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January 20, 2006     Barnstable Patriot
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January 20, 2006
 
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Neurologist finds rehab hospital congenial... CONTINUED FROM PAGE A:1 and get oysters for dinner - at the appropriate places with appropriate licensure, of course." Another appropriate place for which Lowell has appro- priate licensure is the rehab hospital in Sandwich, He's board-certified in neurology and psychiatry, and is using his expertise in those disci- plinesto help improve lives. "There was a slow time in neurological diagnosis and treatment in the '70s and '80s," Lowell said. "The '90s was designated the decade of thebrain.Therewasatremen- dous outpouring of research dollars to look at a number of common and uncommon neurological disorders. Out ofthis come both surgicaland medicaltreatments that have tremendously improved the quality of life for people with neurological disorders." Lowell said one of the keys hasbeen "understandingthat the brain truly does have a capacity to relearn how to perform certain tasks which have been lost or damagedby stroke." This "neural plastic- ity" allows other areas of the brain to pick up the lost func- tion by repeating the action. RHCI and Lowell are de- lighted to have a new tool in their arsenal: the NESS H2000. It's a device that fits over the hand and forearm and stimulatesmusclesinthe hand and wrist by delivering a mild electric charge. In a press statement, the hospital reported that Jim Graham of Marstons Mills had used the device for seven weeks and found restored function in his stroke-dam- aged arm and hand. "Nowit'spossiblefor several hours a day to re-teach the brain how to re-engage in those very important move- ments," Lowell said. The teachingthe doctor has experienced ranges from his classes at Boston University School of Medicine through residencies in neurology at Cornell Medical Center and Memorial-Sloan Kettering Cancer Center and in neu- ropsychiatry at Dartmouth- Hitchcock Medical Center. He'spracticed onLongIsland, in New Hampshire and in Texas. "I very much wanted to return to spending my time engaged in acute rehabilita- tion," said Lowell. "The work I was doing in Texas was very different. I was working with people who had very severe acquired brain injuries and very long-term rehabilitation needs and significant behav- ior problems. The periods of improvement were measured in months if not years." Lowell said there is a "win- dow of opportunity" for sur- vivors of a stroke or cata- strophicaccident."Afterthree or sixmonths,"he said,"other wheels turn, other factors come into play that have an impact on how aperson views himselfasamember ofsociety. It's difficult to assist people back once they and their fam- ily and their world viewthem as totally and permanently disabled." A person's physical and mental outlook both play into the potential for reha- bilitation, according to the physician who has studied neurology and psychiatry. It's necessary, Lowell said, "to address aperson'sfatigue, and early on their sense that they often have of helpless- ness and hopefulness. " It helps to have "a staff which gently encourages a person's participation in therapy, ad- dressing their psychosocial needs by not only utilizing a social worker and psycholo- gist but every member of the rehabilitation team." Lowell said medication to help people dealwithanxiety, depression, and fatigue is an- other important factor. "Atleast ahalftotwo-thirds of people who have strokes wouldmeet the criteriafor de- pression,"hesaid."Youcanar- gue whether it's a situational depression or whether actual physical changes occur inthe brain. But where the rubber meets the road,if someone is lying in bed, sleeping all the time, they can't participate in therapy." Lowell said he's had suc- cess in using Ritalin in such circumstances,whichhefinds superior to modern anti-de- pressantsbecause it provides results in days rather than weeks. And those days are precious when one is trying to take advantage of aclosing "window of opportunity" to restore function. The doctor 's fascination with the intersection of biol- ogy and behavior should be evident Wednesdayafternoon at 3 when he gives a talk at the hospital on "I Can't Re- member...Is it Alzheimer's? Understanding Changes as You Age." "Having problems remem- bering things isnot the same Alzheimer's disease," Lowell said. "I hope to educate the people who attend the talk