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from the front page

Authentic Mexican restaurant now open in Appleton

by Leslie Ehrenberg

The Plazita Mexican Restaurant has opened its doors in Appleton. Owner Rafael Nunez has ensured his customers will enjoy authentic Mexican food with fresh ingredients and an experienced chef.

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Featured Articles

Maverick Conn ends his career amongst LqPV's elite

Lac qui Parle Valley boys basketball season ended with an overall record of 17-4, going 14-2 in the Camden Conference while wrapping up a Camden Conference championship and Sub-Section 3A North runner-up.

See page 8, April 21, 2021, for more of this article. Read More

Riverview Park Clean Up

3 youth and adults came to help clean up Riverview Park, the memorial site, campground, walking and bike trail, and the baseball field during the first community clean up Saturday, April 17. The event was part of a Community Unity Project organized by Vicar Sara Larson.

See page 3, April 21, 2021, for more of this article. Read More

Hirst turns down offer as next LqPV superintendent

by Lydia Rebehn

Following a second round of interviews on Monday, April 12, the Lac qui Parle Valley School Board selected current Roseau Principal and Activities Director Ivan Hirst as the next LqPV superintendent.

See page 1, April 21, 2021, for more of this article. Read More

local sports and school

Tropical Paradise - Spring Fling Court

Lac qui Parle Valley Spring Fling was held Monday, April 12, at the high school, with Mykey Elias and Chloe Ludvigson crowned king and queen. Those in the Spring Fling court include (seated L-R) Jesinta Ponun, Alex Stitt, Josephine Iouanis, King Elias, Queen Ludvigson, Josie Shurb, Kasinta Sander and Brooklyn Olson. Standing in back: Braden Koosman, Austin Mattocks, Aron Ponun, Dustin Piotter, Mason Swenson, and Austen Rosendahl. See Spring Fling photos on page 5.

See pages 5, 6, 7, & 8 for school news and sports. Read More

Lady Eagles take first at Madison Country Club

Lac qui Parle Valley girls golf defended their home course Thursday, shooting a 192 at Madison Country Club to win the Camden Conference meet. The Eagles put 16 strokes between themselves and Dawson-Boyd, who posted a 208. Community Christian came in third with a 273. MACCRAY and Central Minnesota Christian posted incompletes.

See pages 5, 6, 7, & 8 for school news and sports. Read More

Opinion

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Picture of Health


by Dr. Michael Bess MD FACS Appleton Area Health

The first liver transplants in this country were done in the 1960’s. The results were miserable. By the 1990’s the issue of transplanted organ rejection had been largely defeated and with that, liver transplantation (as well as other organ transplants) took off. In those days most liver transplants were done for small liver cancers or the effects of chronic viral hepatitis.

Currently, there about 80,000 people alive in this country with a transplanted liver and about 10,000 liver transplants are done each year. Around 15,000 people are on a waiting list for a donor liver to become available. That process is controlled by UNOS (Unified Network for Organ Sharing) which is a government contracted entity with an ever-changing set of protocols. This past summer the most recent changes became a cause for an ongoing court battle about which institution gets which donor liver and when.

Just as the success of liver transplant has changed over the years, so have the indications. The number one indication today is alcohol related liver disease – which is sad. The second most common indication is nonalcoholic fatty liver disease (NAFLD) – a disease which is currently a puzzle.

Alcoholic liver disease seems pretty simple to understand. More than two alcoholic drinks per day for men and one for women puts you at risk for liver disease and if that progresses far enough, there is no recovery – in spite of the fact that the liver is one of the most successful organs at self-healing. These days we can take for transplant about half the liver from a living donor and within a couple of years the remaining liver in the donor will regenerate to near normal size and function.

For a long time, we have been aware that as alcohol damages the liver, fat gets deposited in the liver cells and sometimes this is associated with inflammation – a process we call alcoholic hepatitis. This is an acute condition that has no known treatment. Nearly 50 percent of patients die. Most people with alcohol related liver disease don’t get acute alcoholic hepatitis. We have been aware for a long time that the liver can get so damaged from continued alcohol exposure that it undergoes a chronic progressive downhill slide rather than the acute damage from alcoholic hepatitis.

These alcohol damaged patients get most of the liver transplants today. Interestingly, most of what leads to the requirement for transplant is a condition in the liver called cirrhosis which is actually a derangement that occurs from repeated attempts by the liver to heal itself in the face of continued alcohol exposure. That all can be avoided, of course, by stopping drinking. There is no daily adult human requirement for alcohol.

NAFLD is projected to become the leading indication for liver transplant within the next two years. That is quite an achievement for a disease that wasn’t even heard of years ago. Dr Jurgen Ludwig at Mayo described a disease with fat deposition and inflammation in 1980 (full disclosure: I did clinical research with Dr Ludwig). That report was promptly dismissed because the concept of liver disease without some inciting stimulus was unimaginable – and yet, here we are today. . . . See Page 2