Kneibert Clinic HealthWeb
ace.jpg

Events in Health Care ...

Welcome to the Kneibert Clinic HealthWeb. Here is where you can find information on health and wellness, including occasional articles from our practicing physicians and staff members.  

  •  Kneibert Clinic News, physicians and staff members in the news, special events at the clinic.
  • Ask Us, send in your general health questions.
  • Health Tips for wellness, checkup guidelines, childhood immunization schedule.
  • Links to helpful medical resources and other sources of medical information on the web.

Thank you for visiting. Please come back often!

Information presented here is for general informational and educational purposes only and is not intended as medical advice for specific situations. See your doctor regularly.

Sickle Cell Disease

Blood Defect Affects 1 in 375 African Americans

September is sickle cell disease month. More than 60,000 Americans, mostly African American, have sickle cell disease. About 1 in 375 African American children are born with the disease.

Sickle cell disease is an inherited condition that can cause many health problems of which the most common is sickle cell anemia.

ÒBasically it's an inherited disease,Ó said Dr. N.S. Siddiqui, an internist at Kneibert Clinic. ÒIt happens because of genetic defects that causes problems with the hemoglobin structure that can lead to sickling of the red blood cells. That's why it's called sickle cell disease.Ó

Symptoms usually begin to appear during an infant's first year. They include, fever, swelling of hands and feet, chest pain, as well as pain in the abdomen, limbs and joints, nosebleeds and frequent upper respiratory infections.

As children get older they often develop anemia and show signs of fatigue, irritability and jaundice. They may also experience episodes of pain known as sickle cell crises.

ÒAttacks of pain starts when the sickling starts,Ó Siddiqui said. ÒDehydration, infections and lack of oxygen can trigger an attack. Once an attack starts, chest pain, leg pain, and whole body pain is constant.Ó A crisis may lead to acute chest syndrome.

ÒAll African Americans should be screened early in their childhood for this disease once in their lifetime, especially if their parents have it,Ó Siddiqui said.ÒSome carry the gene but don't develop the disease.Ó

Newborns can be tested from a blood sample taken from a heel for the sickle cell test, as are screenings for several other medical conditions.

The disease can also affect major internal organs such as kidneys, liver and spleen.

ÒPeople who have the disease should get immunizations to prevent flu and they should be immunized for hepatitis B and Pneumovax for pneumonia preventionÓ Siddiqui said.

ÒThere is no cure or prevention. Either you have it or you don't.ÓHe said symptoms of sickle cell disease, such as pain, infection and dehydration, can be treated. Children can be prescribed medication to prevent infections and that chemotherapy treatments have had some success with adults who have the disease. Bone marrow replacement is another option.

"Research in genetic therapy is always changing and will bring some definitive therapy one day," Dr. Siuddiui said.

Betty Hughes, site coordinator for Butler County Caring Communities at Eugene Field Elementary School in Poplar Bluff, plans to pass out pamphlets on sickle cell disease to students in September to help promote awareness.

- Lonnie Thiele

For more information, see these related websites (these links will open in a new window):

Sickle Cell Disease Association of America - sicklecelldisease.org Find educational materials, a chat room, list of affiliate organizations by state, more links.

Sickle Cell Society - www.sicklecellsociety.org Access to information, counseling and caring for those with sickle cell disorders. includes a special section for children afflcted with the disease - Planet Sickle.

Centers for Disease Control - www.cdc.gov - CDC Collaborative Study of Trends and Risk Factors for Morbidity and Mortality from Sickle Cell Disease After Newborn Screening and links to additional resources.

Eeek!

Head Off Head Lice

September is National Pediculosis Prevention Month. Although head lice are common year round, they become more prominent when children start back to school.

Dr. Ben Till at Kneibert Clinic has treated the tiny little blood-sucking bugs for decades. "You can't hardly see them," Dr. Till said. He said you are more likely to see head lice nits (eggs) around the nape of the neck or the bottom of the hair line. "

The nits are whitish, gray and oblong in shape. They kind of look like a cocoon at the base of the head," he said. "They hatch every week."

Dr. Till said the first signs of head lice are itching and seeing nits near the hair line on the back of the neck.

Head lice are contagious from kids sharing anything that comes in contact with their hair, such as combs, caps, brushes, hair ribbons, scarves, helmets, headphones and barrettes.

Treatment takes from one week to 10 days and longer if they are resistant to treatment.

"Use a fine-tooth comb to get rid of the nits," Dr. Till said.

Regular removal of nits and careful inspection of the scalp is the safest way to get rid of the pests.

