[ Pediatric Pointers I
by Dr. Joey Bell, Pembroke Pediatrics
It seems like l alltime is common time of sear for ne to start seeing sports
injuries in the Pediatric clinic. Of all the orthopedic sports injuries I see. the
sprained ankle is the most common one. Along with ssintertime (basketball
season), moss is the time for those young guts and girls to deselop those big
goose-eggs on the ankles.
Remember that a "sprain" means a patient has stretched or torn a ligament
surrounding a joint Most ankle sprains occur sshen a person tssist the ankle
further than the ligament can alloss. thus resulting in a stretch or tear to that
ligament. I he patient ssill usually feel pain and experience ssselling and discoloration
(blueness) of the area above the ligament that ssas injured. W ith
mild sprained ankles, the patient will still be able to ssalk; ssith more severe
sprains there is usually a complete loss of function. Most simple sprains can
be managed at home while more severe injuries should probably be evaluated
by your doctor.
There are several easy things to do to best heal a simple sprained ankle. The
first thing is to make sure the injured ankle is rested. T his means avoiding
walking as much as possible during the tirst 24 to 72 hours. Excess walking
during this period causing increased bleeding into the tissue and increases
pain and swelling. Using crutches or inflatable ankle splints help support the
ankle when walking is necessary.
Applying ice to an ankle injury is an old proven way of reducing swelling
and pain. Ice (cold Temperatures) causes the blood vessels to that area to
I constrict and thus decreases the amount of bleeding at the injury site. Chipped
ice has been shown to be the most effective source of cold anil can easily be
applied to the ankle in a plastic sandwich bag. Ice packs should be applied
intermittently for the first 48 hours and should be applied for 20 minutes at a
J time, at least J to 4 times a day. The key is to get the ice to the site of injury as
soon a possible.
Compression of the injured ankle is important in the healing process. W'e
know that swelling around their joint is not only painful, but also slows the
I healing of the injured ligament. Elastic bandage compression helps reduce the
amount of swelling and should be worn continuously for several days after the
injury. Elevation of an injured ankle helps decrease the swelling caused by
gravity, especially if the injured ankle can be raised to at least the level of the
heart.
There are several effective medications that can be taken to help ankle sprains.
Aspirin is very good for pain and inflammation, but unfortunately can increase
the bleeding at the injury site. Tylenol is also good for pain, but does
very little for inflammation. Ibuprofen (Advil. Motrin) is probably the most
effective medication for the treatment of pain and inflammation in sports injuries.
j One preventive note" when you or your child is involved in sports involving
lots of running or stress, consider wearing hightop tennis shoes. If you have a
history of weak ankles, wear an ankle wrap.
Well that's all on ankle injuries. Take care and we'll talk again next week.
1 Reflections by Alta Nye Oxendine
\ "GOD, PLEASE DON'T LET THE BOMBS FALL HERE!"
1 This is what my best friend. Wanda, wrote in a poem that won a place in a
jpublication for high school students during world War II. (We were spared
Isuch attacks for 60 years!)
As a young Christian pacifist. 1 thought this was quite a selfish way to look at
the war. Were we Americans really BETTER than the rest of the world, that we
should be spared the suffering that citizens of so many other countries were
experiencing? I can't remember much about the poem I submitted, except that
it was called "A Prayer for Peace". Since I thought my attitude was more mature,
I was disappointed not to et even an honorable'mention. Now I realize
that "God. please don't let the bombs fall here" honestly captured the true
feelings of most of us Americans throughout the three and a half years we were
involved in that war.
Apparently to Brokaw was so impressed by the courageous attitude and unselfish
achievements of his father's generation that he decided to write the
book. "The Greatest Generation". Several boys in my junior and senior high
school classes dropped out. because they were required to go to war (No fleeing
to Canada back then), or because they decided to enlist.BEFORE being
grafted. You can see that the CLASS of 1945 across this country included
i | jme of the youngest members of that generation. Even before the war, through.
cut our childhood, most of us had been learning CRUCIAL lessons,
i In my case, my first two years were spent at the end of the "Roaring TwenMes."
We had a still-new 1927 Chevrolet, which we used until it got wrecked in
ie summer of 1941. Mother told me later that our three-member family even
lad some new clothes put away. 1 got a brand new coat when I was three, and
till an only child. The next new one was when 1 was 16! But we had lots of
j^ood quality, warm hand-me-downs.
I was two years, and three months old, when the U.S. economy was suddenly
hit by the stock market crash in December of 1929, that ushered in the "Great
j Depression." We spent our childhood years surviving the Depression. And
j then, in December of 1941. we discovered what it was like to go to war. And
i learned to go on living, in spite of rationing, etc. One of the reasons why I'm
j not going to pieces now!
