Wednesday, 6.13.12 PRESS D PTSD: Survival Visiting Hours Is...

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YANKTON MIDDLE SCHOOL Perfect Attendance 4th Quarter 2011-12 8th Grade — Grace Adam, Austin Ament, Hope Bentley, Ash- ley Bilbery, Garner Brandt, Sa- vannah Busskohl, Kourtney Christensen*, Renee Cross, Micah Davenport, Amy Doering, Sophie Drotzmann, Christopher Eilers, Javier Flores, Donovan Foster, Laurel Friedenbach, Colin Garvey-Muth, Jeryka Goble, Tyler Guthmiller, Christopher Haas, Mi- randa Headley, Thomas Hill*, Hannah Johnson, Keeley Klein- sasser, Jeffrey Kollers, Ciara Kul- havy*, Ciara LaCroix, Lanae Lane, Cody List, Kevin Magana, Dustin McClean, Adriana Mc- Manus, Ben Mooney, Kaisee Mur- phy, Denver O’Donnell, Abby Oien, Andrew Peitz, Alexis Pe- tersen, Austin Pippin, Jared Raf- ferty*, Blake Savey, Kierra Schaeffer, Ethan Schantz, Allen Schild, Haley Schild, Alexis Se- jnoha, Jacob Smith, Bradey Sorenson, Samantha Straatmeyer, Mikayla Trenhaile, Hannah Williams, Casey Zweber 7th GRADE — Jacey Ander- berg, Britney Bradwisch, Jere- miah Braxton, David Brown, Ian Bruder, Haleigh Diede, AJ Fernan- dez, Shanna Hill*, Alex Ketter, Chris Kinsley, Kyle Klein- schmidt*, Anna Kokesh, Alex Ko- talik, Luke Lammers*, Dylan Lynde, Sophie McKee, Devon Mines-Alver, Travis Munyer, Lau- ryn Perk, Shaun Pinkelman*, Shelby Radack, Dylan Rausch, Abbigale Rehurek, Hunter Sanders*, Cameron Schindler, Cole Schlaefli, Isaac Schulz*, Samantha Simonsen, Madison Styles*, Dilyn Tramp, Hailey Vail- lancourt 6th Grade — Brenna Becker, Eli Bos, Kayla Brown*, Josh Carr, Alex Cutler, Jaxson Erickson, Ethel Florez, Tessa Folkers, Taten Gale, Josh Galvin-Hofer, Jazmyn Gunderson, Bradley Hento, Tay- lor Kotschegarow, McKenzi Kruger, Cooper Kuchta, Victoria Lammers*, Nicole Langdon, Adam Lange, Haley Larson, Brooklyn Maldonado, Calvin Marsh, Madison McClure*, Ryan Moderegger*, Jacob Nelson, Tyler Odens, Tyler O’Donnell*, Tate O’Hara, Karley Olson*, Sara Ordaz, Aurora Papstein, Carter Peterson, Darin Pinkelman, Eleanor Rhoades, Devin Roberts, Anna Savey, Lauren Schild, Corissa Schwartz, Katrina Thomas, Dalton Van Buren, Abi- gail Van Osdel, Lauren Vik, Ben- jamin Wold, Isiah Woods, Gavin Yasat (* — Indicates student with Perfect Attendance for Entire Year) FREEMAN ACADEMY 3rd TRIMESTER HONOR ROLL GOLD HONOR ROLL (3.60 - 4.00) Seventh Grade None Eighth Grade *Polly Carlson *Ryan Haggerty Emma Littel-Jensen *Sarah Miller Jorge Sanchez Bethany Wollman *Hannah Yoder Freshmen Olivia Boese Emily Epp Anran “Astera” He Clara Koerner *Brooklyn Ries Austin VanDiepen Sophomores *Gabriel Eisenbeis Meghan Hofer Juniors Ben Carlson *Lizzie Davis *Lea Graber Matthew Graber Calvin Janssen *Christopher Miller Elizabeth Sanchez *Michael VanDiepen *Chelsea Wentz Seniors Makayla Epp Caleb Glader *Christina Hofer Natalie Miller *Brittney Ries *Jaime Tschetter * Denotes 4.0 Grade Point Av- erage MAROON HONOR ROLL (3.20 - 3.59) Seventh Grade Jesse Balzer Derian Voigt Eighth Grade Ian Hofer Freshmen Yunxi “Cicy” Li Brennan Waltner Sophomores Tristan Ashwell Juniors Amber Dissing Selina Kunzi Yi Zhi “Ariel” Lin XiuMin Sun Noah Yoder Seniors Adam Unruh DAKOTA STATE UNIVERSITY MADISON — The following local students were named to the President’s Academic Honors list for the spring semester at Dakota State University (DSU) in Madi- son: • Michael Hunhoff from Yank- ton, with highest honors • Andrea McManus from Volin • Emily Robinson from Yankton, with highest honors • Brian Van De Rostyne from Yankton A total of 353 students quali- fied for the honors list. Highest honors were earned by 121 stu- dents who achieved a 4.0 grade point average; the remaining stu- dents earned a 3.5 to 3.99 aver- age to qualify for the honors list. MINNESOTA STATE UNIVERSITY MOORHEAD MOORHEAD, Minn. — The fol- lowing student has been named to the Minnesota State University Moorhead Dean’s List in recogni- tion of academic achievement for the 2012 spring semester. Stu- dents must maintain a 3.25 or higher grade point average and carry 12 graded credits to qualify for the honor. • Joseph Benda, Yankton, Computer Science KIRKWOOD COMMUNITY COLLEGE CEDAR RAPIDS, Iowa — Kirk- wood Community College has re- leased its Dean’s List for the spring semester. This student has achieved a 3.3 grade point average or higher after complet- ing 12 or more credit hours with the college. The Kirkwood student from the area earning this distinction is listed below: • Derek Jacobson, Jefferson. BY DR. MIKE ROSMANN In many ways, post traumatic stress disorder (PTSD) is a nor- mal response that has gone haywire. The