Daily Column

DEAR DR. GOTT:
I have a friend who drinks anything mixed or beer like there’s no tomorrow. His triglycerides are very high. I told him I thought all the alcohol he drinks could be the cause of the elevation. He claims his doctor told him it’s not. He runs around with others who behave the same way.

I may be wrong but he seems to be in his glory when he has a drink in his hand.

DEAR READER:
Your friend appears to be drinking inappropriately. I would likely label him an alcoholic if I had more information about his drinking habits. What you have to remember is that he will not make significant changes in his lifestyle (and alcohol consumption) until HE is ready to do so. Such a change in attitude is often the product of a DWI (driving while intoxicated), a DUI (driving under the influence) or a serious accident or illness. If I were you I’d pull back, tell him about your concerns and hope that your friend will moderate his drinking or — better yet– stop altogether.

To give you related information, I am sending you a copy of my Health Report “Mental/Substance Abuse”. Other readers who would like a copy should send a self-addressed, stamped number 10 envelope and $2 to Newsletter, PO Box 167, Wickliffe, OH 44092. Be sure to mention the title.

Daily Column

DEAR DR. GOTT:
My husband is 48 years old and suffers from rheumatoid arthritis. He is on immunosuppressive therapy. Three years ago he came down with a mild case of shingles. Would you advise him to get the new shingles vaccine considering the aforementioned facts?

DEAR READER:
No.

Several groups of people should not receive the vaccine. They include women of childbearing age or who are pregnant, anyone taking medication that affects the immune system, those with an allergy to any of the vaccine components, and individuals with a history of primary acquired immunodeficiency (such as HIV).

Because your husband is on immunosuppressive therapy he is not a candidate for the vaccine. His age also is a factor. The shingles vaccine is primarily recommended for individuals age 60 and older.

I recommend that you and your husband speak with his primary care physician and rheumatologist. They are familiar with his case and can answer your concerns.