CNA-08-11-2015

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MCDERMOTT COLUMN

BRIGHT FUTURE

Creston Schools Superintendent Steve McDermott explains the latest in the Creston-Prescott school transition, including an auction that happened recently in Prescott. Read more from this column in today’s paper on OPINION, page 4A. >>

Creston baseball says goodbye to senior standout Conner Pals at team banquet Monday evening. Coaches believe future is bright for program. More from the banquet in SPORTS, page 7A. >>

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LASTING A LIFETIME ■ Creston

man diagnosed with Lyme disease. More than 100 cases have been reported in Iowa this year already. By BAILEY POOLMAN

CNA staff reporter bpoolman@crestonnews.com

What people may not know is sometimes Lyme disease is incurable. This bacterial disease, the result of a bite from an infected tick, may be difficult to diagnose, may never go away and even can lead to serious health problems later in life. This is what Brad Dukes has to deal with for the rest of his life. Dukes, 42, grew up in Lenox and now lives in Creston with his wife Maria and their two sons Max and Grayson. He never gave L y m e disease a second Dukes thought as a child or adult, until one day in 2014.

Diagnosis “It was September, last year. We were at a family reunion, and the upper left side of my lip started to swell up. I thought it was a cold sore, didn’t think anything about it,” Dukes said. “Went to work, and it progressively got worse. I walk reading meters (for Creston Waterworks), so I walk 12 miles a day, and about halfway through the day I was getting sick.” Dukes had a fever and, several days later, went to his family doctor, Dr. Lonny Miller at Greater Regional Medical Center. He was given antibiotics, but the symptoms didn’t go away. The next day, Dukes, whose symptoms included joint pain and searing headaches as well as the fever, returned to the hospital, where Miller d e c i d e d Miller to do a spinal tap. Dukes was admitted to the emergency room because he was so dehydrated the tap wasn’t feasible, and after he was hydrated with saline and the tap was performed, the diagnosis came back. Dukes was diagnosed with viral meningitis, a viral infection that causes inflammation of the mem-

By IAN RICHARDSON

CNA staff reporter irichardson@crestonnews.com Iowa Department of Public Health photo

Lyme disease is an infectious disease caused by a bacteria. The bacteria is passed to humans from ticks, specifically deer ticks, and is the most common tick-borne illness in the United States.

brane protecting the brain and spinal cord. The second time Dukes had meningitis, he was given antibiotics but nothing worked. “Nothing was making my head better. I was not getting better with all the medicine, so they continued to do blood tests,” Dukes said. “They ran a test for Lyme disease, and it came back positive.” According to Dukes, most family doctors disregard Lyme disease, but his doctor, Miller, tested and has “done everything the way you should.” Lyme disease Dukes and his family live in the country, and he believes the Lyme disease was brought on by a bite from an adult dog tick in summer 2014. “I sharpened the blades on the lawn mower and put the deck back on, and noticed I had a bulge. I had a hernia, and as I was there, I saw I had a tick. It hadn’t been there very long,” Dukes said. “I pulled that tick off, and when I went in for the check-up to see if it was a hernia, I showed them (the tick site). It was swelled up and itched. It was horrible, and it stayed that way for two weeks.” A common symptom of Lyme disease is a bull’s eye around the bite site, but Dukes didn’t have it. The bite occurred approximately two months before his symptoms appeared. Lyme disease varies in every person. Some people get joint pain, some people don’t. Some people can resolve the disease within weeks, while others, like Dukes, suffer the bacteria for the rest of their lives. The disease is most commonly passed to humans in the Midwest after a nymphal deer, or black-legged, tick feeds on a rodent carrying Lyme. Usually, the small ticks must be attached to a human host for at least 24 hours to pass on

