Ukiah Daily Journal from Ukiah, California on March 16, 2004 · Page 3
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Ukiah Daily Journal from Ukiah, California · Page 3

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Tuesday, March 16, 2004
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HEALTH TUESDAY. MARCH 16, 2004 - A-3 udjfeatures<5>pacif ie.net ASK DR, GOTT By Peter M.Gon,MD Multi-drug therapy should be revised DEAR DR. GOTT: I would like your opinion about the drugs my 55-year-old daughter has been prescribed. These include Xenical, Lipitor, Paxil, thyroxine, Axciu, Protonix, Neurontin, Cardizem, fish oil, Serevent, Flovent and Albuterol. This seems like a lot to me. Are all these drugs compatible with one another? DEAR READER: I don't know, but I'd certainly be suspicious that the interactions between these prescriptions could cause problems. Also, I note that she is taking two, sometimes three medicines for each affliction. Although you don't mention her diagnoses, I assume from the list of drugs that she has high cholesterol levels, depression, an underactive thyroid gland, acid reflux, nerve pain of some kind, heart or blood pressure problems and asthma. This is an impressive collection of ailments for a middle-aged woman, so obviously - some medications are justified. However, it would not be appropriate for me to give specific advice. She should resolve this issue with her family physician. Nonetheless, I am confident that her list of medications could be modified or shortened. Again, her doctor is the logical resource to do this. One last comment. You noted in your letter that your daughter has been diagnosed with fibromyalgia, with resulting malaise and muscle pain. While I don't necessarily question this diagnosis, I urge your daughter to consider that the muscle pain may be a rare but dangerous side effect of cholesterol-lowering drugs such as Lipitor. Therefore, I believe that she should experiment (by stopping the Lipitor for 2 to 3 weeks) to see if the drug is to blame. If herpain disappears, her doctor needs to know this and take steps to deal with it. If, however, the muscle pain persists, my theory is shot down and she can restart taking the Lipitor. Let me know how this plays out. To give you related information, I am sending you my Health Report "Managing Chronic Pain." Other readers who would like a copy should send a long, self-addressed, stamped envelope and $2 to Newsletter, P.O. Box 167, Wickliffe, OH 44092. Be sure to mention the title. DEAR DR. GOTT: I am 68 and experience discomfort (a sensation of painful pressure) behind my breastbone whenever I exercise. A cardiogram and an echogram were normal. Do you think that a stress test is necessary? DEAR READER: Without a doubt. Your symptom could be caused by coronary artery blockages, despite your normal cardiogram and ultrasound study. Therefore, I urge you to request that your primary care physician order a stress test, which should confirm my suspicion that you are suffering from angina. If I am correct, you may need to have the situation addressed aggressively with a coronary angiogram. // readers would like to contact Dr. Gott, they may write to him at: Dr. Goit do United Media, 200 Madison Ave., 4th fl.. New York, NY 10016. HFAITHrAIFNflAR iLnLin unLLliunrx ALANON: Family and friends of alcoholics; noon and 7 p.m. on Tuesdays and noon on Fridays; Center for Positive Living, 741 S. Oak St.; 462-7386. Alcoholics Anonymous: Daily; call 4627123 or toll free 1 (877) 906-1212, www.aaukiah.org. Breast and Cervical Cancer Early Detection Program: Free, educational workshops focus on women's health in relation to breast and cervical cancer awareness, the importance of continuing education, risk factors, and benefits of early screening; meets three times a month (a in /p.m.) at Consolidated Tribal Health Project; Debbie Harrison, 485-5115 x 293. Breastfeeding Support Group: meets second Wednesday from 10 a.m. to noon and fourth Wednesday from 2 to 3:30 p.m.; Mendocino County Public Health - WIC office, 1120 S. Dora; Tess O'Connell, 4722739. Celebrate Recovery: 12-step group; Fridays; issues include: codependency, substance abuse, depression, eating disorders; Bible based, confidential; teacher/speaker meeting, 7 to 8 p.m.; men's/women's small groups, 8 to 9 p.m.; Ukiah Bible Church, 2140 Arroyo Dr., Ukiah; Dale Higgins, 468-9255, or UBC at 462-0151. Codependence Anonymous: 12-step recovery program; noon on Wednesdays; 741 S. Oak St., in rear building; 463-0362. Council on Domestic Violence: Second Wednesday, 3:30 to 5 p.m., Project Sanctuary, 499 Leslie St., 472-2753. Writer: Western-style consumption worldwide is fueling 'globesity' Editor's Note: This is the first installment in a series of articles on obesity and ideas about how to fight the battle of the budge. By ELLEN CREAGER Detroit Free Press A woman frowning at her bathroom scale in St. Louis, a man whose pants are suddenly too tight in Jakarta, and a roly-poly child playing under a tree in Cairo all are part of a 1.1 billion-person trend called "globesity." From Samoa to Kuwait, from Jamaica to Britain, in Latin America and even in countries where people die of malnutrition, the planet's citizens are gaining weight and slowing down. Worldwide, 750 million adults are overweight