Newspapers / Winston-Salem Chronicle (Winston-Salem, N.C.) / Nov. 18, 1978, edition 1 / Page 5
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^ *;* ti. ? - * * Dtmdon: Me On Thursday, Nov. 9, Dr. do about it. It takes quite a Thomas Dundon, Forsyth bit of education to get them County health director, sat aware of what they have to down with the Chronicle do in the ensuing nine news staff for a discussion months and what the danon the county's health ef- ger signs are. fort and Its health needs. There are three pediatric Excerpts from his remarks nurses assigned to the pedfollow. iatric clinic and they serve a Q.- What does the county similar function. They also health department do? receive patients as they A.- There are four major enter the clinic and prepare divisions: ?? them for the total chnic health education-- which experience and then follow docs a lot of community?up'fty Keepihg in toilch with i r proach is to work through their homes to be sure they -r. ' signmcani groups like the keep future appointments, task force on teen-age preg- etc. nanc^-to-get?a^groufK of ?We?have school?health concerned citizens involved nurses assigned so that all and once they become mo- schools are covered. One of bilized, they become self- our main concerns, right determined. now, with this new legislaThey work with elderly f tion. is to make sure all the people on elderlv health hh nwuo U1 V III1I1IUI1U.WU OUV" problems such as heart quately against measles, disease, diabetes, hyper- mumps, rubella, diptheria, tension and nutrition. The tetanus, and polio, main-thrust is to improve yu nf On h this year the health through group action kindergarten and first grad= ~ and ^by^sthnulating com- ers7lpr98 per cent lmmiimunity interest. nized, which is a tremenenvironmental health-- dous tribute to the nursing which reftlly, historically is staff. one of the oldest compon- Then we have home ents of the* health depart- health. I'm not boasting, ment, going way back in but it is a fact. Forsyth time to Dr. Snow in London County serves more home when he closed down the health patients than any water pump in City Square other county in North Carobecause it was contamin- ijna. ated from the Thames Ri- Last fiscal ypar, served ? ver, which ~was~feaI1>rl]iF~9fex^ttients _andTprovided city sewer, but?also?the?more than 23,000 home source of city water.? ? visits; including jjEJJecT" That was the beginning of health nursing visits, home an awareness that we had health aide visits, physical to have some kind of public therapists and male orderly fiealtn effort to protect the services. WE can't possibenvironment of people so ]y meet the need. u?.. 1--^ 1 _ - ? wtj uyn sic*.. mMcau Currently Forsyth Memorof trying to treat people ial is discharging 14 pa wtthrholera tn the hospital, tients-pcr month who need just shut down the pump, home health care. But Currently, we're involved * we're' stretched to : th? in the survey and monitor- breaking point. We just ing of septic tanks and can't take any more. So wells, the dairies, food these patients wind up in handlers in restaurants. an institution or nursing All these are areas where home where the cost is communicable diseases can three times greater than spread to the general pop- hom? health care and less ulation. We're also con- desirable for the patient. cerned_ahQut_swimming Q.-^What are the bm^o? "pootsT^Aryou know, puliu?health problems In Foriyth and hepatitis can be trans- County, particularly for the mitted when? large- popu- black community? lations gather in pools. A.-Hypertension is cerLaboratory it and en- tainly a major problem in vironmental health work the black community, I'd hand in glove because of Say, but that's only based manv nf thp ^nprimpn? _i ? j ~r uii sidusuidi uoscrvaiion. water, contaminated food I'd say heart, cancer and supplies, suspected ani- stroke are the leading causmals having rabies, milk. es of mortality, and also All these are tested by the pulmonary disease, laboratory. Right in there as two or They do many lab proce- three is alcoholism. Alcodures for the clinics and holism is a very prevalent Reynolds Health Center, community problem. The oarticularly in the area of medical profession has trou communicable disease detection. Right now, we're the laboratory intermediary between the state and Reynolds Health Center for the lead screening program. We're doing all the blood I drawing and packaging to send it to Raleigh where it EHif is tested for lead poisoning l|^H nursing division? which is PEiSIZS the largest division and the most extensive in terms of the range of services. Starting at the clinic level, we have nurses in the public health clinics where thev assist nhvsieians in the J K?J ? immunization procedures, allergies, injections. In the Reynolds Health Rent Applies To * Center, we have an obstetrics and gynecology practi- ?a|| Today tioner in the ob/ gyn clinic. Before 1975, that program * *0 CREDITORS CHECKED was over on Ridge Avenue. JfcMT BY WEEK OR MONTH The ob/gyn screening pro- . SER?