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Show Page 28-T- HERALD, Provo. Utah, Thursday, October HE Dr. Lawrence Lamb Lifestyle Important DEAR DR LAMB I am 44 years old and have been suffering from fatigue for most of my adult life Even though I get plenty of exercise, I am still always tired. My former doctor prescribed Ritalin for a period of about two years which gave me some relief. However, I have moved to another town where several doctors I have been to won't prescribe it. Instead, they suggest that I get more exercise. I have had a glucose tolerance test, the thyroid test, several EKGs, all of which have shown no abnormalities. What would you suggest in order to enable me to regain my "vim and vigor"? DEAR READER Fatigue is a symptom and it is a very common one. At least 80 percent of the people who complain of fatigue have no medical or health reason that we can identify that causes the problem. In most of these instances, the fatigue is situational or emotional. That doesn't mean it isn't real. It just means that giving pills for the problem usually isn't the answer. These figures also point out that about one out of five people who have a symptom of constant, unexplained fatigue do have a medical reason for it. That's why it is so important that anyone who has such a symptom should see a doctor tor a complete examination. Your letter leads me to believe that the doctors have not found any medical or health problem in your case. Assuming that you are healthy, do not have an anemia, heart disease, lung disease, poor nutrition or any one of the innumerable medical causes for fatigue, you need to start thinking about your life situation and why you should be fatigued. One of the most common causes for fatigue is boredom. If you don't have any goals or have anything to look forward to and are not enjoying your daily living, it's easy to be tired. One of the things that keeps life interesting is enjoying yourself. Show me a person who doesn't enjoy anything and I'll show you a person who is tired. I think you need to plan your life so that each day you are able to do at least one thing that you enjoy doing, not what you think you ought to do. I am sending you The Health Letter number Fatigue: Feeling Tired and Weary. It will give you a more complete discussion on some of the emotional factors and medical causes for fatigue. Other readers who want this issue can send 50 cents with a long, stamped, envelope for it. Address your request to me in care of this newspaper, P.O. Box 1551, Radio City Station, New York, - 5, 1978 Ballistic Missile Launched (L'PIi Soviet has How to Survive Economically in Germany BONN. West Germany il!PI -"a cup of cof- stuff. A small beer costs 68 cents A a generous pint of quarterliter either white or red wine costs $2.34. Eating, however, can be expensive. The McDonald's chain, expanding throughout Europe, charges $1 69 for that his telephone bill really is larger Americans visiting Germany usually stumble over the telephone tolls. They get off their jet, go to a hotel and phone home to Columbus or Kansas City. Only when they pay their bills the next morning do they discover that hotels in Germany, as in most of Europe, triple the cost of phone calls as a service charge. e A call from a German hotel to the United States can cost as much as $40.30. The line at the hotel cashier's office each morning usually however. By the time the credit card company's Germany office has sent the bills on to the United States, the exchange rate of the dollar may decrease further, so once again the size of the bill will be greater than anticipated. The answer is to use all of your1 American dollars to buy German marks the moment you reach Germany. Do not buy small amounts of marks in anticipation of an upward turn. It will not occur. How can you tell what will happen to the dollar? Experienced international The American ordered fee," the restaurant manager said "As TOKYO The an afterthought, he asked the price. Union conThen he canceled the order for coffee. a ducted firing of a I've never experienced that before." new submarine-launche- d Since the dollar hit a record low price ballistic missile from the against the Deutschmark Tuesday, a Arctic Ocean to he North lot more American visitors in Germany Pacific, Japan's Kyodo will find the price of a cup of coffee is news service reported to- too much to bear. n day, In a restaurant or coffee house Kyodo, quoting frequented by the ordinary 't than his hotel bill. Some people think they will save by using credit cards as often as possible, to avoid exchanging cash from one cur- three-minut- jams while some unfortunate American traveler learns the hard wav FRI. 8 A.M. TO TO 9 P.M. SAT. 8 A.M. TO 6 P.M. 9 P.M. SAT. FN lMlfnf 7 8 A.M. 6 P.M. TO MY $1,000,000 Men's Clothing Sale 8 A.M. 9 P.M. FRI. TO mm GUSTO 2-Pfl- OT m$m synirs mm 6 COLORS Vested Suits Rust, Brown, Green Blue, Navy, Black Knit Suits Dress Suits - IDEAL FOR New Styles Mac Can Fit You Free Alterations 2 People May Share One Order Missions Church Business 2175 Work SIZES OVER 36-5- 0 MEN'S SUITS a 77 (o)99 u u 00 4,000 SUITS MEN'S SUITS 21 5000 OVER 2390" 5,000 MEN'S SLACKS riDOORDUSTERSn MEN'S LEVI BUSTER 99 3,000 CHITS fL SOCKS 8 A.M. DOOR CRASHER w'wwv TIES d MEN'S 99 BELTS 5)99 e) u 8 A.M. TO 9 P.M. Famous brands New Styles n Values to MR. MAC 2-PA- University Mall, Orem 1 1.000 FAMOUS '25" NT I - DHAUD SHOES 99 Men's Shoes Sixes UTAH LOCATIONS TO SERVE YOU MR. MAC are inaccurate. OVER 99 Men's Shoes 4 u u FRIDAY 8 A.M. DOOR CRASHER FRIDAY Tire inflation should be checked at least once a month and before long trips, according to the Tire Industry Safety Council. Use a hand gauge because automatic air towers at service stations frequently 1,000 MEN'S SLACKS vr C FRI. 8 A.M. DOOR CRASHER Values to 30.00 JHEHS' SLACKS Sport Shirts )99 ft Aft MEM'S - OVER famous