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 Preshow Return to index of stories... |
Next on New Hampshire Outlook tonight. Understanding the anthrax scare. we'll look at state government preps and how to talk to children about it. In the face of a changing economy, we share the story of Littleton - the little town that could. Imagine hearing the words "You have breast cancer". We continue a "Journey Toward Healing." |
| Headlines Return to index of stories... |
Welcome to New Hampshire Outlook. I'm Allison McNair. |
| Anthrax Today Return to index of stories... |
It is not business as usual. From capitol hill to local post offices and mail bins, it seems everyone is concerned about anthrax. On Capitol Hill, the House has shut down until Tuesday so investigators can look for possible Anthrax contamination. Some Senate members say they want to stay in session. They're determined not to overreact or let terrorists shut down their work. While NBC was given a clean bill of health Wednesday, anthrax spores turned up in Governor Pataki's New York office. No one was exposed. Officials say preliminary tests show the anthrax sent to New York and Florida are the same strain. It's not clear if there's also a match in Washington. And the FBI says its following substantive leads in the case. |
| Intro Woody Fogg Return to index of stories... |
There have been several calls to New Hampshire authorities regarding suspicious packages and mail over the past few days. Samples have been sent to the state lab for testing but none have come back postive for anthrax. Earlier I spoke to the man who would be in charge if New Hampshire should face such an event - Woody Fogg of the Office of Emergency management. |
| Anthrax Fear Return to index of stories... |
How do we explain the recent anthrax attacks and other threats of bioterrorism to children? That question has been on the minds of many parents lately. Michal Kalinowski, a professor of family studies at the university of New Hampshire, says that common sense goes a long way in talking with children. |
| CHildren/Anthrax Return to index of stories... |
01:19:50 A young child needs to know they're safe, they're safe now, they're going to be safe when they wake up. There may be bad people in the world, there may be precautions we have to take - just like when we cross the street, we have to be careful. But the idea of significant risk is not an idea that's really appropriate at this time to introduce to young children. For older children, we can talk about risk. We can talk about the risks that we take every day, the risks that they may be taking when they go to school or when they go to a party, and how important it is to weigh those risk factors so that we understand that there are risk factors, but also that we understand the nature of the risk we're talking about. 01:20:34 |
| Tag Website Return to index of stories... |
Kalinowski points out that even with the profusion of anthrax scares, only one person has died so far, and the flu remains a much greater risk for the average person. If you're looking for more information on talking to your children - you can log onto www-talkingwithkids-dot org. |
| Tillotson Obit Return to index of stories... |
Neil Tillotson, owner of the Balsams Hotel in Dixville Notch, and considered by many to be a New Hampshire treasure, has died at the age of one hundred and two. Tillotson bought the Balsams in 1954. Building a ski area nearby, he transformed it into a year-round enterprise. Tillotson had businesses around the globe, but lived in Dixville Notch. He's best known for casting the first ballot in the nation, which he has done every presidential election year since 1964. |
| Intro Journey pt 2 Return to index of stories... |
The census predicts 100 women will die in NH this year from breast cancer. A key to survival is early detection and that word seems to be getting out. NH ranks number one in the country in the percentage of women over the age of 65 who had a mammogram this year. Every woman who has had a mammogram knows the stress of waiting for the test results. But what about the anxiety of waiting for biopsy results? Most will be given good news - but some will hear the words they fear the most - breast cancer. |
| Journey Toward Healing 2 Return to index of stories... |
