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Show Th Thursday, February 6, 1992 Dairy Herald Estrogen can offset menopause asks if ST. JOHN, Wash. (AP) re- Estrosen NtW YORK 0 placement therapy, a treatment i1 '1 f line kaan nitnilnkl.. uas uv.cn avaiidUIC lu .,,rtmAn niui vnnin.ll for several years, has proven its value by alleviating some irksome sy inpioms oi menopause . a hormone that is vital Estrogen, ; .. .. . L 1.1 a iu wuiiiitu s iicaiui, can uwniuic to such a degree during menopause " that the deficit can dramatically in-- r crease the risk of bone deterioration (osteoporosis) or heart attack me icaamg cause or death in i women over age 50. It has even been shown to be a natural mood t into the future. Layne has encouraged an Othello high school graduate to follow through on her interest in a medical career and eventually return to her hometown to practice. An interested medical student 1 1 Layne courted from Southern California has received a Washington state scholarship that commits her to practice in Othello after graduation. Layne expects it will be nearly 1 years before the high school grad can become a physician and six years before the medical student can serve. But there are two vacancies that can't wait. Layne recently elevator. ' Yet, despite scientific evidence that estrogen supplements can help prevent osteoporosis and heart disease, many women remain wary. In fact, only about 15 percent of nearly 40 million postmenopausal American women choose to take this hormone. r. , t " ! When estrogen therapy was with uterine cancer in the the report scared droves of women who were using what was then one of the most widely prescribed drugs in the country. However, women now receive a hired an- - cuiiiuiiMiiuii ui cMiugeii aim iif Hfr hnrmnnn ncnolKf nmnArtar ; one. When combined they have shown no increased risk of uterine Cancer. Estrogen is not a carcinogenic r substance. But in recent years has also focused on wheth-e- r there is a connection between ' estrogen therapy and breast can' . J m . ' g i; . h - t . v . i "Economic development ",1 Si I 3 JL i Economic v " TV '"' f. iSiaii'iWiiiiiiniiitS '.. Vni' 1 ' ' i fV "I for lack of doctors. Residents A study completed at New York IlnivprKitv Mfvtira! Ppnter nrnvivH that estrogen does not cause breast cancer in women who have never "previously had the disease. now rely on a smaller clinic 10 miles away at lone, where a physician's assistant based at Colville - de- pends on the existence of a health care system," McLean said. Despite the obstacles, some rural communities still manage to recruit and keep doctors. ii yJJ ' WHITMAN FAMILY ME0ICIM development depends on the existence of a health care system, irumrmimnt,' ,k y, .i . SB,... One is St. John, a town of 499, where Dr. Hans Gahler retired in after 29 years. Jim the Howell Sr., a farm implement dealer who had helped recruit Gahler back in the 1950s, joined two others to lead a new search. Howell found it much more difficult in the 1980s than in the 1950s. Seven candidates who visited town each turned down offers to practice. "We had nearly given up," Howell recalled. "We had tried for two years." mid-198- r rW'lilil Bernardino, Calif., 20-be- cer. ; a San physician through a federal loan repayment program and is negotiating with a Midwestern doctor for the other position. She persists under the belief that any candidate is worth chasing. "I'm ready to do anything," said Layne, the Othello-base- d executive director of the Columbia Basin Health Association. "I've been in this business 18 years, and I've never before felt my efforts have been so fruitless." In the state's northeastern corner, a d hospital at Metaline Falls has been closed three years s, ,. rL. t 1 I linked mid-1970- larly with small children, won't move to town if health care is a long drive away, said Dr. Gordon McLean, administrator of Whitman Hospital and Medical Center at Colfax. Ev- ery day, Leah Layne there's a doctor in the house. The answer is nearly always the same for the health administrator trying to lure physicians to the Columbia Basin. Like many of her colleagues, Layne finds it difficult to attract doctors to an area where salaries are lower, equipment is older, and lifestyles are different than in urban areas. The search has taken her years NYU School of Medicine For AP Special Features - ,v 7 ii"mn mi I'tii'h i m' &i -1&Jto - - UnwrooTy-"- AP Laserphoto Dr. Kim Melior stands near his office in Colfax, Wash. He was heavily recuited by residents in rural southeastern Washington state. He now practices in clinics at St. John, Endicott and this office. fills