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Dr. Hanson
Dr. Hanson, Doctor (MD)
Category: Health
Satisfied Customers: 935
Experience:  Diplomate, American Board of Quality Assurance & Utilization Review Physicians
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Blossom Schneider, Milford,XXX@XXXXXX.XXX I ...

Customer Reply

Customer: replied 6 years ago.
Blossom Schneider, Milford,XXX@XXXXXX.XXX        I have a definate diagnosis of Dercum''s Disease. It was first diagnosed at Rockefeller University Medical Center, NY, in 1973. I am now experiencing the painful lipomas from my feet to my neck. Fatigue has been the most disabling side effect. Sometimes my feet are either burning red or ice cold. Sometimes it''s too painful to walk on them. It feels like I''m walking on broken glass or small round stones. Through the years I''ve been fortunate enough to have physicians who treated each problem as it arose. I would gladly share some of my knowledge with others. I would love to learn more myself. I''m overweight but solid and not obese. These hundreds of lipomas are easily felt. Mostly painful.
Expert:  Dr. Hanson replied 6 years ago.

Here's a link to an article with a great deal of information about Dercum's Disease: http://www.emedicine.com/derm/topic839.htm

I notice that you're taking synthroid. Do you have hypothyroidism? What were your most recent T4 and TSH levels?

How tall are you and how much do you weigh?

I'm curious to know how you found out that you're "solid" and not "obese"?

 

Dr. Hanson, Doctor (MD)
Category: Health
Satisfied Customers: 935
Experience: Diplomate, American Board of Quality Assurance & Utilization Review Physicians
Dr. Hanson and 5 other Health Specialists are ready to help you
Customer: replied 6 years ago.
I have been on Thyroid medicine for over 40 years. I am hypothyroid but don't know the numbers as the doctor keeps the results. I am taking .175 presently.
I am 5 1/2 tall and weigh 187. My last bone density was good and surprised my physician as I've been in a wheelchair for more than 2 years. I have severe spinal stenosis and did more damage in a fall several years ago.
My physical therapy instructor used the term solid and not obese.
Then again, the fact that I have lipomas from my feet to my neck could make me look more solid.
Blossom
Customer: replied 6 years ago.
Reply to Dr. Hanson's Post: Thankyou very much for your quality answer. It is more than I have ever found in the computer. Unfortunately, I already knew just about everything that pertained to me on the web-site you referred me to. What I hoped to hear is information referring to my hot/cold feet and the pain in walking on them. I was told this is also due to the Adiposa Dolorosa.
The other name that was given to me for DD. Do you have any information about this symptom? I had four EMG's done because of my further losses due to spinal problems. I was seen at Lahey
clinic in MA. and Maimonides Medical center in Brooklyn, NY. Dr.David Grob took care of me for four years because I had definate signs of Myasthenia Gravis. He was the only MG physician in the NY area. He finally asked me if I would take a "Tensilon" test which would prove I did have MG. I didn't have it! My Rheumatologist, Yvonne Sherrer, in FL, said that I had symptoms of Fibromyalgia and Sjogrun's Syndrome but they weren't diagnosis. She did add the diuretic to my meds to see if they would help with my swollen hands. My physician in PA, Jeffrey Auerbach, has cared for me the past 30+ years. He recently had me take an immunology test and he found no problem. I believe that you can tell by the meds I'm now on that he's been making every effort to help me. The Lyrica helped the sharp pains in my feet. The Delauded 8mg is to try and help my pain in general.
Do you have any answer to the problem in my feet?
that was in my first question to you.
Blossom Schneider
Customer: replied 6 years ago.
The only question I asked was about my hot/cold feet and your answer was more questions to me.
My second reply was to answer your questions and reply to the references in the article you referred me to. I'll be more than happy to pay for one question because I am so satisfied by your interest and knowledge of Dercum's Disease, or Adiposa Dolorosa. If you know anything about the foot problem tht Rockefeller physicians mentioned in 1973, I would greatly appreciate it. I didn't have that symptom until the past few years.
Blossom Schneider
Customer: replied 6 years ago.
Please tell me if I can expect an answer to my question about hot/cold feet.
Blossom Schneider
Expert:  Dr. Hanson replied 6 years ago.

Hello, Blossom.

#1---"Sometimes my feet are either burning red or ice cold. Sometimes it''s too painful to walk on them. It feels like I''m walking on broken glass or small round stones".

Ice cold and burning red feet are caused by arterial ischemia due to peripheral artery disease. I recommend you be examined and treated by a vascular specialist. You should have your ankle-brachial index measured, a nerve conduction velocity (NCV) test, and a doppler flow study of your lower extremities. Mild peripheral artery disease is an ankle-brachial index of 0.70 to less than 0.90. Peripheral arterial disease-associated nerve dysfunction may contribute to peripheral artery disease-associated functional impairment. Antiplatelet drugs may lessen your foot symptoms, improve your ability to walk, and modify atherogenesis. Ask your doctor about taking aspirin 81 mg once/day, Persantine 200 mg once/day, Plavix 75 mg once/day, or Ticlid 250 mg twice a day with or without aspirin.

#2---"last bone density was good and surprised my physician as I've been in a wheelchair for more than 2 years. I have severe spinal stenosis and did more damage in a fall several years ago".

You have been taking Synthroid since you were 37 and 6 years later you were diagnosed with Dercum's Disease. Hypothyroidism is a well-known cause of secondary dyslipidemia and is linked to atherosclerosis which can cause peripheral artery disease.

Since you have severe spinal stenosis and you fell several years ago then I receommend that you have a TSH and T4 so that your dosage of Synthroid can be adjusted or not according to your recent TSH and T4. The dose of synthroid must be individualized and adjustments of the dose should be made based on periodic assessment of your clinical response and your TSH and T4 levels. As you know, in women, long-term synthroid therapy is associated with increased bone resorption, thereby decreasing bone mineral density, especially in post-menopausal women.

The problem with synthroid is that it not only affects the thyroid gland by stimulating thyroid hormone production but it also knocks-out your thyroid's natural response to your own thyroid stimulating hormone. Synthroid affects other endocrine glands as well as the thyroid e.g. it affects your pancreas which produces insulin and your adrenal glands which regulate corticosteroids and catecholamines which include cortisol and adrenaline. Cortisol inhibits insulin by decreasing glycogenesis (formation of glycogen) and promotes breakdown of lipids.

It's good that you have a "definite" diagnosis but let me explain why it can be bad to put a single label (diagnosis) on a person's symptoms. When we label a group of symptoms with one diagnosis then it's easy to erroneously attribute the person's symptoms to the single diagnosis whereas in reality most symptoms are caused by different diagnoses such as your foot problem is due to peripheral artery disease and not Dercum's Disease. Since you've been taking Synthroid for over 40 years this could affect your pancreas which can contribute to diabetes which can cause diabetic neuropathy. Diabetic neuropathy in the lower extremities can lead to paresthesias (sensations of hot and cold) and fractures or subluxation of the feet.

Diabetes can cause dyslipidemia and hyperglycemia.

Risk factors for type 2 DM include obesity; age greater than 45; history of dyslipidemia, sedentary lifestyle; history of impaired glucose regulation; history of hypertension; and polycystic ovary syndrome. Your Body Mass Index is 30.2 kg/m2. According to WHO - CDC you are obese. Your weight is at the 67th percentile according to your age and height which means that your weight is greater than 67% of others.

Risk of insulin resistance among patients with a body mass index equal or greater than 25 kg/m2 is increased with triglycerides greater or equal to 130 mg/dL; triglyceride:HDL ratio equal or greater than 3.0; and insulin equal or greater than 108 pmol/L (the usual normal reference range for insulin is 5 to 25 microU/mL). People with these characteristics are at risk and should be screened for DM with a fasting plasma glucose level at least once every 3 years as long as plasma glucose measurements are normal and at least annually if results reveal impaired fasting glucose levels.

If you have questions please ask me. I am usually at work during the day except this week I'm on vacation. I answer questions on JustAnswer in the afternoon and evening.

Dr.Hanson

Dr. Hanson, Doctor (MD)
Category: Health
Satisfied Customers: 935
Experience: Diplomate, American Board of Quality Assurance & Utilization Review Physicians
Dr. Hanson and 5 other Health Specialists are ready to help you
Customer: replied 6 years ago.
Dear Dr. Hanson,
    Thankyou very much for your wonderful responses even though I probably didn't make my question understandable. You did give me a very thorough answer to DD/AD on the web-site you referred me to. Your final answer to my hot/cold feet was very appreciated. You provided me with the knowledge that I should be seen by a Vascular physician and know what questions must be answered.
Where I now live, there are no recommended specialists. My owm physician always checked for swollen feet, that I don't ever have, and he checked the pulses in each foot too. He retired at the end of the year and I will continue with the other doctor who moved into the office about a year ago. I have seen her on a couple of occasions but she wasn't with me for the past 30+ years of growing problems. I had a major problem getting prescriptions from her for the amount of drugs I take. I require a higher amount of drugs for pain and she refused to write the prescription. I get an RX for 4mg Dilaudid even though I take 8mg twice a day. Instead of writing for 90 capsuls she must write for 180. My husband works in our hospital pharmacy (Bon Secours in Port Jervis NY)and they find it easier to buy 4mgs. Dr. Auerbach already knew how I did on other drugs. She has promised to follow what he was already doing. Thank G_d!Do you think I should see an Endocrinologist? When we lived in Brooklyn, NY I had the best doctors and hospitals. Since we sold our home in Brooklyn, we're living in an area I refer to as a "Black Hole". My husband had his own business and accomplished his work in 4 days so he had 3 days with nothing to do. We went up to his cousin, in Milford, PA, where he was in the middle of building "TheBlackWalnutInn" Bed & Breakfast. When the business opened we were given the boot, along with our two small dogs.
We loved it here so we bought a piece of land and bought a 3 bedroom factory built home. We have 2 children and 2 grandchildren to use the space. Our daughter divorced and built a log home on an adjoining 3 acres. I, physically, couldn't keep two homes running my way. The Brooklyn neighborhood took a tremendous change so when my husband sold his business we decided to try it here. It's a fantastic vacation site but just don't get sick here.
I want to pay you but I have to press the "Reply" key now to answer your reply.
Thankyou again for being there. This is really a great service for people like me.
Blossom Schneider
Blossom
Customer: replied 6 years ago.
Just in case it's confusing to receive mail from two different e-mails when only one has signed in. I am using my husbands computer as it has the printer attached. It is the same home, the same phone line. Address:XXX@XXXXXX.XXX
His name isXXXXX or Yutch as his school friends called him. We all call him Gene.
   My address:XXX@XXXXXX.XXX
I'm referred to as Bunny since elementary school. That's where the "bunygene" came from. No room for two "N's". If it comes to my mailbox than I just flip it and send it to his mailbox where I can print whatever is necessary.
   I am very happy with your service and have witten Dr.Hanson to thank him for his wonderful job answering me.
Blossom Schneider
Expert:  Dr. Hanson replied 6 years ago.

Hello, Blossom. 

"Do you think I should see an Endocrinologist?"

Yes, that's an excellent idea. I think you should definitely be examined and treated by an endocrinologist even if you have to drive to New York City to do so.

I recommend you find an endocrinologist with at least 10 years experience successfully practicing endocrinology.  Endocrinologists are General Board Certified in Internal Medicine with a sub-specialty board certification in Endocrinology, Diabetes, and Metabolic Disorders. Ask if the physician has experience successfully treating patients who have lipidystrophy and specifically--- Dercum's Disease or Adiposis Dolorosa. If the doctor says "what is that?" Then, of course, continue looking.  Endocrinologists treat patients with lipid disorders (including Dercum's Disease).  Patients with lipid disorders have problems with circulation in their feet, hypothyroidism,  metabolic syndrome, and obesity.

Milford sounds lovely.  I was born in Erie, PA 60 years ago.  I'm nearing retirement.  I teach medical students and work full-time for an HMO and I am also a consultant for the department of health.  I only answer a few questions on JustAnswer in my spare time in the evening. I chose to answer your question because I have had many years of experience treating many patients with your symptoms because one of my specialties is endocrinology. 

I think you're on the right track now as far as finding appropriate treatment from an experienced endocrinologist.

Please keep me informed as to how you are doing.  You can Private Message me on this web site JustAnswer by specifically requesting Dr. Hanson.

Dr. Hanson

Dr. Hanson, Doctor (MD)
Category: Health
Satisfied Customers: 935
Experience: Diplomate, American Board of Quality Assurance & Utilization Review Physicians
Dr. Hanson and 5 other Health Specialists are ready to help you
Customer: replied 6 years ago.
Dear Dr. Hanson,
I'm sorry that one of my replys seems to have been lost as it told how extremely satisfied I am with your more than adequate response to my problm em. Of course I want to pay for your private attention to me. If I may continue to maintain an open line, to you, than I hope to pay for each question, or discussion, we will have in the future.
I found your site one nite when I was desperate about my problem. I'm very happy with your service here.
Thankyou very much.
Blossom Schneider
Customer: replied 6 years ago.
Dear Dr. Hanson,
I have been more than happy to accept your very qualified answer to my question about hot/cold feet. You suggested that I be seen by a vascular physician and also an Endicronologist because of the medicines I'm taking. Your explenations made perfect sence. Now I just have to find the physicians somewhere. What I failed to tell you,originally, was that I had Infantile Paralysis at age
Expert:  Dr. Hanson replied 6 years ago.

Hello, Blossom. For some reason your last sentence was cut-off: "What I failed to tell you,originally, was that I had Infantile Paralysis at age . . . . ."

Please relax. Take several slow deep breaths (don't hyperventilate). Then complete your reply.

Dr. Hanson

Dr. Hanson, Doctor (MD)
Category: Health
Satisfied Customers: 935
Experience: Diplomate, American Board of Quality Assurance & Utilization Review Physicians
Dr. Hanson and 5 other Health Specialists are ready to help you
Customer: replied 6 years ago.
Dear Dr. Hanson,
This will be my 3rd reply. Everytime I open my mail I find that you weren't paid for your services that were so appreciated by me. There is definately a problem with the payment program because I have offered to accept twice and even gave a bonus. I believe only 1 payment was accnowledged. I complained to another address, on one of the letters, and heard nothing. Maybe they can see this note.
I will be asking you more in the future. I will also let you know if I do have some success.
My polio was at 3yrs of age. I can write loads about that. My further polio problems were results of over use of what I felt was a fit body.
When I could no longer work as a Medical Assistant in a local Family Practice, I became a busy Community leader. In fact, Senator Chuck Schumer, now in Iraq, was a politician I helped, and was rewarded by his friendship, when I needed it in my community activism. His younger sister and my daughter went all through school together and still keep in touch. In fact we all graduated James Madison HS where, Justice Ruth Bader Ginsberg put the school on the map.
My best to you, and yours, in 2008.
Blossom
Expert:  Dr. Hanson replied 6 years ago.

Hello, Blossom. Please don't pay everytime you respond to the same question. You are only required to pay for each question. I appreciate your payments. The money I earn from this JustAnswer web site is automatically deposited into my special PayPal account that I use to donate to several worthy causes such as the American Cancer Society and the American Heart Association of which I am an active member and other causes to which I belong including UNICEF, Medecins Sans Frontieres (Doctors Without Borders), and others.

It's a coincidence that you mentioned that you had polio and suffer from postpolio syndrome. After medical school I trained as an intern and resident at Rancho Los Amigos Hospital (many years ago) where I treated postpolio and other anterior horn syndromes along with spinal cord injured patients. You wrote: "My further polio problems were results of over use of what I felt was a fit body". Unfortunately, Blossom, in the early days there was not much known about polio. In the early days we believed that patients could regain their strength by exercise and hard work called the no pain no gain theory which was later proven to cause patients further deterioration of their neuromuscular function. Now we know that we should prevent chronic over-use of weak muscles. As you know, polio has been almost completely wiped-out except in a few areas of the world. This is one of the reasons I joined UNICEF and Doctors Without Borders. We work to prevent polio and other diseases in the third world. People say that our money should be spent here in the US; however, due to globalization it is wise for us to assist third world countries in treating and preventing diseases.

You certainly are a remarkable example of a person who has overcome hardship and has survived to become a busy community leader, a beloved mother, grandmother, loving wife, etc. etc. . . . . I admire strong individuals such as yourself. You wrote: "I can write loads about that" (referring to your experience with polio). Why don't you write about your experiences? I'm sure I'm not the only person who would like to know about your life. If you write me at JustAnswer, then remember that you don't pay to reply. You only pay if you have a question. I look forward to hearing from you in the future.

Dr. Hanson

Dr. Hanson, Doctor (MD)
Category: Health
Satisfied Customers: 935
Experience: Diplomate, American Board of Quality Assurance & Utilization Review Physicians
Dr. Hanson and 5 other Health Specialists are ready to help you
Customer: replied 6 years ago.
Dear Dr. Hanson,
You may be sorry that you're encouraging me to write more than I already have. I have lived a very interesting life. My community work began because of my back pain. Believe it or not!
I made Gene buy a 2 family home in Midwood, Bklyn., when I was due to have our 2nd child in 56. My folks and sister's family lived 2 Avenue away, on the same street. We had the NYC transit, above ground trains, about 25ft behind our brick home. My folks had a similar English Row house. My sister
Expert:  Dr. Hanson replied 6 years ago.

Hello, Blossom. Your reply was cut off. I wonder why? You wrote: "My folks had a similar English Row house. My sister . . . . . . ." Then you were cut off for some reason?

I am curious now what you wrote following My sister . . . . ???

I won't be sorry that I encouraged you to write more than you already have. I have met some very interesting people during my 60 years and I can tell when I'm dealing with a rare gem.

Let me explain something. I answer questions on JustAnswer as a way of relaxing in the evening and at night. I have a daily schedule that keeps me busy most of the morning and afternoon so it's a pleasure for me to be able to sit down and relax. While I'm sitting at the computer I peruse the various questions customers post on JustAnswer ("JA" as it is affectionately referred to). Each expert chooses whichever question(s) they want to answer. I scan the list of health questions and then I choose a certain question that sparks my interest. Your question sparked my interest.

Even though I'm 60, I'm still a child at heart. I'll admit that it's fun for me to solve mysteries and puzzles especially related to health. Your health problem isn't very difficult but it is a rare read, I must say. How many people have adiposis dolorosa? Not very many. You are truly a rare gem, my dear. I found the only diamond on the list. So, you see, I have a selfish motive. Then, to find that you have a history of polio, well, what can I say. I feel like I've found a treasure. I guess that sounds weird to most people now that I think about it. But for me it's part of my twisted mentality and probably why I went into the field of medicine in the first place. As far as reading about your interesting life, well, that's how they say--- "the icing on the cake".

Have a very Happy, Healthy, and Prosperous New Year 2008

From Dr. Hanson


Dr. Hanson, Doctor (MD)
Category: Health
Satisfied Customers: 935
Experience: Diplomate, American Board of Quality Assurance & Utilization Review Physicians
Dr. Hanson and 5 other Health Specialists are ready to help you
Customer: replied 6 years ago.
Dear Dr. Hanson,
   Please forgive me for not answering your last note requesting more information about my Polio and Post-Polio. You'll be sorry for asking when you learn how I got my current knowledge.
I have been sick since the weather began it's present freeze. I must be spending 1/3rd of the day in bed. My hot/cold feet are driving me crazy. The pins and needes are frightening because I know all of this is a result of poor circulation. Cold feet are common in Post-Polio but the burning feet are something else.
I forgot to put my glasses on when I got up and I'll probably feel better when the weather begins to warm up. Do you remember how cold Eirie was? Maybe you were lucky to have smarter parents than Gene and I were.
I have to take that back! Both of our children selected Massachusettes as home. Our daughter moved there after graduating from Albany State in 1969. She moved there when her fiance began New England Law School. They both moved to seperate apartments with similar roomates. My husband wasn't as aware of the times and insisted that he wouldn't pay for a wedding if they moved in together before they wed. Their wedding was Our son-in-law passed the bar but decided to go into the solar energy business rather than practice law. It destroyed his parents and He never wanted to practice law so he went into the Solar Energy business. He was then offered a small business with an Industrial soap product. A banker offered to back him. He wasn't interested so he asked my son, who was planning on dropping out of Stony Brook University to go into a business in the town there.   married there and even remained after her divorce. She came to Brooklyn for my Mom's funeralwhen my Mom died on a Friday and stayed from the funeral, on Sunday,through the shiva period .
Expert:  Dr. Hanson replied 6 years ago.

Hello, Blossom. It's always a pleasure to hear from you. Yes, I remember how cold Erie was although I was only 4 when we moved from the East coast to California. I remember playing in the snow and throwing snowballs with my cousins and being hit by snowballs (ouch!!). I remember my uncles having to shovel snow every morning just to be able to back their cars out of their driveways. I remember the slippery roads and how I was always fearful we would slide into other cars. In other words, I am satisfied living in California.

