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CHICKASHA DAILY EXPRESS, Sunday, June 21,1992
Counseling May Alter Teen’s Behavior
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By Richard H. Schwarz. MI)
President, The American
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To get fit and stay fit, you should
exercise at least three times a week.
Choose the time of day that works
best for you. For an adequate session,
you will need about 45 minutes. Begin
with a 5-10 minu period of light ac-
tivity. Then exercise vigorously for
20-30 minutes. After exercising, cool-
down by gradually reducing your ac-
tivity until your heart rate returns to
near normal.
When you are exercising, pay atten-
tion to your body’s signals. If you feel
sick or dizzy, stop immediately. After
exercising, drink plenty of fluid to
replace the fluid your body lost.
Most women can continue to exer-
cise during pregnancy. In general,
avoid overheating and try not to get
dehydrated. Talk over your exercise
plans with your doctor before getting
started.
During any time of your life, exer-
cise can make you feel better and give
you a sense of accomplishment. If you
are on a regular exercise program,
stick with it. If you aren't currently ex-
ercising, get started now.
§§89
III
II
Finding time to exercise should be
an important part of every week.
Regular exercise has many benefits, no
matter what your level of physical
fitness. It can reduce stress, increase
endurance, improve muscle tone, and
help you lose weight. Exercise also can
help increase your day-to-day energy
level, giving you a boost when you
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Before beginning an exercise pro-
gram, you should be in good health. If
you are overweight or have high blood
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shortness of breath when you exert
yourself, you first should have a
physical exam by a doctor. Your doc-
tor can help you plan an exercise pro-
gram that will be beneficial and safe
for you.
Many people never learn to like ex-
ercise, because they never get comfor-
table with an activity. Finding a sport
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regularly enough to become accom-
plished at it are essential for a long-
term program of exercise.
Swimming, biking, jogging, and
rope jumping are all good forms of ex-
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tellectual, and the symptoms are re-
flected in five major areas.
-Attention. A person with
Alzheimer's disease may have diffi-
culty focusing attention on a par-
ticular conversation or event. Con-
versely, the same individual may
not be able to shift his or her atten-
tion appropriately. Thus, the ability
of an individual to manipulate and
focus attention is one area affected
by Alzheimer's disease resulting in
an impairment in general problem
solving.
-Memory. Another symptom of
Alzheimer's disease is loss of
memory. A person may pay atten-
tion, yet not be able to remember
an event or conversation. This is re-
flected in the inability of patients to
learn new information and to re-
I HARRISON FORD
5
Cnina Moon
Cafe a
cause is unknown, the disorder is as-
sociated with a loss of nerve tissue in
a specific portion of the brain called
the substantia nigra; this depletes a
chemical (dopamine) that is neces-
sary for normal neurological
functioning.
Some forms of Parkinson’s disease
are caused by manganese poisoning
(from industrial sources), tumors,
strokes, rare degenerative diseases of
the brain, and the use of heroin. Some
prescription drugs, notably reserpine,
formerly used for high blood pres-
sure, can cause a Parkinson-like
syndrome
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Fitness: A Guide
DEAR DR GOTT: My 18-year-old tremely unstable knee. Can surgery Patients with Parkinson's disease and incapacitating, requiring
grandson responds quite badly during correct this?                         are almost always helped by treat- therapy.
a full moon Is there any connection DEAR READER: Yes, it will but I ment with levodopa, a medication Although psychotherapy may be
between his deplorable behavior and cannot judge which surgery. The con- that replaces the missing dopamine. useful in some patients, behavior
the moon's cycle?                      dition you mention, which is usually Available in several strengths and in therapy is more successful. With a
DEAR READER For centuries, due to an injury, leads to instability of combination with other therapeutic trusted therapist, the patient is gradu-
the cycles of the moon have been and pain in the knee In its mild/mo- substances, levodopa can produce mi- ally exposed to graded degrees of a
blamed for various human behaviors derate form, rest followed by physical raculous results: Bedridden patients feared situation. For example, de-
In particular, ancient people believed therapy will allow for healing and may walk again and mildly affected pending on the severity of the claus-
that mental illness was related to a eventual return to normal. Some- patients may return to normal trophobia, the therapist might accom-
full moon (Remember that “lunacy" times orthopedic surgeons may have I believe the best way to help your pany the patient into a large public
is derived from the Latin word for to operate to repair the ligaments. daughter-in-law is to treat her like a room.
