The holiday season is approaching, and the Oklahoma City Fire Department has a few safety tips for your family and friends. A small fire can double in size every 30-60 seconds. Following these safety messages will provide a safer winter and holiday season. The holiday season is approaching, and the Oklahoma City Fire Department has a few safety tips for your family and friends. A small fire can double in size every 30-60 seconds. Following these safety messages will provide a safer winter and holiday season. Smoke Alarms· Working smoke alarms should be placed inside and outside each bedroom and sleeping area. Install smoke alarms on every level of the home including basements. The Oklahoma City Fire Department has a “Project Life” smoke alarm program. Firefighters will install smoke alarms at no charge for qualifying residents of Oklahoma City. Contact information 405-316-2337, www.smokealarmsokc.com or www.Gratisalarmasokc.com.  Residents outside of Oklahoma City can contact your local fire department or Red Cross. · Test smoke alarms once a month while practicing your escape plan. Practice your escape plan based on your mobility and always have a meeting place outside the home. · Replace batteries once a year. When replacing the 9-volt battery consider upgrading to a 10-year lithium battery smoke alarm.· Replace all smoke alarms after 10 years or before expiration date located on the backside. · People with hearing impairment can contact the Oklahoma Assistive Technology Foundation (OkAT), 888-885-5588 or email abletech@okstate.edu.     OkAT will install smoke alarms with strobe lights and bed shaker for qualifying Oklahoma residents. Apply at www.okabletech.okstate.edu. * According to the National Fire Protection Association (NFPA), “3 out of 5 fire deaths happen in homes with no smoke alarms or the alarms are not working.”Heating Safety·Keep space heaters a minimum of 3-feet away from anything that can burn. The 3-foot clearance must include people and pets. Never use extension cords with space heaters. Plug them directly into the outlet and ensure the space heater is the only item plugged into the outlet. Turn off and unplug when not in use or going to bed. ·Heating systems and chimneys should be inspected and cleaned every year by a qualified professional. Schedule your inspection and cleaning before use.  ·Keep metal fireplace screens or heat-tempered glass secured and in the correct position when in use. Discard cool ashes from the fireplace into a metal container. Keep the metal container at least 10-feet from your home.  ·Never use ovens, stove top, or open burning to heat your home. Open flame heat sources should have a venting system. The use of alternative heating sources inside your home could have deadly consequences caused by carbon monoxide poisoning or fire. ·Always follow the manufacturer’s instruction. ·Install Carbon Monoxide (CO) alarms outside each sleeping area and on every level of the home.      *According to NFPA, “Half of home heating fires are reported during the months of December, January, and February.”Holiday Safety·Don’t block exits with decorations. ·Follow manufacturer’s instruction and do not overload extension cords. ·Keep candles away from children and pets. ·Ask smokers to smoke outside. Wet all cigarette butts before discarding. ·Never leave food cooking on the stovetop unattended. Make sure you are alert when cooking. ·Cut 2 inches off the base of a live Christmas tree before placing in the stand. Add water to your tree stand daily. Don’t put heating sources or candles near the Christmas tree. Always turn off Christmas tree lights before leaving home or going to bed. ·Immediately remove the Christmas tree from inside your home after the holidays or when it is dry.  *According to NFPA, “Two of every five home decoration fires are started by candles.”Additional fire safety information is available at www.nfpa.org/Public-Education.
This is the first of a series of safetey articles provided by  Oklahoma City Fire Department, Oklahoma County Sheriff Department and the Oklahoma City Police Department.

Dear Savvy Senior, Can you provide some tips on how to choose a good estate sale company who can sell all the leftover items in my mother’s house?  Inquiring Daughter

