Manitowoc Herald-Times from Manitowoc, Wisconsin • A3

HERALD TIMES REPORTER PAGE 3A she will: work to understand the full medical history; conduct a neurologic exam; and perform other tests, including an MRI and spinal fluid analysis. These evaluation techniques will help the provider make an accurate diagnosis. After receiving a diagnosis of MS, a neurologist can work with that person to determine the best way to slow or stop the destruction of the protective coating (myelin). important to treat MS early on. The right MS treatment can significantly reduce symptoms and prevent them from becoming disabling.

Multiple sclerosis treatment options include: injectable therapies; oral pills; IV or oral steroids; anti-cancer drugs that suppress the immune system; and plasma exchange therapy (plasmaphere- sis). Acomprehensive treatment plan for MS should include: education on managing MS symptoms; recommended lifestyle modifications to en- Question: My good friend has been tested for multiple sclerosis and is waiting for a final diagnosis. What can you tell me about this disease? Answer: Most of us perform the activities of daily living without a second thought. But for someone with a movement disorder such as multiple sclerosis, even the easiest daily living task can be challenging or even dangerous. MS is an immune-mediated disease in which the immune system mistakenly attacks myelin in the central nervous system.

In multiple sclerosis, damage to the myelin and to the nerve fibers themselves interferes with transmission of nerve signals between the brain and spinal cord and other parts of the body. MS is an unpredictable, often disabling disease. It affects women more than men, and most commonly begins between the ages of 20 and 40. Doctors sure of the causes of multiple sclerosis. Most theories point to a virus, a genetic defect or acombi- nation of both.

Some scientists believe the disease is triggered by a yet unidentified environmental factor in a person who is genetically predisposed to respond. What are the symptoms of MS? No two people have the exact same multiple sclerosis symptoms, but there are certain signs that are widespread, such as: fatigue; numbness or tingling; weakness; walking problems; vision problems; dizziness; bladder or bowel problems; emotional changes; and balance problems. If someone experiences multiple sclerosis symptoms, his or her provider (a neurologist) will thoroughly evaluate that person and may order a series of tests to make a proper diagnosis. He or hance health; information about health and community resources; guidance on nutrition, exercise planning and physical therapy; and counseling for emotional issues. There are also many other neurological disorders that may affect movement, such as: Dystonia; Essential tremor; disease; disease; Restless leg syndrome; and syndrome.

If your friend does receive a diagnosis of MS or other neurological disorder, please encourage him or her to seek medical care that treats the whole person including his or her spiritual, physical and emotional needs. There are many support groups and patient education resources available for patients who have chronic neurological disorders and their families. Dr. Aaron H. Bubolz specializes in neurology at Aurora Health Care in Two Rivers, 2219 Garfield St.

To reach his office, call 920-793-2281. Facts about multiple sclerosis DR. AARON H. BUBOLZ FOR USA TODAY NETWORK-WISCONSIN Bubolz Manitowoc Garden Walk set Master Gardener Volunteers of Manitowoc County have announced the lineup for the 2017 Garden Walk, which will be from 9 a.m. to 4 p.m., July 15.

The seven highlighted gardens include Linda Brandel (3310 Lindbergh Drive); Kris and Don Cisler (4261 Springhill Drive); Jayne Hagman (1003 Waldo Katie Janda (2221 Markham Vicki Rissling (1316 S. 31st Jim and Jennifer Talley (839 Indian Creek Drive); and Bernie Zimmer (1014 River Court). The event is held every two years and highlights a different area of Manitowoc County. In 2015, the city of Two Rivers was featured, and in past years, gardens throughout the county were open to the public during the Garden Walk. Preparation for the event starts more than ayear in advance.

Gardens are submitted by the public and by gardeners themselves. About a year before the event, a committee of Master Gardeners reviews the gardens and selects the best of the best. Typically, all the gardens have a different theme or feel. Area gardeners can view the gardens learning new things, seeing new plants and garnering new ideas. The Garden Walk is the largest fundraiser sponsored by the Master Gardeners of Manitowoc County to support their community education programs and projects.

