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DUSTIN BY STEVE KELLEY & JEFF PARKER
SATURDAY, AUGUST 10, 2013
Girls worried about sleeping arrangements DEAR ABBY: I’m 16 and have a 13-year-old sister. Our parents are divorced, and we live with our mother. We used to see our dad on visitations every other weekend, but he moved away, so now we see him for two weeks in the summer and one week during Christmas. We talk to him a lot and have a good relationship. We’re scheduled to visit him soon. Dad lives in a one-bedroom apartment and when we’re there, he lets us stay in the bedroom and he sleeps on the couch. He has just told us he is “coming out of the closet” and has a partner who is living with him. They plan on getting married now that it’s legal. When I asked him what the sleeping arrangements will be, he said he hasn’t figured it out yet, but will work it out. We’re really not surprised to find out that
FOR BETTER OR FOR WORSE BY LYNN JOHNSTON
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ABLE: Of this I am sure, your father and his partner will welcome you with open arms and do everything in their power to show you a good time. You and your sister should go and try to be gracious guests. I agree, the space may be cramped, but it’s only for two weeks. After they marry, they may move to larger quarters. If you don’t enjoy the visit, keep in mind that in two years you will be 18 and no longer “obligated” to spend three weeks with your dad. But if you give this a chance, you may be very pleasantly surprised, so think positive. DEAR ABBY is written by Abigail Van Buren, also known as Jeanne Phillips, and was founded by her mother, Pauline Phillips. Write Dear Abby at.DearAbby.com or P.O. Box 69440, Los Angeles, CA 90069.
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Cluster headaches can come in episodes wall to distract them from the headache. After an hour or two, the pain and other symptoms usually recede, sometimes as suddenly as they came on. But they tend to recur at the same time day after day. Most people have episodic ASK cluster DOCTOR K. headaches. They have one or two a Dr. Anthony headaches day over two eight weeks, Komaroff to alternating with headachefree stretches that may last from a few weeks to several years. That’s why they’re called “cluster” headaches: They cluster during a window of
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time, then go away, then come back and cluster again. Cluster headaches are like migraine headaches in some respects. The principal difference is that migraines tend to be a frequent and recurring problem; they don’t come in clusters and then go away entirely for a very long time. Another difference is that migraines occur mainly in girls and women, whereas cluster headaches occur mainly in men. Cluster headaches are often treated with a drug called sumatriptan (Imitrex). It works by narrowing blood vessels in the brain and stopping pain signals from being sent to the brain. When given promptly by injection at the start of a headache, sumatriptan can relieve cluster headache attacks within 15 minutes. Another effective treatment is inhaling pure oxygen. Oxygen can be administered in an emergency room or at
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On this date: • In 1921, Franklin D. Roosevelt was stricken with polio at his summer home on the Canadian island of Campobello. • In 1969, Leno and Rosemary LaBianca were murdered in their Los Angeles home by members of Charles Manson’s cult, one day after actress Sharon Tate and four other people had been slain. • In 1993, Ruth Bader Ginsburg was sworn as a justice on the Supreme Court.
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DEAR DOCTOR K: I get excruciatingly painful cluster headaches. What can I do to treat, or better yet, prevent them? DEAR READER: Cluster headaches are rare. Only about one adult in a thousand suffers from them. But they are among the most painful of all headaches. We doctors have theories about what causes cluster headaches, but the fact is that we don’t really know. They do run in families: There is an inherited, genetic component. A typical cluster headache begins suddenly, often waking a person from sleep. The pain is intense, sharp and penetrating. It usually occurs behind one eye. That eye may start weeping and become bloodshot. The eyelid may droop, and the nostril may first be stuffy and then runny. The few patients I have seen with this condition tell me that the pain may be so intense that they feel like banging their heads against a
Dad is gay, and we can accept that. But we’re really uncomfortable about spending two weeks in a one-bedroom apartment along with his partner when we don’t even know what the sleeping DEAR arrangewill ABBY ments be. We’d like to find a way to get Jeanne Phillips out of the visit, but we don’t want to hurt our dad, and because of the visitation agreement, he has the right to have us for two weeks every summer. What can we do? — UNCOMFORTABLE IN CALIFORNIA DEAR UNCOMFORT-
home from a portable tank. An injection of dihydroergotamine (DHE-45) can quickly alleviate severe pain as well. You should also talk to your doctor about medication to prevent cluster headaches. You’ll start taking the preventive drug when your headache first comes on, and you take the medication for as long your episodes generally last. Most doctors start with a sustained-release form of the calcium-channel blocker verapamil (Calan, others). Another option is high doses of steroids such as prednisone, which can prevent further attacks within 24 to 48 hours. Once you’ve interrupted the pattern, your doctor can slowly reduce the dose to the minimum necessary to suppress your headaches. DR. KOMAROFF is a physician and professor at Harvard Medical School. His website is AskDoc torK.com.
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