There are at least three head lice killing treatments on the market, Rid, Nix and Quell. Use these products with caution and follow directions carefully.

According to Sherri Harper, R.N. and program director at the Butler County Health Center, head lice are routine throughout the area and cases are reported year round.

She said head lice typically affect younger children from kindergarten to sixth grade more than older kids and adults because older kids and adults are more aware of how to prevent them.

"If one person in the house has it (head lice). Everybody in the house needs to be treated and the house needs to be thoroughly cleaned," Harper said. "They (head lice) don't respect any social-economical class."

Dr. Till said, "People come in embarrassed thinking head lice are associated with uncleanness."

For more information on head lice, telephone Kneibert Clinic at 573-686-2411 and ask to speak to a nurse.

-Lonnie Thiele

For more tips on getting rid of head lice, see the following websites (these links will open in a new window):

U.S. Centers for Disease Control and Prevention - www.cdc.gov

American Head Lice Info Center - www.headliceinfo.com Take a head lice web survey and read up on "Safe Solutions for Frantic Families."

Kids Health (The Nemours Foundation)

National Pediculosis Association Inc. - www.headlice.org This site offers lots of information, a free poster and a special area just for kids, who can log on to play "Jail Louse Rock" and "Hair Force One."

Events in Health Care:
(Source: Missouri Hospital Association's 2000 Promotional Calendar)

September 1-30, Baby Safety Month. During Baby Safety Month, the Juvenile Products Manufacturers Association Inc. (JPMA) provides information on the safe selection and use of baby products such as cribs, car seats, strollers and bedding.
www.jpma.org

September 1-30, Children's Eye Health And Safety Month. Prevent Blindness America directs its efforts to educate people and design materials about the common causes of eye injuries and types of eye problems among children.
www.preventblindness.org

September 1-30, Gynecologic Cancer Awareness Month. Every year, more than 82,000 American women are diagnosed with one of the six reproductive cancers: cervical, ovarian, uterine, vaginal, vulvar and tubal. The Gynecological Cancer Foundation, with the support of the Society for Gynecologic Oncologists, dedicates this month to increasing public awareness about ways to prevent, detect and treat gynecologic cancers; supporting promising research related to cancers in the reproductive organs; and increasing awareness of the unique role of gynecologic oncologists. Women can log onto the Gynecological Cancer Foundation website to receive a personalized assessment.
www.wcn.org

September 1-30, Healthy Aging Month. This month focuses national attention on the positive aspects of growing older, particularly in the areas of physical, social, mental and financial fitness.
etnet@wilton-ct.com

September 1-30, Leukemia Awareness Month. Throughout the month of September, Leukemia Society of America volunteers across the nation step up their efforts to provide information to the public about leukemia and related diseases. For more information, contact: Leukemia Society of America, Marketing & Communications Department, 600 3rd Ave., New York, NY 10016, Phone: 800/955-4LSA or 212/573-8484 or your local Leukemia Society chapter.

September 1-30, National Cholesterol Education Month. This celebration is designed to promote education about and treatment of high blood cholesterol.
www.nhlbi.nih.gov/nhlbi/nhlbi.htm   

September 1-30, National Pediculosis Prevention Month. Although an attempt is made to create awareness of head lice as a health issue throughout the year, September has been designed as Pediculosis Prevention Month. During this period, public and private health care providers, hospitals, pharmacists and educators focus community attention on the issue.
www.headlice.org
www.licemeister.org

September 1-30, National Sickle Cell Awareness Month. Created to promote national awareness of the sickle cell conditions, this month is sponsored by chapters nationwide of the Sickle Cell Disease Association of America Inc. (SCDAA). Special educational materials also are available at SCDAA headquarters.
www.SickleCellDisease.org

September 1-5, Labor Day Checklist of Health and Safety. The American College of Occupational and Environmental Medicine's Labor Day Checklist offers quick tips to improve the health and safety of workers, the workplace and the environment. It is developed for both employers and employees. Future checklists may focus on a particular health or safety issue. The checklist packet includes statistics and resources.
www.acoem.org

September 1-7, National Childhood Injury Prevention Week. "Creating Community Partnerships in Childhood Injury Prevention" provides opportunities to raise awareness and tie organizations together working for the common cause of keeping children safe. Coordinator's kits, national/regional sponsorships programs and informational/promotional items are available for health care and community organizations, retailers and preschools. Assistance is available in devising programs to reflect each participant's individual "tie-in" with the promotion of child safety
KIDZsultnt@aol.com

