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Cape Gazette
Lewes, Delaware
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January 19, 2001     Cape Gazette
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January 19, 2001
 
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CAPE GAZETTE, Friday, Jan. 19 - Jan. 25, 2001 - 43 HEALTH & FITNESS SCEMS director brings wealth of skill to county By Kerry. Kester Glenn Luedtke, who recently assumed the directorship of Sussex County Emergency Medical Services (SCEMS), intends to continue the county's tradition of being the state's leading agency for improving emergency care delivery. Education and growth are important ele- ments in his professional life. "My initial thrust will be to look at the system...what's working well and what could work better," said Luedtke. "There is no ideal EMS service any- where. It doesn't exist. The profession is only about 25 years old, so we're just coming into adulthood. Emergency LUEDTKE medical service is an evolving profession. ''The profession of a paramedic is evolv- ing on almost a daily basis." For example, said Luedtke, paramedics are continually evaluating medical protocols and continu- ing their educations to learn more about new medicines and procedures, many of which may be used in the field. "Changes are just part of the profession; it will be ongoing," he said. "The art is making the right choices." Luedtke, who served as the executive director for Cape and Islands Emergency Medical Services Systems Inc., said there are similarities in that system and in Sussex. "There's a sudden explosion in the sum- mertime." he said. "Coupled the rural nature of the area and therefore longer hos- pital rides, the system differs greatly from one found in a city," he said. "Wherever you are, you have to tailor your approach to the location that you're in," he said. Before deciding to work in Sussex County, he said, he learned about its sys- tem. Some he learned from observation, and he learned more about the county's emergency medical service from his stu- dents at George Washington University School of Medicine and Health Sciences, where is he an adjunct assistant professor. Numerous paramedics in Delaware have undergone their training at the Washington D.C. school. "Folks here should really have a lot of confidence in their system," said Luedtke. "Their paramedics are among the best I've ever seen." Since paramedic training is arduous, he said, one of his goals as direc- tor is to ensure Sussex EMS doesn't follow other areas in the medical profession, such as nursing, in which there is a dire shortage of employees. "We put a lot of effort into getting good people, and we want to put a lot of effort into keeping good people," said Luedtke. "Obviously, we want to foster an environ- ment where we attract and keep good para- medics." Luedtke views his role in maintaining a good staff as keeping closely connected with the paramedics who are out in the field, rather than administrating the SCEMS from a remote vantage point. His goal, he said, is "that we have good lines of communication between administration and the people doing the work in the street." His basic philosophy is simple: "People come to work to do a good job, and if you're appropriately supporting, they'll do a good job. I've worked as a paramedic in the street, and that's healthy. Obviously, I have a feel for what people are up against." Luedtke, who should be able to continue serving as an adjunct professor at George Washington, hopes he will have the oppor- tunity to share his teaching skills with Sussex paramedics. He is an accomplished paramedic who is currently certified as follows: nationally registered emergency medical technician/paramedic, Massachusetts-certi- fied emergency medical technician/para- medic, Massachusetts-certified emergency medical technician instructor, prehospital trauma life support instructor, basic trauma life support instructor, advanced and basic cardiac life support instructor, pediatric advanced life support instructor, emer- gency medical dispatch and basic telecom- municator instructor, and national training curriculum instructor for an incident com- mand system. Additionally, he has a Fire Instructor I rating. "Fire service plays an important role in emergency care," said Luedtke, who served 17 years in a volunteer fire associa- tion in Virginia, where he eventually served as chief. He continues to maintain his membership in the International Association of Fire Chiefs. Luedtke is also a member of 11 other professional organizations pertaining to emergency medical care. He has won numerous awards from professional organ- izations as well as from the U.S. Army, where he earned a Meritorious Service medal, Army Commendation medal, Army Achievement Award, Good Conduct medal, National Defense Service medal and Army Service Award. He has authored articles and has also authored and presented video presentations about emergency medical service-related topics. He