Handicap Accessible Trials and Tribulations

If you follow this blog, you will know  Charlie  and I have been building a new home. We designed our home to be wheelchair accessible. We did this in anticipation of my mother, who may need handicap accessibility to our home at a future date. (Believe me she does one hour of aerobics a day and is in better shape than Charlie and I)

Anyway, we did not forsee Charlie breaking his leg and needing wheelchair access. So what have we learned from actually using what was deemed to be "handicap accessible?"

If you are building or adding on a porch deck; definitely put a wheelchair ramp in. We don't use the wheelchair to get out; however the gently sloped ramp is very easy to negotiate on a walker. The ramp has been handy for moving in furniture and appliances. Our elderly guests find the ramp easier to negoiate than the stairs. The ramp is also easier to keep clean during winter ice storms than the stairs. (Our dog got caught in a steel trap and had a "to the bone" wound in his front paw. He too prefers the ramp to the steps)

Our front entry is french doors; so the wide width of wheelchairs and furniture has been no problem. However, there is about a six inch step-up, designed to keep rain from coming under the doors. The step-up is a bit of a trick to use the walker, or to ease the wheelchair up and down. In hindsight, would have made it a smaller step.

All of our interior doors are thirty six inches wide. Charlie can easily maneuver himself throughout the first floor of our home. Our cental hallway is four foot wide, with space enough that he doesn't mar my walls.

Our bathroom, which we put the most thought into accessibility before construction has had a few hiccups. We made it plenty wide enough to accomodate the wheelchair or walker. A potty chair easily fits over our existing toilet. However, the potty chair has to be moved out in order to get enough room to maneuver into our shower. Oh! for six more inches of room!

We did have the forsight to install a shower with seats. We thought it was handicapped accessible, but it is not wide enough to accomodate the walker. UH! That was a problem. There was one grab bar on the long wall, but it is low and not that great when one is hobbling on one leg. We had our contractor install a couple more grab bars; one inside the shower and one at the entry so it is a little more easy to get in and out of the shower. However, it is still tricky. I would mention that it is a real challenge to find grab bars that can be retro-fitted into a shower. Most are intended for new construction. If you are remodeling the bath, go on and spend the money to get those grab bars installed before you need them.

Have you had similiar experiences? Would love to hear from you.

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Joyce Pinson  is a Kentucky insurance agent as well as marketing director for  Charlie Pinson Insurance KY.  She looks forward to Kentucky Derby Day; when Charlie promises to be out of his wheelchair and dancing a waltz.

Kerosene Heat Precautions

Beware of the Dangers from Kerosene Heater Use

FRANKFORT, Ky. (Feb. 6, 2009) – The Kentucky Department for Public Health (DPH) is advising Kentuckians of the possible dangers from kerosene heater use as residents seek alternative heat sources to stay warm following last week’s devastating winter ice storm.

“The improper use of kerosene heaters can become deadly if homeowners do not follow manufacturer’s instructions for this alternative heat source“, said William Hacker, M.D., DPH commissioner. “It is important to take precautionary safety measures such as allowing adequate ventilation to prevent carbon monoxide poisoning and avoid fire hazards.”

Officials from DPH advise residents to follow precautionary guidelines from the National Center for Environmental Health for safe kerosene heater use:

• - Be sure to properly follow the manufacturer’s instructions carefully for your specific heater model, making sure that the wick is set at the proper level as instructed by the manufacturer and is clean.



• - Ensure your kerosene heater is only operated in a well-vented area. Leave a door open to the rest of the house or keep an outside window open to ensure an adequate flow of fresh air.



• - Kerosene heaters require 1-K grade kerosene fuel. When colored or cloudy kerosene is burned, it will give off an odor, smoke and cause increased indoor pollution levels because of the fuel’s higher sulfur content. Non-1-K grade kerosene can also gum up the wick.



• - Always store kerosene in a container intended for kerosene only, not in a gasoline can or a container that has contained gasoline. This helps to avoid using contaminated fuel or the wrong fuel by mistake. Kerosene containers are usually blue and gasoline containers are red.



