The Salina Journal from Salina, Kansas on May 15, 1995 · Page 6
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The Salina Journal from Salina, Kansas · Page 6

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Salina, Kansas
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Monday, May 15, 1995
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Page 6
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A6 Monday, May 15,1995 LIFESTYLES The Salina Journal Domestic violence: it's about power and control An estimated 4,000 women die each year as a result of domestic violence. Almost half of all domestic violence incidents result in serious injury to the victim. Many victims of domestic violence become depressed. They may be immobilized because of constant fear, never knowing what will happen next. The victim may lose her sense of self- worth and have difficulty in obtaining and maintaining employment. Children also are effected by domestic violence. Even if not physically hurt, they may have emotional scars such as low self-esteem or depression. They may become physically aggressive to others or property and have problems adjusting to school. Children may learn the roles of abuser and/or victim and continue these patterns into their adulthood. When "Susie" first started dating "John" she found the attention he paid her flattering. He got jealous if she wer.t somewhere without him. John quizzed her about who she saw and what she did. Soon he criticized what she wore, telling her it was too sexy and that she HEALTH Elise Magnuson CENTRAL KANSAS MENTAL HEALTH CENTER looked like a slut. Susie figured this meant he loved her so much he did not want anyone else to have her. Domestic violence is about power and control. It often starts with smaller attempts at control, such as in the story above. Often the batterer will attempt to isolate his victim by limiting who she sees and what she does. This may take the form of not letting her go anywhere without him or not letting her visit her family. The abuser also attempts to control his victim through emotional abuse. He may call her names, put her down or play "mind games" such as telling her she is crazy. When they went out together John became jealous if he thought another man was looking at Susie. Pretty soon he pushed Susie to quit her job. John said he made enough money to support them both. When Susie did quit her job and moved in with him, John always made her tell him exactly where the money he gave her went. When they disagreed about money, John got angry and yelled at her that it was his money and she was lucky he gave her anything. He screamed that if she really loved him she would be thankful for what he gave her. During these fights he punched the wall and threw objects. Economic abuse often accompanies physical abuse. If the woman has fewer economic resources, it is harder for her to leave the situation because she has few options. Her dependency on him for money can easily be exploited. The economic abuse coupled with intimidation makes it much harder to leave an abuser. Often an abuser will threaten suicide, or to report her to SRS if she does not do what he wants her to do. In the story above, John's blaming Susie for his temper is typical. He blames her for his behavior. He may tell her if she would just do better, this would not happen. However, this is not the case. The abuser is the only one responsible for his actions. No matter what Susie does or does not do, it is not her fault if John breaks things or hits her. For several days John's temper seemed short. He got frustrated easily and drank more. One night, Susie burnt dinner. John lost his temper. He swore at Susie, telling he expects a decent meal when he gets home. He got violent. The next day he came home with gifts and promises never to hit her again. John told Susie how much he loved her and he did not know what he would do if she ever left him. Honeymoon phase Often after being abused there is a "honeymoon phase" during which the abuser brings gifts and is nice. Promises of never being violent again are often made. Things are often peaceful and pleasant during this phase. However, it does not last. The tension will begin to build and violence will usually occur again. Warning signs your relationship might be violent follow: • The clearest is if you have been physically attacked by your, partner. This takes the form of hitting, having things thrown at you, being shoved, or being forced to do things sexually that you do not want to do. • If you are frightened by your partner's temper, you might be in a potentially violent relationship. This may lead you to do what your partner wants so as not to make him mad. You may also find yourself apologizing to others for your partner's actions. • A jealous partner or one who sulks when upset is a sign your relationship may become violent. If your partner mistrusts women in general and is very