Williams #1 5:11:55+++ I bought into it hook line and sinker that I was one of those 90% of the women that it was nothing 5:13:02 when I got in there and dr coppola had to tell me that news. I think he was as shocked as I was to get that news because he really didn't expect that result 5:13:40+++And y'know my life passed before my eyes on that trip. Robin 1 9:21:51 you kinda wondered why you, why did god do this to you. Coppola 2:20:22 ++ CG:LOWER3RD\Linda Williams\Patient he really had a tough time telling me that. And you're numb., you're just absolutely numb when they give you that news. and you think - I must have heard it wrong. he started to give me information and realized that I couldn't process it all at this time. So he purposely stopped and said I want you to come back with your husband tomorrow and we'll sit down and talk. You name the time and we'll do that if it takes and hour or two hours or whatever. And he did. He was very very helpful. coppola 2 on cam It's hard to do and you have to separate yourself from it a little. But at the same time it is very important for them to not think that I am distant. For them to think that I am there for them because I am. If I get emotional with a patient that's okay. It is a long visit and it's a taxing visit. . 4:21:10 You need to pay attention to what your patients needs. To be sensitive to what they are going through and then you learn how to help them through it. 4:17:39 I think it is just as important to deal with these women on that level as it is to give them sound recommendations that are good medical care. But there is much more to that - more to their care than just that. After a time of tears and consolation, physician and patient must begin to plot a course of action. There are basically two options available. 3:04:22++ the first operation would be to remove the entire breast and to sample the lymph nodes under the arm. that is called a MODIFIED RADICAL MASTECTOMY. And it is an awful name because it has the word "radical" in it and so I need to tell them it is just a name. 3:05:36 the other operation would be to save the breast You are removing a portion of the breast that contains the cancer with the goal to remove all of the cancer and to get a healthy surrounding shell of normal breast tissue. 3:05:36+++ that is a LUMPECTOMY. 3:06:32 you'll also need to sample the lymph nodes underneath their breast because those two things together are going to give you the information that you need to stage. surgery cover 3:07:14 a modified radical mastectomy and a lumpectomy with sampling of the lymph nodes if those two are compared the cure rates are not the same. The cure rate in the woman who has the modified radical mastectomy will be better. So it prompted investigators to think how you might improve the cure rate in the woman who might not want to have the breast removed. voice over Dr. Coppola says if radiation therapy is added to the treatment of the woman who chooses lumpectomy, the cure rates become very similar. This allows the woman a choice of options. on cam3:09:38++ A woman might just not want to think about a mastectomy because of the emotion that brings. So if they understand that they can get adequate treatment either way we can allow them to make the decision. It adds control back to this thing I have taken away or has been taken away by this diagnosis. Robin #1 9:24:17 my husband and I had made the decision if it was the best thing to do we would remove the breast if it meant that my survival rate would be better. In the meantime dr coppola had met with a number of other surgeons, the medical oncologist, radiologist and brought my case up and everyone suggested that the best course of action for me was the have the lumpectomy and to remove some of the lymph nodes. So that's what we did based on his recommendations. We were all set to say remove the breast and now we've been able to preserve it. coppola 3 3:10:27 the next thing I need to broach with them is the issue of sentinel lymph node biopsy. Voice over Lymph node biopsy is another area where great strides have been made in recent years. In order to assess the stage of the breast cancer, doctors must determine if the cancer has moved to the lymph nodes under the arm. 3:10:27++++++ If there is a breast cancer in the breast the first place the breast cancer spreads is to the sentinel lymph nodes of all the lymph nodes under the arm, the sentinel lymph node should be the first one to see the cancer. 3:12:58++ if you can identify the sentinel lymph node and find out whether or not there is tumor in that lymph nodes it can predict what is going on in the rest of the lymph nodes …. if we can find the sentinel lymph node and prove from the pathologist there is no tumor in that lymph node that may be all we have to do coppola 3 3:14:33 so it can decrease the amount of surgery a patient needs on the lymph nodes part. … . the standard for care for women now is moving toward identifying the sentinel lymph nodes, getting the information that you can get from it and use its predictability to help you determine what else has gone in the axilla. Since the sentinel lymph node looks the same as the others it must first be identified. 