Is The Shingles Vaccine Safe And Effective

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< Is The Shingles Vaccine Safe And Effective p>Ask the Doctor: Is there new hope for sufferers of nerve-end pain caused by shingles? Is there new hope for sufferers of nerve-end pain Is The Shingles Vaccine Safe And Effective caused by shingles? I read there’s an injection which is far in advance of anything else that is available and it is funded on the NHS. Is The Shingles Vaccine Safe And Effective mr J. Billcliffe Wakefield West YorkshireYou have my sympathy – the pain which follows shingles can be severe and

patients with this have been some of the most woeful and depressed I’ve ever seen. Shingles is incredibly common and affects nerves and the surrounding skin. It’s caused by the herpes-zoster virus the same one that causes chicken pox. Many of us have chicken pox as children but even after we’ve recovered the virus stays in a dormant state within the nervous system – in a nerve junction close to the spinal cord.

Ask the Doctor: Is there new hope for sufferers of nerve-end pain caused by shingles? Is there new hope for sufferers of nerve-end pain caused by shingles? I read there’s an injection which is far in advance of anything else that is available and it is funded on the NHS. Mr J. Billcliffe Wakefield West YorkshireYou have my sympathy – the pain which follows shingles can be severe and patients with this have been some of the most woeful and depressed I’ve ever seen. Shingles is incredibly common and Is The Shingles Vaccine Safe And Effective affects Is The Shingles Vaccine Safe And Effective nerves and the surrounding skin. It’s caused by the herpes-zoster virus the same one that causes chicken pox. Many of us have chicken pox as children but even after we’ve recovered the virus stays in a dormant state within the nervous system – in a nerve junction close to the spinal cord. Usually our immune system keeps the virus in check but for some reason usually when you’re run down – from jet lag flu perhaps depression – the virus can awaken.

Diagnosis involves ruling out several other conditions – one being a hernia where part of the abdomen usually the intestine pushes through a weakness in the muscle wall. Along with its feel which is a bit like a smooth fluid-filled balloon one distinguishing point is whether the lump tends to come and go depending on whether you are lying or standing; this is common with hernias. It’s also important to rule out cancer but this is not usually difficult as a hydrocoele grows far slower than tumours.

Many patients will have a hydrocoele as large as an avocado tolerating it for years simply because they’re too embarrassed to see anyone about it. This is what seems to have happened with your husband. It is such a pity as the operation to restore normality is not major surgery and any concerns are instantly relieved. The operation carried out under general anaesthetic involves an incision in the scrotum and the hydrocoele is drained of fluid. The surgeon then seals off the area that was ‘leaking’ so the fluid cannot reform in the future; what is left of the residual processus vaginalis shrivels up and goes away. The testicle remains untouched and unharmed and heals fast. Maybe if he reads this your husband may overcome his embarrassment and see his doctor? It might be a relief for him to be referred to undergo the necessary simple surgery.

All this has occurred despite the Government having had 11 years to prepare for this shorter working week; ostrich-like they had their heads stuck firmly in the ground as usual. But a bigger question is the issue of the moral ethic of taking doctors away from Third-World countries who have trained them at considerable expense. No doubt the NHS will rationalise that the imported doctors will receive superb further training within the hallowed portals of our teaching hospitals. But this may not be the case – our own home-produced junior doctors are already expressing valid concerns about the quality of postgraduate training. Furthermore the doctors from abroad are being pulled into plug gaps in duty rotas not to give them valuable teaching out of the generosity of Gordon Brown’s fabled kind heart.

Diagnosis involves ruling out several other conditions – one being a hernia where part of the abdomen usually the intestine pushes through a weakness in the muscle wall. Along with its feel which is a bit like a smooth fluid-filled balloon one distinguishing point is whether the lump tends to come and go depending on whether you are lying or standing; this is common with hernias. It’s also important to rule out cancer but this is not usually difficult as a hydrocoele grows far slower than tumours.

Usually our immune system keeps the virus in check but for some reason usually when you’re run down – from jet lag flu perhaps depression – the virus can awaken. It then inflames that nerve junction and the skin around the area that the nerves supply. The first symptoms are usually electric jab-like feelings at the affected site followed a few days later by a slightly itchy rash which develops into blisters.

The pills have to be continued for six to 12 months maybe longer. If this fails anticonvulsants – drugs most commonly associated with epilepsy treatment – can help. These drugs include gabapentin or neurontin; as with amitriptyline the dose has to be gradually increased over several weeks until there is a response the amount needed varies greatly with the patient. Unfortunately I know of no new injection although recently patches containing local anaesthetic essentially to numb the pain have become popular; these can be very effective.

The best of the doctors from India will go on to achieve ultimately consultant posts in the UK and be lost to their own communities. Others falling off the promotion ladder will go back home to re-enter the health system there. Meanwhile the UK has stripped the cream from the cake. What we need is more junior doctors – and a re-think of Is The Shingles Vaccine Safe And Effective the farce called ‘Modernising Medical careers’ not taking the best doctors from countries that

Is The Shingles Vaccine Safe And Effective

need them. The Government should be ashamed.

http://c0p1l2n0.polaris.psu.edu/story/209259/2005/07/20/medical-minute-shingles-good-news-about-old-problem
http://edmedia.emory.edu/GStaton/Oncologic%20Emergencies.pdf
http://shinglesblog.info/pictures-of-shingles-in-your-eye/
http://shinglesblog.info/can-shingles-cause-pain/

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