You wrote: "My hot/cold feet are driving me crazy. The pins and needles are frightening because I know all of this is a result of poor circulation". It's important for you to be examined and treated soon by a vascular specialist. Even though burning hot feet are painful, having burning feet is better than having the symptom of cold numb feet.

I recommend that you soak your feet daily. Mix a cupful of Epsom Salts into a tub of water and soak your feet. This will help to soothe them and it will improve the circulation in your feet since you are not able to walk and exercise then you should soak your feet.

Here is a link to a formula for a gel that can help the circulation in your feet. Ask your doctor to telephone a compounding pharmacist and ask if they will make the gel for you. Your husband might be familiar with this gel. It consists of Nifedipine 16 grams, diethylene glycol monoethyl ether 10 ml, lecithin (isopropyl palmitate), and Pluronic F127 30% gel. http://www.paddocklabs.com/forms/secundum/volume_9_3.pdf

I look forward to hearing from you. Thank you so much for sharing your stories with me.

Take care.

Dr. Hanson

Dr. Hanson, Doctor (MD)
Category: Health
Satisfied Customers: 935
Experience: Diplomate, American Board of Quality Assurance & Utilization Review Physicians
Dr. Hanson and 5 other Health Specialists are ready to help you
Customer: replied 6 years ago.
Dear, Dear Dr. Hanson,
Poor you!!! I began to write to you in 2007 and didn't even finish yet. I have a laptop, on a fly away lucite table. Therefore, it sits over my lap, in the wheelchair. Before the WC I sat on the sofa and used it there. I've always been a pack-rat so I bought two other lucite tops for my junque. My remote controlls, a drink, Magazines to order from and my WNET13 Public TV Guide. That's NY Public TV. I find that their programs are finer than the 2 PA Public TV shows. Geared to my NY upbringing. I found the table on the computer. I get the greatest cable TV guide on the computer. Since I was very young there was always a radio, and later a TV, on in the background. My parents hated when I did my homework that way but I understand that many people do the same thing. I am dyslexic mostly with numbers. I took a Commercial course My father taught himself to be an electrician and was very succesful. He began as a stagehand in the Yiddish theatres and my mother never worked after she married. I learned to type and "Keep the Books". After Gene and I married in 1948, we moved to LA. His parents owned 2 liquor stores and he came out of the service to a job his parents planned for him. There was no consideration as to what we preferred to do. Our families knew each other after they married. I wrote that I lead a very interesting life. We had a lovely apartment near La Cienaga, between Wilshire and Pico Blvd. Gene's father died of a heart attack 6 months after we married. They had a liquor store So Central and one on Pico Blvd, in Santa Monica. The first store was sold and my mother-in-law had 2 grown sons home and the store had to pay for her and
I began at least 4 seperate letters to you but I never clicked the "Reply" button. My computer crashed in the middle and I usually went to bed. I began with new thoughts each time I tried to write to you. I had no idea that those pieces of mail where being sent out. Each time that I began, I was in a different mood. Until tonight, there was no sign that they got to you. I brought my mail in 3 seperate times today and your answer came in the last batch and was the last letter. This web-site never showed the incomplete letters.
I'm going to try writing slower so I don't crash. I will also try to complete thoughts. Very difficult for me because I love to chat.
When you wrote me not to pay each time, I wondered if you knew that I made 2 payments for your 2 answers. I also made a donation. Each time I paid, I wrote I nice commendation because I was so pleased. I remember writing to you that my payments weren't showing up. We're not rich but we are living comfortably. Not weatherwise though!!!!
My daughter, Debbie, who lives nearby, and Gene and I donate to some of the same organizations you do. "Doctors without Borders", Heifer Org., Habitat for Humanity and National Humane Society, etc. Debbie follows her own interests. We donate to Memorial Sloan Kettering Cancer Hospital, NYC, where major oral Cancer surgery was performed on me just over 6yrs ago. I had a sore inside my lower lip and sores along my gumline on the lower left side.   Gene went through a quadruple bypass and a colonoscopy with a reversal 2 months later during the years we lived there. as used to sore gums whenever I let myself get rundown and stopped my Vitamins. We bought a beautiful condo in Coconut Creek, FL., in 1991. It was being built so we finagled It was diagnosed as squamis cell carcinoma. At least we have an excellent Oral Surgeon in the next town, Dr. Cristine Stanley. It was rough. While they kept me sedated I had the most horrid dreams. Basically, they were screaming at me to move and I couldn't. When I was fully awake I knew why I was so scared. Very few people know how severely frozen my body is. Like most Polio survivors (That's what they call themselves), I cover up very well. I won't get into the Polio because I've been involved as a Support Group Leader since 1983. I worked with Dr. Augusta Alba, from Goldwater Memlorial Hospital and Dr. Richard Bruno, presently from Englewood Hospital, NJ. Dr. Alba retired in the 90's. Dr. Bruno developed MS since we know each other. His wife, Nancy Frick (Gene and I call her Peaches & Cream)Is a quadriplegic. I adore all three of them. I have belonged to G I N I,
Gazette International Networking Inc. since 1981. The Gini Laurie networked for respiratory people. I am currently on Oxygen at least 1/2 day. While I sleep. My blood gasses don't always stay over 90. During this cold snap I found myself dizzy when getting in and out of bed so I used the oxygen as long as I was dizzy. I think my dogs fur is causing allergies. She's my 4th dog but the first thats twice as big as the other 3 and she sheds. I always gave my dogs a puppy cut for poodles. My vet says she's more like a Springer Spanial. We spent $1,600 for an electric fence around the two homes but it doesn't work in the snow. She could be trusted not to go into the road until the snow. She's extremely good. She sees Gene and Debbie pull their cars up to the mailbox and it got very confusing to her when she didn't see her little white warning flags.
Expert:  Dr. Hanson replied 6 years ago.

Hello, Blossom. I am reading every word. Such wonderful detail. I have a suggestion. If your husband has a printer on his computer then I suggest that you send these wonderful messages to your husband's computer to be printed. That way you will have all of these wonderful stories already written, printed, and ready to place in a manilla folder for possibly a book of your memoirs. It would be a pity to lose these treasured pieces of nostalgiac memories. I am familiar with Los Angeles. We moved to California in 1951 and lived with an aunt on Olympic until my parents were settled.

You mentioned about your dog. Canine companions are important. They are sensitive to their owners. When I was about 5, my family and I went back east to visit relatives. My aunts and uncles were all doctors, lawyers, and professors. I had one of my aunts who was a tiny bit "eccentric" which may be why I enjoyed her companionship. She was a mathematics professor for many years at Ohio University. She and her husband built a lovely mansion in Ohio. Anyway, I was the only person she ever allowed into her home. Let me tell you why. My aunt had a dog named Bobby. I guess some people were not as friendly to Bobby as I was. I enjoyed playing with Bobby. My aunt would invite me to her home before the new home was completed and I can remember setting the table for dinner. I would always set an extra plate and silverware. My aunt asked who the extra setting was for? I responded: for Bobby of course. I remember her telling everybody how much she liked me. From then on, I was privileged to have my own magnificent bedroom in my aunt's new mansion. I felt like royalty. Nobody else was allowed to stay in that room---it was reserved for me. It's rather sad now that I think about it. But, heh, it was her money. She was actually a very sweet lady. Well, enough of this reverie for now.

I'm looking forward to hearing from you whenever you feel like writing.

Take care.

Dr. Hanson (they call me "Dr. H"Cool)

Dr. Hanson, Doctor (MD)
Category: Health
Satisfied Customers: 935
Experience: Diplomate, American Board of Quality Assurance & Utilization Review Physicians
Dr. Hanson and 5 other Health Specialists are ready to help you
Customer: replied 6 years ago.
Dear Dr. H.     :=)

Here we go again!!!

I went back to "Google" Cleft Pallet to make sure I spelled it right. When I returned, my letter was off to California.

I will just complete that thought. Many of the severe cases came to our Brooklyn office and I had a great opportunity working with them. They were the nicest patients we had in the 7+ years I worked for him before he retired. He told me well in advance to give me a chance to find another job. Who could imagine that I would end up worse than those children. When I receive the mail from "The Smile Train" I just want to cry. We donate to so many that we get every kind of request for money.

Must really go because it's past Molly's supper time.

Thankyou for being there,
Bunny............the name all my friends call me.
Expert:  Dr. Hanson replied 6 years ago.

Hello, Bunny. I know how you feel when you said "When I receive the mail from "The Smile Train" I just want to cry" What a rewarding way to spend one's time and money helping less fortunate people such as children with cleft palate. Kudos to you! I don't talk about my past. When I look back it makes me sad that I am getting older. But, for some reason, I feel like sharing with you. I hope you don't mind. You reminded me of when I was younger. In the 1980's myself, another doctor, and a doctor-friend who owned a small single engine Cessna, we used to all fly down to Mexico near Tecate every year. We had several local friends there who provided us with food and a place to stay for 5 days while we performed cleft palate surgeries and other surgical procedures on children and others who were too poor to receive treatment in the larger hospitals in Mexico. We had a MASH-type unit set-up which actually was very efficient for its time considering. We treated hundreds of children, babies, and other people who had various surgically-correctable problems. It was something that had to be done so we just did it. I never liked the flight though, because those old single engine planes were extremely bumpy and loud but we braved the flights down there and back and somehow we all got through it all right.

Well, I better let you go. Give Molly a big hug from Dr. HCool

Customer: replied 6 years ago.
Dear Dr. H.     :=)

Molly thanks you for her hug but she prefers her belly rubs. She speakes to us.! If I give her something to eat she goes right over to Gene and she forms her mouth like a kiss will come out. This is the way she begins to speak. If Gene doesn't acknowledge what she just got from me than she begins to bark an awful shrill bark. Gene doesn't like to be told by ME what she wants him to do. It took me months to make him understand that he just has to talk to her. He can even whisper but he must say something like, "Good Molly. Grandma gave you a cookie". He's doing it for a couple of weeks now and he loves her understanding. He thought I was nuts and she didn't listen if she was told to stop barking. She doesn't bark if he speaks to her. He believes me now because she only barks when she should. By the way, I'm Grandma because Debbie adopted a dog of Mollies size after her husband left her the house. She didn't like being alone in their 2 floor condo. She was Mommie so Gene and I became Grandparents.
Debbie left MA and moved here because she came up to PA with us after the Shiva period for my Mom. She disliked the cousin who owns the B & B Inn. She saw how busy I was, with company, and understood my need to get away so she agreed to come along.

In PA we live right off of I-84 that takes her right into her part of MA. She had a great time and met a very interesting Jewish cowboy. He was so interesting that she and he travelled back & forth to see each other. She had to put Mandy in a kennel and drive back and fourth in a very tiring ride. After 3 months, she was so run down that she developed CMV. One step beyond Epstein Barr Virus. She was working for her married brother at the time and said she could only work if she could stay in the office. There was a battle because he, and his wife, felt she was taking advantage of the situation. Debbie has fears that send her into Panic Attacks. Gene & I have lived with her fears. My Orthodontic boss sent me to a friend Physciatrist. After a visit she would come out to me, waiting in the car, and insist that he wasn't listening to her but doing cross word puzzles behind his desk. She was more than an honor student in school. Her artistic abilities were fantastic. We just agreed to be there for her as our phone bills will prove. She speaks Spanish fluently. She was capable of really getting somewhere in the working world if not for her panick attacks. We had no choice in caring for her because she's a great person.

Well, I just watched the debates and Gene went off to bed almost an hour ago. It's my time as this has been a very late night for us.

I'm happy to see you received your reward.
Thankyou for all,
Bunny
Customer: replied 6 years ago.
Hi Dr H :=(

What's that expression, "Try, Try Again"??

I am very patient but this is becoming a bit too much. I hope that you realize I wouldn't intentionally ignore you, and mostly, I would not ignore the effort you have been taking to answer all the storys I drift off into. I can't tell you how many times, and ways, I acknowledged
the wonderful answers you wrote to me. Well, I did and they vanished into space. I could use a
new computer but it's just not my nature not to give up so easily.

I saved the paragraph above by cut and paste. I
lost it 3 times sofar. I've been busy going
to the doctor one day, TJ Maxx & Walmart another
day and sleeping hours & hours as pay back for
dressing and going out. I'm using scooters out-
side since 1987. When the distance is close than I painfully use 2 canes. I cannot use a
walker. It must have to do with the way I use the canes.

It just happened again!! Lost the letter!

You may, or may not, believe the following. "I don't believe in Flying Saucers but everything really good in my life seemed to be a result of a coincidence". I mentioned it to Gene and he remembered those times I was referring to. If he agreed, than it must be true

How did you get involved in the medical team working on cleft Palates? That's not a very common birth defect. We had the nicest young fellow come to the office who only had half of his face develop. I was not aware of too many peoples problems. I cared but, fortunately, I was not subjected to much. The first time I learned that spinal stenosis was corrected by putting rods in a spine was when one of our foster children had it done. She was brought back to our office in an ambulance after that whenever she required an adjustment in her braces. Now I know all about others problems through my Polio work, and more life experiences. Are you one of the Doctors Without
Borders that we donate to? A dentist friend of
mine was donating 2 weeks every summer after his daughter began going to camp.

We have such a funny story about small airplanes when our son flew to Pittsburg to prove what a businessman he was at the tender age of 19. Oh well! Just can't write you everything. You were right about saving these silly things I write and putting them into a book. Ironically, I've had a name for a book ever since living near the trains in Brooklyn. It would be "Looking Through My Window". Check Amazon later in case I ever get well enough to write it.

I have a lot to say referring to the wonderful information you sent me but I have to go and have a molar pulled at 3:30.

Be well,
Bunny
Expert:  Dr. Hanson replied 6 years ago.

Hello, Bunny. "Looking Through My Window" by Blossom ("Bunny") Schneider. Purchase at Amazon.com. How's that for an incentive to get that book published?

By the way, I call our dogs, cats, birds, and whatever and my grandchildren "Bunny". Maybe that's another one of those "coincidences". One of my grandchildren once asked me "why do you call us Bunny?" I thought about the question but I couldn't say why. I suppose it's because I just happen to like bunnies. I've raised a few in my lifetime. They make wonderful pets. They're very clean and very sweet animals. Now you can tell that I am letting my mind relax and wander as I answer your letter. I answer your letters late at night or in the early morning when I can spend more time with you. I hope you don't mind but I find you a very interesting lady. I am an insomniac. I admit it. Always have been. When I was young, I can remember my mother yelling at me every night to turn the light off and go to bed because I would stay up all night reading science books. I loved and still love reading science and medical journals.

You said: "I can't tell you how many times. . . they vanished into space. I could use a new computer but it's just not my nature not to give up so easily."

I had the same problem a couple of nights ago. I wrote a lengthy answer to a customer's question but when I pressed the send button I got a message: "Access denied". I lost the answer in cyberspace. I was determined that the customer would receive my answer. I re-wrote another lengthy answer, pressed the send button, and again received the "access denied" message. Did I give up? Not on your life, even though it was 2:00 in the morning and I had a wake-up call at 7. I re-wrote a third lengthy answer, pressed send, and again "access denied" and poof my answer was lost in cyber space. I finally realized that I had a problem with my computer. I wrote to an administrator who investigated the matter. Evidently I have the same IP address as somebody who no longer works for JustAnswer. Verizon gives the same IP address to many customers. Well, they fixed the computer problem somehow so that now I can write to my customers to my heart's content. I don't sleep very much and I hate to watch TV so here I am at 1 AM writing this letter.

You said: "I cannot use a walker. It must have to do with the way I use the canes". Maybe so. Walkers are clunky and heavy and most women find them too difficult to use. Somebody should invent something more suitable. Ah, another thing I can do when I retire---invent a better walker.

You said: "I don't believe in Flying Saucers. . ." You don't believe in flying saucers? Why not? Who knows what lies beyond this universe? Actually, I don't really care what lies beyond this universe or if there are flying saucers or Martians, or anything else beyond this universe. I have enough problems right here on this planet without trying to solve problems from another planet as well. Haha.

As for everything really good in your life being a result of a coincidence. I am of the opinion there are no such things as coincidence--- everything is the result of a master plan. We are merely pawns in an infinite game of strategy.

You said: "How did you get involved in the medical team working on cleft Palates?" While completing a fellowship I did some moon-lighting at various hospitals and at one of the private hospitals I met a surgeon by the name of Dr. Wallington. He was an interesting gentleman who's hobby was photography. He was nearing retirement and I think he was hoping I'd come on board at the private hospital full time or maybe that I would join him in his practice. He was a wonderful doctor who I admired. Most important he was a beautiful person who donated a week every summer to help the less fortunate. He asked me if I'd like to join him and another doctor who's specialty was craniofacial surgery in Mexico that summer. Well, I love Mexico so I agreed. The next thing I knew we were flying in a single engine plane to Mexico. I was fairly young at that time with the energy to pursue various wims like taking a week's vacation and flying to Mexico. I was introduced to several physicians and then in the morning I remember seeing a line of children, crying babies, and their fathers and mothers. To me the line seemed to be a mile long whereas in reality we probably only saw 40 patients a day. There were children and adults with various minor ENT problems, orthopedic problems, and facial defects including several with cleft palate and lip. I mustered-up the courage to follow my friend's lead while he taught me the basics of cranio-facial surgery. Let's say that it was an introduction to cranio-facial surgery. Let's put it this way: I found out it wasn't something I wanted to specialize in. We made it through the week without a single significant problem thanks to the good Lord above. I was one of many doctors in the 80's who donated our time to help. Now I donate to Doctors Without Borders in every way that I can. I believe in its purpose.

Well, I'd better let you go.

Take care.

Dr. Hanson

Customer: replied 6 years ago.
Hi Dr H :=)

That had been crowned by my Dentist of 20 some years. He said it didn't require root canal work
because the root was calcified. I don't recall how long ago I noticed the gum around the tooth seemed sore. I was at my oral surgeon because the lower area, in front of the implants was all swollen and sore. I knew I had been in a funk for a while and wasn't up on my vitamins, etc. I
had this problem several other times. She gave me a rinse to clear the soreness up. At the same time I had her look at the tooth she pulled
today. The x-ray showed nothing so I had to decide about root canal work. The'd have to drill
through the crown to get to the root he said was calcified. 2,000 mgm vitamin C and a good B complex should keep the problem controlled. This
is about the 6th time. You would think I know better. When you're depressed you don't know anything. Anyhow, you really got me feeling better and I can't thank you enough for that. I mentioned that I was so upset about the condition of my DD and my feet that I got out of bed at 10pm to go through the computer again. I feel it was fate, coincidence or a master plan. I
said I don't believe in Flying Saucers but I find
it hard to think we're the only planet with life. Debbie's answer to dying is having a meteor come right down on her. She spends hours on the computer in "Second Life" She owns the"Star Trek Museum" and a couple of islands that she rents houses on. Besides no good doctors
here ther's no life either. It's fine for Debbie. She still has many friends from school, college and MA. She likes quiet time like me. I sleep very soundly when my feet don't act up.
Not like you. My Dad slept like that. Working nights was perfect for him because he still got up early. When I was home we did a lot together.
I believe I was the son he didn't have. He had a
heart condition that never stopped him until it stopped.

Did you ever read the book, "The Velveteen Rabbit"? I still love that book with the little blue plush rabbit showing through the book cover.
Could that be something from your past? We had hamsters before our first dog. Here, at the B & B we have a petting zoo with just about every kind of animal, including rabbits. They have wonderful winter housing. There are also riding horses and mini horses. The furnishings in the main house are all antique looking. Dark wood, something I don't care for. The place is kept very clean and the breakfast is made to order. Stu, the cousin talks of adding 10 more rooms. There already is a 2 floor stone house for a family or folks who just want to live in the country. On one of those nights when you can't sleep you can you can look at their nice web-site: >TheBlackWalnutInn.com< run by daughter Robin, William 3yr old Liam & 1yr old Gavin. Robin is old enough to be my grandaughter.
Or look at mine (10yrs old): >MaOnLine.com/harehollow/

Before this flys away, I want you to know that I have an appointment with an Endocrinologist next
Wednesday. He did get on the phone and was very pleasant. I asked the questions you suggested but can't swear he had the right answers. He was a kibitzer. I hate to waste time and Medicare money but I think I'll have to take my chances. My oral surgeon said she knows of a Pakistani woman who the doctors all go to but I haven't gotten his name yet. One doctor who Gene said that the doctor would have to know about "lipidystrophy". He said I would have to go to a hospital for that. He was crossed off the list.

Must take care of the launndry. My Polio doctor wants me to sit here and twiddle my thumbs so I
don't wear out my neurons. I insist on doing anything that isn't too difficult.

