The Celebration of Peg's Spirit

I have nothing written for today. Yesterday my husband's grandmother, Peg, was not doing well. Hospice told us that " it will not be long". I spent the later part of the day with Peg and our family.
I will be back for Thrifty Thursday tomorrow, so please do come back.
Forgive me as it seems life continues to happen and my responses to you sporadic. I read every single one and am always humbled that anyone would care enough to swing by Bloggeritaville and comment. I appreciate you so very much and feel so blessed by the friendships I have in my blogging community. Thank you, a sincere thank you. I hope to be back in the saddle before to long.
In the meantime, I ask a favor, that you please pray for Peg's comfort as she makes the inevitable transition from body to spirit. To be absent from the body is to be present with the Lord, and it is in that we find comfort and peace. Tremendous peace in that she will be at a much happier place. Only God knows when.
Thank you friends for your prayers.
For now, I rerun this post about Peg dated 8/17/08 (almost a year ago). Peg is one amazing woman. One tremendous spirit. It is her life that I celebrate and am thankful to have met such a wonderful woman....


I wondered when we arrived at the assisted living facility if we would find Peg asleep. It has become a way of life for her. Though that seems like a oxymoron. Life and participating in it, should not include much sleep. And certainly for someone that used to be the life of the party, the one you would fight to sit over at a dinner party because you could always depend on an interesting story, it especially is an oxymoron. Peg, is Big Daddy's grandmother. When I first met her, some fourteen years ago, I was especially fascinated in her gift of story telling. Much like my idol, Katherine Tucker Windham, she could spin a tale that might cause one to sacrifice a good meal rather than miss a word of what came from her mouth. Stories that included seeing Frank Sinatra in concert (!!!), having poet Robert Frost sign a first edition book for her, to stories of her courtship as children (no less) to the boy who eventually became her husband to the day of Big Daddy's birth (twins were not expected).


Today a disease has robbed her of her story telling and has made this once vibrant and spirited woman a shell of herself. The disease is called Dementia. It is a progressive brain dysfunction that leads to a gradually increasing restriction of daily activities. It's the most well-known type of Alzheimer's disease. Dementia not only affects patients, but also those surrounding them, as most patients require care in the long-term.
Peg was always a very fit woman and very conscious of being just that. Even in her late 70's, as a very independent yet widowed woman, she would bike five miles a day (one way!) on the southern Florida beach where she resided. She was well traveled and loved to see & experience the world and all that it had to offer. I recall years ago Peg accompanying Big Daddy and I along with my brother in law and his new wife to Amelia Island. We walked everywhere, from sun up to sun down, and not once did she drag or tire. In fact, it was all that we, as some young thirty somethings, could do to keep up with her. It was a fantastic visit. I cannot say that many young kids would want to tote around an elderly person...but she was no "old Fart". She stirred up much of the fun.
I recall another trip, on a Caribbean cruise...me, Big Daddy and my cousin were calling it a night sometime after midnight. The three of us strolled the ships upper deck on the way to retire to our cabin. We came upon an elderly woman, silhouetted by the full moonlight. I whispered to Big Daddy that it was awfully late for a woman of that age to be strolling around at that hour, especially alone. As we got closer, the moonlight revealed the face, it was Peg. "What on Earth are you doing up here this late?" I asked. "Oh, getting in some laps (walking) around the deck. The night is young!..." and off she strolled at a quick pace. We were all tickled at how she could outlast any of us.


(Photo taken in May 2003)
Today, Peg sleeps up to 22 hours a day in bed; rising only to eat meals and these she has to be reminded to do so. Smiles are as infrequent to her life now as the medication and doctor visits are frequent. The spirit that could once be found in her eyes is now clouded. There are some good days, but most often they are coupled with challenges.
It is a heart wrenching situation. It is difficult to go and see her to always find her in bed. No longer, does it seems that this woman , who was always so interested in genealogy and devoted to her family and times with them (most notably her children and grandchildren) finds pleasure of even being with those who love and adore her. Her zest is gone. It is almost as if she is waiting...to move on.
My mother in law has the daily ritual (sometimes several times a day) of checking in with Peg to make sure that she is being properly cared for. One must stay on top of things as anyone with a loved one in a geriatric facility knows. With such a disabling disease, it does not only affect an individual, it affects all that knew them. But for my mother in law, it has affected her the most. She is the main caretaker for Peg. Though she is the {adult} child, She has been forced into the role of parent. It has not been easy. It has been one with protest from both sides. Have you ever tried to tell your mother what she needs to do? And what if she didn't want to do it, but you had to make her. It's a situation that is often met with resistance. Many times there are arguments & guilt associated with it. Though my mother in law does her best to remember to find laughter in what is a very strenuous situation. Her mother has regressed to a childlike state and must now be treated as so. It can not only affect the mind of a dementia patient, but also the mind of a caregiver. Dealing with dementia symptoms in your own parent can stretch the limits of your sanity. It's a struggle. But it is one of two most extraordinary women. Peg, and T (my MIL and Peg's caregiver).

