Ask The Experts 2/24/18

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    ? HVAC or Q. When should I repairand replace my heating cooling system? A. Brad Haas Comfort Advisor That s a question I m often asked and there s no easy answer. Sometimes, it makes sense to repair your equipment as opposed to replacing it. But, will a repair be all you need to keep your equipment running or will it just serve as a quick fix? The reasons for either solution can vary. A repair is most likely to happen if; your system is still under a manufacturer s warranty, under 10 years old that s had routine maintenance with no major repair history. And, if your system is still efficient. However, if your system is just the opposite of the points I just mentioned, then you may want to consider replacing your system. So, if your system is having frequent breakdowns, is over 10 years old and is under performing in terms of efficiency and is facing a high-cost repair then replacing should be considered. Keep in mind that these are general rules and may not apply to all equipment the final solution will depend on the situation. Yankton Vermillion Sioux City 2018 Broadway, Yankton 665-4348 Pharmacy/Nutrition Funeral & Cremation Q. How do we get county assistance for funerals when we have no way to pay? A. Jim Goglin Funeral Director, CFSP To receive county assistance, it must be established that the deceased and responsible party have no funds or assets that can be used to pay for the funeral. When it has been confirmed there are no means to pay, either the funeral director or family will have to contact the County Auditor or a County Commissioner to receive final approval. Once the approval has been received from one of the said individuals, the funeral home will direct a bill with a standardized fee that the county dictates to the county. Once verbal permission has been received by the funeral home, it is the county s responsibility from then on. A verbal agreement is a contract and the county must hold to their promise. Goglin Funeral Homes Yankton Tyndall Scotland Tripp 807 W. 31st St., Yankton 665-4414 866-615-2906 Chiropractic Snow tips from your chiropractor: Q. What is MTM? A. Your prescription insurance plan may have a service Kim Kortje called MTM Medication Therapy Management. Your insurance plan is monitoring how you are taking your medication and if you are taking the appropriate medication(s) for your medical condition(s). From that information your pharmacy insurance may contact your pharmacy and ask the pharmacist to follow-up with you. Any of the following may be a reason the pharmacy insurance company may want the pharmacist to visit with you. Adherence looking at several month fill history to determine if you are missing any days of therapy; may discover that a provider changed CMR (comprehensive medication review) reviews all medications, directions, indication for use, allergies, and compliance. Based on your diagnosis, there may be medications that you would benefit from and may be missing from your list of medications. Based on you age, there may be medications that pose a risk in the elderly Follow-up on a new medication to make sure you are tolerating the medication or if you have concerns or questions about the medication since starting the new medication. This is a service your pharmacy insurance is providing to you for your protection and education. Do not be alarmed if your pharmacist calls and inquires about your medication. Your physician, pharmacist and pharmacy insurance want you understand your medication therapy. Pharmacy 665-8261 Ear, Nose & Throat Sheila Fitzgerald, DC Shoveling snow can wreak havoc on the musculoskeletal system. The American Chiropractic Association suggests the following tips for exercise of the snow shoveling variety: Layer clothing to keep your muscles warm and flexible. Shoveling can strain de-conditioned muscles between your shoulders, in your upper back, lower back, buttocks and legs. So, do some warm-up stretching before you grab that shovel. When you do shovel, push the snow straight ahead. Don t try to throw it. Walk it to the snow bank. Avoid sudden twisting and turning motions. Bend your knees to lift when shoveling. Let the muscles of your legs and arms do the work, not your back. Take frequent rest breaks to take the strain off your muscles. A fatigued body asks for injury. Stop if you feel chest pain, or get really tired or have shortness of breath. You may need immediate professional help. After any of these activities, if you are sore, apply an ice bag to the affected area for 20 minutes, then take it off for a couple of hours. Repeat a couple of times each day over the next day or two. If you continue to feel soreness, pain or strain after following these tips, it may be time to visit you doctor of chiropractic at First Chiropractic Center. We look forward to serving you!! Q. I want to train for a half marathon. How much time will I need? Q. A. A. Avera Sacred Heart Hospital Professional Office Pavilion 409 Summit St., Ste. 2600, Yankton 668-8601 Podiatry Angie O Connor Clinical Exercise Specialist Training for an endurance event can be an exciting task but not one to take lightly. The challenge that an event like this brings is what draws in most people, however, the time that it takes to prepare sometimes wanes over time. You will need to make a serious commitment to the event for at least fifteen weeks before. If you ve never run a half marathon, before you begin your training you should be running three times per week for at least thirty minutes and be easily able to run three miles on a long run. A personal trainer can set you up on a specific progressive weekly plan. It is also important that you are familiar with how to properly take care of your body during a race like this. Knowing how to stay hydrated, ensuring you are getting the calories you need, preventing and caring for injuries and pacing is critically important to success. Be sure you are getting the education you need in those areas. Spring is here, let the training begin! 501 Summit, Yankton 668-8357 Kendra Bailey, Au.D. CCC-A Sir, you are definitely not alone! This is a problem shared by many. Research has shown at least 50 million adults suffer from some form of tinnitus (ringing in the ears). Tinnitus is a highly complicated issue rooted deeply in our neural pathways and often a symptom of hearing loss or some degree of damage to the inner ear. Sometimes, properly fit hearing aids equipped with tinnitus management technology ease the awareness of tinnitus. I recommend starting with a comprehensive hearing evaluation to obtain baseline information and learn more about how to manage your tinnitus. Additionally, I encourage you to visit the American Tinnitus Association s website: www. If you would like more information, you can contact our office at (605) 655-1220. 2507 Fox Run Parkway, Yankton, SD, 665-8073 Fitness/Health Dr. Baily, over the past few years, I ve noticed a constant buzzing in my ears. Is there anything I can do to stop this? Q. My mother had varicose veins that turned into sores. I am now getting them myself. Are Terence Pederson, D.P.M. these hereditary, and what can I do to prevent them from becoming worse? A. Varicose veins can be hereditary. Veins have valves that allow the blood to flow in only one direction towards the heart. These valves can become faulty and allow the blood to flow backwards towards your feet. When the blood flows toward your feet, it pools in the veins in the ankles. The pooling causes the veins to swell and puts pressure on the skin. The skin then becomes thin and fragile and eventually turns into an ulcer. ou can prevent the veins from worsening by elevating your Y feet for a few hours each day. Avoid long periods of standing. Compression socks, knee or thigh-high, can be worn to help push blood up and towards the heart. If a sore develops, local wound care can heal the ulcer. A vascular surgeon can treat varicose veins. Avera Sacred Heart Hospital Professional Office Pavilion 409 Summit St., Ste. 2600, Yankton 668-8601