|C? gram, which is a health program as opposed to a REMT BY PNOWE medtcaK treatment pro- H I gram, provides education and counseling say the ^A unaware or pregnant woman, particu- H larly young women who don't know what's happening and don't know to * * V' * rger Makes S< nifl Ia III the treatment is penicillan, IV or if you're allergic, an T| j|* JH antibiotic; tuberculosis is I ^ l^e same wa-v- Medicine - li, ?has gotten a handle on a lot of diseases, but these diseases are still prevalent in pump London, we've got a way of KjL shutting down a disease by routine procedure, but ??MrJ we've got to fceep them - going." Some people refer ' - to them as categorical con i ffito ** that they're preventive. m There's a known condition and a known treatment, so Thomas Dundon the^ patients can come in -ble calling it a disease almost a treadmill fashion. _because it's very broad and We ca>^ that health care, hard to get a handle on 0n the other hand, Reymedically. It's more of a nolds Health Center is hoal+Vt rtvokKlAm ?u*n A mediral rarp Thnsp rlinir-c avuiiii pi v/uivin umii a iiicu" ? w ical problem because it provide treatment of undoesn't lend itself to any kn?wn conditions and are specific surgical excisions subdivided by sub-populaunless you remove the *i?ns- There's the adult person's throat, which is .clinic, ob/gyn clinic, and undesirable. pediatrics clinic for all I think one of the major kiddies. problems Forsyth County is Those clinics are designed going to face in the near to treat an unknown condi~fufure. As we look forward Typically, I come in to 1985, what are we going wltn a pain in here and to do about our increasing nobd*dy knows what it is. elderly population, because ^ou start ?ff with a routine they are increasing.- By examination, then the docJ985, the city-county plan- tor comes in and works up a ning director has' told us, history and narrows it down the full impact of the over and finally says, 4I think it' 6S people will hit us7. ^a gaM bladder An<f we are- iiot really" The difference is diagncrs^ planning for this in a con^ ^ detective work^ and structive way. I'm not s rea^V ^^e art of being critical but it's typical medicine. That s why Bowthat we wait until some- man Gray (School of Medithing is upon us before we do about it. -?" We've got to start expanding the kinds of services THIS YEA I that we know now elderly lip 1 people tend to need. Huine f ~ ~~ health is one. Otherwise .^-^^?225 they ' end: top In nursing : Jlfij homes or other M The cost for this kind of IH I care is justly overwhelm- 19 ingly increasing. But home Itl health care so much more m I cost effective. n Q.--Are there separate C - public KamitK pIIwU** In ad- -MpBr "dldon to the ones at Rey- ' - nolds Health Center? A.^-There- are separate ? ? ??I ones. The interesting thing \~~t\ Jr A i/" about the health depart- CLsiL|>ment and Reynolds Health U ^ Center is that there always j?,m. will be separate public , .5WlfCC health clinics because Contour AttaC they're dealing with differ- p ent patient problems- that vaS8S is, patients who come in ^ (lii fi t r j ii f i r ii fldfl 'ULL VIARI { 1 Wg^M . '~L'' '' ' w Mk A * MB a. M ward Ownership lUUAYu fcXU Here's the perfect gift fo 724-5904 friends, sure to deligh a world a real place to chi a miniature model of th< Thousands of place nam features bring new mean around the world m ense cine) is interested in those clinics because they are able to train their med students. They're not interested in public health clinics because they're so routine and lack luster, but nevertheless, important. Most of the physicians realize this. There isn't much going on in a public health clinic; but there is a lot of excitement and ever~changing~ challenge" in a~ ?^PoiC3lcourse, more costly. Public Health is cooperating with two, no three of the RHC clinics witir- oar- pediatrics and ob/gyn nurses and our nutritionist who works with all three. Q.--Where are' the overlaps between Reynolds Health Center and the Public Health Department? A.- The word overlaps is one that 1 do not use because 1 am involved in -cooperating .with- Reynolds Health Center . Where we cooperate with Reynolds Health Center, we have corr. plementary programs. The ob/gyn nurse screen! I* ^ mg program compliments the ob/gyn clinic at Reynolds. Q.- Is there anything being duplicated? A.-No. I think that was taken care of. When the health department was over ?on Ridge Avenue, we had our owfi "dentist and our See Page 11 t CIVE THEM ? C.R.C PH ? * a 7 \ mf i \ * ; - t r Boqfe O LOBES * i/e family with ITING WORLD / / [' r your family or iv 11 ages. Makes the Y? ldren, because it's *^j : earth itself. es and physical ung to news "3"> ' - - -t- ? - ?- -- .J.-. ?j. vr 1 he Chronicle, Saturday November 18,1978 Page 5 Nov.30 JF^ Coming: |y 'HOOPS' t. \ For less than two > silver dollars you can talk to T iis U>09C 7 miniitM A 7-minute call to Las Vegas, Nevada frormwKere you are^osts I just $1.83 or less, plus tax. That s for a dialed-direct* call after. 4 5 pm. Each additional minute costs about 25^. 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Winston-Salem Chronicle (Winston-Salem, N.C.)
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Nov. 18, 1978, edition 1
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