“moon ") This myth has been perpetu-                                        normal person While taking treat- Once the initial anxiety has dimin-
ated over the centuries, the latest However, severe forms of ligamen- ment, she may exhibit some charac- ished, they move into a smaller room
manifestation being werewolves, who tous damage may not heal. In these teristics of Parkinson's disease (such — or into an elevator. At each stage,
supposedly change from human to an-  cases, total knee replacement (with  as a tremor and difficulty initiating  thepatientiscounseledinwaystore-
imal form during the full moon        an artificial joint) may be required,  movements), but these should be mi-  lieve anxiety. Eventually — in theory
I am not aware of any valid scien-  Such an operation will solve your  nor and will not materially affect her  anyway — the patient can be “re-pro-
lific study showing moon-related be-  problem and allow you to return to  life.                                  grammed” to overcome most of the
havioral .changes..                     full activity — although, of course, You obviously love your daughter- exaggerated apprehension and panic.
Monetheless, this fantasy is well- some restrictions may apply, depend- in-law Showing her that you care is Being afraid of closed spaces where
rooted in folklore I m convinced that mg on your activity and age. The ex- the greatest gift you can give her If there is danger — in spelunking, for
tnis phenomenon may be aself-fulfill- tent of knee damage is based on an or- she needs help or advice, she will feel example — is not claustrophobia. But
ing prophecy If someone believes his thopedic examination and special X- free to come to you. In this way, you if the fear exists in the absence of in-
activitiesare related to lunar phases, ray studies.                             won't have to predict her needs; she’ll herent danger, a phobia is probably
hepil behaye that way. DEAR DR GOTT: Please
f 'Fatner.than blame a celestial body alcoholism and cirrhosis of the liver     DEAR DR. GOTT Please discuss To give you more information, I am
10r your grandsons deplorable, cy- Could cirrhosis turn into cancer? claustrophobia                       sending vou a free copy of mv Health
chc behavior, you should consider DEAR READER: Alcohol causes    DEAR READER Claustrophobia Report “Mental and Emotional Ill-
taking him for counseling. With thera- liver inflammation and a buildup of (fear of closed spaces) is one of many .... .......
py. he will begin to understand that he fat within the organ. Over time, the phobias. which are defined as irratio-
(not the heavens) is responsible for his inflammation and fat combine to nal fears of objects or situations Al-
behavior. This realization may enable form a type of scarring known as cir- though we all have these fears to a
him to make the necessary changes in rhosis. As the scar tissue appears, it small degree, phobic patients carry
his attitude, without his family having crowds out normal liver cells. As a this to extremes They may become
to resort to the more drastic, tradi- late complication, the scars contract, anxious even thinking about a situa-
tional treatments: a stake through the thereby shrinking the liver and fur-  tion - and will become panic-strick-
heart or a silver bullet,                ther reducing its efficiency. Liver en when in that situation Thus, these
To give you more information, I am failure usually ensues                 fears are exaggerated, causing great
sending you a free copy of my Health Early symptoms include weakness, inconvenience as, for example, a busi-
Report Mental, and Emotional Ill- weight loss and abdominal enlarge- nessman who is afraid of flying but
ness. Other readers who would like a ment. Later, jaundice, muscle wast- whose job requires frequent air
copy should send $1.25 plus a long, ing, abdominal fluid and bloody vom- travel.
self-addressed, stamped envelore.to iting may appear                       Claustrophobia may be severe
P.BoX 91369, Cleveland OH 44101- Treatment consists of stopping al- enough to prevent patients from en-
3369.Be sure tomention the title.     00,101 This may prevent progression  tering an elevator or a crowded room  „ —
DEAR DR. GOTT. Because of un-  of the disease, however, in the late  Recently I learned that many normal  T 1
due wear-and-tear of the tibial and  stages, liver transplant may be  people experience mild-to-moderate
fibular ligaments. I now have an ex- necessary                             claustrophobia while undergoing CT 2
• ■ l •          ( a               .                                                     To answer your specific question, scans, a type of X-ray examination E
Alzheimer’s Disease Common in Elderly                      ehaenaguppesitbaspasiaetanganity.ifor =
• DEAR DR. GOTT: Our precious 45- I have a friend who is a spelunker.