3:15:50 ++ we know that if you inject the skin in the region of the breast cancer with a specially designed radioactive substance, that radioactive substance will be taken up into the lymphatic channels of the breast which is what the lymph fluid gets collected in and then it will travel in these little roads to the lymph nodes and it will then get trapped in the lymph node. 4:24 as we probe in the axcilla we are looking to see the counts rise. We are able to use this probe to guide us right to the lymph node. Once the lymph node is identified it is removed and then sent off to the pathologist. Then we will reprobe in the axcilla to see if there are any other areas of increased uptake. - sometimes there are a couple of sentinel lymph nodes. there might be one. There might be two. Rarely more than 3. 6:03 the probe is very sensitive. The radioactive sample is right next to the probe right now however it is not showing any uptake because the sensor is right at the tip of the instrument. - Now with the sample right at the tip the sensor can pick up the radioactivity. as soon as it move away from the tip it goes right back to baseline of zero. This is very important because it allows us to really be accurate in our localization of the sentinel lymph node. For those concerned about radioactivity, the isotope used in the biopsy has less radioactivity than that found in an xray. After staging the patient, a team approach is taken to develop a treatment plan We have a weekly cancer conference- multi disciplinary- attended by the medical oncologists, radiology oncologists, pathologists, radiologist - whoever wants to come can come. We have an open forum discussion about all our new cancer diagnoses made at this hospital. It's a forum to discuss treatment. So very often before a patient has been referred over to the cancer center to meet the medical and radiation oncologists they have already heard about them from me." Chemotherapy and radiation are two common elements of treatment. The goal of radiation is local control of the disease in the breast and decreased local reoccurrence. In higher stage cancer, the goal of chemotherapy is to improve the survival rate. Both can take their toll on the patient. During much of their cancer treatment, patients must play a waiting game. As difficult and taxing as radiation and chemotherapy can be, many women feel in a way energized. It is a time when they feel they are actually fighting the disease. Williams 2 6:19:21++ it didn't make me as sick as I thought it would but it made you feel on edge - hyperactive but yet tired. It's a weird kind of - where things are racing through your blood yet you cant get up to do anything about it. williams 2 6:20:45+++ I would visualize purples to cobalt blues running through my body searching out and attacking red cancer cells. I found that really helpful, feeling like I was actively doing something. Patients receive radiation treatments daily, Monday through Friday for five to six weeks. Because of this daily interaction, patients and staff members at the cancer center build a strong relationship. ROBIN 2 9:02:02++ I have a new circle of friends that I have met through radiation. 09:03:30 when I was having the radiation everyone there is always so positive. The whole 36 days I was there they had Mardi gras Day, they had a celebration for that. First day of spring. they had Spring Fling Day- they all had their spring outfits on - Hawaiian shirts. One of the guys actually had a grass skirt on. It was crazy. Then when it was Breast cancer awareness week with daffodils, they gave us all a vase with some daffodils. It's a real special place Here in this room, technology goes to war against the breast cancer. 6:21:47 the radiation piece of the treatment - people talk about the chemo as being brutal but I found the radiation - everyone said it was a piece of cake but I found it almost dehumanizing…. c/u of machine rolling into place Hearing that machine roll around you and the red beams lining up on your chest. you don't have a shirt on. You're left in a room because obviously you can't have the workers in the room with the radiation. I remember one day tears running down your face… and- I kept thinking "how did a nice girl like me get into a place like this?" |
| Tag healing Return to index of stories... |
Thursday the series concludes with a look at the healing power of the patient/surgeon relationship. |
| New Cancer Study Return to index of stories... |
You may have seen headlines this week about two new studies that link working late nights under bright lights to higher incidence of breast cancer. Both studies show that extensive exposure to light during night hours can drive up estrogen production. Higher estrogen levels have been linked to higher breast cancer risk. Before you run out to change your work schedule, experts caution not to take scientific studies out of context. To keep up with cancer research you can go to the national cancer institute's webpage at w - w- w- dot n-c-i- dot - n-i-h- dot -gov. |
