Concussion symptoms can show up later than you expected

by Tim Ditman
OSF Healthcare

ALTON -- A January grocery trip for Charlotte Davis turned out to be life-altering.

The Shipman, Illinois, woman was loading food into the back of her van when she says the hydraulics failed, and the back door slammed into her head.

While she didn’t lose consciousness or have any visible signs of trauma, Davis doesn’t mince words: "It hurt really bad."

Davis says she put up with worsening headaches, garbled speech and weakened memory as long as she could.

"I tried to drive one day. I hit a flower pot, drove through the ditch, missed my turn, forgot where I was going three times," Davis says. "My eight year old granddaughter told her mom, ‘Please don't let Mawmaw drive anymore. She's scaring me.’"

When a CAT Scan found no brain bleed, Davis wound up at the OSF HealthCare rehabilitation office in Alton, Illinois. She was skeptical at first but now considers herself a prime example of why you shouldn’t just shake off a head injury – whether it’s in a football game or just around the house. Otherwise, serious issues like the brain disease chronic traumatic encephalopathy (CTE) may follow. CTE is often seen in football players. In July 2022, officials announced the late NFL player Demaryius Thomas had CTE.

Physical therapist Kelly Bogowith cared for Davis at the Alton office.

"All concussions are a form of at least mild traumatic brain injury," Bogowith says. "So it’s important to make sure that you get assessed and also ensure that you're not playing sports later that same day. A provider can give you education on how long you should be sitting out from sports and other physical activities, as well. And that might even include work."

"Sometimes with concussions, we may not have symptoms for hours or even weeks afterwards. So it's important to get checked out by your physician, urgent care, emergency department, or athletic trainer, depending on your setting," Bogowith adds. "But it's not something to shake off. And it can be especially important, too, to not have a second concussion because that can be very dangerous and even deadly."

Every patient recovering from a head knock receives a specially-tailored plan, Bogowith says. The roadmap could include different types of therapy, like physical or speech language. It will always include at-home activities – stretches for physical therapy or puzzles for speech language therapy, for example. And the OSF HealthCare team encourages you to ask questions along the way.

Davis’ plan started with massages and stretches to relieve tension. She progressed to walking, then running on a treadmill.

"I beat that treadmill," Davis says, beaming.

She beat the non-physical aspects, too. Davis’ memory and speech improved to the point that when she met with speech language pathologist Ashley Brim at the Alton location, it was a one-and-done.

"[Speech therapy] can range within working on targeting problem solving skills," Brim explains. "So, either really basic problem solving all the way up to reading paragraphs of information. And trying to figure out information that, most of the time, people don't think about. We can just read it and figure it out. But when you have a concussion, and that is impacting you, it makes it 10 times more difficult."

"We work on a lot of memory tasks," Brim continues. "Exercises for working on memorizing word lists, figuring out different ways to help the patient memorize things better. So they associate the word to something else and then they use those associations to be able to remember what has been said to them and chain it all together."

What people in Bogowith and Brim’s roles don’t want to see: people relying solely on pills to get through pain. That can lead to addiction and side effects. Therapy is somewhat the opposite, Brim notes. It gives the patient ownership of their recovery.

Davis agrees with that assessment and says her determination to see therapy through to the end has paid off in multiple ways. Most notably, she can handle playing with her eight grandkids.

"I want people to know that it's important," Davis says. "I understand that it's a pain. It's not always convenient. There are always other things people want to do. But if your doctor says to do therapy, I 100% will tell you: go to therapy. You don't know how bad you need it until you actually go."

Guest Commentary: Would Roosevelt have a chance if he was running for office today?

by Glenn Mollette, Guest Commentator

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One of the greatest Presidents of all time was Franklin D. Roosevelt. He served from 1933 to 1945. He led this country and saw us through some of our toughest years. Many say he stands as the greatest President of all time. Ironically, he had a difficult time standing.

Photographs of Roosevelt in a wheelchair are rare but you can find one on the Internet.

