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Education, Information, Status

DIAGNOSIS: RHEUMATOID ARTHRITIS

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Sandra was forty years old when she first noticed that the joints in her hands and toes were tender, warm, and swollen. In the mornings, the joints were stiff, and her body ached. She said she felt like she had been run over by a Mack Truck. She knew something was wrong so she made an appointment with her doctor.

The following week she met with her doctor. Sandra described her current symptoms (pain, stiffness, tenderness, warm and swollen joints). The doctor examined each joint, looking for tenderness, swelling, warmth, and painful or limited motion. He noted that the joints on both sides of her body were affected. (Rheumatoid arthritis tends to affect joints on both sides of the body.)

Next, the doctor ordered blood tests to measure inflammation levels. The blood tests also look for biomarkers such as antibodies (blood proteins) linked with rheumatoid arthritis.

Finally, he ordered a magnetic resonance imaging scan (MRI) to look for joint damage, such as loss of bone within the joint and narrowing of joint space. Note that the lack of joint damage does not rule out rheumatoid arthritis. It may mean that the disease is in an early stage and hasn’t yet damaged the joints.

While she waited for the results of the tests, Sandra researched osteoarthritis and rheumatoid arthritis on her computer. She discovered that osteoarthritis is the most common form of arthritis. According to https://www.everday health.com/rheumatoid-arthritis, it affects over 30 million adults in the United States. It is also known as degenerative arthritis, and it is also called wear-and-tear arthritis. Osteoarthritis typically occurs in older adults.

By contrast, rheumatoid arthritis is an auto-immune, inflammatory, systemic disease. The immune system attacks healthy cells in the body by mistake. This results in inflammation, pain, and swelling in affected body parts. Rheumatoid arthritis typically attacks several joints symmetrically. It may also affect organs such as the heart, lungs, and eyes.

The test results showed that Sandra did indeed have rheumatoid arthritis. What caused this? Doctors don’t know what causes rheumatoid arthritis. However, according to https://www.mayoclinic.org, the following risk factors have been identified:

  • Being female.
  • Your age. Rheumatoid arthritis most commonly begins between the ages of 40 to 60.
  • Family history. If a member of your family has rheumatoid arthritis, you may have an increased risk of getting the disease.
  • Smoking. Cigarette smoking increases your risk of developing rheumatoid arthritis.
  • Environmental exposure. Exposure to asbestos or silica may increase your risk for developing rheumatoid arthritis.
  • Obesity. People who are overweight or obese appear to be at somewhat higher risk of rheumatoid arthritis, especially women diagnosed with the disease when they were 55 or younger.

If you have a family member who has a serious illness and needs private duty nursing, call American Home Health at (630) 236-3501. The agency can provide round-the-clock nursing care by Registered Nurses (RNs), Licensed Practical Nurses (LPNs), and Certified Nursing Assistants (CNAs). Our service area covers fifteen counties in Northern Illinois including Cook, Lake, McHenry, Boone, Winnebago, Ogle, Lee, DeKalb, DuPage, Kane, Kendall, LaSalle, Grundy, Will, and Kankakee. American Home Health is licensed by the State of Illinois and accredited by the Joint Commission. For further information, go to www.ahhc-1.com, or call (630) 236-3501.

—By Karen Centowski

Education, Information

ONE MAN’S PROMISE TO ST. JUDE

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Born January 6, 1912 in Deerfield, Michigan, Amos Muzyad Yakhoob Kairouz was the son of Maronite Catholic immigrants from Lebanon. One of ten children, he was raised in Toledo, Ohio, where he attended St. Francis de Sales Church (Roman Catholic), Woodward High School, and the University of Toledo. You know him as Danny Thomas, the American nightclub comedian, singer, actor, and producer.

Using the name Amos Jacobs Kairouz, he began performing on radio in Detroit in 1932. He moved to Chicago in 1940 where he changed his name to Danny Thomas (after two of his brothers).

Thomas first reached mass audiences on network radio in the 1940s when he played the part of the shifty brother-in-law Amos in The Bickersons. He also played the part of Jerry Dingle, the postman on The Baby Snooks Show. He had his own 30-minute weekly variety show called The Danny Thomas Show. It ran on ABC in 1942-1943 and on CBS in 1947-1948.

With the advent of television, Thomas starred in Make Room for Daddy, later known as The Danny Thomas Show. The show ran for eleven years (1953-1964).