| Speak of Women's Health Return to index of stories... |
This Saturday October 20th NH Public Television will sponsor "Speaking of Women's Health" at the Center of New Hampshire in Manchester. If are would like a ticket or are interested in volunteering, please call the hotline at 603.868.4307." |
| Business Outlook Return to index of stories... |
Fed Chairman Alan Greenspan told Congress Wednesday that economic activity "declined significantly" after September 11. Still, Greenspan says he remains bullish on the long-term prospects for productivity growth and the overall economy. Investors weren't encouraged. an early rally fizzled, and stocks ended the day down from Tuesday's close. |
| Wall Street Stocks Return to index of stories... |
The dow jones industrials slipped 1-hundred fifty one points. The Nasdaq composite was down almost 76 points. And the S & P 500 was off twenty points. |
| NH Stocks Return to index of stories... |
Here's a look at stocks of interest to New Hampshire investors. Autodesk was off a dollar 72. G E slipped a dollar 32 cents a share. Oracle Coporation ended the day down a dollar 28 cents. State Street Coporation was up a dollar 53 cents. And Teradyne fell two dollars and 5 cents. |
| Intro Littleton Pt 2 Return to index of stories... |
Within hours of Hichiner Manufacturing's announcement that it would be leaving Littleton and over 350 people out of work at the end of next year, community members were formulating a comprehensive strategy to deal with the job losses. Theresa Kennett takes a look at how the small north country rural community has positioned itself to react quickly to the needs of a changing society. |
| Littleton Pt 2 Return to index of stories... |
Littleton's response to the Hitchiner closing was impressive but not surprising. This community has a proven track record when it comes to economic recovery efforts. And, they have had plenty of practice. Go to State Rep. Brien Ward at 2:43:28 - 2:43:40 We had a main street that was in terrible disrepair. We had 17 vacancies, double digit unemployment, and just a general malaise in the community that our best days were behind us. State Representative Brien Ward is a life long resident of Littleton. Over the years, he's been active on many improvement committees, including the establishment of the Economic Development Task Force in 1992. Go to Brien at 2:45:54 - 2:46:09 What came out of the task force was a clear vision that we needed better economics, better education, stronger main st. and better health care. So the vision was developed locally, but you need people to help you implement it. Jump cut to 2:46:15 - 2:46:21 Don was the final piece to help us implement the vision that you see in Littleton right now. After becoming Littleton's town manager in 1997, Don Jutten's first challenge was to get different factions of the community working together. Go to Don at 55:53 - 56:06 We started out pretending that we liked each other, but what you find out if you pretend is that the things you thought divided you, really don't divide you. Jump cut to 17:46 - 17:54 Once you get there you realize that its all about partnerships, its not about scarcity, that we're not threatened by someone elses success. Jump Cut to 1:04:08 - 1:04:17 The Littleton Learning Center is a really good example of that. That is about the most forward thinking that I have encountered in 25 years in this business. Go to Standup at 49:42 - 49:55 The Learning Center houses educational and workforce development resources under one roof, making sure that job training programs match up with employment demands. Something that Jutton says every community needs. - cover is at 1:30:54 Go to Jutton at 1:05:40 - 1:05:54 You'll not be able to support a viable economic tax base beyond residential unless you have educational opportunities so that employers can continue to upgrade the quality of employees. Go to Brien at 2:52:08 - 1:52:16 We have not approached economic development through a narrow focus, just job creation. I mean we have a brand new thirty million dollar hospital Jump Cut to 2:52:19 - 2:52:32 That hospital was not necessarily created by our efforts but it was created as a result of the environment in the community. And economic development and health care are very very important to our community. Jump cut to 2:48:43 2:48:53 We've been able to realize the common sense approach that all boats are raised by a rising tide. So we've bought into each other's problems as much as we have each other's successes. And there have been plenty of successes. Littleton has a thriving industrial park,… a vibrant main st…., affordable housing, and a well informed supportive community. SOT Theresa at 2:59:50 - 3:00:03 A lot of