Franklin D. Roosevelt, was our 32nd President but he began experiencing symptoms of a paralytic illness in 1921 when he was 39 years old. His main symptoms were fever; symmetric, ascending paralysis; facial paralysis; bowel and bladder dysfunction; numbness and hyperesthesia; and a descending pattern of recovery. He was diagnosed with poliomyelitis and underwent years of therapy, including hydrotherapy at Warm Springs, Georgia. Roosevelt remained paralyzed from the waist down and relied on a wheelchair and leg braces for mobility, which he took efforts to conceal in public. In 1938, he founded the National Foundation for Infantile Paralysis, leading to the development of polio vaccines. Although historical accounts continue to refer to Roosevelt's case as polio, the diagnosis has been questioned in the context of current medical science, with a competing diagnosis of Guillain–Barré syndrome proposed by some authors.

We could talk and write about Franklin D. Roosevelt all day. However here are a few of his noted accomplishments from his 12 years of service – longer than anyone. Creation of the emergency banking act to counteract the Great Depression. Establishment of FDIC. Unemployment rate reduction. Setup many institutions to support the New Deal. Created institutions as part of the New Deal. Created the U.S. Social Security System. Established the minimum wage and 40-hour work week. He took action to prohibit discrimination in employment, led America to victory in World War II, and, took part in the creation of the United Nations. He also aided water pollution control and more. (Wikipedia)

However, would Roosevelt even have a chance today? Can you imagine him trying to conceal his wheelchair or his leg braces? Not in this age. Would The Press and the opposition tear him to sheds as being physically incapable of holding down the job?

Disabled Americans and people worldwide can point to Roosevelt as someone who dealt with tremendous physical obstacles to accomplish much for our country and the world.

Americans with disabilities should not be excluded from running for public office. We vote for who we want to vote for but in a free country all citizens should be able to try.

John Fetterman of Pennsylvania is trying. He has had a stroke, but he’s trying. It has been amazing to witness the amount of support Pennsylvania has given Fetterman. He is in a dead heat race with national celebrity Dr. Mehmet Oz whose star power as a long time TV doctor star has surely greatly boosted him in his race with Fetterman for the United States Senate.

Tragically, Fetterman’s health apparently prevents him from articulating clearly. His mental ability to quickly process what he is hearing is obviously impaired. This has to make it tough for him. Roosevelt did not have this problem. His mind appeared to be sharp and his speech clear and convincing during his years as President. This is where Roosevelt’s situation and Fetterman’s is different.

Fetterman needs and deserves time to heal. He obviously needs continuing medical treatment and therapy to recuperate from his stroke. He is still a young man. In a year, or two he may be fully recovered and more able to serve. This is unfortunate for Fetterman and his supporters but only makes sense for his personal health. The fact that he is running for such a demanding job in his current state demonstrates that his mental clarity is somewhat impaired. It also demonstrates that people close to him are mentally impaired to have encouraged him to continue in this political contest. He needs time to get well so that if elected he can serve effectively.

The bottom line is that voters will decide who represents them. This is one right we must continue to cherish, protect and be mentally clear about.

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Dr. Glenn Mollette is a syndicated American columnist and author of Grandpa's Store, American Issues, and ten other books. He is read in all 50 states. The views expressed are those of the author and are not necessarily representative of any other group or organization.

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This article is the sole opinions of the author and does not necessarily reflect the views of The Sentinel. We welcome comments and views from our readers. Submit your letters to the editor or commentary on a current event 24/7 to editor@oursentinel.com.

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Candy-clone Fentanyl warning issued by the DEA

Provided/DEA

by Libby Allison
OSF Healthcare

PEORIA -- Just ahead of Halloween the U.S. Drug Enforcement Administration (DEA) is alerting the public about an alarming new influx of colorful fentanyl that is surging across the United States.

Since August of this year, the DEA has reported brightly-colored fentanyl and fentanyl pills dubbed "rainbow fentanyl" in 26 states. These potentially deadly pills are highly addictive and are made to look like candy.

Fentanyl is an extremely potent synthetic opioid. Just two milligrams of fentanyl, which is equal to 10-15 grains of table salt, is considered a lethal dose.

"It’s 100 times more potent than a milligram of morphine," says Jerry Storm, the senior vice president of Pharmacy Services for OSF HealthCare.

The DEA calls the colorful pills a deliberate effort by drug traffickers to drive addiction amongst kids and young adults, and with Halloween and trick-or-treating right around the corner, the emergence of these candy clones has some parents on edge.

