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		<title>In Hartford, More Than 1,000 Receive Medical Help At Free Clinic</title>
		<link>http://news365online.com/health/2010/02/05/in-hartford-more-than-1000-receive-medical-help-at-free-clinic.html</link>
		<comments>http://news365online.com/health/2010/02/05/in-hartford-more-than-1000-receive-medical-help-at-free-clinic.html#comments</comments>
		<pubDate>Fri, 05 Feb 2010 10:35:37 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[Health]]></category>

		<guid isPermaLink="false">http://news365online.com/?p=87</guid>
		<description><![CDATA[HARTFORD — – The insurance capital of America played host Wednesday to the uninsured, more than 1,000 of whom filled the cavernous Connecticut Convention Center for the chance to see a doctor. They got their vitals taken, their eyes examined, their health inspected by professionals inside convention booths draped with blue curtains for privacy. Some [...]]]></description>
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<p><span class="st_tag internal_tag">HARTFORD</span> — –</p>
<p>The insurance capital of America played host Wednesday to the uninsured, <span class="st_tag internal_tag">more</span> than 1,000 of whom filled the cavernous Connecticut Convention Center for the chance to see a doctor.</p>
<p>They got their vitals taken, their eyes examined, their health inspected by professionals inside convention booths draped with blue curtains for privacy.</p>
<p>Some got diagnoses. Some got referrals for follow-up care. Some got taken out on stretchers, their heartbeat or other indicators deemed too troublesome to wait.</p>
<p>“It’s heartwarming and heartbreaking at the same time,” said Nicole Lamoureux, executive director of the National Association of Free Clinics, which ran the one-day clinic.</p>
<p>Heartwarming, she said, because 1,200 volunteers came to <span class="st_tag internal_tag">help</span>. Heartbreaking because so many people needed a free clinic in a convention center to get a checkup.</p>
<p>The association has hosted similar events around the country. The idea is to give people without health insurance medical attention and connect them to a regular source of care.</p>
<p>Some of the patients had jobs but no health insurance. Some were out of work, like Judy Mercer of Ellington. Before she lost the health coverage from her former job at The Home Depot, Mercer asked her doctor to give her enough prescriptions to last through Christmas. Her medication is due to run out this month.</p>
<p>At the front of the area where she waited, a volunteer called out the next group of patients to be seen. Volunteers escorted patients through each step. There were H1N1 vaccines and HIV tests. Women got gynecological exams inside a mobile clinic (a converted bus). Doctors screened patients for glaucoma in an open area, while social workers and psychiatrists offered counseling behind curtains.</p>
<p>Patients praised the organization of the clinic and the volunteers, some of whom came from across the country.</p>
<p>Lamour Howell, a 62-year-old retired nurse from Windsor, came with pain in her foot so bad she had to stop dancing or wearing high heels. She’d had it for two years, and two doctors had been unable to find the cause. On Wednesday, a volunteer nurse offered a diagnosis (Morton’s neuroma) and a solution (an anti-inflammatory).</p>
<p>“It was awesome,” Howell said.</p>
<p>Dr. Ralph Freidin, a primary care doctor from Lexington, Mass., said the patients had the same conditions a similar slice of the population might, with one difference: Their cases were <span class="st_tag internal_tag">more</span> severe.</p>
<p>Freidin said he was struck by the patients’ lack of access to basic services like blood pressure screenings and eye exams, despite living in a region flush with medical centers boasting the latest medical technology.</p>
<p>“They really have been deprived of the tremendous advances we’ve seen in medicine over the past several decades,” he said.</p>
<p>Dr. Bruce Gould, the clinic’s medical director and also medical director of the Burgdorf Health Center in <span class="st_tag internal_tag">Hartford</span> and the <span class="st_tag internal_tag">Hartford</span> Health Department, said he wished that the people who opposed health reform would talk to the patients he saw Wednesday.</p>
<p>As he spoke, Gould, the associate dean for primary care at the UConn Health Center, was mulling a case. The woman’s symptoms suggested coronary artery disease. She needed follow-up tests, he knew, tests that cost thousands of dollars.</p>
<p>Paramedics had a stretcher ready in case she needed to go to the emergency room.</p>
<p>The woman’s case perplexed him. Gould could diagnose her and patients like her, tell them how to best treat their conditions. But what could he do for them long term if they lacked the money or insurance for the tests and treatment they needed?</p>
