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Feather River Bulletin
Quincy, California
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May 20, 2015     Feather River Bulletin
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8B Wednesday, May 20, 2015 Bulletin, Record, Progressive, Reporter Do medical interventions promote or prolong death? I am in the process of developing my advance directive (living will), and designating a person to be my medical power of attorney for this purpose. What is prompting this, is future of our medical  .... system. I recently watched a  .... : PBS film entitled "Money   and Medicine," which  investigates some of the most critical factors that are COMMUNITY GREEN driving health care costs in fees to doctors and hospitals. There is a pervasive view that "more is better". In medicine however, there comes a point where we are doing more harm than good, the film pointing out that the doctor/patient interactions, and the fact that many patients and their families don't truly have "informed consent." Because of time restrictions and financial incentives, developed countries spent." As a result the U.S. "ranks 19th in the world in preventable deaths, 26th in life expectancy, and 31st in infant mortality." Clearly the approach of spending my mother's passing in March of this year. At 100 years old, she had a good, fruitful, and long life. Some in our family might argue, that her life was perhaps too long. Cared for at home for seven years, She experienced a vascular dementia. Consequently, her quality of life was poor. Often disoriented, fearful and anxious, her typical happiness habit did not often show itself. At one point my mother was taking seven different medications, experiencing hallucinations and extreme anxiety. A medications specialist was consulted. PAMELA NOEL The medications were changed. Her symptoms did not improve. Thus, as a family, we decided six years ago to take her off all her medications. And amazingly, she improved, becoming almost her "normal" self. At 94, her doctor told us that to remove the medications--heart, cholesterol, high blood pressure--would be catastrophic. And, she seemed to do much better without them...for six more years. The reason I am citing this example of my mother is that I am concerned for the the U.S. This film, produced and directed by Roger Weisberg, explores how medical costs are moving our nation toward ',financial crisis while still producing relatively mediocre medical results." He states that 30 percent of medical services have been shown to be unnecessary. Some of the factors that are driving these costs are: an aging population, technological innovation, pharmaceutical industry influence, and most important, fee for services that reward quantity of health care provided, as opposed to quality. More services result in greater League of Women Voters to discuss swing beds Hospital swing beds will be the topic of the guest speaker at the League of Women Voters of Plumas County meeting on Wednesday, May 27 at 6 p.m. at the Quincy library meeting room. Kathy Price, who is a member of the hospital board, will outline the new category of service at Plumas District Hospital. Price is also a member of the local league. The local nonpartisan group will take a break in June and July. The ftrst meeting of the 2015-16 year will be on August 26. Upcoming projects include the annum fall essay contest for high school students. Elections forums will be scheduled for 2015-16. According to president Susan Christensen, local elections will be held in November for special districts. The League meets on the fourth Wednesday of the month. Anyone interested in more information about the League can contact Price at 283-1195. OPTOMETRIST CLOSING AND RETIRING After practicing in Susanville for more than 25 years, Dr. Hlusak will see his last patients and close his office on Friday, May 29 th. This will end a 39 year career as an optometrist. '7 am rateful that I have had the privilege to provide services in Susanville and wish to express my appreciation to all of my loyal patients throughout the years." All "in stocl' inventory is priced for clearance, starting at $10! All office furnishings and decor on sale. *VISION INSURANCE RESTRICTIONS APPLY* Record request may be made in writing to: 914 Main St., Susanville, CA 96130 (COPY FEES MAY APPLY) less is often more effective. Also, when it comes to their own families, doctors often adopt a "wait and see" stance before launching their loved ones into unnecessary tests and procedures. UCLA hospital is contrasted with Intermountain Medical Center in Utah. The producer makes the point that UCLA is an amazing