initial trigger situation might be: the explosion of a bomb alongside an Afghanistan road; severe farm financial pres- sures, such as loan foreclosure; getting hit on a high- way by a drunk driver whose vehicle swerved into your lane; or any severe traumatic event. Traumatic events are dangerous to our physical or emotional well-being and elicit distress. In 1915, Dr. Walter Cannon, a Harvard University physiology professor, demon- strated how we deal with threatening situa- tions by avoiding the threat or confronting it. He called this the “Flight or Fight Response.” Later, Dr. Martin Seligman, a University of Pennsylvania psy- chologist, added a third re- sponse - “Freeze.” Also called learned helplessness, to freeze is to become emotionally paralyzed and unable to do anything. Stimuli that remind us of the threatening event (e.g., loud noises that remind the soldier of a roadside bomb exploding, a friendly chance encounter with a bank official that reinstates fore- closure fears or becoming upset when you are driving down the same highway where the drunk driver wrecked your vehicle and injured you) trigger alarm reactions. Becoming alarmed is meant to protect us. But, when we over- react and become alarmed un- necessarily by non-threatening events only because they remind us of the initial stressor, we have developed PTSD. Even bad dreams can trigger distress. Our physiological and psy- chological reactions to stress comprise what is called the Arousal-Depletion Cycle. Also called the General Adaptation Syndrome, the phases of the cycle include: We appraise a situation as threatening because it can harm us in some way. Our nervous system becomes aroused by a flood of neurotrans- mitter chemicals (chiefly adrena- line), which prepare us to take flight from the threat, fight the threat or to freeze. Our muscles tense, our heart speeds up, blood pressure in- creases and our senses sharpen, such as our pupils dilate to take in visual information. In short, we are alert and alarmed. After the threat dissipates or because we appraise the situation as no longer threatening or be- cause we have taken flight, fought the threat or became emotionally helpless and froze, afterwards our nervous system tries to resume a state of normalcy. Our adrenal gland secretes cortisol. This helps us recuperate and prepare for the next threat. It allows muscles and pupils to relax, our heart to slow down and makes us feel tired. It encourages the accumulation of fat reserves for future emergencies. If no additional threats occur, our nervous system is able to pro- duce serotonin and norepinepher- ine. These are essential transmitter chemicals that give us a sense of well-being, increase our tolerance of pain and help us to relax. Each time another threat trig- gers our alarm, the connection between the stimulus events and our reaction of flight, fight or freeze strengthens. Sometimes the threats are real, such as repeated deploy- ments to war zones and further exposures to intermittent explo- sive devices. We might endure further legal ac- tions stemming from bankruptcy or we might encounter an- other erratic driver. But, when we can’t stop ourselves from re- acting unnecessarily to triggers that aren’t re- ally dangerous, we have acquired a learned bad habit. Es- sentially, PTSD is habit- ual but unnecessary repetition of the arousal-depletion cycle. Just like multiple stressors wear down our ability to cope physiologically and psycho- logically, repeated exposures to triggers— whether real or learned bad habits— result in fatigue and chronic depletion of serotonin and norepinepherine. We become exhausted and depressed. Even our immune system can become compromised in its abil- ity to ward off disease. PTSD, with its accompanying depression, contributes to an increased risk of suicide. We can grow so weary of the repeated cycles that we want only to escape what seems like endless torment. WHAT CAN WE DO WHEN WE HAVE DEVELOPED PTSD? PTSD seldom goes away on its own. The most effective treat- ments include relearning how to manage ourselves, usually with the assistance of a trained and ex- perienced professional caregiver, so we don’t incorrectly interpret every reminder of the initial threat as dangerous. Anti-anxiety medications often are needed to gain control over our physiological reactions. Re- learning works best when we feel safe, understood by those who are assisting us and have others to coach us through rough times. Next week, I will follow up with more information about resources for farm people dealing with PTSD, including returning sol- diers, who