Wednesday, October 19, 2016 • 3A
gwinnettdailypost.com To Your Good Health
today
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Keith Roach
Tylenol is safe as well as effective DEAR DR. ROACH: You recently wrote an article on the risk of heart disease with aspirin and anti-inflammatory drugs. What about acetaminophen (Tylenol)? I have been taking this for many years of pain following spinal surgeries. — C.S. ANSWER: There have been some studies that have shown a mild increase in risk of heart disease among chronic heavy users of acetaminophen, but most of the data have shown that among people who use it every other day or less, if there is a risk, it probably is small. Heavy users of antiinflammatory medicines such as naproxen probably are at a higher-than-average risk for heart disease as well. Acetaminophen is considered to be one of the safest medications for pain relief, but all medicines have the potential for side effects. DEAR DR. ROACH: I have had psoriasis for some time. My dermatologist has a new treatment by laser. My insurance covers it 100 percent. Could you comment on the success and side effects of this treatment? — F.W.B. ANSWER: I think you are talking about a particular type of laser, a 308 nm excimer laser. It is high-powered and is directed only at the plaques. In a preliminary study using 10 treatments, 84 percent of subjects had at least 75 percent clearing of their psoriasis plaques. The major side effects were redness and blisters, but none of the subjects stopped the treatment due to side effects. Based on preliminary data, I think that this particular laser therapy is a potentially valuable new treatment for psoriasis, and it has the advantage of much less exposure to normal skin and faster response. Insurance coverage has been a problem for many, so you are fortunate to have coverage. DEAR DR. ROACH: I’m a 67-year-old man in fairly good health, but I was diagnosed with celiac sprue over 10 years ago by a blood test. I maintain a gluten-free diet the best I can, but I’m sure occasionally I get some gluten. Are there different levels of gluten intolerance? I have eaten food containing gluten with no side effects. — R.F. ANSWER: Celiac disease, also called “celiac sprue” or “gluten-sensitive enteropathy,” is an immune disorder triggered by gliadin, a component of gluten, which is found in wheat, rye, barley and some other grains. The definitive treatment is meticulous, strict compliance with a completely gluten-free diet, as minuscule amounts (as little as 30 mg) of gliadin can trigger a reaction in the gut. This leads to the inability to absorb nutrients, and possibly predisposes one to development of lymphoma and gastrointestinal cancer. You are right that some people are more tolerant than others and can tolerate amounts of gluten that would cause symptoms in others. Nonetheless, I recommend a strict gluten-free diet for people with celiac disease. A new medication, larazotide, is being developed not to break down gliadin, but to reduce the body’s response to gliadin.
HOroscopes
weather watch
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lake levels
solunar tables 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.
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
Lake
51
51
Full Yesterday
Lake
Allatoona (840.0) .......... 835.3
Full Yesterday
Lanier
(1071.0) .........1063.3
Blackshear (237.0) ........... 237.0
Nottely
(1779.0) .........1763.1
4:24-6:24 a.m.................... 4:54-6:54 p.m.
Blue Ridge (1690.0) .........1670.5
Oconee
(435.0) .......... 432.9
11:29 a.m.-12:29 p.m..... 10:15-11:15 p.m.
