Reader takes Gott to task on insurance issues

DEAR DR. GOTT: My husband and I are both self-employed. I won’t even go into what has happened to our businesses these past few years. We are 56 and 57 years old. Our health insurance costs us $14,000 a year, with a $5,000 deductible. Please don’t advise us to find a cheaper policy, as I continually shop around! We have no preventive-care coverage. When you and all other medical advisers recommend routine tests, you are simply talking to patients with the best medical policies provided by their employers. These are the patients who are making doctors and medical centers wealthy and causing us private payers to pay unaffordable premiums.

My husband and I do not get a routine colonoscopy. It’s a $4,000 expense at our local facility. The last time we had routine blood work, it was around $500 each. [Read more...]

Gait abnormality needs to be addressed

DEAR DR. GOTT: I have been having balance problems for almost a year. I’ve seen an ear doctor for possible vertigo, a cardiologist for possible heart/circulation problems and a general practitioner with my concerns. I have to hold on to the wall to turn around when I take a shower and always feel pressure at the base of my neck. I tend to feel off balance even when walking. I have no other sensation when I’m sitting, and I sleep quite well.

Please help with at least a suggestion, because I have had no diagnosis from any of the five doctors I’ve seen. I even saw a neurologist, who only suggested physical therapy. I’m hoping for a response.
[Read more...]

Foot itch has many causes

DEAR DR. GOTT: Recently, after being on my feet for up to 10 hours, I got a rash around my ankles and the tops of my feet, and sometimes it goes up my legs. Tender to the touch, it is more noticeable the longer I am on my feet. It disappears after a few days if I’m not on my feet constantly.

DEAR READER: Common causes of foot rash are dry skin, heat exposure, fungus and spider-vein itch. If your feet are dry, rub them with a lanolin-based cream. If heat could be the culprit, change to footwear such as sandals or canvas sneakers, and wear light cotton socks. Fungal infection might be treated with a topical medicated product or a trip to your physician for a prescription. Spider-vein itch is treated with elastic stockings and alternative remedies.

Medication linked to metallic taste

DEAR DR. GOTT: I am an 80-year-old widow. Five months ago, I started having a metallic taste in my mouth, a sore tongue and a dry mouth. My first thought was that it might be a bad tooth or filling, but my dentist ruled that out. Then I discovered the problems were because of citalopram, a medication I had been taking for one and a half years. My doctor cut my dosage in half, but that didn’t rid me of the side effects. I tried two other medications: One was the same with a different name, and the other made me nauseated. At the present time, I am not taking any of these.

My problem now is that I don’t know where to go for relief. Nothing tastes good, not even water. Any advice you can offer will be greatly appreciated. I hope you can shed some light on my problem because so far I haven’t been able to get any answers.
[Read more...]

Gott questions alternative approach to medicine

DEAR DR. GOTT: I have heard all sorts of people asking for advice on all sorts of ailments. If your readers just bought a bottle of OregaMax, a bottle of oregano oil and the book “The Cure Is in the Cupboard,” they could save a whole heck of a lot of money running to the doctor for such ailments as earaches, spider bites, flu symptoms, cold sores, allergies and so much more.

If you are really looking after your readers, you will print my letter. If you don’t, I will understand that your loyalty has to be with the pharmaceutical companies.
[Read more...]

Shingles vaccine not a treatment

DEAR DR. GOTT: Thank you for the letter about the shingles vaccine. I would like to know how it works. Is it like the flu vaccine? I have suffered with shingles for 10 years now. I have asked my doctor for the vaccine, but he said insurance companies wouldn’t pay for it until I am 60. Is it because, as you stated, they have only tested the vaccine on those 60 and older?

I am currently taking Valtrex, and it has stopped the outbreak but not the pain. I am turning 60 this year and want to know if the vaccine will not only help me but might also get me off the Valtrex, because it is so expensive.
[Read more...]

Schizophrenia needs proper medical treatment

DEAR DR. GOTT: My sister and I are caring for both our mother and a sister who has schizophrenia. Unfortunately, this sister is in the last stages of our being able to care for her at home. She refuses to take her medicines and has become totally unmanageable. Our mother refuses to consider making a commitment one way or another about her and instead reads your column. She uses it as the final word on my sister’s illness. It is all we can do to hang on because of the verbally abusive behavior and her sudden physical violence. Please, Dr. Gott, don’t write any more columns about cures for mental illness.

DEAR READER: Upon reading your letter, I felt to compelled to answer it quickly despite your protest. I have never offered a cure in regards to any type of mental illness. In fact, most forms of mental disease are not curable, but many are treatable if the patient is compliant. [Read more...]

National Healthcare Decisions Day pushes for advance planning

DEAR DR. GOTT: I am a registered nurse. My local hospital has been gearing up for this year’s National Healthcare Decisions Day. This is the second annual and is still very new. I am writing in the hopes that you will print something in your column to help get the word out about this important issue. You can also refer interested individuals to the National Healthcare Decisions Day website at www.NationalHealthcareDecisionsDay.org. Please let all your readers know of the importance of advance directives. Thank you.

DEAR READER: My local hospital is also gearing up for this event (as I imagine many hospitals around the United States are), so consider it done. As you have said, National Healthcare Decisions Day (April 16) is a time to recognize and acknowledge the importance of having advance directives in case of medical emergencies, terminal illness or permanent disability. [Read more...]

The skinny on ichthammol

DEAR DR. GOTT: Recently, you responded to a reader’s question regarding a drawing salve used by her entire family. The product resembled a Tootsie Roll. Your response was that she was likely looking for ichthammol and should request the product from her local pharmacy. Well, I asked my pharmacist for this but was told they no longer make it because they found it harmful. Now what?

DEAR READER: Once the article appeared in newspapers, my website was filled with responses from readers regarding this salve. One woman from North Carolina indicated her grandfather called it “grisly salve.” You would heat the end of the stick and apply the product to a bandage. And it is not made in that form anymore.
[Read more...]

Is surgery the answer for rotator cuff?

DEAR DR. GOTT: I have not seen anything in your column about a torn rotator cuff. I have one in my right shoulder. I am a 79-year-old male and wonder if an operation would help me in any way. I had a triple bypass in 1977 and implants placed in my prostate. Other than that, I’m in good health.

DEAR READER: The muscles and tendons that connect the upper arm bone to the shoulder blade and hold the ball of the bone firmly into the shoulder socket are known as the rotator cuff. Injuries result primarily from a fall with impact to the arm, the aging process, poor posture and from repetitive activity — specifically, that which is done overhead. Symptoms include loss of motion because of pain and shoulder weakness.
[Read more...]