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- $Unique_ID{BRK00934}
- $Pretitle{}
- $Title{Concerned About the Health of Our First Lady}
- $Subject{thyroid Grave's Disease goiter Mrs. Bush Endocrine gland Glands
- hyperthyroidism enlarged thyroid rapid heart beat tachycardia tremor
- nervousness sweating weight loss bulging eyes tearing photophobia radioactive
- iodine prednisone}
- $Volume{C-22}
- $Log{}
-
- Copyright (c) 1991-92,1993 Tribune Media Services, Inc.
-
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- Concerned About the Health of Our First Lady
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-
- QUESTION: We are quite concerned about the health of our first lady, Barbara
- Bush, and do not understand the use of radiation treatments for her thyroid
- condition. Can you also explain the relationship of her eye symptoms with her
- other problems with the thyroid?
-
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-
- ANSWER: Although I have not been consulted by the White House about Mrs.
- Bush's condition (although I would gladly make a house call) there have been
- sufficient detail reported in the press for me to understand what has been
- going on and explain it to you. The first lady suffers from an overactive
- thyroid (also called hyperthyroidism, Grave's Disease and goiter). Grave's
- disease may cause a swelling in the neck (goiter) which is the enlarged
- thyroid gland itself, rapid heart beat (tachycardia), tremor, increased
- nervousness and sweating, weight loss, as well as a typical bulging of the
- eyes, excessive tearing and photophobia (eye pain from bright light), although
- I do not know that Mrs. Bush has all of these. What is clear is that she was
- treated with radioactive iodine on April 12 to destroy some of the thyroid
- tissue. Following that she was treated with prednisone, a cortisone-like
- medication, to help reduce the irritation and swelling. Reportedly, her
- response to these medications was not satisfactory. The muscles which lie
- behind the eyeball and which control the movement of the eye were swollen, a
- common situation in Grave's Disease. This swelling causes the eyes to bulge
- forward, but also puts pressure on the optic nerve which is in the same area,
- and may impair the vision. The course of daily low intensity radiation, which
- is scheduled for 10 days, is aimed at the muscles behind the eye, and
- hopefully will reduce the swelling. This treatment has been used for a number
- of years at Walter Reed Hospital, where Mrs. Bush is being treated. This
- should help alleviate some of the discomfort and symptoms that were of concern
- to Mrs. Bush. Incidentally, the disease is named for Robert Graves, an Irish
- physician, who first described the condition in 1835, in the London Medical
- Surgical Journal.
-
- ----------------
-
- The material contained here is "FOR INFORMATION ONLY" and should not replace
- the counsel and advice of your personal physician. Promptly consulting your
- doctor is the best path to a quick and successful resolution of any medical
- problem.
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