Burton
(1865.0) .........1864.5
Seminole (77.50)..............76.5
Carters
(1072.0) .........1066.7
Sinclair
Chatuge
(1927.0) .........1918.1
Thurmond (330.0) ........... 321.8
Minor
pollen counts Trees: Moderate Weeds: Moderate Grass: Moderate
lottery
(339.8) .......... 338.5
Harding
(521.0) ...........513.3
Tugalo
Hartwell
(660.0) .......... 653.3
Walter F. George (188.0)...... 187.3
(891.5) .......... 882.7
Jackson
(530.0) .......... 526.9
West Point (635.0) .......... 630.0
today in history
Tuesday Cash 3 Midday: 5-1-3 Cash 4 Midday: 2-1-5-8 Ga. 5 Midday: 9-2-0--9 Monday Cash 3 Midday: 2-9-8 Cash 3 Evening: 8-8-3 Cash 4 Midday: 7-2-6-9 Cash 4 Evening: 1-4-0-0 Ga. 5 Midday: 2-8-4-3-0 Ga. 5 Evening: 1-4-5-5-1 Fantasy 5: 2-5-8-27-38 Jumbo Bucks Lotto: 15-16-1731-32-37 Cash For Life: 4-16-35-37-55, Cash Ball: 4
TODAY’S HISTORY: In 1781, Lord Charles Cornwallis’ British troops surrendered at Yorktown, Virginia, heralding an imminent victory for the Continental Army. In 1960, the United States imposed an embargo on exports to Cuba except for medical supplies and certain foods. In 1987, “Black Monday” set a new Wall Street record for a single-day decline when the Dow Jones Industrial Average plunged 508 points. In 2003, Mother Teresa was beatified by Pope John Paul II. TODAY’S BIRTHDAYS: Auguste Lumiere (1862-1954), inventor/filmmaker; Charles Merrill (1885-1956), investment banker; Jack Anderson (1922-2005), columnist; John le Carre (1931- ), author; John Lithgow (1945- ), actor; Jennifer Holliday (1960- ), singer/ actress; Evander Holyfield (1962- ),
boxer; Ty Pennington (1965- ), TV host/ carpenter; Jon Favreau (1966- ), actor/director; Trey Parker (1969- ), TV producer/writer; Chris Kattan (1970- ), actor/comedian; Jason Reitman (1977- ), filmmaker. TODAY’S FACT: Brothers Auguste and Louis Lumiere, inventors of the Cinematographe camera that helped kick-start the motion-picture era, once declared cinema “an invention without any future.” TODAY’S QUOTE: “The more identities a man has, the more they express the person they conceal.” — John le Carre, “Tinker, Tailor, Soldier, Spy” TODAY’S NUMBER: 5 — Emmy wins for Trey Parker and Matt Stone’s “South Park.” The mature-audiences animated sitcom has been nominated for the Outstanding Animated Program award 15 times in its 20 seasons.
reader’s guide
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FB friend hurt when memes turn mean Dear Amy: What do you think about friends and family who are nice to your face and yet post derogatory, indirect comments (usually via memes) making fun of vegetarians (which I am), stating how stupid liberals are (I am liberal) and more or less making statements they would never make to my face? I usually ignore these comments, but it makes me question the character/ sincerity of those who feel compelled to passiveaggressively sling mud. Am I taking this too personally? What do you think about this? — Confounded Dear Confounded: Do you ever post comments or memes poking fun at or otherwise deriding meat-eaters, frackin’ lovin’ gas guzzlers, narrow-minded Trumplovers and the like? If not — good for you. If you never post any comment directed at your cultural and political opposites, and if you never post or share memes mocking politically conservative people, then you get to feel sensitive about this now. I suspect, however, that you probably have passed along a posting, joke or comment about, for instance, Sarah Palin’s ability to see Russia from her front porch. But — when you do it, it’s called
outside of work, but I used to call her my “work bestie.” I have been distancing myself from her over the past few months because she was making racist comments and I do not agree with her politics. I’ve tried to maintain a good working relationship, but it is obvious Amy Dickinson that our friendship has cooled. Jenny has, very “humor.” When others do loudly, been discussing her it, it is offensive. upcoming wedding plans If you do post politiwith a co-worker, even cally pointed or derogatory making a point to say that items — and if you are she didn’t want gifts but polite, decent and kind to preferred cash (she and her people who are politically fiance have been together opposite of you, then you more than a decade, are are being as passive-agdone having children and gressive and hypocritical as own their home). you accuse various friends The same co-worker and family of being. told me she thought Jenny The reason these politiwanted us to throw her cally opposite people are a shower and probably nice to your face is because wanted a cash gift. they like you. The reason