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4B Daily News ��� Thursday, February 21, 2013 FEATURES College bound beau gets grief from girl Annie, do you think it���s fair Dear Annie: I am a senior that we���re staying together in high school. I have been now even though we���re most dating ������Brianna������ for 10 likely breaking up when I months. She graduated last leave for college? I want the year and attended a commufull college experience, and I nity college, but really had no know a long-distance relationambition or motivation to be ship will be miserable, because there. We spent last summer Brianna and I argue constantly together, and I honestly fell head over heels in love with Annie���s via text messages when we���re only 10 minutes away. Have I her. made the right decision? ��� Here���s the problem. I have been accepted to many col- by Kathy Mitchell College Bound and Confused Dear College Bound: leges out of town. It has and Marcy Sugar Whether or not to stay togethalways been my dream to go away to school. I told Brianna it er until the end of the summer is up to wouldn���t be fair to either of us to stay Brianna, too. If she can handle it, wishtogether while I am away, but I want us ing you well, it���s a solid idea, and you to be together as much as possible until can plan to see each other over winter then. Ever since I mentioned this to break. But if Brianna feels you are Brianna, however, things haven���t been abandoning her, she may try to hold you hostage emotionally, pressuring the same. We���ve been arguing a lot. Brianna���s dad left when she was 12, you to alter your plans. That will only and she���s still crushed by it. She does- create hard feelings and resentment all n���t get along well with her family and around. Talk to Brianna and ask what tells me I���m all she has. She says when she wants to do, but be firm about your I go away to school, I���ll be leaving her future. Good luck. Dear Annie: Last June, a co-workjust like everybody else. Now I feel nothing but guilt when I er committed suicide. The staff and I think about college. I want us to enjoy were extremely devastated. No one our time together as much as possible. saw it coming. Now, all these months I want Brianna to be my date for my later, two of my best friends at work senior prom, but I don���t want her to have decided to get a tribute tattoo in think I���m simply using her. It���s not this person���s honor. These friends were not particularly true. She is the only person I want by close to this co-worker, and this is the my side. Mailbox first death they have personally experienced. I know everyone deals with death in their own way, but they barely knew the co-worker who died. Our entire group of friends thinks this tattoo is a bad idea. We all want to say something, but don���t know what. ��� Tattoo Troubles Dear Troubles: We think these two are looking for a way to honor their late co-worker. If you can recommend a better tribute (e.g., working for a suicide prevention hotline, Survivors of Suicide, the American Foundation for Suicide Prevention, raising funds for suicide awareness), you could suggest it as being more meaningful. But ultimately, how they choose to decorate their bodies is up to them. Dear Annie: ������No Longer Compatible������ said she isn���t attracted to her husband because he stopped bathing and has bad breath, a beer belly and sinus issues. Oddly enough, clairvoyance isn���t conferred with the vows. Has she actually told him what she wants from him? He may be relieved that better hygiene can fix the issue. My second husband wore a size 54 belt. I pretended modesty and wanted the lights out, but really didn���t care to see his body. But he was an excellent lover because his most important organ was his brain. He tried to please and was completely unselfconscious. ��� Also Been Married to Buddha A new way to buy health insurance By David Sayen When key parts of the health care law take effect in 2014, you���ll have a new way to buy health insurance for yourself, your family, or your small business: the Health Insurance Marketplace. The Marketplace is designed to help you find health insurance that fits your budget, with less hassle. Every health insurance plan in the new Marketplace will offer comprehensive coverage, from doctors to medications to hospital visits. You can compare all your insurance options based on price, benefits, quality, and other features that may be important to you, in plain language that makes sense. You���ll know you���re getting a quality health plan at a reasonable price, because there���s nothing buried in the fine print. When you shop at the Marketplace, all your costs are stated upfront. So you���ll get a clear picture of what you���re paying and what you���re getting before you make a choice. California���s Marketplace is called Covered California (www.CoveredCa.com). Under the health care law, you and your family also will have new protections. Health insurance companies can���t refuse to cover you, or charge you more just because you have a chronic or pre-existing condition. And they can���t charge more for women than for men. Here are three things to keep in mind about the Health Insurance Marketplace: ��� It���s an easier way to shop for health insurance. The Health Insurance Marketplace simplifies your search for insurance by gathering all your options in one place. One application, one time, and you and your family can explore every