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 SUN/MON PROMOReturn to index of stories... |
Cutting your risk of heart attack in half. A simple blood test & statin use may be the anwer. |
| NEXT @ 9:30 promo Return to index of stories... |
VO: Unraveling the mystery of a cardiac killer. |
| Preshow #1 Return to index of stories... |
SOT: It's really caused a ripple thru the cardio vascular community. TRK: New Research on cutting the risk of heart attack in half. |
| Preshow #2 Return to index of stories... |
SOT VO: Once a mysterious killer, Long QT Syndrome is now treatable. |
| Preshow #3 Return to index of stories... |
SOT: Colebrook Disk One: 12:24:47 We're going to do the same as last time." V/O Access to rural health care - its challenges and rewards. |
| Hello/Intro Statins Return to index of stories... |
Hello, I'm Beth Carroll. Welcome to NH Outlook. Could a simple blood test save the lives of millions at risk of a heart attack? Maybe. A new international study is changing the way we view heart disease. It's also stirring debate over who should be screened with this new test.and, whether the benefits of the widespread use of statins -outweigh the risks and cost. We traveleled to the Dartmouth Hitchcock Medical Center in Lebanon to get some answers. |
| Statins Return to index of stories... |
Trk: 48-year old Howard Arzt is recoving from bypass surgery after several heart attacks. He's now taking a drug called a statin to lower his LDL or bad cholesterol - a risk factor for heart disease.. TRK2: Cardiologist Andrew Torkelson says Knowledge as to what what constitutes a healthy cholesterol level has evolved Sot: TRK3: Cholesterol is a fat-like substance in the blood which can build up in the walls of your arteries restricting blood flow to the heart - putting you at risk for a heart attack or stroke. researchers began to look at another potential risk factor: c- reactive protein or CRP levels. l I usually eat the salad bar or a wrap that's heavy on the veggies and maybe turkey or some other low fat meat TRK: Rolf has a family history of heart disease - but, , like most people with a healthy cholesterol level, assumed he didn't need a statin and told his doctor. SOT: 1:05:20 I would rather not take it at this point, Id rather try an exercise route on my own first and see how I made out. TRK: It was these words that changed his mind. SOT: 1:02:21 we believe you're having a heart attack SOT: I I fondly say I had a relationship with Ben and jerry that might hav e been stronger than it ought to have been. Never had any symptoms 1:04:24 TRK: He now steers clear of the fried food and pizza, excercises regularly and is taking a statin.. sot: 1:04:33 yeah, I take Lipitor, and I have since 2001 TRK: Rolf knows there's ONE risk factor that can't be modified: family history. SOT: my kids, you know they're 20 and 24….I would definetly encourage them to take a test that's available that might help in this way. TRK: Doctors say a CRP test can be useful for those with a family history. Sot 12:54:29 if info is power and they find out elevated crp, overweight etc…helps people change:45 TRK: Given the findings of the Jupiter study on the benefits of cholesterol lowering drugs - is it time to put statins in every medicine cabinet? Sot: statins are wonderful medications…lucky they were developed. All things being equal graduated benfit for everhyone…but they cost money…avg cost in Jupiter trial 1400 dollars a year…generics cost 40 a month. 400 bucks a year. TRK: and there are side effects. SOT: major side effects, muscle aches, liver problems, bad muscle inflammation 12:49:57 TRK: Dr Torkelson statins have proven effective in fighting heart disease - but, there's no substitute for good preventive treatment. sOT: 11:04:57 Hwa: cardio vascular is a serious disease and if you're worried about it family history of disease go see your doctor and talk about it. And if you're interested in the study and get their perspective on whether you should be on a statin or not. TRK: DNA testing will be the next frontier in cardio vascular treatment. SOT: 11:01:10 the crp test is excellent one.serves as marker for inflammation…it's a test for here and now gentic tests…longer term potential used to predict future what chances of developing disease and prognosis if on therapy. TRK: In the meantime, since you can't change your relatives or dna…you can make healthier choicesin diet and excercise that can change your cardio vascular risk factors. 12:58:07 If we can get to 30 to 60 minutes a day 2100 calories a week would do the trick…and we should all have time for that. ## |
