4A • Friday, January 13, 2017 To Your Good Health
gwinnettdailypost.com
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Keith Roach
Silicone implant leaks data incomplete DEAR DR. ROACH: I received silicone-gel breast implants a few years ago. After six months or so, I began to have strange symptoms, including joint pain, fatigue and terrible hives. The condition got worse over time, and neither an allergist nor a dermatologist could conclusively diagnose a reason for the symptoms. The surgeon who implanted them insisted that the implants were biochemically inert and even if they leaked or ruptured, would not cause any reactions similar to my symptoms. Finally, after seeing an exceptional and thorough endocrinologist, who ran a battery of tests, I was diagnosed with a severe autoimmune reaction to the silicone, from the implants either leaking or rupturing. He recommended that I have them removed as soon as possible. I want to make other women aware of this. Have you any additional information about this that you could share? — Anon. ANSWER: Whether silicone breast implants cause autoimmune disease has been highly controversial. The Food and Drug Administration, having reviewed the evidence, concluded: “There is no apparent association between silicone-gelfilled breast implants and connective tissue disease, breast cancer or reproductive problems. Associations that are very rare or that take many years to manifest may not be detected using currently available data.” The Institute of Medicine also reviewed the studies and came to the same conclusion. This does not mean that you don’t have autoimmune disease. It doesn’t mean that breast implants might not cause autoimmune disease in some women. It says only that the majority of studies have been unable to prove that there is a large risk of autoimmune disease in women who have silicone breast implants. I will say that I don’t know what tests the endocrinologist you saw performed, because I don’t know of any tests that can definitively show that an individual is suffering from an autoimmune reaction to silicone. Women should be aware that there are risks associated with breast implants, including infection, bleeding, rupture of the implants, less-than-expected cosmetic results and possibly very small increase in a rare type of breast cancer. Some reports suggest that women with many allergies are at a higher risk for developing complications from breast implants. Dr. Roach regrets that he is unable to answer individual letters, but will incorporate them in the column whenever possible. Readers may email questions to ToYourGoodHealth@med.cornell.edu or request an order form of available health newsletters at 628 Virginia Drive, Orlando, FL 32803. Health newsletters may be ordered from www.rbmamall.com.
HOroscopes
weather watch
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solunar tables
The solunar tables for lakes are based on studies that show fish and game are more active at certain times during the lunar period. Major
The Gwinnett Daily Post (UPSP 921-980, ISSN 10860096) is published Wednesday through Friday and Sunday by SCNI, 725 Old Norcross Road, Lawrenceville, GA 30045. Periodical postage paid at Lawrenceville, GA 30044. POSTMASTER: Send address changes to Gwinnett Daily Post, P.O. Box 603, Lawrenceville, GA 30046-0603.
1:27-3:27 a.m.............1:55-3:55 p.m.
Minor
8:22-9:22 a.m.............7:30-8:30 p.m.
pollen counts Trees: Low Weeds: Low Grass: Low
Lake
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lake levels
Full Yesterday
Lake
Allatoona (840.0) .........824.74
Full Yesterday
Lanier
(1071.0) .......1060.52
Blackshear (237.0) ........ 236.80
Nottely
(1779.0) .......1760.94
Blue Ridge (1690.0) ....... 1667.79
Oconee
(435.0) ........ 434.90
Burton
(1865.0) .......1864.64
Seminole (77.50)........... 78.39
Carters
(1072.0) .......1066.71
Sinclair
Chatuge
(1927.0) .......1918.04
Thurmond (330.0) ......... 321.24
(339.8) ........ 338.84
Harding
(521.0) .........520.17
Tugalo
Hartwell
(660.0) ........ 649.21
Walter F. George (188.0)... 187.95
(891.5) ........ 889.28
Jackson
(530.0) ........ 528.70
West Point (635.0) ........ 629.45
today in history
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TODAY’S HISTORY: In 1898, French writer Emile Zola’s editorial “J’accuse” was printed in the newspaper L’Aurore, exposing the military cover-up known as the Dreyfus Affair. In 1910, a live performance from the Metropolitan Opera House in New York City became the first public radio broadcast. In 1942, the Allies announced they would prosecute war criminals after World War II. In 1990, Virginian L. Douglas Wilder became the first elected African-American governor. In 2012, the Costa Concordia cruise ship ran aground off the coast of Italy, killing 32 people. TODAY’S BIRTHDAYS: Horatio Alger (1832-1899), author; Sophie Tucker (1884-1966), singer; Robert Stack (1919-2003), actor; Gwen
Verdon (1925-2000), dancer/actress; Charles Nelson Reilly (1931-2007), actor; Julia Louis-Dreyfus (1961- ), actress; Trace Adkins (1962- ), singer-songwriter; Patrick Dempsey (1966- ), actor; Orlando Bloom (1977- ), actor; Nate Silver (1978- ), statistician; Liam Hemsworth (1990), actor. TODAY’S SPORTS: In 1999, Chicago Bulls star Michael Jordan retired from the NBA for the second time. He would return to the NBA for a third and final stint in 2001. TODAY’S QUOTE: “One of the pervasive risks that we face in the information age ... is that even if the amount of knowledge in the world is increasing, the gap between what we know and what we think we know may be widening.” — Nate Silver, “The Signal and the Noise”
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Distant son ponders family gathering Dear Amy: I am in my 60s, the oldest of four children. My relationship with my family was distant, but for the last 10 years, I’ve attended a few family events (we are now all geographically scattered), kept in touch with my two brothers and have made an effort to see my mother, who’s getting older and lives alone. My sister hasn’t liked me since high school. The last time I saw or talked to her was at my brother’s wedding a dozen years ago. My sister’s son got married a few years ago. I was the only member of the immediate family who wasn’t invited to the wedding. I was heartbroken. My mother and my two brothers said nothing. They stood by and allowed her to treat me this way. My mother’s 89th birthday is coming up. My siblings are all traveling to where she lives to attend the celebration. Though I want to be part of it, I don’t know if I can bring myself to be there. This situation tears me apart. If I go, everyone will assume I’m “over it” and “all is forgiven.” All is not forgiven. I’ll never forgive my sister. And I harbor hurt and anger against my brothers and mother for standing by and allowing it to happen. How do I decide whether to go? I keep thinking, “To thine own
Ask Amy
Amy Dickinson self be true.”