PEOPLE IN OUR PRAYERS
Let's remember to pray for the Afghan people, for our Armed Services personnel
who are paving the way to get rid of terrorists. And for the foreign
Women being killed in a Taliban prison.
| 7 1
Sleep deprived
Americans have a 70%
higher death rate.
A lack of sleep can
cause marital strife,
poor job performance,
and more. California
Department of Health
statistics show that people j
who get less than the m
recommended amount H
of sleephave a 70% higher death rate*
Highways are a particularly dangerous place.
Sleep problems put drivers at risk for ituausteefrs. Uncontrollable
waves of fatigue where you nod off at the wheel. Ifach year drowsy
drivers cause at least 100,000 crashes, killing more than 1,500 jxople
and injuring another 71,0(X).**
Sleep help is available. New treatments are helping millions
of Americans get the restorative sleep their bodies crave. Now they're
rested, happier and more productive, too. Burning the candle at both
ends is not only dangerous ...it's touKasstvy.
isBni
' 7ir?. higher mortality in a * ttar follosv-up period for people getting 6 hours ol deep m lc** per night Wingard.
' l? I Keikmm I I Mortality risk awnlatrd with sleeping pattern Mrfjt. IMJ. (r2>: l??2 *
** National Highwav IraJlK V?!et\ Administration.
9 J I I ' 1 I M ?1 I I * W AT A ]
180-year tradition of quality. Subsidy book publisher offers publishing I
services for books of all types. For free Author's Guide, write:
From the Desk of the
[ Superintendent
by Dr. Bum If art/inn. Public Schools of Robeson County
It s only been open since Jul>. but there are indications that our new ParentStudent
Center will fill mans needs of both students in the Public Schools of
Robeson Counts and their parents.
1 he Center, whose mission is to coordinate the sers ices of businesses, community
agencies, community citizens and schools in the common goal of helping
children and families succeed, will focus on counseling, academics and recreation.
The sers ices offered by the Center include some which mans of our
parents do not realize are available to them For example, the Center prov ides
workshops on paremingskills as well as individualized, personal family counseling.
For parents who feel the need, there are adult education programs such
as Literacy. English as Second Language and GED. For those who are unable
to speak or understand English, there are people at the Center ssho are able to
provide services in the language they do understand. I might add that the patent
and famils workshops I referred to earlier are linked to the goals of the school
their children attend.
There are often parents who need certain information and have no idea where
it might be available. The Center can help by directing those parents to such
resource information and materials. Additionally, the Center is able to put
parents in touch with friendly, qualified agencies which can provide information
or direction that the parents might need. These are agencies which the
parents mas not be familiar svith as well as not know ing where they can be
found.
Students can also benefit from services offered by the Center. There are. for
example, tutorial services for students in grades K-12 who may need special
or indis idual help in some of their courses. There are also strategies available
designed to keep student from dropping out of school before graduation.
The Center provides a hotline for both student and parents needing information
or advice on short notice as well as professional speakers and seminars
covering topics which are important to clients. Since it may be inconvenient
for some parents to take advantage of the Center's services during regular
office hours, flexible hours for working parents have been set up.
The overall objectives of the Center are to provide an informal setting where
parents' concerns can be heard and to provide academic opportunities, counseling
services, and recreational activities to parents and students. There is
also encouragement to participate in violence prevention education and to
promote resolution and mediation training. As much as anything, though, the
Center hopes to increase parent participation in their children's education by
assisting them with developing parenting skills.
I believe there has long been a need for such a program and I feel that the
Public Schools of Robeson County Parent-Student Center is the answer for
those parents who have not known how to approach certain problems involving
their children, their family and the schools.
"It s all fun
and qames
until someone
loses an eye..."
That's what
your parents told
you when you
were a Kid.
Shouldn't you tell
your children?
Each year thousands of
children suffer"unnecessary
sports-related eye injuries ?
bruised eyes, scraped or torn
corneas, detached retinas
and eye hemorrhaging.
Vision Council of America
wants parents to know that
wearing protective eyewear
can prevent or lessen the
severity of most eye injuries.
Talk to your eyecare
professional about
protecting your child's eyes.
(IT
?V v-iw, ^
I
Every
20 Seconds...
Osteoporosis
Causes a Fracture
I
SPINE CaUsc* posture change,
height loss ami often chronic pain.
OSUOPOROSIS
f
^OvV^y?SSl?r?T}^ Jortf Hf?1h
www.nof.org
t \ th>na vNMf-iNft?i? I. m.I '.V
Search for Truth 1
^ by Elder Joseph Bullard ^
WORSHIP THROUGH MUSIC
Lei the word of Christ dwell in you richly, as you teach and
admonish one another in all wisdom, and as you sing psalms
and hymns and spiritual songs with thankfulness in your
hearts to God. Col. 3:16.
