I Pediatric Pointers
by Dr. Joey Bell, Pembroke Pediatrics
As the weather begins to change, it i; important that parents, children, and
caregivers understand asthma and how to treat asthma flare-ups. Asthma is a
condition that can block airways due to inflammation. This, in turn, limits air
supply to the lungs and causing symptoms such as wheezing, coughing, and
shortness of breath. There are medications work, parents can be more prepared
to handle a child having an asthma attack.
The most common medication used to treat an asthma attack is albuterol
(Proventil or Bentolin). Albuterol, a fast-acting beta-agonist, is known as a
quick-relief or rescue medication. This is used when a person is having asthma
symptoms during a flare-up. This medication opens airways quickly and makes
breathing easier. After treatment with albuterol, most asthmatic children will
breath better and have less wheezing. Generally, albuterol can be given every
four to six hours as needed. Albuterol should only be used as needed to control
asthma symptoms and should only be used under the direct supervision of
a pediatrician. Albuterol is available as several dosage forms including nebulizer
solutions, inhalers, tablets, and syrup.
Levalbuterol (Xopen^x) is a new rescue medication for the treatment of
symptoms due to an asthma flare. This medication is a special form of albuterol
that may be more effective and longer lasting than albuterol. Levalbuterol
may be used every eight hours, but it is only available as a nebulizer solution.
The second most common medications used to treat asthma are inhaled and
oral steroids. These help control the inflammatory aspect of asthma that can
block airways. Inflammation of the airways must be treated adequately to
decrease the risk of long-term complications. With the use of steroids, inflammation
will be reduced, the incidence of asthma attacks will be reduced, and
hopefully the need to use rescue medications will be reduced. Inhaled steroids
(Flovent, Vanceril, Beclovent, Azmacort, Aerobid, and Pulmicort) are used
to control the inflammation associated with chronic asthma to decrease the
risk of an asthma attack. These medications are not rescue medications and
should be used daily as directed by the pediatrician. If not used, they may not
prevent an asthma flare. Oral steroids such as Prelone and PediaPred are
"usually used for a short period of tie to gain control of a acute asthma attack,
t Montelukast (Singulair) is a commonly prescribed medication that can
help control the inflammatory component of asthma. These medications help
block a substance in our bodies called leukotrienes from causing inflammation
in the airways. Montelukast should be taken on a daily basis to improve
and prevent asthma-associated symptoms. Like steroid inhalers, Singulair is
not a fast-acting rescue medication and should not be used in an acute asthma
iflare.
; Salmeterol (Serevent) is a medication that is often used in conjunction
with albuterol and inhaled steroids to help control asthma symptoms. This
medication is a long acting medication that opens up the airways. This is most
beneficial in controlling asthma symptoms during the night since it lasts for
about twelve hours. Salmeterol can also be given thirty to sixty minutes be1
Tore a child exercises or participated os sports to prevent symptoms induced
by activity. Although salmeterol opened up airways, it is not a rescue medicai
tion. Therefore, it should not be used when a child is having an acute asthma
: attack.
! ' A final medication used in the management of asthma is cromolyn sodium
: (Intal). This medication is known as a mast cell stabilizer. Mast cells are cells
in the respiratory tract that contain inflammatory substances. When allergens
I bind to these cells, mast cells break open and release these substances causing
inflammation. Cromolyn helps keep these cells from breaking open and trig!
gering an asthma attack. Cromolyn can be given as a nebulizer solution and an
~ inhaler. This medication is not to be used to treat an acute asthma flare, but
; can be used to prevent asthma attacks that are caused by exposure to known
?" allergens.
? .
? When managing asthma, it is important to understand when and how to
!' administer these medications. Another important aspect in treating asthma is
to remember the correct technique for giving these medications. If the child ,
' cannot use these medications properly, it may be beneficial to use a spacer to
; be sure the child is receiving the maximum benefit from these maledictions.
; Remember, albuterol is always used for control of acute asthma symptoms.
Reflections by Alta Nye Ox*
CONGRATULATIONS
' ' Congratulations to Jammi Lowry on becoming Miss Lumbee? along with
- all your contributions ti the United Methodist Church! Jammi and her family
attend Pleasant Grove, a large brick church built across the road from " the
little white Church" where members were worshiping when Pleasant Grove
was one of the six churches I used to work with, when I first came to the
Pembroke area. I enjoyed helping at the present church building in 1981.
Pleasant Grove is now the location of the office of the "Co-op" made up of all
; the local Native American United Methodist churches in the area.
OCTOBER, 2001
Now I realize that it isn't just that others in this country have changed for the
better since my INFAMOUS/FAMOUS September 11th birthday. I, too,
- have changed. Before that date I would not have stayed glued to Rich Bums'
PBS documentary about New York City. I would likely not even have started
WATCHING such a program. In fact, growing up in the northwest, I picked
' up a prejudice against Easterners, one of the reasons I was not interested in
j places like New York.
