Is There a Cure for Keloids?
DEAR DR. ROACH: Is there a cure for keloids? My husband is 56 and has several keloids on his body, but there is one on his chest that has gotten considerably larger over the years and causes the most problems. He has experienced pain and discomfort, and it also bleeds at times. My husband would prefer not to have surgery. He was born with a keloid on his ear. At a very young age it was operated on, and it returned larger in size. He has tried numerous types of remedies, but none has prevented the keloid from growing or bleeding. — J.B.
ANSWER: A keloid (from a Greek word meaning “tumor-like”) is a complication of scar tissue. In some people, when the skin heals from a cut or a burn, the healing cells keep growing, creating a variably sized, disfiguring, sometimes painful lesion called a keloid.
The best treatment in people who are predisposed to keloids is to avoid them by avoiding any unnecessary surgery (including ear and other body piercings). Once a keloid has formed, there are several possible treatments. Unfortunately, the longer a keloid has been there, the harder it is to treat.
I have seen great results from silicone gel sheeting. This is particularly effective when used immediately after surgery, but may have some effectiveness on your husband’s chest keloid. Another potentially effective treatment is injection of steroids, which help flatten and shrink keloids up to 75 percent of the time.
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DEAR DR. ROACH: I had a fall on ice and suffered a severe concussion. I was unconscious for several minutes. At the hospital, I had a CT scan, but there was no damage. Two months later, I had an episode where I became disoriented and the room was spinning. I was taken to the hospital, given Antivert without success and kept overnight. A physical therapist came the next day, did some vestibular rehab that helped some, and I continued it at home as needed. The episodes are getting worse, and neither the Antivert nor the exercises are helping. Could this be due to the fall? My ENT says no. — G.M.
ANSWER: You clearly have vertigo, but whether it is due to the fall isn’t clear. Certainly, people with postconcussion syndrome get dizziness and vertigo, but in most cases I have seen, it starts soon after the trauma: Two months is longer than I have seen. Headaches also are common in postconcussion syndrome, but their absence doesn’t mean your vertigo is NOT due to the fall.
Meclizine (Antivert) is an antihistamine commonly used for vertigo; however, prolonged use (more than a few days) prevents the brain from adapting to the changes in the balance system that caused the vertigo. Thus, it’s concerning that you may still be taking it. I have seen many people taking meclizine long term and having persistent vertigo.
Vestibular rehab is the best treatment we have for vertigo. If it’s not working, it may be time to re-evaluate and make sure there isn’t another cause for the vertigo.
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Mashed Potato- Meatloaf Casserole
Meat-and-potatoes fans will flip over this flavorful
home-style casserole from our sister publication Woman’s Day.
2 pound baking potatoes
1/2 cup sour cream or plain yogurt
1 tablespoon unsalted butter
1/2 teaspoon salt
1/8 teaspoon pepper
1/4 cup fresh basil, cilantro, or parsley
1 tablespoon sesame seeds
1 tablespoon olive or vegetable oil
1 clove garlic
1 teaspoon dried oregano
1/2 teaspoon dried basil
1 pound lean ground beef or meatloaf mixture
1/2 cup plain dry breadcrumbs
1/2 cup tomato sauce
1/4 cup parsley, fresh basil, or cilantro
1/4 cup dry white wine
1 tablespoon cider vinegar or fresh lemon juice
1 teaspoon salt
1/4 teaspoon pepper
1. Place potatoes in large pot of salted water. Bring to boil over high heat; reduce heat, partially cover, and simmer 15 to 20 minutes until tender.
2. Meanwhile, start meatloaf shell. Heat oven to 350 F. Grease a shallow 2-quart casserole. In medium skillet, saute onions in oil 5 minutes over medium heat. Add garlic, oregano and dried basil; cook 1 minute. Spoon into large bowl and cool about 10 minutes.
3. Crumble meat into onion mixture. Add eggs, breadcrumbs, tomato sauce, fresh basil, wine, vinegar, salt and pepper. Mix just until thoroughly combined. Place in casserole, and press over bottom and up sides to make a shell.
4. Drain potatoes well. Place in medium bowl. Beat in sour cream, butter, salt and pepper. Add egg and beat until fluffy. Beat in basil. Fill center of shell with mashed potatoes; sprinkle with sesame seeds. Bake 50 to 60 minutes until potatoes puff and are lightly browned. Let stand at least 15 minutes before serving. Serves 6.
To reheat: If room temperature, bake 40 minutes at 350 F; if cold, 55 minutes.
For thousands of triple-tested recipes, visit our website at www.goodhousekeeping.com/recipes/.
