Chickenpox is a common disease in childhood, but can also occur in adults. The illness is usually milder in children.

Cause

Chickenpox is caused by the varicella virus. It can be spread either through person to person contact, or via sneezing and coughing. It is contagious from a few days before the rash appears, until all the existing lesions or blisters have formed scabs and are no longer weeping, which usually takes around a week.

Treatment

There is no cure or specific treatment for chickenpox. Treatment is geared towards relieving the symptoms. Calamine lotion dabbed on the blisters or scabs can help to ease itching. Gauze pads soaked in bicarbonate of soda and water and then placed over the lesions can also calm the itch for a while. If the itching is intolerable, your doctor may prescribe an antihistamine medicine or tablets. Keep your child’s nails short so that if he does scratch, infection is less likely to occur. Alternatively, put mittens on younger children. Give paracetamol according to directions to help lower the fever. Keep your child away from daycare or school until the last blister has scabbed over.

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Practice your approach together. The biggest danger in sex and love education is what I call “split-parent sex education.” This happens when parents’ values and ideas are different. Kids are expert at using this difference to collect whatever support they need for whatever it is they want to do or not to do. If the two of you can’t get it together, you really can’t expect your children to get themselves together.

It is a good idea to try to get someone you trust and respect to help with sex and love education. This “unit” approach seems to be a very helpful technique, but one that takes some very open prior communication with the person chosen to help.

Sex and love education is not a one-time thing. Sexuality is a lifetime process. Both you and your children will learn forever. We will know we are making some progress when regular sex- and love-education classes are offered in our nursing homes. Sex education is definitely not for children! It’s for everyone.

The “inoculation theory” of sex education does not work. You cannot teach children once and render them sexually immune. Repeating over and over never really works for getting their room clean, but they do learn that you value cleanliness. They will also learn through repetition what you value sexually, your marriage-intimacy emphasis.

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I don’t know. I’ve looked and looked. Either my G spot got erased, or I never had one, or there was never such a thing.

WIFE

There is no G spot. There is no debate in the research literature on this issue. The authors of the book The G-Spot themselves did not mean that such a “spot” existed, but that there was an area, a region in the anterior outer third of the vagina related to innervation that Dr. Grafenberg had described years earlier. Some women find this general area very sensitive, sometimes too sensitive. Others have very little sensitivity in that region.

One of two “sexual inventions,” then, was a magical spot that led to quick, more intense orgasms. It is easy to understand this issue by finding the G area for yourselves. In a relaxing environment, alone, quiet, and just for the learning of it, lie naked with your partner face to face. Guide the husband’s index finger into the vagina using saliva, K-Y Jelly or other nonallergenic lotion as necessary. With the husband’s palm facing up toward you, have him push gently around in the area of the outer third of the vagina’s top region. Don’t expect sparks, orgasms, thrills, or anything at all. Just experience the tender exploration of the top part of the outer third of the vagina. Whatever you feel, from nothing to something, is still the G area. The wife may feel this area as pleasurable, very distinguishable, not distinguishable at all, or even somewhat uncomfortable. Try this at different times and you will find that the sensations change. You may even feel the urge to urinate when the husband pushes firmly up with his index finger about two knuckles into the vagina. Publicity for a G spot far exceeds the actual “product” performance.

To make this point more strongly with the couples in my program, I ask them to discover their “P spot,” the palm spot. I ask husband and wife to open their left hands to one another and with slight pressure, slide their right index fingers across the spouse’s palm. I ask them to report one particular spot that seems more sensitive than another. The couples always report a spot, and the same would be true for any other area of the body. The spots will be different for each person, and they will be different at different times. There is nothing about being human that relates to any one spot anywhere. We only put ourselves on the spot sexually if we continue to look for one.

The Ñ area, the region around the clitoris including the clitoris itself, the prepuce or foreskin that partially covers the clitoris and surrounding tissue, is much more richly and surface-innervated than the G area. It corresponds to the F area I described in men in Chapter Six. Juxtaposing the F and Ñ areas in a comfortable posture is the idea behind the posture of the future described in more detail in Chapter Eight. The clitoris and G area are no more “spots” than the penis is a “spot.” They are erotic areas, and the body has as many of those as we each care to create for ourselves.

In intercourse, the F area is typically caressed and stimulated by warmth and moisture. The Ñ area receives little direct stimulation. The posture of the future suggests contacting the F and Ñ areas for more balanced and prolonged stimulation that can, as I have suggested, take the “organ” out of orgasm and allow for psychasms.

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Moderate exercise can significantly accelerate the natural detoxification of the body, by improving the circulation of body fluids, increasing the intake of oxygen to our body, speeding the rate of metabolism and increasing the excretion rate through increased sweating. This is exactly why people feel great after undergoing such exercise. They purify their bodies and they all notice, that their minds instantly become sharper.

I would like to stress the word moderate here. If the intensity of the exercise is excessive, not only such exercise is not beneficial, but may be even harmful. If you are “loosing your breath” for example, it is a sign that the body has entered an anaerobic (low oxygen) emergency mode of operation and it is a fair warning from your body that you should slow down.

