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4C Daily News – Friday, September 27, 2013 FEATURES Hemorrhoid repair done in doctor's office causes the hemorDEAR DOCrhoid to shrink. TOR K: I've suf(I've put an illusfered with bleedtration of these ing hemorrhoids three office-based for many years procedures on my and lifestyle website, AskDocchanges haven't torK.com.) helped. My doctor When officesuggested surgery. based treatments Is this risky? Dr. K don't work, hemDEAR READby Anthony L. may ER: Hemorrhoids Komaroff, M.D. orrhoids have to be surgiare swollen veins in the anus. Many people cally removed in an have both internal and operating room. This is external hemorrhoids. called hemorrhoidectoInternal hemorrhoids are my. The surgery is effeclocated inside the anus, tive for both internal and but can sometimes push external hemorrhoids. out through the opening of However, there often is following the the anus. External hemor- pain rhoids are located at the surgery, which can be rim of the anus. Both controlled by medicatypes can cause bleeding, tion. Sometimes there is some bleeding following itching and discomfort. The lifestyle changes the operation, but this is you've probably tried usually a minor problem. include increasing your On unusual occasions, fiber intake, taking warm the pain as the surgery sitz baths, drinking plenty heals can cause tempoof water, and applying ice rary difficulty in urinatpacks or petroleum jelly ing. A final surgical option to your anal area. You're also likely to have tried is hemorrhoid stapling. over-the-counter hemor- In this procedure, a sperhoid creams, ointments cial device staples and removes hemorrhoid tisand suppositories. If none of these have sue. Used only for interworked, it might indeed nal hemorrhoids, stabe time to consider surgi- pling is less painful than cal repair. My Harvard hemorrhoidectomy and Medical School col- appears to be almost as league, Dr. William Kor- effective. We don't really know mos, recently talked about surgical treatments for why hemorrhoids develhemorrhoids in the Har- op. The veins that turn vard Men's Health Watch. into hemorrhoids are the Here is what he discussed: blood vessels through Some procedures can which blood returns from be done in a doctor's the anus and nearby area office, but only on internal to the heart. When the hemorrhoids. One such flow of blood is partially procedure is really "low blocked, the veins swell tech": rubber band liga- up. Conditions that cause blockage are tion (RBL). In RBL, the such doctor places a small band numerous: pregnancy, around an internal hemor- tumors in the pelvis rhoid to cut off its blood (such as large fibroid supply. Ligation can cause tumors of the uterus), chronic constipation or minor pain. Another office-based just prolonged sitting. technique is infrared pho- That last is another good tocoagulation (IPC). IPC reason for people with uses infrared light to heat desk jobs to get up severand scar the hemorrhoid. al times an hour and IPC causes less pain than walk around. RBL, but it may be less Dr. Komaroff is a effective for severe hemphysician and professor orrhoids. The final office-based at Harvard Medical To send treatment is sclerotherapy. School. questions, go to The doctor injects an irri- AskDoctorK.com, or tating chemical solution write: Ask Doctor K, 10 into the hemorrhoid or sur- Shattuck St., Second Boston, MA rounding area. This solu- Floor, tion triggers a reaction that 02115. Wife's emotional affair drives hubby mad riage. Often, the person Dear Annie: My wife of involved denies that it is any 25 years feels that emailing kind of affair, claiming it's and texting male friends is ''only friendship.'' But nothing to be concerned healthy friendships do not about. By accident, I disinvolve secrecy and lies and covered she had visited one do not threaten the marof these men when she was riage. Please go back to supposed to be at her girlcounseling. Your wife needs friend's for the weekend. She swears nothing hap- Annie's to understand how her actions undermine your pened. But I checked her trust, and you both must laptop and found photographs of the two of them. by Kathy Mitchell work on ways to put your When I asked about the and Marcy Sugar marriage back together. Dear Annie: My friend pictures, she claimed she was planning to send them to me and I enjoy writing letters and but never got around to it. We went receiving things via regular mail. for counseling after the weekend For my birthday, she told me to trip, and things calmed down for a watch the mailbox because she was while. She ceased communication sending me something. Well, long story short, nothing with that guy, as far as I can tell. But I recently found email evidence that arrived. I did get cards from other she is still communicating with the people in the mail. She also has my other guy she knew from high email address, but no birthday school. They close their emails with greetings came that way, either. I ''love you bunches'' or don't know what to do. Do I men''xxxoooxxx,'' and I found one that tion that nothing ever came in the mail, or should I let it go? said, ''Good night, Sexy.'' She's always good about sending My wife has no idea how much this drives me crazy. She sees noth- Christmas presents, and I send her ing wrong with this communication. things in the mail, as well, but this Could you expound on this type of has me perplexed. — Mailbox Mary Dear Mary: Since this friend affair and the potential harm it can cause? What should we do? — specifically told you to watch the mailbox, it means something was Emotionally Drained Dear Drained: An emotional either lost in the mail