hospital; and if he had an acute medical problem, he would want to be in this hospital. He continues however, to say that not only are 30 percent of all services unnecessary, but 30 percent of all health care costs occur in the last two years of life. Contrasting these two hospitals, the Intermountain Medical Center focuses much more on palliative care, sending the patient home. UCLA, however, engages in much more aggressive intensive care interventions at the end of life. Also, the film focuses on patients don't get the full picture with all the implications of a certain health decision. Weisberg cites the case of a woman who languished in intensive care for 10 months, with all functions having ceased; but being kept medically alive nonetheless. Relatives of this woman would not let go of hope. Finally, they were able to come to terms with her death. However, the cost was over $5 million, which was passed on to taxpayers. Another fact that I didn't know is that after heart disease and cancer, medical interventions are the third leading cause of death in the U.S. This is a result of drug interactions, medical mistakes, and infections contracted while in the hospital. Since 1970 health care spending has grown 9.8 percent each year, more than twice the inflation rate. "Medical costs now consume 17.3 percent of our gross domestic product --twice as much per capita as most more on health care is not working, and could possibly bankrupt this country eventually. As a result of my mother's passing, and watching this Film, I am increasingly concerned about how we can individually and collectively promote a sustainable health-care system. This film also offers some solutions, including more time with patients, resulting in true informed consent, and becomiffg very specific in developing the advance directive. Advance directive language has often been ambiguous leading to difficulties in making decisions, as well as conflict among family members. AARP has some helpful forms to assist in this process. They can be found at aarp.org. Filling this out can prevent discord and heartache among the family, prevent prolonging death, ensure that one's wishes are followed, and assist in developing a better health system. MIGLIS, from page 7B remembered for your confidence, trust and valor as well as for your individual contributions to my professional growth and development. Even when decisions were difficult and unpopular to make and uphold, you led by example with principled, efficacious, steadfast and servant leadership. As I begin my transition plan and look forward to the end of another school year with its customary celebrations, my aspiration for you, the staff and community at large, is this: never settle for good. In the words of Jim Collins, "Good is the enemy of great." Always strive conscientiously for greater and better the children and future of the communities of Plumas County depend on this. Set your expectations high and support the Plumas Unified School District in its mission to inspire every child, every day in every classroom. Be bold, decisive and courageous with conviction for today's children and future generations. They and their families have and will continue to entrust you with the honor to reach, engage, teach, support and guide them to become successful contributing members of society who flourish in a diverse, dynamic and ever-transforming world. Finally, sustaining and thriving organizations are those that continuously improve and respond to the changing needs of the recipients of their services. The 1,876 children in our schools need you today more than the children before ever did. Give them what you would want for your own loved-ones. They deserve no less. The Trustees and I will work very closely to ensure as seamless a transition as possible. In the days and weeks to come, we will formalize details that will lend themselves to a positive and .... productive completion. In closing, once again, please accept my sincerest gratitude and admiration for your daffy service. I've said it once, and I will say it again, you are my heroes. SMART, from page 7B willing to open their home, day or night, for young teens to toddlers who sometimes show up with only the clothes on their backs or in a diaper. We need homes that can provide a safe haven for an abused or neglected child, a place that can lend support to the healing that will be an ongoing process. We have homes that are just that: safe havens.., and they are wonderful. But our need is greater than what we have available. There is some hope. Right now counties are working on a modest $30 million state budget proposal that would help us in our efforts