Some of their ongoing projects can be seen at Woodland Dunes, Lincoln Park, Maribel Caves, Manitowoc County Fair, Mariners Trail gardens and Ron Rubick Municipal Athletic Field entrance. Tickets to the Garden Walk are available the day of the event at any garden for $10; the ticket will allow entrance to all gardens. For more details, email the Master Gardeners at or call Linda Gratz at 920-682-8373. Forage Seminar and Annual Meeting March 9 The Manitowoc County Forage Council Forage Seminar and Annual Meeting will be from 10 a.m. to 3 p.m., March 9, at Silver Valley, 1222 S.

Alverno Road, Manitowoc. Registration fee, which includes breaks, lunch and materials, is $25 per person if received by March 1. The fee is $35 per person after that date. The Manitowoc County Forage Council Forage Seminar and Annual Meeting are sponsored by the Manitowoc County Forage Council, Manitowoc County UW-Extension and Midwest Forage Association. Contact the Manitowoc County UW-Extension office at 920-6834175 or by email at co.manitowoc.wi.us.

LTC offers child care series Lakeshore Technical College is offering a series of child care continuing education seminars beginning this March. Seminars are open to anyone interested and are geared toward child care professionals. Childcare professionals can receive continuing education credit and must bring their registry number to receive credit. All classes have been approved for continuing education credit with The Registry. Individuals may attend one or all of the seminars.

The first seminar in the series is Insights to Impact Your This seminar will be from 6:30 to 8:30 p.m. March 27 and will cover how to become more empathetic, compassionate care providers who engage with children through learning. Class number is 27550. The second seminar is Autism: Through Supports and and will be from 6:30 to 8:30 p.m. April 24.

This seminar is beneficial to providers working with ages 1 year through middle school. The participants will learn the characteristics and features of autism. They will be taught specific strategies for dealing with the communication and behavioral differences presented by children on the spectrum. Material ideas, lessons, and time to ask questions will be offered. Class number is 27553.

The third seminar in the series is Power of and will be from 6:30 to 8:30 p.m. May 22. Participants will partake in an engaging, highly interactive workshop where they will become stronger advocates for children and play. Class number is 27554. The instructors for the series of seminars are Kelly Matthews, Harvest Resources associate and owner of A Place For You Early Childhood Consulting in Oshkosh; and Diane Nackers, speech and language pathologist and district diagnostician for the Hortonville Area School District.

All seminars in the series will be at Cleveland campus in the Wells Fargo Conference Room. Cost for each seminar is $25. To register by phone with credit card, call 1888-468-6582, ext. 1366. Visit gotoltc.edu/seminars or call Ruth at 920-6931167, or email at ruth.semph@gotoltc more details.

NAMI meeting March 6 NAMI Manitowoc County will meet at 6:30 p.m. March 6 at Lakeshore United Methodist Church, 411 Reed Ave. Retired psychiatrist Dr. Robert Dickens will address major mental illnesses, symptoms and treatments in an the session. Bring your questions.

All people interested in mental health issues are welcome. Knee Replacement Open House March 7 AKnee Replacement Open House will be held March 7 at Rehab at Shady Lane, 1235 S. 24th St. Dr. Kirk Dimitris, M.D., of Lakeshore Or- thopaedics, will give a presentation at 6 p.m.

The open house is designed to provide useful information to people considering knee replacement surgery. Refreshments will be served and reservations are appreciated. Contact Theresa Patrick at 920-682-8265. Relay For Life fundraiser March 11 Tastefully Simple, 2134 Roosevelt Two Rivers, will host a fundraiser for Relay For Life from 1 to 3 p.m. Hosted by Michelle Czekala and Sharon Wondrash.

Join the fun and taste some fabulous food. Local Briefs MANITOWOC Silver Lake College on Monday dedicated an office, once used as a guest room, to Pulitzer Prize-winning African-American poet Gwendolyn Brooks (19172000). Brooks stayed overnight in the room during a turbulent time in American history. The dedication was among the Black History Month activities. As an African-American, Brooks was not allowed to stay overnight in Manitowoc, a after she gave a poetry reading in the city on May 9, 1968.

