» a •<•' ' « • / i •. . - • » • r- * . .• « ‘ • '* • »•• y • r- s* v . f '. f t í ? Ä • « . * i _ /’•■• • IK 1 • * - * * - •? V X • A ..... *« . / * * *• • P age B2 ' «te • - « ■ > • *- . - •.” * + <. _ O ctober 11, 1995 • T he P ortland O bserver H ea Kaiser Forms Pact With Unions Kaiser Permanente has reached agreements with five unions repre­ senting employees who work at Bess Kaiser Medical Center in north Port­ land. According to Kaiser officials, the agreements make it possible for those employees affected by the closure o f the hospital to take ad­ vantage o f preferential hiring ar­ rangements with Providence Health System and Oregon Health Scienc­ es University as well as broader incentive-severance benefits. The unions ratifying the agree­ ments include the United Food and Commercial Workers, Local 555; Operating Engineers, Local 701; the Oregon Nurses Association; the Service Employees International Union, Local 49; and the G uild o f Professional Pharmacists. The labor organizations repre­ sent 7,600 employees or about h a lf o f Kaiser Permanente’s work force in northwest Oregon and southwest Washington. There are about 1,300 employees at Bess Kaiser o f which about 960 are represented by a union, officials said. Kaiser representatives said the pharmac ists also ratified a new three- year agreement, which calls for no changes in benefits and wages during the term o f the agreement. The Phar­ macist Guild represents 210 Kaiser Permanente employees who work at 20 locations in the Northwest. The nurses association, which represents about 400 nurses at Bess Kaiser, ratified a one-year contract extension, maintaining current sala­ ries and benefits through A p ril I, 1997, hospital officials said. “ These contracts and the sev­ erance and re-em ploym ent bene­ fits we developed fo r employees affected by the closure o f Bess Kaiser, re fle c t our goal o f b a l­ ancing the need o f our customers w h ile m eeting the needs o f em­ p lo y e e s ,” s a id Thom as W illia m s o n , Kaiser Permanente human resources manager. The Oregon Federation o f Nurses and Health P rofession­ als, w hich represents a v a rie ty o f jo b classifica tion s, in c lu d in g res­ p ira to ry thera-pists, surgical as­ sistants and operating room tech- nicians, turned down the o ffe r o f the effects o f the closure. Employees represented by the federation w ill not be able to take full advantage o f the re-employ­ ment opportunities arranged with Providence and OHSU as well as the broader incentive-severance package, Kaiser officials said. Providence St Vincent recent­ ly posted the first set o f jobs created as a result o f Kaiser’s plan to use St Vincent as one o f its health plan hospitals beginning March 3 1 ,1996 Earlier this year, Kaiser an­ nounced that it w ill close inpatient care at Bess Kaiser Medical Center in tw o phases. Around March 31, 1996, the hospital w ill be scaled down to about 55 beds. Hospital admissions w ill be prim arily for emergencies and low-risk obstetri­ cal care. O u tp atie nt services, such as u rg e n t and e m e rg en cy care, pharm acy, lab and X -ra y , w ill continue to be o ffe re d. But in 1997, in patie nt services at Bess K a iser w ill be phased out en­ tire ly . B r e a st C a n c e r D r u g B e n e fits E x a m in e d A recent study provides more evidence that the drug tamoxifen can help prevent a breast cancer’s patient’s disease from spreading to the second breast. It also found no association between use o f the drug and devel­ oping uterine or ovarian cancer. That possible link has been a con­ troversy in determining whether women at risk for breast cancer should use tamoxifen as a preven­ tive therapy. There is wide acceptance that tamoxifen, which has been used in the United States since the 1970s, is beneficial for women who already have breast cancer, but studies are still underway to determine which women would benefit from a preven­ tive regimen. The study led by Linda Cook, a researcher at the Fred Hutchinson Research Center in Seattle, found up to a 60 percent reduction in risk for cancer in the opposite breast. Aver­ age treatment was less than two years. Her study ana ly zed data on more than 12,500 breast cancer cases from 1978 to 1990. The results appear in Wednesday’s edition o f the Journal o f the National Cancer Institute. In an accompanying editorial, Trevor Powles and Tamas Hickish o f B rita in ’s