Have you got some work for me?
Bunny
Customer: replied 6 years ago.
Dear Dr H :=)

I really need a proof reader to go over my writings and check for all my errors. The letters usually don't stay here long enough to be
reread by me. Yesterday, one doctor called when I was in the shower and Gene asked if he knew about lipidystrophy. He's the doctor who said I would have to go to a hospital.

I wrote that I need a new computer but it's just not my nature to give up so easily. I made a very stupid mistake that went out to you! I was really frustrated with the computer.

You mention that you call dogs, cats, birds and even your grandchild, Bunny. That is strange! I
used to call all of my dolls "Susan". I think it
was because I always disliked my own name. My daughter is Debra Sue. Not too much to dislike with such a short name. My son is Terry Alan. We name after the dead.

Other than your aunt and her dog, and now a grandchild, you never mentioned any family. I really enjoyed your story about a doctor friend who introduced you to cranio-facial surgery and then got you to fly to Mexico. It was a great opportunity for you to be involved with something
that special.

We are a GREEN family. We didn't even know we were possibly saving the planet when we filled the property here with wonderful trees. This originally was a cattle pasture. The Parcels are cut up the way you would cut a pie. We are surrounded by State Forest. The land was all owned by Gifford Pinchot, twice Governor of PA. He was a Concervationist while John Muir, from Yosemite National Park (our favorite national park) was a Naturalist. Just another coincidence. The Pinchot family's original home is now the Milford Pulic Library. If you continue straight down our road then cross RT 6 you go directly onto the back road to the Pinchot National Landmark Estate. Less than 10 minutes away.


Time for my beauty sleep. Ha! Ha! I have a sence of humor too.
Bunny
Expert:  Dr. Hanson replied 6 years ago.

Hello, Bunny. Always a pleasure to hear from you.

You and I mentioned our computer problems---you had some problems with your messages being dropped and I had problems with an "Access Denied" message, well evidently my problem was not completely fixed like I had been told it was. Anyway, if I don't answer your letter it's not because I didn't try, believe me. For some odd reason I'm getting an "Access Denied" message again. So I sent another PM to an administrator at JustAnswer and hopefully the problem will be repaired soon. I'm typing this with the hope that it will not be lost in cyberspace. Oh well.

Your web site and the site of the B & B are inviting and warm. It makes me feel as if I want to cuddle-up by a warm fireplace and read a good book (something besides medical journals). I used to love reading F. Scott Fitzgerald and Hemmingway---all of their works. Their genre was my favorite next to medical and science textbooks. The Velveteen Rabbit was one of my children's favorites.They used to request I read it to them nearly every night. Many years ago I was given a "real" dwarf rabbit by one of the attendings who bought the rabbit at a pet store but he later found that it liked to chew wood (duh!). The rabbit had chewed the legs of his elegant dinning room table and chairs. I never questioned him as to why he let the rabbit run loose in his house. Anyway, he knew I had a son so he asked if my son wanted the rabbit. He brought the rabbit to work and kept it in his office for me until I got off duty. We both prayed that the department medical director wouldn't find the rabbit. My son loved the rabbit. My father built a hutch. We named her Mrs.Bun-Bun. Somehow, one day Mrs. Bun-Bun got out of her hutch. We thought she was gone forever until one night I drove into the garage and who should be standing on a ladder hovering over the water heater with a broom but my mother who was screaming that mice were sucking on Mrs.Bun-Bun. I got out of the car and told her to calm down. I looked down beneath the water heater where the flame was, and there indeed was Mrs. Bun-Bun and 4 little pink "mice" as my mother called them. Mrs. Bun-Bun had tiny pink baby bunnies. We lived in a rural area of Orange County and our Mrs.Bun-Bun found another bunny to mate with---but not just an average wild bunny--- an elegant angora rabbit who belonged to one of our neighbors. The angora bunnies grew up to be beautiful. Mrs. Bun-Bun lived a very long life with us.

I am curious about your mini horses. They're about the size of a large breed of dog, right? Wow, your property sounds like a romantic dream come true. How fortunate you are.

You said: "He was a kibitzer" (referring to your prospective Endocrinologist). He's probably a young MBA, MD- type. Unfortunutely the field of medicine has become a business. I have a few cocky young residents who are studying for an MBA. They're all quite the kibitzers but none of them can put one over on me. As they say: "I've been there and done that". Perhaps your Endocrinologist is another "coincidence" that is meant for good. Let's hope.

This one made me laugh: "One doctor who Gene said that the doctor would have to know about "lipidystrophy". He said I would have to go to a hospital for that. He was crossed off the list." Lipidystrophy is also spelled lipodystrophy but either way it means the same thing---a lump or a small dent in the skin due to an abnormal condition of the body's adipose tissue. Run, don't walk, the other way if your Endocrinologist isn't experienced with treating cases of lipi (or lipo) dystrophy.

You asked: "Have you got some work for me?" I must say, Bunny, you are amazing!

Now I shall press "send" and say a prayer you receive my response.

Be well, be happy.

Dr. HCool

Customer: replied 6 years ago.
Dear Dr H :=)

I just looked back at some of our notes and realize how you never got replies to many of your
remarks. For Instance: Gene went out and bought me Epsom Salts and I never opened it because I had been putting "Avon" skin cream on my feet and
it seems to work well. Besides, it has a nice mild smell to it. It's actually whole body cream
that I use on my arms too. I put an adequate amount on so it dries into my skin. Is that OK?


Here's another important bit of information that I never completed telling you about. I mentioned that the doctor I worked for introduced me to Darvon 65. During my working years, my Rheumatologist told me to take 12 Ascriptin daily, whether I needed it or not. I switched to Ecotrin and remained on those two pain medicines, a bit of rest, and I managed that way for at least 30 years.

I took all of that Aspirin and was suddenly switched to heavy duty pain medicine when my cancer problems began. Upon reading your answers to me it dawned on me that I was not even taking the one aspirin everyone is advised
to take. You even mentioned the aspirin. It dawned on you that this would effect my blood. It would effect the circulation in my legs! In the four years, you were the only one who mentioned it.

When I didn't feel well enough to go to the Christmas party at the Inn this year I was very upset. I can't go out much so my socializing is very limited. I keep up with my friends on the phone or the computer. I haven't driven my car in more than 2 years. I have a lift
in our Dodge Caravan so I was free to go out with my scooter. When we bought this car, in Florida, we got up to $1,000 back for the lift. This was my car but we used it when we went
out together. Gene had a small car that he used to go back and forth to the hospital and all was fine. When his car broke down he just took mine and it only bothered me when I felt well enough to drive and I had no car. Now I don't feel confident driving. If I go back to my regular medications, maybe I'll feel differently. I happen to be a good driver. Don't put me in with other women drivers. I can park in the smallest spots. In my 66yrs of driving I never even got a ticket. Our son bought a hybrid last year and he loves it. I have to find out if a lift can be put into one.

We recently made our wills out and gave each grandchild a bundle to go to college with. Our children will share what's left. The way the stock market is behaving we just wonder what
will happen for them. We middle class are really
fealing it. We were blessed to all startout in our own homes. My folks helped us and we helped each of our children. Our Milford property value went way up because the town is just about all sold out. You can't buy less than a 2 acre piece. The town is very quaint and even that has improved with the addition of trees and newer construction. The adjoining towns have no restrictions on them so we have just about every
big business withinXXXXX We presently have no movie theatre but a complex is coming in too. I belong to Netflix because I like documentaries. I just get one a month. I love the science shows and was caught up in CSI but they're all feeling like repeats. I get the
History channel, Discovery, Health and the best of Public TV. I receive many monthly magazines from my donations. We get Smithsonian and my mother-in-law made all her children life-time members of Hadassah. Their magazines medical and science articles are very interesting.

Gene and I went to Israel and were fascinated by all of the Jews and Palastinians working side by side. The walk where Christ carried his cross is called the "Via Dolorosa" We enjoyed the history of the 3 religions very much. We went to Bermuda after our daughter and her husband honeymooned there, before Israel. After we sold our Florida condo we took a 6 week trip across the country. My scooter took me through several National Parks. This past October Gene joined his Schneider family for a grand nieces wedding in Arizona. We have two wedding invitations I must answer that we cannot attend. One is in Mexico and the other one is in South Africa. We both have to accept the fact that we cannot go That was our first trip out
I spoke to Dr. Alam (Pakistani) and she agreed with me and gave me a prescription for the Darvon. I just made the switch so I didn't have a chance to ask your opinion. Gene is my witness
as to how many times my writing disappears.

When my implants were being done I had very severe pain in my gums partly from the way my gums were left after the cancer surgery. They took a huge chunk of flesh, muscle and veins from my left wrist, above my thumb. Not my hand. There is no pain there. A patch of flesh was taken from my right thigh to cover the wrist. The reason for the left wrist was my Polio. Also because I'm right handed. The fourth Prostodontist took the job because he wasn't afraid of cracking the remainder jaw bone. He just happens to be ths son of friends of ours. He
lectures and teaches all around the world and if
you know the job he undertook you would agree that he is good. It took travelling back and forth to Philadelphia.
Customer: replied 6 years ago.
Dear Dr H :=)

I just looked back at some of our notes and realize how you never got replies to many of your
remarks. For Instance: Gene went out and bought me Epsom Salts and I never opened it because I had been putting "Avon" skin cream on my feet and
it seems to work well. Besides, it has a nice mild smell to it. It's actually whole body cream
that I use on my arms too. I put an adequate amount on so it dries into my skin. Is that OK?


Here's another important bit of information that I never completed telling you about. I mentioned that the doctor I worked for introduced me to Darvon 65. During my working years, my Rheumatologist told me to take 12 Ascriptin daily, whether I needed it or not. I switched to Ecotrin and remained on those two pain medicines, a bit of rest, and I managed that way for at least 30 years.

I took all of that Aspirin and was suddenly switched to heavy duty pain medicine when my cancer problems began. Upon reading your answers to me it dawned on me that I was not even taking the one aspirin everyone is advised
to take. You even mentioned the aspirin. It dawned on you that this would effect my blood. It would effect the circulation in my legs! In the four years, you were the only one who mentioned it.

When I didn't feel well enough to go to the Christmas party at the Inn this year I was very upset. I can't go out much so my socializing is very limited. I keep up with my friends on the phone or the computer. I haven't driven my car in more than 2 years. I have a lift
in our Dodge Caravan so I was free to go out with my scooter. When we bought this car, in Florida, we got up to $1,000 back for the lift. This was my car but we used it when we went
out together. Gene had a small car that he used to go back and forth to the hospital and all was fine. When his car broke down he just took mine and it only bothered me when I felt well enough to drive and I had no car. Now I don't feel confident driving. If I go back to my regular medications, maybe I'll feel differently. I happen to be a good driver. Don't put me in with other women drivers. I can park in the smallest spots. In my 66yrs of driving I never even got a ticket. Our son bought a hybrid last year and he loves it. I have to find out if a lift can be put into one.

We recently made our wills out and gave each grandchild a bundle to go to college with. Our children will share what's left. The way the stock market is behaving we just wonder what
will happen for them. We middle class are really
fealing it. We were blessed to all startout in our own homes. My folks helped us and we helped each of our children. Our Milford property value went way up because the town is just about all sold out. You can't buy less than a 2 acre piece. The town is very quaint and even that has improved with the addition of trees and newer construction. The adjoining towns have no restrictions on them so we have just about every
big business withinXXXXX We presently have no movie theatre but a complex is coming in too. I belong to Netflix because I like documentaries. I just get one a month. I love the science shows and was caught up in CSI but they're all feeling like repeats. I get the
History channel, Discovery, Health and the best of Public TV. I receive many monthly magazines from my donations. We get Smithsonian and my mother-in-law made all her children life-time members of Hadassah. Their magazines medical and science articles are very interesting.

Gene and I went to Israel and were fascinated by all of the Jews and Palastinians working side by side. The walk where Christ carried his cross is called the "Via Dolorosa" We enjoyed the history of the 3 religions very much. We went to Bermuda after our daughter and her husband honeymooned there, before Israel. After we sold our Florida condo we took a 6 week trip across the country. My scooter took me through several National Parks. This past October Gene joined his Schneider family for a grand nieces wedding in Arizona. We have two wedding invitations I must answer that we cannot attend. One is in Mexico and the other one is in South Africa. We both have to accept the fact that we cannot go
travelling all over anymore. Gene will require a
knee replacement soon. He keeps so busy.

I spoke to Dr. Alam (Pakistani) and she agreed with me and gave me a prescription for the Darvon. I haven't made the switch yet. I'm waiting for fresh Ecotrin.

When the Prostodontist (Harold S Baumgarten),
the son of our friends, began replacing the 8 teeth that were removed with a large portion of my jawbone. Dr. B was the 4th Prostontist who examined me and was wise enough to take a chance doing this job. When the work was being done I had very severe pain in my gums mostly from the way my gums were left after the cancer surgery. They took a huge chunk of flesh, muscle and veins from my left wrist, above my thumb to replace all they removed from my mouth. They didn't touch my hand. There is no pain there. A patch of flesh was taken from my right thigh to cover the wrist. The reason for the left wrist was my Polio. Also because I'm right handed. Dr.B lectures and teaches all around the world and if you saw the job he undertook you would agree that he is good. It took travelling back and forth to Philadelphia by us. He suggested that I return there for facial surgery but I can't think of going for major surgery again.

When my tooth was pulled the other day, I had 24hrs OK. Then an infection set in. The tooth had a horrid decay odor when it was pulled and I was surprised that I wasn't put on an anti-biotic then. I don't like suggesting what my doctors should do but I seem to be faced with that problem.

I never wrote you what the Neurologist, in NJ wrote to my doctor after a 2nd visit. July 2007.
He had me go for 3 MRI's of my spine. Someone in
his office took what he referred to as an EMG. I
had 4 taken so you csn't fool me too much. I even asked if he can tell anything by just doing my feet, to my ankles. He cut me off very abruptly by insisting this is a modern machine. Here's what he wrote to Dr. Auerbach:
"This patient returns to the office still trying to convinve me that she has Dercum's disease and post-polio syndrome. The rest is worse. I have to find my way of getting back at him. I wrote many letters at my job and my daughter does medical transcription for good money. She never typed anything like this.

My back has had it.
Be well,
Bunny
Expert:  Dr. Hanson replied 6 years ago.

Hello, Bunny. You said: "Avon" skin cream . .seems to work well. . Is that OK?" Yes, Avon skin cream sounds like a winner. Use whatever makes your feet feel better.

Try an Epsom Salts foot bath. Epsom Salts (approximately 1 cupful) is added to water to raise the density of the water above the density of your feet so that your feet will float. This can help resolve your burning foot pain.

The Nifedipine gel can also help. It should only be used for relieving the severe burning in your feet because the Nifedipine might cause hypotension.

Here's a link to a site explaining Epsom Salts gel: http://epsomsaltgel.com/

Lyrica is helpful for peripheral neuropathy however since you still have painful paresthesias in your feet despite taking Lyrica, then the cause is most likely a circulatory problem rather than a neurological problem.

You said: " remained on . . .Darvon 65 and Ecotrin, a bit of rest, and I managed that way for at least 30 years. . " Pain relief that improves your quality of life is a reasonable criteria for continuing Darvon.

An MRI is used to detect the fatty lipomas wrapped around nerves in DD. EMG and a muscle biopsy confirm active nerve degeneration in PPS.

Dr. HCool

Customer: replied 6 years ago.
Dr H :=)

You can tell that I sent almost the identiicle
letter out to you two times. I told you that I cut & paste because my mail disappears. Also, I
check if my mail was posted when it was grabbed away from me. I don't always see all the mail here, when I look to answer you. That's why duplicates of gibberish come to you twice. I'm very sorry for writing so much.

I did use the Epsom salts when Gene was still awake. It felt great! I have a huge cooking pot that I no longer cook in so it's perfect to hang my feet in. Just the way you recommended. My major problem is that I never know when my feet are going to burn. It most often occurs about 4 in the morn and I can't soak my feet then. I sit in the bathroom and cool my feet on my new lovely tile floor. If they're really bad I just go into our new shower and sit on my bath stool and run the shower head on them. I have to cool up to my knee to really help. Then there are times that Avon comes in handy. I do believe that the aspirins are helping the circulation & the pain in the bottom of my feet. My toes move again.

The Orthopedist recently took an MRI of my left shoulder when I couldn't use the arm. He said he saw nothing spectacular. At this point, I felt it was not hurting as much but allowed him to give me a shot in it. I asked if he at least saw the fatty tumors and he said "No". Yet, when I look at what he wrote to Auerbach (Auerbach always gave me my reports as did Dr.Kasdan.) He mentions cysts and liquid which mean nothing to me. I may take them to the doctor this Wednesday and maybe he will be able to see the fat in the MRI's. I feel that you doubt he will help me. I'm so used to doctors making appointments because it's the only time they might see the condition. It will give him what to talk about on the golf course. I won't let Gene speak to any doctors I call in the future. Before Dr Auerbach retired he sent me for an immunology blood test. He said it was fine. I have copies but of course I can't figure some of the paper work out. I will be going for blood work for Dr Alam. She has my last one taken for Auerbach. The one you wanted. Because of his leaving, I didn't get hold of that one yet. I will send you the information that you want.

I have dinner dishes to do. You know I have to!
Bunny

When it was too dangerous to step into the tub to use the shower I talked Gene into re-doing the bathroom. My furnishings are all country French so I fell into real luck when the old lumber yard was selling out all the sink closets with white marble tops & mirrored cabinets above. They can't match the major stores like Loews & Home Depot.
Expert:  Dr. Hanson replied 6 years ago.

Hello, Bunny. You said: "I'm very sorry for writing so much". Bunny, I know you spend a lot of your precious energy writing to me and I sincerely XXXXX XXXXX you know I appreciate every word. I know how tiring it is for you to work at the computer. I am honored that you write to me. You are a treasure and I have selfish motives as I told you previously but my motive is purely my own selfish need to solve your puzzling condition. I do play golf but I do not share patient information. None of the doctors I know talks about their patients. We all respect doctor patient confidentiality. It would be a serious breach of medical ethics for a doctor to talk about his patients.

You said: "I feel that you doubt he will help me". On the contrary, Bunny, I am confident that an endocrinologist will help resolve your symptoms which is why I agreed with you that you should be examined by an endocrinologist. In fact, I would have mentioned it but for some reason I was focusing initially only on treating the paresthesias in your feet.

It will take time, though, to balance your hormones and/or whatever needs to be done according to your endocrine exam. Endocrinology is a wonderful field of medicine. It is an all-encompassing specialty. The endocrine glands control all of your body's functions e.g. the production of adipose tissue; hence the cause of your Adiposis Dolorosa. On a lighter note: I always thought the name of the disease was lovely---"Adiposis Dolorosa"---it rolls off of one's tongue like the name of a beautiful Spanish senorita.

When your endocrine glands are malfunctioning then your body will produce various symptoms such as you are experiencing. Your endocrinologist should test you for the basics e.g. Cushing's, thyroid dz, and other endocrinologic problems. Also you need your cholesterol level tested, ESR, Sed Rate, a1antitrypsin, a1acid glycoprotein, complement factors, and haptoglobin tested. Dual-Energy X-ray Absorptiometry, Total Body Electrical Conductivity (scan), and Bioelectrical Impedance Analysis (BIA) are a few tools used to measure adipose tissue: http://132.198.175.208/bodycomp/bia/bia-video2.html

Adipose tissue is an endocrine organ. Adipose tissue secretes bioactive peptides known as adipokines, which act at the autocrine/paracrine and systemic endocrine level. In addition to these efferent signals, adipose tissue expresses numerous receptors that allow it to respond to afferent signals from traditional hormone systems as well as the central nervous system. Thus, adipose tissue contains the metabolic machinery to permit communication with distant organs including the central nervous system. Through this interactive network, adipose tissue is integrally involved in coordinating a variety of biological processes including energy metabolism, neuroendocrine function, and immune function.

You were prescribed Synthroid for hypothyroidism. Following several years of taking Synthroid you noticed the painful lumps. If your endocrinologist is on top of his field (which I pray that he is) then Wednesday he will once and for all lead you to a rational definitive diagnosis and treatment plan to resolve many of your symptoms. You may need an adjustment of your Synthroid or you might need some other medication to control your symptoms. Let's wait until Wednesday before we judge your new doctor. Also, before I forget, I want you to ask his secretary or receptionist for a copy of your medical records each time you go for a visit. Keep all of your records. The information in your records belongs to you. You might be charged a minimal fee such as 25 cents per page.