One method of assessing the right level of physical activity for you is to observe your pulse rate. If it exceeds 90-100 -you should slow down. Another good gauge is this: if you feel comfortable continuing the exercise (jogging, walking, skating, roller skating, tennis etc.) over long periods of time, this level of activity is right for you. Note, that with training you can increase the intensity of exercise, but it is not necessary. After exercising at the right intensity you should not feel tired. On the contrary, you should be more energetic and, most importantly, have clearer, sharper mind. Remember, that we should enjoy whatever we do.

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After cancer and strokes, multiple sclerosis is the commonest incapacitating disease of the central nervous system.

Nerve fibres are covered by a sheath of fatty material or myelin, much like electrical material.

In multiple sclerosis, or MS, the nerves lose this myelin covering, which is replaced by scar tissue.

MS comes on most frequently between the ages of 18 and 30 and is rare after 55, and affects the sexes equally. It is characterised by attacks and then remissions where the symptoms almost disappear, only to reappear weeks, months or even years later.

The cause of MS is unknown, although there are a lot of theories and some facts known about its onset.

In discussing the disease, the British Medical Journal said: “Multiple sclerosis is a chronic debilitating neurological disease that occurs only in man. Its cause is unknown and there is no cure. Each year hundreds of papers about the illness are published and many theories about the causation of the disorder have been put forward, none of which has ever been confirmed.”

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The lens of the eye is behind the iris, or colored portion, and is held in place by ligaments.

It has muscles which alter its shape so as to focus light rays on the retina, the sensitive nerve-endings at the back of the eye.

As we age, the lens gradually loses the ability to focus objects close to the eyes and so glasses may be needed for close vision. This condition is called presbyopia.

In cataract, the lens becomes increasingly opaque, interfering with the passage of light and impairing vision.

Cataract may develop from many causes and even be present at birth. Cataract which comes on with age is a degenerative process.

Rubella (German measles) in the mother during pregnancy may lead to congenital cataract in the newborn. Radiation may lead to cataract, as can prolonged exposure to severe heat and cataract was an occupational hazard in glass workers because of this.

It may arise from infection or inflammation in the eye or the prolonged use of cortisone drops prescribed for some other eye disorder.

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Firstly, consider taking a trusted friend or relative with you each time you see your practitioner, especially if important decisions have to be made. Two heads are always better than one. This is especially true if you are anxious and frightened. These feelings are very natural and to be expected but they do make it more difficult to concentrate, think clearly and remember. The presence of a friend or relative will give you more confidence. Afterwards you will find that, between you, you have taken in and remembered much more than you would have on your own. Your friend or relative will also be in a good position to help you make decisions.

My next tip is to write down a list of questions beforehand and take them with you. Don’t be embarrassed about bringing out this list in front of your practitioner—you are under stress and you have a lot to remember. Your practitioner might give you some written information but, if not, it is almost impossible to remember everything, especially if you have only been told once. Therefore, bring a pen with you and write down the information that you want to remember. If you are finding it hard to get answers that are clear enough to write down, ask again until you do. Your practitioner may try harder to be clear once he or she sees that you are determined to get the answers.

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Sun damage, as has been mentioned, is cumulative over the years. In this aspect it is like alcohol and cirrhosis of the liver, or smoking and lung cancer. For many years nothing appears to be happening, and then after a certain latent period, which depends on your skin type and the amount of exposure received, the damage appears.

Certain degenerative changes of the pre-cancerous type can be treated. These changes include patchy pigmentation (‘liver spots’), early wrinkling, and dry, scaly patches or keratoses.

Cryosurgery, or freezing, with either carbon dioxide snow or liquid nitrogen, is one of the commonest methods used. This selective destruction of damaged skin is induced by the extremely cold temperatures of these substances. Following their careful application, either to selected lesions or to a larger damaged skin area, blistering is induced. Once the blisters heal, smooth normal-looking skin remains.

Electrodessication has a similar effect to cryosurgery but is induced by the heat of an electric cautery. This is usually carried out under local anaesthetic, and has the advantage of being very accurate, therefore useful for small lesions. It can also be used with curettage, enabling deeper lesions to be removed.

Chemosurgcry, using chemicals such as 5 Fluorouracil, has become more common in recent times. This chemical is applied to both normal and abnormal skin for a period of about three weeks. It is able to inflame and subsequently destroy certain superficial malignant lesions and the latent pre-malignant ones. It is also able to uncover and destroy lesions that are clinically undetectable. The major disadvantage of this method is the severe skin inflammation it induces.

Peeling techniques, using either trichloracetic acid or phenol, are another form of treatment. This procedure destroys living tissue, and may be used on small lesions or larger skin areas. Recently it has been advocated for the treatment of more extensive sun damage, including wrinkling, particularly about the mouth, where it is often used in conjunction with a facelift. Great skill is required to perform this procedure satisfactorily.

Finally, dermabrasion may be used. Here the skin is snap-frozen to anaesthetize it, and a rapidly rotating brush is stroked across the skin to remove the damaged upper layers. Swelling and extensive crusting develops in 48 hours, and disappears gradually over the next ten days, leaving the underlying skin thinner, smoother, and pinker than before. It resumes a normal, undamaged appearance anywhere between six weeks and six months later.

All these procedures destroy the damaged epidermis and upper dermis, allowing regeneration of undamaged skin from below to occur.

If It were no longer fashionable to be tanned and people realized that tanning was by no means a harmless procedure, then dermatologists would lose at least a quarter of their patients and beauty salons more than half their clients.

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