(Picture taken 2007)
Eighty nine years is a long time for anyone. Eighty nine years for someone with a disease that erases the memory can be almost overwhelming. My husband's side of the family all gathered at the assisted living facility where his grandmother lives to celebrate her 89th birthday this past weekend. A bittersweet celebration. Each day that one has here on this earth is a gift, but when those days are filled with an ever decreasing quality of life, the years that preceded that are even more appreciated and more revered. And it is this reason, why I wrote this post. To celebrate the Peg who was always the life of the party. One that looked for an excuse to celebrate any of life's situations. We come together and celebrate the life of Peg, and the ways she has impacted each of us in the family circus. And how she continues to do so. Yesterday, Today and Always.
Peg, Happy 89th birthday. We love you. For who you once were and who you are today. We are blessed by your presence and treasure the stories of our past- the gift- that you have given each of us.

(Photo taken August 2008)
http://www.dementia.com/
www.YourSupportNurse.com
www.caregiver.org
www.enroll.AlzComboCare.com
Excerpt from the book Helping Your Aging Parent
http://www.aricept.com/

Salsa with Marlee Matlin!

Marlee Matlin is coming to town! She will be in Birmingham for a private corporate conference, as well as an appearance at the Southern Women's Show ( I think Marlee and Fabian will be at the ABC 33/40 booth).
Pssstttt! But to spend some one on one time with Marlee, you must know how to salsa!
"Huh?", you might ask.
Salsa! Mambo! Rock Step....
Come! Do Latin Cardio with Marlee Matlin and Fabian Sanchez of the spring season of Dancing with the Stars. Marlee will be joining in the fun of the Latin Cardio Class (that I chat up often) on Friday morning, October 3rd at 10:30 AM at Fred Astaire Studio in Hoover.
You need NOT have prior dance skills......I am in the class.....proof enough!

No reservations are needed to attend. All you need is "attitude". Expect to have a blast!

Cardio Class is $10.00 for the one hour session ( no obligations or contracts to sign)

Fred Astaire Dance Studio
1941 Hoover Ct Ste J

Birmingham, AL 35226

205-979-4777

Katie's Foundation

Today, I plan to go and take in some sun. Things are far different today for me, than it was in my youth when it comes to the sun. I had poor tanning habits in my youth. Though it was a short window of time ( maybe 4 years). I couldn't tolerate the heat so my window to sun exposure wasn't long, but it was long enough. I did stupid things.

I recall one day my friend Jenny and I scaling my Dad's ladder to tan on my rooftop. We rubbed on cooking oil and waited to fry up like chickens. In another tanning mishap, I got a severe burn on my chest, it bubbled up very badly. People on the beach (I didn't know) started stopping by and telling me that I needed to go in. It was gross. It left my chest with small freckles. Basically scars from the suns permanent damage.

When I was about 18, I could not tolerate the heat any longer. So from time to time I went to the tanning bed. Even worse-no matter what the folks that work there tell ya! I did this off and on for about 2 -3 years and quit. Big Daddy hated for me to go. Not only was it the money (go figure) he continually told me that I was "damaging my skin". So, I did quit. About 4 years ago, I had 2 dark spots (looked like large freckles) removed from my stomach. The dermatologist told me that they were precancerous. She said, most likely not from the sun but from the tanning bed.

Today I cover up if I am outside.

I always wear a hat if I am out in the sun for any extended period.

I make my family wear hats (but most times they do it anyhow. We are all fans of a hat).

I wear SPF lotion daily (Lubriderm). Even in the winter.

(Here is a $1.00 off coupon to encourage you to lather up year round too)

And I always always always lather up the family if we are at the beach or pool or outside for any length of time. And then I reapply.

It really IS scary.
I am writing this story, because I was recently reading Mrs. Schmitty's blog. In particular, this story. Mrs. Schmitty recently wrote about her high school friend, Katie, that passed away from skin cancer. Katie's family has now started an organization called Katie's Foundation. Both Mrs. Schmitty's story and the story at Katie's Foundation are worth the read. It could save your life, or the life of a family member of friend. And to Mrs. Schmitty, I appreciate you writing this story. I think it can touch alot of people.

To sunscreen!

A Word of Advice

Spray Sunscreen is a wonderful thing-IF you rub it in! Do not take for granted that the spray that comes from the can will accurately cover all body parts. If you do not run into skin, you too will not only appear as though extra terrestrials used your body for scientific experiments but you will be in a great amount of pain. As seen here, some parts were spared, others are still reeling. I will spare you the pics of the face and ears! OUCH!

