Asheville Citizen-Times from Asheville, North Carolina • Page 89

ASHEVILLE CITIZEN TIMES PAID PERMIT No. in Neighbors NORTH ASHEVILLE REEMS CREEK WEAVERVILLE WOODFIN MADISONYANCEY Wednesday November 27,1991 3 i i Inside Society has faced child abuse issue "with a vengeance." a Page 4 Briefing Christmas Bazaar Thfi Frierids of the Mars Hill Pub Youths learn joy of reading ByTonyEndt NEIGHBORS EDITOR Some slightly irregular things have been taking place In many Buncombe County and Asheville City schools In recent weeks. Children have been taking all shapes and sizes of "hats off to reading," dressing up like their favorite characters out of. books and trying to read enough books together in a week-long contest to make the principal read to them from a rocking chair up on the school roof Whether they were marking National Children's Book Week or taking part in a local "I Love to Read Week," students in both systems were showing the extent to which educators are striving to help children learn and enjoy to read. And all the fun children had In the reading activities this month complement a whole new approach to reading that both county and city schools have adopted this year.

It is called a "literature-based approach" to reading and it offers students in the kindergarten through the 8th grade a far different means of learning to read than their parents encountered in school before them. "This approach to reading brings children and books together by teaching reading skills in the context of a story, biography, poem or play that the child has helped to select and in which the child has a genuine interest," explained Debra Preneta, a Helping Teacher with the Asheville City Schools. "It differs a lot from what you and I See Reading on pageS lic Library will have their annual Christmas Bazaar Thursday and Friday, Dec. 5-6, from 9:80 am to 4 m. In the Mars HUl Town Hall There will be crafts, housenoia Items, Christmas decorations, baked goods, candies, jellies, etc Hanging of Greens The Weaverville United Methodist Church on North Main Street will have its annual Hanging of the Greens services at 7 p.m.

Dec. 8. It will feature ugnung 01 cantues, decorating church with evergreens and refreshments in the fellowship vs haa EWART BAIXCITIZEN-T1MES The public Is invited. Holiday craft show The fourth annual holiday craft show and open house at the Dry Ridge StudenU at Claxton Elementary School took their "hate off to reading" as part of a week-long book fair In the school's media center. Taking part In the program above are, from left: front row, Brian Randall, Faye Hudglns, Alex Ferlkes and Dlonna Streeter; back row, Jody Edgerton, Katharine Baker, Marlah Gunther and Aklba Plummer.

Inn bed and breakfast wiu De nera from 10 a.m. to 3 p.m. Admission is free, and refreshments will be served. Drv Ridge Inn is located at at Lay midwife enables mothers Brown Street In Weaverville. For more Information call owners John and Karen Vander Elzen at 658-3899.

"Messiah" concert Tha rhridmaa nnrtlnri of Handel's to give birth in their home "Messiah" will be performed Sunday at p.m; ai weaveivure umi Methodist Church on Main Street in Weaverville. Chorus participants come from the north Buncombe area, as far west as Canton, and from the Penland area of Yancey County. The "Messiah" concert, either the Christmas or the Easter portion, has been the main cultural project of the Weaverville Music Study Club each i i I i- ifcjiw only legal lay midwife to choose'from. "Lisa is the only one that I am aware of who meets the exclusion on lay mid-wives in the state legislation passed in 1983," said Marty Ballard, nurse consultant for the Division of Maternal and Child Health for the North Carolina Department of Environment, Health and Natural Resources. Goldstein has delivered close to 3,000 babies many of them at home in more than 25 years of practice.

And she worked at Spruce Pine Hospital for 12 years, delivering a lot of babies there, too. Now she works with a physician In Asheville, one in Crossnore and three in Spruce Pine. Goldstein's knowledge of midwifery was gained from observing and assisting other midwives and doctors who were doing home births in and around the Philadelphia area, where she was born. See Midwife on page 10 changed over the years. "There is a Nurse Practice Act in North Carolina so that all licensed nurses have to follow under it," said Ann Forbes, a maternal child health nursing consultant with the North Carolina Department of Environment, Health and Natural Resources.

"Licensed midwives are held to the Nurse Practice Act, and they also also have to function within the license of the Midwifery Joint Committee, composed of doctors who work with nurse-midwives and licensed nurse-midwives," she said. There are 45 certified nurse-midwives in the state, according to Beth Corb, a certified nurse-midwife in Asheville. But few, if any, of those nurse-midwives deliver babies at home, Corb said, because of the liabilities they might incur. Their services are usually confined to hospital births. For parents who want to have their babies at home, lay midwives are usually their only option.

