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SKIN CARE: DANGER ASSOCIATED WITH SOLARIUMS
May 8, 2009
Various advertising brochures present different inaccuracies. There are, however, three fundamental inaccuracies which most of them contain.
The first is the claim made for the enormous benefits of UVA radiation for the body! They reject the ‘blazing and potentially dangerous sun’, only to promote ‘the rich golden tan, which gives you that healthy, confident, affluent look. Who could resist, especially as they say that the radiation which produces a tan is also the major source of vitamin D. In fact the major source of vitamin D is dairy products and fish oils, not sunlight. Moreover such supplementation of vitamin D is hardly necessary in our society: vitamin D deficiency results in rickets, a virtually non-existent condition in developed countries.
The second misleading claim concerns the safety of these units. They maintain that they ‘filter out the potentially harmful part of the UV range’, and use only the ‘beneficial tanning rays’. Some even state that they produce ‘a safe tan, without drying and prematurely ageing the skin’, and further, that such tan is a very effective measure towards the prevention of skin cancer’.
Thirdly, they state that ‘it is not necessary to wear protective goggles’. This, in spite of increasing evidence of cataract formation.
It can be seen, therefore, that tanning for cosmetic purposes is not a harmless procedure. This is equally true whether the tan is developed by lying on sunny beaches or frequenting solariums. The greatest disadvantage of the solarium concept is that it allows people to maintain a tan all the year round. Such people thus have the means of accumulating consistent cellular damage, resulting eventually in tissue breakdown which manifests itself as premature ageing and cancer.
The widespread use of solariums is a public health issue, just as smoking has become. In the United States the Government Department of Health and Human Services, together with the Food and Drug Administration, are very much aware of the danger involved in the indiscriminate use of solariums. As a result, regulations governing their use and their equipment are being enforced. All operators are required to be licensed, and their equipment regularly calibrated and checked. Posters must be prominently displayed, warning of the skin and eye dangers, and referring to the various drugs and diseases which may adversely affect the client using the solarium.
*101\44\4*
THE MENOPAUSE: HOT FLUSHES AND NIGHT SWEATS (PART 2)
Hot flushes and night sweats are, therefore, an obvious case for treatment with hormone replacement therapy, and in fact relief from these distressing symptoms is the commonest reason for women wanting to take it. As the problem is caused by falling levels of oestrogen, the flushes cease when these levels are topped up to their normal level. Once oestrogen therapy is started, the situation can be dramatically improved within a few days, and the flushes have usually ceased completely within a few weeks. If you are still troubled with them after three months of therapy, ask your doctor if he will change your dosage of oestrogen; he should be able to find one eventually that relieves your symptoms without causing unpleasant side-effects. Once things have stabilised, the relief will usually continue for as long as you remain on the therapy. However, they may return if you stop the treatment suddenly, move to a hot climate (if you go abroad on holiday, for example), take a course of antibiotics, or come under additional stress. If this happens, ask your doctor’s advice.
Taking HRT will eliminate night sweats, dramatically improving the quality of your sleep, and with it your level of fatigue and irritability. Sadly, some general practitioners still prescribe tranquillisers and anti-depressants to women who complain of hot flushes and night sweats, and the insomnia and emotional upsets that they cause. This is difficult to justify, as the problem is due to falling oestrogen, and nothing else. Replace the oestrogen with HRT and the flushes and sweats will disappear, and with them the sleep disturbance they cause and its accompanying fatigue, irritability and lack of wellbeing. If you are on tranquillisers or anti-depressants for these particular menopausal problems, talk to your doctor about the possibility of changing to hormone replacement therapy. (If he ‘doesn’t believe in it’, see page 90 for other suggestions.)
Many women feel they want to ‘die of embarrassment’ or ‘disappear into the floor’ when a hot flush strikes them at work or in mixed company. This is largely due to other people’s perception of hot flushes; some men and young women may laugh and make unkind remarks. Perhaps we could bring up our sons in such a way that they become men who will not diminish a female colleague’s self-esteem at work, but will show kindness and sympathy during what is a very uncomfortable few minutes. Once our daughters know more about the menopause and its causes and effects, perhaps they will help to develop a culture that will ensure attitudes have changed by the time their turn comes.
Flushes have been described as ’something like adolescent acne – an outward sign of natural hormonal changes’. They may be troublesome and embarrassing but (unless you are one of the unfortunate 5 per cent) they do decrease in number and strength, and they will eventually pass as the body adjusts to its lower level of oestrogen. However, just because the menopause is ‘natural’ doesn’t mean you have to put up with its distressing symptoms for months or years, and we are lucky that HRT is now available to relieve them.
*11\42\4*
DRUG TREATMENTS FOR EXCESSIVE BLEEDING
Numerous pharmaceutical treatments have been developed to stop excessive bleeding. Not only do they avoid major surgery which, until quite recently, was the only treatment option for these conditions, they also preserve a woman’s fertility, a factor of increasing importance with current trends to deferral of childbearing until after the age of thirty.
In general, these treatments are best used in the short-term (that is, for no more than a year) because prolonged use tends to result in side-effects. This drug-induced respite from heavy bleeding secures time during which women and their doctors can examine the situation carefully before settling on a strategy. For women approaching menopause, medical treatments may provide just the sort of stopgap needed until their bleeding problems disappear spontaneously.
Drug treatments can shrink tissues that may be responsible for bleeding. According to some doctors this makes subsequent surgery easier; although practitioners whose approach is to cut out or excise the aberrant tissue say it makes the surgical removal of unwanted tissue more difficult because it is less visible in its shrunken form.
The cost of drug approaches compared with surgery depends on the duration of their use, whether their price is subsidised through a national health scheme (such as through the Pharmaceutical Benefits Scheme in Australia) and whether there is a need for regular medical checks or examinations.
*26\198\4*
RECURRENT NIGHTMARES
Some people complain of a recurring dream and seek analysis. They are convinced that there is a hidden important message in the dream and that is why they keep dreaming it night after night. What really happens is that these people keep on thinking about the riddle in their dream day after day and their mind is occupied with these same ideas day after day. Consequently these ideas will appear in the dream night after night.
Nightmares arise from a failure in the dream works. Our primitive driving forces and anxieties are not handled effectively by the dream works, and these express themselves as horrible feelings in our dreams. When we wake up, we are anxious and fearful about the dream we have just had. Nightmares are called ‘dream anxiety attacks’. Recurrent nightmares are recurring bad dreams.
If you wake up from a nightmare, the best thing to do is to say to yourself, ‘Thank God, it is only a dream’, relax, and fall back into sleep. Nightmares, like any other dreams, will be forgotten in the morning. Recurring nightmares happen because you believe that there is some bad message in the dream and, because you keep thinking about it, you remember it. Once it is recalled and repeated in your memory again and again, it will certainly appear in your dream night after night Next time, if you wake up from any nightmare, do not go over it If you cannot stop thinking about it, get out of bed immediately and get back to the real world; do something relaxing like watching the television or reading .the newspaper. Your nightmare will then vanish and will not reoccur. Incidentally, some modern medicines for blood pressure can cause nightmares. It may be wise to check with your doctor if the nightmares persist and if you are taking these medications.
*26\174\4*
