C2 THURSDAY, MAY 21, 1998 HEALTH THE SALINA JOURNAL T PERSONAL HEALTH Men overlook side effects, options in rush for Viagra The promise of Viagra for restoring sexual potency shouldn't mask its risks When a revolutionary hew treatment is discovered for a life-limiting condition, millions of sufferers are likely to forsake caution'in hopes of reaping its benefits. So it seems with Viagra, the pill that can restore a man's erections even after decades of impotence. Doctors throughout the country find themselves writing 100 or more prescriptions a day for the $10-a-pill remedy, often for men who have given little thought to its possible side effects or its chances of working well for them. What has made Viagra so attractive is not that it is the only remedy for erectile dysfunction, as potency problems are called medically. There are half a dozen other effective treatments. But unlike the others, Viagra is a pill, making it a far simpler and more discreet remedy than its rivals, which include drugs injected or inserted into the penis and devices implanted and inflated. But in the wave of enthusiasm surrounding this drug over the last two months, many physicians and their patients have ignored .its limitations and side effects — those already known and those that may be discovered. "Whenever a hew drug is introduced, pharmaceutical companies always tout it as extraordinarily effective and without side effects," said Dr. Robert Kolodny, medical director of the Behav- JANE BRODY Tlie New York Times ioral Medicine Institute in New Canaan, Conn., and a former associate of the pioneering sex researchers, Dr. William Masters and Virginia Johnson. "In every case, a year or two later when the drug becomes widely used, new side effects emerge that were not previously seen," Kolodny said. "This is uncharted territory. There may be interactions between Viagra and other drugs men are taking. Men may use it at higher doses than it was designed to be used. And it will undoubtedly be used by a wide range of people, not all of whom are suitable or adequately screened medically beforehand." Because most men with potency problems are older, some Viagra users no doubt will be in very poor health, suffering from diabetes, heart disease, arthritis and other ailments. Will their hearts stand the physical demands of sexual intercourse? How will Viagra interact with other medicines they may be taking? Men who are rendered impotent by drugs for high blood pressure or depression are likely to constitute a large share of Viagra users, but until large numbers use it, its possible adverse interactions with their medicines will not be fully known. What is known so far about Viagra is it cannot safely be taken by anyone using nitrate medications and, according to a report last week in The New England Journal of Medicine, about a third of men experience one or more minor side effects, including headaches, flushing, indigestion, stuffy nose and temporary changes in visual perception of color or brightness. But in tests of Viagra in hundreds of men, few dropped out because of such effects. In the last-two decades, the causes of impotence have become clearer. Masters and Johnson, authors of the groundbreaking work "Human Sexual Inadequa- cy" maintained that in four of five cases, potency problems were psychologically based, caused primarily by anxiety over being able to perform adequately. All a man needs to do, they said, is learn to relax, not worry about getting and keeping an erection, focus on the pleasure of physical stimulation and all will right itself. Masters and Johnson attributed only 20 percent of impotence cases to physical problems. But recent research has proved the statistics to be quite the opposite, with about 80 percent of impotence now attributed to physical factors and 20 percent to emotional ones. A man experiencing impotence would be unwise to assume he knows the cause and that only Viagra will help. If performance anxiety is the problem, a Masters-and-Johnson approach to treatment can be effective, risk-free