Storm says parents shouldn’t panic at the thought of their kids getting fentanyl in their candy bags. He points out – drug users are not likely to give away narcotics that have cost them money or are worth money. Storm does say parents should remain vigilant, however, and look through kids’ candy to make sure all pieces are wrapped and undamaged.

"What I would recommend is a parent go through your kids’ Halloween treats if they go out trick-or-treating and inspect them just like we did years ago with [the threat of] razor blades in apples or razor blades in some other types of hard candy. Inspect it and make sure that they haven't been tampered with. If they tried to slip, say [drugs that look like] Skittles into a Skittles package, the package is going to be torn or there's going to be some type of defect in that package," he says.

More concerning than trick-or-treating, according to Storm, is kids coming across this brightly colored fentanyl in their day-to-day lives, believing it’s candy and consuming it. He says the best way parents can protect their kids is by having open communication about drugs, their dangers, and the importance of never consuming anything without knowing exactly what it is.

"Be aware of it and have those conversations, with not only the younger child but also the older siblings, because there is a risk that if they do use it and they buy it, then they drop it on the ground, a small child may pick it up thinking it's a Skittle candy and actually consume it and that could be fatal," warns Storm.

Additional resources for parents and the community can be found on DEA's Fentanyl Awareness page. Brightly-colored fentanyl is being seized in multiple forms, including pills, powder, and blocks that resemble sidewalk chalk. If you encounter fentanyl in any form, do not handle it and call 911 immediately.

Agriculture tour businesses eligible for new tax credit

SPRINGFIELD -- Businesses focused on agritourism are now eligible to receive up to $1,000 back on liability insurance costs in 2022 and 2023 under recently-passed legislation.

The goal of the Agritourism Liability Tax Credit is to reduce the cost-of-doing-business for farm operations open for the public to enjoy. Businesses like pumpkin patches, apple orchards, petting zoos, hayrack rides, corn mazes and more may apply for the funding.

"As we continue to build back our state's tourism industry in the wake of the COVID-19 pandemic, this tax credit program will provide our agritourism businesses with the aid they need to sustain operations," said Governor JB Pritzker. "From spooky hayrides and corn mazes this Halloween season to educational exhibits and guided tours, it is our longstanding agricultural tradition that attracts visitors from around the nation and world. Thanks to the leadership and hard work of the IDOA, our agribusiness partners will have the support they need to show more and more people what makes Illinois, Illinois."

The deadline to apply for the 2022 tax year is February 28, 2023. Farm operations can check eligibility and apply here.

Slideshow | SJO advances to IHSA football playoff second round

Ty Pence celebrates after scoring on a 22-yard pass from Logan Smith to give St.Joseph-Ogden a 49-27 lead in the fourth quarter. The team's marquee receiver, Pence finished the game with 13 catches for 314 yards and two touchdowns. The senior also nabbed a interception on the second half to help the Spartans win their first first-round playoff game under head coach Shawn Skinner.

PhotoNews Media/Clark Brooks

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ST. JOSEPH -- With a plethora of offensive weapons at their disposal, the SJO football team (7-3) lit their side of the scoreboard at Dick Duval Field to its highest total this season en route to a 55-39 romp over visiting Robinson (6-4). The first-round IHSA playoff victory marked the first playoff win since St. Joseph-Ogden head coach Shawn Skinner took over the program seven seasons ago.

"I would be lying if I didn't say it was time for us to get a playoff win under my regime," Skinner said after the game. "I am so proud of these seniors because they made it a point not to be 5-4. They made it a point to get a home playoff game. They made it a point to win a playoff game."

In his 10th start behind the center, junior Logan Smith completed 17 of 30 passes for 383 yards and threw three touchdowns. He scored twice on two of his seven carries and finished with 35 yards rushing.

Sophomore Coy Taylor made three catches for 60 yards and with one ending as an SJO touchdown. Justice Wertz, another weapon in the Spartan quiver, ran for 165 yards with his 21 touches. In addition to his solo TD this week, Alex Funk and Tyler Burch also contributed to the team's high-scoring finish with one touchdown a piece.