in a half-da-y of the areas with physician shortages in the nation are in rural America, said Jeff Human, director of the federal Officeof Rural Health Policy. . Those doctors that do start up rural practices often leave after a few years because of high case loads, long hours and little vacation, Human said. "There is a big problem with each week. Two-thir- George Kubota, a Metaline Falls hardware store owner who heads the area hospital association, said recruiting has become a battle because so many rural communities are in the hunt. "Everybody wants a doctor, that's part of the problem," he said. A few communities are finding physician burnout in rural areas," he said. "The nature of rural practice is you can't get success through ambitious recruitment drives. But in most, finding physicians willing to move to rural areas has become away from it. You go down the grocery aisle and run into many acute. of your patients, Often they'll be telling you their symptoms checkout line." in the Then Dr. Kim Mellor, a Spokane native recently out of medical school, dropped by town one day in 1988. Within hours, as Steven Meltzer, the director of the Area Health Education Cen- word of the unplanned ter's Eastern Washington office visit spread through St. John, community leaders gathered enough people to pack the local gymnasium and stage an impromptu welcome luncheon. Only those at work in the fields were missing. in Spokane, attributes the shortage to the retirement of many family doctors who entered practice in the 1950s, often in rural areas. The issue is critical for rural The salary guarantee wasn't communities, where populations in recent decades have declined or not grown. Families, particu much, but Mellor was suitably impressed. CKGIHSTEHOLHSTIHQ Where: Macey's Pharmacy 880 N. State, Orem Dear Abb Landers: Our son fwho is 12 years old is maturing and 'growing in the normal way. I am referring to weight and height. I fa)ri concerned, however, about his genitals. The penis and scrotum are still the size of a toddler. His 6- : i i i i .i l vear-oi- a man ne oromer is larger .i is. "Ed's" physical education says he takes a lot of kidarid that he doesn't like to go ding class of the showers.. because to Thave taken this boy to a pedia- - day-ca- fr ! T- -1 oth laughed the matter off saidv "Don't worry, Mom, f he'll have plenty of girlfriends." I ! don t appreciate that kind of It seems to me that a ioke is of something that is made being serious. very I, am deeply concerned, Ann. is low ,This boy's ridiculed without being enough auuuv ills maiuivAAi. i uiuiiiiiuit. . I know Mow important it is to be .They ; self-estee- m Dear Ann Landers: I am an provider. I drive Monday through Friday to my employers' home and work about 10 hours every day. I depend on full employment as I am paid hourly. My employers have two young children, both in diapers, so I have my hands full. I do the dishes, clean the house and at times do the wash. 1 take the kids on outings almost every day . We providers have no medical or dental insurance and no hospitalization coverage. We have no coffee breaks, lunch hours, sick days, personal days, unemployment pay, disability pay or pension plans. We get few holidays off and we are taxed but have no retirement plan and no profit sharing. Grandma or Grandpa shows up every month on a day's notice for the kids, which means I am not needed and I lose a day's pay. If my employer decides to take a Fri I Landers fff CREATORS SYNDICATE able to have a satisfying sexual relationship. Ed is a sensitive child and I realworry that this problem may ruin his life. I don't know who to talk to about this now that two doctors have laughed about it and made me feel foolish. Can you No Name in Illinois help? ly do Dear Illinois: Although the pediatrician and the endocrinologist meant to reassure you, they could have been more supportive. It should, however, be a relief to know the child has no physical problem and is just undersized. Please be careful not to transfer your anxiety to the boy. This could be extremely damaging. Sex therapists tell us that size has very little to do with satisfaction. Also, what appears to be undersized in the flaccid state can be much larger w hen there is an erection. And remember, he is only 12 and may be a late bloomer. So cool it, Mom. A lot can happen in the next Ave day-ca- years. re re day off, I am not needed. There goes another day's pay. I have a family, Ann. I believe that if they take a day off or Grandma wants the kids," I should still get paid for that day. Am I right or wrong? 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