The Salina Journal from Salina, Kansas on May 18, 1995 · Page 6
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The Salina Journal from Salina, Kansas · Page 6

Salina, Kansas
Issue Date:
Thursday, May 18, 1995
Page 6
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A6 Thursday, May 18, 1995 LIFESTYLES The Salina Journal Attention deficit disorder Research centers on brain chemistry, but counseling critical in treatment Ten-year-old Gail looks ready to erupt as she paces behind her fourth-grade classmates. She looks angry. Suddenly she interrupts her teacher. "This is no good. It's boring. You do it wrong." Gail raises her voice, blurting out, "No good!" Humming, she walks out into the hall. Down the hall, in another fourth-grade class, Kenny is having another "spacey day." He got to his classroom late and he forgot to bring the homework that he completed. As he works on an arithmetic worksheet, he makes careless mistakes. He doesn't finish six of the 20 problems. He is the first student "finished." He hands in his paper without checking it over. These children struggle with Attention Deficit Disorder (A.D.D. and A.D.H.D.), a condition that affects 3 percent of children in Canada and the United States. For many years the diagnosis of A.D.D. was arrived at through impressions, or by prescribing amphetamine medicine, and seeing if it worked. Clinical research is now rigorous, however, and we are learning more about this difficult handicap. Studies are presently directed at two perspectives: brain chemistry and A.D.D. throughout the lifespan. Self-regulation problems Basic problems with self-regulation, of which A.D.D. is included, may be caused by defects in two centers or areas of the Drain. Related studies focus on a biologically based limitation in delaying responses, and kinds of hypersensitivities. Others emphasize that the brain has reward centers that tell us when an event or a response is enough. Their studies show that these reward centers are not adequately activated in people with A.D.D. Some interesting, recent studies suggest that boys with A.D.D. have less tissue density in a joining section of the brain called the corpus callosum. There could be limitations in linking the two cerebral hemispheres. This could be related to why A.D.D. children seem chronically disorganized, and why they are limited in thinking before they act. CHILDREN TODAY Dr. Charles Schwarzbeck SCRIPPS HOWARD NEWS SERVICE Psychotherapy makes the youngster an expert about his capacities to calm himself down and to focus, and about how the drug Ritalin works and when it will be less needed. Counseling also helps repair damage to self-esteem. One research group is finding that people with A.D.D. have a genetic resistance to the normal effects of a hormone produced by the thyroid gland. As it is clear that forms of depressive illness are produced by abnormal thyroid hormone response, it is possible that disorders in self- regulation, including A.D.D. could come about through this cause as well. Researchers disagree as to why 90 percent of youngsters diagnosed with A.D.D. are boys. It is not clear why A.D.D. is diagnosed far more frequently in North America than in Europe. (Where I work in Vancouver, British Columbia, we have an A.D.D. section in our department. At a similar facility in Europe, where I consult, less than one-half of 1 percent of the children were diagnosed A.D.D.) It is evident that A.D.D. runs its course throughout the life cycle. While teens and adults may outgrow hyperactivity and behavior problems, difficulties with attention often persist. A recent study estimated that 2 percent of our adult population has A.D.D. Adult symptoms include moodiness, restlessness, drug and alcohol abuse and marked underachievement. While the diagnosis of A.D.D. is easily applied to children in this country, I rarely hear from colleagues that they have found A.D.D. in an adult. My experience has taught me that older children and adults can learn and practice skills that control and minimize A.D.D. problems that handicapped them early in life. Adults misdiagnosed Yet, this group is composed mostly of people who had remediation or psychotherapy. Thus, I believe, there are many adults who are struggling primarily with A.D.D., who are diagnosed with something else. From the standpoint of helping children with A.D.D., it is clear that a combination of temporary drug treatment and psychotherapy and counseling works best. It is not yet known why a significant number of A.D.D. children do not respond to medicines like Ritalin. When a positive reaction to an amphetamine drug does occur, the youngster seems better organized and more able to focus sustained attention in a classroom setting. A.D.D., however, is one of several types of self-regulatory problems, that, for a significant period of life, leaves a child feeling out of control, and perhaps dumb and ashamed. In addition, successful drug actions are experienced powerfully, and can easily be misunderstood by a child and his friends. Psychotherapy or counseling thus is a crucial part of treatment. It makes the youngster an expert about his capacities to calm himself down and to focus, and about how the drug works and when it will be less needed. There is typically some damage to self-esteem caused by A.D.D. and it does not go away by itself. Psychotherapy can be very effective in helping with this complication. Dr. Schwarzbeck is assistant clinical professor of psychiatry at the University of British Columbia and is on the faculty of the University of Washington Medical School. . Prilosec suppresses excess stomach acid Dear Dr. Donohue: Six months ago, my 42-year-old husband was diagnosed with Barrett's esophagus. He was given Prilosec to take. It eliminates the acid in his stomach. The pharmacist tells us it is not advised to continue the Prilosec beyond eight weeks. However, a recent endoscope view showed erosion in my husband's esophagus. He was again prescribed the Prilosec. Could you please provide any information on Barrett's esophagus and use of Prilosec? — L.C. Dear L.C.: In a few heartburn patients the chronic upward spurting of stomach acid into the esophagus — the cause of the