and, in the long run, less expensive. T PREVENTION Many eye injuries are result of carelessness By Los Angeles Times Syndicate Watch out for paper bags, nail glue and babies' fingers — all of which frequently appear as culprits in eye injuries. , Sound unlikely? Not to Dr. Jack Jeffers, director of the emergency department at Philadelphia's Wills Eye Hospital, who has seen these injuries repeatedly and treated them many times. According to Jeffers who is the eye safety spokesman for Prevent Blindness America, most at-home eye injuries are examples of a careless second or two that can result in serious injury or blindness — temporary, or sometimes, permanent. • The edge of a grocery bag is quite sharp, and when it meets an eye, the result is often a scratched cornea-. • Every week, a small child's fingernail strikes an eye causing 3 to 5 adults to go to the emergency room. • The similarity between the size and shape of eye drop bottles and nail glue bottles has caused many painful accidents when the contents of the wrong bottle was poured into an eye. These accidents sound unlikely, until one happens to you. Prevent Blindness America is offering a free copies of the "Family Home Eye Test" and a brochure on home eye safety when you contact them at (800) 331-2020. Bad / Rejecting faith can double the loss FROM PAGE C2 Ask his wife about his time in Israel and she expresses excitement, though Mike Lotker acknowledges she's anxious about their separation. He'll visit his wife several times and will keep in constant touch through a computer link-up that will allow him to speak to her. "If there's a problem, I'll be here in 24 to 48 hours," he said. He said his support in dealing with Huntington's came from his Judaism, his friends, his rabbi and a relationship with God. He wants to become a rabbi to share that same spiritual strength with others. "The question after a tragedy is not why me, but what do I do now," he said. "I don't think God gave her Huntington's disease, but I do think God gave us the strength and resources to deal with the disease." Ask Rabbi Wayne Dosick why disease, fire, floods and other natural calamities occur and he answers in a verbal shrug of the shoulders. "In Judaism, we say honestly that we just don't know," said the author of "When Life Hurts,"' written in the aftermath of a fire that destroyed his La Costa home. "No one ever promised a life without pain, without suffering." Certainly, some people turn away from religion because of their anger over a God who hasn't made pain obsolete. That, Dosick said, just doubles their loss. Mike Lotker said he thinks overcoming tragedy and helping others deal with pain is part of his mission in life. "Would you really want to live in a world where there are no problems?" he asked. "We'd be the moral equivalent of lima beans. There would be nothing for life to do. We'd be decorations in a garden of Eden." Deadlines Retail & Bordered Classified Ads Publication Date Deadline Monday, 5/25 Tuesday, 5/26 Wednesday, 5/27 Thursday, 5/21 @ 4:00 Friday, 5/22 @ 11:00 Friday, 5/22 @ 1:00 Classified Line Ads (No Borders or Artwork) Friday, 5/22 Saturday, 5/23 Sunday, 5/24 Monday, 5/25 Tuesday, 5/26 Thursday, 5/21 @ 10:00 Thursday, 5/21 @ 1:30 Friday, 5/22 @ 10:00 Friday, 5/22 @ 3:00 Friday, 5/22 @ 5:00 The Salina Journal business office will be closed on Monday, May 25 in observance of Memorial Day. the Salina Journal V SMOKING RESEARCH Angioplasties often don't put end to smoking By Los Angeles Times Syndicate When it comes to smoking, researchers have proven again what a formidable foe they have in nicotine. A new Mayo Clinic study of heart patients found that people who need to stop smoking the most are the least likely to stop. Mayo researchers found the patients most likely to continue smoking were those who would benefit most from smoking cessa- tion — patients who were younger, smoked the most and had more risk factors for development of coronary artery disease which includes diabetes,. hypertension, high cholesterol and family of heart