Womens Health

Women's Health Newsletters 6/6/99 - 7/11/99

 

 




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***** Woman's Diagnostic Cyber Newsletter *****
                  June 6, 1999
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
This week from Woman's Diagnostic Cyber
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

1. Herpes simplex infections of the skin
2. Dietary fiber decreases heart disease in women 
3. Pap smear after hysterectomy
4. Understanding osteoporosis
5. Premenstrual Syndrome
6. Humor is healthy

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
1. Herpes simplex infections of the skin
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

The Department of Dermatology at Waikato Hospital 
in Hamilton New Zealand has a site describing 
herpes simplex infections, both type I and type 
II. I like the part that explains how, With each 
attack of herpes simplex, the virus grows down the 
nerves and out into the skin or mucous membranes 
where it multiplies, causing the clinical lesion. 
After each attack it "dies back" up the nerve 
fiber and enters the resting state again. 

Herpes simplex infection

See also the support site at AOL for herpes 
sufferers. The section on how often herpes is 
transmitted is excellent. The annual risk of 
transmission averages 5 to 10% per year for those 
abstaining from sex during outbreaks. The risk of 
acquisition is much higher (16.9%) for women, but 
somewhat lower for those who already had HSV-1. 
People who have HSV-1 seem to be more resistant to 
the HSV-2; not that this is an immunity but rather 
it is a higher resistance factor. 

Herpes site at AOL

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
2. Dietary fiber decreases heart disease in women
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

We have known for awhile that increased dietary 
fiber lowers heart disease in men. Now a study in 
Journal of the American Medical Association (JAMA) 
has looked at whether the same thing is true in 
women. They found that women who had the highest 
dietary intake of fiber, mostly from cereal 
grains, had a reduced risk rate of coronary artery 
events (77%) compared with women who took in the 
lowest amount of fiber. 
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
3. Pap smear after hysterectomy
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

How likely is it that a women over age 50 who has 
had a hysterectomy will develop an abnormal Pap 
smear? Actually it is quite a small chance on the 
order of 2-4 per 1000 women. If the uterus is 
still present, however, this rate of abnormal Paps 
jumps to 10-15/1000, i.e., 1.0-1.5%. If a woman 
has not had a history of an abnormal Pap and has 
had several negative Paps in a row to eliminate 
false negative tests, then a good case can be made 
for either no further Paps or a Pap smear only 
every 5 years. Yearly pelvic exams are still 
recommended if the ovaries are in place, but a Pap 
smear does not have to be done if the uterus is 
gone. 

Pap after hysterectomy

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
4. Understanding osteoporosis
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

If you do not really understand osteoporosis or 
perhaps you do not realize that bone loss in women 
begins as early as age 35-40, then you might want 
to check out this article on Thriveonline about 
"What is osteoporosis?" Is has some pictures of 
normal bone and osteoporotic bone as well as a 
risk assessment tool to calculate your risk for 
osteoporosis. 

Osteoporosis

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
5. Premenstrual Syndrome
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

At healthanswers.com there is a concise reference 
section that gives an overview of Premenstrual 
Syndrome including definition, cause, symptoms, 
signs, treatment and expectations. 

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
6. Humor is healthy
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

TO: ALL EMPLOYEES

SUBJECT: SICK LEAVE POLICY

*SICKNESS
No excuse...We will no longer accept your doctor's 
statement as proof.  We believe that if you are 
able to go to the doctor, you are able to come to 
work. 

*AN OPERATION:
We are no longer allowing this practice.  We wish 
to discourage any thoughts that you may need an 
operation. We believe that as long as you are an 
employee here, you will need all of whatever you 
have and should not consider having anything 
removed.  We hired you as you are, and to have 
anything removed would certainly make you less 
than we bargained for. 

DEATH:
*Other than your own.
This is no excuse for missing work.  There is 
nothing you can do for them, and we are sure that 
someone else can attend to the arrangements. 
However, if the funeral can be held in the late 
afternoon, we will be glad to allow you to work 
through your lunch hour and subsequently let you 
leave 1 hour early, provided your share of the 
work is ahead enough to keep the job going in your 
absence. 