1 have finally come to the surprising realization that 1 long ago moved from
being a proud Westerner who (as a child frightened by huge, incoming waves)
cautiously dampened her toes on a San Francisco beach at the edge of the
great Pacific Ocean outlining the western edge of this country, to an adult who
first caught a glimpse of the great Atlantic in 1954 and who now lines only a
little over 100 miles from that ocean, that outlines the EASTERN edge of this
: great nation.
Since the September 11th attack on the twin towers in New York, I've been
taking a special interest in that sorrowful, wounded city.
For decades I've been thinking that SOME day I'd like ONE day in New
York City. But I would NEVER consider staying overnight!!
Now, for the first time, I see the residents of New York City as compassionate
human beings, basically the same as those of us who live in rural areas all
1 around our country.
Perhaps 1 may yet visit New York City sone day!
OTHER FAMILIES
There are always SO many families to pray for? now including those who
were injured or died because of an attack on a Greyhound bus driver in Tennessee.
1 have not asked for prayer for Savannah Estes and her family since the
death of her husband. Also, let's keep the family of Thelma Hatcher in our
prayers.
Attention
Diabetic Patientsj^J^y^
If you have Medicare or
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You may be eligibleA/O
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Cost To
Free 1-888-466-2678
^ Diabetic Supply Program
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L; 208 Main Street Pembroke, NC 28372
| 522-0421
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From the Desk of the
L Superintendent
^ fia")' Harding, Public Schools of Robeson County
The program held recently at the Farmers' Market is one that I wish wasn't
necessary to have. Unfortunately it was. I'm referring to the one held jointly
by the Public Schools of Robeson County and the Robeson County Sheriffs
department on the subject of suicide.
The man conducting the program knew the subject first hand having had a
daughter who had committed suicide. After going through the trauma of los-'
ing a daughter that way, Fred Davis, a retired state trooper, and his wife involved
themselves with organizations that deal with the problem. Organizations,
such as TEACH ("The Teen Education and Crisis Hotline"), S.O.S (Survivors
of Suicide) and ASIST (Applied Suicide Intervention Skills Training)
run the gamut of how to become aware of potential suicides, how to try to
prevent them and how to help survivors to deal with the suicide of a loved
one.
Obviously, the most important effort is locating the person who is contemplating
taking their own life and trying to find out why. According to Mr.
Davis, there are definite indications, They are encompassed in three main
signs. Those signs are verbal, artistic and touch, Verbal has to do with them
actually telling others that they won't be missed because nobody cares about
them. The artistic sign shows them suddenly becoming artistic in music and
writing. Whether in music or writing, the concentration seems to be on morbid
themes. Touch has the person withdrawing from people trying to embrace
them. You might think that these signs would quickly alert someone that a
person is considering such a drastic step. Unfortunately, so many of us are so
wrapped up in our own problems that the signs are often missed until it's too
late.
According to statistics compiled last year, 4,200 people between the ages of
15 and 25 committed suicide- about one every two hours. That's scary especially
when you consider that many of those people could've been spared that
fate if only someone had been able to talk to them. One of the organizations
that I mentioned earlier- The TEACH Crisis Center- is available to teems
suffering from depression or are having suicidal thoughts. It can be called at
(800) 367-7287 or by writing ti TEACH Crisis Center, P.O. Box 129, Clyde,
NC 28721. If a student would rather talk to someone locally, the PSRC has
counselors and psychologists available to talk to them.
Mr. Davis had taped comments from teenagers who had failed in their suicide
attempts where they talked about why they had wanted to end their lives
and how happy they were that their attempts had failed as they realized how
permanent their solution would've been.
A study made in 1997 showed that one out of five high school students had
considered suicide with one in ten actually attempting it. I'm sorry to say that
we have had suicides attempted by our students over the years- some successfully.
We try to be alert to those exhibiting warning signs but it takes the cooperation
and observation of those in touch with the youngster for us to know of
a potential problem. As I said earlier, I wish such a program was not necessary
but I feel it is and I would hope that the facts that Mr. Davis pointed out
registered well enough to make more people alert to the potential tragedies
encompassed by "Suicide - The Silent Epidemic".
Book on Indian basketball
nearing publication date...
As many of you know, Tim Brayboy and Bruce Barton have
been working on a book about Indian basketball in Robeson & adjoining
counties for some time. And the end is in sight.
They expect to present the book at the second annual meeting of
the Indian Basketball Alumni Assooiation, Inc. at the Indian Education
Resource Center (located in the old "Indian" Pembroke High School
building), next door to the UNC-Pembroke chancellor's residence. The
meeting will be held tentatively on December 13, 2001, beginning at 7
p.m. Hope to see you there. More information will be forthcoming in
the next few days and weeks. The name of the book is:
PLAYING BEFORE AN OVERFLOW CROWD.
The story of Indian basketball in Robeson
<6 adjoining counties between 1939-1967.