communities establish committees and they have great intentions and they have passion to make things happen but they don't happen, so what's your secret? The secret is we're results orientated Jump Cut to 3:00:34 - 3:00:44 Our per capita income is 25% below state average and based upon that, tax dollars and resources come hard. And so if your going to get support from your community you've got to stand up and deliver. Jump Cut to Go to Ned Densmore at 34:36 -34:47 We are very proud to have a campus here in Littleton that is a campus shared by many of NH educational folks. Jump Cut to 35:03 - 35:13 Secondly we have a Littleton Main st. activity that's focused by being a member of the national main st. program Jump Cut to 32:45 - 32:46 We have a vibrant economy here. Go to Jean McKenna at 44:10 - 44:19 They just work with the community, the industrial park, Paul McGoldrick, Brien Ward, there are very atuned to what's going on. Go to Brien at 2:50:26 - 2:50:39 I have used the phrase before by the noted philosopher Mick Jagger that you can't always get what you want but if you try, you can get what you need. And that is one of the things that we have learned is that just by trying, good things happen. |
| Intro Mt. Washington Return to index of stories... |
It was a mixed bag of weather conditions around the state Wednesday. Eralier we checked in with Charlie Lopresti at the Mount Washington Observatory for conditions there as well as a look ahead. |
| Mt. Washington Return to index of stories... |
Mount Washington Observatory\Wednesday On The Summit\Freezing fog\High: 40 degrees\Peak gust: W 73 mph\ Overnight \North\Mostly cloudy\\Lows: 30 - 35\Winds: W 10 - 20mph Overnight \Sorth\Mostly cloudy\Partial clearing\Lows: 33 - 38\Winds: W 10-20 mph Thursday\North\Cloudy then partly sunny\High: 45 -50\Winds: W 10 - 15 mph\ Thursday\South\Cloudy, clearing late\High: 50 - 55\Winds: W 5 - 15 mph\ |
| Goodnight Return to index of stories... |
That's it for this edition of our program. Thanks for joining us. We'll see you next time on New Hampshire Outlook. |
| founders Return to index of stories... |
Thanks to our founding sponsors who have provided major funding for the production of New Hampshire Outlook: New Hampshire Charitable Foundadtion Public Service of New Hampshire Alice J. Reen Charitable Trust Putnam Foundation Stratford Foundation |
| key: government: local Return to index of stories... |
NEW HAMPSHIRE OUTLOOK Air Date/Time:10/17/01 /2200 HOST: Allison McNair Length: 3:40 minutes In addition to a summary of the day's top New Hampshire stories, this edition of New Hampshire Outlook, NHPTV's nightly news magazine, included an interview with Woody Fogg of the Office of Emergency Management about what would happen if there was a confirmed anthrax mailing to the state. PRODUCER/REPORTER: Allison McNair NAME OF PARTICIPANTS: Woody Fogg/Office of Emergency Management. |
| key: women Return to index of stories... |
NEW HAMPSHIRE OUTLOOK Air Date/Time:10/17/01 /2200 HOST: Allison McNair Length: 10:14 minutes In addition to a summary of the day's top New Hampshire stories, this edition of New Hampshire Outlook, NHPTV's nightly news magazine, included a segment, second in a three part series, about breast cancer. This segment focused on detection and treatment. PRODUCER/REPORTER: Allison McNair NAME OF PARTICIPANTS: Linda Williams\Patient Dr. David Coppola, MD\Surgeon Robin Drown\Patient |
| key: economy Return to index of stories... |
NEW HAMPSHIRE OUTLOOK Air Date/Time:10/17/01 /2200 HOST: Allison McNair Length: 4:10 minutes In addition to a summary of the day's top New Hampshire stories, this edition of New Hampshire Outlook, NHPTV's nightly news magazine, included a report on how the people of Littleton, N.H. are preparing themselves to deal with the closure of Hichiner Manufacturing. The closure will leave 350 people jobless. PRODUCER/REPORTER:Theresa Kennett NAME OF PARTICIPANTS: Rep. Brien Ward\R - Littleton Don Jutton\Littleton Town Manager Ned Densmore\The Village Book Store Jean McKenna\The Coffee Pot |
| Intro 9/11 Art Return to index of stories... |
In the month since the terrorist attacks on this country, Americans have found many ways to respond to the current crisis. In schools across the state and around the nation, students and teachers have mobilized fund drives and other gestures of help for the rescue and relief efforts. And many schools have found that the arts can help everyone come to terms with what has happened. Producer Richard Ager has this report from one of those schools, Oyster River Middle School in Durham |
| website Return to index of stories... |
For information on our program, and links to our guests and interviews, visit our web site at nhptv.org. You can see and hear streaming video of our broadcasts and participate in our daily poll. If you've got a story idea or comment on our program you can call us at 800-639-2721. |