Dear Inquiring,
The estate sale business has become a huge industry over the past decade. There are roughly 22,000 estate sale companies that currently operate in the U.S., up nearly 60 percent from just 10 years ago. But not all estate sale companies are alike.
Unlike appraisal, auction and real estate companies, estate sale operators are largely unregulated, with no licensing or standard educational requirements. That leaves the door open for inexperienced, unethical or even illegal operators. Therefore, it’s up to you to decipher a good reputable company from a bad one. Here are some tips to help you choose.
Make a list: Start by asking friends, your real estate agent or attorney for recommendations. You can also search online. Websites like EstateSales.net and EstateSales.org let you find estate sale companies in your area.
Check their reviews: After you find a few companies, check them out on the Better Business Bureau (BBB.org), Angie’s List (AngiesList.com), Yelp (Yelp.com) and other online review sites to eliminate ones with legitimately negative reviews.
Call some companies: Once you identify some estate sale companies, select a few to interview over the phone. Ask them how long they’ve been in business and how many estate sales they conduct each month. Also find out about their staff, the services they provide, if they are insured and bonded and if they charge a flat fee or commission. The national average commission for an estate sale is around 35 percent, but commissions vary by city and region.
You may also want to ask them about visiting their next sale to get a better feel for how they operate. And be sure to get a list of references of their past clients and call them.
Schedule appointments: Set up two or three face-to-face interviews with the companies you felt provided you with satisfactory answers during the phone interviews.
During their visit, show the estate liquidator through the property. Point out any items that will not be included in the sale, and if you have any items where price is a concern, discuss it with them at that time. Many estate companies will give you a quote, after a quick walk through the home.
You also need to ask about their pricing (how do they research prices and is every item priced), how they track what items sell for, what credit cards do they accept, and how and where will they promote and market your sale. EstateSales.net is a leading site used to advertise sales, so check advertising approaches there.
Additionally, ask how many days will it take them to set up for the sale, how long will the sale last, and will they take care of getting any necessary permits to have the sale.
You also need to find out how and when you will be paid, and what types of services they provide when the sale is over. Will they clean up the house and dispose of the unsold items, and is there’s an extra charge for that? Also, make sure you get a copy of their contract and review it carefully before you sign it.
For more information on choosing an estate sale company, see National Estate Sales Association online guide at NESA-USA.com, and click on “Consumer Education” then on “Find the Right Company.

Send your senior questions to: Savvy Senior, P.O. Box 5443, Norman, OK 73070, or visit SavvySenior.org. Jim Miller is a contributor to the NBC Today show and author of “The Savvy Senior” book.

by Bobby Anderson, Staff Writer

To say Mike Isaac’s resume is extensive would be an understatement.
EMT, police officer, detective, SWAT team member – all of it has combined into Isaac’s RN Nurse Manager role at JD McCarty Center for Children with Developmental Disabilities in Norman.
And for the past six years now, Isaac has been a nurse. But his past is almost as interesting as his present.
Fellow nurse manager Suanne Livingston likes working alongside Isaac and is constantly amazed by his background.
“He’s very organized and he’s very respected,” Livingston said. “He does a great job with staff. When he was a staff nurse he was a great staff nurse. I kind of defer to him as far as how he handles things employee-wise because he’s a little more hard-nosed than I am.”
“I learn a lot from him and I kind of watch and learn how he handles situations.”
Isaac worked in emergency rooms at night to help put him through college. He applied for PA school and quickly found it wasn’t a career track he wanted to pursue.
He spent some time in medical research and a couple other jobs before signing on with the Norman Police Department as an EMT for the ambulance service.
He attended the prerequisite police academy and later pursued his master’s degree. The only problem was working those 24-hour EMT shifts really took a toll on his studies.
So he decided to become a police officer instead.
“I said I would just transfer over and I did,” Isaac said. “I did really well and got promoted quickly and did a bunch of really good stuff but I got really interested in things involving mental health.”
A detective and eventually a supervisor, Isaac helped craft Norman’s policy on dealing with mental health subjects. His plans were carried over into department’s across the nation during his 27 years with Norman PD.
Isaac’s reputation earned him a spot helping craft officer-involved shooting policy.
“They weren’t getting the help they needed post-shooting,” Isaac said. “There were a lot of trauma victims involved with homicide and rape – two of the things I was assigned to – that weren’t getting follow-up care to prevent and treat post traumatic stress.”
Working with the FBI’s Behavioral Science unit in Quantico, Va., he helped craft policy to protect all involved.
“You didn’t take their gun right after a shooting. You took it as evidence but you replaced it,” Isaac said. “You didn’t put them on a desk job and treat them like they were unable to do work. Basically we wrote it so they would get a return to work slip.”
The process helped officers work through the ensuing mental and physical issues while protecting their personal health information. Inservice training was given and officers qualified again at the shooting range before easing back into their duties while riding with a supervisor.
“That was actually taken to Quantico for the national FBI academy that all law enforcement agencies around the world send people to.
“Our policy is still given out there.”
A friend mentioned he would be a perfect fit for nursing school.
“They sold me on this BADNAP program,” Isaac said of Oklahoma City Community College’s accelerated nursing program. “It was a great program. I wouldn’t do it again but it was a great way to get in and get employed and get out. I had a couple jobs before I even graduated.”
EMT, policeman, mental health advocate – you would think it all prepared him for nursing school.
“It did, but the pace was a great equalizer. It was just so fast. I don’t know how some of those people did it,” Isaac said. “I don’t know how some of those people did it, single heads of households with children to take to soccer games and other things.
“They were my heroes throughout. It was a great experience.”
Day and night, Isaac completed his ADN in eight months.
“It was tough but it was good. They don’t cut any corners,” Isaac said.
Assessment, investigation, report writing and observation – all skills Isaac honed in his former life have prepared him for a nursing career.
Nursing care plans are still vital. Different disciplines are heavily involved such as dietary and physical therapy.
He laughs when he admits his experience as Norman’s chief hostage negotiator still comes in handy.
But most days he doesn’t need it.
“The opportunity to see mostly the direct care staff grow in professionalism and responsibility so they can take ownership,” Isaac said of his greatest reward. “I always tell them when I interview it’s not a nursing home for kids.”

