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davis,lr,vr wrote:
How does one qualify for pioneer status?
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> From: Mary2gard(a)aol.com
> To: INCLAY-L(a)rootsweb.com
> Subject: Elijah Orman
> Date: Monday, May 17, 1999 9:00 PM
>
> Pioneers of Ohio
> Submitted by
> <A HREF="mailto:GFS Diana(a)AOL.com">GFS Diana(a)AOL.com</A>
>
> AfteNancy Hicks and Tillman Chance are the first marriage in the Owen
County,
> Indiana, Marriage Book #1, married October 14, 1819. The story goes that
the
> wedding was held at the home of Nancy's father, Samuel Hicks, in Freedom
> Township. They had to grind their own flour, so Nancy recruited her
brothers
> to "pound" the grain to make flour for her wedding cake. The minister
was
> quite amused by this, and quipped "it's not many brides who can say they
had
> 'pound cake' for their wedding cake."
>
> Nancy and Tillman were married for nearly 50 years, and their daughter,
Diana
> Chance and her husband Elijah Orman, qualify for Pioneer status in both
> Indiana and Iowa.
>
>
> ==== INCLAY Mailing List ====
> To contact the INCLAY list owner,send a message to;
> fred(a)claynet.com
I have some correspondence from Morris and Leota Orman that might be of
interest to you. They are two items, will send seperately. Les J
RoorsWebSponsor lejohnson(a)kiwi.dep.anl.gov
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RUSH-PRESBYTERIAN-ST. LUKE'S MEDICAL CENTER
RUSH UNIVERSITY
RUSH
RUSH ALZHEIMER'S DISEASE CENTER
JOHNSON, Natalie
December 3, 1998
EPI Home Visit
710 S. PAULINA STREET. b .~AkTH, CHICAGO, ILLINOIS 60612-3872.312.942.4463
I saw Mrs. Johnson in her home in Tinley Park on 12/2/98. She is cared for
by her
husband and son, Alan. Patient was dressed in a nightgown and sitting in her
geri-chair in
a large living room where she spends most of her day. She has a hospital
bed, a commode,
and a walker. She has a Foley catheter in place, which is the choice of her
caregivers
because it is easier to manage than her incontinency. She has had a few
bladder infections
this past year which have been treated successfully with Cipro. According to
her husband,
the patient has a history of blood clots and has a Richmond screen in place
in her left
femoral artery. She has a new physician, Dr. Kanashiro, with whom her
husband and son
are very pleased. Dr. Kanashiro ordered Aricept in 8/98, along with physical
therapy. The
family attributes a remarkable change in her ability to stand and ambulate,
along with an
increase in verbalization, directly to Aricept. Mini-Mental score was 1/30.
Patient did not
answer any of the questions appropriately, but did read aloud, "close
your eyes" articulately
and accurately; then, she did close her eyes. The Foley catheter is changed
once a week by
Ingall's Home Care, who also provide the PT services. The only
medication she is on is
Aricept 5 mg once per day. Height is 5'6" and weight is 134 lbs.
Blood pressure was 126/80
and 120/84, both sitting; pulse was 76.
General neurological examination is as follows. Patient has marked slowing
throughout.
She was very stiff and was unable to arise from the chair without help, and
she was unable
to stand without assistance. She was able to take steps with the walker with
a one-person
assist. Base of gait was narrow, and she tended to drag her left foot a bit.
While standing,
she maintained a very flexed hip and knee posture. She does have a history
of left hip and
knee replacements secondary to degenerative arthritis. Her left leg is
noticeably shorter
than the right. She does have about an 11/2" shoe lift built into the
sole of her left shoe.
She was unable to turn. The bradykinesia items were very difficult to test
for. She is very
stiff. She was able to mimic with her right hand, but didn't do anything
with her left. She
was able to perform the finger taps and the pro-sup movements with her right
hand with
mild slowing and reduction in amplitude. She showed no dysmetria. She was
able to grasp
for a pen with much coaching. She has a very slow reach. There was no
action, postural,
or rest tremor. She did not attend visually to peripheral movement.
Nasolabial folds were
symmetric. Speech was never above a whisper, but her words were articulate,
and she was
appropriate at times with her responses. She smiled frequently, but did show
a slight
abnormal diminution of facial expression. Rigidity was mild to moderate in
the upper
extremities, mild to moderate in the right lower extremity, and severe in
the left lower
extremity. Head and neck were moderately rigid. Gegenhalten was definitely
present in
both upper extremities. I was unable to test for upper extremity drift
because she didn't
JOHNSON, Natalie
Page 2
comprehend/follow. Muscle stretch reflexes were present and symmetric in the
brachial
radialis, biceps, and triceps. Patellar reflex was definitely greater in the
left, and Achilles
were absent bilaterally. Babinski was equivocal bilaterally. Her feet were
hypersensitive.
She reacted normally to vibratory sensation in her right foot, but not in the
left. Pain
sensation was normal in the right foot and decreased in the left. She was alert
and
responsive throughout the exam, frequently smiled, and seemed to enjoy the
interaction.
We plan on seeing Mrs. Johnson again in one year.
Lois Barton, RN, MPH
Nurse Clinician
/jm
D~ fl~~CH~~/
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