Make a list of questions to ask your endocrinologist on Wednesday (within a reasonable length e.g. 5 specifically directed questions should be sufficient such as what is causing the pain in your feet and how can it be resolved?----this is a test question because it's obvious your pain is due to DD since you say: "It feels like I'm walking on broken glass or small round stones". --- sounds like a typical case of DD to me---duh). Then remind him of your alternating burning and ice cold paresthesias in your feet besides the sensation of walking on stones. . . so that he should order a test for your lower extremity circulation or refer you to a vascular specialist.

It's reasonable for you to have an ultrasound of your body to localize the lipid masses and to view the circulation in your feet. Ultrasound is usually effective for locating lipid masses. Ultrasound waves can even be used to destroy the lipomas which is similar to using ultrasound to pulverize kidney stones. An ultrasound might also show neuromuscular wasting due to polio. So, you see, in one inexpensive test you'll have covered a few of your diagnoses. Then, if necessary, an MRI should be done.

You said: "I have dinner dishes to do. You know I have to!" Yes, Bunny, I know you have to do the dishes. I know you are a truly amazing piece of work. Myself, I hate doing dishes and anything to do with the kitchen. Thank God for dishwashers! My mom is like you. I bought her a dishwasher and she refused to use it. My 87 year old father does their dishes by hand---go figure!

Please keep me updated.

Dr. HCool

Customer: replied 6 years ago.
Dear Best Friend Dr H :=)

I don't mean to be overly friendly but I feel such relief about my physical problems since we met here. What a COINCIDENCE this is!!

The original physician who put me on Synthrid was an Endocrinologist. My boss took care of me after that. About 10yrs later I was using my girlfriends husband as my physician. (My boss had retired). Jesse was good. He was a good diagnostician. He sent me to a Park Avenue Endocrinologist who even did a Thyroid scan. Everyone knew something was wrong but, "What was it"? I don't easily change physicians. Jesse died
of a malignant brain tumor. Shortly   Answer
January 15 2:15 a.m. (4 hours and 3 minutes later)
What should I do?

--------------------------------------------------------------------------------

Hello, Bunny. You said: "I'm very sorry for writing so much". Bunny, I know you spend a lot of your precious energy writing to me and I sincerely XXXXX XXXXX you know I appreciate every word. I know how tiring it is for you to work at the computer. I am honored that you write to me. You are a treasure and I have selfish motives as I told you previously but my motive is purely my own selfish need to solve your puzzling condition. I do play golf but I do not share patient information. None of the doctors I know talks about their patients. We all respect doctor patient confidentiality. It would be a serious breach of medical ethics for a doctor to talk about his patients.

You said: "I feel that you doubt he will help me". On the contrary, Bunny, I am confident that an endocrinologist will help resolve your symptoms which is why I agreed with you that you should be examined by an endocrinologist. In fact, I would have mentioned it but for some reason I was focusing initially only on treating the paresthesias in your feet.

It will take time, though, to balance your hormones and/or whatever needs to be done according to your endocrine exam. Endocrinology is a wonderful field of medicine. It is an all-encompassing specialty. The endocrine glands control all of your body's functions e.g. the production of adipose tissue; hence the cause of your Adiposis Dolorosa. On a lighter note: I always thought the name of the disease was lovely---"Adiposis Dolorosa"---it rolls off of one's tongue like the name of a beautiful Spanish senorita.

When your endocrine glands are malfunctioning then your body will produce various symptoms such as you are experiencing. Your endocrinologist should test you for the basics e.g. Cushing's, thyroid dz, and other endocrinologic problems. Also you need your cholesterol level tested, ESR, Sed Rate, a1antitrypsin, a1acid glycoprotein, complement factors, and haptoglobin tested. Dual-Energy X-ray Absorptiometry, Total Body Electrical Conductivity (scan), and Bioelectrical Impedance Analysis (BIA) are a few tools used to measure adipose tissue: http://132.198.175.208/bodycomp/bia/bia-video2.html

Adipose tissue is an endocrine organ. Adipose tissue secretes bioactive peptides known as adipokines, which act at the autocrine/paracrine and systemic endocrine level. In addition to these efferent signals, adipose tissue expresses numerous receptors that allow it to respond to afferent signals from traditional hormone systems as well as the central nervous system. Thus, adipose tissue contains the metabolic machinery to permit communication with distant organs including the central nervous system. Through this interactive network, adipose tissue is integrally involved in coordinating a variety of biological processes including energy metabolism, neuroendocrine function, and immune function.

You were prescribed Synthroid for hypothyroidism. Following several years of taking Synthroid you noticed the painful lumps. If your endocrinologist is on top of his field (which I pray that he is) then Wednesday he will once and for all lead you to a rational definitive diagnosis and treatment plan to resolve many of your symptoms. You may need an adjustment of your Synthroid or you might need some other medication to control your symptoms. Let's wait until Wednesday before we judge your new doctor. Also, before I forget, I want you to ask his secretary or receptionist for a copy of your medical records each time you go for a visit. Keep all of your records. The information in your records belongs to you. You might be charged a minimal fee such as 25 cents per page.

Make a list of questions to ask your endocrinologist on Wednesday (within a reasonable length e.g. 5 specifically directed questions should be sufficient such as what is causing the pain in your feet and how can it be resolved?----this is a test question because it's obvious your pain is due to DD since you say: "It feels like I'm walking on broken glass or small round stones". --- sounds like a typical case of DD to me---duh). Then remind him of your alternating burning and ice cold paresthesias in your feet besides the sensation of walking on stones. . . so that he should order a test for your lower extremity circulation or refer you to a vascular specialist.

It's reasonable for you to have an ultrasound of your body to localize the lipid masses and to view the circulation in your feet. Ultrasound is usually effective for locating lipid masses. Ultrasound waves can even be used to destroy the lipomas which is similar to using ultrasound to pulverize kidney stones. An ultrasound might also show neuromuscular wasting due to polio. So, you see, in one inexpensive test you'll have covered a few of your diagnoses. Then, if necessary, an MRI should be done.

You said: "I have dinner dishes to do. You know I have to!" Yes, Bunny, I know you have to do the dishes. I know you are a truly amazing piece of work. Myself, I hate doing dishes and anything to do with the kitchen. Thank God for dishwashers! My mom is like you. I bought her a dishwasher and she refused to use it. My 87 year old father does their dishes by hand---go figure!

Please keep me updated.

Dr. H



Edited by Dr. Hanson on January 15 2008 at 3:00am


I JUST LOST MY WHOLE LETTER TO YOU.
I don't feel well probably due to the snow and the barometer being so low. I'll try a bit later.
Bunny
__________________
Please click the green "ACCEPT" button.     A "BONUS" and "POSITIVE FEEDBACK" are appreciated!
Dr. Hanson (Offline

After that I learned of PPS and was one of the first to join the original "Polio Task Force".
Expert:  Dr. Hanson replied 6 years ago.

Hello, Bunny. You said: "I don't mean to be overly friendly but I feel such relief about my physical problems since we met here. What a COINCIDENCE this is!!"

It's an honor that you consider me your friend. I'm beginning to see your point about "coincidences". I believe there was a higher power that led you to this JA web site. I chose your question because I knew I could answer it. I don't trust anybody else with your health questions. I guess that's my selfishness. I want to be sure you receive accurate information to help you resolve your special health problems.

I have a feeling you will find resolution so you can enjoy your life to the fullest rather than feeling the pain of DD and other physical problems which, I might add, you have braved courageously for many years. You have overcome your physical disabilities with a bravado that is inspiring. Now it's time we find appropriate help to relieve your pain besides taking dulling drugs.

Please continue to update me.

Dr. HCool

Customer: replied 6 years ago.
Good Morning Dr H :=)

Once more, my letter got pulled away. You can tell by the short message I sent as an apology. If you received the short message! If you know that I consider you a dear friend than my original letter might have gone through after all. I hope! I hope!

I had a whole bad day yesterday. That happens every so often. I feel like someone punched me right in the belly. No pain, just a nauseous feeling in my throat.

The young cousins, who run the Inn, are taking their 5 week winter vacation and taking their 1 1//2 & 3 1/2yr old boys with them. I suggested we take them to the restaurant right down the hill from us. We did it often. The Mom said it would be impossible since the young one changed into a monster. Sooooo, I suggested we pick up pizzas and salad and come there. I ended up staying behind, sleeping. We love all of them and we're close friends even though there is such a numerical age difference.

When her Grandma died, she left a 2 bedroom condo in West Palm Beach. We had our bedroom, porch, kitchen set, etc., sent there when we sold our condo. We can't go to Florida because of Molly. I'd rather have her & Gene loves his
work here.

Thankyou for making me feel better about seeing the new doctor. When I mentioned the golf course
I mentioned it because there are so many jokes about doctors on the golf course. I know about doctor/patient confidentially. I worked for doctors as does my daughter and husband. We're in a small town and everyone asks about friends or relatives who are in the hospital and I'veI never heard anyone tell what's happening.

Then again, I have been shown around, among doctors because of my rare conditions. I also have Lichen Planus in my system. It first appeared in my mouth. When that cleared it covered my body. When that cleared up it left one fingernail with a problem. Recently I feel it is working its way to other nails. That's why Auerbach did an auto-immune test in November.

Enough until I can report on my exam today.

My best to you,
Bunny
Expert:  Dr. Hanson replied 6 years ago.

Hello, Bunny. I look forward to hearing about your experience today with the endocrinologist. As for your systemic lichen planus, it sounds like Auerbach was a good doctor. I would have had you take an immunological exam as well. It's good to know your auto-immune test in November was negative for auto-immunity.

Way back when I was a medical student, lichen planus was one of my favorite dermatological diseases to study and treat. The Greek for lichen planus means "flat tree moss" because it looks somewhat similar to lichen moss that grows on trees.

In medical school I was taught the four Ps of lichen planus which are "purple, polygonal, pruritic, papules". Rather than purple, however, in real practice most of my patients with lichen planus have had brownish pink and white-colored lesions.

graphic

Fifty to sixty year old females are usually affected. CD4+ and CD8+ T cells are found in lichen planus skin lesions. Flagyl 500 mg twice daily for 1 to 2 months clears the majority of cases.

Replacement of amalgam or gold with composite dental material is beneficial in many cases of oral lichen planus.

Fluonex, Lidex, Lidex-E, Lonide, or Lyderm are adhesive topical oral steroid gels that can help resolve oral lichen planus. Orabase (over-the-counter oral gel for canker sores) applied 4 to 6 times a day is also helpful. Ask your dentist for an Rx for Peridex or PerioGard mouthwash.

Agents Inducing Lichen Planus and Lichenoid Reactions

Common inducers
Gold salts
blockers
Antimalarials
Thiazide diuretics
Furosemide
Spironolactone
Penicillamine
Less common
ACE inhibitors
Calcium channel blockers
Sulfonylurea
Nonsteroidal anti-inflammatory drugs
Ketoconazole
Tetracycline
Phenothiazine
Sulfasalazine
Carbamazepine
Lithium
Antituberculosis
Iodides
Radiocontrast media
Methyldopa (Aldoclor)
Heavy metals
Inducers of lichen planus by contact
Color film developers
Dental restorative materials
Musk ambrette
Nickle
Gold
Inducers of photodistributed lichenoid eruption
5-Fluorouracil (Efudex)
Carbamazepine (Tegretol)
Chlorpromazine (Compazine, Thorazine)
Diazoxide (Proglycem)
Ethambutol
Pyritinol
Quinine
Quinidine (Quinaglute)
Tetracycline
Thiazide
Furosemide (Lasix)
Inducers of oral lichen planus and lichenoid eruption
Allopurinol (Zyloprim)
ACE inhibitors
Cyanamide
Dental restorative materials
Gold salts
Ketoconazole (Ketoconazole)
Nonsteroidal anti-inflammatory drugs
Penicillamines (Cuprimine)
Sulphonylurea

Write me whenever you are feeling better.

Take care.

Dr. HCool

Customer: replied 6 years ago.
Hi Dr H :=)

How happy I am to be able to answer you. I couldn't open this page since yesterday. Knowing
how anxious you were to hear about my new doctor only made it all the more frustrating.

I think he will be as OK as any doctor in Middletown, NY. Maybe better. His name isXXXXX Gene read the plaques on the wall while I was inside. He worked in a hospital in Israel and was in the Israeli army. He received his medical degree from Stanford U. Gene forgot a bit of the other things he saw. I have a return visit in 2 months unless he has a reason to see me sooner. He's an Orthodox Jew. There are so many different sects like in many other religions. He wore a small scull cap which many gave up for their profession. He's like the doctor I worked for, in Brooklyn. Would you consider that another Coincidence?

As a woman I'll tell you a very private secret. My heart's in my mouth until I know how much of my clothing the doctor, be it male or female, requests me to remove. I know it isn't necessary for 99% of exams.I've walked out on doctors if I felt uncomfortable.As a physician you may consider me a bad patient. I wear what I call my doctor's outfit. I wear a nice thin pair of jeans, that can be pushed up, and a sleeveless blouse. You can be totally checked in that manner. He passed that test.

I never got to ask any of my questions because he had so many of his own. He knew every illness or surgery I had had and every pill I swallow. He told me that my oral Lichen Planus could have been the pre-curser to my oral cancer. He checked for swelling in both ankles, he felt the pulses and he carefully checked the lipomas in both arms and said it was Adiposis Dolorosa. And then, like a bulb lit, he remembered our phone conversation about DD. That doesn't mean he ever saw my condition before. I couldn't read his face.

He would have had his own blood work done by his nurse but I have to get Dr Alam's work done too. I have it done in the hospital so I get up when I can. Food comes afterwards in the cafeteria. Following is his blood test request:
Hemoglobin AIC; 25 aahydroxy Vitamin D; Homocystein; Methamelonic acid.
Not only don't I understand his handwriting but we had it translated in the hospital. I hope this satisfies you. He seems to want to help not just look. That's important.

People who know me can't believe all you are doing for me. I understand your interest but your commitment to my problems is truly unbelievable. Especially when I came home and found everything you sent on Lichen Planus. That
picture was pretty much how well I was covered.
The worst part of it all was that the breakout was when we were spending one of the winters in Florida. The heels of my both hands were the thickest areas. It was so disgusting. I was very
fortunate to have had a good doctor here and another in Florida.

I could go on and on but I want to answer what you're interested in.

As ever,
Bunny
Expert:  Dr. Hanson replied 6 years ago.

Hello, Bunny. You seem very upbeat. I'm glad.

You said: "He's like the doctor I worked for, in Brooklyn. Would you consider that another Coincidence?" You may have been led to your new doctor by a "coincidence" or by a "higher power" or both. If he helps you with your problems then of course that's all that really matters.

Your story about your modesty tells me that you are a dignified and respectable lady. Modesty is an admirable attribute. There is never any reason for you to feel that you shouldn't be modest in front of a doctor, after-all he is first a human and then a doctor. In fact, in some oriental cultures, women are examined by female doctors. In some cultures such as Muslims the women wear clothing over all of their body including their face while the doctor examines them. In general, it is the responsibility of a physician to respect a patient's privacy. For a doctor to disrespect a woman's personal sense of modesty would be similar to invading her personal privacy.

You said: "I never got to ask any of my questions because he had so many of his own". He is sincerely XXXXX XXXXX helping you.

I look forward to reading more.

Take care.

Dr. HCool

Customer: replied 6 years ago.
Good Morning Dr H :=)

I call my interresting occurances a Coincidence but you're right, they are most likely directed by a higher power.

I'm not religous but I'm referred to as a Reformed Jewish woman. I don't attend services or observe rules of Judiasim but I believe I know and understand all of them. My parents only brought me up with the Ten Commandments. Basically, "Do unto others as you would have others do unto you". That was it and I believe our world would be in a great place if everyone felt that way.

In public school I became best friends with twins whose parents sent them to Sunday school at the Temple that was right on my corner. I was so happy to learn about being Jewish from them. Living in Brooklyn was a wonderful place for growing up. All religions lived together in friendship. Because some of my friends went to church, it was natural to want to know what happened inside of these glorious buildings. They took me with then and one day I was elated to go into St. Patrick's Cathedrel on 5th Avenue in NYC. Please don't get me wrong, because I feel I had great parents. They did what they knew about and were always happy with family and friends.

My dad worked in the Broadway theatres and for TV when it was in its infancy. When he was hired for CBS, the FBI came around to check him out.   When he worked for the XXXXX XXXXX TV shows they had guest movie stars on the shows. My dad had the only room on the first floor, with the only bathroom. He kept it sparkling. It was referred to as the "Green Room". Yes,it was green. Dad's one wall was neatly covered with necessary electrical supplies. There was always a pot of coffee percking. All the movie stars were hidden in his room. (What's my line & I've got a secret) He went to work with a white shirt and tie and worked that way. He was color blind so he
had the colored lights marked by friends so he would make no mistakes. The TV shows took over unusused theatres. He began work on the Ed Sullivan show, 60yrs ago, when Gene & I were married. Now the David Letterman show comes from that theatre. I think the other shows were before your time.

Getting back to a "greater power, I saw to it that my children at least got Sunday school and our son, and grandson, learned Hebrew and had a Bar Mitzvah. They have a good background and we can only pray they use their knowledge for good.
I know my both children have good hearts. According to all of our Orthodox friends, having a good heart is the next best thing to being religous.

Terry,my son, puts out a monthly newsletter called
"StoughtonChamberofCommerceNewsletter". If you want to see what he does in his spare time then look in on >www.StoughtonMa.com<;. His whole family is involved in this. My grandson is a senior in HS and works for Ikea to help pay for college. My grandaughter helps after school for children with learning problems. I'm thankful.

While I was writing you,I had "The View" on.     It was run by Meredith Viera for 9yrs. She now does the 6PM news on CBS or NBC. Gene watches ABC. Her husband, Richard Cohen, a writer, had colon csncer and now suffers wirh MS. He was a guest on the show so I stopped to watch. He
wrote a book about 5 people who suffer with varied chronic illnesses. His new book is called, "Strong at the broken places". I think he said the title came from somethin written by Ernest Hemmingway. I doubt that I will read it but it would have been great to be in it. I wouldn't feel compelled to write my own book.
Just a joke!
As ever,
Bunny
Expert:  Dr. Hanson replied 6 years ago.

Hello, Bunny. Always a pleasure to hear from you.

You said: "Do unto others as you would have others do unto you. . . . our world would be in a great place if everyone felt that way." I will say a great big "Amen" to that. You said: "I'm thankful". These are words I say frequently: Thank You, XXXXX XXXXX life is blessed.

I am not a religious person but I believe in a higher being who is always in control of our lives and like a benevolent father he allows us to believe that we are the ones in control. Someday, when I retire, I would like to experience visiting Temples and Cathedrals around the world such as Temple Emanu-El and St. Patrick's Cathedral in NY, Canterbury Cathedral and St. Paul's Cathedral in England, Saint Peter's Basilica in Rome, and St. Basil's Cathedral and the Cathedral of Christ the Savior in Moscow, among others. I love grand architecture. When I was a medical student I was fascinated by the 1920's architecture of the original main building of the University of Southern California Medical Center. It's possible that I may have imagined myself as the intense neurosurgeon Dr. Ben Casey (60's TV show).

I enjoyed reading about your father. You said: "My dad worked in the Broadway theatres and for TV when it was in its infancy. When he was hired for CBS, the FBI came around to check him out." I have read about the McCarthy era and the Hollywood Ten and how devastating it was to be blacklisted. What a pity for that to have happened in America.

When you mentioned his bathroom was referred to as the "Green Room" it reminded me of a very generous man called Henny Youngman who invited myself and my young family to join him for dinner after viewing the Merv Griffin show in Hollywood. Because my son was only 4 he couldn't sit in the audience so we had to wait in "the green room" with the BeeGees and Jim Henson of the Muppits while Henny joined Merv on-stage. Well, to make a long story short we had to leave because my 4 year old son became tired and cranky and wanted to go to McDonald's.

When I was young, I took many jobs at a variety of health care facilities in order to get a feel for a specialty to devote my career. One job I quickly found out that I was not meant to spend the rest of my career in was as the medical director for several private hospitals which were owned by a wealthy family of Hasidic Jews by the name of Weiss. They were a generous family and the father was especially kind. The younger males in the family wore the traditional long dark curls on the sides of their faces (peyos) and the typical long-tailed black jackets. I can remember them as being handsomely-garbed orthodox Jewish gentlemen. Several of their nursing homes and hospitals were in the Fairfax District where it was common to see a group of young Hasidic Jewish men walking together. Please excuse my digression but I can't help thinking about food right now for some reason. My mind is drifting toward Canter's Deli. Oh what I would give for a nice fat corned beef on rye with mustard, fresh coleslaw, a pickle, and a piece of cheesecake. In my younger days I would think nothing of getting in my car and driving to Canter's on a wim. There's a Canter's in the Treasure Island Hotel in Vegas and a Carnegie Deli in the Mirage. Enjoy: http://biggestmenu.com/rdr/NV/Las-Vegas/Canter's-Deli-Tresaure-Island-1594415/Famous-Pastrami-Combo-1-43525

You said: "I think he said the title came from somethin written by Ernest Hemmingway". Could this be another "coincidence" (or whatever)? Remember, I mentioned that I used to love reading F. Scott Fitzgerald and Hemmingway---all of their works. Their genre was my favorite next to medical and science textbooks. One of my favorite lines from one of my favorite novels is the one by Lt. Henry at the end of Hemingway's A Farewell to Arms: "The world breaks everyone and afterward many are strong in the broken places. But those that will not break it kills. It kills the very good and the very gentle and the very brave impartially. If you are none of these you can be sure it will kill you too but there will be no special hurry".---

"Every patient has a story. A patient is not a disease" (quote Dr. Jerome Groopman).

