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SECTION DMONDAYJULY 28, 2008

THE NEWS-JOURNALAccent‘DesperateHousewives’creator saysend in sightPAGE 6D

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on callFrom your medical society

N E W S E R I E S : H E L P F O R H A R D T I M E S

Pointfinger atcommon

injury

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By TAMARA CLANCY, M.DQ. I smashed my fingertip in a

bike chain. What should Iexpect?

Fingertip injuries are some ofthe most common injuries to thehand. Fingertips are exposed inmany of our activities and canbe crushed by a closing door,hammer or falling heavy object.Fingertips can be cut with aknife or significantly mangledby a power tool.

It is important to know howthe injury occurred when evalu-ating these injuries. Any medi-

c a l p r o b l e m sand often the pa-tient’s occupa-tion and hobbiesare important ind e t e r m i n i n ghow the injury istreated. Exami-nation tells theextent of tissueinjury and the

size of the wound. Sensation,circulation and mobility of thefingertip are assessed. X-raysare usually done to determine ifthe bone has been injured.

Injured areas may includeskin, nail, nail bed, tendon, boneand the pulp (the padded area ofthe fingertip). The skin on thepalm side of the fingertip hasmany more nerve endings thanmost other parts of our body.These nerve endings enable usto have fine sensation in our fin-gertips, but when damaged, maybe difficult to replace and re-store to normal sensation.

Severe crush injuries cancompletely remove some or allof the tissue of the fingertip. Ifjust skin is removed and the de-fect is less than one-half inch indiameter, the injury can oftenbe treated with just local woundcare and dressing changes.

If bone is exposed at the tip,sometimes it can be trimmedback slightly and treated withdressings, or trimmed and thetip stitched closed. For largerfingertip defects, skin graftingmay be necessary. Any damageto the nail bed is usually re-paired to prevent infection ofthe bone and to prevent or mini-mize future nail deformity.

When more skin is lost andthere is significant exposedbone, the bone should be cov-ered with skin and fat to give thefingertip some padding. Smallwounds can be covered with aflap from the injured finger, butlarger wounds require a flaptaken from another finger, oreven another part of the body.

These flaps are left attached totheir original site while it isstitched to the finger wound fortwo to three weeks until there isenough blood supply from theinjured finger. At that time, theflap is divided and the finger canbe mobilized.

Fractures of the fingertipbone are very common. Verysmall fractures of the end or tuftof the bone usually do not affectthe strength of the bone. Repairof the soft tissue around thebone usually realigns the stabi-lized bone enough that it doesnot have to be pinned.

Tamara Clancy, M.D.,is aboard certified hand surgeonpracticing in Daytona Beach.Readers may suggest ideas forfuture medical columns to theVolusia County Medical Socie-ty at docs420@aol.com.

T hese days, you don’t have to go toa luxury car lot to experiencesticker shock. Just go to a

supermarket produce aisle. It can bechallenging to keep the grocery billunder control if you’re committed tofeeding your family fresh, healthyfoods. We recently asked you for yourtips on eating healthy for less, and boy,there are some budget-savvy readersout there. Many of you responded withshopping strategies, cooking tips andeven recipes. Here are some of theresponses.

— Staff Report

ORDER ONLINE

One of the ways I save money on myfood bill is to order online from Am-azon.com.

Many of their items do not have ashipping charge, and, if I have itemsthat I order on a regular basis, I cansign up for their ‘‘subscribe-and-save’’program and receive an additional dis-count.

— Maggie Hawk, New Smyrna Beach

LOCAL HELP

When the monthly menu pleases me Iprepay and pick up a box from AngelFood Ministries (angelfoodminis-tries.com). In Daytona Beach, AFM isat A Family Church, 240 N. FrederickAve., 386-257-4020. It’s a nationwide or-ganization that puts together $70 to $90a month in good food items (and) boxesorders for participants for $30 a month.A lot of volunteers are involved. Thereare sites in Port Orange and through-out Volusia County.

I do a big trip for necessities, includ-ing soap, laundry items and paperproducts once a month. Then I makeshorter trips once a week to replenishmilk, bread, produce, flowers, and oth-er items.