Royal Marsden Hospi­ tal in Sutton, Surrey, recommended that tamoxifen be used as a preven­ tive medication only in high-risk women enrolled in clinical trials until more is known about whether it can increase the risk o f cancer in other organs. AIDS Drugs Cocktail Offers Hope AIDS researchers and charities welcomed the recent announcement o f a drugs cocktail that offered a significant breakthrough in treatment for the deadly disease. B rita in ’ s M edical Research Council announced that combining the com m on A ID S d ru g A Z T (zidovudine or retrovir) with either one o f two related drugs — ddl or ddC — prolonged the lives o f up to 38 percent o f H IV sufferers over two years. “ This is very good news for peo­ ple with H IV and A ID S ,” said Nick Partridge, spokesman for B rit­ a in ’ s A ID S charity the Terence Higgins Trust. “ We are still a long way from a cure but these results renew hope.” The results were so overwhelm­ ing the researchers rushed to publish their findings while in the middle o f the study. “ Our independent ethics board advised us to publicize the results,” said Dr. Tim Peto, a specialist in infectious diseases at John Radcliffe Hospital in Oxford, England, and one o f the coordinators o f the study. Another coordinator. Dr Brian Gazzard o f London’ s Chelsea and Westminister Hospital, said H IV patients starting drug treatment should take the combination right away. “ We felt that in general doctors should know and the public should know this is true,” he said. “ I think what’ s clear is that people now start­ ing therapy should start on combina­ tions.” The so-called Delta trial, which started in 1992, involved more than 3,000 people with H IV in Britain, Ireland, Australia, France, Germa­ ny, Italy, the Netherlands and Swit­ zerland. They were randomly assigned one o f three different treatments — A Z T alone, A Z T with didanosine (dd l) or A Z T with zalcitabine (ddC) all similar drugs that attack the AIDS virus’s ability to work and replicate itself. O f the patients who had never taken A Z T before, 17 percent who took A Z T alone died, compared with 10 percent who took A Z T with ddl and 12 percent who took A Z T with ddC. A second group o f patients had been taking A Z T already. In this group, death rates did not d iffe r sig­ nificantly. “ The combined results...yield a reduction in m ortality o f about 25 percent in favor o f combination therapy,” the MRC said, adding that the reason the second group did not respond as well was not clear. Peto said the researchers would be look­ ing urgently at why this should be. “ A good analogy would be tu­ berculosis,” he said. “ Ify o u take one drug alone it doesn’t work. You have to take three drugs to get a good result.” Report Praises Wine's Health Benefits So many b e n e fic ia l e ffects have been found from d rin k in g w ine in m oderation that its a l­ c o h o lic content may be better defined as a n utrien t than a drug, a researcher said last week. “ Ethanol increases the le v ­ el o f the so-called ‘ g o o d ’ H D L c h o le s te ro l,” L in d a Bisson o f the U n iv e rs ity o f C a lifo rn ia at D avis said. “ H ow e ver the e f­ fect o f ethanol on ch olesterol is p redicted to account fo r o n ly a fra c tio n o f the im p act on c a rd io v a s c u la r h e a lth .” In a report delivered to the annual meeting o f the American Chemical Society, she said the eth­ anol in wine should be considered a macronutri­ ent rather than a drug. Both red and white wines, particularly Chardonnay, are beneficial to people w ith high cholesterol lev­ els, she said. “ The e ffe c t o f ethanol on m e ta b o lis m o f o th e r e n e rg y sources may in part e x p la in its e ffe c t in the re d u c tio n o f r - - - - \ co ro na ry heart disease,” she said. A separate re p o rt, also fro m the U n iv e rs ity o f C a lifo rn ia at D avis, said red w ine appears to delay the onset o f tum ors in test anim als. T Looking For The Best Value In Advertising? Minorities Face Greater Health Care Risk B lacks and H ispa nics face greater risk than other p o p u la ­ tio n groups fo r ch ro n ic illness and prem ature death due to a lack o f access to health care, a new study said. The report released by the Joint Center for Political Economic Stud­ ies found that nearly one in four blacks and more than one in three Hispanics did not have health insur­ ance in 1993, compared w ith about