And in North Carolina, that apparently means that Goldstein is the By Peggy Hlggin STAFF WRITER As a lay midwife, Lisa Goldstein is a member of one of the world's oldest occupations: delivering babies. For several years she was obliged to practice her trade illegally in North Carolina, but since 1983 she has performed the age-old task within the law. Goldstein kept practicing "because people kept getting pregnant and wanting me to help," she said candidly. "It was especially hard for me to say 'no' if my not helping them meant they were going to do it themselves anyway," she added. Goldstein, 44, who lives in the small Yancey County community of Celo, is careful to point out the distinction between herself, a lay midwife, and nurse-midwives, who are registered nurses with special certificates issued by the state.

That distinction has been spelled out in state law as the practice of midwifery has CITIZEN-TIMES; year since itH. This year's soloists are: Hannah Pennell, soprano; Elsa Bulhnan, alto; Scott Hughes, tenor; and Carroll baritone. Ruth Mosley is the organist, and Irene Clerk will direct the group. A free will offering is taken at the performance to help support music club projects. The public is invited.

"The King and A musical of enchantment, "The King and will open Dec. 6 at the Asheville Community Theater, 35 Walnut downtown Asheville and continue weekends through Dec. 22. Performances tor this holiday musical suited for the entire family will begin at 8 p.m. on Thursdays, Fridays and Saturdays with 2:30 p.m.

matinees on Sundays. Directed by Ralph Redpath, this Rodgers and Hammerstein favorite includes Broadway hit songs like "Hello, Young Lovers," "Shall We Dance?" and "Whistle a Happy Tune," Vnr tirUot infnrmntlnn and srjecial Lisa Goldstein Rugged Vladison terrain challenges ambulance crew Dinner Show Packages, call the ACT Box Office at (m) bh-mzw. Tennesee hospitals, typically a 30-to 45-, minute trip, he said. The additional certification will at least mean that once the crews arrive, treatment can begin immediately. Before these improvements, Madison -EMS had an intermediate level of certi- ficatlon, giving its 28 technicians authority only to start intravenous fluids, which included sugar and salt-water mixtures, to help stablize a patient's condition in transit.

Now they can hook up a heart monitor and read EKG or electrocardiograph strips, which help diagnose abnormaiitles In the heart, Haney said. "We can now give critical cardiac medications and perform the advanced airway procedures," he said. "With this new equipment, the patient will have a greater chance of survival, because we can start treating at an advanced level much sooner than before." Additional equipment to the county's ambulances with two more to be equipped by the first of next year include a Llfe-Pak 10 cardiac monitordeft-brillator. This device monitors a person's heart rhythm and prints out a reading on a strip of paper with information for the technician to interpret. The crew also has an endott achael intubation equipment, which is an Instrument used to pass a tube to a patient's lungs to help him breathe.

And they are now equipped with criti- Sce Ambulance on page 10 By Susan Gambrell STAFF WRITER Madison County is a beautiful expanse of rugged mountains and peaceful valleys. But the 450 square miles of terrain that Madison's two ambulances must travel to answer emergencies can put an ambulance crew at a disadvantage. "Sometimes response time approaches 30 minutes before getting on the scene," said Ken Haney, who directs the Madison Emergency Medical Service. "The terrain is mountainous in some places. We go across small, wooden bridges, back up into coves and narrow, one-lane roads." That is one reason why Haney and others who provide emergency services to the people of Madison County have been working hard to upgrade the status of the county's Emergency Medical Service.

And recently their work paid off with the news that the upgrading Madison sought has been approved by the state. It was a climb that required purchase of more advanced equipment and more than 300 additional hours of staff training to meet the approval of the North Carolina Office ol Emergency Medical Services, Haney said. Madison County EMS's promotion to what is called an Advanced Intermediate status means the residents around Madison County will benefit from increased skills and better performance from EMS personnel, Haney said. It also means treatment of patients will begin earlier en route to Asheville or North Nelortborl I printed In If il partMirteveudpoptfond.dll-t. 4 I trlbuitd on Wednesday by ttir PCi-VJ.

lYAjhevllle Clllien-Tlmel' Publlsli': "3f Ino O. Henry Arte- f. TELEPHONES For rwwt, advertising and honwxMhwry subscription Information, osll: From Asheville 704-262-6611 Toll Free 800-800-4204 Tony EndsEditor TulAiKlontrtNw Ext. 403 SutanQimbrsllrrtwt 420 Pegoy HloglntNsws 417 Henry RoblnonNw 440 Wands PsynsAdvartitlng Ext 81 8 Circulation Subscriptions Ext- Circulation Servlcs Ext. 828 1 NswsPn704-M1-OSM DAN MAXHIMERCITIZEN-TIMES Authur Fowler and Mark Snelson, Madison County EMS employees, teet new ejiulpment which has been added to the unit's ambulances as part of an upgrading ot service..