ory alae + PAGE C4 THE HERALD, Wednesday, Dacember 18, 1974. Dr. Lamb oy . By Lawrence E. Lamb, M.D. DEAR DR. LAMB — There . is something we older _ citizens do not understand. It is VDs We never knew, until iy & i. } a t ‘ 2 % 2 ‘ + 7 i H t wee h H a4 “f £ Ce cme eet NE a Sea EE Bn we asian obec © Mm ner . ¥eParental, Referees. °° “few ] "oy ‘march *dunch.” hour. recently, that it was an old ‘persons disease. We’ have an_told one can contact syphilis at a young age and it | . would not show up for 30 or 40 «: years, We have just heard of such a case and we can't be- lieve it... “ : and was to be married. She had a blood test, the usual *-Wassermann. test, and the test was negative. She was told.she had no disease. The man she was planning on marrying died suddenly at > a heart attack’and she never married;She. had. nothing : to -: connections with a-Loyfriend, “Fiveyears after that nega- tive Wassermann” test, she became-ill and was put in a = hospital. All kinds of -tests ', were taken’and the Wasser- E. mann test proved positive for 2 syphilis:: She. had ‘penicillin “ trealments,and.came‘out all. » right. an What". good.7is a’ Wasser: mann ‘test if the germs don't 30: to 40 years,‘ and then it « showed:up only.in a: second » fest Why didn’t it show.up in He-first test?.6 005-7 For 98'to-30-years, she had little. wells:come out ‘on her . “buttocks. ‘They, would itch -terribly,-and then. disappear in about -a-week: This waul happen:three or four times.a a eyear, “She, never,.wenl to a dacto _regard -to these in : welts .as’shie.thought it.was & AR-ANN LANDERS: You - jar prised If he blew his top and, ave heria: crack in the teeth, ‘Our soni hag.a terrible temper: ind'tries to browbeat his wile. im..When we have the four- of them. to-dinner every iFriday evenitig,. my husband.-and "1 always; Bo.to bed: with, a eadache, Please give me some — ‘4 dvice before’ 1 go crazy. — fement. If not, tell them gee them in’, another i ‘until. they: tO : Our. 23-year-old san: had..a ‘very mifior . procedure "per: ; formed in-d doctor's office, | He.’ - ‘had. “a Planter’s wart removed, . be specific.) The doctor did a other. . insignificant “removals and sent my son a bil ; Har S40r Ge Fk cee The boy.has made a sandwich” ard saying: “Dre ser. arges ‘very ‘high fees. ‘Stay: ‘away. from; him.’ He plans to; che a ie >of © the & to hysictan’ This woman was in her 60s © do with:any ather main, but in’ - her younger: days, she had: 2 ut she'gives-it right- back:to-.” simple. thing. She had “no other symptoms during these years, Could you please :ex- lain this? It is hard for us ta_ ‘belleve she had the disease. Could you please’ give us the symptoms of. syphilis in such a case? {s it reajly true “you can contract syphilis at an early age and carry the germ until old age? , . DEAR READER — There Is ‘a tendency to think of venereal disease as some- thing young people get. ‘Germs really don't care how oid you are, If a person has intimate contact with some- one who has a contagious venereal disease, he or she ~ has a good chance of getting ithe disease, even at age 90 or alder: With the increased sex- ual freedoms and the greater awareness that older people ~ are still sexual people, there is a greater amount of .ex- posure. and. venereal disease can be a problem for the swinging senior citizens. :" . Yes, you can have syphilis “atan- early age and have no trouble .until years after- - ward, Several years after an 7 “Iinfectian ‘of syphilis «begins, - the. person ‘is unlikely. to’ be ‘able to-transmit-the disease. * show up? In'this case; it-was °-E¥en .an untreated mother - can give ‘birth to a perfectly ° healthy” baby. without syphilis, -L-méntion. this: to, reassure you that an old .in- fection, years aga, is not con: tagious. 2 _- The germ in early syphilis, ‘whether you first acquire it at ad vage o15 cof: 75> ls usually transmitted in moist droplets. . ‘The. germ requires the -mo@isture to survive. Sa; it is ‘transmitted ‘hy kissing. and “worst example is’ what: is ‘happening in aur public schools, _ and not one darned thing: is being done about it. lam a 15-year-old boy who is ‘DEAR’ ANN’LANDERS: Our _ divorced daughter who has two : children, four ‘and six years of age, has invited her male friend "fo move into her home “'to see if . they can et along era. have d unsuccessful: first : had effect.on their. children. We _aiso believe it will damage our -daughler’s reputation if. things _don’t wark, out, We've told her not lo bring. the man to our “home and (hat we will not goto _ hers if he lives there.’ Are we wrong? — Torn Asunder DEAR T.: I agree that a divorced woman with children should nol allow a man lo live in her hame. It could indeed have abadelfect on the children and | may well ruin her reputation. - Your daughter, however, has obviously chosen .a life-style that upsets you. You've made your position’.clear. That's enough. But don’t close the door on ‘your daughter and your _ grandchildren, or you will live ‘to regret it. ‘DO You BELIEVE IN ‘HIGH SCHOOL MARRIAGES? sexual contact, mostly the latter.. Rarely,. it: can be transmitted in. an innocent, meist droplet from body se- cretions, or even ona saliva: iaden glass. These examples are rare, People often ask me if they, can get the disease from a blood transfusion. The answer is yes, if you are transfused with ‘bload that does contain the germs. It is unlikely, though, since donors are tested for syphilis before the blood is used. ; -; ‘Fhe germs enter the body and invade the bloodstream. From here, they are spread throughout ‘the. body. Im- mediately, the body's im- mune responses start to im- mobilize and destray the in- vading germs. They doa good Sob of it, tod. .Within about two to six weeks, a pri- mary sore ichancre) may de- ~ velop on the sexual organs or, rarely, on the lip. [tis asmall, [Syphilis and senior citizens. rounded, ‘flat: nodule thdt- breaks down-rather. rapidly and heals. At this stage, if fluid, from. the area is, ex- amined under special microscope methods, the’ typical corkscrew germs can be seen. a ae _ During the early weeks of infection, the -Wassermann -test-is:negative. This test de- pends an. the. body’s develop- ing immunity to the germs. Within-a few months, the an- ‘tibedies dévélop sufficiently that another test (TP) can be done to show. the -patient's serum will” immobilize‘: the syphilis germs. -This‘test is more specific. It may remain ~ positive for life as an indica- - tar of immunity to syphilis. .. “About. six weeks after’the: infection, the patient may de-. velop a rash. Smail, red-like, blotches develop, usuaily— -quite small, below: the -sur-. ace of the skin. These do not itch. If you develop a rash From. sypHilis. Recently, a reader ..wrote asking about such a rash after .a ‘blaad , transfusion. Since it itched, | can say with certainty thal: the rash was nol syphilts, The rash can affect any part of the body, including: the palms, and soles, indicating. it, is, a “blood-borne:reaction and not a conlact ,redction to some substance,.-as: occurs with | most xyashes; 7: Usiially, within two to four | - years, the early symptoms of. syphilis, that may recur from: -thne to time, disappear com- pletely. I don’t think itis gen- _ erally understoad’ that about fected “then:.undergo - spon- patients were-followed for 58 to 60 years to find this out. Considering human sex- uality, and the poor or non- existent treatments in-the past, that is fortunate, Other- wise we would not need to :,.worry about overpopulation. ‘ and it itches, the rash is, not © two-thirds of the ‘people -in- - tarieous cures. They: may - never have another. symptom ~ the ‘rest of their life in any. way.In Oslo, Sweden, 1100° _ whensa “In-this. late stage, the- Wassermann test may be- come weakly positive or ac- tually negative by ordinary laboratory tests. This ishow a _ lady as you describe can be infected as a young girl and, year’s later, have na evidence ofthe disease, °°" ¥ Unfortunately, in the re- ‘ mainin, third of the patients, some of the’ germs lodge in remote parts.of the body and Stay there, They are im- mobilized by the body’s de- fense: mechanisms. In later " years, the defense may break down and the heart or brain or ‘some other part. of the - body” is ‘then. subject, to destruction from the infec- tion.. These. people’ are still net contagious, and they may have a negative Wassermann | test. This is.why such exten- sive tests are’often done, be- . cause the diagnosis is 4 bit ‘more difficult. Once the diag- nosis -is established,. the syphilis can be. stopped b modern treatment, with penicillin, ° ! - The Wassermann is a good : screening test. It is. not per- fect: It’can even’ be positive 1a person has not. had ‘syphilis. By using other tests _mentioned here, you can find -out if the test is positive from “syphilis or some other unusu- ally rare medical condition. . So, the lady's‘story is con- sistent with the problems that can,occur ‘in: the ‘natural -history of syphilis. it. points, _ up the need for regular medi- ‘cal examinations. Periodic © examinations find nrost ofthe .