The Mornin' Mail is published every weekday except major holidays
Tuesday, October 26, 2010 Volume XIX, Number 90

did ya know?.

Did Ya Know?.. . the Full Faith Church will have a parking lot sale to benefit Downtown Food Pantry Sat. Nov.6 beginning at 8 a.m. 736 E. Fairview.

Did Ya Know?.. . Spare Cat Rescue will present a low-cost feline spay/neuter event during the first part of Nov. Female $20, male $15. Call 358-6808 for details.

today's laugh

History of medicine:

I have an headache...

2000 B.C. - Here, eat this root.

1000 A.D. - That root is heathen. Here, say this prayer.

1850 A.D. - That prayer is superstition. Here, drink this potion.

1940 A.D. - That potion is snake oil. Here, swallow this pill.

1985 A.D. - That pill is ineffective. Here, take this antibiotic.

2000 A.D. - That antibiotic is artificial. Here, eat this root.

 

The last thing I want to do is insult you. But it IS on the list. less."

 

A thing not worth doing isn’t worth doing well.

 

Strip mining prevents forest fires.

 

Two rights do not make a wrong, they make an airplane.


1910


INTERESTING MELANGE.
A Chronological Record of Events as they have Transpired in the City and County since our last Issue.

J. MAYERHOFF STILL LIVES.

Has Regained Consciousness and May Completely Recover.

Julius Mayerhoff, who swallowed what was thought to be a fatal dose of carbonic acid just after noon yesterday has been growing steadily better since about 4:30 yesterday afternoon and some hopes are now entertained for his recovery.

He was removed from the bindery to his home about five o’clock and a few hours afterward had so far recovered and regained consciousness as to take some nourishment. He slept fairly well last night and this morning was able to rise from his bed unaided but is not able to sit up. He complains of much soreness in his stomach, and is kept under the influence of opiates much of the time. It is this soreness which indicates the trouble of which the doctors are most apprehensive. If he can escape a serious inflammation of the stomach as the result of carbonic acid he will likely get well. The doctors think there is a chance.

It is considered remarkable that a man could have swallowed the amount of acid taken by Mr. Mayerhoff and live, but that it should have stayed on his stomach half an hour and life not have been snuffed out within a very brief time is regarded as almost miraculous. The fact that he had eaten a heavy dinner just before taking the deadly drug was greatly in his favor. It is also probable that it was considerably diluted with water, and water may have been used to wash it down.

When a reporter called at the residence on Fulton street this afternoon Mr. Mayerhoff was sleeping and no change in his condition from that above stated was noticeable. He does not see anyone except his daughters, the nurses and the attending physicians. Although perfectly conscious and rational he is not inclined to talk and has made no statement. He discourages all efforts leading to a discussion of his trouble or his act of yesterday.

Miss Mollie Mayerhoff is bearing up bravely, but Miss Cora, the other daughter, is in a nervous state closely bordering on convulsions. She is kept under the influence of opiates and has been in bed since yesterday afternoon.

August Mayerhoff, the only son, is in Washington county, this state, engaged in lead and zinc mining and efforts to reach him by wire have so far failed as he is off of all telegraph lines.

  Today's Feature

Emergency Sercvices Mitigation Rates.

The City Council is scheduled to hear at this evening’s regular Council meeting the first reading of an ordinance that would allow the Fire Department to bill insurance companies for emergency services. The meeting is at 7:30 p.m. The following is the ordinance and rates to be charged.

"SECTION I: The City of Carthage Fire Department shall initiate mitigation rates for the delivery of emergency services by the fIre department for personnel, supplies and equipment to the scene of motor vehicle incidents and other emergency incidents as listed in "EXHIBIT A". The mitigation rates shall be based on actual costs of the services and that which is usual, customary and reasonable (UCR) as shown in "EXHIBIT A", which may include any services, personnel, supplies, and equipment and with baselines established by addendum to this document.

SECTION II: The mitigation rates shall be fIled to the responsible party, representing an add-on cost of the claim for damages of the vehicles, property and/or injuries. The claim costs shall be fIled to the insurance coverage of the owner of a vehicle, owner of property, or responsible parties. In some circumstances, the responsible party will be billed directly.

SECTION III: The City Council may make rules or regulations and from time to time may amend, revoke, or add rules and regulations, not consistent with this Section, as they may deem necessary or expedient in respect to billing for these mitigation rates or the collection thereof.

SECTION IV: It is found and determined that all formal actions of this City Council concerning and relating to the adoption of this Ordinance were adopted in open meetings ofthis City Council, and that all deliberations of this City Council and any of its committees that resulted in such formal actions were in accordance with all legal requirements, and the Codified Ordinances of the City Council.

SECTION V: These mitigation rates will apply to motor vehicle incidents, hazmat incidents, pipeline incidents, water incidents, back country or special rescue incidents, and miscellaneous incidents as delineated on "EXHIBIT A", to persons and/or businesses not residing or located within the Carthage Fire Protection District. Responses involving intoxicated drivers, hazmat clean-up, structural fires and negligent acts may also be subject to all applicable rates regardless of residency.