critical and tries to control you, your relationship may become violent. It is important to be aware of the warning signs of domestic violence because it is so hard to leave an abusive relationship. Yet, it can be done. Both the Domestic Violence Association of Central Kansas (DVACK) and the p&Jice help during a crisis. Central Kansas Mental Health Center has individual and group counseling available for women struggling with domestic violence. Magnuson, MSW, LMSW, is Staff Out-Patient therapist at Cefc tral Kansas Mental Health Center; 809 Elmhurst, Salina. Antiobiotics kill lung infection Dear Dr. Donohue: I am a 48- year-old man who was hospitalized last year for Legionnaire's disease. I almost died. I had terrible fevers and pains, night sweats and walking difficulty. It's been a year, and I still am sick. I've seen many doctors. My family doctor doesn't know much about the disease, but has stuck with me. Can you help? Does antibiotic medicine kill the germ? — T.G. Dear T.G.: I don't know what to say. Legionnaire's disease does not usually follow such a protracted course. The disease is a pneumonia, a form of lung infection that can be quite debilitating, even lethal when not treated promptly. Its name memorializes a landmark outbreak at an American Legion convention. Your symptoms are classic — fever, muscle ache and the rest. Headache, chest pain and breathing difficulty also occur. Yes, antibiotics do kill the germ, and most patients make a complete recovery. A few patients might have a relapse after treatment. That calls for another course of antibiotics. Perhaps you had a more severe relapse than usual. I don't know. No doubt, you seem to have had an unusual encounter with Legionnaire's disease. Perhaps the initial onslaught just wiped you out, and it has taken this long for your body to adjust. I can't add much to what your doctors have probably told you, except to share their puzzlement. I must add that I suspect something beyond Legionnaire's disease at work here. I would turn some attention to other complications, many of which can take some time to unmask. Dear Dr. Donohue: Does overeating play a role in initiating or exacerbating diverticulosis. I mean by overloading the bowels, where the pockets occur? — R.B. Dear R.B.: I think you have a basic misunderstanding of diver-, ticulosis, the condition where tiny pockets form in the large intestine. Overeating does not play a significant role. Diet does enter the picture in one significant way: The digestive tract needs sufficient fiber to permit proper propulsion of its contents. Without sufficient fiber, certain pressures build and the out- pouchings — diverticula — form. Write Dr. Donohue at PO Box 5539, Riverton, NJ 08077. Doc gets license back after snacking on job Dear Ann Landers: You recently printed a letter about a neurosurgeon whose license was suspended because he went to get a bite to eat during surgery, leaving his patient's brain exposed. I thought you might like some details. According to the Wilmington, N.C., Morning Star, the North Carolina Board of Medical Examiners suspended Dr. Raymond Battler's license last November, charging that he posed a possible health risk. Apparently, his irregular behavior included leaving the operating room while a patient's head was cut open, instructing a nurse to bore holes in a patient's skull (a procedure nurses here are not permitted to perform) and becoming confused during surgery. During one operation, he began to feel faint and asked a nurse to give him intravenous fluids. Dr. Sattler is appealing the suspension. He admits he left the room during surgery but says that the patient was stable and that when he returned from his snack 25 minutes later, the operation was successfully completed. Dr. Sattler said he sometimes feels "hungry and tired during neurosurgical procedures" but defended himself by saying it was the nurse's idea to start the IV fluids when he became faint. He said the weakness he experienced was due to medication he was taking at the time. As for letting the nurse drill holes in the patient's skull, Dr. Sattler claims he was trying to teach the nurse the proper procedure and that his hands were guiding hers the entire time — even though her hands were shaking. There is going to be a public hearing soon. This should be very interesting. I'll try to let you know what happens, Ann. — Avid Reader in N.C. Dear Avid Reader: Would you believe that as this column was ADVICE Ann Landers CREATORS SYNDICATE WRAPPING PAPER recycles 108S. 4th 827-0777,, "The Uncommon Florists" [rtfiil Flowers HealthConnect is a managed care program aimed at improving the quality, access, and cost effectiveness of health care provided to Medicaid beneficiaries in Kansas. In the program, beneficiaries choose a primary care case manager under contract with the Kansas Department of Social and Rehabilitation Services (SRS) who provides regular primary medical services