story and photo by Bobby Anderson, Staff Writer

A cough. A sniffle.
You feel something coming on. But what next?
You can call your doctor and hopefully get an appointment sometime in the next couple weeks.
Or you can get in your car and head to the local urgent care clinic and wait with 20 or 30 others doing the same thing.
What if there was a better way?
That’s what Dr. Mark Prather thought in 2013 when he came up with a unique service model that would eventually become DispatchHealth.
“Really anything you can think of you would get in your car and go to urgent care for but more,” Dispatch Community Engagement Manager Tiffany Traxler said, explaining the service that has recently expanded into the metro.
DispatchHealth is bringing back the house call with a modern technology twist. DispatchHealth gives patients ways to access convenient, high-quality acute care in the comfort of their home at the time of need.
DispatchHealth is redefining the healthcare landscape as an extension of a patient’s healthcare team and offering solutions for simple to complex medical problems all from the comfort of your home.
The concept dates back to 2013 when Prather was running the emergency department in Denver for Centura Health.
“They asked Dr. Prather if he could come up with a system that could be delivered safely in the home for patients who go to the emergency room with urgent needs but not emergent,” Traxler explained. “He knew the need and he knew how to make things mobile.”
“He started going out on calls.”
Working with the ambulance service through the 911 system, Prather helped more than 400 patients in 18 months in the comfort of their own homes.
The total cost savings to the health system was more than $1 million.
But saving patients the time, expense and hassle of an ER visit was priceless.
The model has spread like wildfire to Colorado Springs, Richmond, Phoenix, Las Vegas, Houston, Oklahoma City, Tacoma, Dallas and Springfield.
Blue Cross and Blue Shield – one of Oklahoma’s largest insurers – quickly saw the value.
“Blue Cross and Blue Shield saw what we were doing and the impact we were making,” Traxler said. “For the 65-and-under patient if you have Blue Cross and Blue Shield it’s an urgent care co-pay. For 65 and up all Medicare, Medicaid and Medicare Advantage plans … we bill as an urgent care.”
For some that can mean an urgent care visit in their home for less than $50.
Services include testing such as: blood tests on-site, strep test, flu swab, urinalysis, urine cultures, stool culture, test for blood in stool, pregnancy test, lactate, 12-lead EKG, PT/INR, rapid infectious disease testing and more.
Dispatch also provides medications such as: anti-inflammatories, IV antibiotics, IV fluids, prednisone, lasix, antiemetics, flu medications, laxatives, stool softeners, heartburn prevention, glucose gel, anesthetics, migraine cocktail, antihistamines and more.
IVs can be placed and fluids begun all in your home.
Breathing treatments can also be administered.
AVOID THE BUG
Last year’s influenza outbreak was one of the worst in nearly a decade and the severity of the outbreak was extreme. In fact, The Center for Disease Control and Prevention (CDC) recorded over 20,000 positive flu tests per week at the height of the outbreak.
While most seek treatment at an emergency room (ER) or urgent care clinic, when leaving one’s home the virus can be immediately exposed to others and cause further spread of the flu. Also, ERs and clinics can easily become overwhelmed with a high number of sick patients during flu season, leading to overcrowding, lengthy wait times and even physician burnout.
Adults can infect others one day before their flu symptoms even develop and can pass on the virus up to a full week after becoming sick.
“Flu comes on very, very quickly. If it’s 2 p.m. and you realize you don’t feel well you’re not going to get into your (doctor’s office),” DispatchHealth Market Director Amy Evans said. “With flu if you can get those anti-virals within that first day or two it cuts down on the length of flu.”
“When you’re talking about the elderly population and people with compromised immune systems that 12 hours means something.” To request on-demand urgent care brought to you call 405-213-0190

