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Westmeath Topic - 12 April 2018

18 TOPIC •

18 TOPIC • 12 April, 2018 ENTERTAINMENT SWOLLEN ANKLES (PART 1) Feet and ankles more commonly swell as they are furthest away from the heart meaning the heart’s force of “pushing” blood through our blood vessels is weakest. Oedema or fluid retention causes affected tissue to become swollen. Why does fluid retention occur? The swelling can occur in one particular part of the body as the result of an injury, or it can be more general. More general fluid retention tends to occur as a result of more serious health conditions such as heart failure or kidney failure. As well as swelling of the skin, oedema can also cause areas of skin that temporarily hold the imprint of your finger when pressed (pitting oedema); stiff joints; skin discolouration; aching or tender limbs; weight gain loss; raised blood pressure and pulse rate Types of oedema Oedema in the feet and ankles is known as peripheral oedema, while other types can be more serious. They include cerebral oedema (brain), pulmonary oedema (lungs) or macular oedema (eyes). What causes oedema? Oedema is often a symptom of an underlying health condition. It can occur as a result of certain conditions or treatments including heart failure; kidney disease; chronic lung disease e.g. COPD, emphysema; pregnancy; thyroid disease; liver disease; malnutrition; or medication such as corticosteroids or some high blood pressure medications such as calcium channel blockers, e.g. amlodipine, lercanidipine; contraceptive pill. Fluid retention in the leg may be caused by a blood clot, varicose veins, or a cyst. Oedema can also sometimes be due to immobility for long periods, hot weather, exposure to high altitudes and burns to the skin Oedema caused by Congestive Heart Failure Congestive Heart Failure (CHF) affects 2% of the Irish population but is more common amongst the elderly. It affects 6 to 10% of the population over 65 and is the leading cause of hospital admissions for this age group accounting for 20%. The average age of diagnosis is 76. Heart failure is often a cause of swollen ankles, especially in older people, as the heart is unable to pump blood as efficiently causing it to stagnate in the lower extremities. Ankle, leg, and foot swelling is caused by heart failure that is occurring on the right side of the heart; while heart failure that occurs on the left side causes fluid to drain into the lungs. Treatment options include diuretics such as furosemide which reduces fluid volume in the body and blood pressure medication such as ACE inhibitors which dilate blood vessels allowing blood to flow easier, beta blockers which regulate heart rate, and digoxin which increases the strength of heart muscle contractions and can also slow down heart rate. Other symptoms of heart failure include fatigue; shortness of breath; weight gain over a short period of time; loss of appetite and abdominal swelling; dizziness; irritable cough, sometimes producing frothy sputum; sudden severe breathlessness, and confusion or difficulties in concentrating. If you are experiencing any of these symptoms, you must seek medical advice. Oedema caused by kidney or liver problems Kidney disease can also cause foot and ankle swelling. When kidneys are not functioning properly, fluid can build up in the body as our kidneys are the body’s fluid extraction system. Liver disease can affect the liver's production of a protein called albumin, which keeps the blood from leaking into surrounding tissues. With liver disease, gravity causes fluid to accumulate more in the feet and ankles, but fluid can also accumulate in the abdomen and chest. Oedema due to infection Swelling in the feet and ankles can be a sign of infection. People with diabetic neuropathy or other nerve problems of the feet are at greater risk for foot infections. Diabetics are more at risk of minor skin irritations, blisters or tears developing into serious infections very quickly because diabetes causes nerve damage (diabetic neuropathy) that means you may not be able to feel pain in that area, escalating a problem before realising there is one. Diabetics tend to have poorer circulation, and must inspect feet daily for blisters and sores, because nerve damage can blunt pain also escalating problems. Whelehan’s Pharmacy has