disease. • The researchers examined the smoking patterns of more than 5,400 patients who had had angioplasties — heart vessel clearing procedures — at the Mayo Clinic over a 16-year period. Twenty-one percent of these patients were smokers at the time of the procedure, and of this group: • 63 percent continued to smoke after their procedure. • 51 percent continued to smoke even after a prior heart attack. • Less than 10 percent sought help from the Mayo Nicotine Dependence Center. "The study provides some good baseline information on the kind of problem we're up against," says Dr. Gerald Gau, a cardiologist and one of the study authors. "Even with these life-threatening kind of events, people continue to smoke. Nicotine is a very addictive drug." The researchers say that angict plastics should be considered £ "window of opportunity" to refer patients to smoking cessation programs. "The study clearly shows that if we don't take aggressive action at these times when we've got their attention, most smokers are going to keep on smoking," says Gau. TODAY THROUGH MONDAY! MORIAL*DAY SHIRTS & SHORTS FOR THE FAMILY UP TO 30% OFF Misses' • Juniors' • Children's • Men's ENTIRE STOCK OFSWIMWEAR 25% OFF Misses' • Juniors' • Children's • Men's MISSES/SPECIAL SIZES All MISSES' WEEKENDWEAR 25%-40% OFF Includes pant sets, knit tunics, knit dresses, more. Reg/orig. 20.00-28.00, SALE 11.24-21.00. SELECTED COORDINATES 40% OFF Misses', women's. Alfred Dunner*, Korel* and others. Reg. 15.00-62.00, SALE 9.00-37.20. PETITES'& WOMEN'S CASUAL DRESSES 25% OFF Reg. 49.00-89.00, SALE 36.75-66.75. JUNIORS lEWS" SHORTS FOR JUNIORS SALE 24.99 Variety of styles. Reg. 30.00 each. AT LAST 8 , QUIZZ® WOVEN TOPS SAG HARBOR® CHAUIS & KNITS J^LE 1 1 99 SALE 14.99 Misses' sizes. Reg. 28.00-34.00. ALL BRIGGS* PANTS SALE 16.99 For misses and petiles. Linen-look, shantung, and chambray styles. Orig. 28.00. MISSES' DRESSES & ROMPERS 25% OFF Reg. 39.00-79.00, SALE 29.25-59.25. MISSES' SLEEVELESS TOPS 25% OFF Selection of styles and colors to choose from. Reg. 12.00-24.00, SALE 9.00-18.00. PETITES'& WOMEN'S SPORTSWEAR CLEARANCE EXTRA 25% OFF Orig. 16.00-48.00, SALE 8.99-26.99. Reg. 14.00-16.00. JUNIORS' SHEATH DRESSES SALE 19.99 Pique, seersucker, hi-twist. Reg. 25.00. JRS.' DENIM & LINEN DRESSES 25% OFF Casual. Reg. 36.00-49.00, SALE 27.00-36.75. INTIMATE APPAREL JOE BOXER GIRLFRIEND* 25% OFF Casual summer sleepwear for her. Cotton. Reg. 14.00-38.00, SALE 10.50-28.50. ACCESSORIES All LADIES'SUNGLASSES 30% OFF Reg. 10.00-60.00, SALE 7.00-42.00. ALL LADIES'ATHLETIC SOCKS 25% OFF By Nike", Calvin Klein* and more. Reg. 4.50-14.50, SALE 3.38-10.88. All FINE JEWELRY 60% OFF Gold, sterling silver and vermeil. SHOES FAMILY SUMMER SANDALS UP TO 50% OFF Reg. 12.00-50.00, SALE 5.99-34.99. MEN'S SANDALS & SHOES 24.99-39.99 Nunn Bush*, Deer Slags', Skechers*, more. Reg. 36.00-60.00. GUESS 9 SOCCER SANDALS SALE 9.99 "H 2 0" style. Reg. 20.00. CHILDREN'S FAMOUS NAME BRAS, SHAPERS SUMMER PLAYWEAR FOR BABY 25%-33% OFF 30% OFF Reg. 12.00-37.00, SALE 9.00 27.75. Reg. 14.00-18.00, SALE 10.50-13.50. CHARGE IT! GET 10% OFF ALL DAY WHEN YOU OPEN A NEW STORE ACCOUNT. Exclusions may apply. Subject to crodil approval. STAGE ALL SHORT SETS FOR KIDS 30% OFF Styles for boys and girls. Reg. 14.00-18.00, SALE 9.80-12.60. ALL LEWS® SHORTS FOR KIDS 13.99-17.99 Reg. 16.00-20.00. GIRLS' 2-16 SUNDRESSES 25% OFF Reg. 16.00-32.00, SALE 12.00-24.00. MEN'S ALL MEN'S SWIMWEAR 25% OFF Graphite Sport 8 , Chaps* and more. Not in all stores. Reg. 12.00-36.00, SALE 9.00-27.00. MEN'S DOCKERS 8 SHORTS 21.99-27.99 Two-pleat twill, wrinkle-free canvas and denim styles for summer. Reg. 25.00-32.00. HAGGAR® SPORT SHIRTS 25% OFF Reg. 36.00-38.00, SALE 27.00-28.50. MEN'S SOLID PIQUE POLO-STYLE SHIRTS SALE 14.99 From Specialty Collection*. Reg. 22.00. Mon.-Sat. 10-9 Sun. 12-6 V/ll'U.AjM CENTRALMALL • Just a somple of the savings you will find. Interim markdowns may have been taken. Selections vary by store. Petites and Fine Jewelry at most stores.
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