Just a few years ago Nancy Hughes could lift mountains of paperwork, rearrange office furniture and stand on her feet for hours at a time. As executive assistant at the Oklahoma Public Employees Association, the petite fiery redhead put in long hours at her job helping give state employees a voice in government.
Back in 2003, Nancy learned she had breast cancer. She underwent a mastectomy, rounds of chemotherapy and the cancer went into remission. In 2014, however, it came back with a vengeance.
“I first noticed something was wrong when I bent over to pick up something,” she said. “I felt something pull, and had trouble walking. After about a month I went to a chiropractor about my back. He took x-rays, and they showed either severe osteoporosis or the cancer was back and in my bones.”
A trip to her oncologist revealed the cancer had indeed spread.
“I had no idea breast cancer could come back like that,” Nancy said. “This time I was scared. During the time I was cancer-free, I had been participating in the Oklahoma American Cancer Society’s Making Strides Against Breast Cancer walk, and the Relay For Life. I liked being a beacon of hope for others that this disease could be beat.”
So once again she began the treatments, hoping for a positive result.
“This time it was radiation to my hip, spine and right arm,” she said. “It helped with the pain I was having but I do not remember much about that time. I lost control of my body functions, could barely walk and did not eat much. My employer offered me six months of leave to keep my insurance and then social security kicked in, so I took it. I could no longer do my job and was actually a liability to them.”
More than four years after her cancer re-occurrence, the disease has been relentless.
“When it came back, it had spread throughout my bones,” Nancy said. “My right arm fractured, and I had to wear a brace for two years to keep it stable. The bone was almost clear and looked like Swiss cheese. I had the option of getting surgery to put a rod in to stabilize it, but there was a possibility I could lose all the use of that arm. Even having limited use was better than losing it all, so I chose to not have the surgery.”
Using the services offered at the Oklahoma American Cancer Society has been a godsend, Nancy says. The organization offers wigs, scarves, and turbans, all free of charge to cancer patients. They also provide free rides to and from treatment in the Road to Recovery Program.
“Helping people like Nancy is at the heart of what we do every day,” said Jennifer Redman, OKACS program manager. “Not only do we have an entire wig room, but transportation is consistently named as one of the top needs for cancer patients. Our volunteer driver program ensures patients complete their treatment and we can increase the number of cancer survivors. We always need more volunteer drivers and have our own fleet of vehicles. So if you have some time to volunteer, we can always use the help.”
While each day is a struggle, Nancy refuses to let the disease dampen the positive attitude that has carried her through life.
“When I wake up every morning, it is a gift of life,” she said. “I could choose to wallow in pity and feel sorry for myself, but what does that do? I choose to enjoy each day and hope a cure will be found in my lifetime. Sometimes the dark side will come through. Like a day or so ago I realized once my hair is gone this time, I will most likely be bald the rest of my life. That sucks. But I must play the cards I am dealt, so I will save a few bucks on shampoo and conditioner! It’s all about re-framing the negatives and finding the positives.”
Nancy says her family is her foundation. Her husband Mike, their two daughters and four grandsons all pitch in to make life as normal as possible. And throughout her journey, she continually finds new ways to reinvent herself and help others.
“Sharing my story with the Oklahoma American Cancer Society and others is so important,” Nancy said. “I want everyone to know the big ‘C’ word is not always a death sentence. It does not always return like it did for me. Stay hopeful, happy and enjoy what you can. Don’t dwell on the horrible parts, just try to look for the good in everything. Believe me, it is there.”