or she forgot affair is one of emotional, rather to send it. If the former, she probathan physical, intimacy. There is no bly is wondering why you haven't sex. However, there is deception, said anything. If the latter, she is betrayal, intimate communication likely embarrassed. How good a (texts, emails, phone calls) and an friend? If you can casually say that emotional connection to the other whatever she meant to send never person at the expense of the mar- arrived, do so. Otherwise, say noth- Mailbox Annie's Mailbox is written by Kathy Mitchell and Marcy Sugar, longtime editors of the Ann Landers column. Please email your questions to anniesmailboxcomcast.net, or write to: Annie's Mailbox, c/o Creators Syndicate, 737 3rd Street, Hermosa Beach, CA 90254. When it comes to borrowing, don't be ridiculous Not all debts are created equal, nor is every type of loan hazardous to your wealth. There is a world of difference between a home mortgage and a revolving credit card balance. While both types of debt are liabilities in which a borrower is legally obligated to a lender, the first I call intelligent borrowing. The latter is ridiculous debt because it is toxic to your financial health and your life. Here are the characteristics of intelligent borrowing: 1) The borrower has a safety valve -- a legally and morally sound alternative to get out of the obligation at any time. 2) The debt is secured. The lender holds something that is at least as valuable as the amount of the loan. This is called collateral. Think of it as a security deposit for the lender. 3) The loan is for something that has a reasonable life expectancy of more than three years, as opposed to something that will be down the drain before the bill arrives. 4) The loan is for something that will increase in value, unlike a couple of movie tickets, dinner in a fancy restaurant, or a great new outfit. 5) The interest rate is reasonable. able life expectancy of more than three years? Yes, and this is true The best example of intellinot only for the structure gent borrowing is a home itself but also for the land on mortgage. Let's see how a which it sits. home mortgage measures Will it increase in value up to each of these five over time? Yes. Real estate is characteristics of considered an appreciating intelligent borrowasset even though specific ing values may decline during Is there a safety economic cycles. valve or escape Is the interest rate relativeroute? Yes, there is ly reasonable? Yes. In nearly a way of escape for Mary all situations, mortgage rates both the borrower and are considerably lower than the lender. If you -- the borother types of consumer rower -- find you just can't loans, sometimes by as much handle those high payas two-thirds. ments or you want out for Ask each of these quesany other reason at all, you tions about credit card debt can sell the house and pay and other kinds of unsecured the lender. The lender can debt and you will understand why taksell the loan to another lender. Is the debt collateralized? Yes. With ing it on may not be intelligent. As you design your plan to get out a mortgage, the real estate or house is the collateral -- the lender's security. of debt, target the toxic debts first. The lender has a legal lien on the prop- Don't devote money to prepaying your erty until the mortgage is paid in full. mortgage (paying more than required If you do not hold up your end of the to reduce the principal more quickly) if bargain, the lender may take the prop- you are carrying toxic debt. Your erty as payment for the outstanding home mortgage -- your reasonable debt -- should be the last debt you loan. Does the purchase have a reason- repay. COURT ROUND-UP Recent State/Local Prison Commitments: People vs. Jacob Dewayne Pauling, Possession of Firearm by a FelonPriors. Brief history: A deputy conducted a traffic stop on a vehicle driven by defendant. The deputy was advised the defendant was on searchable probation and a search was conducted. Inside the vehicle the deputy located a semi-automatic handgun. Sentenced to 16 months State Prison. People vs. Christopher William Turley, Conspiracy to Commit Welfare Fraud. Brief history: Defendant was originally granted formal probation. Defendant violated his probation when he failed to keep in contact with probation and his whereaboutswere unknown until he was arrested on a warrant in this matter. Sentenced to 2 years Local Prison. People vs. Martin Ray Hulseman, Transportation of a Controlled Substance. Brief history: Defendant was originally granted formal probation. Defendant violated his probation when he failed to keep in contact with probation and failed to complete his drug and alcohol program. Sentenced to 2 years Local Prison. Recent County Jail Commitments: People vs. Luis Antonio Cervantes, Having a Con- ing. If she wonders why you haven't acknowledged a card or gift, she will ask. Dear Annie: This is for ''R,'' whose mother is type AB and whose grandmother is type O. A person with Group O blood does not carry either the A gene or the B gene. Therefore, none of that person's biological children can be AB. However, your advice about everyone involved getting tested was right on. As a person who performs blood typing, I can attest to the fact that I have surprised a few people who thought they were one type when in fact they were another. — Jacksonville, Fla. Dear Fla.: Thanks for correcting us. You are right that a Type O cannot produce a Type AB. But in exceedingly rare circumstances, an individual's blood type can change. (This most commonly occurs after a bone marrow transplant). Mom could have been adopted, or more likely, either Mom or Grandma is