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Page THE HBRALDOUTL0OK 1 1990 Pinpointing the cause of neuropathy DRGOTT I had testing at a major medical center because of pe ripheral neuropathy I do not have di abetes and the doctors were unable to make a diagnosis Finally they said I might have vasculitis yet my sedi mentation rate was normal Any comments DEAR READER Peripheral neu ropathy means that some of the nerves to your arms and legs are not functioning normally Symptoms of the condition include numbness tin and burning pain in these limbs Patients often complain of numbness in a stocking and glove distnbu tion meaning that only the hands lower legs and feet are affected Eventually the affliction can pro gress causing clumsiness unsteady gait loss of reflexes dry skin and finally skin ulcers Neuropathy is a symptom not a disease As in your case patients need extensive testing to determine the cause and if possible treat it The most common cause of periph eral neuropathy is diabetes Diabetics develop premature arteriosclerosis experts believe this progressive slow ing of circulation to the hands and feet damages the tiny capillaries to the nerves When nerves are deprived of nutrients and oxygen they mal function The process and symptoms are akin to the sensations experienced by people who cross their legs and have a foot fall asleep because blood flow to the lower extremity is temporarily reduced Neuropathy has other causes how ever such as kidney failure malnutn tion cancer and vitamin B6 toxicity These diseases can usually be nosed by appropriate testing In many cases treatment of the underlying disease will improve the neuropathy Vasculitis inflammation of blood vessel walls can cause neuropathy if the affected arteries do not supply ad equate oxygen to nerves As you pointed out the sedimentation rate the speed with which red blood cells sink in a glass tube is usually in creased the presence of vasculitis I would not presume to second- guess the corps of medical center doc tors who examined and tested you However I do suggest the following Medical center medicine has many advantages Including specialists who are uptodate on the newest medical discoveries and the availability of so phisticated laboratory tests However it does have one glaring disadvantage a phenomenon I call fragmentation Medical centers of ten have too many cooks usually no one person coordinates and oversees the investigation and care of each patient Therefore I recommend you return to your family doctor and ask him or her to review in detail your records from the center Perhaps a seemingly insignificant lab report got lost in the shuffle this information could help diagnose your neuropathy Or maybe one of the specialists inadvertently forgot to order a test that could have been a keystone in your diagnosis Even if your records are in perfect or your doctor will be able to advise you which step to take next To give you more information lam sending you a free copy of my Health Report Medical Specialists N ELLS DRIVING SCHOOL Approved by ttto Ontario Sfaty NEXT COURSE JUNE Man Wod Evenings LAST TILL For Information About Courses or Private Lessons phone is mm Whats Cooking at Expre Saturday is Sample Day By Glenda Hughes With the current situation of the market there are a lot of ven dors and real estate professionals alike wringing their hands Just how are some of you going to get your properties sold What can we do as representatives to swing things around for you You see it is a twoway street and it takes ingenuity and brain storming to fight your way through to see a sold sign Obviously it is our task to move your property as quickly as possible for you and for the best possible price but when purchasers are in shor supply just how can we find them and turn entice them to look at your pro perty Quite an assignment to say the least I If you have done everything possible on your side of the fence to make your home attractive and have it priced competitively then it falls into your sales reps lap to do the rest Certainly this is no time to not have your home on the MLS system even if it costs you a little more The MLS system reaches all sales reps on the Brampton Board and there is no better way of keeping your home in front of the eyes of the sales people than this system However check with your rep if your picture of your home is up to date It was not long ago that there was snow on the ground and if your pic ture in the MLS book is snow clad you might suggest that it be changed for a new shot so mentally speaking people dont think that your home has been on the market since the first snowfall At the same time ask if you can have a copy of your listing from the MLS book and see if the remarks about your home are up to date entice people to look and do a little selling job in the listing If you are not happy it is very easy to change the listing to be more concise and accurate Next ask where your home has been advertised It is not necessary to advertise absolutely every week but you should be getting fair exposure Sometimes advertising outside of the local area bnngs some results and in this market it is fair to ask if dif ferent types of publications and indeed media are being used I guess last of all you might have a brain storming session with your representative and pull together some new ideas as to how to market your home anything a little different could just be the tnck to finding a buyer There are many ways of promoting homes but it takes a creative mind to think past the normal ways of doing things Certainly no sales rep would if you sat down and brain stormed with him or her about things that might bring in pro spective buyers Actually another brain is very helpful in times of stress so try to be as helpful as you can when you sit down and maybe together you can pull the rabbit out of the hat Have a good brain storming session Id love to hear from you if something new works for you Homos Sold Creatively Hughes is a Sales Representative with Brand Realty in Georgetown UPGRADED BROAD LOOM In a quiet area of central Georgetown Many new features including furnace kitchen and windows make this property well worth your investigation Asking 00 QUIET STREET In Central Georgtown close to all services main free exterior double width lot tile roof fireplace Now offered at 279 000 00 BRAND r 45 Rd N Georgetown BUSINESS 8730300 RESIDENCE FAMILY HOME In Lokeview area of Acton four bedrooms three baths main floor family room new kitchen and for summer private yard with pool Now available at 15900000 Two bedroom bungalow backing onto park priced to sell Available immediately Good condition in side and out fenced yard Coll today for details BRAND NEW Quality built in estate setting some colour choices still available Large lot ceramics two fireplaces oak kitchen and much more Asking 444900 Available this month INVESTMENT OPPORTUNITY 334 acre corner property with 23000 ft building high traffic area Available immediately ATTENTION BUILDERS Almost one acre in town zoned multiple family Good location to build Call today for details I OLDE GEORGETOWN Available for early occupancy pin ire IkMd to GO Mrvtto and downtown