Health Professionals Ask a Health Question Get a Health Answer We asked you to ask us your health questions. This question and answer column is one way we hope to better serve our area. Architrave is committed to the health of our community. PALLIATIVE CARE GENERAL HEALTH Q: I have an Advanced Directive, but a friend told me I should have a POLST form. What is that and what’s the difference? Q: My 12-year-old daughter gets sore throats a lot and her tonsils swell up. She has had strep throat several times. Is it good to take the tonsils out if they swell up a lot and will that help keep her from getting strep throat? A. The bright pink POLST form has been used in Oregon since 1995 as a complement to your Advanced Directive. POLST stands for Physician Orders for Life-Sustaining Treatment and is an actual medical order for emergency medical personnel to follow when you are unable to speak for yourself. It is based on your own decisions regarding the right to accept or refuse different levels of Catherine medical care. In the hospital, the POLST will help guide Kiel, RN, BSN physicians and nurses as to the type of treatment you wish to receive, avoiding ethical dilemmas. It gives you peace of mind knowing that you have addressed end of life and treatment issues so you can focus on living to the fullest in the present and removes the burden of making health care choices off your relatives at a time of crisis. The POLST is a voluntary document and can be revoked or changed at any time with your consent. For more information on the POLST, speak with your health care provider. Catherine Kiel, RN, BSN – Architrave Family of Companies 1813 W. Harvard Ave., Suite 206 – Roseburg, OR 541-229-8921 PODIATRY Q: I often feel as if my feet are freezing. But when I touch them with my hands, they feel warm. I don’t know what causes this perception. I don’t know who to consult or where to start. Or is it nothing to be concerned about? A: The perception of cold feet accompanied by normal skin temperature could have a neurological cause. A common neurological cause of cold feet is simply being nervous. This can cause the small arteries in the feet to constrict resulting in cold feet. Another likely culprit for neuronal cold feet is diabetic neuropathy, a serious nerve disease affecting 60-70 percent of Jason Wilks, patients with diabetes. There are also other causes DPM/ of peripheral neuropathy. Feet that feel cold and are Podiatry cold to the touch can be a concern as well. These cold feet may have a vascular cause so it can be important to look for that cause, particularly in individuals with skin temperature and color changes. Other causes of cold feet could include hormonal imbalances, environmental exposures, kidney and heart disease. Try protecting your feet from cold weather. Avoid cotton socks in favor of wool/synthetic blends. Keep feet dry. Also, protect your head and hands from cold exposure. You should avoid smoking tobacco or marijuana. Discuss cold feet with your primary care physician or podiatric physician (podiatrist). Your doctor can then determine if further testing is necessary and whether referral to either a vascular specialist or neurologist is needed. Jason Wilks, DPM/Podiatry 2564 NW Edenbower Blvd., Suite 142-B – Roseburg, OR 541-673-0742 UPCOMING EVENTS Art of Prevention – FREE Workshops for youth, grades 4-12 Prevention-themed art contest Thursdays, Jan. 22 to March 19 & April 9 from 4-6 PM Pre-registration required Information: Jerry O’Sullivan – [email protected] or 541672-2691, ext. 270 Ready for Kindergarten - FREE Classes • For parents of 3-year-olds planning to attend and living in a Roseburg school attendance area: Eastwood, Fir Grove, Fullerton IV, Green, Hucrest, Melrose, Sunnyslope or Winchester Elementary Schools, Feb. 3, March 3 & March 31 from 6-7:30 PM • For parents of 4- or 5-year-olds planning to enter kindergarten in 2015, living in a Title I School attendance area: Eastwood, Fir Grove, Fullerton IV, Green, Sunnyslope or Winchester Elementary SchoolsFeb. 10, March 10 & April 7 from 6-7:30 PM Information: 541-440-4005 – Registration: www.readyforkindergarten.org/roseburg Heart & Soul Fun Run Saturday, Feb. 14 at 8 AM Falk Family Medicine, 115 SW Pine Ave., Canyonville Information: www.facebook.com/valentines1mile5k10k or Dawn 541680-3694 Registration: www.active.com/canyonville-or/running/distance-running-races/valentine-s-day-heart-and-sole-fun-run-2015 Food for Life: Kickstart Your Health FREE 5-Class Series – Nutrition & Cooking Classes Fridays, Feb. 20 to March 20 from 5:30-7:30 PM Mercy Community Ed, 2459 Stewart Parkway, Roseburg Registration: [email protected] or 541-378-6359 A: If you suspect that your daughter has strep throat, she needs to be seen by a health care provider who will perform an examination and test for the presence of Group A Streptococcus, the bacteria that causes strep throat, before prescribing antibiotics. Antibiotics reduce the symptoms of sore throat in children with a positive Strep test and can reduce the risk of rare Chip Taylor, complications such as peritonsillar abscess and acute M.D. rheumatic fever. Antibiotics will do nothing for a sore throat if the test is negative because a sore throat can be caused by either viral or bacterial infection and antibiotics do not treat viral infections. It is never a good idea to use leftover or another family member’s antibiotics to treat a sore throat. Your daughter’s doctor may consider referring her to an ear, nose and throat surgeon for possible tonsillectomy if she has had seven or more episodes of documented Strep throat in the past year, five episodes per year for two years or three or more episodes for three years. Her doctor may refer her for evaluation or surgery sooner if your daughter has other issues, such as multiple antibiotic allergies or a history of a peritonsillar abscess. Chip Taylor, M.D. – Umpqua Regional Medical Center 1813 W. Harvard Ave., Suite 201 – Roseburg, OR 541-440-6390 GENERAL HEALTH Q: If I have Hep C and a certain genotype, can I contract someone else’s genotype if I was to share syringes? People with Hep C think it’s safe to share with others who have Hep C. Please let me know. A: The quick answer is YES, one can most definitely get infected with more than one genotype of HCV. Immunity to HCV is very incomplete. That is why the infection becomes chronic in roughly 85 percent of those who get infected rather than most people getting over the infection. This is very different from say Hep A, in which essentially everyone gets over it Brad Robinson, and the immunity acquired after that is long lasting. It M.D. is also very possible to get RE-INFECTED with HCV even after a successful course of treatment if one returns to risky behaviors. Brad Robinson, M.D. – Umpqua Community Health Center 150 Kenneth Ford Drive – Roseburg, OR 541-672-9596 SUBMIT YOUR Health Question Get a Health Answer Ask one of our Health Professionals from the following categories: Dentistry, Urology, Eye Care, Plastic Surgery, General and Specialty Surgery, Dermatology, Physical Therapy, Mental Health, Pain Management, Health and Beauty Working together for healthy living Send your questions to: Ask a Health Question Fax: 541-957-4268 E-mail: [email protected] Mail: The News-Review 345 NE Winchester Roseburg, OR 97470 Your Health Question will be Answered in our Healthy Wednesday section and online.
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