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Coping Lose Weight arid Keep It Off : ' By Dr. Charles W. Faulkner This column is the first in series of columns to help you to understand the problems associated with losing weight and to show you how. to lose weight. . . .and keep it. .off permanently. ,L- ' "r Are you no single method for. overweight? . This ques- ? determining this. Weight tion has raised quite a bit ' charts that are found in of controversy4There is ; doctor's offices are only Happiness Through Health x yu vuu w kvi , , ' - '-4t. Families Can Be Damaging In 5 THe Oualitv of Patient Care By Otto McClarrih 4 .: According tp researchers who have studied them, and the opinion of psychiatrists who have treated . them, life in the medical family isn't always a per manent Vacation in Hawaii. Despite the fact that doctors families have always been envied for their high status, their high income and their style of life, investigators say the stress in doctors lives can be damaging not only to their children and their marital partners, but also may affect all of us in the quality a patient care and the level of medical costs. . Dr. JL.C. McCue, of the University of North Carolina,' n a study published in a recent issue of The New ' England Journal of Medicine, asserted that "marriages and sexual relationships are often unsatisfactory for physicians"; that a doctor's home Fife can evolve into nothing more than "a1 professional support system", and. that "a pro gressive emotjonal separation from family life in the .early, years of practice becomes a de facto, divorce.V ' 'v' v SUICIDE RATE VERY HIGH f I Dr. McCue asks, the question, "Why do in teUigent and successful physicians tolerate the failure of an unrewarding family life? He cited studies showing that the suicide rate of physicians is two to three times that of the general population equal, he said, "to the loss of about two medical school classes yearly" and that drug addiction may be O-100 times more common among physi cians than in the general population: w X "It vis certain that physicians who harm ' themselves also directly or indirectly harm their pa tients" as well as their families, said Dr. McCue, and such physicians offer "poorer quality or uneconomical care". The primary pressures on physicians lives, accor ding to Dr. McCue, include the emotional toll ol constantly working with sickness and death, the responsibility for decisions that can cause pain and suffering and the high expectations of demanding patients in an era when medical knowledge is not unlimited. y-i:;X "To some doctors, their wives or children's needs can seem terribly pedestrian, dwarfed by the need to rescue seriously fli jgple'jaid Dr Robert T. ' &timWS0t fhe shortTterm psychothirayhitmw Yflffk : University Medical Center. Dr London is a psychiatrist who has treated other doctors; his: father was a physi cian, and there are many doctors in his family. - "v "Many people believe doctors are godlike, and some doctors start to believe their own myth, he said. "They become perfectionists, and they wonder why their families don't run with the preci sion and orderliness of their medical practice. : ;X "The figure of the doctor is reversed," he said. t. "And their own families and can find it hard to see them realistically. It's tough for a kid to say to his doctor father, "hey, you're a jerk', even when he is being a jerk." : Furthermore, Dr. London believes, doctors as a group, tend to deny the seriousness of their own problems. Encountering another doctor," they may resort to the 'elevator consultation' for themselves. So, entirely too often, all they ever get is an elevator response." , WHEN DOCTORS FACE GREATER PRESSURES . For women who are doctors, the pressures on family life can be even more intense, according to Dn Helen A. DeRosis, a New York psychiatrist who has treated them and who has studied the ef fects Of stress on women in general. "It's hard for any woman to juggle dual career and family roles," she said, "but it's often harder for women physi cians because they have always attained such a high level of achievement. As a group, women physi cians are ; highly : intelligent, resourceful and energetic, and they think they can do anything. If they can't do something, even something like child care, they blame themselves. To not succeed is to " rail." . V ; Dr. DeRosis cited a recent study that found that of 85 women who are physicians, a third had no domestic assistance and that 75 of them did all their own cooking, shopping, money management and child care.. Twenty-five per cent of those who had a full-time practice had rib help at all. ' Many physicians marry other doctors, shesaid, arid although the husbands may sympathize with their wives' situation, this may jnot translate itself rtto any practical help. "If a woman's partner is a iDhysician," she said "he may be overinvolved in ..ioi,uiy up wmwe uic amK,unnuMut , ,j. j. hn.Ann hoc in KnAlnn m. fnr Fom 1., if. K,.i B Viuvi m.uiuui iu Ihey also have the problem of being married to a aoctor as well." t; estimates.' They arc too general tp be used as your sole guide. If your doctor tells you that you are : overweight, . you should follow his advice. It is believed that you can safely lose 12-15 pounds a month without first having a medical ex amination. It is,' never- theless, advisable-16 in form your physician of any sudden and drastic change in your eating behavior.