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To find out more about the Jupiter Study -- and assess "your" risk of heart attack. Just go to our website nhptv.org/outlook and we'll give you the necessary links. |
| Next 1 Return to index of stories... |
SOT VO A family mystery solved. |
| Intro Long QT Return to index of stories... |
Cardio-vascular disease is often viewed as a middle aged ailment but, there are conditions that afflict young people. "Long QT syndrome, is an inherited heart disorder that can cause sudden death in healthy children and young adults. With diagnosis and treatment survival rates are high. Outlook's Phil Vaughn brings us the story of a NH family living with Long QT. LINKS http:/www.qtsyndrome.ch/ http:/www.qtsyndrome.ch/links.html http:/www.mayoclinic.com/health/long-qt-syndrome/DS00434 |
| Tag Long QT Return to index of stories... |
It's recommended you see your doctor about Long QT Syndrome if you suddenly faint during physical exertion , emotional excitement, or after the use of a new medication. |
| Next 2 Return to index of stories... |
SOT: Colebrook Disk One 14:46:57 We don't have a pediatrician - and we haven't for years. V/O The challenges facing rural health care. |
| Intro Rural health Return to index of stories... |
Access to health care is a major problem in rural areas where lower incomes, scattered populations and lack of transportation can make it difficult to afford - or keep medical appointments. In NH, those issues are most pronounced in the north country. Outlook's Richard Ager takes us to Coos County for a closer look at the issues facing rural health care consumers and providers. |
| Rural Health Return to index of stories... |
North Country Hospital Script Soundup: EX Card 1:15:34 Ambulance beeps Track: Another patient is arriving at the Upper Connecticut Valley Hospital in Colebrook. A car collided with a truck on a slick road - but this time, no serious injuries are involved. Some one got lucky on a snowy day. Soundup: EX Card 1:16:25 offloading patient from ambulance- into hospital Track: The hospital serves nearly two dozen surrounding communities in New Hampshire, Vermont, Maine and even Quebec. soundup: Colebrook Disk One 14:09:35 Sarah comes in - "Hi Barbara. How are you feeling? Can I get you anything?" Track: Barbara Sullivan has been here for a week, recovering from a bout with pneumonia. Before she moved to Colebrook 20 years ago, she lived in southern NH - where she recalls the hospital care is very different. Bite: Colebrook Disk One 14:02:10 I would put Colebrook at the top of the list for a simple reason. Even though the larger hospitals may be effective and efficient and they do their jobs - they forget we're people. And up here, even though they are efficient in Colebrook, but they also give you the little personal touch like the smile or the good morning - which doesn't take but a second. And some of the larger hospitals could improve on that. Track: While larger hospitals can seem crowded and impersonal, the state's smallest hospital has different problems. Standup: Colebrook Disk Two 15:55:42 Take 3 ** The Upper Connecticut Valley Hospital opened in 1970 with 32 beds. Today it has half that number. It's a reflection of declining population and other issues facing health care providers in the North Country. Track: The hospital was built through the efforts of the late Dr. William Gifford and his wife Marjorie Parsons. He spoke to NH Public Television in 1987. Bite: LPA 384 3:56:59 It's a small hospital - but one of the best equipped in New England for its size. We have a excellent surgeon, pediatrician and two excellent family practitioners. Bite: Colebrook Disk One 14:46:57 HOW DOES THAT COMPARE TO TODAY? We still have an excellent surgeon. We don't have a pediatrician - and we haven't for years. WHY? We don't have the population - and they are very expensive to hire and manage your own pediatrician. And as you probably know, we stopped delivering babies here in 2003 - it was the right thing to do - we didn't have the volume of patients to do that. And we didn't have the large volumes of children needed. Track: On an average day, the hospital has only 6 patients occupying beds. Part of the reason? Bite: Colebrook Disk One 14:48:30 We do not keep patients who have a cardiac event. Standards of care now mandate that they be sent to a center of excellence where they can receive a cardiac