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Lethbridge Herald Newspaper Archives

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Lethbridge Herald, The (Newspaper) - September 14, 1972, Lethbridge, Alberta IHf HWAID 14, LAWRENCE E. LAMB, M. D. Ask doctor about Hotlgkin's disease Dear Dr. Lamb If a per- toa had Hodgkin's disease, would the routine blood check a person gels before surgery show it, or does it take a spe- cial test to find it? What arc the symptoms? I love to wear a low-neck dress in the sum- ertime, but 1 don't since 1 saw the difference in the sides of ray neck above the collarbone. It looks like one side of my throat and low cheek and under one side of my cliin is thicker. A person once asked if I had a swollen jaw. My dentist x- rayed my teeth and they were O.K. I mentioned this thick- ness to my doctor. He did not examine me but said these things generally don't amount to anything without further ex- planation. This still worries me. am 75 pounds overweight and 48 years old. Dear Reader There is no way anyone can tell you whether or not you have Hodg- kin's disease without at least starting with a physical exam- ination. What one person as- sumes to be thickening or en- largement of an area may not be so impressive on tion or in other instances it might be striking. Just plain thickening of the skin may be something entirely different. It is true that Hodgkin's dis. ease causes enlargement of the lymph nodes and particularly those around the neck. If the enlargement is great, a person may look as if he's wearing a horse collar. These marked en- largements are easy to spot and a doctor can have a pretty good Idea what they are Jiist by looking at the patient walk into the room. But these, ol course, are the obvious cases. There are other causes for entsygements in the neck, in- cluding enlargement of the thy- roid, which may not cause any other symptoms. Hodgkin's disease can cause enlargement of the peck or other lymph nodes without causing any pain or sypmtoms. For example, if a large mass is pressing on the esophagus, the person may have some trouble swallowing. The blood tests that are usu- ally done before surgery are of little help in diagnosing Hodg- sin's disease. If the disease is suspected from physical exam- ination, then the best course of acition is to take some sections of the mass and have them ex- amined under a microscope. This is usually considered the only definite way to establish a diagnosis. I am always skeptical about what people tell me their doc- tor did or did not do or said or did not say. There are often errors in communication. The Ufa of an ant Andy sends a complete 20- volume set of the Merit Stu- dents Encyclopedia to Carol Pattpn, ago 14, of Shreveport, Louisiana, for her question: How long does a regular attt live? No doubrt we may say that the regular ant is the worker, be- cause she is the most numerous type in the colony. Less num- erous types are the soldiers, who guard the nest, and the males, who aim to mate with the future queens. The rarest ant to the nest is the queen mother xvho lays the eggs. They become replacements for departed ants and also swell ranks of all types in the colony. The life of a worker ant Is crammed with a multitude of duties. You might think she works herself to death in just a few weeks or montlts. Not at all. Barring accidents, she can keep up her ceaseless round of toil-toil-toil for inayhe seven long years. She has no va- cation, no time for hobbies or recreation. Everything she does is regulated by set rules that she must obey. All her amaz- ing energy is spent on working dutifully for the family colony. However, the little slave i: not expected to work during communication gap gets bigger her infancy. She begins life as when the doctor is in a hurry and the patient is flustered. Why don't you go back to your doctor and tell him you're wor- ried about Hodgkin's disease and ask him to examine your neck. If you ask him specifical- ly to do so and tell him what you are worried about, and if he still doesn't examine your neck, then you should find a doctor who will. (Newspaper Enterprise Assn.) GOREN ON BRIDGE BY CHARLES H. COHEN e im Br TIW CMCIH rmm Both vulnerable. North deals. NORTH 4 A J 10 8 5 W AK10S O AQ J10 WEST EAST 4731 CQ53J