Newspaper Page Text
HEALTH
Lawrence E. Lamb, M.D.
Safety of combined drugs
By Lawrence E. Lamb, M.D.
DEAR DR. LAMB — A year
ago I had open heart surgery
(four coronary artery
bypasses). A vein was taken
from my leg and used to
bypass the obstructions in the
arteries to my heart.
When I left the hospital I
was given a rather rigid fat
free, salt-free diet program
which I have followed for a
year.
Then I had a check up and
my cholesterol level was up to
320. For several years before I
had my surgery I was taking
Atromid-S three times a day.
After surgery I was put on a
blood thinner (Coumadin).
Now because of my high
cholesterol my doctor has put
me back on Atromid-S and
reduced my Coumadin.
I have reduced my weight
by 20 pounds and weigh 140.
I’m 5 feet 8 and am 62 years
old.
What I need to know from
you is will the combination of
Atromid-S and Coumadin
reduce my serum cholesterol
level and is it safe to take
these two medications at the
same time?
DEAR READER -
Atromid-S is often used in
patients who do not respond
ideally to dietary measures. It
does help in some cases. I
does prolong the clotting
mechanisms of the blood to
some extent. Since Coumadin
is used to prolong the clotting
mechanisms (thin the blood)
there is some caution required
in using Coumadin and
Atromid-S together. However,
your doctor has decreased your
dose of Coumadin to compen
sate for this.
The final word in deciding
how much Coumadin is to be
given is to use the blood tests
as a guide. If the mechanism
is too prolonged the medicines
have to be reduced. As long as
you are followed regularly
there is no reason why you
can’t take both medicines.
Keep in mind that aspirin
**fir
POLLY'S POINTERS
Polly Cramer
Windows to hide behind
POLLY’S PROBLEM
DEAR POLLY — I hope someone has an idea about
an inexpensive way to fix windows so I can see out but
people outside cannot see in. My two windows measure
30 inches by 40 inches and the paint store wants about
S4O for each window covering. — HAZEL.
DEAR HAZEL — I am sure you will be hearing from
some of our ingenious readers who are always so
gracious about sharing their Ideas. — POLLY.
DEAR POLLY - One of my Pet Peeves is getting to the
door of a store or other business place to find it is closed even
though there is a sign saying “Open” on the door.
Another is the clothing displayed on racks by color instead
of by size. I hate to have to look through an entire rack of
jackets to find my size and then go through slacks and skirts
and not be able to find matching ones in my size. I do not want
to look at all those cute smaller sizes when I cannot wear
them. Perhaps displaying racks of matched colors does look
more attractive but I surely hate to waste so much time going
through them trying to find my size. — MRS. J.K.W.
DEAR POLLY — Some time ago a reader asked how she
could use the many pretty handerkchiefs she had ac
cumulated. Having collected so many during the years I was a
teacher I, too, wondered what could be done with them. While
visiting my Mom in Nebraska I asked her if she thought a quilt
could be made with them. She agreed that it could. She made
me a beautiful quilt and I am enjoying this new use for the
lovely bits of material that came my way as gifts through
the years. — LOIS.
DEAR POLLY - We are all interested in helping by doing
our bit in the present crush of energy conservation. I suggest a
dab of red nail polish on each HOT water faucet to help remind
us that cold water might do as well. Often we really do not
need or want the hot water but turn it on from habit. Then as
soon as it runs hot we temper it with cold.
Shaving in running hot water is another undesirable habit of
which many of us are guilty. The basins in our own homes are
clean so we should use them. — CLYDE.
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will increase the bleeding
tendency and Tylenol also in
creases the action of
Coumadin. You should be
careful about taking any of
these medicines on your own.
Single cholesterol deter
minations often are not too
reliable. That is why
researchers often like to take
more than one test before
deciding just what a person’s
true level is. It can also be
affected by stress. Students
getting ready for an exam
may have a high level which
returns to normal after the
stress.
I can’t say how much
benefit you will get from the
Atromid-S but it is worth try
ing. I would also urge you to
get rid of every ounce of fat
you can. Often the true
benefits of eliminating fat are
not obtained because people
don’t lose enough. When there
is a clear medical indication
for doing so I think a person
should get down to the point
that there is little or no fat un
der the skin that you can feel.
That is when the real benefits
are seen.
To give you more informa
tion on cholesterol levels I am
sending you The Health Letter
number 1-2, Cholestrol,
Triglycerides Blood Fats,
Atherosclerosis. Others who
want this information can
send 50 cents with a long,
stamped, self-addressed
envelope for it.
I presume you do not
smoke. It is very important
after such heart surgery to
lose weight, when necessary,
not smoke, and if a person’s
condition permits start a sen
sible exercise program —
specifically walking. Exercise
sometimes helps to control
these problems.
Dr. Lamb answers
representative letters of
general interest in his column.
Write to him in care of this
newspaper, P.O. Box 1551,
Radio City Station, New York,
NY 10019.
(NEWSPAPER ENTERPRISE ASSN .)
FRANK AND ERNEST
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