a chiropodist in store on Tuesdays and Thursdays who can advise on diabetic foot care; our chiropodist has a special €25 rate for over 60s. What is BPro Cardio Screen Service? Whelehans has a cardiovascular health check called BPro Cardio Screen which measures the stiffness of your arteries to help identify risks. It calculates a wave signal that indicates the elasticity of artery walls as well as tests for stress, blood pressure, heart rate, and more. It is now €35 (was €50); it only takes about 15 minutes to get checked. The next clinic is Thursday, 26 April from 9am to 6pm at Whelehans, Pearse St. Book by calling 04493 34591 or message us on Facebook. To be continued… next week BPro Cardio Screen is not meant as a substitute for proper medical assessment with your doctor and should not replace prescription medication Written and researched by Eamonn Brady (MPSI), Whelehans Pharmacy, 38 Pearse Street, Mullingar. Enquiries 04493 34591; ENTERTAINMENT&EVENTS CATCH ‘A FEW GOOD MEN’ AT THE ARTS CENTRE THIS WEEK Following the huge success of their performance of ‘One Flew Over the Cuckoo’s Nest’ last year, the CBS TY students will be performing tense courtroom thriller, ‘A Few Good Men’ from this Wednesday to Friday, 11 to 13 April. ‘A Few Good Men’ tells the story of navy lawyer Lt Daniel Kaffee who must defend two marines on a murder charge. Kaffee’s reputation precedes him in and nobody has very high expectations of him, but the more the lieutenant delves into the case, the more he uncovers that some of the higher ups may not want him looking closely at the case. Kaffee and his colleagues go head to head with top military brass in an exciting tale of corruption, conspiracy, and intrigue. A Few Good Men will be performed at the Arts Centre from Wednesday to Friday, 11 to 13 April at 8pm. For booking and information call the Mullingar Arts Centre on 044-9347777 or visit MARY McEVOY AND JON KENNY BACK IN MULLINGAR From the team who brought you the hugely successful ‘The Matchmaker’, John B Keane, Jon Kenny, Mary McEvoy, and Michael Scott now bring you a hilarious new production ‘The Successful TD’ on Saturday, 21 April at the Arts Centre. Based on The Letters of a Successful TD and An Irish Minister of State by John B Keane, The Successful TD follows the trials, tribulations, misadventures, and hilarious antics of Tull McAdoo as he seeks re-election to the Dáil. Written by John B Keane in 1967, he displays his edge or humour and satire that are uncomfortably Friday, 13th April 2018 Music by: Glenside Céilí Band 9.30pm -12.30pm Admission: €10 Mary McEvoy and Jon Kenny in ‘The Successful TD’. close to the politics of today. Peppered with Keane’s gallery of madcap characters, this show will have you laughing from the get go. Tull has roped in the help of his faithful daughter Kate, while his wife nurses her various ailments in bed or at Lisdoonvarna, but his arch enemy Flannery, the local school teacher, plans to scupper the election for Tull. For one night only, Saturday, 21 April at 8pm, tickets for this hugely popular show, ‘The Successful TD’, are €20, and for booking and information call 044- 9347777 or visit CÉILÍÍ in Cullion Community Centre Light refreshments served & all welcome ACCLAIMED GUITARIST REDMOND O’TOOLE THIS WEEKEND Recognised as one of the most distinctive and original guitarists of his generation, Redmond O’Toole will be performing this Friday, 13 April at the Mullingar Arts Centre from 8pm. Redmond O’Toole has performed as a soloist with orchestras such as BBC Ulster and the Irish Baroque, has toured extensively with The Chieftans, and is a member of the critically acclaimed Dublin Guitar Quartet. Redmond was the first to adopt the groundbreaking instrument ‘Brahm’s guitar’, an eight string guitar in the position of a cello, and is one of Ireland’s most important ambassador for the classical guitar in Ireland. He has performed for two Irish Presidents and was part of the televised concert for Queen Elizabeth’s historic visit to Ireland in 2011. In 2012, Redmond set up Music Generation Wicklow: part of a national music education programme funded by U2 and the Ireland Funds; O’Toole was coordinator for the initial 18 months of the programme. He has previously studied at DIT Conservatory of Music and Drama in Dublin, and during his time here he won an unprecedented number of