| Thursday Return to index of stories... |
Thursday on New Hampshire Outlook - Women wage a very personal war with breast cancer. But they do not battle alone. We look at the healing power of the patient/surgeon relationship. |
| The Latest Return to index of stories... |
MAJOR DEVELOPMENTS IN WAR ON TERRORISM a.m. . -- Aided by U-S bombing, opposition forces were closing in on a key northern Afghan city. -- International aid organizations appealed for a pause in the bombing so they can rush food to Afghan civilians as winter approaches. -- President Bush is warning North Korea not to try to take advantage of America's battle against terrorism by moving against U-S ally South Korea. -- Secretary of State Colin Powell is in India, where he met today with the nation's prime minister to discuss the Afghanistan situation and fighting in Kashmir. Yesterday Powell met with the president of Pakistan. -- A top Taliban official is seeking a slowdown in U-S-led bombing, so moderates in the Afghan regime can reconsider the decision not to hand over terror suspect Osama bin Laden. -- C-N-N says it has submitted questions for an interview with Osama bin Laden. It would share the tape with other networks. Among the questions C-N-N wants to put to bin Laden: "How can you and your followers advocate the killing of innocent people?" -- A House committee takes up airport security bill today. Republicans oppose a plan to federalize airport baggage screeners. Instead, they're proposing federal controls. -- Boeing is forming a Security and Safety Services division to work on airplane improvements to prevent hijackings. Improvements could include making cockpit doors more secure, adding video surveillance in cabins and training flight attendants in self-defense. ANTHRAX SCARE -- Congressional leaders arranged for an unprecedented shutdown of the House and possibly the Senate to allow a "methodical sweeping" for anthrax. -- House Speaker Dennis Hastert says a total of 29 people have tested positive for exposure to the anthrax bacteria in the Senate. He says they include aides to Senator Tom Daschle, as well as two Capitol police officers. Hastert also says anthrax was found in the Senate mailroom and in the ventilation system. ********************-- An expert on germ warfare says people should use a steam iron on mail if they're afraid to open it. Ken Alibek says the combination of heat and moisture would kill any anthrax potentially lurking in people's mail. -- The company that makes the antibiotic Cipro is tripling its production in response to recent anthrax cases. Bayer says it will supply 200 million tablets in the next three months. ECONOMY -- Federal Reserve Chairman Alan Greenspan says it's still too early to determine how much harm the terrorist attacks will have on the U-S economy. But he told Congress that economic activity "recovered somewhat" after the "initial shock" wore off. And he says the nation's long-run prospects remain strong. -- The Commerce Department reports housing construction rose one-point-seven percent in September, despite uncertainties about whether people would be willing to buy big-ticket items following the terrorist attacks. |
| Anthrax-delegation Return to index of stories... |
In Washington Wednesday many Capitol offices were closed as the House shut down to allow experts to search for signs of anthrax. The Senate remained in session, but Senate office buildings will also close for the two-day sweep. Senators Bob Smith and Judd Gregg both had some staff members tested for exposure after an anthrax-laced letter was delivered to the Senate Majority leader's office. |
| Tonight 10 Return to index of stories... |
Tonight on New Hampshire Outlook. Imagine hearing the words "You have breast cancer". We share two very personal experiences as we continue a "Journey Toward Healing." Join us tonight at 10 only on New Hampshire Outlook. |
| Court Audit Return to index of stories... |
Should the New Hampshire Court system be subject to an audit? One legislative committee thinks so - even though the State supreme court has objected. Lawmakers say they have a constitutional duty to make sure the taxpayer money that the court gets is spent efficiently. The Chief Justice says he's willing to talk about how lawmakers can get information they need without an audit. The two branches have been at odds in recent years -- particularly since the House impeached Brock last year. Later, the Senate acquitted him. |
| web (thurs pgm) Return to index of stories... |
Tonight on New Hampshire Outlook. Women wage a very personal war with breast cancer. But they do not battle alone. We look at the healing power of the patient/surgeon relationship. Here at 10 only on New Hampshire Outlook. |