© 2017 Hearst Communications, Inc.
All rights reserved
Chunky Vegetable Soup
This soup would be very satisfying on a cool fall day.
1 (14-ounce) can low sodium fat-free beef broth
1 cup chopped carrots
1/2 cup chopped onion
1/4 cup chopped green bell pepper
1 cup chopped zucchini
1/2 cup sliced celery
1 cup peeled and chopped fresh tomato
1 cup low sodium tomato juice
1 teaspoon seasoned salt
1. In a medium saucepan, combine beef broth, carrots, onion, green pepper, zucchini and celery. Bring mixture to a boil. Stir in tomato, tomato juice and seasoned salt.
2. Lower heat, cover and simmer for 30 to 45 minutes or until vegetables are tender, stirring occasionally. Makes 4 (1 cup) servings.
• Each serving equals: 56 calories, 0g fat, 3g protein, 11g carbs, 272mg sodium, 36mg calcium, 2g fiber;
Diabetic Exchanges: 2 vegetables; Carb Choices: 1.
© 2017 King Features Synd., Inc.
National Caregivers Month – November 2017
“November is National Family Caregiver Month. It is a time to honor, appreciate, and support the many family caregivers who provide countless hours of care to their family, “said Susan Taylor, Iowa State University Extension and Outreach, Human Sciences Specialist, Family Finance.
This year’s theme is Caregiving Around The Clock. Caregiving can be a 24 hours a day/7-days a week job. Caring for a senior with Alzheimer’s or a child with special needs can be non-stop. Providing care around the clock can crowd out other important areas of life. You never know when you will need to rush to the hospital or leave work at the drop of a hat.
What challenges do family caregivers face, and how do they manage them day and night?
Family caregivers provide about 37 billion hours of care each year. That is 37 billion hours of compassionate care; means they are sacrificing their own health and wellbeing. The impact of caregiving can be great. Often times, a family caregiver faces physical, financial, and emotional hardship.
It is important to understand the
Four Levels of Caregiving:
Independent Care – The first level of caregiving is where the caregiver needs care on a very limited basis.
Transitional Care – caregivers need to increase
their involvement to support their family members or loved one.
Full-time Family Care with Professional Support – Full-time family care with professional support can be the biggest adjustment for caregivers and loved ones due to the potential need for round the clock care.
Full-time Professional Care with Family Support – This level requires the most need for professional care.
Three simple ways to care for a caregiver:
Include Them. Often times, caregivers may have to decline an invitation because Mom needs her, but do not stop inviting her. Caregivers need a support system now more than ever.
Offer Help. Caregivers are always juggling the many things that need to get the job done – not only with their family, but also all the appointments, tasks, and care needs of their loved one. Break away from the many, “Let me know how I can help” offers, and offer a specific way you can help. “I’d really like to bring dinner over next week. What day works best?” “I have to stop at the grocery store tomorrow, what can I pick up for your dad?”
Listen. Be the caregiver’s sounding wall. You do
not have to fix anything or even offer advice, simply listening gives the caregiver an outlet they
Being a caregiver is demanding and rewarding. A journey can last a few days or a few decades depending on the situation and circumstances. Things can change in an instance or go very slowly over time.
• If your razor has seen better days, try running it over a pair of jeans. The material can sharpen and realign the blades to get a little more life out of your razor.
• Use a small, lidded plastic container to store the following items in your vehicle through the cold winter months: flashlight, portable USB battery pack (charged, with charging cable for your device), blanket(s), road flares, first aid kit, ice scraper, sand or other traction-creating material, bottles of water and some snacks, a weatherproof poncho/jacket and a pair of walking shoes with socks.
• The National Sleep Foundation says that exercise
can contribute to better sleep. Work out at least 4-5 hours before you expect to hit the hay, though,
because exercise can keep the heart rate elevated
and give you energy for hours after you are done. Afternoon workouts are the best, but morning sessions are great, too.
• “For a successful morning, prep breakfast and clothing, and go over your to-do list the night before. Have your kids do the same. Since we started doing this, mornings are so much easier to bear, and we all get to sleep in a little longer too!” — N.L. in Ohio
• Hand-held heat. Fill an old sock (no holes) with uncooked rice and knot at open end. Pop in the microwave for no more than 2 minutes for a long-lasting heater-upper.
• “Prevent outdoor padlocks from freezing up by covering the keyhole with a small piece of duct tape, and then put the whole lock in a sandwich-size baggie to seal.” — G.O. in New York
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Now Here’s a Tip,
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Orlando, FL 32803.
© 2017 King Features Synd., Inc.
Hospice of Dubuque