*Your own:
This will be accepted as an excuse.  However, we 
require at least two weeks notice as we feel it is 
your duty to train your replacement. 

ALSO
Entirely too much time is being spent in the 
restroom.  In the future, we will follow the 
practice of going in alphabetical order.  For 
instance, those whose names begin with "A" will go 
from 8:00-8:15, and so on. If you're unable to go 
at your time, it will be necessary to wait until 
the next day when your time comes again. 

We appreciate your cooperation,

THE MANAGEMENT

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
That's it for this time. We will bring you 
accurate women's health answers again soon.
Rick
Frederick R. Jelovsek MD 
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

P.S. Let us know what you think of the newsletter
Feedback and suggestions
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~



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***** Woman's Diagnostic Cyber Newsletter *****
                  June 13, 1999
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
This week from Woman's Diagnostic Cyber
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

1. Warm up for summer exercise
2. Early breast cancer and alternative medicine use 
3. Cellulite - What do we really know?
4. Skin basics
5. Vitamin deficiencies and excess
6. Humor is healthy



Spread the word! Send a copy of this newsletter
to someone you know.

Note: Some of the long URLs may not wrap as a
hyperlink and you may need to cut and paste.

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
1. Warm up for summer exercise
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

The Adventure Network has a section on Health and 
Safety Tips that is very handy for women  involved 
in outdoors activities this summer. I like the 
section on fitness that has good advice for 
different activities you might want to start. Did 
you know that bouncing during a stretch is the 
wrong thing to do? Or during walking and hiking, 
to prevent upper body and neck aches, you should 
keep your chin up and eyes looking straight ahead 
down the trail? Your neck should be relaxed and 
your head centered between your shoulders. Keep 
your shoulders relaxed by lifting your chest--as 
if you are trying to fill your lungs with more 
air. 

Among the fitness tips are:

Getting in Shape for Summer Walks
A Healthy Back
Exercise Safety Checklist
Heart Rate Primer
Why Stretch?
Exercising During Pregnancy
Exercising in the Heat: Humidity is Hell
 

Fitness tips

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
2. Early breast cancer and alternative medicine use
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

A recent article in the New England Journal of 
Medicine about 480 women with newly diagnosed 
breast cancer reminds us of how science has the 
potential to be misleading. This study looked at 
the use of alternative medical therapies by these 
women which increased from 10.6% before diagnosis 
to 38.7% after diagnosis, i.e., a new use rate of 
28.1%. The authors found that "Women who initiated 
the use of alternative medicine after surgery 
reported a worse quality of life than women who 
never used alternative medicine." 

They concluded "new use of alternative medicine 
was a marker of greater psychosocial distress and 
worse quality of life. " 

The big factor that was not well accounted for was 
that women with breast cancer often are placed on 
tamoxifen which is an antiestrogen and makes 
menopausal symptoms worse, i.e., life "is 
miserable". There are no ideal "medical therapies" 
that help the low estrogen state and many women 
turn to "alternative medical therapy" such as oil 
of evening primrose, St Johns's Wort, ginseng etc. 

Perhaps this study was not about alternative 
medicine seekers because of "cancer distress" as 
is was about menopausal distress. 

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
3. Cellulite - What do we really know?
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Do we actually know what cellulite is? Are women 
more prone to it than men? This week's educational 
article looks at the existent, but very limited, 
medical studies that have examined  Cellulite">cellulite as a 
form of body fat deposition.

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
4. Skin basics
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
The site at Ask Noah about Dermatology is a 
tremendous resource about many skin conditions. 
There is a basic section about skin that is worth 
reading even if you do not have problems at the 
present time. It contains: 
 Black Skin, Hair and Nails 
 Hyperhidrosis (Excessive Sweating) 
 Itching (Pruritis) 
 Spider Veins 
 Mature Skin 
  Dry Skin (Mature) 
  Skin Lesions (Mature) 
  Skin Diseases in Maturity 
  Symptoms to Watch for with Mature Skin 
    Scars 
  Can You Make a Scar Less Noticeable? 
  Methods of Scar Treatment 
  Scar Treatment Methods - Additional 
  What Can and Cannot Be Done for Scars 
 Skin Anatomy 
  The Structure of the Skin 
  The Epidermis 
  The Dermis 
  The Subcutaneous Tissue 
  The Structure of the Skin for Kids 
 Skin Cancer 
 