As a “starving actor,” Thomas had made a promise to St. Jude, the patron saint of hopeless causes. He had promised that if he found success, he would open a shrine dedicated to St. Jude. Thomas did not forget his promise. After he became a successful actor in the 1950’s, he and his wife began traveling the United States to raise funds to build St. Jude’s Children’s Research Hospital. With help from Dr. Lemuel Diggs and close friend Anthony Abraham, an auto magnate in Miami, he founded the St. Jude Children’s Research Hospital in Memphis, Tennessee in 1962. Although St. Jude’s was named after Danny Thomas’s patron saint, it is not a Catholic hospital and is not affiliated with any religious organization. The focus of St. Jude’s is the research and treatment for children with cancer and other life-threatening diseases.

According to https://en.wikipedi.org/wiki/St._Jude_Children”_Research_Hospital. “All medically eligible patients who are accepted for treatment at St. Jude are treated without regard to the family’s ability to pay. St. Jude is one of the few pediatric research organizations in the United States where families never pay for treatments that are not covered by insurance, and families without insurance are never asked to pay. In addition to providing medical services to eligible patients, St. Jude also assists families with transportation, lodging, and meals. These policies, along with research expenses and other costs, cause the hospital to incur more than $2.4 million in operating costs each day.” Today, according to _Forbes Magazine_, St. Jude Children’s Research Center in Memphis, Tennessee, is the fifth highest fundraiser in the United States with $1.37 billion in contributions.

If you have a family member who has a serious illness and needs private duty nursing, call American Home Health at (630) 236-3501. The agency can provide round-the-clock nursing care by Registered Nurses (RNs), Licensed Practical Nurses (LPNs), and Certified Nursing Assistants (CNAs). Our service area covers fifteen counties in Northern Illinois including Cook, Lake, McHenry, Boone, Winnebago, Ogle, Lee, DeKalb, DuPage, Kane, Kendall, LaSalle, Grundy, Will, and Kankakee. American Home Health is licensed by the State of Illinois and accredited by the Joint Commission. For further information, go to www.ahhc-1.com, or call (630) 236-3501.

—By Karen Centowski

Information, Status

CONDUCTOR RECOVERS FROM GUNSHOT WOUNDS

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On May 16, 2017, Michael Case was working as a conductor on an Amtrak train pulling into the station in Naperville, Illinois. Aboard the train was Edward Klein, 79, who was returning home from a canceled trip to Las Vegas..

Case knew that Klein needed to get to Chicago to catch a train to Milwaukee to get to his home in West Allis, Wisconsin. He was aware of a plan to escort Klein at Union Station to get him safely home to Wisconsin.

When the train pulled into the station in Naperville, Case got off the train to help other riders with their baggage. Klein was acting agitated and disoriented so Case closed and locked the train doors to keep Klein on the train. Case later explained his decision to keep Klein on the train, “I didn’t feel like it was a safe place for him to get off at Naperville station with all those tracks there.”

Minutes later, Klein reached out an open window and shot Case with a .38 caliber revolver. Case, who was struck in the abdomen, was able to crawl behind a partition to safety. He was taken to Edward Hospital in Naperville in critical condition and underwent multiple surgeries during the next six weeks. He was released from the hospital ten weeks after the shooting.

During his hospitalization, Case’s wife stayed at the hospital almost twenty-four hours a day. She was his support, his anchor, through it all. Case said, “I remember her sorting me out real quick, like, ‘Hey, we’re going to do this. I got you.’ And she did.”

Klein was charged with attempted first-degree murder, and was ordered held on $1.5 million bail. His attorney said that Klein was mentally unfit to stand trial.

According to https://www.dailyherald.com/news/20180105/dupage-judge-wisconsin-man-had-intent-to-kill-amtrak-conductor, “A DuPage County judge ruled Friday that Edward Klein knew he was doing wrong and intended to kill an Amtrak conductor he shot last May in Naperville. Using a complicated legal term, Judge Jeffrey MacKay ruled Klein was “not not guilty” and “not acquitted” of the multiple charges against him, despite being found unfit to stand trial. Doctors have diagnosed Klein with an impaired cognitive disorder and dementia and said he suffers from a major neuro-cognitive disorder.” He faces confinement in a mental health facility.

If you have a family member who has suffered a serious injury and needs private duty nursing, call American Home Health at (630) 236-3501. The agency can provide round-the-clock nursing care by Registered Nurses (RNs), Licensed Practical Nurses (LPNs), and Certified Nursing Assistants (CNAs). Our service area covers fifteen counties in Northern Illinois including Cook, Lake, McHenry, Boone, Winnebago, Ogle, Lee, DeKalb, DuPage, Kane, Kendall, LaSalle, Grundy, Will, and Kankakee. American Home Health is licensed by the State of Illinois and accredited by the Joint Commission. For further information, go to www.ahhc-1.com, or call (630) 236-3501.

