November 17, 2014

November 20th is the Great American Smokeout

Graphic: Great American Smokeout with no smoking
logo and American Flag Background.
The American Cancer Society marks the Great American Smokeout on the third Thursday of November each year (Nov. 20) by encouraging smokers to use the date to make a plan to quit, or to plan in advance and quit smoking that day. By quitting — even for one day — smokers will be taking an important step towards a healthier life – one that can lead to reducing cancer risk.

Tobacco use remains the single largest preventable cause of disease and premature death in the US, yet about 42 million Americans still smoke cigarettes — a bit under 1 in every 5 adults. As of 2012, there were also 13.4 million cigar smokers in the US, and 2.3 million who smoke tobacco in pipes — other dangerous and addictive forms of tobacco.

Cigarette smoke is extremely toxic, containing as many as 4,000 active compounds, including tar, polycyclic aromatic hydrocarbons, formaldehyde, carbon monoxide, and heavy metals. Its effects on the lungs and heart have been well established by medical researchers and are well known.

Not as well known are the detrimental effects that smoking can have on your vision. Smoking has been directly linked to two of the leading causes of vision loss, cataracts and macular degeneration. In fact, researchers believe smoking also causes or contributes to a number of other eye health problems.

Research has found that smokers have double the risk of developing cataracts compared with non-smokers. This risk is triple for heavy smokers. In fact, doctors have discovered a specific relationship between cataracts and the amount that you smoke — the more you smoke, the more chance you have of developing cataracts.  Doctors believe smoking contributes to cataracts by altering the cells of the lens through oxidation. There is also evidence that smoking leads to the accumulation of heavy metals like cadmium in the lens.

Smoking also increases a person's risk of developing macular degeneration. Studies have found that smokers face a risk of developing macular degeneration that is two to four times greater than that of people who have never smoked. As with cataracts, doctors have found that the risk increases the more a person has smoked. Researchers have also found an increased risk of macular degeneration in people who don't smoke but are frequently exposed to environmental cigarette smoke.  Doctors believe that smoking promotes macular degeneration by interfering with blood flow to the retina. Smoking might also increase the deleterious effects of oxidation on the cells of the macula.

Studies also have linked cigarette smoking to eye problems such as:
  • Diabetic retinopathy
  • Dry eyes
  • Optic nerve damage
  • Lazy eye
  • Conjunctivitis

Vision Problems and Smoking: What You Can Do

There is hope for smokers who want to avoid smoking-related vision loss. Research has found that quitting smoking does improve their chances of avoiding eye disease. For example, studies show that people who quit smoking will have a 6.7 percent reduced risk of developing macular degeneration after one year. After five years, the risk drops by another 5 percent.  The same goes for cataracts.  Doctors say people who have quit smoking for 25 years have a 20 percent lower risk of cataracts when compared with current smokers.

Ready to quit smoking?
Make a Quit Plan. The VA has resources available to make sure you succeed. The first step is to S.T.A.R.T.
Set a quit date.
Tell your family and freinds.
Anticipate and plan for challenges.
Remove cigarettes from your home, car and work.
Talk to your doctor.
Your doctor can counsel you and prescribe medication to help you. Counseling and medication are tools that give you the best chance of quitting smoking for good.
Counseling will help you build smoke-free habits. Once you quit, it continues to help you avoid tobacco for good. Medication such as nicotine replacement therapy and other medications will ease the physical symptoms of withdrawal. Counseling and medication work together to help you cope with cravings and deal with triggers.
Counseling and medication have higher success rates compared to counseling alone. Together, the number of counseling sessions (up to 8) increases your success. 32.5% of people successfully quit using medication together with 8 or more counseling sessions compared to only 12.4% who quit without any help.
The VA can help you with your quit plan.
Counseling: Talk to your doctor. Attend a tobacco cessation group. Call 1-855-QUIT-VET.
Medications: Talk to your doctor about using the patch, gum, lozenge & other meds to help you quit.
Self Help: CLICK HERE to find other tips for quitting and VA resources
Support: Talk to your family and friends. Text the word VET to 47848 for tips and help quitting.
VA TeleQuit Smoking Cessation Program
TeleQuit is the VA’s smoking cessation program that is coordinated by telephone. Telephone-based care means no in-person clinic visits for patients. Since its launch in 2007, TeleQuit has managed the smoking cessation care of over 8,000 Veterans and a growing number of VA employees throughout Northern California and Western Nevada.
The TeleQuit Program offers education, counseling, and smoking cessation medication. Free, confidential, one-on-one telephone counseling is provided by the California Smokers' Helpline and Nevada Tobacco Users' Helpline. Veterans and VA employees receive brochures with great ideas about how to quit smoking.
How to contact the TeleQuit Program:
Veterans and VA employees can call us at our toll-free number: 1-650-493-5000, ext. 60557 (Palo Alto Division). Coordinators are available to take calls Monday-Friday, 8:00 AM - 4:30 PM. Veterans and VA employees may call us after 4:30 PM and leave a message on our voice mail.
What is the long-term abstinence rate with TeleQuit?
TeleQuit's 6-month abstinence rate is 25%. This outcome is comparable to quit rates in an excellent in-person smoking cessation clinic.
Quitting smoking is the single best thing you can do to improve your health. You have the power to quit smoking and to stay smoke free, and the VA has resources available to help.

