NH OUTLOOK, Monday, 7/9/2001
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script iconHeadlines script iconfounders
script iconMold House VO script iconwebsite
script iconIntro Mold script iconTomorrow
script iconThank guests script icon Forest Fees
script iconIntro journey toward healing part 1 script iconSchool Bill
script iconJourney part 1 script iconkey: culture / arts
script icontag script iconUNH Dean
script iconBusiness Outlook script iconkey: women
script iconWall Street Stocks script iconHunter Survey
script iconNH Stocks script iconkey: health
script iconIntro Mt. Washington script iconConsigned Cars
script iconMt. Washington script iconTonight 11:30
script iconIntro Lampshades script iconpatt tracks
script iconTag lampshades  


script iconPreshow
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Next on New Hampshire Outlook tonight.A family leaves their home because of toxic mold. How hazardous to your health can it be? We'll hear from some experts.
Plus, diagnosis breast cancer. a special report.
And we'll meet the man who hope to shed a new type of light on the world. with wood.
script iconHeadlines
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Good Evening. I'm Allison McNair. Welcome to New Hampshire Outlook.
script iconMold House VO
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A Merrimack family has found itself living in a local hotel room - dealing with health problems and hefty repair bills. It all stems from the discovery of a mysterious mold in the O'Neil family home on Riverside Drive.
The O'Neils have learned that their home was not properly ventilated. As a result, the upper portion of the house accumulated an unhealthy amount of mold. They say they endured years of health problems - including infections and headaches before uncovering the toxic slimy, black mold. In addition to the health problems, the O'Neils' homeowner's insurance didn't cover the mold damage. The family plans on returning to the house - but not until after some very expensive repairs.
script iconIntro Mold
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With media attention focused on toxic mold found in a Merrimack home - you might be wondering how to tell whether molds found at home or in the work place pose a threat to you or your family's health. Is the mold in the shower anything to worry about? And what should we do if we find mold in our basement or attic? Here to help us Dennis Pinksi, with the Office of Community and Public Health, Bureau of Health Risk Assesment and Mathew Cahillane, Indoor Air Quality Expert. Both are with the New Hampshire Department of Health and Human Serices.
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Thanks Dennis and Mat.
script iconIntro journey toward healing part 1
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According to the Amercian Cancer Society, as many as 200,000 new cases of Breast Cancer will be diagnosed this year in the United States. 800 women will be diagnosed in New Hampshire alone.
While statistics show that most breast abnormalities and not cancer, the anxiety remains. For those who contract it, breast cancer is an intensely personal battle. But they do not wage that battle alone.
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I was 42 at the time and had yearly mammograms in fact every 6 months from 35 to 38 and then yearly 39 and 40. At age 40 my insurance company didn't pay for mammograms except every three yrs. So I waited thinking everything was fine because I had been very diligent about having them. Went in for a mammogram and it showed something.
I went for my annual exam in august and the nurse practitioner felt something that she didn't like
They scheduled me for a mammogram a month later and we got the results from the mammogram and obviously there was something that they didn't like as well.
Linda Williams and Robin Drown were familiar with the process of having a mammogram but they knew little about what the radiologist was looking for. Dr. Adrienne Greenlaw reads thousands of mammographic studies a year.
when patients present for a screening mammogram our goal is to detect cancer very very early. We are looking for suspicious findings such as microcalcifications that are irregular in shape; we are looking for small masses - the kind of mass that has irregular margins. We recognize as being suspicious by their shape and that they are new

We rely heavily on getting the prior mammogram for comparison.

this a case of a breast that we call fatty replaced meaning we can see through the tissue very well - fatty tissue and not a lot of residual glandular tissue. And within one year this small mass had come about. It has very irregular what we call speculated margins. For that we recommended biopsy - a category 4 mammogram - suspicious findings.

When we find something that is worrisome then we recommend a biopsy.
we decided early on in our biopsy program it was important to involve the surgeon early on. It creates this team that oversees the patient's care from that moment on.
For many the thought of seeing a surgeon can be terrifying. A surgeon means an operation and an operation means something must be seriously wrong. Emotions battle logic.
Williams #1 5:02:29++
It was tough and also because I had lost a cousin and an aunt to breast cancer. Knowing what they had gone through it was tough not to think about that especially when you have children. Worrying whether you're going to see them grow up but hopefully you will.
Hopefully you're one of the 90 percent that is okay.