<p>“It reflects the fact that we have a broken health care system in this country,” he said.</p>
<p>Across the room, by the clinic’s exit, patients passed through a cluster of tables advertising local health centers, social service programs, and groups that might offer lasting <span class="st_tag internal_tag">help</span>. Patients received a list of health care providers who could see them for free or on a sliding scale.</p>
<p>Bradford Howard Jr., outreach director at <span class="st_tag internal_tag">Hartford</span>’s Charter Oak Health Center, had staff members on call back at the health center. He would hand over his cellphone to anyone who didn’t have a phone but wanted an appointment.</p>
<p>He instructed one man on where to go for <span class="st_tag internal_tag">help</span> finding work. He was ready to dispense advice on other services too.</p>
<p>“What good is helping people out if it’s a Band-Aid?” he asked. “What are they going to do after?”</p>
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		<title>Gas drilling in Appalachia runs into resistance: What do you do with the wastewater?</title>
		<link>http://news365online.com/health/2010/02/03/gas-drilling-in-appalachia-runs-into-resistance-what-do-you-do-with-the-wastewater.html</link>
		<comments>http://news365online.com/health/2010/02/03/gas-drilling-in-appalachia-runs-into-resistance-what-do-you-do-with-the-wastewater.html#comments</comments>
		<pubDate>Wed, 03 Feb 2010 10:32:44 +0000</pubDate>
		<dc:creator>admin</dc:creator>
				<category><![CDATA[Health]]></category>

		<guid isPermaLink="false">http://news365online.com/?p=85</guid>
		<description><![CDATA[MARC LEVY, VICKI SMITH Associated Press Writers 2:40 p.m. EST, February 2, 2010 HARRISBURG, Pa. (AP) — A drilling technique that is beginning to unlock staggering quantities of natural gas underneath Appalachia also yields a troubling byproduct: powerfully briny wastewater that can kill fish and give tap water a foul taste and odor. With fortunes, [...]]]></description>
			<content:encoded><![CDATA[<p><span class="byline bordered">MARC LEVY, VICKI SMITH</span></p>
<p><span class="titleline">Associated Press Writers</span></p>
<p class="date"><span class="timeString">2:40 p.m. EST</span><span class="dateTimeSeparator">, </span><span class="dateString">February 2, 2010</span></p>
<div id="story-body-text">
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<p>HARRISBURG, Pa. (AP) — A <span class="st_tag internal_tag">drilling</span> technique that is beginning to unlock staggering quantities of natural gas underneath Appalachia also yields a troubling byproduct: powerfully briny <span class="st_tag internal_tag">wastewater</span> that can kill fish and give tap water a foul taste and odor.</p>
<p>With fortunes, water quality and cheap energy hanging in the balance, exploration companies, scientists and entrepreneurs are scrambling for an economical way to recycle the <span class="st_tag internal_tag">wastewater</span>.</p>
<p>“Everybody and his brother is trying to come up with the 11 herbs and spices,” said Nicholas DeMarco, executive director of the West Virginia Oil and Natural Gas Association.</p>
<p><span class="st_tag internal_tag">Drilling</span> crews across the country have been flocking since late 2008 to the Marcellus Shale, a rock bed the size of Greece that lies about 6,000 feet beneath New York, Pennsylvania, West Virginia and Ohio. Geologists say it could become the most productive natural gas field in the U.S., capable of supplying the entire country’s needs for up to two decades by some estimates.</p>
<p>Before that can happen, the industry is realizing that it must solve the challenge of what to do with its <span class="st_tag internal_tag">wastewater</span>. As a result, the Marcellus Shale in on its way to being the nation’s first gas field where <span class="st_tag internal_tag">drilling</span> water is widely reused.</p>
<p>The polluted water comes from a <span class="st_tag internal_tag">drilling</span> technique known as hydraulic fracturing, or “fracking,” in which millions of gallons of water, sand and chemicals are blasted into each well to fracture tightly compacted shale and release trapped natural gas.</p>
<p>Fracking has been around for decades. But the <span class="st_tag internal_tag">drilling</span> companies are now using it in conjunction with a new horizontal <span class="st_tag internal_tag">drilling</span> technique they brought to Appalachia after it was proven in the 1990s to be effective on a shale formation beneath Texas.</p>
<p>Fracking a horizontal well costs more money and uses more water, but it produces more natural gas from shale than a traditional vertical well.</p>