— Linda Akin, Daytona Beach

TAKE INVENTORY, MAKE MENUS

Take a quick inventory on scrap pa-per of what is in your freezer and pan-try. Next, make a list of the days of theweek; highlighting busy nights wherecooking isn’t going to happen. Now as-sign a main dish from your freezer listfor each day. Add side dishes from yourinventory lists, preferably healthychoices like vegetables and fruits.

Once your pantry and freezer arereasonably cleaned out, you will be freeto make your meal plan according towhat is on sale, what is in season andwhat is healthy. Make your shoppinglist from the plan.

— Ingrid Timbs, Ormond Beach

BUY CHICKEN WHOLE

Buy whole chicken rather than justpieces. This gives you probably twomeals. One meal with green vegetablesand fruit and some rice. The rest, makechicken salad.

— Traudel Tobeck, Daytona Beach

CLANCY

GO VEGETARIAN

My husband and I eat vegetarian mealsat home. That definitely keeps the costdown because beans and soy products areusually much cheaper than meat prod-ucts.

When we go out to eat, that’s when myhusband is able to have his meaty meals(I’m a vegetarian all the time).

— Chantel Buck, Edgewater

HIT THE FARMERS MARKET

If and whenever possible, go to the localweekly farmers market. It takes extra ef-fort, but the savings are worth it whencompared to supermarket prices for freshproduce. Small produce stores can alsohave good bargains.

— Donna Bond, Port Orange

SEASONAL PRODUCE

Purchase seasonal produce: Fruit andvegetables that are in season are almostalways cheaper.

Take advantage of nonperishable saleitems you purchase regularly: Cereal,soups, pastas, snacks that can be storedwithout risk of spoiling can be purchasedwhen on sale.

Search the Web for budget-friendlymeal ideas: There are many great Websites that offer ideas for meals at minimalcost. Some recommended sites:Allrecipes.com: allrecipes.com/Info/L i v i n g / B u d g e t - F r i e n d l y - M e a l s /main.aspxKraft.com:k r a f t f o o d s . c o m / k f / D i n n e r /BudgetDinners/

— Heather L. Johnson,Jacksonville

TWO FOR ONE SALES

Two for one is the very best way to buyhealthy canned goods, corn, beans, fruitin their own juice, boxed cereals, spaghet-ti sauce, etc. Low-salt canned goods areavailable as well.

Many times I stock up and pass on theadditional cans to the food shelter.

When purchasing ground meat on sale,(I prefer fresh ground chuck), I make myown hamburgers and make extra to put inthe freezer for future meals. Leftoverhamburger and hot dog rolls can be frozenas well.

Store brands for most goods are a greatsavings along with other labels on sale.

— Pat GrunerDaytona Beach

About This SeriesThere’s no getting around it:We’re facing tough economictimes. But there is hope. Thisseries will appear occasionallyin different sections of TheNews-Journal, giving youpractical tips and advice fornavigating the economicstorm.

More InsideSome readers sent in

recipes. PAGE 3D

We asked a registereddietitian a few questions aboutnutrition while on a budget.PAGE 3D

FITNESS EVENTS: Hoping for a great turnout for your fitnessfundraiser? Let us help. Send us the information for yourevent, and we’ll include it in our weekly calendar in theMonday Accent section. Please include the name of the event,when and where it takes place, cost and a number to call formore information, along with your name and phone number.E-mail to accent@news-jrnl.com, subject line FitnessCalendar, or mail to The Daytona Beach News-Journal, FitnessCalendar, Accent Dept., P.O. Box 2831, Daytona Beach, FL32120-2831. Please submit at least 10 days prior to the event.For this week’s calendar, see PAGE 3D.

COMINGTUESDAY

Are you a fan ofbrainteasers?Now you canenjoyWonderwordand CelebrityCipher MondaythroughSaturday.PAGE 4D

MILEY CYRUS: With therelease of her new CD,Miley Cyrus steps out ofthe shadow of TVphenomenon ‘‘HannahMontana.’’

Food styling byLaurie Sterbens

News-Journal photo/SEAN McNEIL

H O W Y O U C A N E A TH O W Y O U C A N E A TH O W Y O U C A N E A T

Healthy For LessHealthy For LessHealthy For LessHealthy For LessHealthy For LessHealthy For Less

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