THE HERALD OUTLOOK April 1989 Page Relief for Ramsay Hunt syndrome Dont be effusive DEAR DR My brother has had Ramsay Hunt syndrome for five years Its a virus of the nerve endings and is in the same family as shingles The doctors say theres no help for the pain Is this correct DEAR READER Ramsay Hunt syndrome herpes zoster is an unusual form of shingles that affects the auditory nerve and causes deaf ness vertigo ear pain and paralysis of the facial nerve It is associated with blisters in and around the ear Like other manifestations of shin gles the affliction is due to nerve in fection from the zostervaricella vi rus In order for treatment to be effective it must be started as early as possible Acyclovir an antiviral agent is often effective in reducing the severity of inflammation Corti sone drugs may help alleviate the most distressing complication of shin gles the postherpatic neuralgia and chronic pains that follow this infection Evidently your brother has devel oped this complication Although anti viral drugs and cortisone will not be effective at this stage of the disease he may be aided by various methods of pain control including ture biofeedback hypnosis and antt- depressant medication If his doctor is unable to relieve the pain I suggest that your brother seek a referral to a paincontrol clinic Such resources are available in many teaching hospitals and are designed to people cope with chronic intrac table pain For more information I am send ing you a copy of my Health Report Managing Chronic Pain Other readers who would like a copy should send with their name and ad dress to PO Box Cleveland OH Be sure to mention the title DEAR DR GOTT My husband was in great health until he developed aplastic anemia and four months lat er he was dead What can you tell me about this disease DEAR READER Aplastic anemia is a serious condition marked by fail ure of the to produce new red blood cells About half the cases arc idiopathic of unknown cause The remaining cases are due to bone marrow damage from radia tion chemicals such as arsenic and benzene toxins organic phosphates leukemia tumors of the thymus gland or medications particularly antiinflammatory drugs and certain antibiotics Some causes of aplastic anemia are correctable using drugs such as corti sone Most forms are resistant to treatment and require bonemarrow transplants in which bonemarrow tissue from a compatible donor is transfused into the patient and forms the basis for new bonemarrow cells to grow Patients with aplastic anemia are usually extremely susceptible to life- threatening infections Hemorrhage may occur Individuals with severe anemia will die without oxygencar rying red blood cells to supply nutri ents to tissues DEAR DR GOTT My mom and dad wont tell me if my problem is fa tal Im 12 and every morning on the bus I get a bad headache a fever of and I cant remember what my friends are talking about Is this weird DEAR READER I doubt that your problem is fatal but you certainty need professional attention to discov er the cause of your fever From your brief description Id say that the fever Is making you delirious Once the cause of the fever is identi fied you can receive treatment and return to normal Ask your parents to make an appointment for you to see your pediatrician DEAR DR GOTT Im in a dilem ma I have hemochromatosis which requires regular phlebotomies My health insurance does not pay for this procedure On the other hand various blood centers will not knowingly ac cept blood from a carrier but dont test If I continue to donate blood will I make someone sick DEAR READER Hemochromato sis is a rare disease marked by buildup of iron in the body It causes liver enlargement skin discol oration diabetes and heart failure The most effective treatment is phle botomy the periodic removal of blood and iron from the system Hemochromatosis is a hereditary disorder due to an abnormal gene It is not or catchable in the way an infection is Therefore the blood you donate is probably not go ing to harm a recipient However you should check with your local blood bank authorities Fashions For TJie Young At Heart 115 MAK ST GEORGETOWN Across From Knox Church FOOD0 Next to Macs Milk Buy Any Other Item or More and Receive the Prices Above SPECIAL PRICES IN EFFiCT UNTIL TUESDAY APRS 11 BULK FOODS SENIORS DAY EVERY WEDNESDAY 10 OFF Excluding Next To MACS MILK For at your Baking Needs For more information I am send ing you a copy of my Health Report Insuring Your Good Health Other readers who would like a copy should send 125 with their name and ad dress to PO Box Cleveland OH Be sure to mention the title DEAR DR GOTT My severe ecze ma cleared up after a small tumor was removed from my thyroid gland which was taken out also Is this a typical reaction DEAR READER No this is not typical Eczema is not caused by thyroid tu mors However growths of one kind or another can be associated with skin changes and Perhaps your origi nal skin problem was not eczema but a manifestation of the thyroid tumor by Jeffrey Someone who gushes or expresses too much emotion is effusive Allow me to recommend this adjective with out becoming effusive about it Trespass intrudes on anothers property without right or invitation End it with pass which trespass doesnt permit one to do How do you pronounce despica ble Shouldnt you emphasize the first syllable A Several dictionaries list first the pronunciation that stresses the first syllable of despicable but they also accept a stressing of the second sylla ble I find that more people now stress the second syllable but that doesnt make the other pronunciation despicable Awning extends a rooflike cover in front of a door or window For a spell ing tip stop yawning awning is the end of yawning Dual describes two parts or ele ments Be careful how you spell dual though or you may end up in a duel When magicians do tricks they often say the word presto Does that mean anything A Presto comes from the Italian for quick or quickly The Latin root is the adverb which means at hand When that rabbit in the hat suddenly appears at hand theres no better word than the magi cal presto DEAR DR GOTT I have benign fa milial tremor and have had it all my life Until two years ago I could con trol It by concentration That no long er works Corgard helps somewhat Is there another medication which might be more effective READER Benign familial essential tremor is a common and harmless inconvenience that is inher ited It is maYked by a shaking of the hands head and voice that is worse during the performance of skilled acts and may be intensified by fa tigue stress and age Sometimes caf feine nicotine and other stimulants make the tremor more noticeable Three current treatments are use ful in blocking the tremor low doses of tranquilizers primidone and betablockers of which Corgard is one Ask your doctor to adjust the dose of or consider changing to another type of drug MM meat chops OPEN 7 DAYS 8732151 Sun 11am5pm Saturday ear As I near my ideal weight my weight loss has slowed but I have noticed that clothes seem to fit looser Is that possible or is it my imagination Reply Even though weight loss may yon will often continue to lose inches This reduction in inches accounts for your clothing fitting looser Knowing that youre ing to lose inches even when weight loss has slowed or stopped will keep J you motivated until actual weigh loss resumes Being able to see a even though reduction in inches can be especially scaJc may no show helpful during plateaus wam every mirror At Diet Center we encourage you and the tape measure are the true measures of your success CENTER Buslnsts Number Personal 8772900 Consultation By Appointment Home Number 8530780 a Mill St Georgetown GIFTS AND APRIL TUESDAY WEDNESDAY THURSDAY SATIN PHOTO 5 ALBUM CLASS pm 10 OFF LACESATIN PICTURE FRAME CLASS pm X X X X X X X X X X X CRAFT SUPPLIES RONDALIS APRIL 100FF Large Selection RIBBON 18 15 OFF Entire Selection BOOKS 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