Newspapers / The Charlotte Post (Charlotte, … / Dec. 18, 2003, edition 1 / Page 11
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3B LIFE/ tClie Ctadotte Thursday, December 18, 2003 When children have the flu Continued from page 1B • Trouble breathing. Breaths may be rapid, •tieavy or gasping; you may see skin around Ithe rib cage suck in or nostrils flare. Z* • Dehydration. Common signs include dry *^apers, a lack of tears while crying, sunken '^yes, dry lips and mouth. Z • Appearing very pale or bluish; limp or -floppy; or not waking up and interacting. • Being inconsolable, or too irritable even to ; be held or consoled. “Any normally sick kid is going to want to he held or comforted. If they don’t, that’s some thing to be worried about,” says the University of Maryland’s Dr. Margaret Rennels, an American Academy of Pediatrics - flu specialist. Q: My 5-year-old’s fever hit 103. Is that too high? A: Fever itself isn’t damaging; it shows the / body is fighting infection. What to do depends '• on the child’s age and fever’s extent. Call the doctor about any temperature over 101 in a - baby younger than 1 year. For toddlers and older, Mjaanes and Rennels say call the doc tor if fever persists beyond several days, reaches as high as 104 or doesn’t drop despite medication. Q: What treatments help? A: First, never give a child or teenager aspirin. Use acetaminophen or ibuprofen for fever. There are four anti-flu drugs, one approved for children as young as 1, that can slightly shorten flu’s misery when taken with in 48 hours of first symptoms. They’re impor tant for high-risk children. For most kids, drinking enough fluids is the main prescrip tion. Keep them comfortable; no sweating out a fever. Q: My toddler seemed to be getting bet ter but now her fever’s back. Is it a relapse? A: Call the doctor. Once the original fever’s gone, it should stay gone. If not, a bacterial infection might be setting into flu-damaged airways. Q: Will my daughter spread her flu to the rest of the family? A: Probably. Remember, kids put their hands in their mouths and noses and then touch, well, eveiything you touch. So wash her hands and yours fi'equently. Wipe off doorknobs and faucets. Midwives face growing challenges Continued from page 1B cians and has let go four mid wives as a result. In New Jersey, the last of three inde pendent midwifery birthing centers closed in 2002. New York saw an escalation of the trend this year. In August, the Brooklyn Birthing Center announced that its malpractice insur ance had stopped covering midwives. Then, on Sept. 1, the prestigious Elizabeth Seton Birthing Center announced the closure of its Manhattan birthing rooms due to a 400 percent hike in malpractice insurance rates. In early October, New York Presbyterian Hospital initiat ed cutbacks in midwifery ser vices at its Allen Pavilion branch. Midwives displaced by the string of closings have found it hard to find a home else where. In late November, four former Seton midwives quit St. Vincent’s Hospital, complaining that hospital regulations — including a pol icy that advised recommend ing inducing labor six hours after membrane rupture — made it impossible for them to practice the methods of natural, noninterventionist childbirth that defines mid wifery care. As several high-profile mid wifery services were forced to close their doors this year, women have rallied together to demand the greater conti nuity of care and attention that midwives provide. In Austin, Texas, where hospital-based midwifery care was discontinued last year, midwives and former midwifery patients demon strated in October to bring the midwives back, which may happen under new hos pital managers. And in Chicago, midwifery patients marched on the University of Chicago Hospitals after it announced the closure of its midwifery practice. Hospitals across the coun try are goiag through painful cost-cutting due to the rising .costs of care associated with record-high insurance premi ums. Even though mid wives usually earn less than obste tricians, in lean economic times hospitals can be tempt ed to cut back on them and direct patients instead to obstetricians, because obste tricians are fundamental medical personnel. In addi tion, insurance companies often have lower reimburse ment rates for midwives than obstetricians. ‘’The midwives are getting caught in the squeeze,” said Deanne Williams, executive director of the Washington- Based American College of Nurse-Midwives. Midwives earn on average $41,500 to $52,000 annually, topping out at $65,000, according to the University of Missouri Career Center — less than half of the $133,450 earned . by obstetricians, according to the Bureau of Labor Statistics. The insur ance plan endorsed by the American College of Nurse- Midwives costs from $7,000 to $32,000 per year, depend ing on experience, education and location. New York, and. Florida are two of the priciest states to practice. Obstetricians are also feel ing the pinch with median premiums that increased 167 percent between 1982 and 1998, and rising steadily each year since. Last year, saw a 15 percent increase. MRS. GABRIELLE GOD SENT She can help you anywhere in the world in hours. Has he or she left you for another? Are you in hard luck? Is your hair falling out? Is your husband or wife spending the money on someone else? Do you have problems that are worrying you? Are you having trouble with your legs, back, stomach, head, arms? Are you suffering in pain and misery? Do you want to get lucky and stay lucky? Call now for help. She will remove bad luck, evil, sickness, pains, and nervous conditions from you now. Call now for your money blessings. Lucky numbers- You will bless the day you called. Help with legal problems. Special readings for $10.00 704-537-7518 t!P[ie Charlotte Really Works, Advertising & Stories! The Post readers are loyal and trustworthy, but they will wait to make sure you are going to last before knocking the door down. But once they know you provide a good seiwice, and are going to be there, they are there too. Not only did the ads work, but the stories pull in clients as well. After being featured as the Lifestyles feature of the week, we could hardly handle the business. Thank you to the staff of Wfte Charlotte ^oitt Sandy St^hens Owner SaUec'a Vvi. cteAHitM 3203 Eastway Drive Remount & West Blvd. - Opening in September NOW OPEN, 101 Indian Trail Rd. Kids advocate for other children and themselves E very child wants a home,” says 12 year-old Cronetta. “So help the children in the world because everybody needs a parent.” Cronetta and her broth er Robert, age 10 are spokespeople for chil dren in foster care who are waiting for adoptive families in Mecklenburg neighborhoods. They know what it feels like to be waiting - they are waiting for parents to adopt them. “Cronetta is insightful, engaging, and outgoing - she has a strong sense Cronetta and Robert are nvo of many children waiting to be adopted in Mecklenburg County. of responsibility, appre ciates guidance, and has a positive outlook on life,” says long-time friend Evelyn Dillard. “Robert has an engaging smile, pleasant personal ity and has a special interest in music.” Both Cronetta and Robert sing in the church choir together. “I love my brother, he’s always been part of my life,” states Cronetta. “I want to be adopted into the same family with Robert.” If you are interested in finding out more about Cronetta and Robert or other children awaiting adoption, call Mecklenburg County Department of Social Services at 704- 336-KIDS (5437). Communities for Families & Kids MECKLENBURG COUNTY DEPARTMENT OF SOCIAL SERVICES YOUTH AND FAMILY SERVICES DIVISION We couldn’t be your voice in Washington without being your neighbor in North Carolina. AARP. Creating change in our community. From community service programs to consumer protection and nursing home reform, AARP is working hard to create positive social change where it’s needed most — in every community We’re fighting to protect healthcare for our most vulnerable citizens, battling predatory landing, supporting grandparents raising children and advocating for prescription drug assistance. Get in touch with us to learn more and to find out how you can help. North Carolina Hie power to make H better.” Cal! us at 919-7^5-9757 or visit our Web site at w\vw.aarp.org/nc. MISSING YOU FavoriTe SHOW IS Haro. 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