What is Lyme disease and how do you prevent it? Lyme disease is an infectious disease caused by a bacteria. The bacteria is passed to humans from ticks, specifically deer ticks, and is the most common tick-borne illness in the United States. Ticks generally need to be attached to a host for more than 24 hours to pass the disease on. Statistics include: • There were 247 cases of Lyme disease reported to Iowa Department of Public Health in 2013. • That number is a 110.5 percent increase from the average of the years 2010, 2011 and 2012. • That number is also the highest number of cases recorded since 2002. • The average age of a patient is 39. • There were 111 reported cases of Lyme disease in Iowa in so far this year. Symptoms of Lyme disease vary from patient to patient, but generally include: • Rash • Fever • Headache • Tiredness If left untreated, Lyme disease patients may gain symptoms such as:

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• Loss of facial mobility • Joint pain • Severe headaches with neck stiffness • Heart palpitations To prevent Lyme disease: • Be on alert between April and June, when pre-adult ticks, or nymphs, are most likely to spread the disease. • Ticks keep to tall grasses, forested areas and humid environments, so if spending time in those areas, wear long-sleeved shirts, tuck pants into high socks or boots and stay on paths. • Use insect repellents containing DEET, which is an oil that protects against insects. • Check for ticks and shower immediately after being out in areas where ticks are common. • Keep an eye on pets, even if they have been treated with tick preventatives. Keep pets out of tall grasses, and check the animals for ticks before letting them in the house. • Keep the yard clean to keep tick populations low. Ticks don’t like sunshine, and pruning trees, removing leaf litter and keeping woodpiles off the ground will keep them from getting close.

the bacteria. Ticks are also known to pass on other diseases, such as meningitis. “We were all scared. Not a lot’s known about it (Lyme disease), but we were very impressed with the family doc,” Dukes said. “I had lots of questions about Lyme disease, obviously. I didn’t really concern myself with the

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meningitis because I’d had that before. I know it can be treated. But, the Lyme disease is with you forever.” Living with Lyme Since his 2014 diagnosis, Dukes has had several flare-ups of symptoms, and Please see LYME DISEASE, Page 2

BEDFORD — It was the first week in July when Iowa Gov. Terry Branstad vetoed $55.7 million in one-time education funding, leaving schools with a 1.25 percent increase in state aid after a prolonged spring legislative session. While many ad- Branstad ministrators said they had hoped for a 4 percent increase to come their way to cover rising expenses, they are now making those dollars work as the first week of school approaches. But to do that, some local schools have had to tighten spending on staffing and other costs. Joe Drake, superintendent of Mount Ayr and Bedford schools, said while the Mount Ayr district grew 17 students, t h e school didn’t receive enough state aid to hire Drake additional teachers. Since Bedford decreased in enrollment by about 5 students, he said some positions that were open at the end of the year — like a bus driver, two paraeducators and two teachers — were not refilled. “1.25 does hurt because our expenses are going up faster than that,” Drake said. “If Bedford would have gotten 4 percent, we wouldn’t have had to not rehire for some of the people who left.” However, Drake said instruction should not be affected and credited his fellow administrators for making ends meet. “Our principals have done a good job of filling in and covering the gaps for those people we didn’t

replace,” he said. One-time funding The vetoed one-time funds, Drake said, would have been in the mid$70,000 range for Mount Ayr, a school of 670 students, and in the mid$50,000 range for Bedford, a school of 485. He said there were no plans on how to use those funds prior to the veto. Diagonal superintendent Karleen Stephens said the one-time funds for Diagonal, a school of about 100 students, would h a v e b e e n a p p r o x - Stephens imately $100 a student. Without those funds, the school is cutting back the number of days it will offer art and music and delaying orders of some textbooks, library books, software and classroom supplies. Branstad defended his decision to veto the onetime funding earlier this month, saying it was not good budgeting practice, according to the Associated Press. He said simply giving increases to schools without strategic investments will not yield the best results. Small-school challenges Overall, Drake said having fewer funds hits smaller schools harder because they don’t have as many areas to cut that aren’t tied to accreditation standards. “You get to the point where you’ve cut all that you can cut,” he said. Stephens agreed, saying the current funding system seems to benefit larger schools more than smaller ones. She also said the percentage increase isn’t what it was when she began as an administrator. “What is very perplexing to me is when I first became a superintendent, you could almost always count on 3 to 4 percent, and sometimes you could even get a 6,” she said. Please see FUNDING, Page 2A

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