qualified insurance plan in your area -- including any free or low-cost insurance programs you may qualify for, such as Medi-Cal or the Children���s Health Insurance Program. ��� Most people will be able to get a break on costs. Programs that lower costs are available for almost everyone. You may be eligible for a free or low-cost plan, or a new kind of tax credit that lowers your monthly premiums right away. New rules and expanded programs mean that even working families can get help paying for health insurance at the Marketplace. ��� Clear, apples-to-apples comparisons. All health insurance plans in the Marketplace present their price and benefit information in simple terms you can understand, so you don���t have to guess about your costs. Starting on Oct. 1, you���ll be able to enroll in a health plan through Covered California. Detailed information will be available about all the insurance plans offered in your area. You can sign up now at www.CoveredCa.com to get email updates that will let you know how to get ready to enroll in the plan of your choice. If you have difficulty finding a plan that meets your needs and budget, there���ll be people available to give you personalized help with your choices. These helpers aren���t associated with any particular plan, and they don���t receive any type of commission, so the help they give you will be completely unbiased. Www.CoveredCa.com will be much more than any health insurance website you���ve used before. Insurance companies will compete for your business on a level and transparent playing field, with no hidden costs or misleading fine print. You���ll have more choice, more control, and more clout when it comes to health insurance. Insurance coverage offered through Covered California takes effect on Jan. 1, 2014. David Sayen is Medicare���s regional administrator for California, Arizona, Hawaii, Nevada, and the Pacific Trust Territories. You can always get answers to your Medicare questions by calling 1-800-MEDICARE (1-800-633-4227). Mild endrometriosis unlikely to affect fertility hormones, not DEAR DOCbecause they preTOR K: I have vent pregnancy). endometriosis. Other treatments Could this affect of this type my fertility? include medicines DEAR READc a l l e d ER: Endometriogonadotropinsis can affect ferreleasing hormone tility ��� but not in agonists (yes, it���s every case. Let me Dr. K a mouthful), progexplain. by Anthony L. estins and a mediEndometrial tissue is the inner Komaroff, M.D. cine called danazol (Danocrine). lining of the Surgery is another uterus. Normally, that���s the only place in the body option if medicines fail. Some procedures may be where it grows. laparoscopically, However, with done endometriosis, the same through small incisions. type of tissue also grows Using specialized surgical where it shouldn���t ��� in instruments, the doctor places outside the uterus. destroys small areas of It may grow in or on the extra endometrial tissue ovaries or fallopian tubes, growing outside the or in the pelvis or lower uterus. The doctor may abdomen. Endometriosis burn the tissue away, trim doesn���t always cause it away, or use a laser to symptoms. But when it vaporize it. (I���ve put an does, it can result in illustration of surgical severe pain and discom- laparoscopy on my website, AskDoctorK.com.) fort. Whether or not Many women who have endometriosis affects your laparoscopic surgery to fertility depends on its improve their fertility severity and location. It���s become pregnant. For more extensive more likely to interfere with your fertility if endometriosis, you may endometrial tissue covers need traditional abdomior grows into your nal surgery. This is done ovaries, or if it blocks through a larger incision. A last-resort treatment your fallopian tubes. There are many avail- is a hysterectomy. This able treatment options. involves removing your Even without treatment, uterus, ovaries and fallopmost women with mild ian tubes ��� and any endometriosis eventually endometrial tissue that comes with them. It is percan become pregnant. For mild pelvic or formed only in women abdominal pain, you can with severe disabling pain try a nonprescription pain who no longer want to medication ��� ibuprofen become pregnant. Fortunately, symptoms (Advil, Motrin), for example, or naproxen (Aleve). of endometriosis usually If this doesn���t help, your go away after menopause. doctor may prescribe a I don���t think we know for prescription-strength pain sure that the treatments I mention above will reliever. Stronger medications improve fertility ��� your that contain a mild narcot- specific question. Howevic, such as codeine, are er, let me repeat that most with mild available, but they carry women the risk of drug depen- endometriosis do not have problems with fertildence and addiction. Other treatments ity. relieve pain by controlling Dr. Komaroff is a levels of female hormones physician and professor that encourage inflammaHarvard Medical tion within patches of at To send endometriosis. This can School. go to worsen pain and discom- questions, or fort. The treatments of this AskDoctorK.com, type include birth control write: Ask Doctor K, 10 pills (because of their Shattuck St., Second effects on the levels of sex Floor, Boston, MA 02115. HOME SERVICES DIRECTORY $ 109 Online: Publishes 24/7 Print and On-Line www.redbluffdailynews.com Three additional online locations at no extra cost! 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