by Bobby Anderson, Staff Writer

A sociologist, a psychologist and a benedictine nun walk into a room.
Sounds like the beginnings of a good joke.
But for John Karlin, PhD, those are just a few of the cast of characters that helped create his new book: Fear, Religion, Politics: Well I’ll Be Darn!
Karlin spent the last year of his life writing this book that takes a look at the intertwining of three things deeply personal to Americans.
“It was incredible in the sense that how much insight humans have but not realize it,” Karlin said. “In researching this I kept seeing these little lights in other people’s works.”
Karlin was aided by Dr. Melvyn Preisz, Rhonda Bell, Judy Martin, Marsha McMillin, Gerry Lantagne and others in developing his second book. Each brought their own unique talents.
Preisz is a local clinical psychologist who befriended Karlin years ago.
“I agree with Dr. Karlin’s timely and insightful assessments of this unprecedented crisis,” Preisz said. “From my own psychological viewpoint, these enemies of our individual freedoms collude to divide and conquer the good within us, and to continue to attack our personal conscience from a buffet of lies.”
Karlin stresses he has no political motives with this book.
His wish for what readers walk away with is simple.
“Simply an understanding of those undercurrents, a complete, full, intense understanding of … what’s actually happening underneath the surface,” Karlin said. “I just expose those undercurrents, that was my whole concern. I write from a sociological perspective.”
“I’m not the only one who has picked up on this. What I found is pieces of those themes in many, many other works.”
Karlin cites some 120 references in his work, that he says was a labor love performed with dear friends.
“Our intent was to give seniors out there a message that you can do stuff like this. You’re never too old,” the 72-year-old Karlin said. ”Don’t just sit, you’re capable of doing stuff.”
More than 20 years of Karlin’s life have been spent in teaching, largely at Northwestern Oklahoma State in Alva, Oklahoma City University and Phillips University.
While teaching sociology and criminal justice at OCU, Karlin begin his friendship with Preisz.
Preisz introduced him to Lantagne, who introduced Martin, a former Benedictine nun and things began falling into place.
“It was just friends introducing friends,” Karlin said. “It was basically happenstance then realized ‘Gosh, look at all this talent.”
The motives were simple.
“I just didn’t like the way things were going in this country especially politically and socially in terms of the turmoil and discontent,” Karlin said. “I thought there had to be something underneath that. As a sociologist you always know that what’s on the surface isn’t always the whole story.”
“Sometimes in our culture there are some very deep undercurrents that help explain.”
Karlin recalled attending Louisiana State University for his doctorate. A conversation with an old fisherman came to mind.
The fisherman pointed to the Mississippi River and told Karlin to watch it closely.
“It’s just real slow, old man river kind of thing but underneath that is just incredible turmoil,” Karlin said. “The Mississippi in spots is almost a mile deep and a lot of people don’t realize that because the undercurrent is cutting it.”
“There are literally complete trees down there. That’s the way culture and society can be.”
That got Karlin thinking about what’s underneath today’s politics and headlines.
“What’s under that is not good,” he said.
Karlin’s book flows through three sequences with the first being our innate fear of death and how we view our own mortality.
“And how that came to actually produce the phenomena we call religion in society,” Karlin said. “Any religion, it doesn’t matter what it is, came from the fear of death because religion was a way to escape that tension and fear.”
The second sequence evaluated Christianity and the life of Jesus Christ.
“I looked at what (Jesus Christ) was actually trying to accomplish in his own time and he was trying to accomplish something,” Karlin said. “You’ll find that as somewhat of a shocker.”
The third sequence takes things into the political realm.
“That’s where the dream goes awry because a big chunk of our Christian community want to blend religion and politics to the point where they are no longer distinguishable and that’s not good,” Karlin said.
“That’s what has created most of the problems you see in society today. Basically, it’s the drive towards theocracy.”
Karlin’s book is now available on Amazon. He will do a benefit book signing for the Peace House at the Peace Festival at the Civic Center Music Hall November 10 from 10 a.m. to 4 p.m.
The Peace House will get $5 for every book sold.