With all Ills deep theological icasuiiliigs atttl lug words. I'aul
is not usoalh thought of as a musical fellow I hat is w hat makes
this text all the more interesting Now we < an picture linn I letter,
chained and stockaded in the I'hilippian prison with Silas, singing
songs at midnight. Doubtless he sang in mativ othei prisons,
as well, even pet haps w hen he was adtift in the sea. and aioitlld
the bonfire on Malta.
Songs have always lieen used hi win ship and pt.iise to the
( It eatot, At < '.realion the sons of God sang togethet We ate told
that Christ was the author of song ( I'Ut Dtore Agr*. p '2(1). and
Me sang with Mis disciples, rherewereangelsongs.it Ills hit tli.
at Mis resultetlion, and at Mis ascension.
Singing gospel hymns does more than just fill in time liefuir
a seniie begins. It unifies hearts and minds, and iltaws them
into the same t hanncl, ready to Ik- taught hy the Spirit and the
Word of God. It acts as a weapon against discouragement, to
banish gloom and foreboding. It kindles faith and implants
principles of until in the memory. It inspires and elevates the
soul, it unseals springs of penitence, it awakens symp.ilhs.
soothes and ialms, and subdues rude and uncultivated untitles.
Songs trail) a message; they are soul winning: "'I lie meloih of
song, pouted from many hearts in clear, distinct utterance, is
one of God's instrumentalities in the work of saving souls."?
TV.slimoriii's. vol. ft. p. 4'.I3.
The greatest value of music is that it opensnut; hearts to God
in worship. We may not he able to express ourselves to God as
we Wish we might. I he words of the hymns help us to do just
that, and the tmtsii of well-composed hymns directs our
thoughts Godvvarti, and when we add music to the words of outpraise
it arises as a sweet-smelling sacrifice to God, That is what
singing must he?a sacrifice. We arc offering ourselves. lines
someone claim he cannot singr The one who cannot sing at all is
extremely rarer. Group singing is not intended to he a virtuoso
performance. It is individual people, collectively offering their
praise to God. "Kaiici his gates w ith thanksgiv ing, and his courts,
with praise!" (I's IO(t:l)
The ballet, It's believed, was
invented by Baltazarlnl, director of
music to Catherine de Medici.
Attention
Diabetic Patients
If you have Medicare or '
Prtvata Insurance,
You may bo eligible A/O
to rocolwo your 'IV
Cost To|
Free 1-888-466-2678!
Diabetic Supply Program
(no hj#o ptMM.)
Your Family
Is Our Specialty
At the FirstHealth Family Care Center in Pembroke, vou can always depend on
the care we provide your family from our primary care physicians to the visiting
specialists you need. Services include family and internal medicine, laboratory.
X-ray, and physician specialty services that include cardiology, orthopaedics, ?
dermatology, general surgery, gastroenterology and obstetrics and gynecology.
Specialty Care
Neil Conti, M.D.
(Vthopaedii'*
I'Olrlilint Chun
Robin Cumrjiings, M.D.
Cardial' and Thnracu Mirnen
Piuriiunl Siir\'iriil Clinic
Keith Davis. M.D
(ardiolop
I'liirliiint MniiiV1 Chine
Coming Soon
Peter Duffv, M.D.. Robert Sisson, M.D..
Allen Strunk. M.D.. & PeterVassalo, M.D
vaidmiiiKX
I'nii'lnixl (lirdmhntu l>iijo./M'in
David 1. Klumpar, M.D.
Chris Benigar. PA-C
. Oormaroii>g\
( nrolnifl St"' C.in
Wavne B. Lucas. M.D
Gaslrnentemlmn
Ollll'lnirtl Media)! ( ''>1"
R. Clayton Sterner. M.D
General Suieei*
\tiiiin- shr\?n'(ll I
Stephen Szabo. VI.D
Jbsietrico'GvniMiloo
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Frank Y.Yang, M.D
Genei.il Suicen
Mi*'/.' Snrguiil Ccnti*
V
HI* 'W llW'lWHll'ttf '
527-602.9
rirstHefllth Family Medicine \
.3
1
Connie Brooks-Fernandez, M.D., Fnmii\ Median. v,
Rhonda Lowrv, M.D., Familv Medicim
521-6029
*
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.j
West Primary - Urgent Care
V
%.
Dannv West. M.D., Famtlv Medicine >
lames West. M.D., Interna! Medicine
522-8888 ' f
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