You said: "I wouldn't feel compelled to write my own book. Just a joke!" Seriously, Bunny, the messages that you've written to me are treasures. You've got so many wonderful stories to tell. Why not start that book?

Bye for now. Take care.

Dr. H

Customer: replied 6 years ago.
Dear Dr H :=(

I was writing about the aquaducts built by the Romans and the phone rang. I turned back and my letter was gone again. Oh well. Walking to see the aquaducts was when I flopped a couple of times. I would always come back up with a rock or
something that looked interesting. Who fell??

Another funny thing happened on my way home. (The movie is "On the way to the Forum").

The Arabs walk around with arms full of beaded necklaces made from the marble. I had lady friends in different groups so I must have bought 16 necklaces. Every Arab had a different price. I didn't do much bargaining. Between the necklaces and the rocks I picked up (each one had
a memory) the man who checked us to get back on El Al asked, "What do you have in here"? I answered honestly, "Rocks". He quickly zipped my bag back up and took Gene's bag next.

My back says "Go the way the letter went".
Are you sorry yet?
Be well,
Bunny
Customer: replied 6 years ago.
ear Dr H :=)

I am concerned that you're well because you never allowed this much time to go by without a word. Even Gene sends his Best Wishes. He loved how well you quoted Hemingway. Please just let me know you are well.

Gene reads 3 books at a time. Both children are the same. Debbie has such a varied library because she's very selective and buys a lot from e-bay. She can't get over the quality books that people sell. She was an English Major but took a year each of Geology, Archeology, Paleantology, 9yrs of Spanish and studied all religions. Her school would only tell me her IQ was over 160. My sister's son is the same. She lost her married son when he was 40. They never found what he died from. There had to be an autopsy because his wife found him when she returned from work. My sister, G_d bless her took care to see that she moved to North Carolina, with her sister, and has enough to buy a home and take care of herself.

Just don't know how to keep my cool when my mail, to you, flys into orbit.
I haven't heard from you since you sent me all the information about Lichen Planus. We had a lovely cherry tree, like in DC, in our Brooklyn tiny, tiny front yard. The side facing North, toward the Empire State Bldg., began to grow lichen on it. I would stand in the garden and clean the lichen off with q-tips and alcohol. It totally cleared up. People came from blocks around to look at this magnificant tree. A Chinese family bought my house and chopped it down. It was their tree at the time. Maybe because it was a Japanese cherry. I hope that wasn't the reason.

Your letter was very sweet about your 4yr old son. I believe the children have to be about 12 to sit in the audience. I think "The Merry Mailman"
show once invited children into the audience and I have the sweetest picture of Debbie, at 4yrs old, leaning on the back of the seat in front of her to watch. My Dad worked for that show at the time. It's difficult to expect a 4yr old to sit quietly for so long. Mervin wasn't in my Dad's theatre. He would have given your son all kinds of stuff to play with. Dinner at Henny Youngman's house would have been so nice. Gene's favorite Henny Youngman joke is, "Take my wife. Please"! I admired the genius of Jim Henson. You have some very interesting stories of your own. Don't we all if we take the time to listen?

By the way. When I wrote about my father's green room I sort of diverted and ended up in the bathroom. The green room was a big room that had the only facilities on the first floor. My father was extremely neat and clean so it was a perfect place to entertain the stars. The train by our home took me right up to my father's theatre and I would drop in some afternoons. My parents socialiazed with many of the stagehands my father worked with so I was always welcome. I wasn't in the way because the shows didn't go on until the evenings. When he worked for the Broadway shows they had a matinee performance on Wednesday and Saturday. That was how I met, and shook hands with Gene Kelly. His wife understudied in "The Glass Menagerie" and he would come to see her on Saturday. He was in the Navy and was dressed the same as in several of his movies. At 15, I was madly in love with him! Especially in "Anchors Away" and "On The Town". Even though I'm full of paralyzed muscles, I love to watch the gymnasts, ice skaters and dancers. I have the "Nutcracker Ballet" video for Debbie & me. I paid $84 a ticket to take Gene to see "Cirque du Soleil" when we spent a couple of days in Las Vegas on a 6 week trip we took across America in 2002.

I was a fairly good artist and I sketched Gene Kelly's picture from a movie magazine. When I met him, he signed it, with a compliment, and his trademark four leaf clover. It's saved in a plastic cover. When we lived in LA I got his address because he was a customer of the business I was bookkeeper at. (That's another funny story). I made Gene drive me to his house a couple of times. One night his daughter saw us from an upstairs window. She had a friend with her and they both waved. I never had the nerve to go back again. That's the nutty part of me and the reason I married Gene. Sometimes he really questions it.

You wrote about so many places in LA that I was familiar with. We lived in what was referred to as "The Carthay Circle Theatre Area".    I could walk to Olympic Boulevard, where you stayed right after you moved there and I moved back to Brooklyn in 1951.


I walked to Fairfax Blvd. or Wilshire to get the bus to Ohrbachs Dept. Store. I worked there when it first opened. I was called a "Flier". That meant that I could handle any job on the floor. I was only 18 and had no friends until I got the job there. At least half of the workers were from somewhere else and as lonesome as I was. I made my best friend there. Nancy Kibrick. Her husband, Lenny, was one of the "Our Gang Comedy Kids". Until recently, he was the only one still living. I spoke with him some 10yrs ago when we were visiting Gene's family. Gene's 2 brothers live there with their children & grandchildren. Twin cousins, just 3yrs older than my Debbie, (Debbie & David, named for my father-in-law) . Their families were all into the medical field. Debbies husband was an OB-GYN. David was a Radiologist. The older brother, Phil Magaram, became a CPA & a lawyer. When John Paul Getty died, Phil represented his daughter in any financial dealings she had. His wife, Marilyn, was a Nutritionist. When she died he donated a wing to UCLA in her name. We all donated. It was to study "Nutrition". He's very wealthy and a great person. A sister, Judy, married into the leather business. I keep in touch with all of Gene's family. We have the mutual family connection that went back to Brooklyn. Because of the computer we can see each other in pictures too.

I wrote a letter about our trip to Israel and how much I enjoyed visiting the Christian and Moslem sites. The Arabs or Palistinians were all around. They ran all the small shops in the old city that Israel won back in the 6 day war. Everything seemed so peaceful then. Although there was a call-up of troops while we were touring. We were 40 people on the bus of varied religions. On our first day in Tel Aviv an Israeli building was blown up in Lebanon. Right up the river from where we were. Many were killed. I called Debbie to explain that it had nothing to do with us and to please try to explain this to my mother. My dad had passed at that point. Our tour guide/bus driver had Friday night dinner with us and was extremely upset. He should be an example of all Jewish people in Israel. His best friend was a neighbor he grew up with who just happened to be Palistinain. Coming back from seeing how they farm the land and the water, our guide stopped at a Palastinian boys school. His childhood friend was the principle. The boys served us tea and we learned a little more. They study Arabic, Hebrew and English. The entire school was well behaved. Not like most of ours, unfortunately. I take no sides since I was there because I saw them both.

I wrote you a short note, hoping you would receive my letter that flew off to Mars. I was writing about our trip to Israel and how you would have appreciated the architecture there. Like the Carsarea Aquaduct. Just
some of the marvelous work done by the Romans. Gene, with his clowning around, went down to the Roman Amphitheatre and recited Shakespear for our group. We were all friends by now. It was called a 9 day instant Israel trip. We spent a day on a kibbutz. It was so peaceful! Later we learned about how the kibbutz was bombed. Have we still got time to turn our world around?

My very best thoughts and wishes to you.
As ever,
Bunny
Expert:  Dr. Hanson replied 6 years ago.

Hello, my dear friend, Bunny. I am well, thank God. I hope you and Gene are well. I am sincerely XXXXX XXXXX your concern. I'm sorry I have been negligent in answering you recently. I had intended to write to you sooner but I like to spend more time with my replies to you than I was able to recently. I am an unusually healthy individual --- not to worry. Thank God. If I don't answer your letter it is because I am overwhelmed by work or by my parents whom I love dearly. I will always return your messages. But please be patient with me. I work from 7 AM until 3 PM but I sneak out earlier occasionally to work on my course lectures. Traffic is unbelievably slow. I have a laptop which I use even while sitting in my car on the freeway but I prefer to relax in the evenings while I answer your messages. Your messages are a pleasurable diversion for me.

Let me explain. In October my mother had a stroke. Now, 3 months later, she's a pistol! She's always been extremely independent and now she is difficult to control. These past few days I was staying with her since I had a long weekend (Martin Luther King Jr holiday weekend). I decided not to take my work with me to mom's so that I could concentrate on her and my dad. I thank God for every minute I have with them. Like I told you previously, I thank God a lot.

Now that I know my mother is doing better I can rest a little bit easier. I shouldn't have shared this information, because, after-all "I" am the doctor and I am here to help "you" and not to burden you with my private problems. But for some reason you bring out everything. I hope you will forgive me.

As always, I loved reading your letter. Tell Gene I am fine.

You seem attracted to men with the name of "Gene" (haha). Gene Kelly was a wonderful actor and dancer. I can imagine how funny that must have been watching Gene recite Shakespeare in the Colosseum. Such a strange juxtaposition --- ancient Roman colosseum and a modern recitation of Shakespeare.

I read every word you wrote. You have a wealth of memories to share. I am fortunate to have found the only gem on the list, remember. I knew you were special.

I still chuckle to myself when I imagine the scenario of you boarding the plane with the "rocks". That was a funny story.

You spoke of Sir Paul Getty's daughter. I have spent many hours touring the Getty Center with my grandchildren. I love to go there on a warm summer day when I have the entire day off from work just to wander around at my leisure admiring all of the objet d'art and then we enjoy a relaxing meal in their out-door cafe where the service is excellent. It's a lovely way to spend a day.

I am familiar with the Carthay area of the Wilshire District. As I said previously I love architecture. The Los Angeles Conservancy has appropriately designated the Carthay area as a historic preservation zone. Here's a link to some "recent" photos of homes in South Carthay. They're preserving the architectural style. The homes are lovely vintage 1930's. http://www.preservation.lacity.org/hpoz/la/south-carthay

Well, I must go now. I'll write more tomorrow. Please stay well ----both you and Gene.

Dr. HCool

Customer: replied 6 years ago.
My dear Dr H :=)

I'm sorry that I didn't answer right away but I've had a flare-up on my whole right side. My shoulder, arm and side. I am now taking the Darvon & Aspirin at least twice a day to get off of the Dilaudid. I did well for a while but the severe pain has me taking more Dilaudid. I haven't gone for the blood tests that I know you want to know about. Gene's been scheduled for work in the pharmacy because they've been so busy. The first thing we did on one of Gene's days off was take Molly in for her first professional bath and haircut. I took great care of our 4 dogs until now. Molly is my first dog who sheds and I thought her fur might be the cause of my swollen eyelids and the tearing. My eyes tire almost the minute I open the computer. I had my yearly checkup about a week before they began swelling. If this continues I'll have to be re-checked.   

How wonderful it was to hear all the great news from you. I didn't know that your mother had a stroke. I'm sort of happy to hear it now that she has recovered well. I hope you feel you can write what's on your mind if it is something good or bad that you wish to say. First you are a Human and then you're a Doctor. I meant to acknowledge the fact that your mother doesn't use a dishwasher or like washing dishes. Very smart woman! Gene used to do all his mothers dishes but only took over in my kitchen when I made a gathering. Not like your father whose up there in years and still chips in. May you have them around, and healthy, for as long as possible.

I've had a dishwasher since we redid our kitchen in Brooklyn. It took me a while to get used to it. I make a game of everything I do so why should dishwashing be different? I always stack and rinse them so washing is very easy. They all get washed before going into the dishwasher anyway. My wheelchair has a lift to make cooking and dishwashing easy.

What do you think of the diet meals like Nutrisystem? The meals that are delivered to the home. I've seriously been considering joining because 1200 calories is all I should be eating. When I don't feel well I don't have to worry about my meals.

I still miss Brooklyn! Especially the water. New York water is the best in the world! I loved socializing with neighbors. It was almost impossible in LA and worse up here.

We lived in our Brooklyn house from 1956 to 1993. We bought a similar brick, 2 family home to the one my parents bought in 1941. One day my mother took a walk, with one of her sisters, from our apartment house on E 18th St. We had moved from Avenue C, to a better neighborhood, up the alphabet to Avenue Q, or Quentin Road. There was a sign on the corner of E 16th St that told about the plans to build 30 attached homes on that street. The land was originally the old Long Island Railroad siding. the houses would be built all the way to Avenue R.   There were only blueprints at the time but my aunt was smart enough to know that this was a good deal, in as much as owning the entire home would cost my parents less than their 1 bedroom apartment cost. Well, Mom bought a house. Thank G_d my father came home from work and he quietley listened and learned enough about the deal to be very happy. He used the same train to get to work but he never saw the sign. We all moved in one year later.

Avenue Z was the end of the line before "Sheepshead Bay". Now a "Historic Area". Many years before my time, the area was famous for the "Sheepshead Bay Racetrack". When the track was closed, the trainers, groomers, walkers, etc., bought surrounding property and built lovely homes there. That's why I once referred to the area as a healthy mix of families.

My sister also bought a home on E 16th St. Between Avenues X and Y. She was fortunate to find a house on the opposite side of the street to the trains. Eventually, she also kept the entire house for her family. I made a Dining Room out of the smaller of the two upstairs bedrooms and the children had the lower apartment, with a full bath. We had no basements. Similar to the way homes are built in LA and FL. Gene made the downstairs kitchen into his office.

In 1951 we moved to Brooklyn, from LA. We moved into my parents lower apartment. It had been occupied by a Podiatrists family. They bought a house on the same block. That happened to many of the homes because they were a great first buy home. We bought our own house in 1956. We moved back down the alphabet to Avenues O & P.   People didn't pay much attention to old maps at the time. They were mostly written in Dutch which made them difficult to understand. Of course, I eventually developed an interest in such things. In fact I took a forestry course to help check all the trees in Midwood for replacement. (An Avenue seperated the neighborhood of Sheepshead Bay from Midwood). It was learned that you shouldn't plant all the same type of trees together because if one gets diseased they can all catch it. We lost all of our magnificant Maples that were planted in areas where they didn't have enough ground around them to collect the water they required. Sort of like in medicine. Eh!

Debbie, and then Terry, bought homes in the Greenbook Estates, in Stoughton, MA, along with most of the Celtics basketball team. My son sold his condo and remained in Stoughton.   Debbie sold and moved closer to Boston. She had hopes of meeting someone with the intention of a future marriage. She moved to an apartment in "Brookline", MA. "Midwoudt", or Midwood meant the "Middle of the Woods". From the entire country, our two neighborhoods were selected as having the most trees in urban areas.

I was busy watching TV on Martin Luther King Jr weekend when you were with your parents. I felt that this years observance was different. Maybe it's because the first black man is running for President. He really excites the public when he speaks. I donated to Martin Luther King's Museum last year. It will be a permanent rememberance for all those Americans coming along to know why we celebrate this man's birthday. CNN just announced the endorsement of Obamer by Carolyne and Ted Kennedy. Wow!
My both children expect to vote for him too. My grandson reminded me that he will be elibable to vote for the first time. I think the expression, "Only in America" comes from such times.

Thankyou soooo much for the Carthay Circle information. Unfortunately I haven't spent enough time on the web-site. We lived on La Jolla right behind the Ralph's parking lot. We were in a 4 family buiding with a garden in the middle of our house and the next one. It was so beautiful. The rest of the area was single family homes. I learned to drive in that parking lot. I could see across Pico Boulevard, from my upstairs apartment into the window of a TV store. TV was a baby. I know the area is all built up for a long time.

My computer is portable but I always use it on the stand. If I could take it into bed I could spend some time in my old neighborhood. I wouldn't consider driving on any of the thruways and certainly not with a laptop. I realize the traffic can be so bad that you just sit. Maybe I'm a good driver because I drive where it's careful.

As ever,
Bunny
Expert:  Dr. Hanson replied 6 years ago.

Hello, sweet Bunny. I'm sorry you are having pain. Sometimes I have a childish wish that I had a magic wand that I could wave over people and then magically all of their pain and suffering would disappear. I went into the field of medicine to relieve pain and suffering. The task of medicine is to preserve and restore health and to relieve suffering.

You need to relieve your pain but not dull your senses so that you can experience quality of life. I assume the pain on your right side is due to your DD (increased adipose cells press upon nerves which causes pain). It is the obligation of a physician to provide rapid and effective pain relief. I know that you are a strong stoic lady who hides her pain but now you have Dr. Krakauer who's job is to relieve your suffering. Please utilize his expertise by telephoning his office and speaking with him regarding your excrutiating pain due to your DD. I believe he will help you. A primary responsibility of all physicians is to minimize the physical and emotional discomfort of our patients.

The fearful anticipation of unrelieved pain can increase the intensity of a person's pain. On the other hand, taking analgesic drugs around the clock "before" the onset of the pain called "preemptive analgesia" allows a patient to have better control of their pain. Taking pain medication at regularly scheduled times throughout the day such as upon arising in the morning and before going to bed can prevent the onset of unbearable and difficult (if not impossible) to manage pain. Chronic pain patients who are treated preemptively are usually more mobile and less depressed so they are more likely to spend less time isolated and bed-ridden and eventually they take LESS pain medication. Patients treated preemptively usually don't became tolerant of their pain medication. Tolerance is when a person's body adapts to a drug so that the initial dose becomes less effective over time and the person may need higher doses of the medication to achieve the same level of pain relief. Tolerance is usually a normal response to taking pain medication for prolonged periods of time to relieve pain and it is not a sign of addiction.

You have a "real" physiological cause of your pain which is due to the pressure of your growths of adipose tissue pressing upon afferent nerves in your body. Therefore, addiction to pain relief is not your problem---obviously your problem is the growths which cause you to have pain. Any physician who is knowledgeable about pain management can see you are not an addict. Addiction is a disease. If a person is addicted to a drug, they'll use the drug despite serious or harmful consequences to their body, relationships, career, or other aspects of their life. I treat cancer patients with opioids. I have been a physician for more than 30 years and I have never had a chronic pain patient beg me for pain medication because they're addicted to pain medication.

Like I told you previously, pain relief that improves your quality of life is a reasonable criteria for continuing Darvon.

You said: "swollen eyelids and tearing eyes. . . tire almost the minute I open the computer. . " Ask your ophthalmologist if Lyrica is the cause of your eye problems. In controlled studies, a higher proportion of patients treated with Lyrica reported blurred vision than did patients treated with placebo, which resolved in a majority of cases with continued dosing. Less than 1% of patients discontinued Lyrica treatment due to vision-related events (primarily blurred vision). http://www.pfizer.com/files/products/uspi_lyrica.pdf

You said: "First you are a Human and then you're a Doctor". Hmm. . . . . sounds familiar. Touche.