mistaken about their blood type. Our main concern is the granddaughter's desire that Grandma be unrelated. But even if Mom were adopted, Grandma still raised her. As far as we're concerned, that makes her the mother. cealed Firearm in a Vehicle. Brief history: An officer conducted a traffic stop on a vehicle driven by the defendant. The officer detected numerous criminal indicators and proceeded to conduct a search of the vehicle. The officer located several concealed firearms inside the vehicle. Sentenced to 180 days county jail. People vs. Michael Perry Skeslien, Possession of Ammunition; Resist, Obstruct, Delay of Peace Officer or EMT. Brief history: Officers contacted defendant after he was observed driving a vehicle without a front license plate. Upon contacting the defendant the officer observed the odor of marijuana as well as the butt of a gun sticking out from between the seats. A consent search of the vehicle was conducted and the officer located guns and ammunition. As the officer attempted to place defendant under arrest he took off on foot but was apprehended shortly after. Sentenced to 180 days county jail. People vs. Jessica Lomeli, Corporal Injury to Co-habitant (2 counts). Brief history: Defendant was originally granted formal probation. Defendant violated her probation when she tested positive for alcohol and was further found in possession of alcohol. Sentenced to 180 days county jail. People vs. Mitchell Scott Allen, Post Release Community Supervision. Brief history: Defendant was released from prison to post release community supervision. Defendant violated his terms of supervision when he was terminated from his drug and alcohol program and was located in a marijuana grow tending to marijuana plants. Sentenced to 180 days county jail. People vs. Nicole Marie Pelaiz, Vandalism. Brief history: Defendant was originally granted formal probation. Defendant violated her terms of probation when she tested positive for marijuana and oxycodone. Sentenced to 90 days county jail. Upcoming Court Dates -Trials, Preliminary Hearings (PX) & Pre Trial Conferences (PTC): People vs. Dustin Lee Hedrick, Lewd Act Upon a Child, Child Molesting. Brief history: Defendant was a 19 year old Boy Scout troop leader and both minor victims were Boy Scouts. Defendant went to a party at one of the victim's homes during which he committed lewd and lascivious acts upon the two victims. Sentencing: October 1, at 1:30 p.m. in Department 2. People vs. Christopher Hunt Everyday Cheapskate Free entry to Lassen Park Hougland, Murder with Special Allegation Use of Deadly Weapon, Assault With a Deadly Weapon with Special Allegation –Great Bodily Injury. Brief history: Officers responded to a residence regarding a disturbance. Upon arrival officers located the victim who appeared to have several stab wounds and was bleeding profusely. The victim eventually succumbed to his injuries and was pronounced dead at the scene. The defendant was arrested and taken into custody. Preliminary Hearing: October 10, at 2 p.m. in Department 2. People vs. Daniel Llamas & Isabelle Deanna Rios, Child Abuse with Special Allegation -Willful Harm or Injury Resulting in Death. Brief history: The 13 month old victim died as a result of injuries sustained while in the custody and care of Llamas and Rios. PTC: October 21, 1:15 p.m. in Department 3. People vs. Quentin Ray Bealer, Murder. Brief history: Defendant was arrested and charged with the murder of a 14 year old victim who had been reported missing when she never returned home from school. Officers located the victim's body two days later. Preliminary Hearing: October 24, at 8:30 a.m. in Department 3. Lassen Volcanic National Park entrance fees will be waived on Saturday, Sept. 28 for the 20th annual National Public Lands Day. Opportunities to explore the unique volcanic landscapes, enjoy the mountain scenery, camp, hike, attend a ranger program or the Art and Wine of Lassen event are just some of the outdoor experiences that await visitors. "Fall season is a beautiful time to visit Lassen Volcanic National Park with the cool, clear nights and warm days," said Park Superintendent Darlene Koontz. Park concessioner, California Guest Services, will host Art and Wine of Lassen Sept. 28 at the Kohm Yah-mah-nee Visitor Center from 11 a.m. to 5 p.m. This event will feature local wine tasting — $6 for tasting and commemorative wine glass — hors d'oeuvres, art exhibits with demonstrations and live music. Ranger-led programs will be offered Saturday and Sunday at Sulphur Works at 11 a.m. and at Kohm Yah-mah-nee Visitor Center at 3:30 p.m. A Junior Ranger program will be offered at the visitor center on Saturday at 2 p.m. For visitors planning to camp, there are several campgrounds that remain open with some changing to dry camping. Dry camping means there is no potable water for human consumption and only vault toilets are available. Warner Valley, Butte Lake and Summit Lake South Campgrounds are currently dry camping until Oct. 29. Manzanita Lake Loops C and D close on Oct. 1; dry camping is available from Oct. 15 until snow closure. The Southwest Campground (walk-in) is open year-round with water and restrooms available at the visitor center after Oct. 15. Juniper Lake Campground will close on Oct. 15. Summit Lake North, Crags, Lost Creek and stock corrals are now closed for the season. The National Park Service will also waive entrance fees from Nov. 9-11 in commemoration of Veterans Day. For a full list of fee free days, go to http://www.nps.gov/findapark/feefreeparks.htm . For more information, visit the park website at www.nps.gov/lavo or call the park at (530) 595-4480, from 9 a.m. to 5 p.m.

