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MORNING STAR ✳ JUNE 14 - 20, 2007

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Many things have changed over the past 35 years By Dr. Anthony Policastro

May 30th was the 35th anniversary of my graduation from medical school. June 23rd will be the 35th anniversary of starting my life as a pediatrician. A lot of things have changed over the last 35 years. The most interesting change has been in the area of infectious diseases. During my first year as a pediatric resident, there were relatively few antibiotics that we could use. Amoxicillin had just been invented. It soon became the primary antibiotic. Very few bacteria were resistant to it. Over the years we have developed a lot more antibiotics. We have used them a lot. The result has been that now there are bacteria that are resistant to many antibiotics. In the past we didn’t have many in existence to use. Now we often don’t have many that are effective because of resistance. The only immunizations we had when I graduated were DPT (diphtheria-pertussis-tetanus), polio, smallpox and MMR (measles, mumps and rubella).

We had just started using the MMR a few years earlier. I have seen many cases of measles. Most of our younger physicians have not. We have made natural smallpox extinct. We do not even use the vaccine any more. We have many more vaccines to use now. Some of them prevent the primary causes of meningitis. There was a time when I could depend on seeing several cases of meningitis a year. Now I have not seen a patient with meningitis in a number of years. Vaccines help prevent pneumonia. They help prevent a serious throat infection called epiglottitis. Newborn infections are serious and used to be relatively common. Now we check mothers for the most common cause of newborn infections at 35 weeks of pregnancy. If they are positive, we give then antibiotics during labor. The result has been a significant decrease in newborn infections. Another thing that has been beneficial is the length that antibiotics last. Old antibiotics like penicillin are metabolized

very quickly by the body. They need to be given every 3 to 4 hours. Many of the newer antibiotics are metabolized more slowly. They can be given once a day. In the past we would have to put patients in the hospital. They would need an IV to get their antibiotics frequently. Now we can give one dose of a long acting antibiotic. We can then see the child in 24 hours. It allows us to put less children into the hospital. Parents tend to take a lot of these things for granted. However, we did not always have it as good as we do now. We have come a long way in treating infectious diseases in 35 years.

PHYSICAL THERAPY Southern Delaware Sports Care & Rehab Providing EXCELLENT OUTCOMES with a PERSONAL TOUCH

Mark Antos, M.D. Will Be Closing His Practice Effective July 1, 2007

Manual Therapy & Exercise Programs • Fibromyalgia & Arthritis • Auto and Work Injuries • Spinal Injury • Orthopedic Sports Injuries Park Professional Center, Suite 203 1320 Middleford Rd. 302-629-5700

HOME CARE

Patients must call 302-731-4477 to obtain copies of their medical records effective July 1, 2007.

“The best care, by the best people, in the best place … HOME” Compassionate, Medicare-certified care in the comfort of your home • Skilled nursing services • Physical & occupational therapy • Medical social worker services • Home health aide services

Dr. Eduardo L. Jiloca Announces His Retirement From Medical Practice Effective August 31, 2007. His practice will be assumed by Jona Gorra, M.D. with the help of another physician. Dr. Gorra will see patients at the office of Dr. Jiloca at 105-A Front St. in Seaford and at her present office in Georgetown. Dr. Gorra has been in practice in Georgetown, Delaware for eight years. She is board certified and a diplomate in Internal Medicine. Office Telephones will remain the same.

NMH offers Stroke Support group Nanticoke Memorial Hospital is starting a Stroke Support Group. The support group is designed for individuals who have survived a stroke as well as their families and caregivers. Modeled from the American Stroke Association, the hospital is engaging with speakers to provide education, community resources and emotional support to those who have been affected by this life-altering event. The first meeting will be held on June 29th at Nanticoke Cancer Care Center, from 1:30 - 3:30 p.m. Monthly meetings will be held the third Thursday of each month. The two-hour support group meetings will consist of guest speakers and breakaway sessions, in which caregivers and stroke survivors will meet in two groups to discuss concerns, provide support and networking. Pre-registration is not required for this free support group. For more information, call the hospital at 6296611, extension 5121.

SENIOR CITIZENS Seaford Center Genesis ElderCare® Network • Retirement • Assisted Living • Skilled Nursing Care 1100 Norman Eskridge Highway, Seaford, DE 19973 302-629-3575 • Fax 302-629-0561

OBSTETRICS/GYNECOLOGY Women’s Medical Center, PA Welcomes

DR. ABHA GUPTA NOW ACCEPTING NEW PATIENTS

302-629-4914

Adolescent Gynecology High Risk Pregnancy Laproscopy Surgery • Hysterscopy

800-990-3909 toll free 302-629-6542 fax

302-629-5409 • Fax 302-629-8072

PEDIATRICS RAINBOW PEDIATRICS Dr. Pankaj Sanwal & Dr. Vibha Sanwal All major medical insurances, including Medicaid, welcome. Eve., Weekend Apts. Available. Call: 21141 Sterling Ave. 16391 Savannah Rd. Unit 1 Lewes, DE Georgetown, DE 856-6967 856-6967 Fax 645-6457 Fax 855-0744

1301 Middleford Rd., Seaford, DE

URGENT CARE ORTHOPAEDICS H. PAUL AGUILLON, MD

Sussex Medical Center

GENERAL & FAMILY PRACTICE INTERNAL MEDICINE • WALK-INS

X-Ray and Lab on Premises Minor Emergencies • Lacerations Office Gynecology - Pap Smears Executive, Sports & Insurance Physicals Orthopedics • Minor Surgery Cardiology • Stress Testing

Se habla español 401 Concord Road, Blades, DE 19973

629-6664 Let People Know You’re Available For Them -- Call 302-629-9788

June 14, 2007  

ALUMNI OF ALL AGES - LHS class of 1957 celebrates 50-year reunion, page 18. And DHS holds commencement ceremony for brand new grads. Page 20...