originated from farm and rural backgrounds. As you may know, soldiers who trace their origins to farm and rural life are disproportion- ately represented among our militia. Dr. Rosmann is a clinical psy- chologist and farmer; he lives near Harlan, Iowa. For previously published columns and his recent book, “Excellent Joy: Fishing, Farming, Hunting and Psychol- ogy,” see the website: www.agbe- havioralhealth.com.. ——— SPONSORED BY LEWIS AND CLARK BEHAVIORAL HEALTH Wednesday, 6.13.12 ON THE WEB: www.yankton.net NEWS DEPARTMENT: [email protected] 5 PRESS DAKOTAN life Dr. Mike ROSMANN JUNE 29 -30 , 2012 • RIVERSIDE PARK SURVIVORS’ LAP • 6:00 PM YANKTON AREA RELAY FOR LIFE Name: ______________________________________________________________________ Gender: M / F Address/City/State/Zip: _____________________________________________________________________ Phone: ______________________________ Email Address: ______________________________________ Date of Birth (optional): _________________ Month and Year of Diagnosis: ______________ Type of Cancer: _______________________ T-Shirt Size (circle): YM, YL, S, M, L, XL, 2XL, 3XL, 4XL * I am interested in hearing more about patient-related programs/services of the American Cancer Society. Yes/No * Please contact me about volunteer opportunities with the American Cancer Society. Yes/No * Please send me information about donating to the American Cancer Society. Yes/No 4:30-5:30 PM Survivor Registration 5:00-5:30 PM Survivor Celebration/Meal 5:45 PM Group Survivors Picture SURVIVOR REGISTRATION This message brought to you by the This registration form can be returned to: Avera Sacred Heart Cancer Center – Attn. Darla Gullikson 1115 W 9th St., Yankton, SD 57078 Survivor Registration forms can also be completed on the Yankton Relay For Life website at www.relayforlife.org/yanktonSD (click on Survivors & Caregivers) by June 15th to ensure t-shirt size. PLEASE RETURN REGISTRATION BY JUNE 15 TH PRESS& DAKOTAN YANKTON DAILY • Help Build Credit • No Checking account required $ 100 to $ 3000 GENTRY FINANCE 228 Capital, Yankton, SD 57078 605-665-7955 NEED Fast Cash... NOW? CALL TODAY – We want to Make You a Loan! BY TERENCE PEDERSEN, DPM, FACFAS Avera Foot and Ankle Clinic The barrier to a perfect golf swing could lie in your big toe, your heel or on the ball of your foot. These are the three areas of your feet most likely to cause pain that can ruin your golf swing. Behind these pain-prone spots can lie stiff joints, stretched-out tissues and even nerve damage. But pain relief is possible and fre- quently does not require surgery. The three most common painful foot condi- tions that can ruin your golf swing are heel pain, arthritis and pinched nerves. • Arthritis can cause pain in the joint of your big toe that makes it difficult to follow- through on your golf swing. • Heel pain typically results from an inflam- mation of the band of tissue that extends from your heel to the ball of your foot. People with this condition compare the pain to someone jabbing a knife in their heel. Heel pain can make it uncomfortable for golfers to maintain a solid stance during crucial portions of their golf swing. • Neuromas are nerves that become thick- ened, enlarged and painful because they’ve been compressed or irritated. A neuroma in the ball of your foot can cause significant pain as your body transfers its weight from one foot to the other in a golf swing. Several other painful conditions can also cause instability during your swing. Some ath- letes and former athletes develop chronic ankle instability from previous ankle sprains that failed to heal properly. Motion-limiting arthritis and achilles tendonitis can also affect your bal- ance. Ill-fitting golf shoes may cause corns and calluses that make standing uncomfortable. For the majority of golfers and other pa- tients, I recommend simple treatments such as custom orthotic devices (shoe inserts), stretching exercises, changes to your shoes, medications, braces or steroid injections and physical therapy. However, if these conserva- tive measures fail to provide adequate relief, surgery may be required. Foot pain is not normal. With the treat- ment options available to you, a pain-free golf swing is clearly in view. When your feet aren’t in top condition, your golf swing won’t be ei- ther. Dr. Pedersen, Avera Foot and Ankle Clinic, is board certified by the American Board of Podiatric Surgery and is a Fellow of the Amer- ican College of Foot and Ankle Surgeons. PTSD: Survival Mechanism Gone Awry Visiting Hours Is Foot Pain Ruining Your Golf Swing? SCHOLASTICS