I 've Been Novasured

After several hours of resting from surgery, I am actually feeling like trying out the horizontal position again, though it may not last long. I wanted to thank everyone for the kind words and encouragement. I was really nervous and the comments and well wishes did make me feel better. I am so appreciative.

Weather AWakenings

I awoke at 3:30 this morning to the sound of extreme wind outside my bedroom window. The lightning was so consistent, it seemed as though car head lights were shining in my window. Then the hail came. I was a bit concerned. I turned on the TV in my room but direct TV (here we go again) was not getting satellite reception. I opened the windows to listen for tornado sirens, but could hear anything but wind and rain. Big Daddy kept saying to me, "Get back in bed. Rest a while longer before we have to get up". But I also took note of my dogs. They were acting very bizarre. One was under my bed. We have had many storms, but have yet to seen him do that until this morning. Then I got a phone call from my friend Janet, who knows I cannot hear the tornado sirens from my house, "Leigh. It's bad over here. Sirens are going off. Get your family to the basement. We are in the closet." That was enough for me. Thank goodness for Janet and our pact we made years ago to call one another-no matter what hour it is-if there is a weather emergency. "Big Daddy, that was Janet. Lets go downstairs!" Even in the darkness I could see his face-he didn't want to get out of bed. Believe me, could could sleep through a tornado. But he humored me and did it with no negative feedback. This was as good enough time as any to run through a tornado drill with the family, and that is something we haven't done in years. I went into Smooth's room, then to Sledge's, with much calmness, so not to alarm anyone I quietly said, "Get up. We are going to Bama's room". They immediately rose, but were very calm, even knowing what that phrase meant in the middle of the night, they didn't say anything, they just grabbed a pillow and proceeded downward. Dogs followed kids and Big Daddy followed behind them. We quietly snuck into Bama's den, he has a separate bedroom and we didn't want to wake him and alarm him. He was in a a safe spot. The rest of the circus (dogs included) crammed onto the futon and laid down to go back to sleep. I went back upstairs to turn on Big Daddy's TV, I knew it would pick up reception in his room (The Tv in there is not HD). My dog, Jefferey was going crazy. He was at the bottom of Bama's door barking and barking -wouldn't stop. I went down and put him in the bed with the family and went back up. Again, he jumped down and was barking at the stairs. I went down and put him back on the bed. He didn't budge to go towards the family, he stayed by me to see what I would do. So I didn't move either. Moments later the wind quieted and the lightning became less frequent. I waited about 10 minutes. The kids and Big Daddy were whispering in the bed, it woke Bama, who came into the den in fighting mode, ready to rough up anyone who might have broken into the house. He didn't know it was us. After telling him and getting through to him in his fresh from bed haze in the complete darkness, he calmed down. As did the dogs. "Well, we are all up. Who wants pancakes?" , I asked. So at 4:00 AM I was cooking up pancakes and scrambled eggs. Of course, I couldn't eat anything. While they ate, I prepared myself for going to the hospital and grabbed a shower. My mother in law arrived to see kids off to school. Bless her from getting up early, in the dark and in the rain. I am so appreciative.

The Hospital

Big Daddy and I arrived at the hospital at 6:10. I checked in and about 15 minutes later was called back to prep. I think I mentioned to you all, how I was worried about the IV and about being put to sleep. The IV lady arrived and I told her my previous issues with IV's. Apparently I have small veins and they roll. Every time I have had to have one it has been torture. I have left the hospital in the past looking like a drug addict, for all the needle marks and bad bruising in my arms. Fortunately this was not the case today. (Thank you to the prayer warriors). She got it on the first try-and I didn't even feel it, nor do I have a bruise (I bruise easily).
Immediately after, I was given a coo-coo drug that had me silly and they wheeled me into the surgical room. I couldn't see without my contacts and glasses. But I knew there were several people in the room. One came over and said he was my doctor. I took him at his word. I told him I was there for the tummy tuck and breast reduction surgery, and I wanted to look something like Martina. I do not remember what he said to that. It was about this time that I blacked out completely. Literally minutes later (about 30-45) I awoke in recovery. I couldn't stop talking I knew that but couldn't help it. Though again, I do not recall what I was saying, except at one point where I know I kept asking the nurses to vote for Fabian Sanchez (....presidential nominees and now dance contestants...but if I am passionate abou tit-well you know, I am shouting it out) I also kept asking if I looked like Martina. I am sure they were like, "Yeah right on your pain medication, sister! In your dreams. LOL! I think I was running my mouth to convince myself I was ok. Again, not long after, I was moved to a private room (probably because if all the talking!) where Big Daddy was waiting for me. It was around that time that I become conscious of the pain. I am very tolerable of pain. It wasn't to-to horrible, I have felt worse, much worse, but I did ask for something for relief. From there, in and out of consciousness and the next thing I know, I am home in my bed around 10:30AM. I have to brag on the staff at Brookwood Hospital. Every single person that I came in contact with today, from the sign in to the prep nurses, the surgical staff-including my doc-was so professional and so caring and courteous. They really made me feel at a *bit* more ease prior to my surgery and certainly afterward. I cannot say enough for all of them, except that I do not look like Martina and I came out with the same body, but that pails in comparison to the service I got. I am eager to know the **end** result of my procedure will have me a better me.