to recruit more foster families for abused and neglected children. More local foster family homes would reduce those trauma-inducing elements such as splitting siblings or placing children out he or she can thrive. We here at Social Services are thankful for those foster homes we have. They are like gold. But we need more. We have two local agencies that support foster families: Mountain Circle and Environmental Alternatives. Both are able to answer questions and/or provide training, as is the staff at the Department of Social Services. Call any of us if the rewards of foster parenting interest you. You are likely to fred that 2015 KINDERGARTEN ROUNDUP THANK YOU PUSD, First 5 Plumas & the Early Education & Child Care Council thank these health care providers, schools staff, organizations and individuals for their participation and support. Christopher Ward, MD and Medical Assistant Sarah - Lake Almanor Clinic Tonya MacDonald, FNP - Lake Almanor Clinic Christine Potter, FNP -Eastem Plumas Health Care Elise Taylor, PA - Eastern Plumas Health Care Amber Freeman, PA-C - North Fork Family Medicine Laura Eazenby, FNP - North Fork Family Medicine John Evans, FNP - Indian Valley Medical Clinic Roger Cox, MD and Staff- Greenville Rancheria Jonathan Friden, OD and Staff- Friden Optometry Fred Feil, OD and Staff Bruce Lee, DDS and Staff Dale Harris, DDS Christine Gibson, DDS - Greenville Rancheria Bradley Nord, DDS and Staff Cindy Warner, RDHAP - Feather River Family Dentistry Tom ThompSon, PHN - PCPHA Tina Venable, PHN - PCPHA Donna Vaughan,RN - PCPHA Nick Poole - PCPHA Megan Monsfield - PCPHA Bryan Gregory, Clinic Manager - Eastern Plumas Health Care Plumas County Public Health Agency Jessica Coelho - Healthy Smiles Ellen Vieira - First Five Indian Valley Resource Center Portola Cares Resource Center Linda Margaretic - SCFO Head Start rd l[  ,,, ,, ,- PUSD SCHOOL NURSES Nancy Hemsley, RN (CRC) Jody Johnson, RN (PQES) Debi Bradfield, RN (CES & IVES) Stephanie Webb, Retired RN/Volunteer Sherry Homback - SCFO Head Start Judy Mahan, RN - FRC LVN Instmctor Erin McMillian - PCOE/PUSD Pam Becwar - Plumas Early Education & Child Care Council Kathy Andrea -Health Clerk, PUSD Jeanne Garland -Aeries Specialist, PUSD PCOE/PUSD's Technology Department Christine Delucchi - Teacher, CES Kellie Bainbridge - Teacher, CES Colleen Garrett - PTA President, CES Chester Elementary PTA Jenny Preston - Health Clerk, PUSD Kristen Russell - Teacher, CRC Michelle Pfingston - Bilingual Aide Michelle Peralta - PTA President, CRC Tegan Funk, Rachael Ramey, and Serena Vazquez - CRC PTA C. Roy Carmichael PTA Denise Hart - Parent Volunteer PLUMAS COUNTY PUBLIC HEALTH AGENCY Kathy Whitaker - Teacher, QES Judy Mahan, RN, FRC LVN Instructor Arlene Stahlman - Teacher, QES FR( LVN STUDENTS Xochitl Roche, James Pettigrew, Erin Lal, Camille Maggarill, Adrianne Vaughn, Elizabeth Boxall, Shayla Sennett, Deborarae Gibson, Caroline Correia, Chelsey Leiss, and those we may have missed. Amber McMichael - PCO President, QES Quincy Elementary PCO Lois Evans - Teacher, IVES Anna Lawson - Parents' Group President, IVES Indian Valley Elementary Parents' Group Don Williamson - PUSD Drew Garland PUSD Quincy Junior High/High School S-Clubs SPECIAL THANKS TO SCHOOLS PRINCIPALS, SECRETARIES & CUSTODIANS Chester Elementary: Sally McGowan, Principal; Peggie Bateman, Secretary; Michael Sanders, Head Custodian; and Mike Miller, Custodian Indian Valley Elementary: Travis Ross, Principal; Gay Rubke, Secretary; Benn McGinley, Head Custodian; and Julien Howe, Custodian Pioneer Quincy Elementary: Kristy Warren, Principal; Cynthia White, Secretary; Mike Osterbrink, Head Custodian; and Mike McCabe, Custodian C. Roy Carmichael: Bruce Williams, Principal; Christi Maddalena, Secretary; Javier Garcia, Head Custodian and Richard Eisenbeiss, Custodian of the area. Every child deserves to be raised in a safe, secure and nurturing environment where you will not only the change the life of a child, but the child may change your life too. If you feel a little overwhelmed, a little lost and in need of support, we can help. Call the.Plumas/Sierra Crisis Line at: at 1-877-332-2754 or 283-4333 for information, referrals, and resources. A program of Plumas Crisis Intervention & Resource Center SUMMIT BUSINESS ADVISORS Was pleased to represent Graeagle Bill Works In the successful transfer from: Tim & Cathy Kurdupski to their daughter & son-in-law Sonja & David Partain Call Summit Business Advisors for a Complimentary Business Value Estimate and Business Sale Consultation. 530-836-1570 Plumas County's and Lassen County's ONLY Licensed and Certified Business Brokerage BRE #01525569 Locally Owned Graeagle, Ca