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The Wingham Advance-Times, 1973-09-13, Page 174 FOR IRON 'DEFICIENCY ANEMIA SIN EAB ' ,PIGS. The main cause Of baby . ° ianemia p9isthesrnall amount of iron in the baby Pigs ,bodY a1~ birth, plus othe fact the sew's mils is in .(!rent.'. To supply the baby pigs. need for iron, inject l c0 of SUPERSWEET Injectable iroh intramuscularly at 2 to 4 days of: age. Each cc of SUPERSWEET lnjedtable Iron contains 100. Millrgrams of elementol Iron complexed complexed with Dextran: BUILD$. HEALTHIER, STRONGER, SUPER PIGS with greater resistance to. disease, SEE YOUR NEARBY AUTHORIZED • SUPERSWEET. a DEALER BOYD'SFEED MILL BLUEVALE MILLING Kurtzvi Ile 291.304 Blueva le 3574877 STECKLEY FERTILIZER -`F ,. ANDFARM SUPPLIES Millbank 595-8951595.4707 THOMSE N GRAIN AND FE E D - Moorefield. 6383003 McINTOSH BROS. ,FEED MILL Molesworth 291-3740 MERVYNE REEVES FEED 5ERVIgE RR 1, Mount Forest 323-1454 By Bev. A. Beaton Rheurnatic • neve The young mother carefully guided ,the wagon along behind her and up the . sidewalk to the s ho01 entrance.. Gently, shelift- ed her sttwZyplookin ', curly- haired little ho tut 'j a i on his feet on the doorstep. Slow- ly, painfully, he struggled tip the two steps, turned, 'smiled, then disappeared inside. Bruce had rheumatoid arthritis! Ile could not walls the short ,distance from his home to school each day! Like Bruce, Susan cannot lift her baby daughter hter without ,con- siderable effort and . Pain. John, a grandfather, must struggle along the road beside his grandso n with the aid of a� cane. Walking, lifting — simple things unless you have arthrit- is, Theo they can .become never ending ordeals. For Canadians, arthritis constitutes „a. .,niajor health problem with over a mil- lion and a half men, women and children aff iicted' 'Arthritis a root cause of poverty", deltas Dr. D. A. Bell of London's –new University Hos- pital. Statistics, :indicating that arthritis costs Canada hundreds of millionns, of dollars annually in work days lost alone, support Dr. Bell's • statement. What are we doing about it? What's happening at London's Vniverslty . Hospital is one answer! University Hospital is a teach- ing hospital, rather unique in its, design. There, on its fourth floor, Dr. Bell, a rheumatologist, is one of a dedicated team of specialists sit who Corn+ prise and Barry out the WOO; o the London. Rheumatic Disease Unit. This Unit, one of I ..such units at medical schools across Canada, serves London and all of SOuthwesterit Ontario with the most sophisticated and advanced` patient care and re- search • Available. , As Miss A. Tackaberry,. or�dinator �, Com- '• \ municatton al ervtces, -pointed out, ranee University Hospital is a major referral centre, approx- irnately hair of its patients come from beyond London itself„Out of country patients are not Uri- conunonl . All staftoctorss are.specialists, appointed jointly' to both the hos- pital and medical school. Thus the hospital was designed with the doctor as well as the patient in mind. "Ml the spheres of a doctor's .involvement are on .one floor", said Miss 'iackaberry. She'further explained how, in the case of the .Rheumatic »isease Unit on the fourth. floor, the doe - tors have access to 'their offices, research clinics, the physio- therapy area, gymnasium and rehab facilities and their in- patients. • An `outpatient trait is also on the sante floor- "T1 a .dd- vantages to this are that the doc- tor can work within the hospital during thesday, cross via the link to the school of medicine, give his lectures, consult with the stu- dents, visit in and out patients and conduct b` . research --.-all without leavingthe 'i, t os " concluded Miss 'Tackaberry, ' Rheumatic Disease Units, such as exist on the fourth floor of the University Hospital, are special treatment centres for the victims of rheumatic diseases. These units, or R.D..U.'s as they, are called,''bring 'together speciailists. of every kind svhe, treat the patient as a team'. • Dr. M. Hearth, . a rheumatol- ogist, heads the London. team Assisted by Dr. Bell, other* 1 mem- bers ean- be r sa include t two o resident s dean dost. a final year medical student, rp- tating through on a short -terra basis, a clinical co. ordinator, two occupational therapists, a social worker and two physiotherapists plus a well-trained titrsing staff. An extremely important part of the team's emotion are the weekly conference xneetings where team en,.embers,including orthopedic surgeons, Meet to dis- cuss and evaluate c' ses,'hoth as a group and iudividilall.. As Dr. p`In many