http://www.thecharlottepost.com Cfjarlotte ] 6 20U4 THURSDAY, APRIL 15, 2004 1B LIFE NOT THE NEEDLE For some, the point of treatment is no joke By Ranit Mishori THE WASHINGTON POST Old Hollywood gag: Doctor approaches patient with big hypodermic needle. Patient sees needle, faints and hits the floor with: a loud crash, taking along ever3d:hing within reach; a soft whump, landing flat on his back; or, least often, the quiet sighing crumple to the floor. Woody Allen whumped in “Sleeper.” Hugh Grant crum pled in “Nine Months.” So did Robin Williams in the same movie, same scene — except he was the doctor. It’s a big laugh, unless you take this sort of thing seri ously, which a good number of us happen to do — enough that the medical dictionaries have come up with a term for it: aichmophobia. It means, in plain English, fear of nee dles, pins and other pointed objects doctors might need to stick in patients. “It is one of the most com mon medical disorders in the human population” said James Hamilton, a family physician from Durham, N.C., who has made a serious study of aichmophobia (also called beionephobia or tryanophobia). In 1995, the condition was officially recog nized in the Diagnostic and Statistical Manual, fourth edition (DSM-IV), the refer ence book that is a bible to psychiatrists. The diagnosis is characterized by such strong reactions to injections, injuries or blood that patients will either avoid such situa tions — and go to extremes to do so — or tolerate needles only under extreme emotion al duress. Researchers estimate that between 7 and 22 percent of the general population has this degree of needle phobia. Hamilton suspects the per centage is higher: “They tend to select themselves out of the patient population,” he said, “so you’ll see them only when there’s absolutely no choice, when they need to go to the hospital.” He bases this finding on his research, but owns up to another source of information: He’s a needle- phobe himself. Not getting your nose or navel pierced because of nee dle phobia is one thing. Not getting your regular dose of insulin is a whole other mat ter. Similarly, for people with multiple sclerosis (some of whom need weekly shots of interferon), and those requir ing regular injections for any of a host of other medical con ditions — among them migraine, allergy, erectile dysfunction, fertility prob lems and chronic infections — this could be a real prob lem. Hamilton is a repository of stories of people who have gone to extremes to avoid the doctor’s needle: the woman who refused to have a Cesarean section because she didn’t want the injected anes thesia; the man who jumped out of a second-story window at a hospital in Knoxville, Ifenn., rather than have blood drawn for testing; the patient who tried to punch the nurse ##o s claims more memory A black woman in her laki (>0s with salt and jK-p|M;r hair walks along' West Koulevard around 8 a.ni. om^ Sunday mornitjg trying to gid home. A traiHmdous obstacle was in lier way. She was beach'd thi' wj'ong way. The woman couldn’t l■«‘nlemher where home was la-causc! she has Alzh'im;r’s. Alzheimer’s is the most common form of dementia, a brain disordec- that affects a pej'son’s ability to carry out daily activities. Many days victims !un’t remember wliere home is and frantically seek U> lind things they recognize. “'I'he estimated prevalence of Alzheimer’s disease using 2000 f’ensus iigures is 77,02;i people in tint 40 ccmntry i-egion of Western L Noi'th f’ai'olina,” said Lynn Gray.son mT ^ of the Alzheimer’s Association of ^ Y Western (Carolina ChapUtr. More than 4 million Americans have Alzheimctr’s. It’s the fourth lead ing cause of death among the elderly. By the middle 1^, of this centui-y, the num- her of peo)>le in the IJnitctd Hates with Alzheimer’s will reach 14 million unless prevention, treatment or a cure is found. 'The disease sti'ikes regardless of gender, education. socio-eco nomic backgi'ound. The number of vic tims has more than doubled since 1980. HELP PHOTO ILLUSTRATION/TRINA MONTGOMERY-ARDREY Comic strip containing racial slur stirs protest THE ASSOCIATED PRESS See POINTED/4B PITTSBURGH, 'Pa. - The editor in chief and managing editor of a student newspaper at Carnegie Mellon University are considering resigning after the newspa per ran a comic strip that contained a racial slur. Alex Meseguer, editor in chief of The Tartan, will tem porarily suspend the newspa per’s operations in light of the publication’s April Fool’s Day edition, which not only contained the controversial comic strip, but also included depiction of female genitalia and poems about rape and mutilation. Meseguer on Saturday apologized to the 75 people who had gathered on the imiversity’s campus to protest the newspaper’s 12- page spoof edition. Many of the participants at the gath ering, organized by the his torically black fraternity Kappa Alpha Psi, were angered by a comic strip called “Harold and the Other Guy.” The cartoon, drawn by stu dent Bob Rost, depicts a goat using a racial slur while bragging to a mouse how he had hit a black person on a bike. Meseguer said Rost has been fired from the newspa per. “The cartoon does not repre sent my personal opinion,” Rost said. “The intended humor missed its mark.” The cartoon made it into print because fatigue clouded the editors’ judgment, Meseguer said. He said he and Tartan Managing Editor Jim Puls are considering stepping down. “The Tartan has committed a grave error, one that threat ens our mission, our mem bers and our very existence,” Meseguer told angry demon strators. Meseguer said he’s taking steps to prevent similar inci dents from happening. The newspaper will hire an Please see COLLEGE/3B

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