The book, now about 90% complete, is a history of
"Indian" basketball in Robeson as we remember it.
Information is scant, but it was a time of rank segregation
although positive currents emanated from the
unique social incubator and experiment. The book explores
what happened, where it happened, when, how,
who, and, most importantly, WHY?
Also, what valuable lessons can be learnedfrom this
special moment in time?
TO RESERVE A COPY, fill in the blanks and send it to
Indian Basketball Book, c/o Bruce Barton, Post Office
Box 362, Pembroke, N.C. 28372. Or caU 910-521-2054
for more information. We also welcome old "Indian"
basketball photographs and memories.
Name
Address
F?? ?1m |
Town Hall
Pembroke, North Carolina
Advertisement for Bids
Separate sealed proposals will be received until Tuesday,
October 30, 2001 at 2:00 P.M.. in the Board Conference
room, located in the Pembroke town Hall, 203 West Third
Street, Pembroke, North Carolina, for the Construction of the
town Hall, Pembroke, North Carolina at which time and
place bids will be opened and red.
Complete plans and specifications for this project can be
obtained from The Wooten Company, 120 N. Boylan Avenue.
Raleigh, North Carolina 27603 during normal office
hours after Monday, October 1, 2001.
A Plan Deposit of Two Hundred Dollars ($200.00) will be
required.
A pre.-bid conference and site visit is scheduled for
Tuesday. October 16,2001 at 2:00 P.M.. All Contractors are
to report to the Pembroke-Town Hall, 203 West Third Street.
Pembroke. North Carolina.
The Owners, The Town of Pembroke reserve the unqualified
right to reject any and all proposals.
Town of Pembroke
Town Manager
PO Box 866- Pembroke,
North Carolina 28372-0866
The Carolina Indian Voice is published every Thursday
by First American Publications.-207 Union Chapel
Road-Pembroke,. NC 28372. Publisher-Bruce Barton.
Editor-Connee Brayboy. See Editorials-on-Page 2;
Obituaries on Page 5; Classifieds on Page 9.
The Carolina Indian Voice is a weekly publication owned
and operated by Indians and has been publishing continuously
since 1973.
Search for Truth j
^ _^_^^EIderJoseghBull^d_^^^ ^
WORSHIP THROUGH BIBLE
STUDY
"It is written, 'Man shall not live by bread alone, but by every
word that proceeds from the mouth of God.'" Mall. 4:4.
The important role that Bible studs plays in the life of a
successful C hristian may he deduced limn Satan's clients to
counteract it. First he tried to wipe out the Bible completely. l ire
pagan emperor Diocletian whipped up sue It an attack otr it that
after two years he thought it was gone, cscrs tops destroyed.
Yet when his successor. Constantino, looked fen a copy he was
able to find fifty of them?not bad lot a time when all copies
were written by hand
Then the adversary of souls tried to hide the Bible away in
monasteries and in forgotten languages. But siiong men suc h as
Wycliffe. Tyndale. and l.ulher risked theit lives intranstate the
Bible and to produce God's Word in languages of common
usage. Satan's third attempt was to laugh the Bible into extinction.
C'.lever men such as Voltaire and Ingersoll and other
atheists developed elaborate reasonings to disprove or discount
the Word of God. But within a couple of decades of Voltaire's
death a Bible society was flourishing in the house where he had
lived. Since then, the findings of archeology have furnished ever
more affirmation of the authenticity of the Bible.
Finally, Satan has tried to destroy the- effec tivity of the Bible
by getting Christians to take it for granted, and then to forget it.
How well he has succeeded in this effort!
Today more than ever before we need the Word of God, fot
ours may be the last generation, bearing the temptations and
deceptions of all preceding generations. God is depending on us
to stand firm, to demonstrate the principles of His kingdom and
character. Even the most advanced Christian needs constant, ;
regular, and thorough Bible study in order to stay in the path of
truth. Let's go through that again: Without such thorough Bible
study, no one can advance as Christians. "However much one
may advance in spiritual life, he will never come to a point where
he will not need.diligently to search the Scriptures; for therein
are found the evidences of our faith."?Tnlimtinin, vol. 5, p. I
575. ' . '
Jesus used the Word of God as a defensive and offensive <
weapon. It may Ik* that for us, too.
i; ' ' ' i
Lumbee River EMC
Youi Touclwone Eneur' Cocpmriv*
Annual Meeting
Tuesday, October 9, 2001
UNC Pembroke
Givens Performing Arts Center
C&ectien of Office**
Annaol Report
Entertainment
The Pierce Family & Mt. Airy Mired Choir
Prises
Including a 36" Color TV
Begistiatfen & Toting: 6:00 p.m. - 8:0# p.m.
Basinets Meetings Begins at 7:30 p.m.
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_ t
Class of '76
Pembroke Senior High School
Help us make our next class reunion
the best ever.
For more information call:
"Dollar Bill" Oxendine at 422-8129.