Illinois Public Media News
Two Carle Clinic psychiatrists are now seeing patients at Provena Covenant Medical Center, in a collaboration that the two health care providers say marks an expansion of adult psychiatric services in Champaign-Urbana.
Carle Clinic spokesman Sean Williams says Drs. Timothy Roberts and James Whisenand are moving to Provena Covenant from the Pavilion psychiatric hospital in Champaign.
"Provena did have psychiatric services", explains Williams. "They only had one full-time doctor, Dr. (Feiteng) Su, who oversaw the care plans for patients. So, adding Drs. Roberts and Whisenand to the Provena staff will help them be able to expand supervision of care of patients."
Provena Covenant Vice-President Bob Sarkar says there are certain advantages to receiving psychiatric treatment in a full-service hospital.
"We have a comprehensive program with ready access to clinical support services", says Sarkar, "like dietitians, physical therapists, etc. So, when a patient needs to be admitted to any acute care setting --- if there is a complication --- we do not have to transfer the patients across town, but transfer the patient to another floor."
Williams says the Pavilion can afford to lose Roberts and Whisenand, because it now has its own in-house psychiatrist, who works alongside four other Carle Clinic psychiatrists.
Now that they're at Provena Covenant, Doctors Roberts and Whisenhand will continue to accept all insurance plans currently accepted by Carle Clinic. And they can also be covered by Medicaid, which was not possible at the Pavilion.
A case of bacterial meningitis may have arisen in northern Vermilion County.
The Vermilion County Health Department says a toddler was taken to Hoopeston Community Memorial Hospital yesterday with symptoms of the sometimes-fatal brain infection - he was airlifted several hours late to Urbana's Carle Hospital. Health administrator Steve Laker won't release the toddler's name or condition.
Bacterial meningitis can be very contagious, spread by contact with nose or throat secretions. And Laker says this particular strain of meningitis bacteria is highly difficult to trace back to a source.
People can be colonized with that; just be carriers of it and don't know they are carriers," said Laker. "What happens is that you get a susceptible individual around somebody who's carrying the organism and there's a transmission, and you have individuals who don't even know they're colonized with it."
Laker says several people in the toddler's family and at a day care facility have been given oral medications to help prevent another meningitis case.
More than 400 cases of suspected H1N1 flu have been reported on the University of Illinois' campus in Urbana-Champaign so far this semester and more are expected.
Dr. Robert Palinkas of the McKinley Health Center says most of the cases have been relatively mild.
University officials have been asking students with suspected cases of the illness to go home until they're no longer contagious or isolate themselves in their residences. Palinkas says most families of undergraduate students have been heeding that advice, as have many students living independently. "We do trust them to comply, and generally we get pretty good cooperation from an individual when they understand the public health aspect of this," Palinkas said.
Palinkas says students and others who suspect they have the flu should come to the university's health center. He also says they're standing by for word on an H1N1 flu vaccine, which he hopes to make available to students and others in October or November.
(help from The Associated Press)
Health officials say a 50-something person in southwestern Illinois is the state's first human case of West Nile virus for 2009.
The Illinois Department of Public Health says the St. Clair County Health Department reported the case recently. Last year, there were 20 human cases of the mosquito-borne virus statewide, with one death.
Public Health Director Damon Arnold says cooler temperatures this summer have blunted the frequency of the virus, but he says Illinois' first human case should remind residents that the threat remains.
So far this year, two dozen Illinois counties have reported mosquito batches or birds testing positive for the virus.
Only about 20 percent of people bitten by an infected mosquito will get sick. The illness is usually mild but can be serious or fatal.
Health officials in Champaign County saw only a handful of H1N1 or swine flu cases over the summer. But now that students are back at the University of Illinois Urbana campus, they're bringing a steady flow of suspected flu cases with them.
Dr. Robert Palinkas, director of the McKinley Health Center on campus, says suspected H1N1 cases have been coming in at the rate of 5 or 6 a day. He says most of the students are sent home to their parents, where they can be relatively isolated until they are no longer contagious. But for those who can't go home --- or who already live in the area --- Palinkas says they've been finding ways to keep infected students away from other people as much as possible.
"Sometimes, it means having a roommate change a room", says Palinkas. "Sometimes, it means a housing entity --- not necessarily University Housing --- find temporary accomodations for five to seven days. So far, each of those arrangements has been, really, pretty successful."
There is no definitive diagnosis of H1N1 flu virus in most of these cases, because state officials are limiting how many cases they test. McKinley Health Center doctors are basing their diagnosis on a rapid flu test plus their own clinical judgment.
Palinkas says he expects suspected H1N1 flu cases to continue among U of I students --- and even increase, as the virus spreads throughout the campus. He says common-sense prevention methods can limit the flu's increase. Those methods include frequent handwashing, covering coughs with a sleeve, and not sharing materials from one mouth to another.