- . f 2. Should you go on a diet? " Most , people are -I0-2Q pounds overweight and have at least 15-25 pounds of fat that can lead to both physical and psychological problems,., Consult your physician to determine if you should go on a diet. ; 3. What kind of diet is best? The best diets con- , sist of: A. Meals that are nutritious and low in car bohydrates and cholesterol; B, A gradual weight loss program that provides an opportunity for your body to adjust ; . safely to the change; C. A behavior modification -program that changes your bad eating habits into good ones so lhat ' you will keep the weight off permanently; D. A healthy, well-balanced exercise program (possibly involving only walking); E. A program to help you to unders tand why you are overweight, the effect that excess weight has on your body, and to help you to respect, protect and appreciate your body. 4. Why are you overweight? There' are several reasons: A. Your metabolism has changed (this usually occurs for everyone between 25, and 35 years of age). The body is, after this time, no longer able to break down the foods that you cat and turn most of it into lean,' solid tissue, now. The same foods that did not previously leave a trace of fat on your body actually are transformed into fat. You should con sume, fewer calorics and SAT.; UASCH 20. 1SS2 ' THE CAROLINA TIKES - ; Ah : r a t -"V.. I Mi: I f l I La , , I .4 ov r ' jr. . " : ' 7 ; - -. .ii mum: S Athletic looks, from left: V-neck shirt ($7)matctaing shorts ($4); tank top ($4), available in pastel shades; and white with bright tank top ($6)pull-on, boxer style shorts ($4), in assorted brights. These or similar styles are available in sizes 14-20 at slightly higher prices. Subscribe To The Carolina Times Call Today 682-2913 1 o) mm mm "... ' v 1 y I t I V For us there is no better way to start a week. At church, we find friehds and get encouragement It Is here we get our hope. In spite of all the troubles . around. We have found our church gives us hope for the future. And most important, we ' found Jesus Christ here. V And it is here that we learn more about Him. We know ' our church is not a perfect place, but we aren't perfect either. Maybe that is why our church means so much to us it accepts us as we are: There are many good churches in North Carolina1 Ours happens to be Baptist During this time hundreds of . Baptist churches in -our state are having whjit they call -. t HERE'S HOPE services. mm This is your invitation to visit a Baptist church near you. They wiil be looking for you. And we hope you find a church which means as much to you as burs does to us. R Iff HBBSo p rjlli Cc?c!Sia Blasts . Ceneral Baptist State Convention of North Carolina, Inc. and Baptist State Convention, of North Carolina get counter the change: in metabolism; B. You con sume more calories than vour body burns up. The , excess calorics are stored as fatty tissue on the body in places that receive little or no activi- . ty such as the neck, rear end, waist, stomach, thighs and upper arms. C. You cat food in order to eliminate stress rather than to provide your body with needed foods. You could probably refrain from eating food for a month and your body would simply utilize the fats that are already stored, and, D- ,' Your parents apparently fed you high car bohydrates and sweets in order to pacify you when you were a child: It is now a habit that is deep ly implanted in the sub conscious mind. It is a compulsive need. 5. How does weight loss occur? A. When you deprive your body of food, it will burn up nutrients that are stored as fat on various parts of your body. This results in weight loss. B. When you consume more calories than your body needs, you gain weight. When you consume fewer calories than your body needs, ; you lose weight. If your weight remains constant, you arc consuming nearly the same amount of calories as, you arc burning up. Most overweight people arc non-active and burn up few calorics, - V 6. What is the very first thing thai I should do In starting a weight loss program? In order for any weight loss pro- gram to be successful you' must bejprcpared to make the suvrifuv of reducing calorics and adhering dedicatedly ' to your weight - loss pro . gram. It is not wise for 'you io begin a program until you have made this commitment. More about weight loss ill my next column. by The United States Pharmacopeia! Convention Inc. THIAZIDE DIURETICS This medicine is thiazide or thiazide-like diuretic. It is commonly used to treat high blood pressure. It is used also to help reduce the amount of water In the body by increasing the flow of urine. Thiazide diuretics may also be used for other conditions as determined by your doctor. They are available only with your doctor's prescription. This information applies to the following medicines. Some commonly used brand names are included in brackets. Bendroflumethiazid (ben-droe-floo-meth- EYE-a-zide) Natureiin This medicine may cause a loss of potassium from your body. To help prevent this, your doctor may want you to: eat or drink foods that have a high potassium content (for example, orange or other citrus fruit juices), or take a potassium supplement, or . take another medicine to help prevent the loss of the potassium in the first place. i It is very important to follow these directions. Also, it is important not to change your diet on your own.. This is more important if you are already on a special diet (as for diabetes), ' or if you are taking a potassium supplement or a medicine to reduce potassium loss. Extra potassium may not be necessary and, in some n .1.: -j i irtttm - j t t , . DCiLUiiiiuiuc ( WT.lU.--l XI IJi.