Thursday, February 12, 2015
Doctor's Perspective
Nationwide commercial is very controversial

By Dr. Anthony Policastro
During the recent Super Bowl, Nationwide decided to run a commercial about accidents involving children. The commercial was a relatively depressing piece about a child who never got the chance to grow up because he died after an accident. Nationwide got a lot of flak about the commercial being distasteful. Nationwide argued they were not trying to sell insurance. They were actually trying to start a dialogue about childhood accidents so it made sense for Nationwide to review the role that accidents play in childhood deaths. Accidents have always been the most common cause of death in childhood so the call to attention by Nationwide is nothing new. Over the years our efforts to prevent accidents have been commendable. In 1935 there were over 400 deaths per 100,000 children. That number dropped to 100 deaths per 100,000 by 1955. By 1985 it was down to 50 deaths per 100,000 and it has continued to drop since then. In 2010 the rate was 10.4 per 100,000. We have come a long way, however, accidental deaths still account for almost 9,000 childhood deaths per year. About half of those deaths occur from motor vehicle accidents which is why car seat safety is so important. Car seat safety is also the main reason for the death rate dropping so much in recent years. Drowning accounts for about 1,000 deaths. This results in a need to address things like pool and beach safety. Suffocation and strangulation are similar in numbers to drowning. A variety of things can cause suffocation and strangulation in children. These numbers do not include children who die from SIDS. Poisoning still causes about 800 deaths a year. Everyone with small children should have the poison control number (800-222-1222) handy. Fires account for about 400 deaths per year. Smoke alarms are a necessity in every household. Carbon monoxide alarms are also valuable. Next on the list are accidental deaths from firearms. Gun safety is very important. However, 20 percent of gun owners with children in the house keep their weapons loaded and unlocked which creates an accident waiting to happen. Of interest is the fact that there are about 1,800 deaths from firearms each year. There are also an additional 750 suicides from firearms. Nationwide clearly struck the wrong chord with their inappropriate advertisement. However, their desire to start a dialogue was a good idea. The NFL started dialogues this year about domestic abuse and child abuse. Perhaps an NFL telecast was the place to start a dialogue on childhood accidents after all.

Rose named among top CEO's Becker's Hospital Review has named Steven Rose, RN, MSN, president and CEO of Nanticoke Health Services, to its list of "50 Rural Hospital CEOs to Know." Rose has led Nanticoke Memorial Hospital through a health IT initiative, investing in a new electronic medical record and obtaining meaningful use level 2. In 2013, he was elected to the board of trustees of the American Hospital Association for a three-year term beginning in 2014. He is the first Delawarean ever named to AHA's board of trustees. He also chaired the Southern Delaware Chapter of the American Heart and Stroke Association Board and was appointed by Governor Markell to the Governor's Hispanic Commission. Rose was appointed to the State of Delaware's Commission on Early Education. He is a current member of the American College of Healthcare Executives and is active in Rotary. Becker's Hospital Review is a national publication featuring up-to-date business and legal news and analysis relating to hospitals and health systems.

Support group at Brandywine Brandywine Senior Living at Seaside Pointe, 36101 Seaside Blvd., Rehoboth, is hosting an Alzheimer's Association Caregiver Support Group that meets the third Thursday of each month at 1 p.m. The first meeting will be held on Thursday, Feb. 19. All meetings are open to the public and interested parties are invited to attend.

For more information, contact Jamie Magee, Sussex County program coordinator, at 302-854-9788 or 800-272-3900.

Huntington's disease fact of the week The condition most commonly develops in middle age. Typically, the disease progresses more quickly and causes more severe symptoms when it begins in someone's younger years. Sometimes, but not often, the disease may develop in children or infants.

Walk, run, and fun day is May 16 Walk, 5k Run and Fun Day For Huntington's Disease - May 16 at Roger C. Fisher Park, 27701 Park Lane Laurel 8:15 -9:15 a.m.- Registration 9:30 a.m.- Walk /5k run/ Family Fun Day 11 a.m.- Lunch Provided noon- Fun Day Activities 1 p.m.- Auctions Itinerary subject to change.

Nanticoke to host annual health fair Nanticoke Health Services will host its third annual health fair, The Heart of Good Health: A Healthy Community Event, on Saturday, Feb. 21 from 9 a.m. to 1 p.m. at Laurel Senior High School. Health education and health professionals will be on hand and several health screenings will be available. There will be healthy living demonstrations, and activities for the whole family. Free health screenings include cholesterol, glucose, vision, blood pressure and more. Cholesterol screenings start at 9 a.m. and require a 12-hour fasting. A donation of $10 is appreciated but not required. Pre-registration is not required. Health information and interactive displays on heart risk factors, body mass index (BMI), stroke awareness, healthy eating, diabetes, cancer, and much more will be available. Vendors will also include many other non-profit organizations and private businesses that provide services related to healthy living. For sports fans, NFL Wide Receiver, Pierre Garcon will sign autographs from 1 to 2:30 p.m. Community members are invited to bring one sports item for Garcon to sign. Merchandise will not be sold at the event and autographs will be limited to one per person. The health fair is free and open to everyone. For more information, visit or call 629-6611, ext. 8948.

Aquatic therapy helps patients cope with pain Aquatic therapy has been part of medical treatment since the time of the Greeks and Romans. Even in today's era of rapidly changing technological advancements, water remains a valuable tool in the rehabilitation of a wide variety of conditions. Water improves motion and flexibility and the warmth and massaging effects of the water allow muscles to relax, while helping to reduce pain. The natural buoyancy reduces gravitation pull, lessens compressive forces, thus making exercises much easier to perform than on land. A person immersed to the neck in water experiences an apparent loss of 90 percent of their body weight. Deborah Waters, a patient at Aquacare Physical Therapy in Lewes, has experienced the benefits of aquatic exercises. After suffering from polio at age five and developing post polio syndrome in her 40's, physical therapy has been a mainstay in her life. She began skilled water therapy with Mary Dougherty, MSPT and soon graduated to the Open Swim program of which she has participated in for the past six years. Three months ago, Deborah required a complex total knee replacement. After the procedure, she began physical therapy at Aquacare Physical Therapy at her second day post op, confident in the care that she would receive. Her recovery will take six to 12 months, but she is making enough progress through aquatic therapy each week to assure herself that she will walk unassisted at the end of this journey. "You have a smaller risk of re-injury from water therapy," says Cara Konlian, physical therapist/owner. "In the aquatic environment, patients can eliminate joint stresses and experience pain free movement due to the buoyancy of the water." The aquatic environment is an excellent medium for those individuals suffering from arthritis, fibromyalgia, or low back pain.