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Quincy, California
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April 23, 2014     Feather River Bulletin
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Bulletin, Record, Progressive, Reporter Wednesday, April 23, 2014 9B COMMUNITY PERSPECTIVE Child abuse prevention can start before birth "Fewer than 10 percent of medications approved by the FDA since 1980 have sufficient data to determine fetal risk," said Cheryl Broussard, a health researcher at the National Center on Birth Defects and Developmental Disabilities. Though there seems to be a greater public awareness of the importance of pregnancy being free from exposing a developing child to harmful chemicals whether it be alcohol or street drugs there may be a disconnect or naivety when it comes to health providers who prescribe medications that have no safety record in pregnancy. Narcotics are but one category of medication for which studies cannot define a "safe level" of use in pregnancy. Narcotic pain medications (opioids) are now being prescribed at an unprecedented rate in the United States. A study published last week that included 1.1 million pregnant women showed that almost 23 percent filled an opioid prescription in 2007, which was an increase from 18.5 percent WHERE I STAND TOM THOMSON RN, PHN CHILD WELFARE SERVICES DIVISION in 2000. The research article published in the journal Obstetrics & Gynecology was based on those using Medicaid, which is the insurer for 45 percent of births in this country. This large increase in percentage of narcotic prescriptions was unexpected, and Rishi J. Desai, a researcher at Brigham and Women's Hospital, said, "One in five women using opioids during pregnancy is definitely surprising." "Opioid use in very early pregnancy is associated with an approximate doubling the risk of neural tube defects (malformations of the brain, spine or spinal cord)," sd Martha Werler of Boston University School of Public Health. Pain and discomfort in pregnancy is real and practitioners face difficult decisions in helping women fmd relief. Recently, the Centers for Disease Control and Prevention have started "Treating for Two," a website that can be used as a guide for clinicians and pregnant women concerned about pharmaceuticals and other substances in pregnancy. The site -- which is a part of the Center for Disease Control website -- has multiple links and resources that can be helpful in choosing a path for a safe pregnancy and healthy child. Pregnant women with pre-existing health problems may not have a choice of going off their prescriptions -- or have the luxury of waiting for more scientific data-- however, there may be ways .that a clinician can work with an expecting mother to find less harmful substitutes. Although many people are aware, and have good common sense of the dangers and risks of anyalcohol, prescription or street drugs used at any stage of a pregnancy, there is a segment of the population that does not consider that their health habits (smoking, diet, lack of exercise, etc.) are up for scrutiny. It is obvious to nearly all parents that when their child is born there are inherent dangers and worries for each stage of their child's life-- such as their toddler crossing a road when parent or child are distracted-- but it may well be that the greatest vulnerability a child may face in its life is a parent who is casual or careless about her own health or recreational habits. April is National Child Abuse Prevention Month, and it is all too common to see child abuse solely as a parent neglecting a child or losing his or her temper and doing physical harm. Seeing child abuse in such simple terms is a mistake, as the United States has one of the worst records among industrialized nations of deaths from child abuse and neglect -- losing on average between four and seven children a day. When parents also realize that child abuse starts much earlier in life that it begins in pregnancy we may see less use of alcohol, methamphetamine, marijuana and prescription drugs. We will then see healthier, brighter children with a much brighter future. The Plumas County Department of Social Services is entrusted with the safety of children and elders, and this month it is important to realize that this "watchdog" organization's main function is to prevent child abuse through education and offering services to those who are in distress. Parenting is perhaps the toughest job in life, and there is an abundance of programs and services here in Plumas County to support this tough job. The public health ' department at the annex just off Highway 70 heading iorth out of town offers family planning; prenatal classes one-on-one in the home; referrals to dentists and other health care providers; home visiting for newborns; breasffeeding education and support; child development screening; immunizations; recovery support and resources; and connection to other services all of which are free and confidential. The Family First home visiting program is funded by First 5 of Plumas. This program is based on the belief that the first few years of a child's life are critical. Home visiting for families with pregnant women and young children supports parents by offering information on child development, and family health and well-being. Home visiting also helps in early identification of developmental delays, and supports family self-sufficiency and school readiness. Family First partners are committed to offering quality resources for strong healthy families. Plumas County Public Health Agency's website is an excellent place to start: http://bit.ly/leReltr. Tom Thomson is a registered nurse and a public health nurse He works for the Child Welfare Services Division in the Plunms County Social 8ervis Department. Concept of consent integral to intimate relationships The very word consent suggests connection, connection with yourself and/or with another person or entity