explained,. `. cases the patient comes in with a `series of problems and we have to at- tempt to identify which is the most important, most signif- icant. Then we try to deal withit correctly.” Although, eventually, the patient may be treated on an outpatient basis, initally a hos- pital p tal stay may be necessary, . "They may need to come in for iniiestlgation to establish what kind of arthritis, 'the extent and how' much the' arthritis affects their daily activities. The patient is seen by physiotherapists as well as occupational therapists RHEUMATOLOGIST IN London's University Hospital Rheumatic Disease Unit ex- amines patient who has rheumatoid arthritis in her wrist joint as well as in the elbow and shoulder joints. --University Hospital Photo You don't have to pamper a George White snowblower. It rips through the heaviest drift. It cleans right down to the surface Of yard or driveway. Fast. Even heavy, wet or wind -packed snow is hurled clear. Fast. Don't fight the snow next winter. Blast it out of the way with the tough snowblower. Task to your George White dealer before the winter comes. THERE'S EXTRA 'ENGINEERING BUILT-IN McGAVIN'S FARM EQUIPMENT Seaforth = 527-0245 Brussels - 887.6365 MONTGOMERY MOTORS Tractor Division Lucknow 528-30110 VINCENT FARM EQUIPMENT Seaforth — 527-0120 TEESWATER FARM EQUIPMENT Teesweter - 392-6825 CALDWELL FARM EQUIPMENT RR 3, Durham d 369.2684 0 SINCE 1657 GEORGE WHITE & SONS CO. LTD. P.C. eo i.QNtION, tlle!o, CANADA OWNS: 6'd&41.2.Stli m c 03442i! X36 It It MOWS, 61%4011011, CTS e'Ct4IVAtl !'Full. P.0„ CANADA IftL: 69403 -0019 .94 OCCUPATIONAL THERAPISTat London's University Hospital Rheumatic Disease Unit fits wrist splint on patient. This working splint, as it is called, allows the patient to rest his wrist while leaving his hand free to function. Rest is basic in treating Inflamation. Those' splints are made right at the hospital under the direction of the occupational therapists. University Hospital Photo s tal who try to tell US how n any foe . tional limitations he hasp This ap- plies plies, artieularlto.someone who is wurkin mho is incapacitated ,��. who can't run a (Touchline. Here there is a particular area, that needs attention", ,Pr. . Bell. eolith), ued. With the assessment that working and reviewing • a ease to. g gether provides,. the team is able to'dlreet its attention to the area yeti or pFeblem ,,}finest urgent IP the patient. "We can try�.to,get that person back intothe woro . force again. 'For someone already in a wheelchair, we try to make that person less dependent on, others — more independent in spite of the wheelchair", .concluded the doctor. Although the Rheumatic ° ease Unit consists of only 1$ beds at present,statistics for'total ad- missions in June indieate 91.6 • percent utilization making it one. of the top users along with .the Department of Medicine and Neurology, reported Miss, Tacka- berry. Approximately 60 percent of the patients° are victims of rheumatoid arthritis, However, there are some. 1 different kinds of arthritis wi • osteoarthritis afflicting the- rea es -num r } t.0 be of people. e. t' loop teoarthritis is not an infiantat progressive kind of arthritis, plained Dr. Bell, but rath something most of us will .ge with old age and the Wears down of bones and joints: "Al though rheumatoid arthritis less common," continued Bell, "it is these people that ten to get into trouble!" In. rheumatoid arthritis, in flamation leads to.the destructs of joints and; eventually, if :no treated, these, joints May .';ev become fused. If caught in time . drug therapy can be quite effec tive in reducing she..inflamati and pain, Then, ,,with the aid of physiotherapy, :Muscles can he ®strengthened- and; in many cases varying degrees :57:citi:elown; stored. Cortisone od, injec tions y �n rrole ep fectiveness depends On the indi vidual and the extent of the dis ease and damage in that in dividual. Dr: Bell pointed out, "Our unit tends to see the worst cases of ar- thritis, the ones that don't get along locally. Therefore, our sur- gery rate is high." For instance, when a person with rheumatoid arthritis isn't seen soon enough, then the disease has'progressed to the point where certain chang- es have occurred which, from the viewpoint of drug therapy, are almost irreversible. In cases like these, Dr. Bell said, "We can try to utilize physiotherapy, strengthening muscles, increas- ing range quotient and eventually we can consider surgery for that person. We work very closely with the orthopedic surgeons and decide together whether the per- son in question needs to have sur- gery—if so, when—and