heartburn pain — can produce changes in the lining tissue cells. Those changes are referred to as "Barrett's esophagus." You want to treat that, for in some patients, it can turn cancerous. Your husband's doctor realizes that, and the periodic endoscope viewings are prudent. Prilosec — omeprazole — eases heartburn by suppressing the cause, the stomach acid secretion. I don't think anyone can guarantee that it will allow the esophagus to return to normal, but it can stop the continuing irritation. Neither can you tell how long that might take. The drug does undoubtedly ease the buffeting of the esophagus from the acid. Prilosec is generally prescribed MEDICINE for four to eight weeks in treatment of ulcers, but it has been used for longer periods when there is an enormous amount of stomach acid. I am sure your husband's doctor will continue monitoring for any untoward reactions to Prilosec. Your husband might ask the doctor about his treatment, specifically the continuing need for the Prilosec. If a change is in order, there are other drugs that reduce acid. For Mrs. J.S.: Stroke results when an area of the brain is deprived of blood. Nerve cells die. A lacunar stroke results from lack of blood flow to a small zone deep within the brain because of a block of flow in a branch of a brain artery. Except for the geography and more-confined area involved, a la- cunar stroke is pretty much like any other stroke. But we do know that lacunar stroke is more common in people with high blood pressure. Thus blood pressure control is essential to prevent further strokes. ADVENTURE & TRIVIA GAMES 825-6000 category 4263 Sponsored By: McDonalds DO <5>alina Embroidery Works 825-4055 Serving Salina Since 1988 Custom Computerized Embroidery & Monogramming Come to the professional/Say it with thread 252 B S. Santa Fe Mon.-Fri. 9 am - 5 pm 1-800-282-4055 Kids draw on old window shades Dear Heloise: I saved my old pull-down shades when I replaced them. They now make excellent, sturdy large drawing areas for kids. I also used the plastic ones for making new board games. I took my old rubber bath mat, the type with the suction cups on the underside, and cut it to fit a shelf and window ledges where I wanted to place plants. It has lasted for years and has kept the wood dry and free from rot as water drips while giving the plants their drinks. — Grace Salzman, Fairfax, Va. Dear Grace: Recycle and save; that's the name of the game. You win both ways. — Heloise Dear Heloise: I have a great tip. I'm 13 years old and I love to ^cook! ; One day I was in the kitchen and was making cutout cookies. All we had was white frosting and I needed pink. I used about 2 tablespoons of cherry gelatin mix ADVICE Heloise's Hints KING FEATURES and, bravo, I had pink frosting. You can make any color you need. It tastes great! — Meghan Morse, Findley Lake, N.Y. Dear Meghan: You're a clever baker. Thanks for sharing your good hint. Write again soon. — Hugs, Heloise Dear Heloise: If you have a car phone, don't recycle your telephone book, put it in the trunk of your car. Might come in handy someday. — William Lee, Creve Coeur, Mo. Dear Heloise: I had a bathroom rug set that included a lid cover I didn't use, but lacked a small rug that would fit between the sink and heating grate. My girlfriend, Barbara Markowitz, removed the elastic from the lid cover. Voila, I now have a small rug that covers the bare spot. — Harry Farkas, Columbus, Ohio Dear Heloise: I do lots of embroidery work and when I have a small piece of material to work with I have devised an easy way to do it. I use a metal ring from a canning jar and a rubber band to hold the material tightly against the ring. It works every time. — Stacy Williams, Houston, Texas Dear Heloise: It would be nice if someone came up with a special gate that could be placed around handicapped parking places and distribute access cards to open the gate to handicapped persons. This would keep non-handicapped persons from parking in these slots. — Andrea Snider BABY A daughter, Tori Marie, was born May 10 to Roger and Kae Hay worth of Lincoln. Grandparents are: Bob and Jo Ray, Cecilia Ray and Jerry and Margaret Hayworth of Clay Center and Bill and Donna Bellinger of Corpus Christi, Texas. Great-grandparents are: Rita L'Ecuyer of Clyde, Loris and Vola Ray of Miltonvale and Geraldine Reed of Wamego. NIAURE WEIGH I Auto - Home Insurance | Phone 827-2906 115 East Iron rv WILSON GALLERY Wilson, Kansas CfflM^TMAS B!TOI8,¥1PA¥ Antiques • Gourmet Foods • Crafts Oil Paintings and Ceramics CLASSES AVAILABLE on Wednesday and Thursday from 7 p.m. - 9 p.m. OPKN 7 DAYS A WEEK Monday-Saturday, 10 a.m.-6 p.m. Wednesday & Thursday, 7 p.m.-9 p.m. Sunday, 12-7 p.m. Located on Highway 40 in Wilson, Kansas For More Information Call 913-658-2299 t, ;, v -' r t ^{ f , t g i V*i?. ! > -*«.M?i*f a r. / /• Apply $2o°° To purchases $100-$249 $50°° To purchases S250-$349 Excludes Cosmetics & Fragrances Offer not valid for prior purchases. To purchases over $350 CHECK OUR BARGAIN BAZAAR FOR ADDITIONAL SAVINGS! Offer Expires May 31 Norton Valley Hope has an answer for the most important questions you can ask concerning substance abuse treatment. Yes. Yes. Norton Valley Hope offers quality substance abuse treatment services with the focus on individual recovery. Professional, certified staff direct an individualized treatment plan. Yes, the treatment services offered by Norton Valley Hope are grounded in 12-step philosophy with strong emphasis on family participation, spirituality (non-denominational) and continuing care placement. Yes Yes. Yes. TREATMENT WORKS! People can and people do recover from tneir addiction to alcohol and other drugs. Lost work days become productive work days. Families torn apart by the addiction begin to love again. Quality treatment does not have to be expensive. Norton Valley Hope can answer your questions about affordability with a resounding yes^ too. Call us today and let Norton Valley Hope say yes to your treatment needs. And yes again Norton Valley Hope Alcohol and Drug Addiction Treatment Center 709 West Holme (Hwy. 36) Norton. KS (913)877-5101 ADMISSIONS: 1-800-544-5101

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