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SATURDAY, NOVEMBER 23, 2013
DUSTIN BY STEVE KELLEY & JEFF PARKER
kpcnews.com
Teen knows cutting won’t end her pain DEAR ABBY: I am a 15-year-old girl. Recently I made a new friend, “Mandy,” and confided to her about my dark past of depression. When I explained how I used to cut myself, she burst into tears and told me she had cut herself the day before. I didn’t expect that response. I know from experience that what Mandy is doing is not a good way to handle things. What stopped me from cutting was getting a permanent scar from it. Although plenty of people told me that cutting was no way to deal with my pain, the only one I listened to in the end was myself. I really want Mandy to stop. I told her not to do it, but I’m afraid she will anyway. She’s an amazing person, and she doesn’t deserve the pain she is causing herself. How can I help her? — BEEN THERE
FOR BETTER OR FOR WORSE BY LYNN JOHNSTON
GARFIELD BY JIM DAVIS
BLONDIE BY YOUNG AND MARSHALL
IN SAN FRANCISCO DEAR BEEN THERE: Continue encouraging your friend to stop cutting, but if she’s not able to, she may need professional help to quit. It is nothing to be ashamed of. DEAR A ABBY counselor at school might be able to help Jeanne Phillips if Mandy is willing to talk to one. But if she isn’t, then tell your mother about this so she can let Mandy’s mother know what’s going on. Cutting can be a sign of serious depression, and secrets of this kind are destructive.
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DEAR ABBY: My 12-year-old son still calls me Mommy. My daughter, who is two years older, calls me Mom. I don’t want to hurt my son’s feelings, but I think at his age he should transition to calling me Mom. Should I just give it time, or is there an age limit for calling one’s mother Mommy? — JUST MOM DEAR JUST MOM: I think you should keep your mouth shut. There is nothing shameful or wrong about a son calling his mother Mommy if that is what he has done all his life. It’s far more loving than some of the names people have written to me when referring to their mothers. DEAR ABBY is written by Abigail Van Buren, also known as Jeanne Phillips. Write Dear Abby atDearAbby.com or P.O. Box 69440, Los Angeles, CA 90069.
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ALLEY OOP BY JACK AND CAROLE BENDER
FRANK & ERNEST BY BOB THAVES
5:30
NOVEMBER 23, 2013 6:00
Untreated bacterial vaginosis can be dangerous These “newcomers” are not normally present in the vagina in such large numbers. Many women with BV do not have symptoms. In those who do, it can cause the “fishy” vaginal odor that you describe. It can also cause a yellow or white vaginal discharge. ASK The discharge DOCTOR K. seen in BV tends to be thinner than Dr. Anthony the “cheesy,” thick Komaroff discharge seen in vaginal yeast infections. Your doctor can diagnose BV based on the results of a gynecological exam and lab tests of your vaginal fluid. There is no perfect test.
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But if you have three of the following criteria, you likely have bacterial vaginosis: • white, thin coating on your vaginal walls during the pelvic exam; • a pH test of vaginal discharge that shows low acidity; • fishy odor of vaginal discharge; • vaginal skin cells that are coated with bacteria when the doctor looks at your discharge under a microscope. Doctors commonly treat BV with antibiotics that eliminate specific bacteria. These drugs can be taken as pills by mouth or applied as a vaginal cream or gel; both treatments are equally effective. But if you are pregnant, some experts recommend the pills instead of the vaginal gel, because they get deeper into potentially infected tissues and may be more effective in eradicating the infection.
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On this date Nov. 23: • In 1936, Life, the photojournalism magazine created by Henry R. Luce was first published. • In 1971, the People’s Republic of China was seated in the U.N. Security Council. • In 1980, some 2,600 people were killed by a series of earthquakes in Italy. In 1996, a commandeered Ethiopian Airlines Boeing 767 crashed the Comoros Islands, killing 125 of the 175 people on board.
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DEAR DOCTOR K: I have a strong “fishy” vaginal odor and a little discharge. My doctor recommended Monistat, but that hasn’t helped. What can I do? DEAR READER: Miconazole (Monistat) is an antifungal medication. It treats vaginal yeast infections, which are caused by a fungus. If Monistat didn’t work, you most likely don’t have a yeast infection. Instead, you probably have bacterial vaginosis (BV). This condition causes symptoms that are similar to those of a yeast infection, but it results from a change in the type of bacteria found in the vagina. Normally, bacteria belonging mostly to the Lactobacillus family live harmlessly in the vagina. There, they produce chemicals that keep the vagina mildly acidic. In BV, these bacteria are replaced by other types of bacteria.
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All women with symptoms of BV should be treated. Left untreated, the condition may cause pelvic inflammatory disease, an infection involving the uterus, ovaries, or the tubes from the ovaries to the uterus (the oviducts). The infection can spread to other nearby organs, such as the liver. Pelvic inflammatory disease can produce pain, fevers and sometimes discharge from the vagina. If it is not promptly diagnosed and treated, it can cause scarring of the oviducts. This, in turn, can lead to infertility. That’s because the eggs cannot get past the scar tissue. In women who are pregnant, BV increases the risk of premature labor and delivery. DR. KOMAROFF is a physician and professor at Harvard Medical School. His website is AskDoctorK.com.
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