try, to time it properly." Because patients must be referred to these rheumatologists by their own doctors a high proportion of them, probably about 25 per cent, equire surgery when they ar- ive. Types of surgery for the ar- thritic vary. They range from the removal of inflamed tissue, which is not responding to med- ical treatment,, around joints such as the knee to extremely useful operations on the small bones of the foot. Reconstructive surgery, using arthroplasties, on uch joints as the hip, knee and ingers, aid in restoring the func- ion of these joints. While not ecessarily cosmetic in purpose, uch operations do much to allow the arthritic. to remain or once gain become independent. "Recently", stated Dr. Bell, `there have been a number of perations for arthritis, both steo and rheumatoid, of the hip. otal hip replacement, using ar- iroplastics, generally in pa- ents over 50, relieves both pain nd stiffness. So far this is prov- ng to be a very good opera tion . " r. Bell stressed that, once gain, they proceed carefully in is type of operation and only nder unusual extenuating cir- umstances would they consider younger person. "For one ing, we don't know how long e hips will last! It's a totally tificia!' situation," concluded r. Bell. While surgery and drug ther- py play important roles in treat - g the arthritic, the value and ntribution off other members of e R.D.U. team should not be derestimated. As Miss L. hpitaer, head nurse, emphasis- , "rhe team must endeavour to e the patient as a whole. We ust look at the physical, soeial, L - ei otional .and psychological im- plications and then treat the, ,a. • tient accordingly." The fourth floor of the hospital houses physiotherapy facilities,. including a boge gym, whirlpool o baths and treatment .rooms, as well as oeeu - atieiial centres p es such that as a fully equipped kitchen, n workshop, games .and- handwork room. Assessment rooms or areas. located within viewing . ix ,� ie i g r n 1.. a e ow h a t occupational therapists to assess the patient's functional ability,, an important part of the team's work. A positive feature of the unit is the principle Of self-help • For instance,'.a eafeteraa serves mealspatient to >? tt tilt instead of � the usual hospital procedure of a tray in bed, Laundry roorsvencourage patients to tare for their own clothing and nourishment rooms invite patients to drop in anytime and fix their own snacks. All equipment, suchas loiu ge chairs and bathroom .facilttigs promote - self reliance.°whenever .possib1c An added feature; patients often return hoine'for weekends!. Upon discharge the 'social, 8 60 *Weer eer' may assist the patient in th adjusting into the home. situation, t -Yelp also comes from The • os- Canadian Arthritis and.:IRheuma- or.y tism Society. in the person. of the ex- visiting' physiotherapist.: Upon: er.. the doctor's request, this:there- et pist Will call as often and as long ng 'as necessary�,to, assist the patient .- With 'treatment and therapy. is It is doubtful the Rheumatic Dr. Disease Unit would' exist today d were it not for research. The two are 'insep rable. Consequently, the focal 'point' of London's, on R.D.U. is the. two research la- . t boratories that, make up part of en the fourth floor unit, iNkit only, can e,. ,every test necessary on the .pa- - `tients be conducted here within on ; ottr own` labs, related; Miss Schpitze>r, but° all' samples are . ' studied thoroughly by the doctors , and used in their research pro- - re- grams. When asked whether there is in suiah a thing as a hopeless case of of arthritis,. Dr. Bell." replied a Ye `r pliaticalIy in the negative: Stud: - ies continue to show promising 3 on results. He pointed out that in a recent Edinburgh surrey, itwo year's ago, 6 per cent of the pa- tients were 'completely incap- acitated and 15 percent could earry, out °light 'work, 'today, percent have resumed their nor - mai activities while another 44 percent are able •to ` light work" There is no cure for arthritis as yet but one thing is certain. If it is to come, it will come from the work of the laboratory and sueh units as exist in London's !Adver- sity Hospital SELLING OR BUYING? USED AND NEW . Sprayers • Spreaders • Swatheri Tractors . Loaders ' • Combines • Cultivators • Coolers • Feecer's ActsertIsit in BIg.- Rei p C"R.OSSRO #DS .LA;SIF%ED'!':: T Big P.pr In th. Sig:Fiv. Countiss with 28„x, Rel CALL' TODAY iy3 �' w1 GHA1 . JISToilitan 323-1550 M NT FOREST HYBRID The Challenge! PX 442 challenges your favorite hybrid on yield and overall performance. 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