Transcript of Wednesday, 6.13.12 PRESS D PTSD: Survival Visiting Hours Is...

Page 1: Wednesday, 6.13.12 PRESS D PTSD: Survival Visiting Hours Is …tearsheets.yankton.net/june12/061312/ypd_061312_SecA_005.pdf · 2012-06-13 · nervous system tries to resume a state

YANKTON MIDDLE SCHOOLPerfect Attendance 4th Quarter 2011-12

8th Grade — Grace Adam,Austin Ament, Hope Bentley, Ash-ley Bilbery, Garner Brandt, Sa-vannah Busskohl, KourtneyChristensen*, Renee Cross,Micah Davenport, Amy Doering,Sophie Drotzmann, ChristopherEilers, Javier Flores, DonovanFoster, Laurel Friedenbach, ColinGarvey-Muth, Jeryka Goble, TylerGuthmiller, Christopher Haas, Mi-randa Headley, Thomas Hill*,Hannah Johnson, Keeley Klein-sasser, Jeffrey Kollers, Ciara Kul-havy*, Ciara LaCroix, LanaeLane, Cody List, Kevin Magana,Dustin McClean, Adriana Mc-Manus, Ben Mooney, Kaisee Mur-phy, Denver O’Donnell, AbbyOien, Andrew Peitz, Alexis Pe-tersen, Austin Pippin, Jared Raf-ferty*, Blake Savey, KierraSchaeffer, Ethan Schantz, AllenSchild, Haley Schild, Alexis Se-jnoha, Jacob Smith, BradeySorenson, Samantha Straatmeyer,Mikayla Trenhaile, HannahWilliams, Casey Zweber

7th GRADE — Jacey Ander-berg, Britney Bradwisch, Jere-miah Braxton, David Brown, IanBruder, Haleigh Diede, AJ Fernan-dez, Shanna Hill*, Alex Ketter,Chris Kinsley, Kyle Klein-schmidt*, Anna Kokesh, Alex Ko-talik, Luke Lammers*, DylanLynde, Sophie McKee, DevonMines-Alver, Travis Munyer, Lau-ryn Perk, Shaun Pinkelman*,Shelby Radack, Dylan Rausch,Abbigale Rehurek, HunterSanders*, Cameron Schindler,Cole Schlaefli, Isaac Schulz*,Samantha Simonsen, MadisonStyles*, Dilyn Tramp, Hailey Vail-lancourt