September 3-4, The Annual "Stars Across America!" Jerry Lewis MDA Labor Day Telethon. The annual "Stars Across America" Jerry Lewis Muscular Dystrophy Association (MDA) Labor Day Telethon can be seen on more than 200 stations nationwide. The telethon helps the MDA continue the fight against 40 neuromuscular diseases by generating funds for basic and applied research, comprehensive services for clients and their families and far-reaching professional and public health education.
www.mdausa.org

September 10-16, National 5-A-Day Week. The National Cancer Institute (NCI) is encouraging Americans to "Take the 5-A-Day Challenge!" and eat five or more servings of fruits and vegetables per day for one week. The program is a collaborative effort between the NCI and the Produce for Better Health Foundation using retail, media and health channels to encourage Americans to improve their eating habits to reduce the risk of diet-related cancers and other chronic diseases. NCI's Cancer Information Service at 800/4CANCER supplies materials to consumers and licensed participants and assists with networking, media lists, speakers and printed materials
http://dccps.nci.nih.gov/5aday

September 10-16, National Assisted Living Week. This is a weeklong observance designed to raise awareness of the role assisted living plays in serving the nation's elderly.
www.ncal.org

September 10-16, National Respiratory Care Week. This week recognizes and honors the women and men of the respiratory care profession in all care settings and highlights their contribution to health care. In addition to promoting the profession, the week is used to promote respiratory health through demonstrations and the distribution of informational materials.
www.aarc.org

September 11-17, National Health Care Environmental Services Week. The American Society for Health Care Environmental Services is a national society devoted exclusively to the education, professional growth and skill development of health care directors and managers of environmental services, housekeeping and textile care professionals.
www.ashes.org

September 11-17, National Health Care Housekeeping Week. A facility's housekeeping services staff is an important component when it comes to patient satisfaction. They are responsible for maintaining the outstanding sanitary conditions within the hospital.
www.ashes.org

September 15, Neonatal Nurses Day. The health of a community is judged by its infant mortality. The New Jersey Association of Neonatal Nurses is proud to lead the celebration of the work that these individuals do.
jcasazz@sbhcs.com

September 16, National Kids Day. Held annually the third Saturday of September, National Kids Day is a celebration established by KidsPeace, The National Center for Kids Overcoming Crisis. This day's purpose is to honor children and demonstrate a commitment to nurturing, loving and supporting children in order to prepare them for the future.
www.kidsday.net

September 17-23, Hearing Aid Awareness Week. The purpose of Hearing Aid Awareness Week is to educate the public on state-of-the-art hearing aid technology. This event also stresses the need for regular hearing screenings and urges hearing compensation.
www.hearingihs.org

September 17-23, Balance Awareness Week. This week is designed to develop public awareness of balance and disorders of balance system (vestibular disorders) and to unite professionals, educators, support groups and medical facilities in a weeklong effort to focus attention to the public and the media. For more information, contact: Vestibular Disorders Association, P.O. Box 4467, Portland, OR 97208-4467, Phone: 800/837-8428, Fax: 503/229-8064.

September 17-23, National Rehabilitation Awareness Celebration. The National Rehabilitation Awareness Celebration (NRAC) provides an opportunity to focus the nation's attention on the powers and possibilities of rehabilitation, which restores independence and enables people to overcome injury or illness and live life to its fullest. The NRAC observance also salutes the determination of the nearly 50 million Americans with disabilities. It's a time to applaud the efforts of rehab professionals, provide a forum for education and find new ways to fulfill needs that still exist.
www.nraf-rehabnet.org

September 17-23, National Reye's Syndrome Week. The purpose of this observance is to heighten awareness of Reye's syndrome, a disease that affects the liver and brain. Reye's is an acute and often fatal disease that primarily targets children after a viral illness, but no age is immune.
www.bright.net/~reyessyn

September 17-23, National Surgical Technologist Week. The surgical technologist is a health care professional who performs specialized duties during surgical procedures. The surgical technologist most often functions as the scrub technologist. As the sterile member of the surgical team, the scrub technologist passes instruments, sutures and sponges during surgery. Their primary responsibility is to maintain the sterile field, being constantly vigilant that all members of the team adhere to proper techniques.
www.ast.org

September 18-22, Prostate Cancer Awareness Week. This week is a joint effort between the American Foundation of Urologic Disease and the Prostate Cancer Education Council. Prostate cancer is the most common form of cancer diagnosed in American men, and yet many men are not undergoing regular screenings for the disease.
www.pcaw.com
www.afud.org