"I've said this all year, yes, we can run routes. Yes, we can throw the ball. Not enough credit is given that we don't drop the ball that often."

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Recipe: Grilled lemon chicken

Photo provided

NewsUSA -- The last few weeks of fall are just around the corner and winter weather is on the way. Even as the days get shorter and the temperatures lower, it is still a great time to be outdoors and grill. Add a little zest the next time you throw some chicken on the grill with lemons.

“With their sunny zest and refreshing juice, lemons aren’t just delicious, they also pack a healthy punch,” says Karen Brux, managing director for the Chilean Fresh Fruit Association. Lemons are a good source of many key nutrients, including vitamin C, potassium, and fiber. “You could say that lemons from Chile are the unsung heroes of summer,” Ms. Brux adds.

Lemons are versatile. Try adding lemon juice to marinades, lemon slices to creamy pasta sauces, or featuring fresh lemons in lemon custards or meringues for an ultimate end-of-summer dessert. When cooking with lemons, you can use their zest or juice, but try them grilled, says Brux.

Grilling intensifies the flavor of the lemon juice. Just put some slices on the grill along with your fish, beef or chicken. Grilled lemon wedges work in cocktails, too!

Try this easy recipe for grilled chicken with lemon:

Grilled Chicken with Lemon

Ingredients:

zest of two lemons

1/2 cup olive oil

6 cloves chopped garlic

5 sprigs rosemary

1 tsp kosher salt

coarse black pepper to taste

4 large chicken thighs

Instructions:

Preheat the oven to 425 degrees Fahrenheit.

In a large shallow baking dish, whisk together the juice and zest of 2 lemons, 1/2 cup olive oil, 6 cloves chopped garlic, 5 sprigs of rosemary, 1 teaspoon of kosher salt and plenty of coarse black pepper.

Add 4 large chicken thighs to the mixture, toss to coat and let the chicken rest for 45 minutes at room temperature.

Before cooking, be sure the chicken thighs are skin-side up. Cut the remaining zested lemons into halves or quarters, and nestle them among the chicken. Add a final grind of black pepper on top.

Bake at 425 degrees Fahrenheit for 40 minutes or until the juices run clear. If you would like extra browning, briefly place the baking dish under the broiler.

Visit fruitsfromchile.com for more tasty recipes, and look for lemons from Chile at your local retailer through early October.

St. Joseph-Ogden to hold parent-teacher conferences, parents encouraged to make appoints

ST. JOSEPH -- St. Joseph-Ogden High School will host Parent-Teacher Conferences next week on Thursday, November 3, from 3:00 – 5:00 pm and 6:00 – 9:00 pm. Parents with children attending the high school should have received a mailing via the post office or email announcement.

The parent-teacher conferences are a good opportunity for parents to discuss their student's grades and address any concerns they might have. First-quarter grades were sent out on October 21.

Parents who have not made appointments should contact Nicki Falls either by email at fallsn@sjo.k12.il.us or by phone at 469-7321 no later than November 1 to make appointments with their child's teachers and counselors.

Photo Gallery | Urbana wins regional volleyball match over Danville

Urbana's Kenzie Sprague (left) and Sammi Christman encourage Tiger spectators to cheer for their team during a lull between points in their Class 3A regional quarterfinal game against Danville on October 24, 2022. The Tigers defeated the Vikings after three sets, 25-18, 17-25, 25-16. See slideshow below for more photos. (Photo: PhotoNews Media/Clark Brooks)

Photo: PhotoNews Media/Clark Brooks

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RANTOUL -- The Tigers have won their first-round match in their last five postseason appearances. Monday's opening playoff match was no different when the Urbana volleyball team eliminated the Danville Vikings from the Illinois High School Association's state championship series, 2-1.

In their earlier meeting in the season during their Big 12 Conference contest, the Vikings cruised past the Urbana, 2-0. Their second clash of the season was a different affair.

Urbana took the first set 25-18 after riding a momentum shift that started with a response to a 4-1 deficit on the scoreboard. Scraping their way to a 5-all tie, the Tigers grabbed the reigns and never let the Vikings any closer on the scoreboard than a couple of points.