—By Karen Centowski

Status

LIVING WITH CONGESTIVE HEART FAILURE

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A hundred years ago, heart disease was America’s number one killer. People with heart disease were thought to require complete bed rest or they would face imminent death. “We were living in a time of almost unbelievable ignorance about heart disease,” said Paul Dudley White, one of six cardiologists who met on June 10, 1924 and founded the American Heart Association.

So much has happened since then. In 1957, the first pacemaker was implanted. In 1960, the first successful artificial heart valve replacement was performed. In 1961, American Heart Association funded research showed how CPR can save lives after cardiac arrest. In 2008, research funded by the American Heart Association showed that uninterrupted, high-quality chest compressions–without mouth-to-mouth respiration–can be used for adults needing CPR.

Still, so many challenges remain. One is congestive heart failure. Symptoms include shortness of breath, coughing, tiredness, swelling of legs and ankles, weight gain, and a need to urinate more often. There is no cure, but medications can help lower blood pressure, relax blood vessels, and make the heart beat stronger. Lifestyle changes—like not smoking—can help, too.

What causes congestive heart failure? The following list appears at https://www.webmd.com:

- Diabetes
- High blood pressure
- Heart valve disease
- Congenital heart defects
- Coronary heart disease
- Cancer treatments such as chemotherapy and radiation
- Thyroid disease
- HIV and AIDS
- Alcohol or drug abuse

The American Heart Association has funded more than $3.5 billion in heart disease and stroke research during the past sixty-five years. Current fundraising events include Heart Walks, Wear Red Days, and Heart Balls.

If you have a family member who needs private duty nursing, call American Home Health at (630) 236-3501. The agency can provide round-the-clock nursing care by Registered Nurses (RNs), Licensed Practical Nurses (LPNs), and Certified Nursing Assistants (CNAs). Our service area covers fifteen counties in Northern Illinois including Cook, Lake, McHenry, Boone, Winnebago, Ogle, Lee, DeKalb, DuPage, Kane, Kendall, LaSalle, Grundy, Will, and Kankakee. American Home Health is licensed by the State of Illinois and accredited by the Joint Commission. For further information, go to www.ahhc-1.com, or call (630) 236-3501.

—By Karen Centowski

add, Status

Private Duty Registered Nurse (RN) and Licensed Practical Nurse (LPN) Positions Available

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American Home Health has positions available for RNs and LPNs. Cases close to home in Kane, Kendall, Grundy, DeKalb, Lee, Will, DuPage, McHenry, Lake and Cook Counties. Flexible schedule, competitive pay and benefits for full-time and part-time employees.

We welcome new grads!

Apply today at www.ahhc-1.com

Information, News

ELON MUSK HAS TUNNEL VISION

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Say you’re flying into O’Hare Airport and want to get to downtown Chicago. What are your options? Currently, you have five options. You could take a CTA train for $5.00 or less and get downtown in forty-five minutes. You could take a taxi for around $40.00 and get there in twenty-five to ninety minutes. You could use the shuttle van services for over $25.00 and arrive downtown in twenty-five to ninety minutes. You could hail a rideshare such as Lyft or Uber for $35.00-$50.00 (surges to $140 or more) and get there in twenty-five to ninety minutes.

As early as the 1990’s, Richard J. Daley had envisioned a high-speed rail line between downtown Chicago and O’Hare Airport. In fact, according to a Chicago Tribune article published June 14. 2018, the city and CTA (Chicago Transit Authority) spent more than $250 million on the Block 37 “superstation,” a shopping center atop a station for the high-speed rail. However, “Daley ordered the work stopped in 2008, saying the technology was outdated and more than $100 million more was still needed for completion.”

In 2011, Mayor Rahm Emanuel resurrected the idea of a high-speed rail line from downtown Chicago to O’Hare and in 2016 hired outside engineers to help explore the possibility for the high-speed rail line.

On February 9, 2017, Mayor Rahm Emanuel held a press conference to provide an update on the state of Chicago’s infrastructure. He also endorsed the idea of a high-speed rail line from downtown Chicago to O’Hare. The rail line was expected to cost billions of dollars and would require major support from private investors. Emanuel announced that Bob Rivkin, who had previously served as general counsel for the CTA, the U.S. Department of Transportation, and Delta Air Lines, had been hired “to drum up support and find partners to make the new O’Hare express line a reality.”