about other important factors in their lives which may have an impact on their cognitive functions." Multiple medications and their side effects can lead to confusion and memory prob- lems, according to Lowell, as can a Vitamin B12 deficiency or an undiagnosed underac- tivethyroid gland.Somesleep disorders rob people of rest and change their unwitting victims into cranky citizens. "Then there are the emo- tional changesthat can occur often once a person retires," Lowellsaid."Manypeoplewho have retired to the Cape and inmovinghere havelost their connection to their work,lost their dailyschedule,losttheir friends.Depressioncanensue. Sometimes it can appear someone's becoming senile, but the primary problem is a profound depression." Lowell said he hopes to of- fer some practical solutions, including consultation with primarycare providers. "I'll also talk about what dementia means," he said. "People think demented means crazy, but dementia is actually the medical term for senility." As far as his own future re- tirement isconcerned,Lowell said, "I feel that I have found my resting place, that I have found the right environment for me and my wife to live for many years." That'sthe oysterspart.The rest of it has to do with the right working environment. "I came away from my very extensive interview at RHCI withthe sense that the people are very bright, ethical and well-educated," Lowell said. CEO Carol Sim, the doctor said, "is a wonderful person and administrator" who has "surrounded herself with an incredible group of inspiring people to work with." Besides helping patients, Lowell said, he's pleased to have an administrative role that lets him "work with people who are open-minded and progressive and wanting to actually make change, not just speak ofchange.It makes me want to get up early every morning and get to work." Dr. Lowell will speak Wednesday at 3 p.m. in the RHCI cafeteria. Admission is tree,but seating is limited. Call 508-833-4008 for reservations. A reception will follow. Water board... CONTINUED FROM PAGE A:1 President Hank Farnham. That was the logic of having two of the board's five mem- bers come from the business community. The proposal expected to go to the council wouldstillhavethoseratepay- ers be Hyannis residents as well, but Farnham said that there maybe room for discus- sion on that point. Duties According to the council item, the board would be responsible for the oversight of the Water Supply Division of the Department of Public Works, and, "subject to the authority and responsibility of the Town Manager and the Town Council," review and approve the operating budget for the division;review and approve rate schedules; review and approve the capi- tal outlay plan and budget for the division; prepare an inventory and master plan for allassets and to make any recommendations to enhance the performance and opera- tion of the division. We* >w ML fi p ^H I HHEk Mm\ mAmtm mSiwLi '•*r -^^^^^ MM BWMI HUB # IK/ WJH^H ^& MP$f t$l9™rf£ f * ff i&wi^'^^M ^SL ^P"*gg&THy> SSSSSZ CAPE COD ""SB* ACADEMY January ^ TheCape,sonly K12 Indcpcndcnt Ssirtttj SMIIII! Day School serving all of __ *t»5 HlWt Southeastern Massachusetts. ^e'ebrating Featuringth.9New Safe, Values-Centered 30 Seine Building Community *JBj 9 Exceptional Faculty or Academic P CAPE COD SuP*rb Academics __^Celtence AfADFlVlY Personal College Counseling Extensive Athletics Program ^ Diverse Extra Curricular Activities A\ Financial Aid Available [gjflji) SO Osterville -West Barnstable Road, JBgSL Osterville, MA 02655 508-428-5400 | PSjjS|Sm Visil us online www.capccodacademy.org [II I I f f .VcrnknJbv tht Nt» En|Mnd.\Mocutiooof Sdi«ijnd((iilcfa(jpc Cod lAMBB&iBM^ m Aadony tiua not dKTuiuiutc on the tu»aa< n«. rdipoo. gawcnir tihnwn Know the Market. Know the Town. only in wist ^Barnstable patriot Independent & Locally Owned Since 1830 3% Main St., Suite 15, Hyannis, MA 02601 • 508/771-1427 • Fax 508/790-3997 E-mail: info@barnstablepatnot.com • www barnstablepatnot.com HeritageResearch , Inc. •Genealogy Charts • General Title Work •Paralegal Services • Owners Unknown Speciality 72Pine Street, Hyannis, MA I (508) 778-4700 * Fax (508) 778-2887 | Letters to the editor The BarnstablePatriot welcomesletterstothe editor. Please keep them brief and either type or print them neatly. Include name, address and telephone number. Anonymous letters will not be published, but names will be withheld upon request. We reserve the right to edit all submissions. 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