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July 3, 1998     Cape Gazette
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July 3, 1998

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40 - CAPE GAZETTE, Friday, July 3 - July 9, 1998 Physical medicine Nee specialties for better 00luality of life By Kerry Kester Victims of accidents, those who have suffered disabilities because of strokes and people with chronic conditions, may benefit from a multidisciplinary approach to treat- ment. Physiatry combines physi- cal medicine with rehabilitation. "We see people with chronic pain, muscular-skeletal problems like acute muscular injuries, and we also see people with rehabilita- tive needs," said Dr. Jay Freid, a physiatrist who practices at Beebe Medical Center, Bayhealth-Mil- ford Memorial Hospital and Nan- ticoke Memorial Hospital. For example, he said, people who have had strokes often have decreased physical functions from the damage to the brain. They may have difficulty with speech, walking or performing daily living functions, such as brushing their teeth. "We basical- ly take a nonsurgical approach with these people," said Freid. "We don't necessarily cure them, but we help them find ways to live better." Someone who had a stroke may need to relearn how to swal- low, talk or dress. A speech thera- pist may assist the patient in learning how to swallow and talk, while a physical thera- FRIGID pist may teach the patient how to move around. The occupational therapist may concentrate on ther- apeutic recreation, or activities that add to the quality of life. "They help find activities that are enjoyable but also therapeu- tic," said Freid. For example, gar- dening is not only a hobby for many people, but because of the need for working with the hands, has therapeutic value. While each of the therapists and specialists are working with the patient for the physical needs, physiatrists oversee the medical needs and coordinate all of the health-care needs. Every patient has a social work- er, he said, who not only works with the patients while they are re- ceiving their treatments in med- ical facilities, but also help them when they return to their homes. "If everyone works on the same goals, it works a lot better," said Freid. "Over time, you can make a difference in people's live," said Freid. Those who have acute needs may be treated at the rehabilita- tion facility in Milford, where pa- tients'- medical needs are met while they also receive several hours of therapy each day. "It's a pretty intensive program there," said Freid. Typical patients there are those who may have undergone a joint replacement, been injured in an accident, have a serious lung dis- ease, had acute heart attacks or who have had debilitating strokes. While the patients are in the re- habilitation program, their prima- ry care doctors coordinate with physiatrists, who oversee their care while they are in rehabilita- tion. Patients are often in the Milford Look Good, Feel Better can lp cancer patients cope Women undergoing chemother- apy or radiation treatment for can- cer can now receive free profes- sional help to cosmetically dis- guise the appearance-related side effects of their treatments. "Look Good, Feel Better," a new program developed by the Cosmetic, Toiletry, and Fragrance AIDS stigma Association Foundation, the American Cancer Society and the National Cosmetology Associa- tion, trains volunteer cosmetolo- gists to help women with cancer conceal the loss of hair, skin prob- lems, and other side effects that can result from cancer therapy. "The program will help people I pie, nondrug-users as well as drug users, women as well as men, it is the continuation of the linkup of AIDS with gay people and other out-groups that stands in our way, as a people, of eradicating this tru- ly horrible disease. For more information, read "AIDS Stigma and Contact With Persons with AIDS: The Effects of Personal and Vicarious Con- tact," (1997) G. M. Herek & J. P. Capitanio, "Journal of applied So- cial Psychology," 27, 1-36. "Stigma and AIDS: Three Lay- ers of Damage," (1997) A. Novick, "Journal of the Gay/Les- bian Medical Association," 1, 53- 60. Editor's note: Sean Venable is an administrator with P.L.Active, an AIDS support organization. Continued from page 38 struggling with the construct of risk groups. The latier idea was taken and twisted by the perpetrators of stig- ma in an effort to protect their own social identity and thus, the insidious us-vs.-them notion was reborn. The notion has been fur- ther complicated by the perpetra- tors' incorporation of cultural prej- udices - toward race and poverty, for example. All of this has led to the negative, nonproductive re- sponses to the epidemic that we see as a whole. Today, although we know that HIV/AIDS infects and affects straight people as well as gay peo- BOARD CERTIFIED FAMILY PHYSICIAN Steven H. Berkowitz, D.O. An independent, private practitioner. Hours: 7 a.m, to 5 p.m. Daily * Accepting patients ages 2 and up. Participating with most insurance companies. Long Neck Professional Center, Suite B Long Neck Road, Millsboro, Delaware By Appointment Only 302-945-7200 look their best - even as they are undergoing cancer treatment," said Nancy Span0, the American Cancer Society coordinator for Look Good, Feel Better in the Sal- isbury, Md. unit. "Although al- most all of the appearance-related side effects of cancer treatment are temporary, they can be very distressing. We hope that by help- ing people to improve the way they look, we can also help them to feel better." "For me, this is a chance to give something back to the communi- ty," said Cybill Leidy of Hair Un- limited. "I'm excited at the idea of using my skills"{6 help women in cancer treatment learn to cope with some of the side effects of their treatment. It's always amaz- ing to me what a makeover can do for someofie's whole outlook." The area's first Look Good, Feel Better program will be at Peninsula Regional Medical Cen- ter, where it was welcomed by Dr. Gopal Desai, head of the Oncolo- gy Department. "Anything that helps patients feel better about themselves can play a vital role in how well they cope with treat- ments," he said. For more information on the Look Good, Feel Better program. call the Salisbury Unit of the American Cancer Society at 410- 749-1624, or call 800-395-LOCK. SAVE o% MEN'S, LADLES' & CHILDREN'S SHOES FIRSr QUAL/I'Y FOOTWEAR AT A DISCOUNr Featuring: Sebago Docksides Keds Trotters Sperry Top-Sider o Tretorn Etonic New Balance * Clarks of England Wigwam * Reebok Rockport * Grasshoppers Best selection from over 15,000 pairs in stock. 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