catheterization within 30 minutes. Track: Another factor: the population in Coos is the oldest - and poorest - in the state. Bite: Colebrook Disk One 14:42:50 I think what's happening is - my mom is 84 years old and she doesn't want to incur expenses that she can't immediately pay for. And my fear is that many of the medicare patients in our community - if they can't pay for it immediately, they're holding off and holding off. Track: The results of holding off on treatment became evident in recent study of emergency care around the state. Bite: Colebrook Disk One 14:43:20 The study showed that we had a statistically significant higher population that came in with more acuity - higher illness rates - cancers, diabetes, heart disease - than any other hospital in the state. Track: And when patients do come to the Upper Connecticut Valley Hospital, they often can't pay for it. Graphic: In 2006, 43% of patients had private health insurance. This year, that figure is under 30%. And the number of Medicaid cases is rising. soundup: Colebrook Disk One 12:24:47 We're going to do the same as last time… Track: If there is a bright spot in the hospital's outlook, it is that outpatient services have remained fairly steady. Jane Romanow lives in Pittsburg with a second home in New Jersey. When she was diagnosed with early stage lymphoma, she had a choice: Bite: Colebrook Disk One 12:36:30 WHAT MADE YOU DECIDE TO SEEK TREATMENT IN A SMALL HOSPITAL IN NORTHERN NEW HAMPSHIRE RATHER THAN IN A BIG URBAN AREA? 12:36:38 It's very nice being a name and not just a number. When I walk in here, they say "Hi Jane." It's a very good feeling - it gives you confidence. They're very careful - the pharmacist was very careful with my medication. He always asked me my name and birth date and read out what he was going to give to me. And with chemo, that's a very important thing - you don't want to get the wrong medication. Track: Jane says that was a contrast to chemo treatments elsewhere. Bite: Colebrook Disk One 12:40:20 It was in New Jersey and I was one of many people in a room and it wasn't pleasant. WHAT WAS NOT PLEASANT ABOUT IT? Just the uncertainty - with so many people, am I getting the medication I'm supposed to get? I hope that's not for the lady next to me. This is just so much easier and nicer. SO MEDICINE IS MUCH MORE THAN JUST DISPENSING THE PHARMACEUTICALS. Oh definitely. Definitely. Track: Personal connections are a powerful theme here. For example, ask oncology nurse DJ Lee about her connection to hospital founder Dr. Gifford. Bite: Colebrook Disk One 13;05:05 He delivered me. Bite: Colebrook Disk One 13;05:20 I remember him coming to the house - my mother was a nurse - and he would come and talk to her about the new hospital he was going to get built in Colebrook. So I heard a lot of that and he said "I don't know where I'm going to get nurses." I don't know how old I was and I said "I'll come help you." I didn't know I meant it but I did. Video: LPA 384 3:55:24 Dr. Gifford with patient Video: LPA 384 3:55:40 photos of Gifford and wife Marjorie Parsons Track: DJ first worked at the hospital in 1973 out of high school. She got her nursing degree and went away for a while , but returned for good in 1983. Bite: Colebrook Disk One 13:10:45 WHAT DO YOU LIKE BEST ABOUT WORKING IN A FACIILITY LIKE THIS RATHER THAN IN A BIG CITY HOSPITAL LIKE IN BOSTON? 13:11:03 These are my own people. I really feel connected to them. I worked in another hospital - and you make connections. You love the people and I remember thinking, I have to take care of my own people and that was the thing that got me back here - and that's what I wanted to do and that's what I do. Track: With 126 full and part time employees, the hospital is looking to boost its fiscal health. Bite: Colebrook Disk Two 14:54:15 If we can't cut, then we need to bring in new revenue - and there is a lot of money that leaves our community for health care that we might be able to keep here. GIVE ME AN EXAMPLE. Cardiac care for instance. soundup: Colebrook Disk Two 13:32:50 shots of Al on exercise bike Track: Al Romanow - Jane's husband - survived two heart attacks and had bypass surgery done at Dartmouth Hitchcock after the second one. Bite: Colebrook Disk One 13:29:08 It was a snowstorm so they couldn't fly the chopper in, so they put me in an ambulance and run me down to Littleton and put me in another ambulance and then took me down to Dartmouth-Hitchcock - and I had - five - what do you call five - QUINTUPLE - Yeah, that's