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A picture is worth a thou sand words wtwn describing a hiatal hernia, so please refer to the diagram while reviewing this article. A '‘he^nia , ' refers to a condition in which any of the bodv s organs slips partially through a weakness in the wall of the muscle surrounding it. A hiatal hernia refers specifically to the stomach As you can see, your esophagus normally passes through an opening in the diaphragm (sheet of muscle) to hook up with the stomach. This opening is called the "hiatus". In some people the muscular tissue around this hiatus weakens, allowing the lower portion of the esophagus and sometimes the top of the stomach to slide up through the opening, this is called a "hiatal hernia." Many people past the age of SO havejome degree of hiatal hernia, although they are generally not bothered by if. It is also

County

by Dr Robert C Batman

by Kathleen Dully

more common in those who are overweight. PATIENT* ttHO experience symptoms generally report a painful burning sensation in the chest. It may be most troublesome at night, because acid can flow into the esophagus most easily when lying down or bent over. You may find yourself swallowing air unintentionally to relieve the pain. Building on last week's discussion on hearttwm, it should be noted that the hernia itself. Rather, there is a tendency for the muscles of the esophagus which prevent stomach contents from entering the esophagus to weaken. Stomach acid then refluxes (travels) back up into the esophagus, causing the burning pain and thus ir‘ritating delicate tissues

Library

Records, records, records — the Cape May County Library has recently added over 100 new records to its collection. We’ve tried to add something for everyone. For nostalgia buffs there is Over Here, Over There; The Most Popular Songa in England and America During World War II. An American Heritage record which includes “We’re Gonna Hang Out the Washin’ (on the Siegfried Line) in England and “Praise the Lord and Pass the Ammunition" (inspired by the words of a Navy chaplain during the attack on Pearl Harbor) in America. It was the era of the big bands and on both sides of the Atlantic they heeded the call to boost their nation's morale. Other titles include “tali Marlene", “The White Cliffs of Dover”, “I’ll Get By", "Lovely Way to Spend an Evening”. "Sentimental Journey" and others / Wants To Be A Actor Lady and Other Hits from Early Musical Comedies takes its songs from the late 19th and early 20th centuries The first disconnected assemblage of songs, dances and satirical sketches known as the revue in this country was first presented in the "Passing Show’’. The first extravaganza combining scenic splendor and dancing girls in abbreviated costumes was successfully offered in “The Black Crook”. The songs from these and other shows recreate the spirit and style of a bygone period. The soundtrack from "Ragtime" the motion picture and the original Broadway Cast Album of "Dreamgirls" were included for those whose tastes run to show tunes. Like to exercise to music? We now are offering Richard Simmon's Reach. Jane Fonda's Workout Record, and Feel, Good! Look Great! Exercise Along With Debbie Drake for your exercising

pleasure.

J F COUNTRY or folk isic is your style listening pleasure, you may wish to borrow Precious Friend by Arlo Guthrie and Pete Seeger

As we discussed last week, chronic heartburn can be a symptom of any one of many disorders Your preventive medical role in reporting this symp^ tom to your physician can lead to early detection of many significant disorders. Examples are that of cancer of the esophagus, lung disease, heart disease, scar, ulcer, or just reflux of acid coup! ed with a hiatal hernia A HIATAL hernia can develop complications such as becoming twisted in such a way that the blood is cut off or "strangulated ” This may require surgery If inflammation of the esophagus from the reflux is severe, special treatment may be needed, otherwise, ulcers can develop and/or scar tissue which makes swallowing difficult. In most cases antacids, weight Ices, elevation of the

head of the bed, avoidance of smoking and certain foods will help control symptoms Should symptoms persist, your physi cian may order X-rays, a look into the stomach with a special lighted tube called an "endoscope," and a cardiogram A brief word on long term use of antacids - beware! Antacids can cause diarrhea, constipation, remove calcium from your system, cause the body to retain magnesium Your physician may want to take steps to control these side effects More importantly, such long term antacid use may be a signal that something else is going on and bears looking into' Also keep in mind that disturbances of digestion and trouble swallowing are among the warning signs of cancer Bring these concerns to thea Kent ion of your doctor Health Watch is a project of the Public Education Committee of the Cape May County Unit of the American Cancer Society.