The wedding is six these same people post in- months away, but I have sensitive memes mocking little indication that any of vegetarians is because they us are actually invited to have decided to forgive this wedding. you for your supposed My initial thought was “flaws.” They’ve put you that you are probably not in a separate category from obligated to give someone everyone else and think a wedding gift if you are it’s fun or funny to mock not invited to the wedding, strangers. but when Jenny and I were Your choices are to push close, she helped organize back on the same platforms a baby shower for me and where you see these postgave several thoughtful ings, or (my vote) use a gifts. filter to “hide” these types If your co-worker is getof posts. ting married, are you obDear Amy: I have ligated to throw a shower worked with “Jenny” for or give gifts, regardless of a little over two years. We whether you are invited to never spent time together the wedding? And if some-
Ask Amy
one you are no longer close with did something nice for you prior to the falling out, is it just good manners to return the favor? — To Gift or Not to Gift Dear to Gift: If “Jenny” organized a workplace shower for you and has thoughtfully given you gifts over the past two years, then yes, it would be kind of you to mark her marriage by also giving her a gift. It is not necessary to host a wedding shower for her. Dear Amy: You diagnosed the “smartphone pause” in answering a question from “Talking to Walls in Ottawa.” I realized my wife and I were doing the same thing — forgetting to communicate with each other because we were buried in our phones. She got the message one day when I was in the room and sent her a text: “Look up. Someone who loves you wants to say hi!” — Happier Dear Happier: I love it. 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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You’ll have plenty of options when it comes to work, money and the opportunity to find your niche. Romance, contracts and investments look promising, but don’t take someone else’s word as gospel. Do your own research in order to avoid a mistake due to false information or insincere gestures. LIBRA (Sept. 23-Oct. 23) — Check out an opportunity that can lead to extra income, but don’t sign up for something that doesn’t have anything in it for you. Focusing on equality, sharing and getting your facts straight will be necessary. SCORPIO (Oct. 24Nov. 22) — Keep an open mind, but don’t be too willing to share what you discover or think. Listen attentively and act accordingly. Secure your home and personal effects. SAGITTARIUS (Nov. 23-Dec. 21) — You need to gather information and find out what is fact and what is fiction. Staying on top of the truth will be your best way to avoid confusion and interference. Romance is highlighted. CAPRICORN (Dec. 22Jan. 19) — A last-minute change will cause you to overreact or lead you into battle with someone who won’t adjust to your way of thinking. Opt not to argue. Do your own thing. AQUARIUS (Jan. 20Feb. 19) — Check out an investment that interests you. Work on honing or picking up skills that will help you achieve your financial goals. Love is highlighted. PISCES (Feb. 20-March 20) — You need to keep your distance and think matters through. Someone will make demands or dump responsibilities that don’t belong to you into your lap if you aren’t careful. ARIES (March 21-April 19) — Live a little. Get together with friends or make romantic plans with a loved one. A promise will be made if you discuss your feelings, objectives and personal desires. TAURUS (April 20-May 20) — Get involved in events that are geared toward education, communications or strategic business solutions. You will gain valuable knowledge that will help you get ahead in a competitive situation. GEMINI (May 21-June 20) — Engaging in social events, dealing with children and expressing your feelings to a loved one are all favored. Let your voice be heard if you want to be granted favors and support. CANCER (June 21-July 22) — Put a little thought into how you do your job. Look for alternative methods that will make your work better and help you achieve your goals. LEO (July 23-Aug. 22) — Your stamina and insight will make you a great collaborator and ally for someone who could help you as well. Love and romance are highlighted and will improve your personal life. VIRGO (Aug. 23-Sept. 22) — Don’t give in to unreasonable demands. Take care of your responsibilities before tackling someone else’s. Networking and participating in work-related events will be helpful and inspirational.