Photography and Text by Terry “Travels with Terry” Zinn t4z@aol.com

High on my list of want-a-sees in the Finger Lakes Area of New York, was the Corning Museum of glass in Corning New York.
An enthusiastic and knowledgeable docent took me on a whirl wind tour down their educational history of glass exhibition with stops to glass blowing exhibitions in their hot glass shop, and a chance to participate in a glass blowing experience. While I did the blowing the crafts person spun the blow rod and formed the small pumpkin, which when cooled was mailed to me. This is a Finger Lakes road trip stop not to be missed.
Of course I was overwhelmed by their glass gift shop, where I found several pieces from my favorite glass artists. I also found tempting glass in Corning’s Market street galleries. Also downtown is the Rockwell (no relation to the artist) Museum of Western Art which houses the best of the west in the east.
More hands on glass blowing can be had at Corning’s Hands-on Glass: Hot Glass Studio (www.handsonglass.com) where classes are available as well as a small selection of glass for sale. Rodi Rovner and her team work hard to keep the tradition of glass on a personal level alive. My stay at Corning‘s Radisson hotel was convenient and professionally efficient.
If you want to be over fed and have a sensory dining experience, Spencer’s Restaurant should be your Corning dining choice. If you look closely you’ll see church pews accompanied by fireplaces and an inventive menu including eggplant fries!
On my way up to Aurora I just had to make a very brief detour to Elvira to see Mark Twain’s family cemetery plot and to see the near by little writing retreat, which is like a closed in gazebo. What’s a road trip adventure without an impromptu detour? Its this kind of flexibility that makes a road trip all worthwhile.
Of course it made me late for my lunch appointment at the Pumpkin Hill Bistro at 2051 route 90 near aurora. My delicious lunch was waiting for me, and promptly served amid a charming atmosphere of intimate dining.
I was in a bit of a rush as I had tickets for the Merry-Go-Round Playhouse in Auburn. The professional theatre building was once a merry go round enclosure. Getting off the road, resting and being professionally entertained is a welcome counterpoint to a road tour.
After the theatre there was a brief visit to Auburn’s Willard Memorial chapel with its interior decorated totally with Luis Comfort Tiffany religious stain glass windows and accents.
Then it was off to the Belhurst Chateau to enjoy the grounds and public rooms of this restored and expanded Geneva mansion. An elegant dinner at Edgar’s, with view of the lake was a perfect ending to an adventurous touring agenda. The history of this wine related lodge is felt in every room. To emphasize this wine region, there is even a working wine spicket available to over night guests in the second floor lobby. Now that’s hospitality!
On your drive out of Geneva on your way back to Rochester airport, you can tank up your thirst with award winning 100% fruit juices at Red Jacket Orchards (www.redjacketorchards.com).
While I had a very full Finger Lakes itinerary there is much more to savor, and you may find other areas of interest when you request your Finger Lakes planning booklet. (www.fingerlakes.org) Summer and Autumn are perfect times to tour the lakes, hills and many attractions of this part of America, I call a perfect sampling of Americana.
In our fast moving modern culture it is wise to check details of your stops while planning your trip, as some venues may be closed or have issues with operating times. A road trip is always an adventure and if you have an adventurous spirit, touring the Finger Lakes may be perfect for you.

Mr. Terry Zinn – Travel Editor
Past President: International Food Wine and Travel Writers Association
http://realtraveladventures.com/author/zin