- peaple who need medical at- tention, whether il is a com- pletely unrecognized late- syphilis . infection,- or. some other problem. . : - usa-CHEDDAR CHEESE . ban inn Mtoe tla Cheddar’ cheese prices * in Canada have increased by about 30- percent at the wholesale level and 20 percent al the retail level during the past 18° months, The slawer retail. rale of - increase may - indicate that retailers have not yel adjusted their gross- profil margins ta reflect the greater ~~ wholesale increases. Further tice: rises are anticipated al both levels to reflect the receril ~ inerease in producer prices far- . industrial: mitk announced by: the Federal Government, ’:-'~ The manufacture of cheddar ” cheese in Canada utilized .ap- proximately i6.5 percent of our tolal milk production in 1973. It takes about 11 pounds of in ~ » Fish Dish “of the Mo HIS FISH FINGER SPE. . CIAL is an economical, tenn ie, en, Niele ie, ice i, aan ln a _- Food price reviews for consu “4nerease of 15.9 percent over of cheddar cheese ‘and in 1973, “manufacturers used about 1.073 billion pounds of milk te . produce 186.9 million pounds of this product, ‘This represented a decline of about 1.5 percent a 14 percent increase over reduction levels in 1970, Cheddar cheese can be ~. ‘divided into’ two categories: cheddar cheese used as such ‘arid. cheddar cheese. which is processed... The. former ac- counts: for about 60. percent of the total” market while processed cheddar makes up . the balance. In:1973, the total ‘Canadian per-capita con- sumplion of cheddar cheese was 8.44 pounds. This represents an r Fete, 1 tablespoon lemon juice; i: small onion, chopped; 4 cup dustrial milk to produce 1 pound: from 1972 production levels but - “percent of “cheddar cheese production over - .ca ten. year -perioa.. ; Britain's entry in the European . Economie Community, this, market has: teen drastically 1970 . with “the greatest © per-" centage increase: occurring in 1873, This may make It reasonable to assume that a substitution effect, in. which consumers substituted dairy protein for red meat protein when prices of latter jumped in 1973, was partially responsible ‘gor the increase in domestic ‘consumption, ~ Prior to. 1973, Canada ex- ported substantial amounts: of cheddar :cheése. . Our. main markel. was: Britain’ which ” accounted for an average of 95 rts and 18.3 reent gf Lotal ex, ee $ * Canadian ai. lola Since curtailed, In. 1973,.exports. to Britain accounted for only.i.6 percent of total Canadian "cheddar: cheese -production:. . : However, the decline in exports was partially made up by the rise in domestic consumption and stocks of cheddar cheese in - cold -storage. remained. fairly stable at 68.5 million pounds on™: “ prices’ to, producers. were’: . December 31, 1973. oe The, Food. Prices. Review Board considers that the main reasons. for cheddar. cheese Price increases are: : rees | mers - viable’ and, . $ - adequate availability of milk - dasizial milk to cheddar’ cheese manufacturers, «Industrial . manufacturing milk; is the. lerm generally given to milk used in manufacturing cheddar. cheese, . .. ” ‘putter, . and | other .dairy- products, as distincl from fluid milk which is sold as fresta milk. for drinking purposes. Current: - manufacturing milk prices, paid (9 producers reflect an increase” of-about 40 percent over prices - _ paid a year ago.- The increases ° were negotiated by producers, “processors and’ Federal and _ Provincial ‘pricing agencies. jn order to offset rapidly. rising farm input costs such.as dairy feed, . The average selling cost more than 50 percent during the past 38. months... 2 : ’ milk, sometimes referred to as - - _of dairy feed has inereased by ~ -. Labour, packaging, and energy. cost increases at the. "Prices for cheddar cheese and - . other dairy products in i97dare likely ta conlinue at present. high levels, . It is unlikely that ‘any price decline will oceur in the future since higher milk required to make the Canadian ‘manulacturing level during the "past year have also contribuled to rising cheddar cheese prices. dairy. industry economically © thus to ensure grated Cheddar cheese. The fish fingers should be arranged: . in a shallow, greased baking ar ay, gratin dish, Then mix:to- . = taste-tempting way of supply- ing the family with protein: the, proteins of fish, like thase of - ,- mieat.-eges, cheese and milk, - supply all the essential amino gether the ‘remaining, ingre-:=,. _ - ‘Increased 1000 REFEAREM 51.50 for -in- products for consumers... acids. High Liner has «just introduced kilo’ packs |(2.2 ‘ pounds) of. pre-cooked North’ Allantic fish: fingers: inflation: ... beater-value packs with simple <.”, “no. frills" packaging to -pro- " vide the lowest.cost per, ounce _- _ of pre-cooked protein food the company.’ can: present: to“ the . consumer. Ingredients for.this” dish, which makes four ‘to: six - -gervings, are: 44 a kilo package . , of’ High Liner-Ash fingers: -| > (10 fiufd ounce) can condensed -. _ cream of mushrdom soup, un-. dituted; | (444 fluid ounce) gan sliced mushrooms (optional), ae over surface, Bake in-425 deg. caoked: about, 25 minutes. -- . dients and. spoan.:over fish =~" - fingers."Sprinkle cherse evenly, - caJF, oven until, fish’ fingers are’ 000: Defuse, Gummed. Padded. Addian [ebals, ~ Mame, Address Postal - Postpsid, Please Print Your —- - Mame and Addiesa Clearly, Order Yours Today: .) Gon 4157, Peatat Sta- and ’ a | Count : ‘When Service , Counts On Us. 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