October 27, 2014

WBRC Group goes White Water Rafting on the American River

Written By: Ann Nguyen, WBRC Recreation Therapy Intern


Photo: The WBRC Group at the ETC Campsite

Water splashing upon the shore near the Environmental Traveling Companions (ETC) campsite, rapids swelling up at every rocky turn, people filled rafts navigating downstream, ice cold water splashing up from all sides of the raft, and the elated cries of excitement were among some of the powerful images lingering in the minds of eight veterans from the WBRC as they came back from a wondrous white water rafting trip.  On August 15, 2014 WBRC recreation therapists, Rachel Smith and Lindsay Conner, teamed up with ETC certified white water rafting volunteer guides, including David Patten—WBRC visual skills supervisor—and Simone Riente—WBRC social worker—, to provide a whole weekend of white water rafting and camping along the South Fork of the American River.


Photo: The WBRC Group enjoys a meal at the ETC Campsite
From the campsite, to the staff, to the food, all the Veterans were very satisfied with what ETC provided.  After spending the night resting under the stars, the group was oriented to the rafts and embarked on a 12 mile white water journey down the American River.  Before this experience many of the Veterans who went on the trip could not fathom how individuals with visual impairments could navigate the American River and all the rapids it had to offer. 


Photo: WBRC rafters on the America River
 
“Troublemaker” and “Fowler’s Rock” were among some of the exciting rapids that the Veterans battled through.  With adaptations made on each raft, each individual was able to enjoy the experience to the fullest.  Ingenious ETC staff took a simple lawn chair and duct tape to create secure seats on the raft itself; any wheelchair users definitely had the best seat.  There was a generous amount of staff support provided by ETC, as well, which all contributed to a trip that gave lasting impressions on all the Veterans who were able to attend.  Here were only a few of the comments made on the trip:

“It was the most fun I’ve had in the last 14 years.”

“The rafting trip itself was the most amazing thing I have ever done-sighted or visually impaired… It helped to boost my confidence, decrease my fears and to socialize with other attendees.”

This experience is one that I will remember the rest of my life. I don’t know how to put into words.”   

Photo: A rafter holds a paddle with the following inscription written on it:
“Life should not be a journey to the grave with the intention of arriving SAFELY in a PRETTY and WELL-PRESERVED body, but rather to skid in BROADSIDE in a cloud of smoke, thoroughly used up, totally worn out, and loudly proclaiming ‘WOW! WHAT A RIDE!’” – Hunter S. Thompson.
 
This experience was made possible by a donation from a Veteran who wishes to not be named.  Nevertheless, his selfless act brought life changing joy to many of the Veterans who were able to experience white water rafting for the first time.  Each and everyone one of the Veterans expressed gratitude for the staff, ETC, and the grateful retired US Army Officer for providing an opportunity for this trip.  WBRC to anticipate. 

October 17, 2014

WBRC 10th Annual White Cane Awareness Walk a Huge Success

Photo: The 10th Annual White Cane Awareness March participants (click on the picture to enlarge)
 
October 15th, 2014 - The Western Blind Rehabilitation Center (WBRC) hosted their 10th Annual White Cane Awareness March on White Cane Awareness Day in Palo Alto, CA.  Participants included current and former WBRC students, WBRC staff members, Mr. Pete Chavarria - Grand Marshall of the March and WBRC Alum, Mrs. Nancy Shepherd - Palo Alto City Mayor, Volunteers from the Palo Alto Host Lions Club, Bookshare Representatives, Santa Clara Valley Blind Center Representatives, VISTA Center Representatives, as well as Guide Dogs for the Blind Puppy Raisers and Guide Dog Puppies in Training. 

Photo: WBRC staff member, Annalise Shaffer, mans the info booth

The group met in front of Palo Alto City hall with speeches from WBRC Administration, the Palo Alto City Mayor, and the Grand Marshal.  WBRC also set up and manned an information booth in front of City Hall with informational pamphlets on the White Cane Law, how to interact with pedestrians with vision loss, samples of long canes and support canes, blindfolds, and information about local services.  The approximately 1/2 mile march route included several blocks of University Ave, Palo Alto's busy downtown area which allowed participants to distribute information about the White Cane Law to many members of the community. 

Photo: Pete Chavarria (Right) is presented a certificate of appreciation from John Kingston, O&M Department Supervisor, for being the Grand Marshall of the 10th Annual White Cane Awareness Walk.
The group re-assembled upon returning to Palo Alto City Hall.  The White Cane Day proclamation was read by Mrs. Shepherd, Palo Alto City Mayor, and Certificates of Appreciation were awarded to the Mayor, Grand Marshall, and the Palo Alto Host Lions Club. 

This event, designed to celebrate the ability of persons with vision impairment to lead full and independent lives, included public education of the White Cane Law.  The White Cane Law states that pedestrians who use a white cane or dog guide have certain rights. Only persons who are legally blind are lawfully allowed to carry a white cane. Legal Blindness is defined as someone who has best corrected visual acuity of 20/200 or less in the better eye; or a visual field limitation of 20 degrees or less. Some people with vision loss do not fall under the legal blindness definition but can still benefit from use of a long cane in a different color, such as yellow.

The California Vehicle Code 21963 states that a person carrying a predominantly white cane or using a dog guide shall have the right-of-way, that the driver of any vehicle approaching this person who fails to yield, or take all reasonable precautions to avoid injuring this pedestrian is guilty of a misdemeanor.  This is punishable by imprisonment for up to six months, a $500 to $1,000 fine, or both.

CLICK HERE to learn more about the WBRC

CLICK HERE to learn more about Bookshare

CLICK HERE to learn more about Guide Dogs for the Blind

CLICK HERE to learn more about the Guide Dogs for the Blind Puppy Raising Program

CLICK HERE to learn more about the Santa Clara Valley Blind Center

CLICK HERE to learn more about the VISTA Center

CLICK HERE to learn more about the Palo Alto Host Lions Club