Set #2 action was evenly-matched between the two rival teams until Danville reeled off six unanswered points to go up 19-13. Urbana added three points to their score before the Vikings closed out the set with a five-point run finishing 25-17.

When the action resumed at Rantoul Township High School, host for the Class 3A regional, Urbana jumped out to a 6-0 lead in the third set. Energized by their fans, The Tigers never let their opponent within two on the scoreboard advancing to Wednesday's semifinal, 25-16.

Here is a look at the action on Monday.

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Expecting a newborn soon? Be flexible with your birth plan

by Tim Ditman
OSF Healthcare

URBANA -- "If you’re ever gonna find a silver lining, it’s gotta be a cloudy day.”

No one may epitomize that song lyric more than Erin Purcell.

Photo Courtesy OSF

In July 2020, the Bement, Illinois, woman gave birth to her first child, Adalyn, via Cesarean section (commonly known as C-Section). Long story short, it did not go well.

"I was in a lot of pain afterward,” Purcell says.

Two years later, Purcell found herself at OSF HealthCare Heart of Mary Medical Center in Urbana, Illinois, preparing to deliver her second child.

"I was terrified to do another C-section,” Purcell recalls.

But a C-section became necessary, and her son, Elliott, was brought into the world without major issues.

"It restored my faith in doctors,” Purcell says.

Now, part of a happy and healthy family of four, Purcell is telling other parents-to-be to be flexible with their birth plan. And the woman’s care team is educating mothers about what to expect if a vaginal birth is not possible.

What is a C-section?

A C-section is when a doctor removes a baby through an incision the mother’s abdomen. The naming is a matter of historical dispute and may be tied to Julius Caesar, according to the U.S. National Library of Medicine.

Kelli Daugherty is a certified nurse midwife at OSF HealthCare in Urbana and was a member of Purcell’s care team. She says while a small amount of women will choose a C-section long before birth, health care providers prefer to perform them only when medically necessary.

"Baby is in the wrong position - maybe breach instead of head down,” Daugherty lists as a need for a C-section. "Maybe we’ve seen fetal distress that’s concerning enough that we need to deliver quickly. It could be that mom has an infection.”

Or, if labor is not progressing, doctors may consider a C-section, Daugherty says.

Regardless, Daugherty says providers will have a conversation with the mom-to-be about the risks and benefits. She says risks are like any other major surgery. There’s a chance for organ damage, blood loss (blood is on standby for every birth for a possible transfusion) and the rare need for more surgery later, like a hysterectomy.

The benefits of a medically necessary C-Section: the baby comes out quicker, and there’s less risk to the mom and baby’s health.

The procedure

Daugherty says a mother will start out in the labor room with antibiotics and an IV for fluids. Then, she goes to the operating room.

"She would sit on the operating table, and the anesthesiologist would place a spinal anesthesia,” Daugherty explains. "We always attempt to do a spinal. We try to avoid general anesthesia for a C-section unless it’s a true emergent situation.”

The mother lays down, and Daugherty says the anesthesia should have its intended numbing effect very quickly. The care team cleans and preps the skin, and the surgeon makes incisions layer by layer until they reach the baby in the uterus.

"We get the baby out usually in less than five minutes,” Daugherty says. "We hand the baby to the neonatal team. Then we start suturing everything back up in reverse. We start with the uterus, go layer by layer and do the skin last.”

Typically, moms stay at the hospital two days after a C-section to manage pain, Daugherty says. There are the standard follow-up appointments, and the new parents will have to keep mom’s incision site clean and dry to avoid infection or other issues. The incision usually takes six weeks to heal, Daugherty says.

"C-sections are not really as scary as you might think,” Daugherty says. "It’s certainly concerning because it is a major surgery, but it’s also a very common surgery. [Providers] are very confident that we can complete these surgeries safely, and you and your baby will be well taken care of.”

Daugherty agrees.

"I always tell my moms to please bring in your birth plan. We will follow that as closely as we can,” she says.

"But, you have to understand that sometimes labor just doesn’t go the way you planned it. We may have to veer from that birth plan,” Daugherty adds. "But if we do, we will always have the discussion with you. It will always be shared decision making.”

You can prepare physically and mentally, too.