You mentioned that your two neighborhoods were selected as having the most trees in urban areas. I am an advocate for trees. In fact, despite my family protesting and telling me that tree roots damage underground pipes and crack the sidewalks, I continue to plant trees whenever I can Laughing That reminds me of the story of Johnny Appleseed. Trees cleanse and filter the air we breathe. They are most important in urban settings. Over the years I've planted many trees. I planted a tiny olive tree in front of our house which is now quite expansive and has to be professionally "shaped" every couple of years. When I purchased it, it was supposed to be a "fruitless" olive tree; however, my precious olive tree temporarily grew olives for a couple of years. They would drop from the tree and stain the sidewalk and boy were they a mess. I planted a tiny Mexican palm tree which was a gift given to me many years ago. I planted it on the street side of the sidewalk in front of our home. Now its so tall that its fronds have to be trimmed by the city using special ladder trucks. Years ago, I found a baby Gingko Biloba tree in a local nursery while I was spending one of my lazy days' off from work just meandering aimlessly around nurseries observing the various fauna. In those days, this was a relaxing way for me to spend the day. I planted the baby Gingko Biloba tree in our yard but a couple of years later our gardener dug it up for some reason. It had beautiful green leaves that were shaped like fans. I miss that tree. It was special. Ginkgo Biloba trees are difficult to find. They are the oldest tree and they can be seen fossilized in rocks. I also planted an avocado tree which provides us with occasional avocados. I planted an apple tree from a seed from a very delicious apple (can't remember the name of the apple). I was given a bunch of the apples by one of my patients. They were so good that I decided to plant some of their seeds. One of the trees grew a few feet tall and it gave birth to a single yummy apple on it. Then a few months later our gardener dug it up and that was the last I saw of my precious apple tree. I was about to fire the gardener but somebody must have convinced me it was not his fault. He and I don't see eye to eye about what is considered a precious living treasure I guess. I am reminded of my vanilla bean vine that I special-ordered from a catalogue and I planted it. Then when I was feeling tired I would just sit on our glider by the pool and stare at that vanilla bean vine. I was actually resting my brain. It's kind of spooky for the children to see me just sit and stare (haha). Anyway, that gardener eventually over-watered my vanilla vine and then he dug it up and disposed of it. Now that I think about it I should have fired him.

You said: "My grandson reminded me that he will be eligible to vote for the first time. I think the expression, "Only in America" comes from such times". Yes. Aren't we blessed to live in the USA? When I hear the news about the war and carnage in the middle East and elsewhere, I say Thank You, XXXXX XXXXX we are here living in the USA.

In regards XXXXX XXXXX for president, I am undecided. I can remember the first time I voted it was in the 1968 election after Robert Kennedy's assassination. I remember seeing Robert Kennedy at the Ambassador. I liked Robert Kennedy although I was not a fan of John Kennedy. I was not a hippie. I was not anti-war nor was I pro-war and I was not pro-drugs and not pro free love. In fact, now that I think about it I was more of an independent conservative in those days. I can remember that night that Robert Kennedy was shot. It was surrealistic. We were all praying he would pull through. I was a student at USC in the 60's. It was a frenetic time in our country's history.

During the 50's when I was about 9 years old, I met Richard Nixon. I attended a dinner with my class from school at the "La Cantina Restaurant" on Olvera Street in Downtown Los Angeles. Mr. Nixon (this was before he became President Nixon) was sitting quietly with his family in the balcony of the La Cantina Restaurant. I realized who he was but nobody else acknowledged that he was sitting there. I can remember that he and his wife looked very attractive and approachable. I was only about 9 years old at the time. I took my yellow La Cantina Menu in hand and I walked by myself up the stairs and I said hello and introduced myself to him and then I said "Mr. Nixon, may I please have your autograph?" He was very kind. He spoke with me for awhile and I can remember that he introduced me to his wife and his 2 daughters that were my age. I can remember the other students were whispering and making motions for me to sit down and be quiet and not to embarrass them. But now I have "Mr. Nixon's" precious autograph in a glass frame. I got the feeling from "Mr. Nixon" that he was a nice man. I do not regret voting for him. He was the first president I ever voted for.

Well, Bunny, I have to admit that I am exhausted and I am going to bed.

Take care.

Dr. HCool

Customer: replied 6 years ago.
Dear Friend,

I'm sorry you were so upset about my pain. I don't remember what I wrote because todays freezing downfall was really bad and didn't help my condition. I spoke with my sister-in-law, in Chatsworth, and she was telling me about all the crazy weather you've been having also. Al Gore told us all about it! I will be truthful with you about medical problems because I know that's what you would want. Medical training was supposed to have helped you to accept patients problems differently. I must repeat, "You're only human"! Anyway, I am feeling much better. Maybe it was your sincere concern that helped me, or your "Magic Wand". Whichever it was it worked very well.

I finally took the blood tests, from both doctors, but you gave me no way for them to send you copies of the results. What should I do for you?   when Alam saw the results, she gave Gene a prescription for Folic Acid but said to speak to Dr. Krakauer before filling it. She even gave Gene the name of a woman pain doctor if I wanted one. She's trying to help. I'm not in the kind of severe pain that I can't deal with, at the present time.   Resting usually helps more than pills. The sharp pains in my toes and the pads of my feet are helped with soaking them and using the skin cream rubbing them but how long can you play with your toes? Babies pass a lot of time that way and seem happy. I think I would be very bored very quickly.

I'm not sure that the Lyrica is really helping the situation and it could be hurting my body. Hmm! If I plan on going anywhere than I'll take Dilaudid so I can be my usual upbeat self. Among my other medications, I have Valium 10mgs to relieve muscle spasms in my spine. Since you never had a baby than you wouldn't understand that my back spasms are similar to my labor pains. Sometimes back problems cause "Restless Legs".   With Dr. Alba's permission, I have taken as much as 40mg over a period of about 2 hours. Restless legs feels like hitting your funny bone. The sensation is so awfully wierd and not the least bit funny. My Dad really suffered with the problem. If we went to the movies than he would walk around behind all of the seats. Now the theatres don't have those areas available. When I lived at home with them and we would go out to visit one of his brothers or sisters, he would just walk around the room most of the evening.

My doctors know how careful I am with my drugs. The only problem is that different physicians are suddenly in charge and don't understand what my body tolerates and this has caused a lot of trouble at times.

When the biopsy was done in my left arm, in the hospital that had been careing for me for my possible MG they kept patients in the hospital 3 days to make the money. Believe me the biopsy could have been done as an out patient. In the morning of the surgery, the nurse was supposed to give me Valium to relax me before going into the OR. To this date I'm certain she did what was expected of her. They just didn't know that Valium was my regular medication at times. I went into the OR totally awake. I played with a small child on a gurney that was going in the opposite direction. The hall was as jammed as your freeways. The child was calmed down by me, a stranger playing with her. The one wheeling my gurney should have realized that I wasn't a quiet patient. He dropped me off and the totally covered doctors surrounded the table and began to get to chat to know each other. They discovered that my doctor had the "Orange" car outside. He disliked the fact that it was even small for him and his wife. This began a whole discussion about the car. I politely said, "Excuse me please but are you working on my arm"? All discussion came to a halt and I noted a big white man behind my head. He asked, "Weren't you given a sedative this morning"? I truthfully answered that I had no idea what I had been given. He asked the doctors in the room whether he should give
me something now. I continued that I was fine. I couldn't feel anything in my arm so it was agreed to just go ahead. Of course, the discussion was not interesting anymore. Soon, my doctor, who by now had introduced himself, asked if I wanted to see what they found. It looked just like chicken fat. A small yellowish clump. The biopsy was to check for cancer. When they completed I was taken back to my room to recover. It's amazing how they treat such situations today. When I tried to tell Gene about what had gone on I wanted to tell him about the car that was fitted for skiis. I insisted it was a lemon or orange car. One I had never heard of. Gene figured it out to be a "Citroen". The results were only fat and some muscle peculuraties that they would like to re-check when I recovered from the condition. This was all before Post-Polio. I have the biopsy slide along with Gene Kelly's picture, in the room in my house that is like the "Fibber McGee Closet". It would be a lovely room if it could be reached.

I truly enjoyed your letter because it seemed to bring back some memories that might have been forgotten by you and me. I know Gingko Biloba trees very well. They were planted as street trees by us. I remember bringing the fan leaves home to show Gene. We didn't have any on our street so I had to introduce them to him. Strange as it may seem, the trees in our "Central Park" are being counted right now.

A lot of Italian families must have migrated to America in my years because I remember that they would wrap their trees up in burlap so that they could live through the winter here. I know that they were some kind of fruit tree or maybe "Olive" trees. I've grown many avacado plants from the pits. When they got leggy I began new ones. They require California's climate. We planted 4 blue spruce trees around our property here soon after we moved in.   They're absolutely beautiful. Debbie planted every type of fruit tree that would grow. She wanted a fruit salad. Most of them did poorly. We have a few apple trees that grow a good amount of apples but they're all pock marked and not interesting to eat. We knock them off for the deer. Cousin Stu has lovely old fruit trees. We eat and cook his apples. The Black Walnut trees, surrounding the Inn, cause more dirt than your olive trees. Besides, they could knock you out when they fall. We've been buying "Black Walnut Jam" for the breakfasts. We have an abundant amount of deers here because we are all at the edge of Gifford Pinchot's state forest. I looked up at the deer this year and thought I saw a herd of horses. Molly just ignores them.

Thankyou for the website about Lyrica. I take 150mg before going to sleep. My feet have been nearly contollable for a while. I don't know if it's because I began taking at least 8 Ecotrin during the day. It's all experimental yet. My right shoulder seems like the pain is easing off. Very slowly. Do you remember when I went to the Orthopedist for my left shoulder? He saw nothing in the MRI but he asked if he should inject it in case it would help. In about 2 months the pain was almost completely gone. I don't believe the injection did the trick. I now feel pretty certain that it was mostly the DD.   I know it since my right shoulder is acting in the same manner. Only this time, it flared all around the shoulder and down my right side and back. It all feels like it's slowly getting better. Ironically, there was a full moon when it began. Gene saw it, not me. My daughter goes nuts when I mention such things as full moons bothering me.

Meeting President Nixon was really something at your age. How did you know what a great man he was going to be one day? My eyes still get teary when I watch him stand on the plane steps and wave goodbye. What President hasn't had something to hide? We're all only human!

Maybe you can help with this one. Gene received his Discover card statement and can't understand the billing for "Just Answer".   There are charges for :12/28, 12/30, 12/31, 12/31, 12/31, 1/5, 1/14, 1/14, 1/17 AT $15 each. Before receiving this statement, I wrote to them on two seperate occasions that I had difficulties when I wrote to you. If I clicked on the "Answer" button than nothing happened. They never acknowledged my letters. So I was left nowhere. Yet, it seems they charged me even though the button wasn't pressed or acknowledged. You also mentioned that you were having difficulty writing. Has yours been cleared up?

Thru 1/5 the charges came from: JUST ANSWER LLC San Francisco.
From 1/14 it said:JA "JUST ANSWER EXPERTS(NNN) NNN-NNNNCA. I called 3 seperate times and always got a machine and then a hang-up.
You know I donate to the same organizations as you do so it isn't the charge I'm complaining about. It certainly isn't the fact that your time and expertise hasn't been worth it. It's the way the business is run. How do I get thru to them? Since begining this letter, my charge card company has wondered why I haven't paid my bill. They gave me a number they have for Just Answer. That number works as poorly as the one on my statement

Another long letter.
Take care,
Bunny
Expert:  Dr. Hanson replied 6 years ago.

Hello, sweet Bunny. I was beginning to think that you were disgusted by my boring conservatism which is why I thought you hadn't written in a few days.

We've been having rain here for a few days and then cool dry days and then more rain. I love the rain. I love walking in the rain. I am imagining Gene Kelly holding an umbrella and dancing in the rain. I don't like driving in the rain. I've been stuck driving in floods where I've actually lost control of my car and just had to close my eyes and say a prayer that my car would veer into the curb rather than into the tail-end of the car in front of me. But that doesn't hold a candle to your having to drive on the ice. Whew! I couldn't do that everyday.

You said: "I finally took the blood tests, from both doctors, but you gave me no way for them to send you copies of the results. What should I do for you?"

Oh, goody. Now this is my favorite part---putting the pieces of the medical puzzle together and looking at the final picture. I am a born diagnostician. When the other doctors have difficult cases they always ask Dr. Hanson. It's true.

Telephone your doctors' offices and ask them for photocopies of your progress notes, doctors' orders, and diagnostic tests. The charge is usually about 25 cents per page. Because of the Health Insurance Portability and Accountability Act (HIPAA) you can't send your medical records to me over the Internet so what customers do is to copy their medical records and then white-out or black-out all of the identifiers such as addresses, names, phone numbers, social security number, medical record numbers, etc on each page and then scan them into the computer. Then click on the "tree" icon on JustAnswer which will upload the file to the JustAnswer site so I can read the scanned pages. I can't wait! Wow! This is exciting.

Speaking of putting puzzles together, one day I happenend to find a site on the Internet that had the art treasures from the Getty Center made into jigsaw pieces. It's a fun web site if you like jigsaw puzzles. The Getty puzzles are challenging because you work against a timer. http://www.getty.edu/gettygames/jigsaw/hard/

You said: "Resting usually helps more than pills". How true. Sleep can cure a multitude of medical problems. People want a quick fix so when I suggest that they get more sleep they usually never return to my office. Oh well.

You said: "I played with a small child on a gurney that was going in the opposite direction" (I can see you doing that). . . You said: "I politely said, 'Excuse me please but are you working on my arm?" Yes, Bunny, this does happen occasionally where a patient isn't premedicated. Another thing that is becoming a problem (however, it is rare, thank goodness) is that some surgeons are so strapped for time that they perform like assembly lines and rarely they have been known to operate on the wrong body part or forget to count instruments or whatever". Not so good. I think I mentioned that surgery was not my forte. So, I advise you to mark your body parts and write your name somewhere on your body "before" going to surgery. Sounds like I'm joking but I'm being honest with you.

You said: "My doctors know how careful I am with my drugs. The only problem is that different physicians are suddenly in charge and don't understand what my body tolerates and this has caused a lot of trouble at times". I will give you a piece of advice. You know that saying about too many cooks spoil the broth? Well, sometimes that can pertain to doctors as well. Too many specialists and pretty soon your poor primary care physician will feel like he's losing control. He'll believe your problems are being treated satisfactorily by your many specialists. Stick with Dr. Alba and Dr. Krakauer. They will help you.

You said: "My daughter goes nuts when I mention such things as full moons bothering me". And your daughter calls herself a "Trekky"? For shame! Haha It's true that the moon affects people. It has to do with the human body being approximately 2/3 water so that the electromagnetic forces that tie the body's electrons to the cores of their atoms works in conjunction with the law of gravity (Sir Isaac Newton) but on a much smaller scale of course. You know it's time for me to go to bed when I talk about Star Trek in the same paragraph with Sir Isaac Newton.

You asked me: "How did you know what a great man he (referring to "Mr. Nixon") was going to be one day?" Let me explain. I have a feeling whenever I meet someone that it is for a good reason. I believe that people are brought together by and for the purpose of a higher power. That might sound outlandish but it's really quite simple. I believe that our lives are meant to be shared by like-minded individuals and that we are all basically good. There are moments which we share with one another because we are meant to share them in order to work for the good of the "whole". Does that make any sense? If I had a time machine there are several men in history I wish I could meet, one such was Will Rogers. His earthy statements were ingenious e.g. he said "I never met a man I didn't like" and "Buy land. They ain't making any more of the stuff". Sounds like winning ideas to me.

Seriously, I am glad to hear you're feeling better.

You said: "Maybe you can help with this one". I'll certainly try. I want to get the financial situation cleared-up. Plod along with my thought process. You should have been billed for 6 Accepts at $15.00 a piece. Scroll down from the top along the right-hand side of this page and when you come to an "Accept" then jot down the date that is printed on the opposite side of the page underneath where it says "Answer". This number should correspond with the number of "Accepts" written on the same line as your ID: "Customer" (Online) -- , Accepts/ Questions.

Plus you also sent me 3 "Bonuses" for which my accountant and I are very grateful (12/30/07 9:27 AM; 12/31/07 9:35 AM; and the last bonus on 1/14/08 7:16 PM). All of the funds have been deposited in a PayPal account in my name --- Dr. Hanson, MD, PhD. The funds are dispersed to various worthy causes some of which I mentioned to you previously.

Dates Accepted:

  • December 27, 2007 7:51 p.m.
  • December 28, 2007 2:05 p.m.
  • December 28, 2007 8:13 p.m.
  • December 30, 2007 4:29 p.m.
  • December 31, 2007 2:42 p.m.
  • December 31, 2007 8:07 p.m.

Dates you gave A Bonus:

  • 12/30/07 9:27 AM
  • 12/31/07 9:35 AM
  • 1/14/08 7:16 PM

You said: "You also mentioned that you were having difficulty writing. Has yours been cleared up?" Yes, my problem of receving the "Access denied" message seems to have been fixed.

You said: "How do I get thru to them?" I could send a message to them, Bunny, but I think your bill is correct. If you would like me to return your money just let me know and I'll let the administration know. I want you to be happy.

Well, I must go to bed. My brain is running on over-time right now and I have to wake- up early tomorrow. I have to teach a class of wide-eyed and bushy-tailed young upstart interns and residents in the morning.

Take care.

Dr. HCool

Customer: replied 6 years ago.
Dear Dr H   :=(

I'm terribly sorry to have allowed so much time to go by when I knew you were worried because you thought I was upset with you. You have no idea how much you've been helping me by just being there for me to kibbitz with. You have done so much to help me, as a physician, how could I be upset with anything you may feel differently with me about? I'm sure there's a lot I write that must oppose your way of thinking. I'll tell you if I'm upset.

When I wrote you about the charges it was because Gene had the bill and I really didn't understand why I never received answers to my questions to "Just Answer". I haven't seen the statement yet! I also haven't been able to contact anyone but you yet. It is enough to make us curius as to what the company is doing. The charge company spoke with me before we even received the statement. I asked what was going on when I couldn't get an answer from my e-mails. I cannot reach them by phone either. They asked what I thought the billing should be and I said that I recalled them acknowledging 3 payments and I added $20 to it for all you wrote.
They said they would give me credit for $60. I did not ask for it.

You haven't heard from me because I have been feeling pretty rotten. My right side began to ease off and suddenly stopped and went into reverse. Tonight I'm just on the verge of crying from pain. Then I watch the Tornado victims and I'm grateful.

My blood work was done on the 27th. I was very careful when I explained that both RX's were to be combined and faxed to both doctors. Alam called me within 2 days and gave Gene a prescription for folic acid but not without checking with Krakauer first. Until today, I called his office 4 times and they hadn't received the fax. Gene called the hospital and insisted they send it right out. Within a half hour, both offices called me back. He wants me on Vitamin D 1000 2 times a day and agreed with her folic acid.

I ordered the Nutrisystem diet for women over 50. I said I have a high cholestorel and don't like food too salty or sweet. The food that Gene gets from the hospital is very delicous but is NOT healthy. I never complain of hunger so I hope this works out. If I don't like it I'm only obligated to the first order. My daughter found she prefers to take a little extra time to count calories and buy the Lean Cuisine. The only problem she has is that she likes good ice cream too much. I enjoy a plain cookie and it's on the diet.

I'm only taking 1 Lyrica before bedtime. I take 6 Ecotrin daily. My Synthroid is still 150. I'm on no cholestorel medication but take 2-Omega 3 in the am and 2 more before bedtime. I'm still taking about 4 Dilaudid a day. On bad days I take no more than 2 extra. I soak my feet in Epsom salts after dinner. I also take a One a day vitamin, broken in half, taken twice a day, Vitamin C 2000 and 1 Vitamin B-Complex. I drink a glass of V8 flavors (no sugar), that equals one fruit and one vegetable daily. I drink a glass of milk a day (skim). The rest is water. I hope you agree with these changes.

We're having a very powerful thunderstorm now so I will go to bed and hope to sleep. The barometric pressure is very low and I've found that these days are bad ones.

Please don't think I'm upset with you because I think we've been communicating long enough to know you won't upset me.

Please take care and don't think I will think wrongly of you.
As ever,
Bunny
Customer: replied 6 years ago.
My lovely letter was knocked off once more. If I don't answer ACCEPT than they give me a very hard time. I am not upset with you! Please get back to me and try to find out where I can reach them.
Fondly,
Bunny
Expert:  Dr. Hanson replied 6 years ago.

Hello, Bunny. I just now sent a letter to an administrator at JustAnswer to see if she can help.

I'm sorry you're not feeling up to par. You said you are feeling bad. This sounds like perhaps it is just a normal response to environmental stressors such as the weather.

As for your diet, Bunny, the Nutri System diet is an excellent diet which I approve of. Let me know how you are doing on it and what the meals taste like, etc.

Of course, the ideal is for everybody to eat "FRESH" vegetables, fruit, and meat and seafood daily. Fresh seafood has high levels of iodine in it which is necessary for the thyroid gland which is the body's thermostat. As you know your thyroid gland regulates your metabolism Iodine from fresh seafood can help some people replace their thyroid medication.

Food should be fresh. This may sound odd, but I believe that food should be respected. I pray silently over my food before I eat it so that I will receive all of the blessings from the food. Eating should be a pleasurable experience. Take a few minutes everyday to eat a fresh piece of fruit or a fresh vegetable. Savor its goodness and think about all of the wonderful nutrients and energy-rich calories it is providing for you. Calories are good unless they are "dead" calories from overly-processed foods. Did you know that smooth ice cream contains alginates made from sea kelp which is high in iodine?