Home Again

Big Daddy was so wonderful today. He took great care of me, where I probably would have been laughing and making him talk to hear silly things come from his mouth, he is most gracious and do me like that. He waited on me, he held my hand. He brought soup and sprite to me in bed. He continually checked on me. I am so blessed to me married to that man. God is so good.
I am also blessed to have such wonderful friends. My lovely friend Joy brought over a beautiful floral bouquet from her and Kym, as well as a strawberry cheesecake (to die for) and (as Kenny Chesney says) "A big old jug of sweet tea". They even thought ahead and bought some with artificial sweetener so Big Daddy could drink it. So thoughtful. Courtney brought over homemade potato salad, Sharon got cookies for the kids for after school snack and Flo sent Popeye's chicken (Big D "loves that chicken from Popeye's"). So so kind and thoughtful. No need for the family to worry where their meal would come from, for they had it taken care of. Again, I am reminded of the blessing I have. And I love the south, people still do things like that.
It doesn't end there, I read all the kind comments on my blog from such caring people, who I find interesting and respect so much, who have become friends through blogging. Though there are those I have never met face to face, I feel blessed to know you through blogs.
OK , I am rambling....I know this. My apologies. I am still on pain medication, so forgive me. LOL. I just want all to know how much I appreciate the kindness. I plan to take it easy for the next couple days, but I have to say I would absolutely do this procedure again (but thank goodness won't have to). I have had no bleeding thus far (though is possible in the next few days) but to me, this has been a parade in comparison to the 2 weeks of every month that are agony. I am so excited to have a life ahead of me without pain, one where I can live as Leigh again. Again, my thanks to all who made it more comfortable for me.

http://www.novasure.com/

PS headed back to bed after my idol post. Light headed and my legs are so sore.....Like they were wrapped up in blanket and beat. Heck, I am beat...til tomorrow. Night.

Nova-Sure would be Nice to Wake up Looking Like Martina..

Tomorrow morning is my Novasure procedure. I am both excited and nervous about it. The thought of being put to sleep is getting to me. And lets not even talk about the amount of germs in the hospital. Howard Hughes was onto something......say a prayer for me!

I have decided to print this picture out and pin it to by lovely and most comfortable issued hospital gown with built in air conditioning.(right!)

I am going to write a note to go with it that says,

"When I wake up. I want to look like this. I don't ask much, just put everything back where it belongs...."

Something tells me that when I wake up I will still look like me and feel much meaner than I already am! (Temporary of course-Smile) But I plan to not be mean every two weeks out of a month like I was.

Now you all go on and have a fabulous day!! I know mine will be fabulous too when Aunt Flo doesn't swing by anymore. She really is a mean and nasty sun of a gun that ALWAYS rains on my parade....

http://www.novasure.com/

PS Now you all know I will fill you in on the blood and guts (figuratively speaking of course) of how it all went. We'll chat soon!

Scale Back Alabama

My brother in law, Anthony Bratina, is participating in Scale Back Alabama. His group consist of co workers from the Tuscaloosa News. They posted a neat little video. Anthony made some killer caricatures to add to the site. Check it out at this link and be sure to comment and provide a little encouragement!

http://www.tuscaloosanews.com/section/scaleback.