Skin basics

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
5. Vitamin deficiencies and excesses
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Among the many claims for cures by vitamin and 
supplement therapy have you ever wondered what the 
known effects of too little or too much of certain 
vitamins are acording to most scientists. The 
signs of vitamin deficiencies or  excesses are  
listed at: 

Vitamin deficiencies and excesses

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
6. Humor is healthy
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Deep within a forest a little turtle began to 
climb a tree. After hours of effort he reached the 
top, jumped into the air waving his front legs and 
crashed to the ground. After recovering, he slowly 
climbed the tree again, jumped, and fell to the 
ground. 

The turtle tried again and again while a couple of 
birds sitting on a branch watched his sad efforts. 
Finally, the female bird turned to her mate. 

"Dear," she chirped, "I think it's time to tell 
him he's adopted." 


~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
That's it for this time. We will bring you 
accurate women's health answers again soon.
Rick
Frederick R. Jelovsek MD 
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~



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***** Woman's Diagnostic Cyber Newsletter *****
                  June 20, 1999
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
This week from Woman's Diagnostic Cyber
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

1. Pregnancy implantation is later than we think
2. Depression in 36-44 year old women 
3. Progesterone - its uses and effects
4. Health care fraud
5. Does coffee prevent gallstones?
6. Humor is healthy


Spread the word! Send a copy of this newsletter
to someone you know.

Note: Some of the long URLs may not wrap as a
hyperlink and you may need to cut and paste.

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
1. Pregnancy implantation is later than we think 
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

A recent study in the New England Journal of 
Medicine looked at the time of implantation of 
pregnancy in 221 women who had stopped 
contraception and were trying to conceive. They 
used a very sensitive pregnancy test and collected 
daily urine samples. Although they did not use LH 
testing to determine ovulation (they used an 
estrogen to progesterone ratio), they determined 
that in all patients, implantation occurred 6-12 
days after ovulation. In 84% of women, 
implantation occurred on days 8-10 and when it 
occurred later, the miscarriage rate increased. On 
day 10, 11 and greater than 11, the pregnancy loss 
rates were 26%, 52% and 82% respectively. If 
implantation occurred on day 9 or before, the 
early loss rate was 13%. Overall in the study the 
pregnancy loss rate was 25% but you have to 
remember these are chemical pregnancies, not 
recognized clinical pregnancies, i.e., some of the 
losses occurred before a conventional, home pregnancy 
test would be positive. 

The most optimal time for implantation is probably 
days 7-9 with the majority of successful 
pregnancies occurring on days 8 and 9, not day 7 as 
is traditionally thought. 

Further implication of this study (my 
conclusion) is that many cases of failure to 
conceive may be due to slow transit time through 
the faloppian tubes rather than a host of other 
problems such as sperm antibodies, cervical mucous 
problems etc. 

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
2. Depression in 36-44 year old women
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Many studies about depression stem from patients 
who present to a medical office for one reason or 
another. It is difficult sometimes to determine 
how frequent a condition such as depression is in 
the general community because many who are 
affected do not seek any treatment. 

In this community-based study in Boston, women aged 
36-44, 22.4% scored as moderately depressed and 
8.6% had testing scores consistent with severe 
depression. Women who were widowed, divorced or 
separated were twice as likely as married women to 
have depression as were women who smoked. 

Depression in late PREmenopause

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
3. Progesterone - its uses and effects
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Estrogens and even female use of testosterone has 
been extensively discussed and written about in 
magazines and the news. But what about 
progesterone? What is its effect? Is it a wonder 
drug as some authors and promoters would have you 
think? This week's article discusses the: 

differences between natural and synthetic progesterone
the different forms of progesterone available
effects of too much or too little progesterone
regulation of abnormal bleeding with progesterone
does progesterone block estrogen's beneficial effects?
does progesterone cause mood changes

Progesterone and progestogens

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
4. Health care fraud
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Health care fraud has always been with us but the 
worldwide web allows us to be gullible quicker and 
more frequently. There are various sites that try 
to monitor some of this and since our readers are 
very interested in health, you may want to become 
active with these groups. 

