Winnipeg Free Press

Winnipeg Free Press (Newspaper) - December 29, 2008, Winnipeg, Manitoba C m y k Page a10 a 10 Winnipeg free press monday december 29, 2008 your health Winnipeg repress. 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Ca vibe it Model shown mpg Highway   Hwy 6.2l/ 100km / 46mpg City 7.8l/ 100km / 36mpg  g5 it Model shown g3wave be Model shown Hwy 5.4l/ 100km / 52mpg City 8.0l/ 100km / 35mpg                             2.2l Doc vat eco tec 148 he engine  5 Speed manual transmission with overdrive  15 wheels  auxiliary Power outlet  incredibly fuel efficient Model Pontiac vibe voted Best new Small car Over $ 18,000 Cash Purchase Price $ 17,099 freight and pre delivery inspection included  1.8l Doc vat 132 he engine  5 Speed manual transmission  auxiliary audio input Jack  4 speaker am pm cd player  front wheel drive  Stabilit Rak Cash Purchase Price $ 10,995 freight excluded  1.6l Doc 105 he engine  5 Speed manual transmission  14 steel wheels with covers  auxiliary audio input Jack  front wheel drive  fog lamps  am pm cd player with mp3 playback live big. Drive Small. Mpg Highway   Hwy 5.7l/ 100km / 50mpg City 7.9l/ 100km / 36mpg  own it $ 99 biweekly / 60 months $ 3,375 Down payment freight and pre delivery inspection included financing rate 0 % for 60 months effective finance apr 10.49% m Odesto Calif. As a health care worker Victor Neufer knew about knee and hip replacements but not so much about artificial Ankles until he needed one. A few years ago he was Riding a bicycle on Scenic drive in Modesto Calif., when a car forced him off the Road causing him to hit a sign and land hard on the ground he said. The Driver did not Stop. It Felt like his right ankle was sprained and a year later surgery was performed to repair tendons in that ankle. Arthritis set in and to make matters worse his Job As an emergency room technician at memorial medical Center required him to stand for hours on the chronically swollen ankle. When i came Home it was All i could do to get in the House get my foot up and do something for the pain he said. It became a Choice of not doing a lot of things such As walking my dog because it Hurt. Doctors found the 49 year old Modesto resident had Bone degeneration spurs and other problems and he a snot a Good candidate for a fusion procedure commonly Given to patients after years of suffering. Another surgical option was amputation below the knee and a prosthetic leg his doctor said but Neufer wrap his mind around that. In August he was Given an artificial ankle a surgery performed on about 2,500 patients per year in the United states. Ism limping around really Well now he said this week. Long term i should be walking Fine. I will be going dancing again. Artificial Ankles have never become As popular As other joint replacements. The implants that emerged in the 1970s take the pounding of daily life and later versions often came Loose requiring another surgery to have them anchored again or removed. But the newest artificial Ankles Are designed More like the natural joint and Are supposed to be More durable. Or. Paul Braaton orthopaedic surgeon at the ort homed Center of Modesto said he was never impressed with the older implants but has done several ankle replacements with the newer versions in the last 18 months. The devices Are easier for surgeons to implant and provide More Range of motion for the patient he said. In addition the implants should be Able to take More punishment although time will Tell How Long the newer versions last. The Short term results Are Good said Braaton who replaced a Eufers ankle at memorial. Ten to 15 years Down the Road nobody knows. I think its a Good option for people who really a vent had Good options. Ankle replacements Are one of the few surgical options for people with severely damaged Ankles. Most candidates Are age 30 to 70 and have suffered for years from osteoarthritis or rheumatoid arthritis or Long term inflammation from a broken ankle and have exhausted other treatments such As physical therapy weight loss foot braces and medication. Braaton said its a Good option for people age 50 and older who Are fairly sedentary or other adults with moderate activity Levels. Mcclatchy newspapers with artificial joint dancing Back on Agenda improved prosthetic ankle offers Relief after years of swelling pain by Ken Carlson new York obesity surgery can reverse diabetes in teens just As it does in adults according to a Small study. All but one of the 11 extremely obese teens studied saw their diabetes disappear within a year after weight loss surgery the researchers reported. The 11th patient still had diabetes but needed much less insulin and stopped taking diabetes pills. Previous studies have shown the diabetes benefits of obesity surgery for adults. Or. Thomas Inge a paediatric surgeon at Cincinnati childrens Hospital medical Center and his colleagues wanted to find out if the same was True for adolescents. Although More research is needed Inge said the study opens the door to weight loss surgery As a treatment option for severely obese teens with Type 2 diabetes. The results Are in the january Issue of paediatrics and Are being released monday. About a third of u. S. Youngsters Are either overweight or obese. Increasing numbers of obese children Are being diagnosed with Type 2 diabetes the most common form of the disease and the one linked to obesity. It was Seldom seen before in children. Its marching South through the generations which is very scary said or. Larry Deeb a former president of the american diabetes association and a spokesman for the group. Teen candidates for weight loss surgery need to be carefully selected he said since the Long term consequences of the operation for children Arentt yet known. The 11 patients in the study were 14 to 21 years old and All were extremely obese ranging from 250 to 403 pounds. They were taking diabetes pills and one was on insulin. At five different medical centres they had gastric bypass surgery or stomach stapling to reduce their stomach to a Small Pouch. They were compared to 67 mostly obese teens with diabetes at Cincinnati childrens whose blood sugar was being controlled through diet or medication. After one year those who had surgery had lost Between 72 and 218 pounds although none had dropped to a Normal weight. For 10 of them their diabetes was in remission and they stopped taking diabetes Medicine. For the teens who did not have surgery they All still had diabetes after a year and there was no difference in their weight or their use of diabetes medication. Their blood sugar Levels did improve the researchers said. As for the one surgery patient whose diabetes a snot reversed the researchers said the reason a snot known but they noted his Mother and a younger sibling also had Type 2 diabetes. Three years after the surgery the teen was no longer overweight but still needed to take insulin. Another explanation could be that his diabetes was More advanced that the other teens Inge said. Adult studies have indicated that the chances of diabetes reversal Are better the sooner surgery is done after diagnosis he said. We caught the others in Early stage of disease Inge said. Did we miss the boat on this one the associated press surgery holds Hope for diabetic teenagers by Stephanie Nano adult studies have indicated the chances of diabetes reversal Are better the sooner surgery is done after diagnosis the associated press archives new types of artificial Ankles Are expected to be More durable than those used in the past. A 10_ dec 29 08. Ind a10 1 2/ 28/ 08 7 26 24 pm ;