For Ladies Only, Unless Your Mind Inquires & Curiosity Kills You

I am going to call my doctor today and schedule the Novasure procedure I have been looking forward to. I say this as I start my menstrual cycle today. Sorry to any men who may read, but it is a fact of life. And, as most of you have gathered there is really not much I will not discuss (relating only to my own life). In my life, what was once a monthly nuisance is now a extremely painful, heavy and sometimes briefly debilitating experience. It seems that when I hit 30 things changed. This can completely have me out of circulation for a day or two-until the symptoms subside. Not much is helpful to receive relief. At the least I will soak in the tub or lie in bed with a heating pad and nurse the pain with RX Naproxin. Let it be noted that I have a pretty high tolerance for pain. I had three children practising natural childbirth. OUCH!
I admit, when I was younger I just didn't get the whole PMS thing. I sided with the guys in that I thought it was something made up or exaggerated. I now pay for that thought. Speaking of thoughts, this time of month has even allowed me to experience depression. I found myself crying for no reason at all during the time of menstruation. It was terrible. It scared me. It upset my family to find themselves living with a stranger (me) for 2 weeks of the month. I am by nature a generally upbeat positive person. I am a "glass half full", never a pessimist, always toting that "it's in God's hands". This scared me so bad that I high tailed it to the doctor who put me on Prozac to take for the 2 weeks prior and even then if I feel it necessary. I HATE to take medication. Anything stronger than Tylenol effects me and I hate not feeling like me but that is what it had come to. I wasn't "me". I rarely take the Prozac now, but am glad that I have it on hand if I ever feel that way again. I was so happy when my doctor discussed the Novasure procedure. At the time, i was unfamiliar with it. I felt such an urgency about having it done after our discussion, but have put it off until after the holidays. The procedure is only a 5 minute one, can be done in the doctors office. Patients are allowed to leave from the office within the half hour (cannot drive yourself home though). My doctor said he advised doing the procedure on a Friday to have a weekend of recovery, but did say that you really could go into work the next day, assuming your duties were not labor laden. I post all of this so that if there is anyone out there who has experienced any of these symptoms, know that you do not have to suffer.
If you are interested in learning more go to http://www.novasure.com/
I will let you all know when I am scheduled and give you details following the procedure.

Race Day.

I am going today to watch my father in law, Ernie, run in the race at Samford University. I had mentioned it before in an earlier post. If I am not mistaken, I think the kids will be running in races too. I tell you what, if Ernie can do this with all of his health afflictions, I have no excuse. He motivates me. I will be certain to give a wind down on how everyone places.

What the Bathroom told us

It had gotten to be funny, while on our trip to Disney World a couple weeks ago, my husband visited every bathroom from the Magic Kingdom to Epcot-even places in between. The kids and I spent half of our time in Orlando waiting on him to get out of the bathroom. I had a feeling though what the real situation was. My husband has lost about 20 pounds with out trying, he is constantly thirsty and frequently has to urinate (yes, I am sure he will love this blog...). Anyway after one visit to the bathroom to many, I begged my husband to see a doctor. Why does this seem typical of men? Why won't they go to the doctor?

When we returned home, I called and made him an appointment. I knew he would continue to put it off. I also asked to speak to the nurse directly so that she could document on his medical chart the reason my husband would be coming in. I could just imagine how it would play out..."Hi Mr. ^(*^. What brings you in to see me today?" Tom-"I don't know? My wife." and that would be it. Yes, i did have to treat the situation like I was calling in to make an appointment for my child. My suspicions were correct. My husband is diabetic. The doctor said it is genetic, although no one in his family has diabetes. Hmm?

I am just thankful that it was diagnosed and he can now be treated. The doctor was concerned saying that his blood sugar levels were almost 3 times what is normal. My husband called me on the phone to deliver the news. He was so irritated, "What kind of doctor did you send me to? Dr. Doom and Gloom? The guy basically told me that I was probably going to loose my feet one day and that my chances of dying from a stroke or cholesterol or high blood pressure had gone up significantly. Man, I would've lived another 5-8 years happy and eating just what I want, but now I will live a long time and have to skip out on the good stuff." Of course, it is a serious topic, but I am glad he can put some humor in it. I am so thankful. He will go next week to a "Diabetic Clinic" and learn about what he needs to eat and in a few weeks will see if it needs to be controlled by insulin. He had to get 4 shots today while there, "For protection" (flu, pneumonia, etc) the doctor said. He now has to take 4 kinds of medication and prick his finger a few times a day. My husband wasn't happy. But I am, at least I will have him to pester the fool out of for many, many more years.

If anyone scan relate to the symptoms I mentioned earlier, I hope that this post will convince you of the seriousness that is diabetes. Listen to your body!! If you are having to go to the bathroom consistantly, cannot quinch your thirst, etc. Listen to the whisper before it becomes a shout.

http://www.diabetes.org/home.jsp

Family Watch Dog Site and Infomation

I wanted to share a website with you that is a good idea to visit. It is http://www.familywatchdog.us/ When you visit this site you can enter your address and a map will pop up with your house as the small icon of a house and red, blue, green, dots surrounding your entire neighborhood. When you click on these dots a picture of a person will appear with an address and the description of the crime he or she had committed. This site was developed by John Walsh from Americas Most Wanted. Another tool to help us keep our kids safe. Please pass on to everyone.

