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Health Watch ~ by Dr Robert C Beitman

Dear Mr. Beitman: I have just finished reading your Herald article on low blood count. My 94-year-old son was breaking out in a rash on his face and vomited a few times and was generally not feeling well. Also, his sister has recently had hepatitis B, so I had him take a blood test. The results were that he has anemia. I was relieved it was not hepatitis, but anemia struck me as odd for him to have because he eats so well. Not only junk food but all food. He eats some vegetables, broccoli, string beans, etc. I HAVE NOT spoken with the doctor, the results were given me over the phone by the nurse and iron vitamins were prescribed. After reading more about anemia I am concerned. D.H.. Wildwood

Dear D.H.: I think it is appropriate for you to be concerned about the finding of anemia in your young child. Several thoughts come to mind. First, perhaps it would be worthwhile to discuss with your physician whether this is a serious case of anemia, or only a very minor deviation from the normal. In any case, it may be worthwhile to repeat the blood test to see if the first hemoglobin count was correct or reflected a laboratory error, which does occur on occasion. IF THE REPEAT hemoglobin confirms the presence of anemia, then the next question to be answered is "what is the cause?" You state that your child eats very well and has a good appetite, so the nutritional B12. folic acid, and iron deficiencies would be unlikely. An evaluation looking for blood in the bowel movement or urine can be helpful in determining the source of blood loss as a cause of the anemia. Other possible causes for

anemia would be destruction of blood cells once formed, referred to as hemolysis. This occurs with congenital and acquired conditions. Sometimes prescription medications can cause this, as well. ANOTHER GROUP of problems leading to anemia would include malfunctions of the red blood cell production in the bone marrow. This group includes leukemia or cancer. Special tests might include a bone marrow examination, further blood studies for iron and'the iron binding proteins, as well as a reticulocyte bone marrow to support blood production. On occasion there may be problems with the quality of the hemoglobin and conditions such as sickle cell anemia or thalessemia may be detected. Special blood tests can help in the diagnosis of these conditions. HOPEFULLY the anemia which your son has is very minor and under your physicians eye will

soon be improved. As I have pointed out in previous columns, testing for low hemoglobin is a very helpful marker. The cause of the anemia and the actual problem producing the low blood count ideally should be identified whenever possible. Health Watch is a public education project of the Cape May County Unit oj the America n Cancer Society, of which Dr Beitman is president. Letters should be directed to his office. 108 N. Main St.. Cape May Court House. NJ 08210.

Deaths

YVillard H. Carson. 7b, OI Cape May, Feb. 11. A retired supervisor with the Philadelphia Electric Co., he was a member of the Stone Harbor Gold Club Harry W. Downam, 80, of Ocean View, Feb. 11. Born in Cedarville, he was a local resident for 75 years. He was a retired selfemployed farmer. Clelia J. Fenstad, 79. of Cape May, Feb. 11. Born in Hoboken, she resided there as well as Cape May She was a member of First United Methodist Church of Cape May. the Trinity Lodge of the Eastern Star in West New York; the Sons of Norway; and the Greater Cape May Chamber of Commerce. Gussie Foxworth. of Ocean City. Feb. 10. A " longtime resident of Ocean

City, she was an usher, trustee, deaconess, church mother, missionary, and member of the Building Fund Committee of Tabernacle Baptist Church. She was a member of the Elks, Geranium Temple No. 469. Frank Hargrave. 66. of Villas. Feb. 9. A retired janitor at the Teitelman Middle School, he was World War II Navy veteran and a 25-year member of the Coast Guard AuxiliaryFlotilla No. 82 in Cape May. Harry B. Ilearn, 78, of Cape May, Feb. 10. A retired house painter, he formerly lived in Glenside, Pa. John R. Keever, 23, of Dennisville, Feb. 11 after a publicized two-year battle against leukemia. A lifetime resident of the area, he was a lieutenant with the Dennisville fire company, and also worked at the Rod Kohler auto glass shop. He belonged to the East Creek Gunning Club. James E. Kelly. 61. of Villas, Feb. 10. A retired truck driver for H.B. Niehaus Trucking Co., in more recent years he drove for the Villas Produce Co He was a member of Local 107 Truck Drivers Union as well as the Retirement Club of his union. Arthur J. Krause. 89. of Marmora, Feb. 11 A retired electrician, he was a member of Canon Lodge No. 104 Free and Accepted Masions of South Seaville and a former member of the No. 191 Free and Accepted Masons of Haddon Neights. He formerly resided in Haddon Heights Margaret M. McCann, 85, of Wildwood Crest, Feb. 12. A 42-year local resident, she was a member of the Blessed Virgin Mary Sodality of Darby, Pa., and the John F. Kennedy Democratic Club in Wildwood Crest. She was a member of the Colwyn. Pa. Volunteer Fire Co. Auxiliary.

Stone Harbor Bridge Club Overall winners during the Feb. 12 game were: 1st and 2nd tie. Dorris Barker and Claire Menge48 Betty Parker and Carolyn Eldon 48 3rd and 4th tie. Vernice Caprio and Nancy Wi9enauer 45 Walt Trout and Bob Owens 45 There is a duplicate ACBL bridge game every Wednesday 7:30 p.m. at the Stone Harbor Fire House. For information call 884-2644

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