Two Franciscan Sisters, from what was then called Holy Family College, attended reading. They were Sister Carina Schisel, an English faculty member, and Sister Ritarose Stahl, her student and now the archivist. When there was a question as to accommodations, the Sisters invited her to spend the night at the college, then located outside of the city limits. gesture serves as a testament to the Franciscan value of hospitality, which remains alive at Silver Lake College reads the plaque. The poet sent a thank- you note, which said, in part: shall never forget your gentle kindness, your deep humanity; I shall always gratefully return, in memory, to the hours of strange peace I experienced during my little stay with SLC dedicates office to African-American poet USA TODAY NETWORK-WISCONSIN AMY LAKE COLLEGE Dr.

Chris E. Domes, president of Silver Lake College, and Sister Ritarose Stahl stand in front of the office, once used as a guest room, where Pulitzer Prize-winning African-American poet Gwendolyn Brooks stayed after giving a poetry reading in Manitowoc on May 9, 1968. The office was dedicated during a gathering on Monday. WASHINGTON The governors want people in their states to lose health coverage under a repeal of the Obama- era health care law, but even after a weekend of bipartisan meetings, they still agree on the best approach to replace it. Governors attending the winter meeting of the National Association met Monday morning with President Donald Trump at the White House, where the president marveled about the intricacies of health policy.

an unbelievably complex subject. Nobody knew that health care could be so Trump told the governors. Discussion of health care dominated the governors meeting. While the Trump administration pledged cooperation with the states, some House Republicans are pushing to limit future federal funding to provide care for low-income people in exchange for giving states more flexibility to run their programs. Rifts emerged between Republican governors in states that opted to expand Medicaid under the 2010 health care law and those that did not.

Medicaid insures more than 70million low-income Americans, and budget hawks in Congress, including House Speaker Paul Ryan, want to curtail federal spending on the program. Republican Gov. Gary Herbert of Utah, which did not expand Medicaid, said Monday after the meeting at the White House that he supports a proposal to cap funding in exchange for flexibility. need to find a formula fair for everyone. Maybe going to be an impossibility, but we need to get as close to fairness as we can and give flexibility to the respective Herbert said.

But Republican Gov. Brian Sandoval of Nevada, where more than 300,000 people joined the Medicaid rolls after expansion, said changes to the federal funding formula could be detrimental to his state. is one of the fastest-growing states in the country, so if you benchmark me three years ago, something going to punish he said. Later Monday, the governors met with congressional leaders who made clear that cutting Medicaid spending is a top priority. House Majority Leader Kevin McCarthy called the meeting constructive but suggested there would be no compromise on key GOP is on track to transform into a $1trillion annual entitlement program we simply cannot McCarthy, R-California, said in a statement.

The divides among governors were evident even in the ways they interacted with reporters. The National Governors Association organized a news conference on Capitol Hill where Herbert and Sandoval spoke about the meeting with Trump alongside the chairman, Democratic Gov. Terry McAuliffe of Virginia. But the White House also arranged for seven Republican governors to address reporters in a gathering to which the rest of the governors invited. That group included Gov.

Matt Bevin of Kentucky, a tea party conservative and a critic of Medicaid expansion in his state. net result has been a remarkable decline in access to health care coverage. More people covered, but covered by what? Fewer people able to actually even see a Bevin said. Health care the only issue on minds. McAuliffe said he had frank discussions about immigration enforcement with the president and Homeland Security Secretary John Kelly.

McAuliffe said Kelly assured him that federal authorities are only targeting immigrants for deportation if committed crimes since entering the country, and that people being stopped randomly by Immigration and Customs Enforcement agents. He said he implored Trump to communicate that message more clearly. told the president, are confused about this policy, and they are frightened about this policy, and you need to clarify it so that people are not scared in this McAuliffe said. is a sincere fear that they may be deported. been told not the case now.

going to watch very Republicans remain divided over health care reform BEN NUCKOLS ASSOCIATED PRESS EVAN Wisconsin Gov. Scott Walker, center, addresses the media following the meeting with President Donald Trump on Monday..