The Salina Journal from Salina, Kansas on May 8, 1997 · Page 13
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The Salina Journal from Salina, Kansas · Page 13

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Salina, Kansas
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Thursday, May 8, 1997
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Page 13
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THURSDAY MAY 8, 1997 THE SAUNA JOURNAL CATCHING ANGER / C2 MONEY / C4 CLASSIFIED/C6 c BRIEFLY Breast implants after mastectomy carry risks ROCHESTER, Minn. — Women who get breast implants after mastectomies for cancer are nearly three times more likely to have surgical complications than those who get implants for cosmetic reasons, a Mayo Clinic study says. Dr. Sherine Gabriel, the lead researcher, said the findings were no surprise. "Women with breast cancer ... have a serious underlying condition. They would have more problems with any kind of surgery." In these women, tissue damage from the cancer surgery can contribute to trouble with the implants, and follow-up chemotherapy and radiation can also affect the surrounding tissue. In addition, because of the previous surgery, the implants cannot always be put in the best place; they have to be fit in where the breast tissue was cut out. That can affect the way scar tissue forms around them, Gabriel said. An estimated 1 million to 2 million U.S. women have received implants, either to restore their breasts after cancer surgery or for breast enlargement. Jaundice common in newborn babies Jaundice is a common ailment among newborns, but parents can be reassured in knowing the condition is generally harmless although it requires careful monitoring. Jaundice is the medical term for the yellowish skin appearance that often arises in newborns as a result of increased levels of bilirubin, a natural chemical found in the blood stream. In most healthy adults and children, almost all bilirubin is filtered or metabolized by the liver. For example, the normal blood level of the chemical in an adult or child is less than 1 milligram. But a newborn's liver may take as many as four days to begin working, so for an infant, a level of more than 10 times that amount is considered normal. Although this jaundice is usual- Ijrbenign, most physicians will monitor the bilirubin levels since extremely high ones can cause brain damage. How to ease laryngitis: Keep your mouth shut Silence may be golden, but not to laryngitis sufferers. Laryngitis is a common condition that results from an inflam- m»t}on of the mucus membrane of.jthe larynx, or voice box, locat- ed^tthe top of the windpipe. The prjtmary symptom is hoarseness. Tills sometimes progresses to total inability to talk. Your throat m&y^also feel dry and sore. "fteljte laryngitis is usually oau*ed by a virus infection, which goes away in a few days. However, it may also result from bacterial infection, often brought on by a cold or flu, or from allergy. What helps relieve the symptoms? Stop talking. Vocal cords need to rest to heal. Also, drink warm liquids to soothe pain. Inhaling steam also may help moisturize dry mucus membranes and soothe inflamed vocal cords. Pour a pot of boiling water in a wide basin, add menthol, place a towel over your head and inhale. From Wire Service Reports T JOB STRESS Waiting for a SECOND CHANCE Two Salina men desperately need double-lung transplants By GORDON D. FIEDLER JR. The Salina Journal I wenty-eight-year-old Richard I Shannon, suffering from cystic fibrosis, sits on the couch in the living room of his tiny Salina house, surrounded by medical gadgets and boxes of supplies that make the small room appear like a hospital catch-all storeroom. Here he spends most of the day, wired to an oxygen concentrator that helps his mucus-filled lungs function. This vanilla routine is spiced by visits from home health nurses, who six times a day between 6 a.m. and midnight help him with his medication. On this day his shirt is off, revealing a silver-dollar-sized wad of gauze hiding an intravenous shunt taped to his left chest. Shannon responds to questions in a hoarse whisper, ^ Organ donation / p age Q2 rupted by explosive fits of coughing that leave the young man winded and drawn. Cystic fibrosis, the most common fatal genetic disease in the U.S., is caused by the faulty transport of sodium and chloride within cells lining the lungs and pancreas. The disease prompts the body to produce thick, sticky mucus that clogs lungs and leads to fatal infections. Shannon's routine changed recently when he flew to Durham, N.C. But the young NASCAR fan didn't travel to the heart of stock-car racing for a holiday. He is there for another kind of race. A race for life. Shannon awaits a double lung transplant, to be performed at Duke University Medical Center. Although Shannon officially has been on the transplant list since mid-January, his condition didn't merit a trip to Durham at that time. But two months ago Shannon's health worsened. After a 52-day stay in Kansas University Medical Center, where he nearly died, Duke transplant officials summoned him east. Because of the complexity and delicacy of the operation, patients must be within two hours traveling distance from the hospital. "They want me there now," he said two days before departing late last month. At Durham he has joined a list of more than 2,300 people nationwide in line for lung transplants at centers across the country. Chances appear good that he'll receive the life-saving operation: he's third on the hospital's list of candidates. If he gets a set of lungs, he will be in rarefied company. Because demand for lungs exceeds supply, less than half of those on the list receive transplants each year in the United States. While more than 2,000 people needed lung transplants in 1995, less than 900 operations were performed. The lines are as long or longer for patients in need of other organs. Each year, two-thirds of kidney patients, over half in need of livers and about a third of heart patients never get the call. How to he* Both Richard Shannon and Chris Hrabe of Salina have medical insurance for their transplant surgeries, but out- of-pocket expenses associated with the procedure include medications, travel to the transplant site and lodging during the wait. Funds have been established for both men. Shannon's is with the Bank of Tescott, and Hrabe's is with the National Transplant Assistance Fund in BrynMawr, Pa. In addition, a garage sale and bake sale for Hrabe are scheduled from 7a.m. to noon Saturday at Sunset Elementary School, 1510 W. Republic. TOM DORSEY / The Salina Journal Richard Shannon of Salina