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Page THE HERALD OUTLOOK Saturday January 1990 Planning your care Meet friends in the year ahead offer hysterectomy DEAR DR GOTT Im a 56-year- old female who had a hysterectomy eight years ago The ovaries were not removed My gynecologist mends yearly Pap smears My family doctor claims theyre not necessary since I have no uterus Who Is right and what are the chances of cancer of the ovaries DEAR READER You raise an in teresting question that I have yet to resolve The Pap test is a method of log the cells of the cervix mouth of the uterus to detect malignant changes Ordinarily during a hyster ectomy the uterus and cervix are re moved Therefore in my opinion a Pap test becomes meaningless if there is no cervix to examine I do not insist that my posthyster ectomy patients have Pap tests and Ive argued this point with many gynecologists On the other hand gynecologists claim that such women should contin to have Pap smears not of the absent cervix but of the vaginal wall to identify the small possibility of vaginal cancer I don buy this rea soning but I defer to them as specialists In any case the Pap test has no val ue whatsoever in detecting ovarian cancer The ovaries lie deep in the pelvis a Pap test does not show the state of the ovaries even in women who have not had surgery Your chances of developing ovari an cancer are not Increased because of your hysterectomy This type of malignancy is difficult to diagnose early because it does not become evi dent until an ovary has enlarged and can be felt during a pelvic examina I suggest you continue to check with your family doctor at periodic intervals and use the gynecologist for problems needing the attention of a specialist To give you more Information I am sending you a free copy of my Health Report Vaginal Infections and Dis orders Other readers who would like a copy should send 25 with their name and address to PO Box Cleveland OH Be sure to mention the title DEAR DR GOTT My hubby dress es like a lady every October Last Hal loween he dressed like a shedevil What can I do to help DEAR READER Your hubby has a problem Pretty soon hell run out of costumes If all he does is dress up once a year he probably isnt a real cross- dresser his habit doesnt reflect a se vere sexual disorientation In what way do you want to help him Perhaps you can make a game out of his annual urge by helping him apply makeup assisting him In choos ing a character every Halloween or as a last resort dressing yourself as a hedevil In any case give him a trick and a treat Obviously if your husband insists on some kinky sex when he Imperson ates females you may feel uncom fortable In this instance you both would benefit from psychological counseling DEAR DR My daughter has been prescribed Nardil for severe de pression What are the side effects of this drug He also told her not to eat cheese or any aged foods Whats the connection DEAR READER Nardil is one of a group of drugs called monoamine oxi dase inhibitors MAO is a complex system distributed widely throughout the body No one under stand precisely whether Nardil ex erts its antidepressant effects through the MAO system or through other reactions The most serious complication of Nardil therapy is extremely high blood pressure This dangerous side effect Is more common in patients on Nardil who take additional drugs such as cocaine amphetamines dopa for Parkinsons disease metfa- yldopa for nigh blood pressure and an overthecounter amino acid that recently has been im plicated as a cause of a dangerous blood disorder Also foods such as cheeses beer wine yeast extract caffeine choco late luncheon meats and yogurt containing the chemicals tyramine or dopamine can trigger a hypertensive crisis in Nardil patients Therefore when Nardil is prescribed the physi clan usually takes great pains to out line the various food and drug prohibitions Although Nardil Is useful in allevi ating depression coupled with anxi ety it must be administered with cau tion patients must be alerted to the substances that react adversely with it To give you more Information lam sending you a free copy of my Health Report Consumer Tips on Medi cines Other readers who would like a copy should send with their name and address to Box Cleveland OH Be sure to mention the title PEAR DR GOTT My boyfriends testicles are bigger on one side than the other and hang a lot lower when he stands He says theres nothing wrong with him but I think he should see a doctor about this DEAR READER One testicle Is normally in a lower position than