4-H Invites New Kids

which includes "Wabash Cannonball", “Hills of Glenshee", “Old Time Religion", “Will the Circle Be Unbroken’’, “I’m Changing My Name to Chrysler" and others. Real mountain music can be found on Dav«d Holt's It Just Suits Me which contains songs from the mountains surrounding Asheville, North Carolina learned from local residents who like to “pick and strum on the porch of an evening". If your country musjc taste is more in the Nashville strain, we've added Johnny Cash’s album The Baron. Jazz more to your liking? Try Wind City Seven's Jam Session at the Commodore by jazz guitarist Eddie Condon or Herbie Hancock’s album Mr. Hands. Opera buffs will delight in Great Duets From Verdi Operas sung by tenor Richard Tucker and soprano Eileen Farrell accompanied by the Columbia Symphony Orchestra. Rock fans will discover the likes of The Clash doing Combat Rock. Roseanne Cash’s Somewhere In the Stars, or Randy Crawford’s Secret Combination. Gospel? Rev. Maceo Woods and The Christian Tabernacle Concert Choir in alive concert. Includes "Bringing in the Sheaves", "Through it All", “I Heard the Voice of Jesus Say" and

many others

Vivaldi's Concerti For Mandolin and Other Favorites performed by the German String Orchestra conducted by Siegfried Behrend; Berlioz' Symphonic Fan tastique performed by the Cleveland Orchestra conducted by Lavin Maazel; Kelsler String Quartet in A Minor; Paganini String Quartet in E Major performed by the Stuyvestant Quartet with Sylan Shulman and Bernard Robbins on violin. Ralph Hersh on viola and Alan Shulman on cello; Bernstein Conducts Haydn H a r - moniemesse performed by the Westminster Choir and the New York Philharmonic are just some of the many new classical records to be enjoyed at the Cape May County library.

COURT HOUSE - Since the Annual 4-H Fair in July, the Cooperative Extension Service has received many requests for iniormation concerning participation in the 4-H Youth Development Program In response to the interest. two meetings have been scheduled. On Oct. 25. at 7:30 p.m., a 4-H orientation will be held for parents, potential 4-H leaders, and any interested adults. Information on the overall 4-H program, op portunities available, various roles for adults in 4-H and leadership training will be presented. A second meeting. Nov

17, at 7:30 p.m . will be a 4-H open house for potential members They include kids seven — 19 There will be slide shows discussions with 4-H leaders and members, and lots of infer mat ion on how kids get involved. Both meetings will be held at the Extension Service Educational Center. Dennisville Road, Court House Refreshments will be served 4-H is open to all youth without regard to race, color, sex, national origin or handicap. For more information contact Betty Jean Jesuncosky, county 4-H agent, at 465-5115

MADD to Meet COURT HOUSE - The Cape-Atlantic Chapter of MADD 'Mothers Against Drunk Drivers) meets at 7:30 tonight at the County Library on Mechanic

Street. „

Donating A ‘Fair Share’

New car loans %

a.p.r. • 20% down payment , • Up to 48 mos. to repay Act now for this limited time offer. Pick up your new car loan application at your nearby Guarantee Bank branch. Or call 441-7170 and ask us to mail your application today. ; n guarantee bank mW;- ' Your Personal Bankers

ED NOTE - This is one in a series of articles by First Call for Help, a divi sion of the United Way of Cape May County, explain ing human service agen cies First Call, at 729 2255. can refer persons to the ap propriate agency * » Last week we wrote of the upcoming fall cam paign of the United Way of Cape May County-' We listed for your information again the 12 United Way agencies The United Way is made up of citizens of Cape May County who ard willing to give their time. talenLc and resources to support those agencies which return their talents, resources and expertise to the citizens of Cape May County Ninety cents out of every dollar raised goes to the agencies This is a cons tant. a policy of the United Way of America, which is mandatory for all local United Ways This is why the United Way is built on the efforts of volunteers and why a volunteer, in asking a contributor to pledge his/her ’fair share," can guarantee that 90 per cent of the donation will reach the United Way agency What is a "Fair Share" donation? This figure is based on prevailing average hourly wage within each trade group . Our "Fair Share" is an hour’s pay a month That’s just three minutes a day That’s all the time it lakes for you to help the United

Way