• - Never refuel the heater inside the home. Fill the tank outdoors, away from combustible materials and only after the heater has been turned off and allowed to cool. Do not fill the fuel tank above the “full” mark. This area is used to allow the fuel to expand without causing leakage when the heater is operated. Never attempt to move a lighted kerosene heater. Even a carrying handle could cause burns.



• - To avoid the risk of fire, even in normal operation you should place kerosene heaters several feet away from all furniture, curtains, paper, clothes, bedding and other combustible materials.



• - Infants, small children and pets should be kept away from heaters to avoid serious burns.

Seek immediate medical attention if you suspect carbon monoxide poisoning and are experiencing symptoms of carbon monoxide poisoning. Early symptoms include headache, nausea, vomiting and fatigue. Carbon monoxide poisoning is treatable.

If you are experiencing symptoms of carbon monoxide poisoning, contact the Poison Control hotline at (800) 222-1222.

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Food Safety for Fourth of July

Don’t Let Foodborne Illness Spoil Your Independence Day

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Frankfort, KY (June 27, 2008) – The Cabinet for Health and Family Services (CHFS) wants all Kentuckians to observe a happy and safe Independence Day by following a few simple food preparation and food handling guidelines during outdoor cookouts, picnics and barbecues.

“The key to food protection is simple: Keep hot food hot, and keep cold food cold,” said Christine Atkinson, manager of the food safety branch in the Department for Public Health (DPH). “Pregnant women, infants and the elderly need to be especially mindful of food safety because they are more vulnerable to foodborne illness. However, anyone can get sick from contaminated food. We’re offering these simple guidelines for proper food preparation and storage to help our residents avoid that.” According to DPH, food left out in the sun or in hot cars too long can become a breeding ground for bacteria and may cause foodborne illness when consumed. This is particularly important to remember for holiday parties, when there is an increased likelihood for exposing multiple people to foodborne illness.

DPH investigates foodborne illness outbreaks, like the current nationwide outbreak of Salmonella Saintpaul linked to raw tomatoes. In 2006, DPH investigated three separate outbreaks of salmonella; there were two outbreaks of E. coli and two outbreaks of norovirus (both foodborne) in 2007; and in 2008, there have been three foodborne illness outbreaks.

To avoid exposure to bacteria and prevent foodborne illness, DPH recommends following these guidelines:

• Wash hands before eating or preparing food, after using the restroom, between handling raw and ready-to-eat items and after handling pets. Wash with hot soapy water and dry with paper towels.


• To sanitize surfaces, use a solution of regular household bleach and warm water. Add about 1 tablespoon of bleach to 2 gallons of water for the right concentration. Sanitize by first washing and rinsing the surface and then immerse, spray or swab with the bleach solution.


• Separate raw foods from ready-to-eat foods. Use different cutting boards or wash, rinse and sanitize after contact with raw meat, poultry and seafood. Never use the same plate to transport the cooked hamburgers that was used for the raw hamburger patties.


• Handle all cut melons carefully, including cantaloupe and watermelon. Thoroughly clean the outer surface before slicing, and keep work surface and utensils used to prepare the melon clean and sanitized. Refrigerate sliced melon promptly at 41 degrees Fahrenheit or lower.


• Be sure to wash all produce thoroughly before use.

Cook food to the proper internal temperature:

Ground beef - 160 degrees Fahrenheit for 15 seconds

Poultry and stuffed meats - 165 degrees F for 15 seconds

Pork products - 150 degrees F for 15 seconds

Reheating leftovers - 165 degrees F for 15 seconds

• Always check the internal temperature of cooked foods with a metal-stemmed thermometer and cook another 15 seconds after the thermometer indicates it has reached the proper temperature.


• Within two hours, cool and maintain leftovers at 41 degrees Fahrenheit or lower, or freeze at zero degrees or lower.

“When in doubt, throw it out,” said William Hacker, M.D., DPH commissioner. “It’s better to be safe than sorry.”

