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WEDNESDAY, AUGUST 19, 1981
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COWBOY
Road to recovery not
easy for burn victims
United Press International areas of the victim’s body can be Once new skin has b
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United Press Internationa]
IOWA CITY, Iowa—For many
victims of critical bums, the leng
thy recovery process can be just as
harrowing as the initial injury.
“A bum injury is probably the
worst thing that can happen to you
emotionally, physically, financial
ly, psychologically—-everyway,”
said Dr. Albert Cram, associate
professor of surgery and director
of the University Hospitals and
Clinics Bum Center, which treats
from 140 to 180 burn cases a year.
After victims have overcome
the initial shock that accompanies
a severe bum, Cram said they
must endure considerable pain.
This is caused in part by the rigor
ous procedure necessary to re
duce the risk of infection during
the process by which undamaged
skin is grafted to bum wounds.
Wounds must be cleaned in a
hydrotherapy tank and redressed
daily and a burn patient generally
must undergo debridement — a
surgical process to remove dead
skin — before skin from unburned
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areas of the victim’s body can be
grafted, Cram said.
Once the skin is clean it will be
temporarily covered with strips of
pigskin for protection. The pigskin
fuses tightly to the body surface
and is removed during the grafting
operation, Cram said.
“We generally change the dres
sing once a day. That’s when it’s
most painful for the patients,”
Cram said. “During that time, we
usually give them a narcotic to
make them as comfortable as pos
sible.”
Cram said his staff has to walk a
fine line between helping patients
endure pain and preventing them
from developing an addiction to
the morphine, demerol and other
narcotic pain-killers required dur
ing the first three weeks following
an injury.
Terry Dahl, a physical therapist
in the Burn Center, said: “Every
one experiences pain to some de
gree. In order to help patients
cope, we use medication, relaxa
tion therapy, music and family
support. ”
Cram said analgesic creams are
also applied to wounds to help re
lieve the pain and lessen patients’
reliance on narcotics.
Once new skin has
grafted, the threat of infectionii
greatly reduced, Cram said,
may take up to two months tocou-
plete the grafting process, hesail
When grafts have been
pleted, patients mustbepladis
splints to prevent contractions®
additional surgery may be re
quired if the new skin contractssi
it heals.
Cram said facial bums,
larly near the eyes, nose a
are the most difficult to [
cause of “cosmetic problems’ !®!
the curvature of the skin
“We can’t make them look I
they haven’t been burned,” Cm
said, "but we can make themlool
better than we could before.
Most critically burned patieik
must wear a "hockey-like ” m
and a pressure suit for a 1
period during their recovery.
“There are some patients 4
have trouble getting back ton®
mal,” Cram said. “Maybe noon
ever fully recovers from a bra
injury.
“Patients aged 5 to 34 cans®
vive bums up to 80 percent i
their body,” Cram said. “Overtk
age of 60, survival is much low
and a 22 percent body siA
Dietitians also play an impor
tant role, he said. For example, a
patient with bums covering 60
percent of his body must eat 8,000
calories a day to help the body heal
itself, Cram said.
bum carries a 50 percent
tality.”
Overall, half the patients attk
bum unit survive a 72 percents®'
face bum, Cram said, compareds
the 62 percent national
Unite!
HOUSH
from Houst
in a remo
Jacinto Riv
waste dum
ducts of th
the city’s g
the sun.
The En\
Agency di
mited and
wooded ar
U.S. 90,
inspect pn
under the 1
ration and
The E
orphans, fil
poisonous i
The EPA st
mical waste
Texas and
orphans lik
The orp
lengthy pas
year-old “c
dous waste
tended to j
two-pronge
cleaning up
controlling
But fund
mated $44
up bill are 1
federal clea
nanced by:
try, amoun
Merger of insurance
firms will be contested
United Press International
LITTLE ROCK, Ark. — The
state Insurance Department has
approved mergers for the state’s
largest and oldest insurance firms,
one to be bought by a Dutch com
pany and another by the Hunt Oil
Co. of Dallas.
Stockholders of National Old
Line Insurance Co., the state’s
largest firm, have already filed two
suits in federal court to challenge
the $144 million merger with En-
nia N.V., a Dutch holding com
pany. The suit says the sale agree
ment is geared to benefit the heirs
of longtime president W.E. Dar
by and is unfair to 89 percent of
the stockholders.
Allan Horne, a department
hearing officer approved themei
ger, however, and said Monda
the prices were “not inequitable
National Old Line’s headqur
ters would remain in Little Rod
and Ennia would use it as a based
expansion into the national insra
ance market, Ennia officials hw
said.
Union Life Insurance Co. wl
also remain in Little Rock after!
$68 million merger with a newt-
created Hunt company. Themei
ger had been announced in July
but the price had not been if
vealed.
Union Life, Arkansas oldes
domestic insurer, operates iuK
states.
Moreove
communitii
supported
industry, a
near them
waste dispi
toeliminati
Many re
d waste c
Lee Han
children ha
Pit and Fn
half mile fr
He said he
tank trucks
loads at nig
much thou
used to the
The form
it Root said
a well in tl
eat fish can
he said
the dumps
’s health
time to go
The EPA
agement ar
gv to centre
Now You Know
United Press International
John Quincy Adams wrote a 108-page book of poetry, making him
the only American president to have his poetry published.
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