Tribune Graphic: Researched by N. Jane Hunt, illustrated by Leonard Morgan; Sources: "Goodbye Backache" by Dr. David Imrie with Colleen Diroon, "The American Medical Association Book at Back Care" by Marion Steinmann, "Speaking of Backaches" by Renate Zauner, "Rand McNaKy Adas of fte Body" w>' *» Equipment Doesn't Mean Best Care WASHINGTON (API- Spending big money on space age hospital equipment is riot necessarily the best way to provide quality medical care, says the federal government's top health official. "Sometimes our high-tech capability lures us into pursuing expensive answers when less costly ones are available," Dr. Otis R. Bowen said Tuesday. "Our veneration of technology has become a cultural blind spot that sometimes keeps us from pursuing practical solutions to our problems." The Health and Human Service secretary's remarks to a conference of the Health Care Quality Alliance came shortly after the 28-member coalition issued a report saying cost control should stop where "quality of care — and quality of life — are adversely affected." Bowen said cost containment and quality care can co-exist. Diagnosis Betier In Lupus Cases NYU MEDICAL CENTER A deeper understanding of the range of systemic lupus erythematosus, combined with earlier diagnosis and new forms of treatment, mean a much improved outlook for people with the disease, according to a physician at New York University Medical Center, "Lupus is usually not a fatal disease today," said Dr. Steven B. Abramson, arheumatologist and associate professor of medicine at the center. "We are finding that the spectrum of lupus is wider than we had appreciated. Many people have a quite benign form of the disease. "In 1953, fewer than 40 percent of people diagnosed as having lupus survived for five years. Today, the 10-year survival rate is above 90 percent," Abramson observed. Reynaud's Imitates Frostbite NYU MEDICAL CENTER If the weather is cold and one's fingers turn pale or blue and become numb, the explanation could be frosbite. If this happens repeatedly, or if it is not always related to the weather, the cause could be a fairly widespread disorder called Raynaud's disease. Most who suffer from Raynaud's — estimates range from 5 to 10 percent of all women in the United States — can find relief, according to a specialist at New York University Medical Center. "The cause is vasospasm," explained Dr. Sara B. Kramer, a rheumatologist and instructor of medicine at the center. "Small arteries go into spasm and clamp down on peripheral circulation." Fingers are typically affected. Toes or. rarely, earlobes or the tip of the nose may also be involved. Injections Of Patient's Own Blood Shows Promise For Cancer Victims DAYTON A BEACH, Fla. (AP) - Cancer patients whose bone marrow was destroyed by therapy regained marrow function after injections of their own blood cells, suggesting an alternative to marrow transplants, says a study released today. The blood-cell technique may permit aggressive cancer treatment in patients who cannot get marrow transplants, said Margaret Kessinger, associate professor of medicine at the University of Nebraska College of Medicine. Marrow transplant experts said its near-term usefulness would be limited, but that it may have potential for wider use. Bone marrow creates the blood cells of the disease-fighting immune system. Marrow transplants are used in cancer therapies when the doses of anti-cancer drugs or radiation are so high they will destroy the marrow. In some cases, marrow is withdrawn from the pelvic bone of the patient while the patient is under general anesthesia. It is stored in the laboratory while the cancer therapy is performed, then injected back in the'person. The marrow cells migrate to the bones and multiply until they replenish the marrow lost in the therapy. For other patients a donor is preferable. But only 30 percent of such patients have a willing donor, usually a sibling, whose marrow is similar enough for their bodies will accept, said Kessinger, who spoke to science writers at an American Cancer Society seminar. About 4,000 people a year in the United States give up marrow to have it returned after treatment, said David Golde, chief of hematology and oncology at the University of California, Los Angeles, School of Medicine. Worldwide, about 1,500 marrow transplants from one person to another are done annually, said Robert Peter Gale, professor of medicine at UCLA, who performed bone-marrow transplants on Soviet radiation poisoning victims from the Chernobyl nuclear power plant fire. Kessinger said the experimental technique involves extracting white blood cells from a patient's blood. In four-hour sessions every day for six days, blood is removed and returned to the patient after white cells are removed, she said. The body replaces the white cells about as fast as they are extracted, she said. Bone marrow transplants vital treatment for radiation victims 1 Marrow is surgically removed from a healthy donor's pelvic bone 2 Donor's marrow is purified by mixing with lectin, a soybean extract that makes it possible to separate T cells [vital components to the immune system] from stem cells Stem cells T cells Chicago Tribune Graphic; Source: Chicago Tribune news reports 3 Administered intravenously, purified marrow cells travel through the blood stream and eventually reach the bone marrow spaces to begin restoring victim's blood cells and immune system Refugee Loses Fight With Cancer MANHASSET.N.Y. (AP) -A Vietnamese refugee has died after she lost a fight against leukemia that prompted the Vietnamese government to release her relatives in hope of finding a compatible bone marrow donor. Myhanh Luong, 21, died of an infection stemming from her leukemia, North Shore University Hospital spokesman Daniel Rosette said Tuesday. Luong came to the United States in 1979 after a seven-day journey from Vietnam to the Philippines in a small boat with 52 other refugees. In 1986, while attending Baruch College, she was diagnosed with the blood cancer. In January, under pressure from the U.S. State Department, the Vietnamese government granted exit visas to Luong's parents and two sisters.in Ho Chi Minh City "on humanitarian grounds."

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