it. But now I feel good. Track: The cardio rehab program served about 50 patients in 2008 - but has no current patients - and its future is uncertain. Al Romanow has completed his cardio rehab - but hopes that service - and the hospital will remain open. Bite: Colebrook Disk One 13:30:25 If I had to run to Littleton or St. Johnsbury, I would have to leave. I'm retired, I'm a senior citizen - and I can't really stretch my luck - and a 100 mile run would be stretching my luck. Track: Though the hospital is no longer a place to be born, it has become a place where the end of life can be greeted in comfort. Bite: Colebrook Disk Two 14:57:40 We often have patients who have gone to other facilities - and because of their end-stage disease, they need to come back to die. They want to come home - and when we say they want to come home, they mean they want to come here. And we've had several patients do that - they just said "I want to come home" and we bring them home - patients, family members - are here and they know the nurses. SO YOU SERVE AS HOSPICE AS WELL? Without being an official hospice - yes. Track: For NH Outlook, I'm Richard Ager. soundup: Colebrook Disk Two 15:06:15 "Just give me a call and we'll schedule that for you." OR: SOMETHING YOU'D LIKE TO TRY END OF SCRIPT |
| Tag Rural health Return to index of stories... |
The Upper Connecticut Valley Hospital is now working with the hospitals in Berlin and Littleton to find new ways to cooperate in providing health care to the north country. |
| Thanks/Goodbye Return to index of stories... |
That concludes our program Thanks for watching NH Outlook. I'm Beth Carroll, wishing you good health. I'll see you next time. |
| Web Promo Return to index of stories... |
Did you have a reaction to any of the stories or interviews featured in this program? Did we miss anything or do you have suggestions for future Outlook espisodes? If so, we want to hear from you. Drop us an email at nhoutlook@nhptv.org. As always, you can find these stories and more online at nhptv.org/outlook. |
| key: Health / Healthcare Return to index of stories... |
NEW HAMPSHIRE OUTLOOK Air Date/Time: 3/01/2009 HOST: Beth Carroll Length: 8:40 New Research on cutting the risk of heart attack in half. Once a mysterious killer, Long QT Syndrome is now treatable. Access to rural health care - its challenges and rewards. Hello, I'm Beth Carroll. Welcome to NH Outlook. Could a simple blood test save the lives of millions at risk of a heart attack? Maybe. A new international study is changing the way we view heart disease. It's also stirring debate over who should be screened with this new test.and, whether the benefits of the widespread use of statins -outweigh the risks and cost. We traveleled to the Dartmouth Hitchcock Medical Center in Lebanon to get some answers. PRODUCER/REPORTER: Beth Carroll NAME OF PARTICIPANTS: Andrew Torkelson M.D.\Cardiologist, Dartmouth-Hitchcock, John Hwa M.D. \Heart Researcher, Roger Smith \Hanover, Rolf Olsen\Lebanon. |
| key: Science / Technology Return to index of stories... |
NEW HAMPSHIRE OUTLOOK Air Date/Time: 3/01/2009 HOST: Beth Carroll Length: 8:40 New Research on cutting the risk of heart attack in half. Once a mysterious killer, Long QT Syndrome is now treatable. Access to rural health care - its challenges and rewards. Hello, I'm Beth Carroll. Welcome to NH Outlook. Could a simple blood test save the lives of millions at risk of a heart attack? Maybe. A new international study is changing the way we view heart disease. It's also stirring debate over who should be screened with this new test.and, whether the benefits of the widespread use of statins -outweigh the risks and cost. We traveleled to the Dartmouth Hitchcock Medical Center in Lebanon to get some answers. PRODUCER/REPORTER: Beth Carroll NAME OF PARTICIPANTS: Andrew Torkelson M.D.\Cardiologist, Dartmouth-Hitchcock, John Hwa M.D. \Heart Researcher, Roger Smith \Hanover, Rolf Olsen\Lebanon. |
| key: Health / Healthcare Return to index of stories... |
NEW HAMPSHIRE OUTLOOK Air Date/Time: 3/01/2009 HOST: Beth Carroll Length: 7:45 New Research on cutting the risk of heart attack in half. Once a mysterious killer, Long QT Syndrome is now treatable. Access to rural health care - its challenges and rewards. Hello, I'm Beth Carroll. Welcome to NH Outlook. Cardio-vascular disease is often viewed as a middle aged ailment but, there are conditions that afflict young people."Long QT syndrome, is an inherited heart disorder that can cause sudden death in healthy children and young adults. With diagnosis and treatment survival rates are high. Outlook's Phil Vaughn brings us the story of a NH family living with Long QT. PRODUCER/REPORTER: Phil Vaughn NAME OF PARTICIPANTS: Paul Sansone\Jordan's Father, Mary Sansone\Jordan's Mother, Steven Weindling M.D.\Pediatric Cardiologist, Steven Weindling M.D.\Dartmouth - Hitchcock Medical Center. |