Caring for Your Child's Teeth featured in Kids Life Magazine, Tuscaloosa

Caring for Your Child’s Teeth
By Leigh Rutledge Bratina and Dr. Stan Turnipseed



You can see it in their smile…that is, whether your child is properly caring for his teeth. Parents often have questions about how to take care of their children's teeth. When should you start brushing? What kind of toothpaste is best? When should you go to the dentist? Knowing the answers to these questions can help you keep your child’s teeth healthy and cavity free. Freelance write, Leigh Bratina of Kids Life Magazine asked Dr. Stan Turnipseed of University General Dentistry in Tuscaloosa these important questions:



What is the best way I can care for my child's teeth?

I recommend that children brush their teeth at least twice a day including once after breakfast and most importantly, before bedtime at night. It is vital that the child has nothing to eat or drink, except water (even milk contains sugar) from the time of brushing until bedtime. The body's natural production of saliva that is responsible for "bathing" the teeth shuts down during sleep and allows bacteria to run wild during sleep.
Be involved when your child brushes their teeth! For infants and toddlers, parents should find a comfortable position and a position to see clearly inside the toddlers mouth. Hold the child in your lap, straddling and facing the parent. Use one hand to support the head. This allows a clear view of the child's mouth and teeth.

A non-fluoride toothpaste or a very small amount of fluoride toothpaste should be used until the child is old enough to expectorate (spit out) the excess, usually age 2-3.
Fluoride toothpaste should be kept in a secure location as it is potentially toxic, causing severe gastrointestinal upset, or lethal in very high doses. To be lethal a small child would have to ingest most of a large tube, so parents don’t panic, but be advised!A regular, small, soft bristle brush is adequate. Be certain that the toothbrush is suitable for the age of your child. There are some really great children’s toothbrushes on the market. All are brightly colored and many have a child’s favorite cartoon character on them. Some toothbrushes even change color, will spin or have timers! Have your child pick out their own toothbrush from a line made especially for children. Beginning at age 2-3 the parent should allow the child to brush their own teeth first then the parent should follow up thoroughly. The ADA research suggests that parental supervision is needed until age nine because until that point children do not possess the dexterity to or the understanding of how to properly remove soft plaque.


You should also talk with your dentist about using sealants in your school age child. A sealant is a plastic material that is applied to the teeth, hardens, and provides a barrier against plaque and other harmful substances. Sealants can be applied to the 1st and 2nd permanent molars to help protect the grooves and pits of these teeth that can be hard to clean and are prone to developing cavities, and appropriate premolars as soon as possible after they erupt (usually after 6 years of age).


What is your opinion on fluoride tablets?
A normal fluoridated water supply should provide adequate amounts of fluoride for the developing dentition of a child. However, the are some cases where a supplement of a gel or tablet is required. These include: a family living in a rural area on a nonfluoridated water supply such as well water, a child from a family history of tooth decay and poor oral hygiene habits.The danger in over fluoridation during tooth formation is that the teeth can develop fluorosis. Fluorisis is the often seen, white "chalky" or "snowflake" looking spots on the edges of permanent teeth. These are actually over calcified areas caused by excess fluoride during tooth formation. An adequate amount in water supply is anywhere from 1-3 PPM (parts per million) of fluoride.

Does my child's diet affect his teeth?
Diet definitely affects a child’s teeth! The two main factors are foods high in sugar and foods that are "sticky" i.e. candy, raisins that stay on the teeth for long periods. Examples of good snacks are fruit, meat or cheese slices, nuts, popcorn, pickles. Examples of bad snacks are cookies, chewy candy, raisins and white bread. Avoid between meals snacking if possible. Also, promote water and milk, even over juices. Water and milk are definitely preferred over soft drinks and punch.

If you must give your baby a bottle at nap or bed time, fill it with plain water -- not milk, formula or juice. This will keep from having the sugar from these drinks settle onto your child’s teeth, providing just the right properties for a cavity. When the sugars from juice or milk remain on a baby's teeth for hours, they may eat away at the enamel, creating a condition known as bottle mouth. Pocked, pitted, or discolored front teeth are signs of bottle mouth. Severe cases result in cavities and the need to pull all the front teeth until the permanent ones grow in. Parents and child care providers should also help young children develop set times for drinking during the day as well because sucking on a bottle throughout the day can be equally damaging to young teeth

Can teething make my baby sick?
Teething can definitely make an infant sick. This usually occurs between four and ten months. Symptoms include: fever, diarrhea, excessive drooling, generalized irritability, and loss of appetite. Treatment is palliative with Tylenol or ibuprofen, teething tablets, chew toys or gum massaging. One danger is that parents should be careful not to dismiss or allow symptoms of a serious sickness to progress while thinking that it is only teething related. If there is any doubt, be sure to seek medical attention to rule out systemic viruses or bacterial infections such as meningitis or septicemia.