The water utility for the city of Danville takes issue with an advocacy group's report that consumers may be subject to higher-than-allowable traces of a farm chemical.
The report from the Natural Resources Defense Council cited government figures suggesting Danville's water supply had exceeded standards for the herbicide atrazine.
But Kevin Culver, a compliance officer with Aqua Illinois, says the NRDC's numbers are from 2004, and since then, recent EPA tests found no detectable levels of atrazine. However, Culver says atrazine is a concern since Danville's drinking water source, Lake Vermilion, includes lots of farm runoff. He says the utility filters out the chemical with a simple process.
"It's actually the same component in your home water systems that they say to use, and one of the recommendations is activated carbon to remove it at home," Culver said. So it's the same type stuff, although we use a lot more of it during the growing season."
Chemicals like atrazine have been linked to birth defects and hormone disruptions in animals, though the federal Centers for Disease Control has not found the same effects on humans.
Illinois' top education and health officials have issued a "Dear Parent'' letter recommending seasonal flu vaccinations for all school children in the state. The letter also urges parents to get their kids vaccinated against the H1N1 flu virus when that vaccine becomes available this fall.
It's aimed at parents of children in the state's nearly 4,000 public K-through-12 schools, plus private schools. The letter is posted online in English and Spanish, signed by state Education Superintendent Christopher Koch and Department of Public Health Director Dr. Damon Arnold. They're urging schools to include it in back-to-school materials for parents.
The letter urges parents to talk to their doctors or local health department about where to obtain flu shots or nasal spray vaccines, although many schools eventually will offer them.
An architectural and engineering firm will pay Champaign County over a million dollars to settle a lawsuit over problems that delayed the opening of the county nursing home. The Champaign County Board approved the settlement Thursday night.
In exchange for the county dropping its lawsuit, the Farnsworth Group will pay $1,225,000 --- including $800,000 to cover the cost of adding booster fans to an underpowered heating-ventilation and air conditioning system at the new nursing home building. The settlement also covers the operating costs for the booster fans, and expenses created by the 1-year delay in opening the nursing home. The Farnsworth Group does not admit any mistakes, and several items it's paying for are listed as "alleged" in the settlement. But the payment satisfies County Board Finance Committee Chairman Brendan McGinty.
"We made back what we considered to be owed to us," says McGinty. "It replenishes our General Corporate Fund at this point, which is dangerously low, as it has been all year. And we get to move on from this particular matter."
The next matter is Champaign County's complaint against general contractor Otto Baum Company, over the use of lumber in the nursing home's construction that was later found to be moldy, requiring expensive cleaning. That case is scheduled to go into binding arbitration next month.
A Champaign County Board vote tomorrow (Thursday) may bring to a partial end to the legal haggling over workmanship at the county nursing home.
The county has been at odds with general contractor Otto Baum and the Farnsworth Group, an architectural firm. But an item added to the county board's agenda today (Wednesday) includes an unspecified settlement with Farnsworth. Board chairman Pius Weibel says if it's approved, the settlement would end the county's legal dispute with Farnsworth, but not with Baum.
"It boils down to the core issues, down to the HVAC system. I can't say much more than that because some of those issues may or may or may not be part of the settlement," Weibel said.
Weibel also wouldn't say if the county is getting money from the proposed settlement or if so, how much. Construction of the new nursing home building was beset by problems, including the faulty heating, air conditioning and ventilation system, and wood used in the construction that was later found to be moldy. The problems delayed the new home's opening by more than a year and cost the county several hundred thousand dollars. The county had settled with a third contractor.
The Champaign County Nursing Home Board voted Thursday night to send the county board a 16-point-2 million dollar budget plan for fiscal year 2010. It's a budget they think they can keep in the black --- if they're careful.
Nursing home management consultant Mike Scavotto says a lot depends on keeping the number of nursing home residents high. That's been difficult in the past few months, as the nursing home census has frequently dipped into the 180s --- officials would like to see it above 200. Scavotto blames the decline in nursing home population on the poor economy. If the nursing home census DOES stay down in 2010, he says they'll have to manage nursing home expenses accordingly.
"You don't continue to buy things when you don't need as many of them," says Scavotto. "You don't continue to have as many people in your staff when you can flex. And that's the system here. So they've been pretty good at flexing. So we'll have to see how that's going in the census downturn."
Scavotto says the Champaign County Nursing Home will face another financial burden next year. For the first time, it will start paying back the county for money it was loaned for operations and additional construction costs. That will add another 200-thousand dollars to the nursing home budget. The nursing home built up the debt during a time when its operations were deeply in the red. But Scavotto says the Champaign County Nursing Home has stayed in the black so far in 2009 for expenses that don't include depreciation costs.
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