| key: Family/ Marriage Return to index of stories... |
NEW HAMPSHIRE OUTLOOK Air Date/Time: 3/01/2009 HOST: Beth Carroll Length: 7:45 New Research on cutting the risk of heart attack in half. Once a mysterious killer, Long QT Syndrome is now treatable. Access to rural health care - its challenges and rewards. Hello, I'm Beth Carroll. Welcome to NH Outlook. Cardio-vascular disease is often viewed as a middle aged ailment but, there are conditions that afflict young people."Long QT syndrome, is an inherited heart disorder that can cause sudden death in healthy children and young adults. With diagnosis and treatment survival rates are high. Outlook's Phil Vaughn brings us the story of a NH family living with Long QT. PRODUCER/REPORTER: Phil Vaughn NAME OF PARTICIPANTS: Paul Sansone\Jordan's Father, Mary Sansone\Jordan's Mother, Steven Weindling M.D.\Pediatric Cardiologist, Steven Weindling M.D.\Dartmouth - Hitchcock Medical Center. |
| key: Science / Technology Return to index of stories... |
NEW HAMPSHIRE OUTLOOK Air Date/Time: 3/01/2009 HOST: Beth Carroll Length: 7:45 New Research on cutting the risk of heart attack in half. Once a mysterious killer, Long QT Syndrome is now treatable. Access to rural health care - its challenges and rewards. Hello, I'm Beth Carroll. Welcome to NH Outlook. Cardio-vascular disease is often viewed as a middle aged ailment but, there are conditions that afflict young people."Long QT syndrome, is an inherited heart disorder that can cause sudden death in healthy children and young adults. With diagnosis and treatment survival rates are high. Outlook's Phil Vaughn brings us the story of a NH family living with Long QT. PRODUCER/REPORTER: Phil Vaughn NAME OF PARTICIPANTS: Paul Sansone\Jordan's Father, Mary Sansone\Jordan's Mother, Steven Weindling M.D.\Pediatric Cardiologist, Steven Weindling M.D.\Dartmouth - Hitchcock Medical Center. |
| key: Health / Healthcare Return to index of stories... |
NEW HAMPSHIRE OUTLOOK Air Date/Time: 3/01/2009 HOST: Beth Carroll Length: 8:30 New Research on cutting the risk of heart attack in half. Once a mysterious killer, Long QT Syndrome is now treatable. Access to rural health care - its challenges and rewards. Hello, I'm Beth Carroll. Welcome to NH Outlook. Access to health care is a major problem in rural areas where lower incomes, scattered populations and lack of transportation can make it difficult to afford - or keep medical appointments. In NH, those issues are most pronounced in the north country. Outlook's Richard Ager takes us to Coos County for a closer look at the issues facing rural health care consumers and providers. PRODUCER/REPORTER: Richard Ager NAME OF PARTICIPANTS: Barbara Sullivan\UCVH Patient, Dr. William Gifford\Founder - Upper CT Valley Hospital\1987, Louise McCleery\Pres., Upper CT Valley Hospital, Jane Romanow\UCVH Patient, DJ Lee\UCVH Oncology Nurse, Al Romanow\Former UCVH Patient. |
| key: Science / Technology Return to index of stories... |
NEW HAMPSHIRE OUTLOOK Air Date/Time: 3/01/2009 HOST: Beth Carroll Length: 8:30 New Research on cutting the risk of heart attack in half. Once a mysterious killer, Long QT Syndrome is now treatable. Access to rural health care - its challenges and rewards. Hello, I'm Beth Carroll. Welcome to NH Outlook. Access to health care is a major problem in rural areas where lower incomes, scattered populations and lack of transportation can make it difficult to afford - or keep medical appointments. In NH, those issues are most pronounced in the north country. Outlook's Richard Ager takes us to Coos County for a closer look at the issues facing rural health care consumers and providers. PRODUCER/REPORTER: Richard Ager NAME OF PARTICIPANTS: Barbara Sullivan\UCVH Patient, Dr. William Gifford\Founder - Upper CT Valley Hospital\1987, Louise McCleery\Pres., Upper CT Valley Hospital, Jane Romanow\UCVH Patient, DJ Lee\UCVH Oncology Nurse, Al Romanow\Former UCVH Patient. |
| Release Forms Return to index of stories... |
Have Location Release for Statins-The Works, George Vierra. Heart Test- Roger A. Smith, John Hwa M.D, Andrew Torkelson M.D, Rolf E. Olsen, and Howard Arzt. |