One group is The National Council Against Health 
Fraud. They have some position papers you may want 
to read if you are interested in any of the 
following: 

Acupuncture 
Chiropractic 
Colonic Irrigation 
Diet and Criminal Behavior 
Diploma Mills 
Homeopathy 

Health Care Fraud

Also, if you know of any instances of deceptive 
healthcare practices or have questions about 
something that might be fraudulent, contact 
Quackwatch. You may be interested in some of their 
general observations about Quackery: 

How Should It Be Defined? 
How It Harms  
How It Sells  
25 Ways to Spot It 
More Ploys That May Fool You 
Common Misconceptions 
Ten Ways to Avoid Being Quacked 
Signs of a "Quacky" Web Site 
Pro-Quackery Legislation 
Why Bogus Therapies Often Seem to Work  
Fifteen Ways to Spot an Internet Bandit

Dr Stephen Barrett's  Quackwatch

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
5. Does coffee prevent gallstones?
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

This study in men says - YES. Drinking 2-3 cups of 
coffee per day reduces the risk of gallstones  by 
40% (risk ratio .6). It is nice to hear some of our 
vices are useful. There is no reason to think the 
same relationship does not hold true in women 
also. 

The moral of the story -- if you take estrogens 
(increases gallbladder disease including 
gallstones), drink coffee! 

Coffee drinking and gallstones

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
6. Humor is healthy
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Signs that you MIGHT be experiencing menopause: 

1. You sell your home heating system at a yard 
sale. (Hot flashes) 

2. The person you sleep with complains about snow 
piling up on the bed. (Nightsweats) 

3. Your husband jokes that instead of buying a 
wood stove, he is using you to heat the family 
room this winter. Rather than just saying you are 
not amused, you shoot him. (Mood swings) 

4. You write post-it notes with your kid's names 
on them. (Memory Loss) 

5. Your husband chirps, "Hi honey, I'm home." and 
you reply, "Well, if it isn't Ozzie f---------ing 
Nelson". (Irritability) 

6. The phenobarbitol dose that wiped out the 
Heaven's Gate Cult gives you 4 hours of decent 
rest. (Sleeplessness) 

7. You find guacamole in your hair after a Mexican 
dinner. (Fatigue) 

8. You change your underwear after every sneeze. 
(Mild incontinence) 

9. You need Jaws Of Life to help you out of your 
car after returning home from an Italian 
restaurant. (Sudden weight gain) 

10. You ask Jiffy Lube to put you up on a hoist. 
Dryness) 

11. You take a sudden interest in "Wrestlemania". 
(Female hormone deficiency) 

12. You're on so much estrogen that you take your 
Brownie troop on a field trip to Chippendales. 
(Hormone therapy) 

*author unknown

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
That's it for this time. We will bring you 
accurate women's health answers again soon.
Rick
Frederick R. Jelovsek MD 
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~



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***** Woman's Diagnostic Cyber Newsletter *****
                 June 27, 1999
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
This week from Woman's Diagnostic Cyber
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

1. Vulvar pain (vulvodynia)
2. Breast reduction surgery 
3. Pelvic inflammatory disease and infertility
4. Eyestrain from computer use
5. Helping a friend with a chronic illness
6. Humor is healthy

Spread the word! Send a copy of this newsletter
to someone you know.

Note: Some of the long URLs may not wrap as a
hyperlink and you may need to cut and paste.

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
1. Vulvar pain (vulvodynia)
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
At Dr. Glazer's site, vulvodynia.com, there is an 
extensive compilation of questions and answers 
about vulvar pain - its many causes and 
treatments. 

Did you know there is a higher frequency of 
associated pain problems with vulvodynia such as 
fibromyalgia, interstitial cystitis, irritable 
bowel syndrome, or autoimmune disorders? 