Dr. David Coppola sees women like Linda and Robin every day. The Dover surgeon moves quickly.
my office is pretty in tune to know the anxiety level in a woman coming into see me for a breast related problem and rarely would have that woman wait more than day to get in. … There may already have been a day or two if they had their mammogram and by the time the mammogram got interpreted and by the time they got the report back. So time is creating more anxiety for the person before they get there.
I can just know what the woman is feeling while she is sitting in the exam room waiting for me to come in because who wouldn't be. She instantly think she is here because she has breast cancer. She doesn't know what's up but she's at a surgeon's office for a breast related problem she is going to make the assumption herself that she has breast cancer.
while I cant tell her right off that she doesn't I sort of need to alleviate some of the anxiety, get her back down to where we can have an intelligent sort of conversation and I can fully address the whole thing, review her mammogram and examine her, take her through the whole step.
In Linda's case, dr. Coppola recommended an additional ultrasound.
He could read the disappointment in my face like "I just wanted to get it done and get it over with." He said "Linda I can have you over at the hospital done with the ultrasound and back here this afternoon." I said fine let's just do it. He had it done by four.
That was really really helpful to me because I had already waited several times for 3 to 4 to 5 days for results twice. 5:06:07
Coppola 2 2:04:40 A lot about being a patient is that you don't have any sort of control over the sorts of situations people put you in. And so if we can - if there are different options to do and they have advantages and disadvantages and they really aren't going to jeopardize the care then let the patient help you make the decision. 2:05:02
If the patient has a palpable lump, one that the surgeon can feel, there are two options available. One is an open biopsy where the lump is removed. The other is a needle biopsy.
Coppola 2:01:17 A needle biopsy has the advantage of being quick. If I do a needle biopsy in the office that day I can pretty much have the results in 2 days
coppola 2 2:01:45 the disadvantage of doing a needle biopsy is that I might not get any results. It has nothing to do with the procedure or how its done it's just not perfect. You're only taking cells with the needle, you can't get a big piece of the tissue and you want the pathologist to make a diagnosis for you.

2:03:26 so I help them decide. Some women would rather not try to do a needle biopsy even though I offered it. They say no, when can we do a biopsy cause that will be definitive
there is not a time bomb ready to go off if we don't do this biopsy that day. I would never recommend and would discourage if a woman is trying to put it off for any significant amount of time but try to let them understand that the reason to try to do it tomorrow or today is for their anxiety so they can know and put it to rest. 2:10:38
Sometimes there is no palpable lump, only an abnormality on the mammogram. At this point the surgeon uses a different technology.
a mammogram is a two dimensional picture of a three dimensional breast and we need to put these pictures in three dimensional vision so we can know where exactly in the breast we need to sample the tissue.
10:08:01 ++++ every once in awhile you'll get a subtle lesion that you can only see on one plane. We can capture that on our digital table in a digital image and as long as we can see that in our stereotactics we move the camera 15 degrees apart - a total of thirty degree and as long as we can see it on our two images we have up on our computer screen then we can biopsy it.
10:09:06 this has been a breakthrough really and it has definitely shortened the procedure time, much smaller incision.
Before computer assisted or stereotactic biopsy the process was more complicated.
10:08:37 old fashioned biopsy technique was to put a needle into the lesion using our mammographic units. And then we would put a localization wire into the breast and if we cant see it on the other projection in another plane then we are very limited and it would be very difficult to send the patient to surgery as we wouldn't know exactly where that wire tip was going to be.
Not all women are candidates for stereotactic biopsy. To make sure that the process will work the patient is asked to come in for what amounts to a rehearsal. It's called Marking Day.
10:05:43 it is designed to show the patient the room, to meet the personnel who will be involved, the technologist who will be performing the study.