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Home Fireworks are Risky

Kentucky Advisory for Safe Fourth of July

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FRANKFORT, Ky. (June 27, 2008) Many Kentuckians enjoy the tradition of viewing fireworks as they celebrate the Independence Day holiday. To help ensure that your holiday celebration is safe, attend a community fireworks show, advises Kentucky State Fire Marshal William Swope Jr.

“Professional fireworks shows are staged by experienced companies that take all the safety precautions,” Swope said. “Plus, a pyrotechnics show is a much more exciting experience than setting off fireworks at home.”

Home fireworks carry substantial risks for little reward, Swope said. In Kentucky, only Class 1.4G (consumer) fireworks are allowed by law. This excludes firecrackers, roman candles, and any other device that explodes or shoots in the air.

Every year throughout the United States, thousands of people end up in hospital emergency rooms with injuries from fireworks. In 2007, hospitals treated nearly 10,000 such injuries. Moreover, 90 percent of the injuries were caused by legal fireworks, according to the National Fire Protection Association (NFPA).

Beyond the injury factor, home fireworks cause many fires. Independence Day sees more fires in the United States than any other day of the year, with most fires caused by fireworks, the NFPA reports. In 2005, fireworks caused an estimated 1,800 structure fires and 700 vehicle fires.

For those who choose to use home fireworks, here are some tips:

• Always read and observe label directions.


• Remember to keep water handy.


• Always have an adult present.


• Never re-light a “dud” firework.


• Don’t give fireworks, including sparklers, to small children.


• Stay away from dry vegetation.

Swope’s remarks came during a news conference promoting summer safety. The Cabinet for Health and Family Services has established a Web page offering safety tips on a variety of summer activities. The Web address is http://chfs.ky.gov/summersafety08.

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Fireworks Safety for Kids Prevent Injuries Celebrate

Fireworks Injure Thousands of Kids Each Year

Media Contact: Mary Margaret Colliver, (859) 361-1887

LEXINGTON, Ky. (June 23, 2008) - In 2006, more than 2,000 children ages 14 and under were treated in U.S. emergency rooms for injuries involving fireworks during the fireworks season, which runs from the middle of June until the middle of July. Children ages 10 to 14 have the highest rate of injury from fireworks.

“Don’t let kids play with fireworks, period,” said Sherri Hannan, Safe Kids Fayette County coordinator. “They’re intended for use by adults in open spaces, with plenty of active supervision for every child present.”

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Fireworks, including sparklers and flares, can cause serious burns as well as blast injuries that can permanently impair vision and hearing. “Teach your children what to do if their clothing catches on fire — ‘stop, drop and roll’ — and how to call 911 in an emergency,” said Hannan.

Many pyrotechnic devices are illegal in Fayette County as well as other areas of Kentucky. Where permitted by law, fireworks should be handled and used in strict accordance with the manufacturer’s instructions and all warning labels. In addition, Safe Kids Fayette County recommends these precautions for adults using fireworks:
Light fireworks only on smooth, flat surfaces, and aim them away from buildings, dry leaves, flammable materials and spectators.

• Do not try to relight fireworks that malfunction.


• Do not carry fireworks in your pocket or hold them close to your face.


• Visit www.recalls.gov  to make sure the pyrotechnic devices you are using are not subject to any safety recalls.


• Do not modify fireworks or use homemade fireworks.Keep a phone handy, and know first aid for burns.


• Also, keep a fire
  extinguisher handy and know how to use it.


• Finally, as in any activity involving hazardous equipment, keep all children under active supervision — in sight and in reach at all times, with your undivided attention focused on them — when they’re near fireworks.

“The safest way to enjoy fireworks is to watch them at a community event where professionals handle them,” said Hannan.

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Safe Kids Fayette County works to prevent accidental childhood injury, the leading killer of children 14 and under. Its members include health professionals and representatives from police, fire, schools and the community. Safe Kids Fayette County is a member of Safe Kids Worldwide, a global network of organizations dedicated to preventing accidental injury. Safe Kids Fayette County was founded in 1993 and is led by UK HealthCare's Kentucky Children's Hospital.