noia.                                year-old daughter-in-law has been di- He told me that he once became
A patient with Alzheimer's dis-   agnosed with Parkinson's disease   wedged in a narrow tunnel many feet
ease may have prob ihennens( of   Can you tell us what wecan expect as  underground; while attempting to ex-
case may nave proiems in any ot   to her future and what, if anything, we  tricate himself, he had to crawl for-
these areas and the symptoms may   as family members of her support  ward, as water slowly rose in the tun-
progress at different rates. In gen-   team could do to improve the quality  nel to the level of his chin I don't
eral, according to many researchers,   of her life?                           know about you, but that would be one
younger patients tend to have more DEAR READER: Parkinson’s dis- of my worst nightmares — and I don't
language problems than natients easeisaneurologicalaffliction.com- suffer from claustrophobia.
language problems than Patents mon in late mid-life and old age. Most cases of claustrophobia are
marked by slowness of movement, much less dramatic than Ive de-
muscular rigidity, resting tremor and scribed The fear really is irrational
postural instability. Although the
FM BATMAN
■■ MICHAEL RETURNS
MAKEATON 230 700 930
2
9873
My grandmother sometimes has trieve things from the past.
difficulty remembering names. -Language. The sequence of lan-
This upsets her because she fears guagc change may be variable. The
she may have Alzheimer's disease, problem is in both language pro-
What are the symptoms of duction and comprehension. The pa-
Altheimer's disease?                 lient may first encounter difficulty
The forgetfulness commonly en- in finding the right words to use
countered in the elderly may differ  during the course of a conversation,
from the common memory prob-  Then he or she may have difficulty   over the age of 65.
lems seen in Alzheimer's disease, naming objects when asked and will Many medications may be useful
Although age does seem to play a   substitute the wrong name for an   in helping patients function better,
factor in Alzheimer's disease, the   item. Eventually the person will be   although none can yet reverse the
memory disorders seen with this   using the wrong words during the   progressive intellectual decline. If
disease differ qualitatively from the   course of a conversation. At the   you or someone in your family ap-
more common absent-mindedness  same time there is a decline in the   pears to be suffering from
or forgetfulness seen with aging,      ability to comprehend language.       Alzheimer's Disease, you should
As people grow older, certain -Visual/spacial disorders. Some contact your physician,
changes take place in their cogni- patients with Alzheimer's disease                 —
live style, and the way they learn suffer spacial disorganization. They This "Matter of Health" was
new material. While the reservoir of lose their sense of where they are prepared in cooperation with the
knowledge that they dip into in- geographically. They may become physicians and staff of Grady
creases, the flexibility and rate at lost and have difficulty with various Memorial Hospital. Readers may
which they process information kinds of situations, even to figuring suggest topics for future "Matters
may slow down. As a result, people their way around their own home.     of Health" by writing to the Public
may become more forgetful with -Behavioral. Frequently, behav- Information Office, Grady Memo-
agc                                ioral changes parallel the other rial Hospital. 2220 Iowa, Chick-
in addition, depression, which is changes that occur with Alzheimer's asha, Okla. 73018.
very common in older people, af- disease. For example, a patient
feels memory. When anyone is de- whose attention is easily distracted
pressed, he or she is not as quick and is impulsive may behave even
and sharp as at other times. Dcprcs- more impulsively. Also, a patient
sion may aggravate the problem of may become depressed as a reaction
forgetfulness in older people,         to not functioning well. Memory
Alzheimer's disease is a neuro-   problems may also result in para-
logical disorder. The main changes
in the patient are cognitive and in- mueuu
1924 SOUTH FOURTH STREET CHICKASHA, OK 73018
1/4 mile N. Hwy. 62 on Hwy. 81 N.
Chickash?, OK 405-224-5555
vor ode -
WEAON
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