6th Grade — Brenna Becker,Eli Bos, Kayla Brown*, Josh Carr,Alex Cutler, Jaxson Erickson,Ethel Florez, Tessa Folkers, TatenGale, Josh Galvin-Hofer, JazmynGunderson, Bradley Hento, Tay-lor Kotschegarow, McKenziKruger, Cooper Kuchta, VictoriaLammers*, Nicole Langdon,Adam Lange, Haley Larson,Brooklyn Maldonado, CalvinMarsh, Madison McClure*, RyanModeregger*, Jacob Nelson,Tyler Odens, Tyler O’Donnell*,Tate O’Hara, Karley Olson*, SaraOrdaz, Aurora Papstein, CarterPeterson, Darin Pinkelman,Eleanor Rhoades, Devin Roberts,Anna Savey, Lauren Schild,Corissa Schwartz, Katrina

Thomas, Dalton Van Buren, Abi-gail Van Osdel, Lauren Vik, Ben-jamin Wold, Isiah Woods, GavinYasat

(* — Indicates student withPerfect Attendance for EntireYear)

FREEMAN ACADEMY3rd TRIMESTER HONOR

ROLLGOLD HONOR ROLL (3.60 -

4.00)Seventh GradeNoneEighth Grade*Polly Carlson*Ryan HaggertyEmma Littel-Jensen*Sarah MillerJorge SanchezBethany Wollman*Hannah YoderFreshmenOlivia BoeseEmily EppAnran “Astera” HeClara Koerner*Brooklyn RiesAustin VanDiepenSophomores*Gabriel EisenbeisMeghan HoferJuniorsBen Carlson*Lizzie Davis*Lea GraberMatthew GraberCalvin Janssen*Christopher MillerElizabeth Sanchez*Michael VanDiepen

*Chelsea WentzSeniorsMakayla EppCaleb Glader*Christina HoferNatalie Miller*Brittney Ries*Jaime Tschetter* Denotes 4.0 Grade Point Av-

erageMAROON HONOR ROLL

(3.20 - 3.59)Seventh GradeJesse BalzerDerian VoigtEighth GradeIan HoferFreshmenYunxi “Cicy” LiBrennan WaltnerSophomoresTristan AshwellJuniorsAmber DissingSelina KunziYi Zhi “Ariel” LinXiuMin SunNoah YoderSeniorsAdam UnruhDAKOTA STATE UNIVERSITY

MADISON — The followinglocal students were named to thePresident’s Academic Honors listfor the spring semester at DakotaState University (DSU) in Madi-son:

• Michael Hunhoff from Yank-ton, with highest honors

• Andrea McManus from Volin• Emily Robinson from

Yankton, with highest honors• Brian Van De Rostyne from

Yankton A total of 353 students quali-

fied for the honors list. Highesthonors were earned by 121 stu-dents who achieved a 4.0 gradepoint average; the remaining stu-dents earned a 3.5 to 3.99 aver-age to qualify for the honors list.

MINNESOTA STATE UNIVERSITYMOORHEAD

MOORHEAD, Minn. — The fol-lowing student has been namedto the Minnesota State UniversityMoorhead Dean’s List in recogni-tion of academic achievement forthe 2012 spring semester. Stu-dents must maintain a 3.25 orhigher grade point average andcarry 12 graded credits to qualifyfor the honor.

• Joseph Benda, Yankton,Computer Science

KIRKWOOD COMMUNITY COLLEGE CEDAR RAPIDS, Iowa — Kirk-

wood Community College has re-leased its Dean’s List for thespring semester. This studenthas achieved a 3.3 grade pointaverage or higher after complet-ing 12 or more credit hours withthe college.

The Kirkwood student fromthe area earning this distinctionis listed below:

• Derek Jacobson, Jefferson.

BY DR. MIKE ROSMANN

In many ways, post traumaticstress disorder (PTSD) is a nor-mal response that has gonehaywire.

The initial trigger situationmight be: the explosion of abomb alongside an Afghanistanroad; severe farm financial pres-sures, such as loan foreclosure;getting hit on a high-way by a drunk driverwhose vehicleswerved into yourlane; or any severetraumatic event.

Traumatic eventsare dangerous to ourphysical or emotionalwell-being and elicitdistress.