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Preventing Dog Bites and Homeowners Claims

Tips for Dog Bite Prevention

I love dogs. Little dogs, big dogs, old dogs, and puppy dogs....mutt dogs and pedigree dogs it just doesn't matter. My personal belief is a house is not a house without a cat roaming around....and a yard is not a yard without a dog romping through it.

A few weeks back, a stray dog showed up on our porch. He is what we call a "Heinz 57" breed, kind of a mix between a collie and a German Shepard. We tried to run him off, as we live near a highway...and dogs don't do so well on the pavement. However, this dog just would not leave. I couldn't stand seeing him hungry, so I guess he is mine.

He's putting on some weight, his coat is shinier, and he is in much better shape than he was a few weeks back. I've got a collar on him, and there will be the compulsory trip to the vet for shots and vaccines.

In the interim, I saw an article in one of the insurance trade journals that said fully one third of homeowners claims was for dog bites. This cannot be good. Remember the old joke?

Does your dog bite?

No.

Off camera, the dog bites.

I thought you said your dog didn't bite!

That's not MY dog!

Here is a PDF about preventing dog bites that you might find useful. It is a collaberative effort between the American Veternary Medical Association and the American Academy of Pediatrics. There is great information about kids and dogs, and addresses plans of action.

Dog Bite Prevention

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Kids and Lawn Mower Safety June is National Safety Month

More than Sun Block Required to Protect Kids While Mowing Lawns

National Medical Societies’ Safety Tips Prevent Lawn Mower Injuries

June is National Safety Month

Chicago – Protecting children during summer activities conjures up thoughts of bike helmets, knee pads, and sun block. However, during the summer months, mowing the lawn can be as routine for some children as riding a bike and can be dangerous if proper safety precautions are not taken. In fact, nearly 210,000 people – approximately 16,200 of them children under age 19 – were treated in doctors’ offices, clinics and emergency rooms for lawn mower-related injuries in 2007, the U.S. Consumer Product Safety Commission reports.

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To help prevent injuries, the American Society for Reconstructive Microsurgery (ASRM), the American Academy of Orthopaedic Surgeons (AAOS), the American Society of Plastic Surgeons (ASPS) and the American Academy of Pediatrics (AAP) have teamed up to educate parents, adults and children about the importance of lawn mower safety during National Safety Month, June 2008.

“Parents need to understand that lawnmowers can cause terrible devastating injuries to children's hands, feet or faces, which can impact the rest of their lives,” said ASRM President Neil Jones, MD. “The tragedy is that most of these injuries are totally preventable by following some simple precautions.”

The ASRM, AAOS, ASPS and AAP offer the following tips to help prevent lawn mower-related injuries:

• Children should be at least 12 years old before they operate any lawn mower, and at least 16 years old for a ride-on mower.



• Children should never be passengers on ride-on mowers.




• Always wear sturdy shoes while mowing – not sandals.




• Young children should be at a safe distance from the area you are mowing.




• Before mowing, pick up stones, toys and debris from the lawn to prevent injuries from flying objects.




• Always wear eye and hearing protection.




• Use a mower with a control that stops it from moving forward if the handle is released.




• Never pull backward or mow in reverse unless absolutely necessary – carefully look for others behind you when you do.




• Start and refuel mowers outdoors – not in a garage. Refuel with the motor turned off and cool.




• Blade settings should be set by an adult only.




• Wait for blades to stop completely before removing the grass catcher, unclogging the discharge chute, or crossing gravel roads.

“Serious orthopaedic trauma can be sustained while operating a lawn mower,” said AAOS President Tony Rankin, MD. “However, by following a few simple safety tips, devastating injuries may be prevented.”

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Many lawn mower-related injuries require a team of physicians from various specialties to properly repair them. Often, patients must endure painful reconstructive operations to restore form and function.

“Many children who sustain lawn mower injuries must undergo reconstructive surgery for months, sometimes years, after the initial accident,” said ASPS President Richard D’Amico, MD. “The look on parents’ faces can be truly heart wrenching. We are the physicians called to treat these devastating injuries, but would do anything to prevent them in the first place.”

