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THE Page EpsteinBarr virus causes fatigue DEAR DR GOTT My 47yearold daughter has been diagnosed with virus Could you please give me some Information on this dis ease and advise what the outcome might be DEAR READER EpsteinBarr vi rus is the cause of Infectious mononu cleosis This acute disease Is common In young adults and is marked by fe ver fatigue sore throat tonsillitis swollen glands an enlarged spleen and occasionally liver inflam mation hepatitis Almost all patients with cleosis recover without treatment the illness runs its course in about weeks and its victims return to nor activity and good health In a small number of cases mono nucleosis becomes chronic in cycles The reason for this is un known but the virus causes a syn drome of chronic fatigue that can be quite debilitating This is known as chronic EpsteinBarr virus syndrome Once the EpsteinBarr virus enters the body it causes an immune re sponse That is the bodys tissues rec ognize the invader as threatening and infectionfighting cells produce anti bodies protein antidotes to the virus These antibodies can be measured in the bloodstream Through sophisticated analyses most laboratories can determine whether the antibodies reflect acute illness or whether the proteins are simply holdovers from a past infec tion Most patients who have recov ered from mononucleosis continue to manufacture antibodies to the Ep steinBarr vims for several years long after the initial infection has disappeared The interpretation of THE WORLD ALMANAC DATE BOOK Dec 1989 Today Is the 336th day of 1989 and the 72nd day of autumn TODAYS HISTORY On this day In 1859 John Brown was hanged at Charlestown for treason against the state of Virginia TODAYS BIRTHDAYS Charlie Ventu ra musician Alexander government official Julie Har- 1925- actress Edwin III former attorney general Tracy Austin 1962- tennis player antibodies can a problem in pa tients with chronic fatigue syndrome Many people are chronically tired even exhausted and doctors have long hoped to find a consistent physi cal cause for this ailment A few years ago several reports showed a high proportion of EpsteinBarr anti bodies in patients with chronic fa tigue The answer to the syndrome was thought to be persisting mononucleosis However this was just a scientific tease Subsequent studies revealed that many normal nonfatigued peo ple without symptoms had mea surable levels of EpsteinBarr anti bodies Therefore the presence of these antibodies was not the differen tiating factor between the two groups of fatigued and nonfatigued persons except in isolated instances Experts have had to retreat to square one to find a cause for chronic fatigue syndrome If your daughter has acute mononu cleosis she will probably recover un eventfully If on the other hand her doctor has demonstrated Epstein- antibodies In her blood and attri butes chronic fatigue to them your daughters problem may require fur ther diagnosis Depression anemia and an underactive thyroid gland of ten cause chronic fatigue For additional information I sug gest you contact the EBV support group known as Virus Association at PO Box 230108 Port land OR In the event you might want a sec ond opinion I am sending you a free copy of my Health Report Choosing a Physician DEAR DR GOTT Ive been diag nosed with disease How could I have picked it up and just what is if Im currently taking Dldronel twice daily and Xanax before going to bed for pain My doctor tells me not to ex pect relief from the pain for at least six weeks DEAR READER disease of bone a common disorder of un known cause affects older adults It is characterized by areas of rapid bone destruction and production leading to softened enlarged bones that may be painful and break easily The disease usually affects spotty portions of the skull spinal column and legs TODAYS QUOTE I probably carry more scar tissue on my than any other candidate thats political scar tissue Alexander Haig fl TODAYS MOON Between new moon Nov 28 and first quarter Dec ON AN AVERAGE DAY Eight Ameri cans begin service with the Peace Corps Souri On An Average Day by Heymann Fawceii Columbine TODAYS BARBS BY PHIL Trouble sleeping Throw out the sleeping pills and potions and buy a plumbingsupply catalog for reading at bedtime One way to get away from the yap ping of a mobile phone is to park un der a bridge with a steel deck that damps out the signal ENTERPRISE disease is not communica ble you cannot catch it from some one else nor do you get it by doing or not doing something It is a metabolic disorder and can exist for many years without causing symptoms Treatment consists of drugs to re tard the rate of bone turnover and to force additional calcium into weak ened bones Didronel is such a drug as is calcitonin a newer treatment that shows promise Several weeks must before the medicine begins to symptoms You seem to be re ceiving appropriate therapy for your condition Xanax an antianxiety medicine is not a common treatment for disease It is useful for people with ex treme nervousness Since Xanax wil not control your pain ask your doctor to prescribe one of the many analge sics now available or try over-the- counter pain relievers such as aspirin To give you more information I am sending you a free copy of my Health Report Managing Chronic Pain DEAR DR GOTT For the last 3W years Ive been suffering from viral cardiomyopathy I have no strength or energy and can do no work Whats my prognosis DEAR READER Many types of vi rus affect the heart Although most forms of viral heart inflammation heal themselves some progress to a chronic state in which the heart mus cle becomes flabby and irreparably damaged This is called viral cardiomyopathy Put More Muscle in your advertising CALL US TODAY 8772201 CANCER PREVENTION You Can Have A Hand In It The Canadian Cancer Society recommends that you include more vegetables from the cabbage family in your diet These include brussels sprouts broccoli and cauliflower These 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