uses a vibrator to help clear his lungs while undergoing breathing therapy. He suffers from cystic fibrosis. Shannon now waits near Durham, N.C., for a double-lung transplant at Duke University Medical Center. He's third on a list. For more information about organ donations: • Call the Midwest Organ Bank Inc. in Westwood, 913-262-1666. • Call Sister Rose Monica Donnelly at the Salina Regional Health Center, 913452-7000. Some hang on, some don't. "Every 24 hours, six to 10 people die because they don't receive the organ they need," said Kim Francis, organ procurement coordinator for the Midwest Organ Bank, Westwood. Midwest is one of 56 independent organ procurement organizations across the country that help match donors with recipients. A prime reason for the organ shortage is that many more people die of heart attacks than of brain injury. The nature of cardiac death eliminates solid organs as transplant material, although heart valves can be salvaged, as well as corneas, veins, skin and bone. In a brain death, however, vital organs can be sustained, but only 2 percent to 3 percent of all deaths are from brain injury. Joining Richard Shannon in the lung transplant line is fellow cystic fibrosis sufferer Chris Hrabe. At 38, this Sali- nan has lived eight years beyond the median survival age of similar patients. Hrabe's on the list for a double-lung transplant at Barnes Hospital in St. Louis, where he faces about a 24-month wait. Hrabe so far is in better health than Shannon. In fact, he pulled his name once from the list in 1993. Hrabe said because lung transplants are "more art than science" transplant surgeons don't risk an operation until a patient's condition starts to decline. "They don't want to transplant somebody with six years left," Hrabe said. "That's where I was in 1993." Hrabe said 90 percent of double-lung recipients survive a year and 50 percent make it five years. As with all transplant patients, Shannon and Hrabe will be forced to take anti-rejection medication for the rest of their lives. Will work be the death of you? Long hours on the job can lead to premature aging, high blood pressure and heart disease By NEASA MacERLEAN The London Observer LONDON — Your in-tray's overflowing, the department's understaffed and your boss is unpleasant or downright incompetent. Sound familiar? Workplace stress makes it more likely that you'll suffer high blood pressure, premature aging, heart disease and early death. People working more than 48 hours a week are twice as likely to die from coronary heart disease than those who do less than 40 hours, according to a study of light industry employees in the U.S. In another study, 25 of 100 young coronary patients interviewed had been working at two jobs and another 40 had been working more than 60 hours a week. What is surprising about these two studies is not their conclusions but that they were carried out nearly 40 years ago and have yet to be taken seriously by employers. Another attack has just been launched on the long working week and other causes of workplace stress by psychologists Susan "Employers assume that working long hours means working efficiently. But if you consistently work 55 hours a week, it is likely to damage your health." Gary Cooper author of "Managing Workplace Stress" Cartwright and Cary Cooper, whose book "Managing Workplace Stress" has recently been published in Britain. Cooper has examined another 40 research studies and found that all bar one came to the same conclusions. Now he's examining the link between stress and corporate productivity because he believes employers will take action only if they see that stress is bad for their products and services. "Employers assume that working long means working efficiently," he says. "They think it means more productivity. But if you consistently work 55 hours a week, it is likely to damage your health." Long hours are just one of about a dozen main factors identified by Cartwright and Cooper. The extra pressures of shift work were demonstrated by a study of air traffic controllers, who were four times more likely to have high blood pressure than people who did not have to work odd or irregular hours. Harder to quantify are the pressures of dealing with difficult colleagues or people who feel threatened. How can people cope with the pressure of having a boss who's bad manager? Cartwright and Cooper describe the defensive strategies of the reluctant manager. "Because he or she is not interested in managing, following the organization's rules provides the easy way out. When something non-routine happens, it is often very difficult to get a decision from them. "The main problem with reluctant managers is getting them to engage in any interpersonal interactions at all. It is probably best to use your control of information selectively. Present the manager with a number of alternatives, with your own preferred option strongly supported by evidence." Reluctant managers are often far more interested in the professional side of doing the job. Workplace stress has increased in the '90s because of the recession and downsizing. T MEDICINE Eyelid spasms treated with botulinum toxin Dear Dr. Donohue: I was diagnosed with blepharospasm. My eye closes involuntarily. I have had injec- 4, tions of watered-down botulism, but my eye still closes. It twitches so bad the whole side of my face is distorted. People stare at me and ask what's wrong. I get depressed and embarrassed. Could you * give me some information on this disease and its prognosis? I am afraid that I will lose my sight. —N.H. Dear N.H.: Blepharospasm is an involuntary closure of the eye. Involvement ranges from increased blinking to such se- DR. PAUL DONOHUE North America Syndicate vere and frequent spasms that one or both eyes are forcefully shut most of the time. Blepharospasm does not affect vision itself. But if the eyelids are closed most of the time, for all practical purposes, a person is functionally blind. I'm sorry the watered-down botulinum toxin didn't do the trick for you. That toxin blocks frenzied nerve transmission to the eyelid muscles. A second try with the toxin is not out of the question. The shot must be placed accurately to have maximum effect. If the toxin fails again, eye surgeons can remove part of the involved eyelid muscles. That's another approach. Please write to the Benign Essential Blepharospasm Research Foundation, Box 12468, Beaumont, TX 77726. Ask for information and the name of an experienced specialist. SUGGESTIONS? CALL SHERIDA WARNER, LIFE EDITOR, AT (913) 823-6363 OR 1-800-827-6363 OR E-MAIL AT 8Jnew8@saljournal.com

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