12/22/2012 (Pumpkin Ricotta Cheesecake)
#1 Franklin, WI Nonstop Lip Split
Caller wants to know what to do about his lip splitting. Z recommends lip balm with an SPF of 15 or more. He also advises using Chapstick or Aquifore and getting either an over-the-counter hydrocortisone cream (.5%) or a higher-dosage prescription hydrocortisone cream (1.5-2.5%).
#2 Columbus, OH Rashless Itch
Caller has been a nurse for 20 yrs, but for the last 5she has suffered from skin that itches but presents no rash. Her doc said it was stress, but Z disagrees, because she has only had it for 5 years (and she's had the job for 20). Z recommends taking Benadryl at bedtime to avoid itching while she sleeps. He also recommends taking 2 Claritin in the morning (double the dose on the bottle) or Allegra or Zyrtec. Z then recommends getting a steroid cream called TMC from her doc and rubbing it on 3 times a day. He says she should stay on all 3 for one month, and stop using them in reverse order. Sometimes, Z says, we continually irritate something that could get better by our continual interference, so we have to make sure to try and avoid itching and scratching.
Topic Heart Attacks Not Caused by Cold
Z and T discuss how heart attacks are more likely to occur in the winter, regardless of the temperature. This is according to a study presented for the American Heart Association. Deaths from heart-related complications were higher in the winter everywhere, regardless of the climate.
#3 Carbondale, IL Scar Scratch
Caller wants to know why her 4-inch scar itches, when the rest of hers don’t. Z recommends using the capsaicin cream for 4-6 weeks to reduce itching or Lycoderm prescription patch for 4-6 weeks.
E-mail Bed Wetting Woes (Listener Q )
Caller wants to know how to help her bed-wetting grandson. Z says bed wetting is caused by sleep disturbances, happens more for boys, and almost always goes away with age. Bed alarms are not as useful as people once thought, so Z recommends taking the antidepressant imipramine or the spray/drops of DDAVP.
#4 Springfield, MO Physically Aggravated Athlete
The caller is very active, but continually aggravates his SI joint. He wants to know why this keeps happening. Z says that he needs to pinpoint exactly what exercise is causing this, and then to either see a physical therapist or a trainer to receive exercises to help with remedying the problem.
E-mail Dream Dilemma (Stump the Doc)
[Marina writes in complaining that her dreams are too active! Z says this is called “parasomnias". Lipitor can cause it. Gabbapentin can help it. Sleep hygiene can help with it. Z says we will put up link to sleep hygiene tips.
TOPIC: Connecticut Trajedy
Z and T discuss how to cope with anxiety in children. Z recommends the book “Tales of Enchantment” by Bruno Bettleheim, which uses fairytales to help kids deal with difficult issues. Z advises avoiding turning on the news, and recommends seeking a mental health specialist.
#5 Knoxville, TN Sleeping Pill Overdose
[Caller from Knoxville, TN is concerned about his friend who is taking 2 different kinds of sleeping pills (Ambien and Temazepam) because he heard that just b/c your tolerance goes up, the fatal dosage does not. Z says that this is true. Z recommends trying the antidepressant Trazedone, and practicing good sleep hygiene. His friend should not be taking different brands of sleeping pills, and needs a consultation. Z says we will put up link to sleep hygiene tips ]
Mythbuster: Fatal Grapefruit
[T asks Z if grapefruit juice can be dangerous. Z says that yes, it can interfere with certain medications - and even be dangerous in small amounts due to the enzyme cyp34A.]
#6 Guthrie, OK Obese but OK?
[Shannon wants to know if it is genetic that she is obese but suffers from no medical complications. Z says that yes, this can be genetic, but that this shouldn’t be a free pass to be obese. She can still develop type 2 diabetes.]
E-mail Lizard Lamp
[T reads an e-mail from Linda in Milwaukee who agrees with Zorba’s recent assertion (11-1110z) that gaining weight in winter will not make you warmer. She suggests using a reptile heating lamp to help with being cold.]