<p>Once the rock is fractured, some of the water — estimates range from 15 to 40 percent — comes back up the well. When it does, it can be five times saltier than seawater and laden with dissolved solids such as sulfates and chlorides, which conventional sewage and drinking water treatment plants aren’t equipped to remove.</p>
<p>At first, many <span class="st_tag internal_tag">drilling</span> companies hauled away the <span class="st_tag internal_tag">wastewater</span> in tanker trucks to sewage treatment plants that processed the water and discharged it into rivers — the same rivers from which water utilities then drew drinking water.</p>
<p>But in October 2008, something happened that stunned environmental regulators: The levels of dissolved solids spiked above government standards in southwestern Pennsylvania’s Monongahela River, a source of drinking water for more than 700,000 people.</p>
<p>Regulators said the brine posed no serious threat to human health. But the area’s tap water carried an unpleasant gritty or earthy taste and smell and left a white film on dishes. And industrial users noticed corrosive deposits on valuable machinery.</p>
<p>One 11-year-old suburban Pittsburgh boy with an allergy to sulfates, Jay Miller, developed hives that itched for two weeks until his mother learned about the Monongahela’s pollution and switched him to bottled or filtered water.</p>
<p>No harm to aquatic life was reported, though high levels of salts and other minerals can kill fish and other creatures, regulators say.</p>
<p>Pennsylvania officials immediately ordered five sewage treatment plants on the Monongahela or its tributaries to sharply limit the amount of frack water they accepted to 1 percent of their daily flow.</p>
<p>“It is a very great risk that what happened on the Monongahela could happen in many watersheds,” said Ronald Furlan, a <span class="st_tag internal_tag">wastewater</span> treatment official for the Pennsylvania Department of Environmental Protection. “And so that’s why we’re trying to pre-empt and get ahead of it to ensure it doesn’t happen again.”</p>
<p>Regulators in Pennsylvania are trying to push through a new standard for the level of dissolved solids in water released from a treatment plant.</p>
<p>West Virginia authorities, meanwhile, have asked sewage treatment plants not to accept frack water while the state develops an approach to regulating dissolved solids.</p>
<p>And in New York, fracking is largely on hold while companies await a new set of state permitting guidelines.</p>
<p>For now, the Marcellus Shale exploration is in its infancy. Terry Engelder, a geoscientist at Penn State University, estimates the reserve could yield as much as 489 trillion cubic feet of gas. To date, the industry’s production from Pennsylvania, where <span class="st_tag internal_tag">drilling</span> is most active, is approaching 100 billion cubic feet.</p>
<p><span class="st_tag internal_tag">Wastewater</span> from <span class="st_tag internal_tag">drilling</span> has not threatened plans to develop the nation’s other gas reserves. Brine is injected into deep underground wells in places such as Louisiana, Texas and Oklahoma, or left in evaporation ponds in arid states such as Colorado and Wyoming.</p>
<p>However, many doubt the hard Appalachian geology is porous enough to absorb all the <span class="st_tag internal_tag">wastewater</span>, and the climate is too humid for evaporating ponds. That leaves recycling as the most obvious option.</p>
<p>Entrepreneurs are marketing portable systems that distill frack water at the well site.</p>
<p>Also, in southwestern Pennsylvania, Range Resources Corp., one of the gas field’s most active operators, pipes <span class="st_tag internal_tag">wastewater</span> into a central holding pond, dilutes it with fresh water and reuses it for fracking. Range says the practice saves about $200,000 per well, or about 5 percent.</p>
<p>In addition, a $15 million treatment plant that distills frack water is opening in Fairmont, W.Va. The 200,000 gallons it can treat each day can then be trucked back for use at a new <span class="st_tag internal_tag">drilling</span> site.</p>
<p>For years, regulators let sewage treatment plants take mining and <span class="st_tag internal_tag">drilling</span> <span class="st_tag internal_tag">wastewater</span> under the assumption that rivers would safely dilute. But fracking a horizontal well requires huge amounts of water — up to 5 million gallons per well, compared with 50,000 gallons in some conventional wells.</p>
<p>“In this case,” said John Keeling of MSES Consultants, which designed the Fairmont plant, “dilution is not the solution to pollution.”</p>
<p>___</p>
<p>Vicki Smith reported from Morgantown, W.Va.</p>
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