In 1915, Dr. WalterCannon, a HarvardUniversity physiologyprofessor, demon-strated how we dealwith threatening situa-tions by avoiding thethreat or confronting it. Hecalled this the “Flight or FightResponse.”

Later, Dr. Martin Seligman, aUniversity of Pennsylvania psy-chologist, added a third re-sponse - “Freeze.” Also calledlearned helplessness, to freeze isto become emotionally paralyzedand unable to do anything.

Stimuli that remind us of thethreatening event (e.g., loudnoises that remind the soldier ofa roadside bomb exploding, afriendly chance encounter with abank official that reinstates fore-closure fears or becoming upsetwhen you are driving down thesame highway where the drunkdriver wrecked your vehicle andinjured you) trigger alarmreactions.

Becoming alarmed is meantto protect us. But, when we over-react and become alarmed un-necessarily by non-threateningevents only because they remindus of the initial stressor, we havedeveloped PTSD.

Even bad dreams can triggerdistress.

Our physiological and psy-chological reactions to stresscomprise what is called theArousal-Depletion Cycle. Alsocalled the General AdaptationSyndrome, the phases of thecycle include:

We appraise a situation asthreatening because it can harmus in some way.

Our nervous system becomesaroused by a flood of neurotrans-mitter chemicals (chiefly adrena-line), which prepare us to takeflight from the threat, fight thethreat or to freeze.

Our muscles tense, our heartspeeds up, blood pressure in-creases and our senses sharpen,such as our pupils dilate to takein visual information. In short,we are alert and alarmed.

After the threat dissipates orbecause we appraise the situationas no longer threatening or be-cause we have taken flight, foughtthe threat or became emotionallyhelpless and froze, afterwards ournervous system tries to resume astate of normalcy.

Our adrenal gland secretescortisol. This helps us recuperateand prepare for the next threat.

It allows muscles and pupils torelax, our heart to slow down andmakes us feel tired. It encouragesthe accumulation of fat reservesfor future emergencies.

If no additional threats occur,our nervous system is able to pro-duce serotonin and norepinepher-ine. These are essentialtransmitter chemicals that give usa sense of well-being, increase our

tolerance of pain and help us torelax.

Each time another threat trig-gers our alarm, the connectionbetween the stimulus events andour reaction of flight, fight orfreeze strengthens.

Sometimes the threats arereal, such as repeated deploy-ments to war zones and furtherexposures to intermittent explo-

sive devices. We mightendure further legal ac-tions stemming frombankruptcy or wemight encounter an-other erratic driver.

But, when we can’tstop ourselves from re-acting unnecessarily totriggers that aren’t re-ally dangerous, wehave acquired alearned bad habit. Es-sentially, PTSD is habit-ual but unnecessaryrepetition of thearousal-depletioncycle.

Just like multiplestressors wear down our ability tocope physiologically and psycho-logically, repeated exposures totriggers— whether real or learnedbad habits— result in fatigue andchronic depletion of serotoninand norepinepherine. We becomeexhausted and depressed.

Even our immune system canbecome compromised in its abil-ity to ward off disease. PTSD, withits accompanying depression,contributes to an increased risk ofsuicide.

We can grow so weary of therepeated cycles that we want onlyto escape what seems like endlesstorment.

WHAT CAN WE DO WHEN WEHAVE DEVELOPED PTSD?

PTSD seldom goes away on itsown. The most effective treat-ments include relearning how tomanage ourselves, usually withthe assistance of a trained and ex-perienced professional caregiver,so we don’t incorrectly interpretevery reminder of the initialthreat as dangerous.

Anti-anxiety medications oftenare needed to gain control overour physiological reactions. Re-learning works best when we feelsafe, understood by those whoare assisting us and have othersto coach us through rough times.

Next week, I will follow up withmore information about resourcesfor farm people dealing withPTSD, including returning sol-diers, who originated from farmand rural backgrounds.

As you may know, soldierswho trace their origins to farmand rural life are disproportion-ately represented among ourmilitia.

Dr. Rosmann is a clinical psy-chologist and farmer; he livesnear Harlan, Iowa. For previouslypublished columns and his recentbook, “Excellent Joy: Fishing,Farming, Hunting and Psychol-ogy,” see the website: www.agbe-havioralhealth.com..