— Sad Dear Sad: Do an accounting of the pluses and minuses of attending this event. On the plus side, you may reconnect with your mother. You may also avoid suffering from guilt later on. In the minus column, you will be in the presence of people who have hurt you. The path toward going does involve acceptance, if not forgiveness. Acceptance means that you acknowledge the faults and failings of other people, which have had such an impact on you, and find a way to lean in toward your own truth. Your mother’s birthday party is not the place to air your grievances, but it is the perfect place to celebrate your own strength in being able to rise above people who have hurt you. Understand that your mother has four children and that she cannot choose between you. If you do go, use an escape hatch. Tell yourself that you will stay for an hour, and then make
a choice about staying another hour. Dear Amy: My ex-husband and I have known each other since we were kids. We are both in our 30s. We remain good friends. I had signs that I was about to make a huge mistake before getting married. After two years, I started to feel like I was trapped. I tried counseling, and it made me realize that I needed to let him go. Now, I feel so ashamed. I hate myself for this. I stayed married to him because I was afraid of what people were going to say if I left. After so many failed relationships, I think maybe I’m just meant to be alone. I decided that the best thing to do is to never get involved. The thought of it makes me anxious and depressed. God will never forgive me for this. It makes me want to lose my mind. Just thinking about getting involved with anyone ever again gives me anxiety. I don’t want to fail again. I need help dealing with these feelings. — Hurt Dear Hurt: I don’t think God judges or interferes in human relationships. Your guilt about leaving your marriage is something you must tackle and conquer before you will feel comfortable moving forward.
You chose counseling to help you understand that you should leave your marriage; you should continue with the process to wrangle with the feelings you are having now. Nobody wants to fail, and yet we all do. Failing and falling are part of the human experience. Risking failure is an act of bravery, and with help, you can be brave again. Dear Amy: You criticized “From We to I” for insisting that her boyfriend not refer to his life with his ex-wife using “we.” I’m in her camp. He needs to avoid phrasing responses in ways that make her think about his past. The proper question she should pose to him is whether he wants her to be thinking about him with his ex as they move forward. — Disappointed Dear Disappointed: After almost 30 years of marriage, insisting that her boyfriend basically pretend that he had been alone the whole time seemed unrealistic to me. You can contact Amy Dickinson via email: askamy@amydickinson. com. Readers may send postal mail to Amy Dickinson, c/o Tribune Content Agency, LLC., 16650 Westgrove Drive, Suite 175, Addison, TX 75001. You can also follow her on Twitter @askingamy or “like” her on Facebook.
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Clear up unfinished business and set boundaries that will ensure you don’t overspend, overdo it or overreact this year. Remaining balanced and levelheaded will be necessary if you want to reach your goals without setbacks. Use what you already have before you invest in something new. Romance is highlighted. CAPRICORN (Dec. 22-Jan. 19) — Trust in yourself and yourself alone to get things done on time and without mistakes. Your attention to detail will give you an edge if you are faced with competition. Selfimprovements will pay off. AQUARIUS (Jan. 20Feb. 19) — Express your true feelings and live up to your promises. Focusing on improving your lifestyle will give your reputation a boost. PISCES (Feb. 20-March 20) — Don’t trust your peers to give you the facts. Ask questions until you exhaust any doubt that the choice you make will be a good one. Change requires research. ARIES (March 21-April 19) — Get out and observe. Gather information regarding the projects you want to pursue this year. Preparation will help you manage your time properly. Tackling fewer projects and focusing more on the details are favored. TAURUS (April 20May 20) — Keep situations mellow. Emotional matters will flare up quickly if you aren’t careful how you handle loved ones. Don’t leave room for complaint. Finish what you start. GEMINI (May 21June 20) — Family and friends can make a difference. Don’t neglect to ask for help if you need it to get ahead or resolve a matter of concern. Schedule a meeting or day trip. CANCER (June 21July 22) — Consider alternative ways to use your skills, knowledge and experience. There is money to be made and partnerships to form if you are true to your beliefs and plans. LEO (July 23-Aug. 22) — Self-criticism will help motivate you to take better care of your physical, emotional and mental well-being. Make personal adjustments that will lead to a better future. VIRGO (Aug. 23-Sept. 22) — Home improvements that will lower your overhead should be considered. Set up a practical budget that will allow you to chip away at what needs to be done without compromising your lifestyle. LIBRA (Sept. 23-Oct. 23) — You know what needs to be done in order to reach your goal. Be careful not to let someone sidetrack you for his or her personal gain. Put your needs first. SCORPIO (Oct. 24Nov. 22) — Find out what’s required to make professional gains. Adding to your qualifications may be too costly. However, a change in the way you present your skills may do the trick. SAGITTARIUS (Nov. 23-Dec. 21) — You should revise a contract or deal in order to improve your position or prospects. If you find a way to cut your costs or overhead at home, you’ll ease your stress.