--f UQJ laqiiaatM. mm . i. i : ...u i i. r .i ffiiffiriihmrim Check with your doctor if youbecomesiek. I Authentic maracas art mad from th hollowadout fruit of tht "higuera" nut: A (klor Diuril, SK-Chlorothiazide Chlorthalidone (klorTH AL-i-doan) (Hygroton, Uridon Cyclothiazide (sye-kloe-THYE-a-zide) Anhydron Hydrochlorothiazide (hye-droe-klor-oh- THYE-a-zide) Esidrix? Hydro-Aquil, HydroDIURIL, Oretic Hydroflumethiazide (hye-droe-floo-meth- EYE-a-zide) Diucardin, Saluron) Methyclothiazide (meth-ee-kloe-THYE-a- zide) Aquatensen, Duretic, Enduron) Metolazone (me-TOLE-a-zone) Diulo, Zaroxolyn Polythiazide (pol-i-THYE-a-zide) Renesel Quinethazone (kwin-ETH-a-zone) Hydro . moxj: :'.. ' Trichlormethiazide (trye-klor-meth-EYE-a-zide) (Metahydrin, Naqua Proper Use of Tate Medicine This medicine may cause you to have an unusual feeling of tiredness when you begin to take it, You may also notice an increase in the amount of urine or in your frequency of urination. After taking the medicine for a while, these effects should lessen. In order, to keep the increase in urine from affecting your nighttime sleep: I if you are to take a single dose a day, take it fn the morning after breakfast. if you are to take more than one, dose a day, take the last dose no later than 6 p.m., unless otherwise directed by your doctor. However, it is best to plan your dose or doses according to a schedule that will least affect your personal activities and sleep. Ask your doctor, nurse, or pharmacist to help you plan the best time to take this medicine. . In order to help remember to take your medicine, try to get into the habit of taking it at the same time each day. If you miss a dose of this medicine, take it : as soon as possible. If it is almost time for your next dose, do not take the missed dose at all and do not double the next one. Instead, go back to your regular dosing schedule. If you have any questions about this, check with your doctor. 1 For patients taking this medicine for high blood pressure: ; Importance of Diet When prescribing medicine for your condition, your doctor may also prescribe a personal diet for you. Such a diet may be low in sodium (salt). Medicine is usually more effective when this diet is properly followed. , f, , , .;,,f Also, it may be very important for you to go on a reducing diet. However, check with your doctor before going on any diet. Many , patients who ' have high blood pressure will not notice any signs of the prob lem. In fact, many may feel normal. It to very important that you take your medicine exact ly as directed and that you keep your doctor's appointments even if you feel well. ' Remember that this medicine will not cure v your high blood pressure but if dots control it. Therefore, you must continue to take it as directed if you expect to keep your blood pressure down. You may Mavt to lakt medicine for the rest of your Ufe. If high, ', blood pressure is not 'treated, it can cause , serious problems such as heart failure, blood . vessel disease, stroke, or kidney disease. 'K -f ' ' 'v'H -i'r'M: - PrauUoM While Using This Medicine ., . . r It is important that your doctor check your progress at regular visits. . . - and have severe or continuing vomiting or diarrhea. These problems may cause you to ' lose additional water and potassium. Caution: Diabetics Thiazide diuretics may raise blood sugar levels. While you are using this medicine, be especially careful in testing for sugar in your urine. If you have any questions about this, check with your doctor. A few people who take this medicine may become more sensitive to sunlight than they are normally. When you begin to take this medicine, avoid too much sun or use of a sunlamp until you , see how . you react, especially if you tend to burn easily. If you have a severe reaction, check with your doc tor. For patients taking this medicine for high blood pressure: Do not take other medicines unless they have been discussed with your doctor. This especially includes over-the-counter (non prescription) medicines for appetite control, asthma, colds1, cough,' hay fever, or sinus. Side Effects of This Medicine ' Along with its needed effects, a medicine may cause some unwanted effects. Although not ail of these side effects appear very often, when they do occur they mav require medical attention. Check with your doctor if any of the following side effects occur: Rare Severe stomach pain with nausea and vomiting Skin rash or hives Unexplained sore throat and fever Signs of too much potassium loss Unusual bleeding or . bruising . Yellowing of eyes or skin Dryness of mouth Increased thirst Irregular heartbeats Mood or mental . changes Muscle cramps or pain Nausea or vomiting Unusual tiredness or weakness Weak pulse Other side effects may occur which usually do not require medical attention. These side effects may go away during treatment as your body adjusts to the medicine. However, "check with your doctor if any of the follow ' ing side effects continue or are bothersome: .Less common Diarrhea v Dizziness or light headedness when ' getting up from a lying or sitting position Increased sensitivity of skin to sun light Loss of appetite Upset stomach Other side effects not listed above may also occur in some patients. If you notice any other effects, check with your doctor. NOTE: The above information is abstracted from the 1981 editions of About Your Medicines and USP Dispensing Information. It is not sufficient to make an evaluation at to the risks and benefits of taking $ particular ' ' drug in a particular case or to provide medical advice for individual problems and' should not alone be relied upon for these pur poses. Should you desire additional Inform. . 'tion or if you have any questions as to how this information may relate to you in par , ticular, ask your doctor, nurse,' or pharma cist. 1981 The United States Pharmacopeia) Convention, lift. Alt rights reserved, USP sets official standard! for drug strength, quality, purity, packaging, and labeling. For further Information about USP and Us pro grams, Vrite: USP DID, 12601 Twinbrook Pkwy., Rockville, MD. 20852, ' i .,. mihuf.mil na menu biuto
The Carolina Times (Durham, N.C.)
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March 27, 1982, edition 1
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