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TO YOUR GOOD HEALTH #12345_20220510
FOR RELEASE WEEK OF MAY 9, 2022 (COL. 2)
BYLINE: By Keith Roach, M.D.
TITLE: Is lung most cancers lurking in your garments dryer?
DEAR DR. ROACH: I heard that air fresheners and material softener sheets could trigger lung most cancers. Is that this true? — P.G.
ANSWER: What’s true is that these merchandise launch risky natural compounds, in response to a 2011 examine. VOCs embody a big group of chemical substances, a few of which can improve the chance of most cancers if ingested at high-enough dosages for a long-enough time period.
A few of these embrace alcohol and acetaldehyde, each of that are identified particular or possible carcinogens. Nonetheless, individuals ingest alcohol at excessive ranges, and acetaldehyde is present in ripe fruits, amongst different locations.
The examine discovered merchandise listed as “natural,” “inexperienced,” “pure” or “unhazardous” that had comparable quantities of probably poisonous or hazardous chemical substances. The kind of examine precluded any evaluation of the magnitude of threat from publicity to those chemical substances. Nevertheless, the Environmental Safety Company has estimated lower than a 1 in 100,000 likelihood of creating most cancers from steady publicity to acetaldehyde. The impact of a number of risky natural compounds appearing collectively hasn’t been studied.
Saying that “air fresheners trigger lung most cancers” is sensational, and would not actually handle the elements an individual ought to concern themselves with, comparable to the extent of publicity to one thing that is essential to develop threat, and the quantity of threat of getting lung most cancers from utilizing material softeners with the laundry.
It’s clear that these merchandise can result in allergic reactions. I see respiratory signs and rashes pretty regularly. Nevertheless, my greatest guess from the research I’ve learn is that the chance of creating most cancers from these merchandise may be very, very low.
DEAR DR. ROACH: I’m writing on behalf of my 91-year-old father, who has been identified with carpal tunnel syndrome. He has seen a specialist, who is able to proceed with surgical procedure. My father’s signs embrace numbness (lack of feeling) within the fingers to the purpose that he cannot button shirts and tie laces simply. Is there any therapy that you may advocate that might deal straight with the numbness? My father feels little ache and has no drawback gripping. He wonders if nerve compression may very well be coming from his neck and shoulder, and if chiropractic care, therapeutic massage or vary of movement bodily remedy will be the reply. He’s very hesitant to go forward with surgical procedure. — T.S.
ANSWER: Carpal tunnel syndrome is brought on by nerve compression within the wrist. The carpal tunnel is a literal tunnel of area bordered by the carpal (wrist) bones and their ligaments, and by a connective tissue construction known as the flexor retinaculum.
The compression is alleviated by surgical launch of the retinaculum, which supplies the nerve enough room. Surgical procedure is the definitive remedy for carpal tunnel syndrome, however surgical procedure will not be at all times obligatory. Way of life modifications, comparable to sporting a wrist brace, and medicines can typically preserve an individual from needing surgical procedure.
You have not expressed any good purpose why your father wants surgical procedure now. Surgical procedure in any 91-year-old shouldn’t be taken evenly, even carpal tunnel launch, which is a really efficient surgical procedure with a low complication charge. However low complication charge does not imply zero, and I noticed a affected person not too long ago whose nerve was broken by the surgical procedure.
Earlier than surgical procedure, the surgeon must be utterly sure the nerve compression is going on within the wrist, not the shoulder or neck. Your father will want an EMG examine. If surgical procedure is important as a result of different remedies haven’t labored or as a result of there may be proof of extreme nerve injury, comparable to weak point or muscle atrophy, I extremely advocate contacting a hand surgeon, who has particular experience on this surgical procedure.
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Dr. Roach regrets that he’s unable to reply particular person letters, however will incorporate them within the column at any time when doable. Readers could e-mail inquiries to ToYourGoodHealth@med.cornell.edu or ship mail to 628 Virginia Dr., Orlando, FL 32803.
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