and refers beneficiaries to specialists when necessary. HealthConnect replaces the Primary Care Network (PCN) program, which has operated in Kansas for more than a decade. The new program will first be implemented in Ellis and Ness counties, Saline and Ottawa counties and gradually implemented statewide. HealthConnect representatives from SRS and the agency's fiscal agent, Electronic Data Systems (EDS), will hold informal discussions about the program on Friday, May 19th, from 8 a.m. to 10 a.m. and from 1 p.m. to 3 p.m. at St. John'* , Hospital conference room, 139 N. Penn, Salina. The discussions will focus primarily on the HealthConnect contract mailed to all eligible primary care providers in Saline and Ottawa counties. Information on projected Medicaid beneficiary enrollment dates and sites will also be available. All case managers, health care office managers and interested health care providers are encouraged to attend. With HealthConnect, SRS plans on major improvements to the Primary Care Network program. Changes include the following: • Development of a provider education and resource council to assist in the recruitment of providers and to conduct an ongoing review of provider quality care. • Expand the number of health care provider types in the HealthConnect program, including Advanced Registered Nurse Practitioners, clinics, and other group practices as primary care case managers. • Through a contract with the private sector, provide education and training for Medicaid beneficiaries concerning the HealthConnect program. For more information about the meeting, call Eva Simecka or Tracy Litherland at EDS. Telephone (913) 273-5704, extensions 3443 or 3445. going to print, I received word that Dr. Sattler has his license back? When I called the American Medical Association to ask, "How did this happen?" I was told, "These decisions are made by the state licensing board." Dear Ann Landers: My husband and I are happily married. We have an open and honest relationship, except when it comes to his father. The man has a filthy mouth that runs the gamut from cursing and racial slurs to insulting cracks about women. My mother-in-law's attitude is "Just ignore him," but I can't. Whenever I mention this to my husband, his response is "He's never going to change. Just accept it." I've cut back on visits with my in-laws, but the few times we have been together have been literally unbearable. I don't want to refuse to visit in the future because it would cause a problem with my husband. I'm at the end of my rope and need to know if you have some solution to this upsetting problem. — No Name, No Town Dear N.N.N.T.: This vulgar clod is well aware that his garbage mouth upsets you, and he enjoys getting your goat. When he sees how agitated you become, it encourages him to keep it up. Treat him as if he were a potted plant. It sounds as if he has the intelligence of one. -OWN •HIOI. DISPOSAL FACTORY PROGRAM VEHICLES-AUCTION VEHICLES-LEASE RETURNS-DEALERSHIP USED CARS THURSDAY, FRIDAY, SATURDAY, MONDAY, MAY 11TH MAY 12TH MAY 13TH MAY 15TH - NOON - 1O:OO A.M. - 1O:OO A.M. - 1O:OO A.M. 7:00 P.M. 7:OO P.M. 6:OO P.M. 6:OO P.M. (VEHICLE PREVIEW 9:00 A.M. - NOON THURSDAY. MAY 11TH) HERE IS JUST A SAMPLE OF WHAT YOU WILL FIND AT DISPOSAL PRICES:* BUICK REGALS BUICK LESABRES BUICK CENTURIES CHEVROLET CAPRICES CHEVROLET S10'S CHEVROLET. CAVALIERS CHEVROLET BERETTAS CHEVROLET CELEBRITY CHEVROLET CAMAROS CHEVROLET BLAZERS CHEVROLET CAPRICES CHEVROLET PICKUP 4X4'S CHRYSLER LEBARONS CHRYSLER SEDAN (E-CLASS) DODGE OMNIS DODGE CARAVANS DODGE ARIES DODGE COLTS DODGE SHADOWS DODGE INTREPIDS DODGE STEALTHS DODGE SPIRITS FORD ESCORTS FORD TEMPOS FORD MUSTANGS FORD CROWN VICTORIAS FORD RANGERS FORD F150 TRUCKS FORD F150 4X4 FORD BRONCOS FORD BRONCO II'S FORD TAURUS FORD LTDS GEO METROS GEO STORMS GEO TRACKERS HONDA CRXS HONDA ACCORDS HONDA CIVICS HONDA PRELUDES JEEP CJ-7'S JEEP WAGONEERS LINCOLNS MERCURYTRACERS MERCURY SABLES MERCURY COUGARS MERCURY TOPAZES MAZDA 626'S MAZDA 323'S MAZDA PROTEGES NISSAN SENTRAS NISSAN PULSARS MSSAN4X4'S ; NISSAN PICKUPS OLDSMOBILE CIERAS OLDSMOBILE CALAIS OLDSMOBILE CUTLASS PLYMOUTH SUNDANCES PLYMOUTH VOYAGERS PONTIAC SUNBIRDS :: PONTIAC GRAND AMS PONTIAC FIREBIRDS TOYOTA TERCElS TOYOTA COROLLAS TOYOTA CAMRYS TOYOTA 4X4'S 'SUBJECT TO PRIOR SALE Hours: 9-5, Mon.-Fri. 921 Shalimar Drive 827-8448 ALL TRADE-INS WELCOME - PAID FOR OR NOT. BRING YOUR TITLE OR PAYMENT BOOK. YOUR CURRENT VEHICLE WILL BE PAID OFF WHEN YOU TRADE IT IN. SPECIAL USED VEHICLE APPRAISERS HAVE BEEN INVITED TO ATTEND TO ENSURE THE HIGHEST POSSIBLE TRADE-IN VALUE. HOWEVER, NO DEALERS OR WHOLESALERS MAY PURCHASE VEHICLES UNTIL MAY 15, 1995 AND THEN MUST PRESENT ALL LICENSES AND CREDENTIALS. ALL CREDIT APPLICATIONS WILL BE ACCEPTED. EXCLUSIVE SITE OF SALE: LONG McARTHUR (FORD-LINCOLN-MERCURY) 340 NORTH SANTA FE SALINA, KANSAS (913)823-2237

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