brand - FRI. Values to 16.00 Lien's 99 MEN'S SLACKS CORDS DOOR nt Contrary to popular opinion, underinflated tires don't provide better traction on slick surfaces, says the Tire Industry Safety Council. Underinflation causes excessive heat buildup, which reduces tread life and wastes gasoline. Switzerland took action to reverse the appreciation of its currency. The dollar sagged some more. The answer is clear: whatever happens, the dollar goes down. FRI. 8 A.M. NY 10019. medical-manageme- President Carter brought Egypt and Israel together at Camp David. As a result, the dollar fell. Saudi Arabia said it will stick with the dollar for its oil pricing. Naturally, the dollar fell again. )1A 9-- Exercise is fine to eliminate fatigue in people who aren't already physically overworked. It is true that one of the causes for chronic fatigue is chronic inactivity. A person feels sluggish because he is sluggish, because he never gets up and moves or does anything physically that's pleasurable to him. I am not going to suggest a stimulant or something that you could use as a substitute for Ritalin because that's just symptomatic treatment. You need to look into your lifestyle, find out whether you are smoking too much, drinking too much alcohol, exercising too little or are unhappy because you are in a situation you can't get out of and don't enjoy, or because you lack any goals or involvement. These are probably the things that are going to have to be solved to really correct your fatigue. I would like to know about DEAR DR. LAMB penicilliamine which is used in the treatment of rheumatoid arthritis. Many patients in my area are interested in this drug, particularly since we have read glowing reports about it in newspapers. Is it really a miracle drug in curing rheumatoid arthritis? DEAR READER Judging from some reports, you would think there was a new cure invented for some of our long-terdiseases almdst every month. I am afraid this is more sensationalism than science. The news stories in reference to penicilliamine in some papers is a classic example of this problem. Penicilliamine is a good medicine. As the Arthritis Foundation has pointed out, it is not a miracle drug to cure all cases of rheumatoid arthritis. In fact, it can cause a list of complications as long as your arm. Some of these complications are worse than rheumatoid arthritis It can affect blood elements leading to bleeding, cause kidney problems and other disorders. No one should be on this medicine without being carefully followed by his physician. Penicilliamine was pioneered by Dr. Israili Jaffe. The use of the medicine for treatment of rheumatoid arthritis has not been approved by the Food and Drug Administration at this writing. Dr. Jaffe felt that some of the newspaper stories that overstated the case for penicilliamine in treating rheumatoid arthritis was really a "cruel disservice to arthritis sufferers." The medicine is reserved for those cases of longstanding, recurrent attacks of severe rheumatoid arthritis that have not been effectively controlled with other measures. In some patients, who do not develop any complications from the penicilliamine treatment, it has proved to be an important addition to their program. In short, it is a very useful medicine in a small number of selected cases of the much larger number of people who have rheumatoid arthritis. To give you more information about rheumatoid arthritis, I am sending you The Health Letter Other readers who want this informanumber tion can send 50 cents with a long, stamped, envelope for it. Address your request to me in care of this newspaper, P.O. Box 1551, Radio City Station, New York, NY 10019. I am 16 years old and jog DEAR DR. LAMB three or four times a week, but I seem to be breathing harder than I should when I jog. I was wondering if it is because my father smokes heavily and I breathe the smoke from his cigarettes? You can get harmful effects DEAR READER from second-hansmoke. Perhaps one of the best examples is if people smoke heavily in a closed room. In the course of time, the carbonmonoxide level can build up to levels higher than allowed in industrial environments. There is no way I can tell whether your father's smoking pollutes the air in your house enough to cause you a significant problem. I would be inclined to doubt it, no matter how irritating the smoke may be to you. Of course, if the house is closed up, and he smokes an awful lot, then you might have a point. More than likely, you're jogging too fast. A proper jog is done at a speed which doesn't cause a person to become breathless. If you can't talk comfortably while you are jogging, you are jogging too fast. The purpose of jogging is to cover distance, not speed. It's usually just as good for the body to jog three miles slowly as it is to jog it a little faster. Take the Bonn economic summit last July, for example. Participants and observers alike declared the meeting of the leaders of the world's seven largest industrial democracies was a success The dollar fell immediately. rency to another. The creditcard strategem has its disadvantages, one Big Mac. Japanese defense agency middle-clas- s German "burgerliche" sources, said the missle family, a cup of coffee costs 1.80 believed to be from the marks. Add in a 20 pfennig tip and it latest series now costs $1.04. under development And that price buys no was launched Sept. 28 refills. The "bottomless cup" of from waters near Novana American diner lore is unknown here. Zemlya island in the ArcDrinking alcohol is more fun and less tic Ocean. expensive, as long you avoid the hard observers believe they have found a link between world events and currency exchange rates. 6V2-- U Also Idaho Falls & Boise, Idaho MR. MAC MR. MAC SUIT HEADQUARTERS 65 Soulh Main, Bountiful 1 132 South Main, Sail lake City 210 South Main, Salt Lake 4 LOCATIONS TO SERVE YOU City |