has often been a presenter at EMS conferences. Sussex County Council selected Luedtke to serve in Sussex after conducting a nationwide search to replace George Torbert, who resigned in late fall. In addition to his many professional achievements, Luedtke is also an accom- plished musician. He not only attended the Peabody Conservatory of Music in Baltimore, he also was a percussionist with the Baltimore Symphony Orchestra from 1959 to 1964. He has attended the following schools for his work in emergency medicine: Johns Hopkins University Summer Institute, George Washington University School of Medicine and Health Sciences, Northern Virginia Community College and Fairfax (Va.,) Hospital. Luedtke's wife, Sherry, is a registered nurse with 20 years of experience in emer- gency nursing. She will be joining her hus- band in Delaware after the Luedtkes sell their home in Massachusetts. The couple has two grown daughters who live in Chicago and New York. Part IV: Cycle of Addiction How to overcome the barriers to recovery Cravings, depression and guilt are the three parts of the harness that straps an addict into the downward spiral of drug addic- tion. In almost all cases, where there has been a long period of substance abuse, one finds the above three symptoms. What is the best approach to tear down these barriers to successful recov- ery? Remember persisting drug cravings are the first barrier to recovery. These are caused by drug or alcohol residues that store primarily in body fat in the form of metabolites. As mentioned in an earlier article, metabolites are the byproduct of the body's natu- ral processes as it tries to digest or break down drug toxins once they are in the system. The chemicals in these fat- stored metabolites seem to have a physical connection to memories the addict has of the experiences associated with using drug using. The metabolites can reactivate or come back into circulation in the HEALTH TOPICS CLARK CARR Clark Carr is president of Narconon International. There are worldwide drug rehabiliation centers using the narconon prograr For details, call 323-962-2404. body at certain later times when the former addict's body metabo- lism increases. Metabolism is basically the speed of a body burning up ener- gy. Increased metabolism is known to occur when a person is under stress, experiences strong emotion, during exercise and accompanying weight loss. Once the drug metabolite chemicals can again influence the body, whether this is perceived consciously or not, an uncontrollable urge to again use drugs can overcome the addict. The active-in-the-body metabo- lites trigger feelings, thoughts and attitudes about drug use in the addict, at both a physical and mental level. When a loved-one or family member asks a relapsing addict, "Why did you do this again when you knew it was wrong?" and the addict answers, "You just don't understand. It was like a I had no choice! I can't explain it," the above described process of body-stored drugs reentering circulation and trigger- ing emotional and physical reac- tions might best describe what has happened. There are a number of methods that are being used today to address this time bomb of drugs storing in a drug user's fat tissue. One attempt is intravenous ascor- bic acid, or vitamin C treatment. Another is fasting. More and more, we are seeing emphasis shifting to holistic treatments as a significant component of sub- stance abuse treatment planning. An effective means of ridding the body of stored drug metabo- lites has proven to be a program of aerobic exercise combined with nutritional supplementation that utilizes vitamin B3 (niacin) and extensive sweating in low-heat dry saunas. This detoxification method was researched and devel- oped by L. Ron Hubbard in 1978, and has helped improve the rate of recovery from addiction by elimi- nating the physical triggers that create drug cravings. It is this process, called the New Life Detoxification program, that is utilized at Narconon drug and alcohol rehabilitation centers. Depression is another signifi- cant barrier to recovery. The depression an addict experiences is twofold. There is a chemical imbalance that drug and alcohol abuse all by itself creates in the body. Drugs and alcohol inhibit the production of natural body chemicals and in some cases replace them. This affects the nat- ural body reward system that encourages our sense of physical well-being or eliminates pain after injury. This biophysical aspect of the chemical imbalance present in drug abusers is driven by nutri- tional deficiencies that are the end result of regular use of drugs or alcohol. In most cases, the emotional depression that an addict experi- ences follows after a person comes off drugs or alcohol, not before. One very real reason for this sense of depression is the declining quality of life a drug- user experiences. Another is his or her state of decaying health. Usually, the addict has alienated himself from family members and Continued on page 44