Is thumb sucking bad for my child? What about pacifiers?
Generally, thumb sucking habits are not considered harmful before 18 months. However, research has shown that after about age 3 1/2 that it can lead to deformity of the maxilla (upper jaw) and cause flaring and protrusion of the upper teeth that could potentially require orthodontic and or surgical treatment to repair. Continued thumb sucking past age 6 is often treated by placement of a deterrent device in the palate. Early treatment and encouragement of the parents is always the best option in treating thumb sucking.

When should a child first see a dentist? Should they go to a dentist the specializes in children's dentistry?

The American Academy of Pediatric Dentistry suggests that an initial dental exam be performed at around age 1 for most children. The full set (20) of "baby teeth" is usually in by age 2. Children usually do well if they accompany a parent or older sibling to a visit and observe first and then have "their turn" in the chair.At our practice at University General Dentistry, we see children for routine maintenance, emergency exams, and simple treatments such as fillings, extractions, or silver crowns. However, if children have extensive decay, are very young, or present behavior management problems, they are usually referred to a pediatric specialist. A specialist can offer a wider array of treatment options including sedation and or general anesthesia in a hospital setting if needed.

Ernie McDonald, Running Hard and Winning the Race of Life

Ernie McDonald~ Running Hard-and Winning- the Race of Life.

By Leigh Bratina for The Helena City News


“Whether it's the best of times or the worst of times, it's the only time we've got.”, says Art Buchwald, 80,the satirist known for his determination to forgo kidney dialysis and go into hospice-outliving his predicted remaining time. Ernie MacDonald is using all of his time to the fullest. Given the diagnosis in the past few years of Parkinson's disease, coupled with congestive heart failure, glaucoma, and a stroke just 2 years ago. “Ernie” as most know him by, is 81 years old and by all accounts, Art Buchwald has nothing on him. In March 2006, Ernie was sent home from the hospital bed to a hospice program. Today he is still battling health problems, but he was one of very rare few that has been “dismissed” from the hospice program. ” They say it is one in a million that come out of hospice the way I did.” proclaims Ernie.
In just a few months Ernie has gone from being linked to an oxygen tank where he struggled to take a breath, to riding his bike about town again. His wife of 24 years, Dr. Tuiren Bratina, who is 21 years his junior, finds comedy in his progress. “The hospice worker called one day to say that she was in the neighborhood and was going to stop by to check on Ernie. I told her that Ernie was not at home but out riding his bike somewhere. Ernie “failed” the hospice program shortly after that. I like to laugh about him getting kicked out”.
On any given day, you can find Ernie riding his bike in Helena, working out on his self designed exercise bars and track in his own backyard, preparing for his quarterly teaching of Sunday school class at Helena United Methodist Church or working out at Helena Fitness Center . “Everybody that sees Ernie here, ask about him’, says Helena Fitness employee Chris Wood, “They want to know how old he is. They become encouraged to be healthy after seeing him. Ernie is defiantly a motivation and a selling point.”
His wife Tuiren gives credit to him being alive to Dr. Sara Walker of Calera and his hospice worker, Heather Calhoun. Ernie credits the Lord and his workout routine to his health. Ernie became interested in fitness 69 years ago after not making the football team, due to his size. “The football coach suggested that I try out for the track team instead, and I made it. I have been running ever since.” His track career has spanned for 60 years now and he continues to travel the US to track meets. Just last month he ran in a 50-meter race at Samford Universiy and won. Next month he will compete in the 100 meter. He races in the 80-85 age bracket. He is a very accomplished runner, having the best race of his career-The Boston Marathon in 1957, when he came in 29th place as well as the All American Award when he won the 800 meters at age 75.
When asked about his feelings about the hospice program Ernie answered, “I was happy to be in the program. Because I am a Christian and a former minister and I was aware of the program and happy to be in it….until they “released me” after 2 months. But when you get into your 80’s it is on your mind. I just try to have a good lifestyle and training. I have had my ups and downs. My parents lived to be in their 70’s, so it is not in the gene pool, it’s all about lifestyle. I have been 142 lbs. consistently for the past 55 years.” Ernie is so precise in his exercise routine that he has measured the asphalt surface from the ABC store to the Helena Fitness Center (its 100 meters), “I first walk it in 60 seconds, and then race it in 30. If I come before 12PM, the payment has some shade on it from the sun at that time, so that’s when I run.”
“Everyone in Helena knows Ernie”, comments Winn Dixie employee Zodie McCall, “I see Ernie out every single day walking and riding his bike. He comes into the store, I ask him how he’s doing, and he always says, “I am doing real good”. He’s a fine man.”
A fine man he is! A retired Methodist minister and special education teacher, and having served 2 years in the military, Ernie is proud of his life. “I have 4 boys and 2 girls, 14 grandchildren and 3 great grandchildren. I am looking forward to running many more races.”