"I just kept telling myself in my head ‘It’s only temporary. This pain is going to go away. You can get through it,’” Purcell says. "You have your nurses, too, in your ear saying ‘You got this. You’re so strong.'”

For more information on OSF HealthCare's pregnancy and child birth resources visit the healthcare facilities website at https://www.osfhealthcare.org/heart-of-mary/ .

The Giving Place seeks donations

TOLONO -- The Giving Place seeking donations of cereal, canned fruit, canned beans, canned tomato products, canned spaghetti sauce, canned meats, 64 oz. 100% juice, mac & cheese, and other pasta meals for their ministry.

Located at 113 North Bourne in Tolono, TGP is a Christian ministry serving families in need in the Unit 7 School District on Wednesdays from 4:00 – 6:00.

The Giving Place is also looking for fall and winter clothing donations.

"If you have any gently used clothing - especially jackets/coats, they would be greatly appreciated," Mike Williams said. He added: "If you know of any families in Unit Seven that are in need, please encourage them to visit The Giving Place."

The local charity organization will host a Free Clothing Giveaway on Saturday, November 5, from 9 am to noon.

Savoy church to hosts Thanksgiving basket fundraiser this Saturday

SAVOY -- The Savoy United Methodist Church will host its annual Chicken & Noodles Dinner fundraiser on Saturday, October 29, from 4:30 to 7 pm. Proceeds from the event will be used to assemble and distribute Thanksgiving food baskets to area families.

Every Thanksgiving season since 2007, the church has distributed food baskets to over one hundred individuals and families.

"On average, we give out around 100 baskets or so each year. Last year was our largest in memory. We were able to feed 201 families," said Angela Hancock, who is co-chairing the Thanksgiving Basket committee at the church with her spouse. "It has grown and changed as the need and the vision have changed over the years."

Hancock said that prior to last year, it cost $45 to assemble each basket which contains a full meal for a family of four to six. The meal consists of a 14lb turkey, 5lbs of russet potatoes, milk, butter, eggs, dinner rolls, stuffing mix, gravy mix, canned vegetables, pumpkin pie, cool whip, cranberry sauce, a foil pan for baking, and recipe cards for first-time cooks.

"Inflation has hit all of us hard. Basket prices have jumped to $60 each, she explained. "This year, our goal is to feed 125 families. If we can do more, we will."

Every member of United Methodist contributes what they can to the program. From making donations and fundraising to distributing baskets, and all things in between, it is a complete effort by the congregation.

The Thanksgiving basket program is also a cooperative effort that receives support from local businesses with transportation trailers, forklift equipment, a refrigerated truck, and local grocery stores for bulk ordering.

"Some (members) can sponsor half a basket, others can do a full one. Others do multiple baskets. It's what we are able to afford at this time of year. God and fundraising efforts ensure the rest," Hancock said. "Funds play a major role in how many families we can feed."

A successful fundraiser on Saturday will ensure the church can help more area families enjoy this Thanksgiving holiday.

"We do this in His Name so that His people don't forget they are Seen," Hancock pointed out. "This is truly a community response to a need so many have. No one should have to be without at Thanksgiving time. And with God, no one ever will.

"God ensures that we hear about the needs of our community and our congregation steps up with donations and fundraising."

The dinner menu includes Chicken & Noodles, mashed potatoes, green beans, bread, dessert, and more. The cost is $12 per adult and $5 for kids between the ages of five and 12. Children under five years of age can eat free. The meal will be served at 3002 W. Old Church Road in Savoy.

For those unable to attend the dinner but would like to make a financial contribution, UMCS welcomes donations. Donors can make a contribution online via the savoyumc.org website. Choose Food Pantry from the menu and enter Thanksgiving Baskets as your Memo. Hancock pointed out that this ensures that donations goes directly to the Thanksgiving Basket program.

The food baskets are distributed either by pickup or delivery the weekend before Thanksgiving to church members, individuals/families referred by Empty Tomb, families from the International Prep Academy, our year-round Food Pantry recipient families, or friends of church members. Individuals and families on the list are contacted via phone and USPS mail with the date and time of the pickup sessions.

"We also take the opportunity to provide some literature or small devotionals that helps remind all of our families that they are loved and not forgotten by our Great God," Hancock added. "This is truly a community response to a need so many have."