Cutting-edge, non-surgical treatment at OU Medicine targets chronic stuffy nose
An Oklahoma woman is one of the first patients outside of a clinical trial to experience the benefits of a new, non-surgical treatment for her chronic stuffy nose.
Most of us have experienced a head cold so bad that it leaves you so stuffed up you can no longer breathe through your nose. For Denise Crozier, 56, it wasn’t a cold causing her chronic stuffed up nose or the pain and pressure that accompanied it. The Oklahoma City woman suffered from nasal polyps, soft, non-cancerous growths on the lining of the nose or sinuses.
“When you get a lot of inflammation, the lining of the nose becomes very swollen and redundant, and it forms a round structure that basically fills the nasal cavity,” explained Dr. Kibwei McKinney, an ear, nose and throat specialist with OU Medicine.
Surgery had been the first line of defense for patients like Crozier for whom treatment with oral steroids has failed.
“I had four surgeries in Seattle before moving to Oklahoma, and then since I have been here, I’ve had three,” Crozier said.
Each time, the surgery would initially bring relief, but before she knew it, the polyps would be back.
“Each time, she got some temporary relief, but almost like clockwork, it would come back and she would have a return of her symptoms,” McKinney said.
This time, though, McKinney returned from a recent conference with a new treatment option for Crozier a newly-approved, non-surgical treatment. It utilizes a tiny sinus implant. He explained to her that it could be placed without pain during a visit to his office at OU Medicine.
The implant is a small teardrop-shaped device that when deployed appears a bit like a badminton birdie. It’s placed under the guidance of an endoscope.
“I actually have a camera and scope that I look through to see the anatomical structures and then I place the splint with minimal discomfort,” McKinney said. “It basically stints open the cavity and then over time it treats the surrounding tissue with steroids, which are very effective at controlling polyp growth. As the steroid is leached out, the polyps occupying the space begin to melt away and the pressure associated with them also goes away.”
As a nurse, Crozier did her homework and quickly realized that this treatment could offer relief and save her from another trip to the operating room.
“Anything to keep me out of the OR is fantastic,” she remarked.
The device was placed quickly and without pain during an office visit with McKinney.
“They numbed me up, so I really didn’t feel a thing,” Crozier said.
After several months, she returned to McKinney’s office to have the device removed; and just as it had gone into place under endoscopic guidance, it also was removed that way in just a matter of seconds.
Crozier’s eyes watered just a bit, but she said there was no pain and the relief she has experienced has been incredible.
“It’s wide open in there. There are no polyps or anything. It works. It’s great,” she exclaimed, adding that she would easily recommend the procedure to anyone else facing the same battle she has faced with nasal polyps.
Specialists at OU Medicine say the new treatment provides a valuable option for patients unable to take oral steroids, as well as for those who are not good candidates for surgery or for whom repeated surgeries have failed to bring relief.

INTEGRIS assumed operations of Deaconess Hospital and its affiliated family care clinics at midnight, Oct. 1.
Rex Van Meter is the newly named president of INTEGRIS Deaconess, as it is now called. The hospital is considered a campus under the INTEGRIS Baptist Medical Center umbrella.
Van Meter has been a part of executive leadership at INTEGRIS since 2001. He joined as vice president of finance at INTEGRIS Blackwell Hospital and was promoted to president there four years later. In 2012, he was named president of INTEGRIS Canadian Valley Hospital, and has led that facility to successive year-over-year record performances. Van Meter earned a bachelor of accounting from Northwestern Oklahoma State University and a master of health care administration from Trinity University.

Scientists at the Oklahoma Medical Research Foundation have broken new ground in understanding how the lymphatic system works, potentially opening the door for future therapies.
The lymphatic system is a network of vessels and lymph nodes that spans the entire body. It is critical for good health and for the body to function properly. Defects in lymphatic vessels cause lymphedema, a disease characterized by dramatic and painful swelling in the limbs that often leads to infections.
Lymphedema can result from congenital mutations, surgery, radiation treatment for cancer or infection, and there is currently no cure. In addition to lymphedema, defects in the lymphatic system have been linked to a wide range of health consequences: cancer, atherosclerosis, Alzheimer’s disease and obesity.
Sathish Srinivasan, Ph.D., and Boksik Cha, Ph.D., at OMRF previously discovered that a particular pathway—known as the Wnt signaling pathway—regulates the development of the human lymphatic vascular system. In new research, published in the journal Cell Reports, they’ve found “the nuts and bolts of this important pathway.”
“We have identified the signaling molecules that activate this pathway,” said Srinivasan. “We also have learned which cells produce the signaling molecules, how they are sensed by the cells and how they are used in lymphatic development.”
Srinivasan was recruited to OMRF from St. Jude’s Children’s Research Hospital in 2013. His lab at OMRF has already identified several target genes for lymphedema. Srinivasan said that, after further study, this new information could eventually help researchers develop better therapeutic options for lymphedema and associated disorders.
“This signaling pathway has proved difficult to study, because it is complex and so little is known about how it functions normally, let alone when it goes wrong,” said Srinivasan. “Wnt signaling is aggravated and increased in breast cancer and colon cancer, but it is deregulated in diseases like Alzheimer’s and lymphedema.”
Srinivasan said drug companies are interested in finding molecules that can be targeted, either to promote or inhibit Wnt signaling, depending on the disease. “Our goal is to find whether such drugs could be used to treat humans with lymphedema and see if their disease can be managed, made less severe or even cured,” he said.
Other OMRF researchers who contributed to this research were Xin Geng, Ph.D., Riaj Mahamud, Lijuan Chen and Lorin Olson, Ph.D.