Blood Brother

“Blood Brother”
By Leigh Rutledge Bratina

Richard Stout was living the American dream. He is a 40 year old man, married and has a daughter and son, ages 6 and 10. But for Stout his dream has become a nightmare. Stout is at a crossroads in his life, and time is of the essence. Stout has myelogenous (myeloid) leukemia. This form of leukemia is a rare form most often seen in childhood, and rarely survived in adulthood. Stout needs to find a bone marrow tissue match to save his life.
A few years ago, Stout sponsored a blood drive for potential matches and paid out of pocket. No donors proved to be matches. Stout feels his days are numbered and fears that he will not be around to watch his children grow up. He desperately needs a marrow match. He is currently at the Anderson Clinic in Houston Texas undergoing very aggressive chemotherapy treatments. Doctors are also using an experimental drug that has not been approved by the FDA. Doctors are hoping that the drug will allow Stout to show some improvement; however, the drug has only been tested on eight people, and thus far has shown not to be successful in those that have tried it. Doctors are expecting Stout to go into remission after his dose of chemotherapy. During this time, finding a bone marrow match is critical.
Don Stout is Richard Stout’s father. He is doing what he can to give his son a chance at recovery. Don Stout’s company, The Gas House is sponsoring a blood drive on January 24 in Fort Payne, Alabama for his son, Richard. At the blood drive a small blood sample will be taken, which is tested to determine the tissue type. Those who donate can be registered to have their blood type listed on the National Marrow Donor Program (NMDP) registry.
The tissue type will then be compared to the tissue types of thousands of patients around the world who are searching for a matching donor. The person donating will be given information about the marrow and peripheral blood stem cell (PBSC) donation processes. Potential donors will also be asked to complete a brief health questionnaire and sign a form consenting to have their tissue type listed on the Registry until their 61st birthday, unless they specifically ask to be removed. If one is identified as a potential match for a patient, medical costs are covered by the patient or the patient's medical insurance, as are all travel expenses and other non-medical costs.
When a person joins the NMDP, they are asked to bring with them an address and phone numbers of two alternate contacts who do not reside with the donor as well as a social security number or driver's license. It is recommended that to discuss the donation decision with family or others close to you before you join. It may be important to have their support if you are ever contacted as a match for a patient who needs a transplant. As a volunteer, you are never under any legal obligation to donate. Individual decisions are always respected. However, because a late decision not to donate can be life-threatening to a patient, it is recommended that you think seriously about your commitment before deciding to join the Registry. Identity and donor records confidential. The NMDP has strict standards to ensure that donor privacy and confidentiality are protected.
Randy Young of Helena, Alabama had a recent experience on the other side of the fence as a donor. A co worker of the company he worked for was in need of a tissue match because she had leukemia. The company sponsored a blood typing drive to help find a potential match. Young participated in the drive by having blood drawn to be tested for a possible match. At the time, he was asked if he would like to be put on the national register of donors so that his type would be available to worldwide patients in need. Young readily agreed. His blood type was not a match to his coworker that was in need, but it did match an individual on the registry that needed a donor. The National Registry soon contacted Young and asked him if he was still interested in donating and sent paperwork to be completed. Young then went into his doctor for a more intensive blood study. With the process of paperwork done, Young was on his way to New Orleans, Louisiana to have his marrow extracted from his hip bone and put into the ill patient. Young was told that if the patient wanted to, he could be contacted by person he gave to. Contact is strictly at the patients desire to meet their donor. If the donor would like to remain anonymous one can make that request. In Young’s case he was told that a year must pass before contact of any kind could be made. Young’s donor did write to him after a year and told Young that his health was doing better. Young is very happy that he may have helped save another person’s life, “if you have the ability to save another person’s life you should”.


Richard Stout hopes that he too can be saved by donation. He is in desperate need of finding a donor while he is still healthy enough to undergo the surgical procedure. Stout’s greatest fear is that he will die while he is in Houston for testing. He feared he would not see his children again, for this reason, the children have been temporarily been taken out of school and have gone to Houston to be close to their father. The family would like to ask the public to come out and donate at the blood drive. There is no charge for the testing.
The Gas House is sponsoring the event on January 24 from 7:30 AM until 2:30 PM. The Gas House is located at 108 Third Street North East, Fort Payne. For more information on Stout’s drive, you may contact Tammy from Blood Assurance at (256)599-36376. If anyone is unable to donate, the family asks for prayer for the Stout family.
If you would like to be a tissue donor with the National Marrow Donor Program, contact the Donor Advocacy Program at (800) 627-7692 (1-800-MARROW-2) or send an e-mail to advocate@nmdp.org. For information on the National Bone Marrow Program the web site address is http://www.marrow.org/


Follow up: Sadly, Richard Stout lost his battle with leukemia, but there are others who still need help. Please consider the donation program.