The entire biopsy process usually takes less than an hour and is much less invasive than its predecessor.
voice over Now physician and patient must wait each hoping that the news will be good news.
ON CAMERA TAG
Statistics are with them because in more than 85% of the cases, there is no cancer. But for those other 15%, the relationship they have begun with their surgeon will become even more key in their treatment.
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Tomorrow Robin and Linda's journey continues with diagnosis and decisions.
script iconBusiness Outlook
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Bargain hunters and news of an unsolicited bid for A-T-and-T Broadband helped breathe some life into blue chip and technology stocks.
script iconWall Street Stocks
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The dow jones industrial averages closed up over 46 points. Nasdaq composite ended the day up over 22 and a half points.
script iconNH Stocks
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Here's a look at stocks of interest to New Hampshire investors. Autodesk was up a dollar 6 cents a share. Shares of Cabletron closed up a dollar 84 cents. Fisher Scientific ended the day up 80 cents. Pennichuck Corporation was down a dollar 75 cents. And shares of Timberland closed down 81 cents. cents.
script iconIntro Mt. Washington
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Overall a nice day today, but some areas had some thunderstorms move through. With a look at what we can expect tonight and tomorrow, we checked in with Todd Hagan at the Mount Washington Observatory.
script iconMt. Washington
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CG:WEATHER\Mount Washington Observatory\Today on the Summit\Temperature: 59 degrees\Wind: West at 16 mph\Mostly Cloudy\Visibility: 15 miles
CG:WEATHER\Tonight\North\Scattered showers and thunderstorms\Patchy fog late\Lows: Upper 50s\Winds: light\
CG:WEATHER\Tonight\South\Partly cloudy\Chance of showers and thunderstorms\Lows: Near 60 degrees\Winds: light\
CG:WEATHER\Tomorrow\North\Showers and thunderstorms likely\Highs: 75 to 80\Winds: Light becoming South 10 mph\
CG:WEATHER\Tomorrow\South\Patchy fog early then partly sunny\Afternoon showers and thunderstorms likely\Highs: Near 80 degrees\Winds: Southwest 5 to 10 mph
script iconIntro Lampshades
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Finally tonight, many New Hampshire artists do their crafts for a living, others for only the love or joy of it. Peter Bloch spends his days spinning wood. His hope is to shed a new type of light on the world.
script iconTag lampshades
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You'll have the chance to meet Peter at the League of New Hampshire Craftsmen Fair at Mount Sunapee from August 4-12. Or you can visit him on-line at woodshades.com.
script iconGoodnight
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That's it for this edition of New Hampshire Outlook.
Stay tuned for Antiques Roadshow - UK.
We'll be back tomorrow at 7:30.
Good night.
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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
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For information on tonight's 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.
script iconTomorrow
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Tomorrow on New Hampshire Outlook -
One can only imagine the anxiety level of those awaiting biopsy results. Many will get happy news - the word benign - but some will hear the words they feared the most - breast cancer.
script icon Forest Fees
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User fees in the White Mountains are unfair to residents on a limited income who want access to public lands. That's what State Representatives Gene Chandler and Doug Teschner say. And so, they're calling on Congress to abolish an experimental program that charges user fees in the White Mountains. Last year, about 786-thousand dollars was raised by the White Mountain National Forest through user fees. The trial period ends next year. At that time the trial period could be extended, fee could be dropped or made permanent.


script iconSchool Bill
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The School Administrators Association says that while imperfect, the school accountability bill passed by the legislature last month will help schools. The group believes Governor Shaheen should sign it.
Shaheen is unsure if the bill goes far enough. Some lawmakers are concerned about provisions that make it
easier to fire teachers.
If Shaheen vetoes it, the administrators fell the state will be without a
school accountability law for at least another two years.


script iconkey: culture / arts
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DATE:7/9/01
TOPIC: Finally tonight, many New Hampshire artists do their crafts for a living, others for only the love or joy of it. Peter Bloch spends his days spinning wood. His hope is to shed a new type of light on the world.
SEGMENT LENGTH:4:41
NAME OF PARTICIPANTS:
Peter Bloch\Craftsman
script iconUNH Dean
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Andrew Rosenberg, dean of the College of Life Sciences and
Agriculture at the University of New Hampshire has
been named to serve on the National Commission on Ocean Policy.
Rosenberg is a former deputy director of the National
Marine Fisheries Service.

script iconkey: women
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DATE:7/9/01
TOPIC: According to the Amercian Cancer Society, as many as 200,000 new cases of Breast Cancer will be diagnosed this year in the United States. 800 women will be diagnosed in New Hampshire alone.
While statistics show that most breast abnormalities and not cancer, the anxiety remains. For those who contract it, breast cancer is an intensely personal battle. But they do not wage that battle alone.
SEGMENT LENGTH:9:26
NAME OF PARTICIPANTS:
Linda Williams\Patient
Robin Drown\Patient
Dr. Adrienne Greenlaw\Radiologist
Dr. David Coppola, MD\Surgeon
script iconHunter Survey
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Small game hunters are being asked to share information about species they encounter in the woods. The Fish and game Department is trying to learn more about its ruffed grouse, snowshoe hares, cottontail rabbits, gray squirrels and other small animals.
Fish and Game biologists will use the data gathered over the next few years to guide wildlife management decisions. The survey results also will provide hunters and non-hunters with information about small-game populations and the ecosystems
they live in.