the other this serves to protect these sen organs In situations where the testicles are forced together one slides under the other Also one testi cle is usually bigger than the other Men show enormous variation in how low their testicles hang This is due to the cremasteric muscle fibers that attach to the testicles When the muscles contract the testicles are pulled upward Again this serves a protective function For example when a man is cold the testicles are drawn closer to the body to warm them DENTURE THERAPY CLINIC TH Denture Therapist Mill St Georgetown 8778974 East Dr Comer Bramalea a East Of 7912314 ASTROGRAPH BEDE OSOL LOOK GOOD FEEL GREAT Male and Female Memberships Month Trial Membership jtjaghi TBI I Trial Memb I to- I MM Ik Kant WORK THAT BODY STREET MAID SERVICE WHOS BEST mm THATSWHO THE AWARD WINNER 0NUVEITUP SHOW For FREE Estimates call 87321 65 Birthday Friends and contacts nave always been of Importance to you and In the year ahead they are likely to be even more so Opportunities as well as pleasant adventures will come your way through persons with whom you II pal around AQUARIUS Jan 20Feb Tides and trends are beginning to change today which should be to your liking The new wave offers possibilities for futflHment ol your expectations Aquarius treat yourself to a birthday gift OUR LANGUAGE by Jeffrey Nose oat wins by a small margin If you didnt know this verb phrase though don t get your nose out of joint Tatty describes a worn or shabby appearance Please don consider me batty if I suggest that you rhyme tatty with batty My kids are fascinated about di Where did that word come from A Dinosaur combines two Greek roots terrible and lizard This word for the prehistoric creature has been used in English since 1841 Older dictionaries list a variant but that spelling now seems to be extinct Uptime covers whatever time a computer functions or works proper During football season many com users hope uptime coincides with half time Forspent means worn out or ex This adjective is now la archaic which suggests that forspent is forspent Before I sing Lang Syne on New fears Eve can you tell me what the title means A lang syne literally means old long since which admittedly Isnt the clearest expression It refers W the good old days memories of happier times and old friendships When you sing this Scottish phrase youre using centuriesold words to celebrate auld lang syne PISCES Feb 20 You have an effective friend upon whom you can depend to help further your personal in terests today However his support might not be very visible to observers ARIES March 21AprH You may become Involved with someone today who will take an Immediate Interest in a matter that Is of Importance to you Hisher helpful suggestions will prove extremely constructive TAURUS April 20May 20 Today you have a special knack for being able to fit yourself Into beneficial arrangements that others have going for them You I do It In a manner theyll welcome rather than resent GEMINI May June 20 A partner ship arrangement should work out for tunately for both you and the person with whom you re involved as long as each makes a concerted effort to pro tect other guy Interest CANCER June July 22 Apprecia tive recipients of your today will eventually do more for you In return than you Old for them even though you won t encourage this LEO July 23Aug Someone you find rather appealing also holds you in Main Street South Downtown Georgetown equally high esteem It looks like this re lationship might become more Impor tant with time VIRGO Aug 23SepL 22 Beginning today this is a good time to wrap up pro jects or ventures that have yet to be completed You re in a promising cycle for producing desirable end results LIBRA Sept 23OcL 23 Early in the day Is a propitious time to get together socially with a person whom you have an Important matter to discuss Al low ample time to Iron things out SCORPIO Oct 24Hov 22 This Is a cy cle where you should be able to add to your resources or holdings if you are of the mind to do so It will have to be your no 1 priority however SAGITTARIUS Nov 23Dec 21 You have excellent leadership qualities to day so try to involve yourself In activi ties that will produce positive results for you and your followers CAPRICORN Dec 22Jn Rather than attempting to make things happen let events unfold In their own way today It looks like you II come out better when conditions entirety under your dominance FOR THE BRIDESMAID FOR THE GROOMSMAN FOR THE BRIDE Crystal Weddings Exclusively Campbell House Gallery MAIN ST SOUTH DOWNTOWN GEORGETOWN 8730674