“Parents want to protect their children from accidents and injuries. But every summer we see children and teens using lawnmowers in an unsafe manner,” said AAP President Renee Jenkins, MD. “It is our job as pediatricians to help get information to parents about how to prevent injuries that are common during summer months, and that includes injuries from lawnmowers.”

The American Society for Reconstructive Microsurgery is a not-for-profit organization consisting primarily of orthopaedic and plastic surgeons that perform microsurgery and other complex reconstructions. With more than 500 members, the ASRM mission is to promote, encourage and advance the art and science of microsurgical and other complex reconstructions. The ASRM serves as a forum for teaching, research and free discussion of microsurgical methods and principles. For more information, please visit www.microsurg.org.

With more than 30,000 members, the American Academy of Orthopaedic Surgeons (www.aaos.org) is the premier not-for-profit organization that provides education programs for orthopaedic surgeons and allied health professionals, champions the interests of patients and advances the highest quality musculoskeletal health. Orthopaedic surgeons and the Academy are the authoritative sources of information for patients and the general public on musculoskeletal conditions, treatments and related issues. An advocate for improved patient care, the Academy is participating in the Bone and Joint Decade (www.usbjd.org) – the global initiative in the years 2002-2011 – to raise awareness of musculoskeletal health, stimulate research and improve people’s quality of life.

The American Society of Plastic Surgeons is the largest organization of board-certified plastic surgeons in the world. Representing more than 6,700 physician members, the Society is recognized as a leading authority and information source on cosmetic and reconstructive plastic surgery. ASPS comprises more than 90 percent of all board-certified plastic surgeons in the United States. Founded in 1931, the Society represents physicians certified by The American Board of Plastic Surgery or The Royal College of Physicians and Surgeons of Canada. For more information, please visit www.plasticsurgery.org.

The American Academy of Pediatrics is an organization of 60,000 primary care pediatricians, pediatric medical subspecialists and pediatric surgical specialists dedicated to the health, safety and well being of infants, children, adolescents and young adults. (www.aap.org)

Summer Food, Swimming and Kentucky Health

Public Health Issues Safety Guidelines for Food Handling, Swimming

The Kentucky Department for Public Health (DPH) wants to remind outdoor dining and swimming enthusiasts of some tips to stay safe during family get-togethers and swimming outings planned for the season.

“The onset of summer is reason to celebrate for many people, especially those who enjoy outdoor parties and water sports,” said William Hacker, M.D., acting undersecretary for health and DPH commissioner. “They certainly are wonderful activities, and we want all Kentuckians to enjoy them. Still, we have to be mindful of public health and safety.”

DPH has compiled a list of basic safety tips to follow to avoid illnesses linked to improperly stored/prepared food or swimming in contaminated waters.

For grilling:

• Wash your hands before and after handling food. Be sure all utensils and plates are clean before preparing or serving food.



• Use the refrigerator for slow, safe thawing or thaw under cool running water. You may use the microwave for thawing, but grill immediately.



• Marinate in the refrigerator, not on the counter.



• Always use a meat thermometer to check internal meat temperatures. Color is not a reliable indicator of doneness. Cook food to the proper internal temperature:


─ Ground beef, 155 degrees Fahrenheit for 15 seconds
─ Poultry and stuffed meats, 165 degrees F for 15 seconds
─ Pork products, 150 degrees F for 15 seconds
─ Other products, 140 degrees F for 15 seconds
─ Reheating leftovers, 165 degrees F for 15 seconds

DPH also recommends keeping meat and poultry refrigerated until ready to use. After cooking meat and poultry on the grill, keep it at 140 degrees F or warmer. In weather warmer than 90 degrees F, food should never sit out for more than two hours. Refrigerate any leftovers promptly in shallow containers to ensure they’re cooled quicker and more thoroughly.

Kentucky Swimming Health Concerns

In addition, DPH also stressed the importance of healthy swimming behaviors in preventing recreational water illnesses (RWIs). According to the Centers for Disease Control and Prevention (CDC), state and local health departments across the country investigated more RWI outbreaks in 2007 than ever before, many linked to Cryptosporidium (“Crypto”), a chlorine-resistant parasite.