script iconkey: health
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DATE:7/9/01
TOPIC: With media attention focused on toxic mold found in a Merrimack home - you might be wondering how to tell whether molds found at home or in the work place pose a threat to you or your family's health. Is the mold in the shower anything to worry about? And what should we do if we find mold in our basement or attic? Here to help us Dennis Pinksi, with the Office of Community and Public Health, Bureau of Health Risk Assesment and Mathew Cahillane, Indoor Air Quality Expert. Both are with the New Hampshire Department of Health and Human Serices.
SEGMENT LENGTH:6:50
NAME OF PARTICIPANTS:
Dennis Pinski\NH Dept. Health and Human Services
Mathew Cahillane\NH Dept. Health and Human Services
script iconConsigned Cars
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AP-NH--Consigned Cars
smfdov
Consignment car dealer's customers to split $25,000 bond
-- Customers of a Rochester
dealership whose cars were repossessed by former owners have got
their cars back.
Now they want to be reimbursed for the money they spent
recovering them.
Customers and clients of Diamond Motors say the dealer sold cars
on consignment and then pocketed the money.
Some of the customers are trying to get their expenses paid from
a 25-thousand dollar bond the dealer posted with the state. All car
dealers are required to post a bond to repay creditors if they go
out of business.



AP-
script iconTonight 11:30
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Tonight on New Hampshire Outlook.
Here at 11:30 only on New Hampshire Outlook.
script iconpatt tracks
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: from this small bakery in Bristol Craig Pearson and several other volunteers installed four computers for anyone to use.
: At the same time they began Public Access To Technology. One of the non-profit organizations hoping to bridge the so-called digital divide in New Hampshire.
Public Access To Technology is one of several Organizations in the state with the goal of Bringing computers to people. The computers at the Bristol Bakery have been up and running for little over a year and since that time eight other sites have been set up by PATT around the state in Libraries, cafes, housing projects, community centers, basically anywhere people gather. Pearson believes the digital divide has little to do with geography or high-speed access. From this computer equipment warehouse in Rochester Pearson explains why his organization looks at one aspect of the divide- individuals.
Most people would agree, computers are important these days. But how does Public Access To Technology's model work. Well. There's something in it for everyone.
The first step is equipment. Because PATT has little money to buy new equipment, the computers are sought out from business with help from another non-profit, the donation Depot of Hookset.
Many times corporations find it's cheaper to destroy used equipment than to fix or donate it. But for companies that donate to the Depot, a tax exemption is the reward for giving.
More sophisticated technology like networking equipment is donated by the Interasys Foundation of Rochester. Interasys foundation Director Mike Harrison has also partnered with PATT to provide the technical Know-how needed to get the computers installed.
But in most cases, before the equipment can be left at donation sites it needs to be refurbished.
So Craig and mike decided to add vocational high school students to the PATT model by having the students fix the computers. In return for their services the three high schools involved get to keep about ten percent of what they fix. For PATT president Craig Pearson, whose background is alternative education, having students involved in the PATT process is ideal.
One of Schools involved in fixing the computers is Kingswood Regional High School in Wolfeboro. ,Ken Franson, The Vocational instructor at the school is now adding The PATT process into his curriculum.
And what would happen if the donated computers didn't go to the high school before being installed?
And for the companies that have computers and the organizations that need computers, those are hours they can't afford to spend fixing equipment. After the computers are fixed half go back to the Donation Depot so non-profits can pick up computers for themselves. The remaining ones are set up in PATT donation sites across the state. In many ways, the organizations that provide open access to computers are the most important piece of the PATT model.As one of the donation locations in use, The Strafford Community Center in Strafford has used their new technology as a way to reach out to the community. Jim Martel has taken on the role of computer instructor at the center teaching free courses on computer use.
Milton Mills Public Library is a site in the final stages of computer installation. Craig Pearson believes that computer access in this library is as important today as books were when the library opened in eighteen -twenty-five. For Public Access to technology and other non-profits like it. Computer access has become a fundamental right. For New Hampshire Outlook, I'm Ben French.
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