and 300 million more are obese. This simultaneous global ballooning makes it clear that powerful societal changes are the main cause, according to Neville Rigby, public affairs director of the London-based International Obesity Task Force. "Many people are taken in by the idea that you only have to make a choice to be healthy," Rigby says. "But the environment they live in provides a constant stimulus to consume more." Americans are not the heaviest people in the world. For example, 34 percent of American women are obese, nearly identical to the rate in Bahrain, Paraguay and Malta, according to IOTF estimates. But Pacific Islanders have the world's highest obesity rate - 75 percent among Samoan women. What alarms IOTF and the World Health Organization is that three in five people in the world are not active enough to benefit their health. While planners in the United States envy European cities as models of active, pedestrian-friendly environments, some already walkable world cities have discovered the only way to pry people out of their cars is not with friendliness, but with America's growing numbers: Statistics on obesity and inactivity • Percentage of American adults who are overweight: 65 (50 million people) . Percentage who are obese: 33 • Percentage who are extremely obese: 5 • Varieties of snack foods for sale between 1960 and 1970: 250 - in 1999: 2,000 • Percentage of Americans who oppose a tax on high-fat foods: 91 • Percentage of Americans who oppose a tax on portion size in restaurants: 84 • Percentage of inactive or under-active adults: 60 • Percentage of inactive or under-active children ages 12 to 21: 50 Sources: Centers for Disease Control National Center for Health Statistics; The Robert Wood Johnson Foundation; Tufts University; National Restaurant Association. force. In February, London officials began charging $8 per car to drive into the central city. The impetus was to ease congestion and reduce pollution, but the effect was exactly what active-living proponents hope for - more pedestrians, new bicyclists and more people using public transport. Trondheim, Norway, and Singapore have similar strict rules, and Edinburgh, Scotland, has similar plans. This year, the World Health Organization is pursuing grander and more aggressive goals than any imagined by American planners. Convinced that nagging individuals to eat less and move more won't work, it aims: • To stop the worldwide trend toward cheap, mass-produced processed foods. • To encourage the food industry to voluntarily alter advertising, pricing, labeling and marketing of junk food on a global scale. • To get people moving any way possible. Driving the more urgent moves is the growing number of obese, unfit children. In the United States, 15 percent of elementary school children are overweight. But in countries like Egypt and Mexico, 25 percent are. Worldwide, one in five children weighs too much. "When do we as a society have to acknowledge responsibility for what is happening to them?" Rigby asks. See GLOBESITY, Page A-5 Experts plotting America's new diet: Less sprawl, less fat, less frenzy By ELLEN CREAGER Detroit Free Press If you're an American, the statistics say you're out of shape - and you don't need another study to tell you why. Your life is high in stress and calories and low in free time and physical activity. With two-thirds of adults overweight and 25 percent barely moving, the shape of America is not good. But now, experts' looking at the bigger picture are becoming more convinced it's not all your fault. Obesity, they say, is not really caused by that extra Oreo. It's the result of urban sprawl, a frenetic lifestyle and global food policy. And for the first time, public health, zoning, transportation, fitness, education, government, legal and business interests have aligned in determination to stop the runaway train of national disrepair. These experts envision a time "The issue here is, we don't have a particular enemy. It's us against ourselves." - Richard Killingsworth, director of Active Living by Design, University of North Carolina in Chapel Hill when more people will walk briskly to their destinations amid trees and shops, when gaggles of school children will trot home from school, energized by their daily physical education classes. They see homes built not in distant, .sprawling subdivisions, but in walkable towns and cities. They see more people eating fresh vegetables and fruits at family tables and fewer guzzling giant sodas and 800- calorie burgers. "Right now, we have to realize that as a society, 80 percent of people are not ready to change," says Michael O'Donnell, editor of the American Journal of Health Promotion. "But if there are things in our society that are causing this, we need to figure out what they are and change them." There is groundswell movement to do both. This spring, Minnesota Gov. Tim Pawlenty proposed making federal food stamps worthless for junk food. Congress allocated $60 million to boost physical education programs for children. And a program called "Safe Routes to Schools," designed to. get students walking, may get federal funding. In recent months, the Internal Revenue Service designated obesity as a disease and expanded a medical tax deduction for weight-loss programs. Many school