Awareness of RWIs and healthy swimming behaviors play an important role in stopping transmission of the illnesses. Germs on and in swimmers’ bodies end up in the water and can make other people sick. Even healthy swimmers can get sick from RWIs, but young people, the elderly, pregnant women and immunosuppressed people are especially at risk. Specific actions you can take to promote healthy swimming include:

• Do not swim when you have diarrhea.


• Do not swallow pool water or get pool water in your mouth.


• Shower before swimming (children too).


• Wash your hands after using the toilet or changing diapers.


• Take children on bathroom breaks or change diapers often.


• Change children’s diapers in a bathroom, not at poolside.

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Joyce Pinson,Kentucky Health Insurance agent,  is an avid griller and loves to grill fresh Kentucky produce.

Pool and Spa Safety Tips Protecting Your Kids

Safe Kids Issues Pool and Spa Safety Reminder

Media Contact: Mary Margaret Colliver, (859) 361-1887

LEXINGTON, Ky. (May 22, 2008) –Safe Kids Fayette County, led by UK HealthCare's Kentucky Children's Hospital, is reminding families about the serious risk of child drownings in pools and spas.

With pool season unofficially opening during Memorial Day weekend, the Neighborhood Safety Network (NSN), a project of the U.S. Consumer Product Safety Commission (CPSC), reports there has been an increase in drownings.

The report indicates the national average number of drowning deaths involving children younger than 5 in pools and spas has increased from a yearly average of 267 (for 2002-2004) to 283 (for 2003-2005), with most of the incidents involving 1 to 2 year olds.

"Drowning occurs more commonly when children get access to the pool during a short lapse in adult supervision" said Sherri Hannan, coordinator of Safe Kids Fayette County. "To reduce the risk of drowning, pool owners should adopt several layers of protection, including physical barriers, such as a fence completely surrounding the pool with self-closing, self-latching gates to prevent unsupervised access by young children. If the house forms a side of the barrier, use alarms on doors leading to the pool area and/or a power safety cover over the pool."

Hannan says parents should use these tips to help prevent drowning deaths:

• Since every second counts, always look for a missing child in the pool first. Precious time is often wasted looking for missing children anywhere but in the pool.


• Don't leave toys and floats in the pool that can attract young children and cause them to fall into the water when they reach for the items.


• Inspect pools and spas for missing or broken drain covers.


• Do not allow children in a pool or spa with missing/broken covers. Inserting an arm or leg into the opening can result in powerful suction and total body submersion/drowning.


• For above-ground and inflatable pools with ladders, remove or secure the ladder when the pool is not in use.


• It is important to always be prepared for an emergency by having rescue equipment and a phone near the pool. Parents should learn CPR.

New CPSC data also shows that between 1999 and 2007 there were 74 reported incidents involving entrapment, resulting in nine deaths and 63 injuries. Six of the deaths occurred in pools and three occurred in spas and all of the deaths except for one involved children 14 or younger. These entrapment incidents involve being trapped by the force of suction at the drain and can occur because of a broken or missing outlet cover.

Parents, caregivers, and pool owners are encouraged to make safety a top priority at the pool and spa. The new “Partners in Drowning Prevention” PDF poster is available.

Safe Kids Fayette County works to prevent accidental childhood injury, the leading killer of children 14 and under. Its members include health professionals, school, police and fire officials, and community leaders. Safe Kids Lexington is a member of Safe Kids Worldwide, a global network of organizations dedicated to preventing accidental injury. Safe Kids Lexington was founded in 1993 and is led by UK HealthCare's Kentucky Children's Hospital. For more information, contact Safe Kids Lexington at (859) 323-1153.

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Charlie and I first became acquainted with the Safe Kids program through our work with local Kentucky Kiwanis Clubs. Our Kentucky insurance agency personal lines manager, 
Mark Frantom  is in-line to be president of our local Kiwanis club.