in order to reach an agreement to take some form of action. You are in relationship with yourself and with another. It is a movement into a changing or new experience. Consent has to be partnered with communication; this is the nature of relationship. The dictionary describes consent as permission for something to happen, or an agreement to do something. It is an active agreement. Consent lives within the "yes," a vibrantly alive word with a forward-moving WHERE I STAND ANNE D. GAUDET RAPE CRISIS CENTER PROGRAM MANAGER RESOURCE CENTER promise in it. Consent requires a process to allow this agreement to be reached, an inner personal process and an outer process with the other party. Consent is a forward-moving affirmation, opening up new experiences on many different levels. However, the right to say "yes" needs to be balanced by the equality of the right to say "no" and both deserve to be heard and respected. Feather Publishing's editorial of April 9 addressed the disturbing picture of sexual assault statistics. I am grateful that these stats were printed because I (along with many others) am very aware of the impact of the trauma of sexual assault, on women and men. There are many different approaches to answer the many questions as to why sexual assault happens. The focus in this response to the editorial is on consent. Consent is pivotal to healthy sexual relationships, and to healthy communication. If consent is not given, and the sexual act becomes a question of rape, our right to dignity, respect, worth and other life-affirming qualities gets painfully severed or hopelessly twisted. Let's look at the broad def'mition of sexual assault: It is non-mutual, non-consensual sexual contact. The definition of the word "consent" is acutely important in sexual assault cases. Consent is defmed in the California Penal Code 261.6 as a "positive co-operation im an act or attitude pursuant to an exercise of free will. The person must act freely and voluntarily and have knowledge of the act or transaction involved. A current or previous .dating or marital relationship shall not be sufficient to constitute consent where consent is an issue in a prosecution under Section 261 (rape), 262 (marital rape)." Most relationships have their agreements, which include various pacts and promises. This is where the confusion in the relationship can set in, because some of these agreements are overt (spoken out loud) and many are not (covert). So much can be taken for granted. The ambiguity and ambivalence around consent can lead to traumatic consequences. This lack of clarity has a .... particular tendency to be prevalent between people who know each other, have a form of friendship or are in a dating relationship. When the intimate and vulnerable act of sex is violated by the use of force, coercion, trickery and violence, the emotional and body felt experience can be devastating for the other person. Communication about sexual expectations is an absolute necessity, to bring trust, safety, respect and openness to the relationship. Communication can bring people together and helps to establish connection on verbal, emotional and sensual leveis.Consent and clarity in communications can make the difference between a pleasurable fun time and a traumatic experience. LETTERS to the EDITOR Guidelines for Letters All letters must contain an address and a phone number. We publish only one letter per week per person and only one letter per person per month regarding the same subject. We do not publish third-party, anonymous, or open letters. Letters must be limited to a maximum o]'300 words. The editor will cu{ any letter in excess of 300 words. The deadline is Friday at 3 p.m. (Deadlines may change due to holidays.) Letters may be taken to any of Feather Publishing's offices, sent via fax to 283-3952 or e-mailed to dmcdonald@plumasnetoorr Editor's note: With the local primary election scheduled for June 3, Feather Publishing will not print elec.tion-related letters in the May 28 paper unless they are a rebuttal to a May 21 letter. Feather Publishing will not print letters about candidates that we consider to be too personal or in poor taste. We reserve the right to edit letters to remove personal comments or unsubstantiated claims. Fish story In the late 19th century, the West was being industrialized by the non-native easterners. Along with their migration, they brought species of sport fish that were non-native to the West. Among these were the German brown, brook trout and northern pike. They are species that have survived the industrial age and attracted fishermen. Now they are the species in danger. It was a period of history when settlers and fortune hunters damaged much of the environment for native species. Everything from over-fishing the construction of dams, the use of pesticides and dumping of toxic materials has impacted our state's ability to have sustainable fisheries with biodiversity. The California Department of Fish and Wildlife has ignored its mission and local concerns. They are planting hatchery fish rather than restoring trout habitat. It is protecting native species that are not considered endangered. They are eradicating or removing non-native species that play a vital role in the ecology of our sustainable wildlife. Plumas County has been a battleground since the discovery of northern pike at Lake Davis. The lake was once considered one of the freest fisheries in the western states. Now, 95 percent of its trout come from hatcheries. CIF policies and alternatives have impacted our local economy and the bio-diversity of our fishery. With our lakes under the management of CIF, Plumas County will attract frogmen rather than fishermen. Local opposition needs to be heard at the state level. Others need to join Ron Horton and .the local Fish and Game Commission in challenging the Gold Lake proposal. Brook trout have been a sustainable troutspecies in Gold Lake for a century. They need to be considered