All food is made-up of various chemical elements which produce energy (calories) unless they have been overly-processed (cooked and dried and ground into flour, or preserved with sodium nitrite, etc ). Overly-processed foods remove the active bio-chemicals so that the food could be considered to be "dead" calories. No matter how many "dead" calories you consume in a day, you won't have energy because the nutrients and enzymes have been destroyed by cooking.

Fat, protein, and carbohydrates are necessary forms of calories to provide your body with energy so that you can enjoy your life. When a person excludes an adequate number of balanced fat, protein, and carbohydrate calories from their diet everyday then eventually their body will have difficulty maintaining homeostasis (wellness) and the person will complain of feeling tired all the time or they will have other symptoms of dis-ease. When a person eats only processed foods then pretty soon their energy becomes depleted because they don't have active bio-available nutrients and enzymes. You'd be surprised at the number of people that find that they have more energy and stamina if they change their diet so they are eating more fresh foods. It's simple to add fresh vegetables, fresh fruit, and seafoods (which are high in Omega-3 Fatty Acids) to one's diet. Pretty soon those processed foods that are designed to be deceptively appealing won't look as appetizing as fresh food.

You seem to have all the bases covered in your diet. I know it isn't easy to get to the grocery store frequently to buy fresh food, so from your list of supplements I can see you've covered all of the nutritional bases in your diet e.g. you're taking "Omega 3, a One a day vitamin, Vitamin C 2000, Vitamin B-Complex, and V8 that equals one fruit and one vegetable daily. Vitamin B Complex is very important. I'm not in favor of adults drinking too much milk because milk and milk products are the cause of a lot of people's cholesteral problems especially in the U.S. In general Americans eat way too many milk products which is why we have more obesity, cardiac problems, and tumors in the U.S. than in other countries.

Here is a link to a web site with diet information that I give to my patients: http://www.mypyramid.gov/

Read the information on the MyPyramid site and before you think you know all about it and don't need it, I'd like you to take some time to follow the instructions on the site. It's fun. I've filled-in your personal physical information: 77 years old, female, weight 187 lbs, 5 feet 6 inches, and 60 minutes of exercise per day. Just download the following pdf onto Gene's printer and print it out and then write your name in the lower right hand corner. It is your personal diet for Blossom ("Bunny") Schneider based on the information you provided: http://www.mypyramid.gov/downloads/results/results_2400_18.pdf

I look forward to hearing from you.

Dr. HCool

Customer: replied 6 years ago.
Hi Dr H :=(

I can't smile when I feel so rotten. Still haven't seen the sun and it's continually wet outside. I see Dr Alam tomorrow so I'll keep you posted.

I wrote a lovely letter to you on the 6th and it never appeared anywhere. I clicked the "Reply" button and sat watching TV for an extra 1/2hr just waiting for something to move on the computer that would tell me the letter was going to you. I closed the cover down and went to sleep. The next day I just found an empty box where my letter had been.

A favor!!! You once wrote to me about patients who weren't medicated properly. This must have happened when Auerbach left the practice to Alam.
He is still in the hospital. I feel like I'm going crazy because Gene is coming down on me when I complained that I am not being prescribed the same Dilauded as Auerbach was doing. He doesn't want to make waves in the pharmacy dept. He can't seem to understand that my pain has increased tremendously this past month and I don't sleep anymore. My entire right side blew up with swollen fat, full of lipomas. I'm in bed most of the time and doze on and off during 24hrs. I still don't believe that I made a mistake stopping my anti-depressents because I'm not depressed. I'm in pain! It isn't only the DD. When the weather changes I can suddenly feel very cold even though the temperature in the room is 75 degrees. I had to beg him to get me a heavy blanket to warm my body up. My body means my toes to my waist.

The diet will work well with me because I haven't found the food to be too bad. When you read the ingredients it's easy to understand why they're so much healthier than regular breakfast cakes and cookies. I just hope that this onne is as good as the "Jenny Craig" that's getting so much ad time. I do eat fresh veggies and fruits with it. I'm still not totally on it because we have so much to use up in the house that is also healthy.

Would you please write about too little pain meds when their needed.

Your friend,
Bunny
Expert:  Dr. Hanson replied 6 years ago.

Hello, Bunny. I am really sorry that you are feeling so rotten. Your pain is increased exponentially in relation to the increasingly cold weather. The cold weather causes your body to produce more lipomas and/or enlarge the lipomas you already have. Basically, fat cells are your body's way of storing heat.

Invest in a good electric blanket and turn it to a comfortable level. Then lay in bed until your circulation is warmed-up and you are feeling more energetic and more like your usual self. Place a coffee maker with a timer next to your bed so that you can wake-up in the cold weather and have a nice fresh steaming hot cup of coffee to stimulate your metabolism. Turn the heater up from 75 degrees to a more comfortable level for you. I have the opposite problem in our home. Somebody always turns the heater up and then I wind up opening a window. What a waste of heat.

Your pain is real. Your pain is caused by the pressure of your lipomas on sensory nerves. Darvon 65 contains Aspirin, Caffeine, and Darvon (propoxyphene) 65 mg. The combination of aspirin and Darvon produces a greater analgesic effect than that produced by aspirin alone or by higher doses of opiates. The usual dose is 1 capsule every 4 hours for mild to moderate pain. The usual dose of Dilaudid is 2 to 4 mg every 4 to 6 hours as needed. Titrate Dilaudid to allow for at least 3 to 4 hours of pain relief. Some doctors recommend a supplemental dose of 5 to 15% of the patient's total daily usage every two hours on an as needed basis. Personally, I would only prescribe that much Dilaudid for a cancer patient with intractable pain. The side effects of Dilaudid can include respiratory depression and apnea. To a lesser degree, circulatory depression, respiratory arrest, shock, and cardiac arrest have occurred. It's not a drug to take lightly. I suggest you talk to Alam about taking it around-the-clock instead of as needed so that you will avoid the inevitable pain from your DD. Preemptive analgesia is when an analgesic regimen is initiated before the onset of the noxious painful stimulus to prevent central sensitization and limit the subsequent pain experience.

Well, I am feeling as though I have been through WWII today. I need some rest. I taught a class this morning and then came home and prepared a lecture for tomorrow which I had better go over so those interns and residents don't make me look like the damned fool that I really am.

Please take care of yourself and tell Gene I said hello. I look forward to hearing from you.

Dr. H

Customer: replied 6 years ago.
Dear Dr H

I just opened the cover of my computer to recheck, shorten and complete my letter to you. I didn't shut down or do anything that would show the letter was complete. I just stopped to make dinner for Gene.

I never pushed any button. Now I will press the "Reply" button.

Does this occur with other clients or just those
like me who write too much?

I was writing in the "Copy/Paste" method so this wouldn't happen again. I had no patience for that today and got hit once more. I have no idea of what I even wrote.

If and when my letter does get posted I'll know if I acknowleded your important notes to me.

I'm going back to "copy & paste".

Thankyou for being there for me.
Bunny        :=)
Customer: replied 6 years ago.
Dear Dr H

Looking at the postings today, 2/24 at 3:28pm, I see that the short note, written last night, 2/23 10:30pm, was just posted. When I complete a letter to you I click the "Reply" if it's not another question. Last nights letter wasn't another question. The "Reply" button ignored me as usual. I did a second laundry and returned to find my letter still sitting there. It wasn't my computer because I visited two other sites and had no difficulties. I hit the button once more and nothing happened.

Today, I'm here, without my glasses, my lower lip is pulling worse than ever(where it was cut to remove the cancer) and when I opened the comp. cover, the letter was still there. I clicked once more and my letter was posted "now".

I must lay down so I will try to send this note and I make every effort to answer your past few letters when I can see better.

As ever,
Bunny    :=(
Expert:  Dr. Hanson replied 6 years ago.

Hello, my dear sweet Bunny. I hope you are feeling well. Don't feel alone having computer problems. We're having frequent power outages here. I think we have a mouse in our attic who may be the culprit. I am typing in the dark. Thank God for wireless computers!

I was feeling tired a couple of nights ago so I went to bed early and I turned on the TV before falling asleep. I turned on a channel that usually shows mostly documentaries and such. There was an award program presenting Billy Crystal with the Kennedy Center Mark Twain award for humor which he actually won in October 2007. Of all the comics in the world, I find that Billy Crystal is the most entertaining of them all in my opinion he's a comedic genius. I had the honor of meeting Billy at one of the hospitals I was working at many years ago. Billy is a lovely person. He was filming a movie with Henry Winkler and Alan King. For some reason while I was watching Billy on the TV a couple of nights ago, I was reminded of you. I guess because you and I have been sharing our life's interesting moments.

This evening I attended an Academy Awards party at a friend's home. Our dear friend has an academy award party every year. We played poker and watched the awards on the big screen. I mainly played poker and ate lots of hors d'oeuvres. Bunny, I don't know why but I get hungry when I write to you. I am thinking about huge jumbo shrimps right now (LOL). This year I enjoyed watching the academy awards. I thought it was quite good. I used to attend the academy awards, believe it or not, many years ago when it was held at the XXXXX XXXXXdler Pavilion which is on Grande down the street from my office which was on Broadway at that time.

I'm not a big movie fan but for some reason I have met many celebrities. One thing about real celebrities, they are the nicest people.

Well, I have to go. Talk to you later.

Please take care of yourself and tell Gene I said hello and be well.

Dr. HCool

 

Customer: replied 6 years ago.
Hooray!! Dr. H we finally got the mail out.

I won't have time to go back and answer many of your interesting posts because I have a second Endocrinologist to go to 11am. That's like the middle of the night for me. I awake in so much pain that plenty of time has to be allowed to get dressed.

Dr. Alam and I are getting along OK. She kept to her promise of prescribing like Auerbach was doing. I understand he still works at the hospital. She was very insistant that I see a lady "Pain" doctor who she had great results from with other patients and I should at least give her a try. Even the morphine isn't keeping the pain away.

We had at least 6 more inches of snow in two days. The young fellow who plows our driveway actually figured to do two quick clean ups in our driveway in the two days. Everything else is cleaned up just about immediately. When we lived in Brooklyn you just had to give up using a car after the snowfalls. When the snow plows came down the street they were just concerned to get the streets clear for driving on. If your car was parked than it got plowed in, depending on the way the plow was directed.
I used to love shovelling. I find it so hard to believe doing it for fun one time.

We use Propane gas for our fireplace, cooking and my laundry. The truck driver backs the gas truck into our driveway and then has to drag the huge hose to the other end of the house where the two tanks are. Gene has to shovel an area for him to cross through from the driveway. He also has to clean an area for Molly to walk herself to. We have her on a looong lead. From the house to our huge crab apple tree. When the trees bloom it is absolutely beautiful. It's a shame that I can't add a picture for you. Looking forward to spring is what keeps me going. One long month to go unless Al Gore will bring on the warmth a bit earlier.

I haven't begun the new Nutriststem diet yet because I decided to try the foods and see what I get along with. Sofar, they haven't been too bad. I just have to watch out for the spicy stuff because of my mouth.
Gene eats a big meal at the hospital so he agreed to eat some of my packaged stuff at night when I eat. We put off the start-up date to 3/31. If I stay on what they call "Automated" then the food is 10% less. I was mostly concerned that I would have to accept the same orders as my first. After 3 consecutive orders the price goes down 15%. I hope the weight goes down too.

I never showed Gene how you suggested getting my paperwork to you. It really seemed too confusing to me. He'll be busy Wednesday, Thursday & Friday because the pharmacy is getting a special order of meds that's being subsidized by the government. Gene is the only one who is being trusted to do the right thing with it. I just hate to see him promise to do all of these jobs because he just turned 80 and we put his knee surgery off from the March date he just made to an April date. I can't be left alone while it's still so cold and Molly needs her walks. Debbie will walk her one good walk a day and the rest will be on her rope. There is no way of knowing how long he will be disabled. Molly was so good when Gene went to Arizona for 3 days in November. She never bothered me to put her out on her rope like she does every day with Gene. She wakes him every single night between 11pm and 1am. She cries so patheticlly that I'm glad he gives in to her. I always worry that she really may have a problem. She just wants her cookie reward when she comes back in. There have been times when she just went and sat on the deck. She understood why she didn't get her cookie. It's sad because she gets no time outside since the fall turned to winter. Prior to that she was running loose on our little piece
of the world. She understood she could run anywhere "around Molly's house". We stopped using the electric collar because she seemed so trustworthy. A couple of times she did run across the line and probably got zapped because she wouldn't come back. Gene went after her, with a leash, and held her right on the line with the electric shocking her all the time. I knew because I heard her crying. I'm crying now just writing you about it. Is that supposed to teach her? Sure!!!!!!! She didn't do it again until the snow covered the wire. She doesn't understand that the snow is why she's being kept on a rope now! When the snow is gone I'll just have to work with her again. I'll buy dozens more white flags to put in the ground, just before the wire, to warn her of the wire again. One other instance came up here in the house where he grabbed her by the collar and twisted it to tighten it on her neck. To this day, I can't believe he would use such treatment because he seems to sincerely XXXXX XXXXX Is this supposed to be a manly thing? If he pulls one more stunt with her we will never make our 60th anniversary in June. That's a promise.

I told you this would be a quicky because I must get ready to leave. Talk to you soon.

As ever,
Bunny
Expert:  Dr. Hanson replied 6 years ago.

Hello, Bunny. I hope all is well. I look forward to hearing about your second endocrinologist.

I like to look at snow in pictures but I don't do well in real snow. Temperatures below 50 make my teeth chatter. I have a lot to be thankful for especially not having to use propane gas.

It's better for Molly to get a light "zap" from her collar than for her to run off and get hit by a car or whatever. Your property is so expansive that it is out of the question for you to put up a real fence. Has Gene ever tried to zap himself with the collar to see how it feels for Molly? I believe in doing unto others (including animals) as we would have them do unto us. I have a friend who believes in karma and reincarnation and won't even kill a bug because of the threat of dying and coming back as a bug or the bug coming back as a person. I don't know much about reincarnation and karma except that I don't want to tempt it lest it is true.

My goodness, 60 years of marriage! That's wonderful. I have only been married 38 years. I am content with the same old comfortable mate. God knows that I am too lazy to try to find another one.

Well, speaking of lazy, I am feeling a bit tired so I am going to bed early tonight.

Give Molly a belly-rub and a big hug from Dr. HCool

Customer: replied 6 years ago.
Hi Dr H

Today was a glorious day that reached into the 50's. There I was, in bed, and miserable. I'm going to order a decompression tank of my own. That seems to be the only way to avoid going through the weather changes the way I do.

We went out to dinner to celebrate Debbie's 55th birthday yesterday. It was so frozen that we all had to put kleets onto our shoes rather than have broken necks. The restaurant looks like nothing but the food is excellent. Gene told me, as we were leaving, that Dr Auerbach and his Mrs were eating there too. I had my back to them.   We were joined by the young cousins who run the Inn and their two little boys. They fooled us and put the bill on the Inn's charge card. When we got home, I closed myself into the bathroom with the electric heater and a few magazines I wanted to get rid of. I soaked my feet but they still looked greyish. It's scary. I was miserable all night with burning pain across the base of my toes. With 100 cable stations there was nothing to watch to take my mind off of my feet. The new doc said he will concentrate on that problem on my next visit. Sofar, you're the only one who had a successful suggestion to relieve the pain. Even if it's only temporary, it's a blessing. I feel certain that I told you my body was just about depleted of "Vitamin D". I don''t understand how that could have been overlooked. Alam insisted that I return to an anti-depressent, Effexor. I was on it before but I can't understand that it will make such a chemical change in my brain to help with the pain. Presently, I'm taking more vitamins than medicines. Who knows?

I have to bring my recent MRI's to Krakauer so he can look for the fatty lipomas.
Do you really think anyone will figure what makes these grow? I look so healthy even when I feel my worst. A smile can fool everyone.

I've been trying to re-do my telephone book and it's so sad when I keep pulling pages out. Not just names, but pages. These loving people are gone. Today, I enjoyed a phone call from my sister from Florida. Cousins on my father's side of the family get together once a month.   Today was this months day at my sister's. They all said "Hello" to me. I loved these get to gethers while we were still living there.   We sat around noshing on fruits and veggies, some crackers and cheeses, etc., until it was time to go to a selected restaurant for lunch.

My father's youngest brother was living there and joined us too. He's only gone two years now. His two sons still live in Manhattan and flew there on a moments notice.   Uncle Sid was the drummer for "Shep Fields and his Rippling Rhythm Orchestra". He was top drummer in the times of the "Big Bands". He was called to sit in for almost all of the top groups when their famous drummers couldn't make it. He was a special person. They all visited with us, here in Milford, a few summers ago. One of my cousins has a second home a little beyond me in PA. I guess my being sick gives me more time to keep up with all of our families. Besides, I know many of Gene's cousins since we were kids in Brooklyn. I thank the purchase of our cell phone for my contact with friends and family. We bought it when we sold Florida and made a 6 week cross country tour 6yrs ago. We gave up the long calls on our home phone and use the cell for all of them. It works out very well.

You're right about Molly getting zapped by the wire rather than being hit by a car. We spent $1600 to wire all around our property and Debbie's too.   There are so many more homeowners up here now so it creates a great deal more traffic. I'm envious of the new lovely homes. We had a condo that stopped us from building a nicer home here. Our roof is being redone as soon as the snow is off of it. Then the company will attack the woodwork my wheelchair destroyed all over the house. We haven't had a chance to replace our stove or dishwasher. Then all of the floors and the living and dining room windows will be taken care of. It's hard to believe we own this house since 1985. We haven't lived here all that time so things were seriously neglected.

I've got to go and soak my feet and read a magazine or two. I hope to be able to write more that interests you.

As ever,
Bunny     :=)
Expert:  Dr. Hanson replied 6 years ago.

Hello, Sweet Bunny. It's always a pleasure for me to read your messages. Despite your pain you always manage to see the humor in life --- "order a decompression tank." Wasn't it XXXXX XXXXX who was alleged to sleep in a decompression tank? When I was an intern at Long Beach Naval Hospital in the 70's we treated patients who had osteomyelitis and chronic nonhealing wounds with hyperbaric oxygen therapy. I swear some of the patients entered the tank with grey hair and when their treatments had finished they had dark hair. It's true.

I recommend you follow Alam's advice and take the Effexor. Low doses of Effexor are effective for relieving peripheral neuropathic pain. I found an article about analgesics written by Jennifer Schneider (possibly a relative?) in the Journal of Musculoskeletal Medicine 23: 145-153, 2006 http://www.jenniferschneider.com/articles/Opioids_muscskel.html

You said: "trying to re-do my telephone book and it's so sad when I keep pulling pages out". I agree. It's sad to find an old address book tucked-away in a dresser or a desk drawer and then to see the names of the people we have lost. When I watched the Academy Awards this year, I was saddened when they mentioned the artists who passed away last year. Ben Chapman who played The Creature From The Black Lagoon passed away. That was the first movie I ever saw (1954). I can even remember my aunt and my mother in a heated conversation discussing whether it was appropriate for me to see the movie. I was 7 and I can remember having nightmares for several years after seeing it. Another movie I remember was Prince Valiant. I walked to the local cinema by myself. After the movie I remember dreaming I was Prince Valiant.

Well, enough nostalgia for now. My eyes are getting tired.

Bye for now.

Dr. HCool

Customer: replied 6 years ago.
Good day Dr H :=)

It really is lovely out. The sunshine is glareing on the melting snow. I had a lovely letter begun to you but lost everything I was working on. I have a horrid habit of working on too many things at once. I leave too many things open at the bottom of the screen. Then I get this overwhelming need to sleep. When I hear of amnesiacs I'm so jealous. My head hits the pillow and I'm out! The computer probably got as tired as me because it "Shut Down", losing everything. I'm no better today so I will get to the point I was aiming at yesterday.

QUESTION: Dr. Alam wants me to take the famous "Celebrex". She believed it would help with some of my pain. I told her, as I did you, that I added 8 Ecotrin back into my daily meds. They may not be as strong as Celebrex but I did it to get my blood back to what it was used to. I was on the Ecotrin and Darvon treatment for over 30 years. In the very beginning of our (Yours & my) friendship, you sent me to a web-site that mentioned "aspirin" in it. It set my head spinning about what I had been doing. Here I am complaining of poor circulation in my legs. When everyone was currently being told to take one aspirin a day for circulation I was not even doing that much. I know that I have recently been saying and doing a lot of mixed up things but I believe you can understand how mixed up I am about my health. I trust what you suggest to me. I feel very strongly that you are sincere and very patient with my twisted problems. I also have faith in Dick Bruno but sometimes I feel that he's more interested in finding my complaints to be a result of the Polio. He's a great friend to me and I believe him to be a good person.

