Logansport Pharos-Tribune from Logansport, Indiana • Page 12

12 SU.W.IY. IW.KMHKR Cancer Answers Bv Paul Dvment, M.D. Doctor Up To Date? Cancer Answers by Paul G. dymenl, M.U., appears through the courtesy of the Cleveland Clinic Cancer Center. Questions may be directed the Cancer Information Services at ur.ou Kuclid Cleveland.

Ohio 44 All questions will be answered by mail. QUESTION How do I know if my doctor is up to dale in the tvmcer field? ANSWER This be difficult to answer in lew words because there are many kinds oi cancers For instance, a skin cancer might be managed best by dermatologists in his office, whereas certain cancers such as bone cancer are best managed at a large hospital with cancer specialists. If (he tumor is successfully removed by surgery then further specialists are usually not necessary. If x-ray trealmenl is recommended then a radiation therapy specialist supervises this. Unfortunately all of the chemical treatments (called chemotherapy) for more wide-spread cancer also affecl some normal human (issues as well as the cancer.

It requires a certain amount of special training and experience to administer most of these drugs safely. Most doctors giving chemotherapy are therefore specialists in this kind of drug treatment. Both pediatric and adult physicians specializing in this field are called and there are examinations which can assure competency in this new medial specialty. Many adult oncologists, and all pediatric oncologists, are also hematologists because the principal side-effect of chemotherapy is an effect on the blood-forming organs. Bypass Operation Doesn't Correct Damage DEAR DR.

LAMB How completely does coronary bypass surgery restore the heart to normal function after one has had damage from a myocardial infarction? What could cause unexplained pressure in the chest upon lifting and with use of hands and muscles as in hammering nails or turning screws? I am made to feel this is imaginary. I recently met someone who explained having the same type of pressure on hammering nails. They did not know I experienced this problem so I know I am not an isolated case. How accurate is a stress test as an indication of ability to work after bypass surgery'' I had a triple coronary bypass operation. I continue to have chest pressure on lifting 25 pounds of weight and most any physical exertion that requires strength from the hand and arm muscles.

DEAR READER You have written about a very important point. A bypass operation does not correct the damage that has already occurred in the heart muscle from a previous heart attack. It doesn't even correct the disease in the arteries. It only provides a detour around areas of the arteries that are blocked by disease. The heart muscle damage is permanent.

If it is not too extensive you will be able to return to normal function. But it it is extensive the heart muscle may be too weak to provide proper pumping action. A stress test is fair as a Health Bv Lawrence Lit nib. M.I). measure of function It is almost useless in evaluating the type Qf exertion you are asking about, lifting.

Why? Because most exercise tests evaluate heart function in relation to increasing heart rate common with treadmill walking or bicycling. Lifting increases the work of the heart by increasing the blood pressure without an associated comparable rise in heart rate. Your doctors should record vour elcc- TV Commercials Are Phony I have always been led to believe that marketing is an exact science. When a television commercial is produced it is after months of figuring out an appeal directed toward two groups: those who need it. and those don't know they can live without it yet.

It's a revealing science. After years of watching commercials. have gained some real insights into people 1 never knew before. Klderiy people don't sweat and never need deodorant. Young people never suffer rom irregularity.

Black people never get clogged-up nasal passages and people with short hair are never worth the price of an expensive hair coloring. Women don'! buy cars. At least not on television. So what if the statistics show that 42 percent of cars are bought by women? On the tube, they ride in them, on top of them, and walk on the beach with cars in the background, but they don't buy them. According to commercials.

Hispanics never get colds or if they do, never find a remedy for them. Chicanos don't get headaches or dial long distance, and Asian- Americans never do laundry. As for native Americans, I've never seen them use any product on television They exist on a diet of margarine. As far as television is concerned, women may go around only once in their lives, but they never do it with gusto. They are never rewarded with a beer at the end of the day.

Watching television, you'd think that all consumers weighed less than 36 pounds. The only plump women on television get dogged sinks and dance with their cats. Consumers don't wear glasses. They are worn Erina Bonibeck only by doctors who want to relieve you from hemorrhoids Or swollen tissues. And the only people who eat dry sandwiches for lunch are construction workers.

The men in the three-piece suits brown- bag only freshness. It comes with the territory. I've remained silent through a lot of television commercials that put a strain on credibility. Dancing underwear, butter that talks, dogs that sing and soup cans that march on a town, but the other night when a 36-pound woman said with a straight face. "1 have to watch 1 threw a lamp at the set.

I've had it. trocardiogram when you are having chest discomfort. Since you have identified this with lifting, that is the stress that should be used in your case. DKAR DR. LAMB I am 19 years old and weigh 95 pounds.

The only fat part of my body is my face. Is there any exercise I can do to prevent having a double chin? DEAR READER You can't spot reduce. There are no exercises that selectively eliminate fat from under the chin. Exercise uses calories and removes fat stores from throughout the body. I'm suspicious that your face is not as fat as you imagine.

You weigh so little that unless you are quite short I suspect you have a distorted image of yourself. In that case you need to see about some professional counseling. Such a distortion is often the basis r-f anorexia nervosa that induces young girls to starve and damage their health. Now, if you have inherited the tendency to have fat pads under the chin it will be hard to impossible to eliminate such a pad by diet or exercise or both. When the condition really warrants it the fat pad can be removed easily with a simple surgical procedure.

Plastic surgeons who do cosmetic surgery do such operations all the time. DEAR DR. LAMB It's bad enough sleeping with a couple of plants but sleep with 24. I sleep in a small room and sometimes I wake up at night and seem to be short of oxygen. I say it's because of the plants.

My wife does not agree with me. What is your opinion? She does not sleep with me. DEAR READER I'm tempted to suggest you sleep with your wife instead of the plants. Seriously, plants will not rob you of oxygen as some people mistakenly believe. Plants use carbon dioxide and give off oxygen.

Animals use oxygen and give off carbon dioxide The combination results in the balance between the plant world and the animal world. Now, you might be allergic to something from the plants. Or you could be allergic to something else in your bedroom. Or you could have some other medical reason for waking up short of breath, which you call short of oxygen. You should see a doctor.

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