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Note: Edna Evelyn Muncrief's middle name was chosen by Alvin Ester Muncrief. Alvin told Clara Hadassah (Swain) Muncrief (before Edna was born) that he would buy Edna a present if she would name her Evelyn. If he ever purchased the present Edna does not know what it was or if he did buy her a present. Edna Evelyn Roach was born at Nickel Hill, Johnston County, Oklahoma. She was twelve years old when her mother died. She had to quit school and take care of her younger brothers and sisters. About two years later her dad remarried and he told her she could go back to school (Plainview School). She did not want to go back to school because all her friends would be two years ahead. She was 18 years old when her dad died. Bryan Muncrief assumed the duties as man of the house. When she finished the house work she would go work in the fields. After a period of time Edna moved to Ernest Muncrief's house (her older brother). Then she married Willie Ruben Roach and to this union eight children were born. Honeymoon at Brother's Nov ember 10, 1934, Willie Ruben Roach and Edna Evelyn Muncrief were on their way to Ada, Oklahoma to get married. They had two flats on the way to Ada. They had to stop take the tire off the car, remove the tube, put a cold patch on the tube, and pump the tire back up with a hand pump. They almost didn't make it to Ada before the Court House closed at 5:00 P.M. They were married by the justice of the peace. On the way home they didn't have any flats. They went to Edna's brother Ernest's house for a couple of days. They left Ernest's home and went up to the Roach's old home place. Day-to-day life on the old farm: She picked wild plums, wild grapes, wild berries, apples, pears, and she canned from the garden all summer. She would make jelly from the grapes, berries, and plums for the winter. She help cook the meals and wash the dishes. She cooked on a wood burning stove. She made lye soap out of cracklings and fat. She washed clothes with the lye soap, using # 2 washtub and rub board. She help plant the garden and take care of the garden. She cleaned the house with a broom and mop. At same time she took care of the children. Mom's friends and family made Quilt blocks for her hope chest. Names on the Quilt Blocks: Earl D. Hilton, Lulu Epperson, David & Charlie Muncrief, Bessie Walden, Mrs. Hudson, Mattie Walden, Emma Simmons, Odethel & Ruby Lee, Clinton & Ray Collins, Lille Ellis, Oleta Chester, Will & Yettie, Nora Heffington, Audry Combs, Pearl Collins, Newt Hilton J.P Hilton, Sudie Muncrief, Inez Muncrief, Georgia Lee Turner, Pearlie Muncrief, M. Skiles, Aunt Jane, Sally Chapman, Floy, Florence Ellis, Tenie Kirkpatrick, Wilma - Lela Irene Chester,Mary Chapman,Lydia Muncrief, Mrs. Games, Mattie Chester, Georgia Cobble, Mr. Mrs. Holmes and Arie Wisdom. Quilt made in 1934 - I have the quilt now (William David Roach) 8/9/94. Things that Edna Evelyn (Muncrief) Roach likes to do: Cook - Biscuits - Dressing Dutch doll quilt blocks Mom loves to go fishing July 1, 2002 Edna Evelyn Roach made the last payment on her home at 1714 East 18th, Ada, Oklahoma. Her home is paid-off in full. Mom's fingers lock sometimes in the joint. Kyphoplasty�a new treatment for osteoporotic fractures Introduction to kyphoplasty The traditional treatment for fractures of the spine caused by osteoporosis has included pain reduction (medication), bed rest and bracing. In 1984, a surgical technique designed to reduce the pain and loss of function called "Percutaneous Vertebroplasty" was developed in France. In 1998, the Food and Drug Administration approved a special balloon, the KyphX Inflatable Bone Tamp, for use in reducing (setting) fragility fractures to help them heal and creating a cavity in the soft inner bone in the vertebral body. It is estimated that over 36,000 vertebral compression fractures have been treated using the kyphoplasty procedure, and approximately 2,700 physicians have been trained to do the procedure in the US. What is an osteoporotic fracture? Osteoporosis�the loss of calcium from bones resulting in weakened bone structure�increases the risk of fracture of vertebral body (the thick block of bone at the front of the vertebrae) In this type of fracture, the top of the vertebral body collapses down with more collapse in front thus producing the "wedged" vertebrae, the "dowagers" hump and shortened height The resulting change in height and spinal alignment can lead to serious health problems, including: Chronic or severe pain Limited function and reduced mobility Loss of independence in daily activities Decreased lung capacity Difficulty sleeping Also, studies show that a first osteoporotic fracture makes it five times more likely further fractures will occur. That is why it is important that patients seek medical treatment for osteoporosis before it reaches the fracture stage. (See Diagnosis and treatment for osteoporosis.) Kyphoplasty compared with vertebroplasty Vertebroplasty and kyphoplasty are both minimally invasive surgical procedures for treating osteoporotic fractures where a cement-like material is injected directly into the fractured bone. This stabilizes the fracture and provides immediate pain relief in many cases. Kyphoplasty includes an additional step. Prior to injecting the cement-like material, a special balloon is inserted and gently inflated inside the fractured vertebrae. The goal of this step is to restore height to the bone thus reducing deformity of the spine. Most patients return to their normal daily activities after either procedure. Description of kyphoplasty surgery The goals of the kyphoplasty surgical procedure are designed to stop the pain caused by the bone fracture, to stabilize the bone, and to restore some or all of the lost vertebral body height due to the compression fracture. 1. During kyphoplasty surgery, a small incision is made in the back through which the doctor places a narrow tube. Using fluoroscopy to guide it to the correct position, the tube creates a path through the back into the fractured area through the pedicle of the involved vertebrae. 2. Using X-ray images, the doctor inserts a special balloon through the tube and into the vertebrae, then gently and carefully inflates it. As the balloon inflates, it elevates the fracture, returning the pieces to a more normal position. It also compacts the soft inner bone to create a cavity inside the vertebrae. 