Enter Elon Musk, the billionaire tech entrepreneur. On June 14, 2018, Mayor Rahm Emanuel announced that Elon Musk’s Boring Company had been selected from four competing bids to provide high-speed transportation between downtown Chicago and O’Hare Airport. Musk’s Boring Company would dig a fourteen-feet in diameter tunnel from downtown Chicago to O’Hare. Lined with interlocking concrete pieces, the tunnel would contain self-driving electric vehicles called “skates.” Each “skate” could transport sixteen passengers at speeds from 100-150 m.p.h. Under Musk’s proposal, it would take just twelve minutes for passengers to get from O’Hare to downtown Chicago at an estimated cost of $25.00.

The estimated cost of the project is almost $1 billion. Who is going to pay for this? Elon Musk says his company will pay for the entire project. “In exchange for paying to build the new transit system, Boring would keep the revenue from the system’s transit fees and any money generated by advertisements, branding, and in-vehicle sales,” Rivkin said.

Will Musk’s high-speed transit system ever get built? Critics point to numerous challenges such as environmental impacts, regulatory approvals, financing costs, and unforeseen complications. According to a Chicago Sun Times article “Mayoral challengers, academics raise caution flags about Musk’s O’Hare Express,” Joe Schwieterman, director of DePaul University’s Chaddick Institute, “gave the mayor and Musk high marks for dreaming big and aiming high. But he gave the project only a one-in-three chance of ever being built. And even if it does, he’s afraid Chicago taxpayers could get stuck with at least part of the tab.”

—By Karen Centowski

To see a video Elon Musk’s Boring Company To Build Express To O’Hare, go to https://www.youtube.com/watch?v=24yqz0jZVaw.

Information, News

SMASH-AND-GRAB

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A crime common in the 1930’s and 1940’s has returned with a new twist. Instead of an individual breaking through a store-front window to grab jewelry or other valuables out of the shop’s display, groups of thieves now are using cars and pick-up trucks to crash into shops. It’s a carefully orchestrated crime known as smash-and-grab.

These are not random acts of theft. High-end merchandise, especially designer handbags and clothing, is targeted. Think of Louis Vuitton handbags costing $2,000 to $6,000 and Salvatore Ferragamo shoes ranging from $300 to $700. Think of Giuseppe shoes for $1,000 a pair. Think of merchandise at GameStop.

Why do the thieves steal the high-end merchandise and ignore the inexpensive items? Robert Lombardo, associate professor of criminal justice at Loyola University Chicago, said thieves steal high-end merchandise because “that’s the stuff people want.” He explained that local thieves may attempt to sell the merchandise in the neighborhood. The merchandise stolen by professional criminals may be “bound for resale in other markets.”

Generally, the thieves target stores on streets rather than in malls. Wearing masks and gloves, the burglars drive a car or a van or a pick-up truck through the store’s front door or glass window. Then the thieves quickly grab as much high-end merchandise as they can carry, and they rush out the door. On November 26, 2014, the actions of one group of thieves were caught on a surveillance video in the store.

On April 17, 2018, a team of smash-and-grab thieves drove a stolen vehicle through the entrance of a GameStop in the 1500 block of North Cicero in the North Austin area of Chicago. The burglars stole cash and merchandise and then fled the scene. They left the stolen car embedded in the entrance of the store.

Stores in malls are not immune to smash-and-grab burglaries. On November 18, 2014, burglars drove through the outside entrance of the Northbrook Court mall and through a corridor before slamming into the Louis Vuitton store. The burglars were dressed in black pants and black hooded sweatshirts. They wore gloves and either ski masks or surgical masks.

A video surveillance system recorded the action as burglars with sledgehammers broke a hole in the glass, and the thieves climbed through the hole one after another to get into the store. They quickly gathered purses and bags from the shelves and from behind the counter, and then they ran into the mall.

A similar smash-and-grab burglary occurred September 7, 2014 at the Louis Vuitton store at the Oakbrook Center mall. Thieves rammed a minivan into the store and stole about $120,000 worth of merchandise. On November 4, 2014, a smash-and-grab occurred at the Chicago Premium Outlet Mall in Aurora. A minivan rammed through the front window of Salvatore Ferragamo. The burglars stole $40,000 worth of purses and luggage.

—By Karen Centowski

To see the surveillance video of a smash-and-grab in Chicago, go to the November 27, 2014 Chicago Tribune article, “Crash-and-grab burglars hitting high-end stores in suburbs and Chicago.”