September 20, National Vision Rehabilitation Day. Because of the documented lack of knowledge about both vision loss and availability to vision rehabilitation services, this observation has been created to promote aggressive education and treatment for people with vision problems. It is sponsored by Lighthouse International, a leading resource on vision impairment, and is commemorated throughout the nation by national organizations, eye care professionals and member agencies of the National Vision Rehabilitation Cooperative
www.lighthouse.org

September 23-24, Family Health and Fitness Days USA. This third annual event promoting health and fitness is always held the last weekend in September. During this weekend, families across the country will be involved in locally organized health promotion activities.
www.fitnessday.com 

September 24-30, Deaf Awareness Week. This is a nationwide celebration to promote deaf culture, American Sign Language and deaf heritage. Activities include library displays, interpreted story hours, open houses in residential schools, mainstream programs, exhibit booths in shopping malls with "Five Minute Sign Language Lessons" and material distribution.
www.nad.org

September 25, Medical Claims Assistance Day. The goals of this week are to offer tips on how to handle medical claims and what to do when a medical claim has been denied by a health insurance carrier; to educate consumers on how to organize their medical paperwork and not feel overwhelmed; and to get those individuals who have lost money to their insurance carrier to reopen those claims and try to appeal if they feel they should have been covered
mrzeszut@aol.com.

September 26-October 2, National Allied Health Professions Week. This week recognizes the approximately 2 million health care professionals who comprise the allied health work force and serves to increase public awareness of allied health professionals' contributions as members of the health care team. The week is sponsored by the Association of Schools of Allied Health Professions.
www.hsc.missouri.edu/~shrp/asahp/

September 27, National Food Service Employees Day. This day is designated to promote public awareness of the contributions and importance of food service employees to life in America. It's held annually the Wednesday of National Food Service Employees Week. For more information, contact: Women and Infants Hospital of Rhode Island, Dietary Department, 101 Dudley St., Providence, RI 02908.

September 2000

Sickle Cell Awareness

Healthy Aging Tips

Eeek! Heading Off Head Lice

Healthy Aging

Good Nutrition, Exercise, Regular Checkups Important

September is Healthy Aging Month which focuses on the positive aspects of growing older.

"People are living longer and staying healthier," said Dr. Ben Till of Kneibert Clinic."People are retiring earlier and not having to work themselves to death."

He said people can expect to live longer and enjoy life more now because of advanced medical treatment available and maintaining a health lifestyle.

"The average age now is 76. It used to be in the early 60s," Dr. Till said.

"There has probably been an increase in life expectancy in eight to ten years over the past 20 years. The most rapid growth in the population now is for 80 years old and above. Probably by 2010 the over 65 population will be doubled."

Dr. Till said both exercise and nutrition are important. "You need to stay active mentally and physically.Certainly exercise is important. Try to maintain good physical health and good nutrition."

One way the elderly maintain good physical health is to visit their doctor regularly. "You should have regular medical checkups to try and find things that are correctable," Dr. Till said."Elderly people account for 80 percent of users of medical services."

According to "A Healthy Diet" reported in the April 26,2000 edition of the Journal of the American Medical Association (JAMA), people should add more fiber to their diet, reduce sugar, salt and fat and "eat a diet that helps you either lose weight or keep your weight in the range that is considered 'healthy' or 'ideal' for your height and sex."

JAMA also reports on the benefits of exercise: "Regular physical activity and high levels of physical fitness offer numerous health benefits, such as reduced risk of cardiovascular disease, diabetes, obesity, some cancers, and musculoskeletal conditions." Ð JAMA, June 21, 2000.

-Lonnie Thiele

Additional resources (these links will open in a new window):

Journal of the American Medical Association - jama.ama-assn.org

National Institute on Aging - www.nih.gov/nia

Novartis Foundation for Gerantology - www.healthandage.com An educational web center to promote interaction between the public and healthcare professionals.

Health, Fitness and Nutrition Guide for Baby Boomers - www.myprimetime.com/health - a web portal for aging 'boomers.

Physician Spotlight

Travel Medicine - Kneibert Clinic Physician Kirby Turner Puts Experience, Computer Software to Use for Patients

Healthcare Management News

Search the Web for health info:

Citeline.com
Enter disease, therapy or topic:
Copyright © 1999 Citizen 1 Software, Inc.

Health Headlines
(a JavaScript-enabled browser is required to view the headlines below.)





 Physicians - Patient Guide - HealthWeb - About Us - Pharmacy - Opportunities - Site Map

E-Mail Us

www.kneibertclinic.com - E-mail: info@kneibertclinic.com - Visitors please read our terms of use. c. 1999-2000 Kneibert Clinic. Website: Webcurrent Communicationswebmaster@kneibertclinic.com.

Last update: 3/15/01