awards for guitar, most notably the RDS Music Bursary, Ireland’s largest music prize. In 2008, he was the recipient of an Irish Arts Council Bursary which supported intensive periods of study over a three year period, and to date has recorded three CDs: ‘Movements’ and ‘Baroque’ for German label Bornheim Klassik and ‘October on Achill’ for ... PRESENTED .... BY ST. MARY’S TRANSITION YEAR STUDENTS A FEW GOOD MEN 11th – 12th April at 8pm MULLINGAR ARTS CENTRE Daniel Kaffee, a Navy lawyer who has never seen the inside of a courtroom, defends two stubborn marines who have been accused of murdering a colleague. PRESENTED BY G&G EVENTS AN EVENING WITH PHIL TAYLOR 14th April at 7.00pm & 8.30pm Phil “the power Taylor “ is the 16 times world darts champion, includes a VIP package and standard. VGO recordings. He has premiered numerous contemporary works by composers by Nico Muhly, Kevin Volans, Marc Melitts, and Ian Wilson amongst others. A unique and exclusive opportunity to see a world famous guitarist and musician, you can see Redmond O’Toole at the Arts Centre this Friday, 13 June from 8pm. Tickets are €15/€12; for booking and information call 044-9347777 or visit PRESENTED BY CLASSICAL LINKS REDMOND O’TOOLE 13th April at 8pm Redmond O’Toole is recognised as one of the most distinctive and original guitarists of his generation. 8 string guitar. Mertz, Bach, Haydn, Rodrigo, Ponce, Domeniconi. • Box office: 044 9347777

TOPIC • 12 April, 2018 MOTORING 19 2018 April showers won’t dampen O’Briens Renault SELECTION used car offers O’Briens has announced unmissable offers on used Renault and Dacia cars for the month of April. Customers can avail of 2% APR HP and PCP, minimum two years’ warranty and minimum two years’ roadside assistance on used Renault and Dacia models (2017 to 2012) from 2 to 30 April. As a Renault SELEC- TION dealership, O’Briens provides a full certified vehicle history check with every used car and prepares its cars to a unique “Buy Today – Drive Today” standard which ensures customers receive only the highestquality product, and when a customer buys a car, it’s ready to go to its new home the same day. To demonstrate its confidence in the vehicles it sells, O’Briens will exchange a vehicle purchased under the programme for one of a similar value (within 30 days or 1,000 kilometres from date of delivery) should an irreparable fault occur. A Renault SELECTION sales event will be held at O’Briens from Thursday to Saturday, 19 to 21 April. For more details on the Renault SELECTION programme, check out USED CARS Dacia Duster Alternative 1.5 DCI 110 171 - 1.5 Diesel - Grey - €16,800 - Four doors - 25,830km Dacia Sandero Alternative 1.5 DCI 90 181 - 1.5 Diesel - Red - €14,950 - Four doors - 999km Renault Captur Intense 1.5 DCI 90 142 - 1.5 Diesel - Ivory - €14,800 - Four doors - 35,848km Renault Clio Dynamique Nav 161 - 1.1 Petrol - Grey - €11,900 - Four doors - 81,788km Renault Kadjar Signature Nv Energy DC 161 - 1.5 Diesel - Black - €22,900 - Four doors - 40,272km Renault Megane Dynamique 151 - 1.5 Diesel - Grey - €17,500 - Four doors - 26,702km NEW AT O’BRIENS O’Briens also have a full new range of vehicles for test drive, and offer customers a range of finest quality services. Over the years O’Briens has built up a stellar reputation for the quality of after sales service. Fully trained technicians and the after sales manager possess a wealth of technical experience. Whatever your requirements, O’Briens can provide the facilities to ensure your vehicle is properly looked after, while they specialise in the service of Hyundai, Dacia, and Renault vehicles, and welcome and can cater for all makes of cars and commercials. Customer satisfaction is a priority for O’Briens who believe that the after sales and customer service experience is of paramount importance to customers, having been in the business for over 50 years, they intend to be in the business for the next 50 years. O’Briens are open from Monday to Friday from 9am to 6pm and Saturday from 10am to 2pm. The dealership offers a first class service in new Renault, Dacia, and Hyundai sales, parts, servicing, and finance. You can find them on the Lynn Road, Mullingar. Give O’Briens a call on 044-9340825 or email O’BRIENS RENAULT Lynn Road, Mullingar, Co. Westmeath Tel 044 9340825

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