districts have banned soft drinks and snacks in vending machines, even though it will cost them much-needed revenue. The state of Maine is considering a broad anti-obesity bill to add physical education classes and build more walking paths and bike routes. Under intense scrutiny, federal nutritional guidelines for school lunches and the food pyramid are being revised, with new versions coming in 2005. "It's snowballing," says John Loving, public policy director for the Sporting Goods Manufacturers of America, of the movement. "It's finally in the public eye." Yet the all-out effort has See LESS, Page A-5 Debtor's Anonymous: A 12-step recovery program; noon on Mondays; at 741 S. Oak St., in the rear building; 463-0362. Hepatitis C Support Group: Open and informal group meets the first and third Tuesdays; 6:30 to 8 p.m.; 148 Clara St. Ukiah; 463-5877. HCV Support Group: First and third Tuesdays; call John, 462-1932. HIV Support Group: Second and fourth Tuesdays; call John, 462-1932.. La Leche League: Breastfeeding group; meets second Tuesday, various times; Nursery Room at Presbyterian Church, corner of S. Dora and W. Perkins; Margaret Turano, 468-9587. Multiple Sclerosis Self-help Group: People with multiple sclerosis can take one more step toward ending effects of MS at the Ukiah group; sponsored by the National MS Society; 7 p.m.; second Tuesday. New Life Workshop: Do you need help managing your weight? Noon to 1 p.m. Thursdays; Salvation Army, 714 A S. State St., Ukiah; 468-9577. Narcotics Anonymous: Meetings throughout county; 485-9110. Overeaters Anonymous: Mondays at 5:30 p.m.; Thursdays at 5:30 p.m., Saturdays at 11 a.m.; 741 S. Oak St. in rear of building; 485-5351. Sweet Success: The California Diabetes and Pregnancy Program; support for special pregnancies in which women have diabetes; planning pregnancy or are. pregnant, need extra support; 463-7527. T.O.P.S.: (Take off pounds sensibly): Meets from 9:15 to 10:30 a.m., every Tuesday, at Calvary Baptist Church, 465 Luce Ave; Carolyn Madole, 463-0261. T.O.P.S.: Low-cost, non-profit group meets every Tuesday at Autumn Leaves, 425 E. Gobbi St., in the community room. Weigh-in is from 5:30 to 6:15 p.m. Meeting is from 6:15 p.m. to 7:15 p.m.; Linda MacDonald, 467-2391. T.O.P.S.: Every Thursday at Washington Mutual Building community room, 700 S. State St.; meeting is from 8:30 to 10:30 a.m.; it is a low-cost, weight-reduction support group; call 462-4901 or 485-7801. T.O.P.S.: Every Friday at the Meadows Mobile Court clubhouse, 8686 East Road, Redwood Valley; weigh-in is from 9:30 to 11 a.m.; meeting is from 9:30 to 10:30 a.m.; call 485-8260 or 485-1238. Ukiah Diabetes Education: The Diabetes Education Group; 7 p.m.; second Monday; 463-7698. Ukiah Valley Blood Center/Blood Centers of the Pacific: Mondays, 9 a.m. to 4:30 p.m.; Tuesdays, 10 a.m. to 5 pm.; Thursdays, 11 a.m. to 6 p.m.; 620 Kings Ct., Suite 110; to donate, schedule blood drive at workplace; 1 (888) 393-GIVE. Weight-loss Surgery Support Group: Free, open to the public, Gastric Reduction Duodenal Switch (GRDS) support and information group; Central Valley Bariatrics; 1st Friday; 6 p.m.; Ukiah Assembly of God Church; call Ruth Lorain at 468-4347; e-mail, Ietstalk@iwon.com. Women's Cancer Support Group: A supportive place for women to share their cancer experiences; first and third Thursday of each month; 6 to 7:30 p.m.; 530 S. Main St.; Mendocino Cancer Resource Center; 467-3828. If you - or an organization you represent - change a phone number, an address, or any calendar information, please call at the Ukiah Daily Journal at 468-3520, or e-mail us at udjfeatures@pacific.net. Dads and the diaper dilemma According to "Father Facts" by Horn and Sylvester, 2002, "Men, who value the father's role, reject the biological basis of gender differences, and who perceive their care giving skills as adequate are more likely to be involved with their infants." Why is this an important finding? Between infancy to 3 years of age, our child's most important need is to feel they belong. When our infant senses this from us as parent(s), all is well and joy is felt by our infant. Therefore, our involvement at this age is crucial to our child's emotional development and sense of well being. Dads, let's break down the above statement and look at "men who value the father's role." The statement begs an answer from each of us. Do we value the role we play in our child's life especially during infancy as well as through out their lives? If you believe you have an important and unique contribution to make toward your child's well being, which only a dad can fulfill as a dad can, then you are on your way to being involved as a dad. Do we as dads see our involvement with our children as an obligation, something we must do or as a privilege? For a friend of mine, this was an "A-ha!" experience, seeing his role as a dad as a privilege. Thus he no longer thinks, "I have to baby sit my children while their mother is gone," rather, "1 have the privilege of parenting my children." What a difference this makes for us as dads to not only value our role but to also see it as a privilege. Next what about "reject the biological basis of gender See DADS, Page A-5 For Dads From Dads ByTomBuske,MSV

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