SECTION VI: Mitigation rates for the aforesaid services are hereby set forth and approved as provided for as shown in "EXHIBIT A".

SECTION VII: This Ordinance shall take effect and be in force from and after its passage and approval.

J. Michael Harris, MAYOR ATTEST:

Lynn Campbell, CITY CLERK Sponsored by: Public Safety Committee

EXHIBIT A

MITIGATION RATES

BASED ON PER HOUR

MOTOR VEHICLE INCIDENTS

Level 1 -$435.00

Provide hazardous materials assessment and scene stabilization. This will be the most common "billing level". This occurs almost every time the fire department responds to an accident/incident.

Level 2 -$495.00

Includes Level 1 services as well as clean up and material used (sorbents) for hazardous fluid clean up and disposal. We will bill at this level if the fire department has to clean up any gasoline or other automotive fluids that are spilled as a result of the accident/incident.

Level 3 -CAR FIRE -$605.00

Provide scene safety, fire suppression, breathing air, rescue tools, hand tools, hose, tip use, foam, structure protection, and clean up gasoline or other automotive fluids that are spilled as a result of the accident/incident.

Level 4 -$1,800.00

Includes Level 1 & 2 services as well as extrication (heavy rescue tools, ropes, airbags, cribbing etc.). We will bill at this level if the fire department has to free/remove anyone from the vehicle(s) using any equipment. We will not bill at this level if the patient is simply unconscious and fire department is able to open the door to access the patient. This level is to be billed only if equipment is deployed.

Level 5 -$2,200.00

Includes Levels 1, 2, & 4 services as well as Air Care (multi-engine company response, mutual aid, helicopter). We will bill at this level any time a helicopter is utilized to transport the patient(s).

Level 6

Itemized Response: You have the option to bill each incident as an independent event with custom mitigation rates, for each incident using, itemized rates deemed usual, customary and reasonable (UCR). These incidents will be billed, itemized per apparatus, per personnel, plus products and equipment used.

HAZMAT

Level 1 -$700.00

Basic Response: Claim will include engine response, first responder assignment, perimeter establishment, evacuations, set-up and command.

Level 2 -$2,500.00

Intermediate Response: Claim will include engine response, first responder assignment, hazmat certified team and appropriate equipment, perimeter establishment, evacuations, set-up and command, Level A or B suit donning, breathing air and detection equipment. Set-up and removal of decon center.

Level 3 -$5,900.00

Advanced Response: Claim will include engine response, first responder assignment, hazmat certified team and appropriate equipment, perimeter establishment, evacuations, first responder set-up and command, Level A or B suit donning, breathing air and detection equipment and robot deployment. Setup and removal of decon center, detection equipment, recovery and identification of material. Disposal and environment clean up. Includes above in addition to any disposal rates of material and contaminated equipment and material used at scene. Includes 3 hours of on scene time -each additional hour @ $300.00 per HAZMAT team.

PIPELINE INCIDENTS I POWER LINE INCIDENTS

(Includes, but not limited to: Gas, Sewer, Septic to Sewer, and Water Pipelines)

Level 1 -$400.00

Basic Response: Claim will include engine response and first responder assignment, perimeter establishment, evacuations, first responder set-up and command. Includes inspection without damage or breakage.

Level 2 -$1,000.00

Intermediate Response: Claim will include engine response, first responder assignment, and appropriate equipment, perimeter establishment, evacuations, first responder set-up and command. May include HAZMAT tearn, Level A or B suit donning, breathing air and detection equipment. Supervise and/or assist pipeline repair.

Level 3 -Itemized Claim Charges

Advanced Response: Claim will include engine response, first responder assignment, and appropriate equipment, perimeter establishment, evacuations, first responder set-up and command. May include HAZMAT team, Level A or B suit donning, breathing air and detection equipment. Supervise and/or assist pipeline repair of intermediate to major pipeline damage. May include set-up and removal of decon center, detection, recovery and identification of material. Disposal and environment clean up.

FIRE INVESTIGATION

Fire Investigation Team -$275.00 per hour.

Includes:

• Scene Safety

• Investigation

• Source Identification

• K-9/Arson Dog Unit

• Identification Equipment

• Mobile Detection Unit

• Fire Report

The claim begins when the Fire Investigator responds to the incident and is billed for logged time only.

FIRES

Assignment -$400.00 per hour, per engine I $500.00 per hour, per truck

Includes:

• Scene Safety

• Investigation

• Fire / Hazard Control

This will be the most common "billing level". This occurs almost every time the fire department responds to an incident.

OPTIONAL: A fire department has the option to bill each fire as an independent event with custom mitigation rates.

Itemized, per person, at various pay levels and for itemized products use.