———SPONSORED BY LEWIS AND CLARK

BEHAVIORAL HEALTH

Wednesday, 6.13.12ON THE WEB: www.yankton.net

NEWS DEPARTMENT: [email protected] 5PRESS DAKOTANlife

Dr. Mike

ROSMANN

JUNE 29 - 30 , 2012 • RIVERSIDE PAR K SURVIVORS’ LAP • 6:00 P M

YANKTON AREA RELAY FOR LIFE

Name: ______________________________________________________________________ Gender: M / F

Address/City/State/Zip: _____________________________________________________________________

Phone: ______________________________ Email Address: ______________________________________

Date of Birth (optional): _________________

Month and Year of Diagnosis: ______________ Type of Cancer: _______________________

T-Shirt Size (circle): YM, YL, S, M, L, XL, 2XL, 3XL, 4XL * I am interested in hearing more about patient-related programs/services of the American Cancer Soc iety. Yes/No * Please contact me about volunteer opportunities with the American Cancer Society. Yes/No * Please send me information about donating to the American Cancer Society. Yes/N o

4:30-5:30 PM Survivor Registration 5:00-5:30 PM Survivor Celebration/Meal

5:45 PM Group Survivors Picture SURVIVOR REGISTRATION

This message brought to you by the

This registration form can be returned to: Avera Sacred Heart Cancer Center – Attn. Darla Gullikson

1115 W 9th St., Yankton, SD 57078 Survivor Registration forms can also be completed on the

Yankton Relay For Life website at www.relayforlife.org/yanktonSD (click on Survivors & Caregivers) by June 15t h to ensure t-shirt size.

PLEASE RETURN REGISTRATION BY JUNE 1 5 TH

P RESS & D AKOTAN Y ANKTON D AILY

• Help Build Credit • No Checking account required

$ 100 to $ 3000

G ENTRY F INANCE 228 Capital, Yankton, SD 57078

605-665-7955

NEED Fast Cash...

NOW ? CALL TODAY – We want to Make You a Loan!

BY TERENCE PEDERSEN, DPM, FACFASAvera Foot and Ankle Clinic

The barrier to a perfect golf swing could liein your big toe, your heel or on the ball of yourfoot. These are the three areas of your feetmost likely to cause pain that can ruin yourgolf swing.

Behind these pain-prone spots can lie stiffjoints, stretched-out tissues and even nervedamage. But pain relief is possible and fre-quently does not require surgery.

The three most common painful foot condi-tions that can ruin your golf swing are heelpain, arthritis and pinched nerves.

• Arthritis can cause pain in the joint ofyour big toe that makes it difficult to follow-through on your golf swing.

• Heel pain typically results from an inflam-mation of the band of tissue that extends from

your heel to the ball of your foot. People withthis condition compare the pain to someonejabbing a knife in their heel. Heel pain canmake it uncomfortable for golfers to maintaina solid stance during crucial portions of theirgolf swing.

• Neuromas are nerves that become thick-ened, enlarged and painful because they’vebeen compressed or irritated. A neuroma inthe ball of your foot can cause significant painas your body transfers its weight from onefoot to the other in a golf swing.

Several other painful conditions can alsocause instability during your swing. Some ath-letes and former athletes develop chronic ankleinstability from previous ankle sprains thatfailed to heal properly. Motion-limiting arthritisand achilles tendonitis can also affect your bal-ance. Ill-fitting golf shoes may cause corns andcalluses that make standing uncomfortable.

For the majority of golfers and other pa-tients, I recommend simple treatments suchas custom orthotic devices (shoe inserts),stretching exercises, changes to your shoes,medications, braces or steroid injections andphysical therapy. However, if these conserva-tive measures fail to provide adequate relief,surgery may be required.

Foot pain is not normal. With the treat-ment options available to you, a pain-free golfswing is clearly in view. When your feet aren’tin top condition, your golf swing won’t be ei-ther.

Dr. Pedersen, Avera Foot and Ankle Clinic,is board certified by the American Board ofPodiatric Surgery and is a Fellow of the Amer-ican College of Foot and Ankle Surgeons.

PTSD: SurvivalMechanismGone Awry

Visiting Hours

Is Foot Pain Ruining Your Golf Swing?

SCHOLAST ICS