Some women find propylene glycol (an ingredient in 
many sexual lubricants!) to be a vulvar irritant 
which can cause or worsen vulvodynia. You may want 
to learn about oxalate sensitivity, a theory that 
some women have pain because they have sensitivity 
to plant oxalates, which form crystals and lodge 
in the vulvar tissue following urination. This 
theory is still controversial but it has some 
rationale behind it. Low oxalate diets can 
sometimes help vulvodynia. 

In any case, vulvodynia is a complicated problem 
and physician knowledge is sometimes limited. If 
you have this problem of chronic vulvar pain, you 
need to learn about it extensively so that you can 
work together with your doctor to best determine 
what may be causing the pain in your case and what 
therapy methods may be best for you. 

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
2. Breast reduction surgery
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
While most women are familiar with requests for 
plastic surgeons to increase breast size, there 
are a fair number of women who desire surgical 
reduction in breast size. Are you familiar with 
which symptoms would suggest the need for a 
reduction other than just a desire to look 
different? 

You might want to look at the site below if:

you have pain due to your breast size, usually 
involving your back, neck, and/or your shoulders 
you have shoulder grooving from your brassiere 
straps 
you have skin irritation beneath your breasts 
there are restrictions in your activity due to 
your breast size 
you have pain from dense, fibrous breasts (even if 
not extremely large breasted) 
breast size varies significantly from side to side 

Breast reduction surgery

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
3. Pelvic inflammatory disease and infertility
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Pelvic inflammatory disease can affect fertility 
by damaging the faloppian tubes. If the infection 
is confined to the tubes, the infection abscess is 
called a pyosalpinx. If the abscess leaks out and 
includes the ovary, it is called a tubo-ovarian 
abscess. This is discussed at: 

Tubo-ovarian abscesses

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
4. Eyestrain from computer use
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

At WebMD.com, they have licensed some self-care 
advisor tips from the  American Institute of 
Preventive Medicine.  I was especially interested 
in the section on preventing eyestrain from 
computer videoscreen use. 

It makes sense that you should place the screen so 
that your line of sight is 10 to 15 degrees (about 
one-third of a 45-degree angle) below horizontal 
but if you do not really think about it when 
setting up your chair, desk and computer screen, 
you may end up viewing your computer screen at an 
angle that worsens eyestrain or neck and back 
muscle strain. In other words, the monitor should 
not be so high that if you look straight ahead 
(zero degrees from horizontal), you see the 
screen. Rather it should be positioned so that 
with the screen two feet away from you, your eyes 
should be looking down about 15 degrees from the 
horizontal. Lower than that is not any better than 
higher. 

Eyestrain from computers

The American Institute of Preventive Medicine also 
produces a Self Care Guide, 

Self-care guide

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
5. Helping a friend with a chronic illness
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
When a friend has surgery or an illness that will 
be successfully treated. it is not difficult to 
rally around with meals, flowers, visits and 
gifts. If she has a chronic illness such as 
fibromyalgia, chronic migraine headaches, multiple 
sclerosis, or one of numerous other chronic 
conditions, what do you say to her? What do you 
do? 

Should you tell her to get out there and push 
herself through the pain? Do you encourage her to 
remain hopeful? For answers, you may want to look 
at an article at restministries.org that gives you 
tips of what to do and what to say to a friend with a 
chronic medical problem. You may also be 
interested in other articles about: 

When Friends Turn Away
When Your Spouse Doesn't Believe that You are Ill
Do you wonder why your doctor won't listen to the 
newest research about treatment for your illness?  

What to say to a friend with a chronic illness

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
6. Humor is healthy
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
IS THERE A DOCTOR IN THE HOUSE?

It was a stifling hot day and a man fainted in the 
middle of a busy intersection. Traffic quickly 
piled up in all directions while a woman rushed to 
help him. When she knelt down to loosen his 
collar, a man emerged from the crowd, pushed her 
aside, and said, "It's all right honey, I've had a 
course in first aid." 

The woman stood up and watched as he took the ill 
man's pulse and prepared to administer artificial 
respiration. At this point she tapped him on the 
shoulder and said, 

"When you get to the part about calling a doctor, 
I'm already here." 

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
That's it for this time. We will bring you 
accurate women's health answers again soon.
Rick
Frederick R. Jelovsek MD 
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~



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