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SECTION 2 • PAGE 8 - PLA1NDEALER HERALD, WEDNESDAY, OCTOBER 3,1984 Nation/World A . ' r;. 5 . > " 1 v v H > ̂ <..>«. . /*•. Art?" y"' H •' € $ , • (f rTL?M3S* •• . •••in! A Chadian boy waves to French troops with­ drawing from a base at Moussoro after France and Libya decided military forces. to a joint withdrawal of Red tape halts service By United Press International STREATOR - The cars that brought senior citizens todmpor- tant hospital check-ups, doctors appointments or just local stores came to a screeching halt this ' week in a pile of paperwork. 'Retirees Leona Schmitt, 74, and John Bourne, 76, said their 8-year- old Streator Area Senior Citizens Council, Which provided the rides and helping hands to other Streator retirees, became too bog­ ged down in state-required paper-, work to continue. Sunday was their last day in business. ' -J" 11 was nothing but "bureaucracy that shut us down," .said Schmitt, a housewife'who plunged headlong into the world of state and federal grant funding eight years ago. "We feel bad about it because of all the seniors BUt we see too much money going to administration and not enough to people." Take the ride program for ex- t' ample. Volunteer drivers received ,17 cents per mile from grant money and often received tips HiroiBtheifctert. PuAdlng requirements railed for drivers to turn tips over to Bourne and Schmitt to deposit in the bank. The agency would then write the driver a check for the mileage plus the tip so payment could be reported to all the proper authorities. The two-person agen­ cy then had to obtain workmen's compensation insurance and blanket car insurance. All of this required bookkeeping to satisfy still more state re­ quirements. State officials also decided that the state-required an­ nual audits would no longer be conducted by the state, but by a private certified public accoun­ tant paid for out of grant money Bourne and Schmitt were using to provide rides. Bourne and Schmitt received token part-time salaries for their full-time work of matching volunteer drivers with people 60 or older who needed rides around town or as far away as Chicago- area veterans hospitals. Most of the volunteer drivers are also senior citizens and Schmitt said the ridefi*kept the community's elderly united and concerned about each other. The pair also provides a kind of brokerage service to match peo­ ple Willing to do household chores with senior citizens willing to pay minimum wage for odd jobs. "You take a lamp or toaster to an electrician for repair and he'll just laugh at you," Schmitt said. "It costs more to fix than to buy new. We had an electrician who would fix that stuff for minimum wage." The pair received their first state grant in 1976 by enduring a fair amount of paperwork and at­ tending funding meetings where most of the participants were also retired people. Through the years, the paperwork boomed, the number of planning meetings skyrocketed and Schmitt and Bourne said they began to notice something about their colleagues in the senior citizens service field. * They'weren't senior citizens. "When we go to the meetings, we're the oldest ones," Schmitt said. "These other people who get grants, they're 22, 23-year-old kids." That's one thing that gripes the pair. A substantial portion of senior citizen funding goes to youthful administrators, not needy seniors. "t guess it's time to step aside and let the younger ones take over," Bourne said. are working wonders with bone grafts from the skull By United Press International NEW YORK - Plastic surgeons are harvesting bone from the skull and using it to repair facial defor­ mities from birth defects or car crashes. "We can take out head bone as saw dust and make it into a pate and put it into an area where there is a hole," said Dr. Henty Kawamoto, associate clinical pro­ fessor of surgery at the UCLA Center for Health Sciences. "Material also can be taken out in little chips or flakes. Or we can take it out in strips and use it. to build up noses." Kawamoto said there are many advantages in harvesting bone from the head instead of hip or ribs -- a traditional source of material for plastic surgeons. "There are no scars that can be seen," he said. "They are hidden by the hair. The area of the donor site, the head, is close to the area we are working on, the face. "The only pain is a little h iadache. \ . - * "Many patients Stay in the hospital just overnight versus 5 to 7 days, the case when bone is taken from the hip or ribs. Im­ agine what that does to cost. "Also, the patient has no pain in ribs to deal with and there is no limping around, as happens when hip bone is taken." Kawamoto talked about the bone grafts from the cranium while participating in an American Society of Plastic and Reconstructive Surgeons seminar at the New York Academy of Medicine. "Such grafts are much sturdier, surgeons are finding," he said, "and the grafts are not reabsorb­ ed -*or reabsorbed very little. "One approach to harvesting bone from the cranium is to remove the outer half of the skull, using a saw or chisel-like instru­ ment. "Because the skull is composed of three layers -- a 'sandwich' kind of structure -- it is possible to split the layers apart, take what is needed and still leave the brain covered." The surgeon said this technique is called "split thickness" cranial bone graft. Another technique, a "full thickness" graft, might be used if a great deal of bone is re­ quired to rebuild the face on a deformed child, he said. In that situation, the entire bony structure on top of the head can be removed, leaving the brain tem­ porarily exposed. Kawamoto said the bone layers then are parted, or split. One layer is used and the unused part is returned to its original position, once again covering the brain. In yet another technique described by the UCLA surgeon, an instrument resembling a miniature oil drill is used. "Potholes" about the size of a dime are drilled through the outer two layers of headbone. For Your Information 1 ns or Kawamoto said cess bone shavings ?-- "si wood shavings" -- are cc and used to fill in depress gaps in the facial area repaired or reconstructed. He said siich shavings common­ ly are used to fill in the gaps created by a cleft palate, and would precede corrective dental work. Kawamoto, who holds a dental as well as a medical degree, said it is technically possible to harvest the entire skull cap. "Some regeneration of the (skull) bone will occur but not a great deal," he said. "What re­ mains, however, is of sufficient strength to protect the brain dur­ ing normal wear and tear." 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