3. The balloon is removed and the doctor uses specially designed instruments under low pressure to fill the cavity with a cement-like material called polymethylmethacrylate (PMMA). After being injected, the pasty material hardens quickly, stabilizing the bone. Kyphoplasty surgery to treat a fracture from osteoporosis is performed at a hospital under local or general anesthesia. Other logistics for a typical kyphoplasty procedure are: The kyphoplasty procedure takes about one hour for each vertebra involv Patients will be observed closely in the recovery room immediately following the kyphoplasty procedure Patients may spend one day in the hospital after the kyphoplasty procedure Patients should not drive until they are given approval by their doctor. If they are released the day of the kyphoplasty surgery, they will need to arrange for transportation home from the hospital Recovery from kyphoplasty Pain relief will be immediate for some patients. In others, elimination or reduction of pain is reported within two days. At home, patients can return to their normal daily activities, although strenuous exertion, such as heavy lifting, should be avoided for at least six weeks. Patients should see their physician to begin or review their treatment plan for osteoporosis, including medications to prevent further bone loss. Candidates for kyphoplasty Kyphoplasty cannot correct an established deformity of the spine, and certain patients with osteoporosis are not candidates for this treatment. Patients experiencing painful symptoms or spinal deformities from recent osteoporotic compression fractures are likely candidates for kyphoplasty. The procedure should be completed within 8 weeks of when the fracture occurs for the highest probability of restoring height. Risks and complications of kyphoplasty Some general surgical risks apply to kyphoplasty, including a reaction to anesthesia and infection. Other risks that are specific to the kyphoplasty procedure and vertebroplasty include: Nerve damage or a spinal cord injury from malpositioned instruments placed in the back Nerve injury or spinal cord compression from leaking of the PMMA into veins or epidural space Allergic reaction to the solution used to see the balloon on the x-ray image as it inflates It is not known whether kyphoplasty or vertebroplasty will increase the number of fractures at adjacent levels of the spine. Bench studies on treated bone have shown that inserting PMMA does not change the stiffness of the bone, but human studies have not been done. Osteoporosis is a chronic, progressive disease. As stated earlier, patients who have sustained fractures from osteoporosis are at an increased risk for additional fractures due to the loss of bone strength caused by osteoporosis. By: Courtney W. Brown, MD and Douglas C. Wong, MD July 7, 2000 (last updated August 14, 2003) The information provided by Spine-Health in this Clinical Trials listing section is designed to help patients find clinical trials that are ongoing in the field of spine medicine, and to provide information to help patients contact the centers conducting the research. Spine-Health is not involved in conducting any of these trials and is not promoting the trials or research. This is a listing of industry-sponsored clinical trials that are actively recruiting patients. These clinical trial listings are not edited or peer-reviewed by Spine-health.com Mount Pleasant Woman First To Have Kyphoplasty Surgery at ETMC Oby Marvin Ellis Tyler Morning Telegraph Saturday, May 20, 2000 A 79-year-old Mount Pleasant woman was the first East Texan to undergo minimally invasive Band-Aid surgery to repair a compression fracture in the spine Friday morning at East Texas Medical Center, using a cement-like substance to create an internal cast. The procedure - called KyphoplastyTM - was approved in 1998 by the Food and Drug Administration for vertebrae compression fractures associated with osteoporosis, a disease which causes abnormal loss of bony tissue. It is common in postmenopausal women or those who have undergone extensive steroid therapy. About three months ago, Mrs. Annie McCollum started experiencing back pain caused by osteoporosis, which makes bones brittle and often results in stress fractures. She was the first patient in East Texas to have the 1-2 hour surgical procedure, while becoming one of 400 nationally to undergo Kyphoplasty. She was operated on by Dr. Jon Ledlie, a board certified neurosurgeon with Tyler Neurosurgical Associates, who made two small incisions in the back and then closed each with one stitch and Band-Aids. During the surgery, he inserted tubes to create a path to the spine using fluoroscopy to guide to correct position. Special balloons then were inflated to raise the collapsed bone, creating an enlarged space inside the vertebrae at the fracture line. After removing the balloons, Dr. Ledlie, who graduated from Oklahoma University School of Medicine, used specially designed instruments to fill this area with a cement-like substance to strengthen the spine. The cement-like substance requires about 4-6 centimeters of the material to fix fractures, which is about the size of a thimble. Dr. Ledlie, a native of Calgary, Alberta, Canada, said Mrs. McCollum was doing fie Friday afternoon and is expected to go home Saturday. He said 70-90 percent of patients experience immediate relief. The material we use hardens similar to the denture material dentists use, giving solid support to the spine, he said. When inserted, it has the consistency of tooth paste but with the heat from the body, it hardens immediately. This fixes the fracture and prevents further collapse of the treated vertebral body (thick block of bone at the front of each vertebra). He noted the following key features of Kyphoplasty, compared to conventional medical therapy or surgery: Immediate pain relief in a large percent of cases. Most patients return to activities of daily living. Stabilizes vertebral fracture. Reduces spinal deformity by restoring vertebral body anatomy and height. Usually minimally invasive. Edna Evelyn Roach July 12, 2006 On July 07, 2006 removed a Basal Cell Cancer from Edna�s nose. A type of cell found in the deepest layer of the epithelium. ep-i-the-li-ums or ep-i-the-li-a (-le-). Membranous tissue composed of one or more layers of cells separated by very little intercellular substance and forming the covering of most internal and external surfaces of the body and its organs.
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