WATER INCIDENTS

Level 1

Basic Response: Claim will include engine response, first responder assignment, perimeter establishment, evacuations, first responder set-up and command, scene safety and investigation (including possible patient contact, hazard control). This will be the most common "billing level". This occurs almost every time the fire department responds to a water incident.

Billed at $400 plus $50 per hour, per rescue person.

Level 2

Intermediate Response: Includes Level 1 services as well as clean up and material used (sorbents), minor hazardous clean up and disposal. We will bill at this level if the fire department has to clean up small amounts of gasoline or other fluids that are spilled as a result of the incident.

Billed at $800 plus $50 per hour, per rescue person.

Level 3

Advanced Response: Includes Level 1 and Level 2 services as well as D.A.R.T. activation, donning breathing apparatus and detection equipment. Set up and removal of decon center, detection equipment, recovery and identification of material. Disposal and environment clean up. Includes above in addition to any disposal rates of material and contaminated equipment and material used at scene.

Billed at $2,000 plus $50 per hour per rescue person, plus $100 per hour per HAZMAT team member.

Level 4

Itemized Response: You have the option to bill each incident as an independent event with custom mitigation rates for each incident using itemized rates deemed usual, customary and reasonable (UCR). These incidents will be billed, itemized, per trained rescue person, plus rescue products used.

BACK COUNTRY OR SPECIAL RESCUE

Itemized Response: Each incident will be billed with custom mitigation rates deemed usual, customary and reasonable (UCR). These incidents will be billed, itemized per apparatus per hour, per trained rescue person per hour, plus rescue products used.

Minimum billed $400 for the first response vehicle plus $50 per rescue person. Additional rates of $400 per hour per response vehicle and $50 per hour per rescue person.

CHIEF RESPONSE

This includes the set-up of Command, and providing direction of the incident.

This could include operations, safety, and administration of the incident.

Billed at $250 per hour.

MISCELLANEOUS

Engine billed at $400 per hour.

Truck billed at $500 per hour.

Miscellaneous equipment billed at $300.

MITIGATION RATE NOTES

The mitigation rates above are average "billing levels", and are typical for the incident responses listed, however, when a claim is submitted, it will be itemized and based on the actual services provided.

These average mitigation rates were determined by itemizing costs for a typical run (from the time a fire apparatus leaves the station until it returns to the station) and are based on the actual costs, using amortized schedules for apparatus (including useful life, equipment, repairs, and maintenance) and labor rates (an average department’s "actual personnel expense" and not just a firefighter’s basic wage). The actual personnel expense includes costs such as wages, retirement, benefits, workers comp, insurance, etc."



Just Jake Talkin'
Mornin',

The hardest thing for most folks dealin’ with any government is the time it takes ta get things done.

It’s seems ta be especially aggravatin’ when dealin’ with City government ‘cause ya figure things could get moved along easier at the local level.

The fact is, the system is built to go slow. Not the most efficient way a gettin’ things done, but it serves the purpose of keepin’ things from jerkin’ from here to there without due consideration.

The main objective is to give folks in the community a chance to get their two cents in. On the other hand, once things get set, it’s not easy to overturn it.

Change is tough on ever’one, as hard as it is to admit it.

This is some fact, but mostly,

Just Jake Talkin’.


Sponsored by Carthage Printing

Weekly Columns

To Your Good Health

By Paul G. Donohue, M.D.

Energy Vanishes When Thyroid on the Blink

 

DEAR DR. DONOHUE: I have taught fourth grade for 20 years. This year I couldn’t wait for the summer break. I was feeling fine at the beginning of the year, but as the months passed, I could hardly make it through the day. I had no energy.

My husband insisted that I see a doctor. I did. The first doctor told me I was depressed. The second one took a longer time with me and ordered a batch of blood tests. My thyroid gland isn’t working. I have a condition with a foreign-sounding name. Do you know what I’m talking about? Will you expand on it for me? -- T.Y.

ANSWER: I’m sure you’re referring to Hashimoto’s thyroiditis. The Hashimoto name is not recognized by most people. It is, however, in our part of the world, the most common cause of hypothyroidism -- a nonworking thyroid gland.

The thyroid gland is located in the lower part of the neck. Thyroid hormone keeps all body cells and organs working at their peak efficiency. In Hashimoto’s thyroiditis, the immune system has attacked the gland for reasons that are not clear. It’s yet another example of an autoimmune disease, one where the immune system turns on its own body.

Signs of a lack of thyroid hormone come on gradually. Fatigue and weakness make it a heroic feat to get through the day. Hair might fall out. Skin becomes dry. Affected people feel cold when others are comfortably warm. Constipation is a common complaint. Menstrual cycles are erratic. Weight is gained in spite of a poor appetite and a decreased intake of calories.

In addition to these signs, the gland often enlarges -- becomes a goiter.

Although Hashimoto’s thyroiditis and the resulting hypothyroidism are serious conditions, treatment is straightforward: Supply the missing thyroid hormone. Once on the pill form of the hormone, signs and symptoms disappear. It takes time, however, before a person notices big changes for the better.

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