native. Rather than establishing Gold Lake for yellow-legged frogs, CIF should make Rock Lake the home for yellow-legged frogs. They are not in danger from brook trout. It is time for our state to save our fish as well as our frogs. Larry F. Douglas Portola Man is part of the ecosystem I found this link "High Sierra Ecosystems - Report 2003" after reading both your story and editorial about the yellow-legged frog. I have mixed feelings about the study. While I support its f'mdings, I have a problem with a blanket approval by agency heads with no regard to issues discussed in your editorial. If an EIS (environmental impact statement) was complete, allowing public comment, I'm sure the public would agree with your assessment. My wife and I and our children (when they were children) spent many days hiking in both the John Muir Wilderness and Ansel Adams Wilderness. We always had a fishing pole in hand. We enjoyed fishing in these high elevation lakes. Many of these lakes were stocked as many as 150 years ago, by pack strings, later with small aircraft. Man is a part of the ecosystem. Always has been, always will be. Why is the human equation disregarded? Randy Scurry Blairsden Coach Terry is a star Head Coach Terry Baumgartner is the head coach for the Feather River College Golden Eagles baseball team. And what a great coach he is. The team is going to the playoffs again. I think this is his sixth or seventh year he is taking the team to the playoffs. They clinched it last week when they beat Lassen, won both games and Butte lost a game. Last year they went to the regional finals and they made the final four. What an accomplishment for the Golden Eagles, coming from a small school with an enrollment of about 650 students. They played schools with huge enrollments.I had a great thrill last year as an honorary coach for a game. I sat in the dugout next to the coaches. Thanks to Jack Brown, who won it at a silent auction. Coach Terry is a super coach, he keeps his players on their toes with sacrificing bunts, steals, double steals, hit-and-run, squeeze plays and pitch outs. He also has three great assistant coaches, Jason Gay, Kyle Wise and Greg McCarthy. Last summer, he coached a Little League team. He coached them in the Section 2 tournament and they won the championship. What a great accomplishment coaching those boys. This has never been done before in Plumas County by a Little League team. Coach Terry is not just a great coach but a super guy. I am called the No. 2 booster; my good friend Gene Butler is No. 1. We never miss a game. Great job, coach. You are a star and God bless yon and the entire team. And the best of luck in the playoffs. Bob Baitinger Quincy Kennedy helped save hospital Last year, when Eastern Plumas Health Care was in the throes of a battle to stop the state from implementing arbitrary and devastating cuts to our skilled nursing facility's patient reimbursement rates, EPHC fought back with everything we had. We were determined not to leave our SNF residents homeless and facing a potential nine-hour drive to another facility that would accept them. During this time, we received wonderful support from across the county. But, one person outside of our organization who stood up for us time and again was Supervisor Jon Kennedy. He traveled to Sacramento on numerous occasions to meet with lawmakers on our behalf. On one memorable occasion, he left the bedside of a dying friend in San Diego and came to Sacramento to speak in front of the Senate Health Committee in support of SB 646, the bill EPHC crafted to stop the cuts for the most vulnerable rural hospitals like our own. Throughout the year that we fought against these devastating cuts, Jon Kennedy offered us his services he was right that when a supervisor calls, state lawmakers actually answer the phone. I have no doubt that Mr. Kennedy made a positive difference in our successful fight to stop the SNF cuts and to keep our skilled nursing units open. I do not want to tell you who to vote for. That's for each one of See Letters, page 11B PLUM_AS COUNTY SUPERVISORS - 520 Main Street, Room 309, Quincy, CA 95971; (530) 283-6170; FAX: (530) 283-6288; E-Marl: pcbs@countyofplumas.com. Individual supervisors can also be e-mailed from links on the county website, countyofplumas.com PRESIDENT - Barack Obama, the White House, 1600 Pennsylvania Ave. NW Washington, D.C. 20500. (202) 456-1414. Fax: 202-456-2461. E-mail: whitehouse.gov/contact / U.S. SENATOR - Dianne Feinstein (D), 331 Hart Senate Office Bldg. Washington, D.C. 20510. (202) 224-3841; FAX: 202-228-3954; TTY/TDD: (202) 224-2501. District Office: One Post Street, Suite 2450, San Francisco, CA 94104; Phone: (415) 393-0707; Fax: (415) 393-0710 Website: feinstein.senate.gov. U.S. SENATOR - Barbara Boxer (D). District Office: 501 1 St., Suite 7-600, Sacramento, CA 95814. (916) 448-2787; FAX (916) 448-2563; OR 112 Hart Bldg., Washington, D.C. 20510. (202) 224-3553. FAX (202) 228-0454. U.S. REPRESENTATIVE, 1ST DIST. - Doug LaMalfa. 506 Cannon HOB, Washington, D.C. 20515. (202) 225-3076. lamalfa.house.gov. DISTRICT OFFICES: 1453 Downer St., Suite #A, Oroville, CA 95965; 2885 Chum Creek R., Suite #C, Redding, CA 96002. STATE SENATOR, 1st DIST. - Ted Gaines. State Capitol, Room 3070, Sacramento, CA 95814. (916) 651-4001, FAX: (916) 324-2680. El Dorado Hills Constituent Service Center. 4359 Town Center Boulevard, Suite 112, E1 Dorado Hills, CA 95762. (916) 933-7213, FAX (916) 933-7234; Redding Constituent Service Center. 1670 Market St., Suite 244, Redding, CA 96001, (530) 225-3142, FAX (530) 225-3143. STATE ASSEMBLYMAN, 1ST DIST. - Brian Dahle, State Capitol, Room 2174, Sacramento, CA 94249, (916) 319-2001; FAX (916) 319-2103. District Office, 2080 Hemsted Dr., Ste. #110, Redding, CA 96002; (530) 223-6300, FAX (530) 223-6737. GOVERNOR Jerry Brown, office of the Governor, State Capitol, Suite 1173, Sacramento, CA 95814. Website: gov.ca.gov/ (916) 445-2841. FAX:. (916) 558-3160.