one out o f six whites. Low income blacks and Hispan­ ics were also less likely to get routine medical care than whites in similar income brackets. The report “ underscores the importance o f considering the needs o f racial and ethnic m inority groups as the nation’ s health care system continues to undergo rapid change,” said Eddie W illiam s, president ofthe center. “ On balance, it is as important to increase access to care as it is to curb costs,” he added. The center drew on research by the Commonwealth Fund and Johns Hopkins School o f Hygiene and Pub­ lic Health to examine health prob­ lems and access to health care. Pain may be Human eliminated Rights Award for millions Recipient (S P E C IA L ) - A new drug has been approved that is exciting research­ ers in the treatment o f pain. This material has been formulated into a new product known as " A rth u r Itis™" and is being called a "Medi­ c al M ira c le " by some, in the treat­ ment o f debilitating conditions such as arthritis, bursitis, rheumatism, painful muscle aches, joint aches, simple backache, bruises, and more. Although the mechanism o f action is unclear, experiments indicate that A rth u r Ids™ relieves pain by first selectively attracting, and then de­ stroying the messenger chemical which carries pain sensations to the brain, thus eliminating pain in the afTected area. A rth u r Ids™ is an odorless, greaseless, non-staining cream and is available immediately without a prescription and is guar­ anteed to work. • IW 5 f t t l l v N n I» F r^ u rti t v Currin’s for Drugs 8438 N. Lombard St. • 286-0207 Healthtek Pharmacy 1423 Lloyd C enter» 284-6978 GENERAL SAFETY HABITS HHflT VOU CAM DO TO PHEVEHT HOME FIRES... ___ Never smoke in bed. Keep matches and lighters away from children SM OKE DETECTORS FIRE ESCAPE DRILLS ___ Install at least one smoke detector outside every bedroom and on every level of your home. ___ Check the batteries monthly and replace them at least once a y ear. PORTABLE HEATERS \JLZ ___ Keep blankets, clothing, curtains, i furniture and anything r that could get hot and catch fire away from portable heaters. ___ Plug heaters directly into the wall socket and unplug them when they are not in use. Continued from M etro ▲ propriate treatments as w ell as tradi­ tional Western medical practices. “ You have to provide medical care in a way that fits in with a person’s heritage and experience. I f a person doesn’t take a medicine because they don’t understand it, or because you have lost their trust by discounting treatments their culture has used for centuries, then the medicine w on’t do them any good.” Mariah Taylor also serves on the HeadsUul Advisory Committee, and is on the board o f the Cultural Recreation Band, which replaces the weapons in gang members’ hands with musical instruments. Over 125 children are currently enrolled in the Cultural Recreation Band. The awards w ill be presented at the MHRC Awards Dinner, Thurs­ day, October 26, at the Beaumont Middle School, 4043 NE Fremont, from 6:30 P M . to 9.00 P M . Tickets are $ 12, and reservations can be made by calling 823-5136. WHRT TO DO IN CASE OF fl FIRE... SAFE C O O K IN G PRACTICES U S IN G Y O U R ESCAPE PLAN ___ Keep items away from the stove that could catch fire, such as towels, clothing and curtains. ___ Keep a fire extinguisher in the kitchen, and get training from the fire department in how to use it. ELECTRICITY ___ Use safety plugs in electrical outlets, especially if you have small children _Avoid overloading electrical outlets and running cords under carpet and furniture. ■y» Federal Emergency M anagem ent Agency U n ited States Fire Adm inistration ___ Plan and practice fire escape routes and make sure everyone knows two ways out of every room. ___ Have a plan to escape if bars cover windows. ___ Use a chain ladder to escape from upper levels and practice escaping with it. ___ Teach children that firefighters are their friends, and they will help in case of a fire. ___ Identify a place outside to meet in case of a fire. ___ Know how to call for emergency assistance. L ___ Crawl low, under the smoke. ___ Feel closed doors with the back of your hand. If hot, use another exit. If not hot, open the door slowly and check for smoke and fire. ___ Meet at the designated meeting place outside, then ta ll for help. Never return to a burning building. American Red Cross SAFE KIDS ■ X - AR< 5 < H 6 M a r l«P>»