Anyhow, what do you think of my taking 1 celebrex (200mg)daily, along with all the other junk I'm already taking?

As ever,
Bunny
Expert:  Dr. Hanson replied 6 years ago.

Hello, Bunny. What is Alam's risk-benefit rationale for substituting Celebrex for your 30 year regimen of Ecotrin and Darvon? I recommend you ask her what she believes the benefit is for you taking Celebrex for the pain of Dercum's Dz. The pain of Dercums is due to pressure on nerves from lipomatous growths and not due to inflammation such as in arthritis.

In general, Celebrex can be used with Ecotrin (aspirin) however it may increase GI ulceration; therefore, I recommend you either take Ecotrin or Celebrex but not both. Celebrex (celecoxib) is used for short-term pain control. Use the lowest effective dose for the shortest duration. For patients who have heart disease or a risk of developing it Celebrex should be used as a last resort.

Do you have colon polyps? Celebrex reduces colon and rectal polyps in patients with familial adenomatous polyposis and Celebrex has been found to reduce the risk of breast cancer.

You said: ". . . .saying and doing a lot of mixed up things but I believe you can understand how mixed up I am about my health". Bunny, you are just like many people who are caught-up in this crazy health care business where we are bound by financial constraints so that the amount of time we are allowed to spend with our patients is limited.

Please tell me all of the medications you are taking and their doses so I can be more helpful.

Dr. H

Customer: replied 6 years ago.
Hi!! I'm back!!!

After we all sort of recovered from the North-East Flu, I'm sitting down to let you know you're not forgotten. Today we got a call from one of Gene's cousins in Oregon. She didn't get her entire voice back yet. My sister in Sunrise, FL, has 1/4 of her voice back and the Califolrnia families are also getting better, one at a time. That covers all 4 corners of our country. Hopefully you're OK. You hadn't mentioned the flu when you last wrote about a week ago.

We not only got through the flu but we had a new roof nailed on while we were all stuck in the house. Molly was terribly upset by all the comotion. This job was done by the second group of workers (a father and 3 sons) that were recommended by the smaller lumber, hardware, garden supply,etc., store that we stuck to when Home Depot and Lowes moved in. They redid my bathroom and now we caught the roof (23 Years since we moved in) when we noticed the first very small leak. I haven't even seen the roof yet because we are still surrounded by ice and snow. I love the bathroom job that the first recommended men did. We survived through three full days of hammering over our heads. It affected Molly more than us because she's so scared of thunder and this sort of sounded similar to her.

When Gene is home, like now when he was sick, I try not to keep the TV on so he can read. I kept busy on my computer. We bought a new fridge last year and one side has already been totally abused by my wheelchair. This past year I did a great deal more damage with the wheelchair. Now we MUST replace our stove and dishwasher. Sears was the only store that had what I wanted. Gene couldn't understand how I could spend more than 2 days trying to find the best quality item for a decent price. I'd like to see him try what I was doing. I've been tireing very easily so I'm barely out of bed. For these reasons, I was unable to answer you.

I see Alam tomorrow so I'll have answers to your questions. Please forgive me for not writing sooner. I will try to write again this week.

As ever,
Bunny
Customer: replied 6 years ago.
Dear Dr H   :=)

The flu even got to Dr. Alam and my appointment was put off until Friday. When I did get out I forgot to look at our new roof. I was very disappointmented by Sears because they closed my account out 11/2007. I found it hard to believe after 50 some odd years. They said it would take about 8 days until my new card arrives. Oh well!!! I lost out on that sale but another one will come up soon. With the economy being so bad there are always sales. I learned a lot about dishwashers, anyway.

Alam seemed a bit upset that I told her I felt that the Ecotrin seemed to be making a significant change in the way my feet were reacting to the cold and I preferred not to introduce another medicine at this time. I also told her about your suggestion that I soak my feet and how it also helped me. I think this was the first time I mentioned you. I made her know that I was happy to have remained with her, too. She still seemed very wiped out from the flu so it wasn't easy to tell if I hurt her feelings. I brought the sample cards back to her and she seemed surprised that I hadn't kept them. The Endocrinologist had also given me pills because he thought I was borderline diabetic. He gave me "Januvia" and said to break them in half. First off!!! My sugar was never high before. This time the number was only one over normal. Why introduce a brand new, very expensive medicine before he really got to know more about me? I'm sorry but I forgot to mention this to you. These two newly recommended pills upset me because my doctors are finding new problems rather than helping with what I really have.

I'm sitting with Gene, watching "Dancing with the stars". We both love to watch dancing. We did well together before my left leg began to roll over. Now, you can't imagine how many women love to dance with him. He's really a corny guy.

My fatigue level is still really high even though my feet seem to be allowing me to sleep better. It's about 4 weeks since I began taking 12 aspirin daily. I do take the dilaudid when I first get up and usually once more during the day. On days that I have to take more I notice there is a noticable weather change. It's my legs that ache. My spine stays OK if I don't walk or do too much moving or lifting. I'm a very poor patient when it comes to not doing what I'm told. Dick Bruno knows I still keep too busy.

I have to get all my meds together to tell you what I'm taking. I will also get my B/T results to you.

Fondly,
Bunny
Customer: replied 6 years ago.
Hi Dr H :=)

It's been a while because we had some sleepover company for more than a week and I am easily knocked out by extra work. It was fun though. My fatigue is just getting the better of me. Since I'm back on an anti-depressent medication I seem to require more sleep. The need for so much sleep depresses me. This is about the fifth time I had the same result. I don't know why I let the doctors talk me into them. I have had Valium around for as long as I can remember. It seems to help me more when I feel like I do now. Today, I stayed in bed until 11:30. I fooled around with the oxygen machine and then with a couple of foods from Nutrisystem. I had 1/2 of a chicken & noodle dish and 1/2 cup of split pea soup. Now I have a mug of green tea, with 1/4c soy milk in it and I'm writing you. I feel physically sick. I remember going through spells like this for about 40 years. When I finish this letter I'll lay down for an hour. Yes! I set a timer for 60 minutes or I could sleep the day away. The weather is perfect. The temperature is still in the low 40's and there's no rain in sight. The barometer is where it should be and it's not due to change. That's what depresses me. I can accept bad weather or changes but can't stand feeling like this way when there's no reason for it.

Gene is set for his knee surgery on 4/14. I made him put it off a month so the weather is warmer when I'll be responsible to get Molly out. Debbie says she will walk Molly once a day so she won't suffer for our problems. She's a real sweatheart. Molly, that is.

Gene read your advice to get my blood work to you but he can't figure how it's done without an address to send it to. Please explain it again or accept my typing it to you. Here are the meds I'm taking now:

FOLIC ACID 1MG--SYNTHROID--O.15MG--DIAZEPAM 10MG   AS NEEDED--LYRICA 75MG 1 @ BEDTIME--AMITRIPTYLINE HCL 25MG 1 @ BEDTIME--PREVACID 30MG ONCE DAILY

I've been taking a one a day with minerals, vit C 2000 mg, vit e 400mg, B-complex, she added folic acid and he added vit D. My sugar has been borderline. Hanging around 105. I'm not a sugar or candy eater but I do require carbs and avoid white flour, white potatoes and pasta so I don't know what is causing the problem. My sister is diabetic with low numbers now that she is on 2 meds. There is no diabetese in the family history other than my sister. We all have cholestorel problems. I was checked at Rockefeller University Medical Center once a month for a year. We were driving to our country house weekly, from Brookly, so we drove through NY city and stopped once a month for them to get some blood. They were trying Niacin on me but at the end of a year they concluded that I had a "Genetic" problem. Too much Niacin effected my liver so we gave up on that. Varied medications caused more pain in my legs and never lowered my numbers enough to continue with them. I take 2 Omega 3 capsuls in the morning and 2 more at bedtime. Of course, watching what I eat is most important. My biggest loss is a good "Pastrami on Rye with a kosher pickle".   I haven't started the Nutrisystem diet yet because I had so much food in the fridge that had to be cooked up first. I have about 1 more week before I get serious. It's difficult to tell what this diet is made up of. Supposedly I'm on the senior woman's diet. I've been tasting things here and there and everything is easy to prepare and has been quite palatable. Certainly not gourmet but I like simple foods. These taste like they've been scientifically corrected. If I succeed eating the food for a month than I'll see if some of my clothes begin to fit. My weight is exactly the same for about 8yrs. When the Dercum's
began hurting I found that I couldn't fit into any of my dozen pairs of varied colors of jeans. I had to go to elastic wastelines. We'll see!

The Endocrinologist I'm seeing just doesn't seem to me to be as knowledgable as you said he shoud be. The more I think of how he decided I require diabetic medication on the results of one blood test the more uncomfortable I feel about depending on him to help me. With Gene's surgery and rehabilitation coming up, I will have to wait until his driving leg works again if I plan any trips into NY city. I haven't driven a car in a couple of years now. With the continual changes in my meds I wouldn't get behind the wheel. We're on winding country roads. Sofar, Debbie plans on driving him to the Middletown hospital at 6am for the surgery. This past week she just cooked up a storm for St. Patrick's day and Easter and the visiting company. I was a good cook but she's not only good but she's fast. She cooks healthier than I do because she doesn't scrape the vegetables like I do. She's right about the nutrients being in the part I throw away. One is never too old to learn.

Debbie's still having problems with her new employer. The Medical Transcription department is no longer in the hospital. It's a computer company. She's typing mostly for doctors in Georgia, and some from here. Besides all of the different demands they have with their new typing style, she has a problem understanding their speech. After working for the hospital for 20 years she knew just what the doctors where trying to say. I just remind her that she's lucky to have a job.
What settles her down is the fact that she works on her own computer, on "Second Life". The new company supplied all the equipment needed to work for them. She has a second computer downstairs and two more upstairs. When she tires of working,(she gets paid by the line) she turns to the other computer and goes back into her "Star Trek real estate" business. She held a Star Trek event, with food and a DJ. About 50 people showed up from all over the real world. It proves that there are other crazies besides my daughter. She even set up a real estate office to sell the houses she built on her islands. Now she ordered a new laptop for me so she can play on it when she's over here. She's so involved in "Second Life", the virtual reality world. My computer isn't fast enough to play there. Yes, I did say "Play" there. She set up the loveliest under water area for scuba diving. It's so relaxing to float amongst the tropical fish, odd shells and all other pretty things in southern waters. Everything she sets up is a free tour. You just click "OK" and sit back. She has another nice ride. It's in a hot air baloon. She now owns 3 1/2 islands. You can go to the "Star trek Museum" and find someone there all hours of the day because it covers the earth. She has many friends for months now but they're not physical. I know that I mentioned the fact that it upsets me that all of her wonderful talents were wasted. Our house is in her name ever since we had the apartment in Florida. Now that I'm being forced to replace the kitchen appliances I don't look to save money but buy what would be better for Debbie. She's 55 and we already
talked about her moving into this house and either selling or renting her 2 floor log home with a garage under it, after we're not around. More than half of our friends are gone and the other half is working towards 100. I intend to hang in as long as possible.

I waited to tell you this until now. I haven't had to soak my feet for more than 2 weeks now. It was the aspirin after all!! I find it hard to believe that I didn't think of it in all the past years since the cancer surgery.

Mentioning the cancer I realize I never mentioned the continual problem I'm having with my lip where the surgery was done. I wrote you that 8 teeth were replaced but that didn't do much to improve my lip. After 7yrs now the entire area is in trouble. I require the corrective surgery you got involved in with "Doctors Without Borders". Since the past full moon my lip never stopped pulling. I can't explain what I'm going through. Maybe on a better day. Molly says that I ignored her for too long.

Your friend,
Bunny
Customer: replied 6 years ago.
April Fool______It's me

Debbie surprised me with a beautiful new laptop computer. It's a "Dell Vista". Quite an upgrade from the lovely laptop I'm keeping my mail program on. She's got her reasons for the upgrade. When Gene has his surgery , on the 14th, she expects to be spending many more hours over here and my computer doesn't work well enough for her new business in "Second Life". In the "Real World" she achieved a $30 a week raise from her Medical Transcription job.   She's been scared that she wouldn't earn the salary she made in the hospital but she's doing OK. She has no vacation or sick days but she'll get used to it. She
just has to plan them. Debbie's never had confidence in herself. It's sad! She's pretty, bright, very crafty and funny. I took her to the first psychiatrist when she was about 15. In college she went to their psychologist. No one ever insisted she return for more help. She was a difficult child to raise. She married a great guy but he came with his own bundle so after four years they parted as friends. I couldn't ignore her problem and not seek medical help but she always insisted she was smarter than the person who was there to help her. Like me!!!

In "Second Life" she's a housing developer. That may not be the right terminology. She spends real money and buys up property to add to the existing "Star Trek Museum" island. She then rents parcels to all those who want to be close to the Museum. It's really wild! She builds their houses and landscapes everything for each tenant. Did I tell you that she's 55yrs old with a mensa brain? This week she added "Weather" to "SL".   It rains, then thunders with lightning. She's so excited with it all. She loves to fly her spaceships through the weather. We spent a whole afternoon setting the new computer up and then I had to thank her by spending time in "SL" with her. Now that my little person (Avitar) really moves faster than I ever did in real life I find it lots of fun. I can't stop running around the world.

I still didn't begin the Nutrisystem for real. The lady who made my first order up didn't understand that I can only eat fairly bland food because of the trouble I'm having in my mouth. My cancer surgery was major and on the lower left jaw and my lip was left very tight afterwards. When teeth were added back, it stretched my lip up in place a bit. As time is going on, my lip tightened and I'm having too many problems. My mouth reacts to the same things the DD reacts to. I have an appointment with the oral surgeon this Thursday. I had to cancel the appointment with Dr. Krakauer until after Gene's surgery. Please tell me if you think I should give Krakauer more time to work with me? I have no definate feelings about how he can help. I believe there is no more help than I'm already getting. Your help was more than the doctors I've seen.

In the early 80's I decided that I had to take weight off and had heard of an Endocrinologist who specialized in diets. He had an office in his home in Great Neck, Long Island and one in NY City. Before beginning, I spoke to his secretary and said that I had a very rare condition that might make it impossible for the doctor to help me. She told me to hold on and the next thing I knew, the doctor was on the phone. I mentioned DD and he immediately knew what it was! That shocked me completly when he told me he knew he could help me lose weight but wasn't certain what it would do for the DD. I began with him in his home so Gene could take me there but switched to his NY office after that. I went by train, every week, with changes, and didn't get lost, and walked from Carnegie Hall to Macy's. I have good memories. He had a crew who did blood work and complete testing to make sure each patient was OK. There were lots of pills involved but I knew just what they were for. Before each meal we each took a small aqua capsul (I believe it was Librium) and after meals we took a Dyazide.   At lunchtime he threw in a secret pill. No doubt it was a thyroid pill. At one point during the months that I saw him, the secret pill was changed. I took off 45 pounds, down to 127 pounds in a matter of months. At one time, my Mother-in-law was visiting from LA and she went to my weekly visit. She argued with Dr. (Joseph) Greenberg about the fact that I could only eat a baked potato and not a boiled one. He laughed and told her that the chemicals change and we have to stick to a baked one. That was a kick in the head to her to be told she was wrong. He had a great personality. Every week included time with him. When I lost to the weight I was at after each child was born, 127lbs, the Dercum's were impossible to live with. I put back 10lbs and then he said I should stay around 140 pounds. I did that until I was told that I had to slow down with all exercising due to my pain. I was using the greatest Orthopedic Surgeon and saw how he studied my records before telling me the bad news. I went into a depression and gained back close to 20 pounds. My back pain was now becoming very debilitating. A relative heard of a physiatrist at Rusk Rehabilitation Center. A part of NYU. At the time I didn't know he was a man you didn't dare to disagree with. His theory is great, but not for everyone! He wrote several books by now. I knew of 2. His name isXXXXX The first book is "Mind Over Back Pain". I am one of the patients in it but can't put my hands on the book now. In my case he refused to allow for the shorter leg that I had been walking with for over 38yrs. I became an in hospital case because he felt such tight muscle areas all over. He had no more than 4 women and 4 men working together in the hospital. He had a weekly out-patient group. I was the oldest in the group so I felt like the Mother Hen. It was a 9 to 4 program. We were free afer 4 and on weekends but we had to sleep in the hospital to have our insurance pay for it. About 2 in the morning, a nurse would walk around with a flashlight for bedcheck. I lied and said I felt better in order to be released after 6 weeks. For the following 3yrs. I continued with a psychogenic pain clinic where I met up with all my hospital friends. Gene is a great person but he is very difficult to live with. I required the clinic meet. I needed this excitement in my life. One day, the subway closed one of the gates I used to get out, in the city. I panicked because my back pain was so severe I felt I couldn't get out and climb three flights of stairs. The subway is really a big hole in the ground. Going home was staircases going down so I had much less trouble. After that experience I was forced to quit. I spoke with the friends I made but missed having lunch with and being with the group. On the day I was to enter the program, in the begining, I begged off the one day and was appointed to the "Community Board of the City of New York" by the Bklyn Borough President. It was a lovely ceremony held at the "Brooklyn College Theatre". That was quite an honor. He read off my legal name and asked, "Who's that"? I was well known as Bunny. My expertise was transit. The whole city was falling apart. The trains behind my home became my hobby. So many stories involved the work I did there. I can't believe that you have the time to read my silly letters.

Just to make a correction before going on. I'm only 5ft. 1 1/2 inches. You might have misunderstood when you wrote my height as 5ft 6.

You said you don't believe milk is healthy at this stage in my life and I wondered what your feelings are about Soy. I find it very difficult to drink a healthy amount of liquids. A glass of Soy goes down. My Vegan cousin also got on me about dairy products.

What is smooth ice? It sounds like something I could tolerate.

Gene did print the web-site pyramid for me. It's with my bills so I will work on it.   He enjoyed the Getty puzzles but uses our own photos to break up and put back together. The Getty puzzles don't break up into small enough pieces for a challenge. We have thousands of beautiful pictures. You could always find me with a camera. I now have a Digital one debbie bought from E-Bay. Bag & all.

I so respect your quiet prayer over your food. We have a lot to be very greatful for, not just our food. We have a 20ft square farm and I have a 40 foot by 6 rock garden. The last 2 years find me gardening on our back deck. I grow fantastic patio tomatoes. I even tried red peppers last year. Debbie goes through growing phases. We only dug one water well for the both homes. Something I have been very sorry for all of these years. The line goes up hill from our home to Debbie's. You can't plant on that line but she designed a beautiful walkway. This was a cow pasture before it was cut up and sold. If not for the pictures that I was constantly taking, nobody could believe this was bare land. We shock ourselves everytime we look back. We have a 56 foot basement under our house but the house is factory built. It was delivered here in 2 halves. The owner of the Inn had a house built on the closest of his property to us. He put in a huge 4 bedroom 4 bathroom home. Also factory built. It's magnificant. Also with a full basement that one of Debbies male friends finished. Now Robin, the daughter has her home up beyond the stables where her Mom originally had a home. It burned down. The outhouse is still there. Robin's home is even prettier than her father's and step Mom's. Debbie has a ball helping with Robin's 2 boys, who will be 2 & 4 this spring. She was always so great with young boys. In summer camp they begged her to be a boys counselor. She loves bugs and all things that little boys love. When she was 10 she already had college credits for Anthropology, Geology and Paleontology. My son took cooking classes. He and his wife are gourmet cooks. Everyone thought I was crazy to support their desires to do things attractive to the opposit sex. They turned out fine.

Its 4/2 now. I couldn't explain where the days went. I go about my mouth tomorrow. Do you want to go back to oral surgery?

My very best wishes,
Bunny
Customer: replied 6 years ago.
Dr. Hanson told me to request him when needed. Has he come back to "Just Answer"?
Bunny Schneider
Customer: replied 6 years ago.
Would you be kind enough to inform me if Dr. Hanson has returned to "Just Answer"? The last time that I wrote was April 2, 2008. My money was paid for an answer that was not received. Dr. Hanson told me to request him when needed and I was hoping he was planning to return here.
Sincerly,
Bunny Schneider
Customer: replied 6 years ago.


Dear Ms. Schuyler,

I have requested Dr. Hanson on two seperate occasions, as he suggested I do. I was told that "SHE" was no longer working here.

I complained because you charged me $15 when I didn't even ask a question. I even complained to Dr. Hanson about it as I have copies of the times we wrote to each other. We formed a friendship and I imagine that was why we were seperated. My husband complained to my charge card company but I begged him to let it go because I had help by just having Dr. Hanson write to me. He is a wise doctor and did help me with a couple of my strange problems. He suggested the types of doctors I go to and took the time to tell me what to expect of them.

I do not want to keep any of my money in the "Just Answer Account" until (MALE) Dr. Hanson returns.

Sincerely,

Bunny Schneider 6130

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