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Lewes, Delaware
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April 26, 1996     Cape Gazette
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April 26, 1996

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CAPE GAZETTE, Friday, Apl 2 e -may , lmm, 35 Beebe offering screenings for anxiety disorders on00May00l Do you persistently fear social With more than 28 million and receive information about day: to help those who have an Health at 645-3760. situations? Do you have repeated bouts of escalating fear, incidents that might have seemed like a heart attack? Have you experi- enced a traumatic event, only to find that your symptoms of stress following it have continued for a long time? If you answered 'yes' to any of those questions, you may be suf- fering from an anxiety disorder. Anxiety disorders are often char- acterized by feelings of fear and anxiety that appear for no appar- ent reason and often reach over- whelming levels. They dramati- cally reduce or eliminate one's ability to function. Americans affected each year, anxiety disorders are the largest, most common mental health prob- lem in the United States. In par- ticipation with National Anxiety Disorders Screening Day in 1996, Oceanside will offer free screen- ings on May 1 at 2:30 p.m. in the South Conference Room of Beebe Medical Center, 424 Savannah Road in Lewes. Participants are asked to arrive promptly for the beginning pre- sentation, as instruction for com- pletion of the questionnaire will be presented by video. At the screenings, participants will see a video, complete a questionnaire Asthma Continued from page 33 side-effects by being inhaled rather than taken as a pill. Theophyllines are oral medica- tions which come in twice-a-day formulations such as Theodur, Slobid and generic preparations or once a day products, Theo-24, uniphyl and unidur. They are used as a third line drug in combi- nation with anti-inflammatory drugs and beta-agonists. They are especially useful in preventing nocturnal symptoms. To be effective, medications need to be used properly. Oral medications must be taken as pre  scribed and inhaled medications must be used with proper tech- niques. Improper use of inhalers is common and renders them use- less. There are iseVeral ways tO use inhalers; it ia important t6 carefully learn one and use faith- fully. An effective regimen for treating asthma is usually com- prised of an inhaled anti-inflam- matory drug, usually a steroid, plus an inhaled short or long act- ing bronchodilator. Spacer devices are useful in administer- ing inhaled medications. Some patients will require a theophylline or an oral beta-ago- nist product to supplement these drugs. Self-monitoring using a peak flow meter which gives an objective measurement of lung function helps to forewarn of worsening asthma. Patients using peak flow meters can often avoid an asthma attack by self-medicat- ing themselves with presribed res- cue medications. For patients whose asthma is unresponsive to aggressive thera- py with commonly prescribed drugs, unusual therapies are avail- able. These therapies are utilized as a last resort only when patients fail normal therapy and require continuos doses of oral corticos- teroids. Called "steroid-sparing", these treatment regimens utilize various anti-inflammatory drugs such as methotrexate (also usod to treat rheumatoid arthritis)and ch01chicine (also used to treat gout) in an attempt to reduce 0ral steroids and their severe side effects. In the near future, a new class Ofagthma drugs, leukotdene receptor antagonists, will be avail- able. Leukotienes contribute to development and continuation of inflammation in the lung. Zileu- ton (Leutrol) should be available soon as a new anti-inflammatory drug for the treatment of acute asthma and may have a role in chronic asthma. Editor's Note: Michael A. Sal- vatore, M.D., F.A.C.P., special- izes in pulmonary disease. His office is located at 105 West Fourth Street in Lewes. For more information, call 645-8200. UNBELIEVABLY LOW PRI( ;ED ASSOCIATES IN MEDICINE, P.A. "Quality Internal Medicine" NANCY A. UNION, M.D. LISA O'CONNELL, M.D. PHIL STEIN, M.D., Ph.D. Dr. Union * Office Hours lO/hrs Week and Hospital Coverage Dr. O'Connell * Formerly of Baylor and UCLA Medical Centers Office Hours 9-5 Mon-Fri Dr. Stein From Johns Hopkins - Will join the practice August I on a full-time, permanent basis Office Hours by Appointment 645-6644 119 W. Third Street Lewes, DE 19958 anxiety disorders. No registration or appointment is necessary. Family members who are con- cerned about someone or people who may be suffering from a dis- order are welcome to attend. Jose Capiro, M.D., acting chief of psychiatric services and Ocean- side screening site director at Beebe Medical Center, said the event is modeled after the suc- cessful National Depression Screening Day, which has been promoted for two or three years by the facility in mid-October. Like those on depression screen- ing day, screenings will be free and anonymous. "It's for people to learn more about [anxiety disorders] and to the degree they feel they fit the patterns described," said Capiro. "Then they can decide whether to seek treatment." Capiro hopes three goals will be achieved through the screening anxiety disorder find appropriate treatment, to de-stigmatize psy- chiatric illnesses - particularly anxiety disorders, and to educate people about anxiety disorders. Capiro said nine to 15 percent of the U.S. population is suffering from anxiety disorders at any giv- en moment. The disorders are highly treatable, he said, but many of those suffering may not seek help. For instance, those with obsessive-compulsive disorder (OCD) may try to hide their disor- der. The five disorders that will be discussed in the video presenta- tion at the screening are as fol- lows: OCD, social phobia, panic disorder, generalized anxiety dis- order and post-traumatic stress disorder For more information about National Anxiety Disorders Screening Day, contact the Oceanside Center for Mental l -[Feet,, ! . rthritis )iabetes eriatric 1 Congenital l,,onditions Deformities arrow or ,! Prolonged l,,aide Feet ,Standing mmertoes I Foot Trauma lte solution to your foot problems is Xtra Depth shoes, only by P.W. MINOR LOCATION: Epworth Methodist Church 20 Baltimore Avenue, Rehoboth Beach TIME: 6:30 - 8:00 p.m. B Beebe Medical Center This is a flee seminar. Please call 645-3332 to register. 424 Savannah Rd., Lewes, DE A A A A I MONDAY, MAY 6, 1996 SPEAKER: Dr. Michael Salvatore, M.D. Pulmonologtst "Sleep Study Lab at Beebe Medical Center" FREE Health Seminar from Beebe Medical Center o SALE s999 Unconditional Satisfaction Guaranteed I 645-9431 ] HEARING AID ASSOCIATES I Come in toch. for a free I d" -- Call 934--1471 Today -- i pf.sion [ Millsboro - 2 miles north of Rt. 24 on Rt. 30