Medical Forum / Diseases and Disorders / Prostate Cancer / November 2006
Shingles worse than cancer?
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I.P. Freely - 27 Oct 2006 00:50 GMT In one sense, yes: shingles drive more people to suicide than does cancer, and the odds of getting shingles are comparable to men's odds of getting PC.
snippets: * A person who lives to be 85 has a 50% chance of getting shingles. * in about a third of cases, shingles turns into . . . PHN.
Aha; the old 1 in 6 figure.
caveat for us: * too little data for it to recommend that doctors offer the vaccine for people about to undergo immunity-suppressing treatments.
* PHN pain can last for years. Sudden, lancing pain can quite literally bring patients to their knees. Each year, there are more suicides due to PHN pain than due to cancer pain. * 15% -- there's that 1 in 6 again -- of shingles patients get ophthalmic zoster -- shingles that affects one or both eyes.
For new press release on shingles and its vaccination, see http://health.webmd.com/cgi-bin21/DM/y/eqCk0LNg230CBe0rhv0Ek .
It would be a shame to beat our bastard only to be devastated by a now-almost-preventable disease.
I.P.
Justin Case - 27 Oct 2006 23:02 GMT : In one sense, yes: shingles drive more people to suicide than does : cancer, and the odds of getting shingles are comparable to men's odds of [quoted text clipped - 23 lines] : : I.P. Have you ever had shingles? I have and I hope I never have them again. From the inside of my left leg from about the groin area to the knee it looked and felt as if someone had poured boiling water there. There was no scarring but some residual pain still reminds me of it -- and that was about four years ago. The doctor told it was the result of severe nerve damage. The virus is the same as the chicken pox virus; if you've never had chicken pox you'll never have shingles. At least that what I was told. Then I started to hear that under unusual conditions shingles may be communicable, although I don't think a person gets shingles first and then chicken pox later. I also heard that one episode does not immunize a person from a second bout, but the probability is very slight.
My doctor told me that if I had contacted him as soon as I noticed the irritation a steroid injection often minimized the damage, but I didn't realize that the reddening was any more than a mild allergic reaction like hives.
Anyway, if you're offered the opportunity to get shingles I suggest you decline. If this new vaccination is effective, and especially if you're a young person who has had chicken pox, give it thoughtful consideration.
Ken Bland
I.P. Freely - 28 Oct 2006 01:20 GMT > : I.P. > > Have you ever had shingles? Yes, beginning on the first day of a two-week vacation road trip, on one side of my scalp. Touching a hair felt like putting out a cigarette on my skin. Sucks big time, doesn't it?
Just two days ago its fairly effective vaccine was approved and recommended by the CDC, paving the way for our insurers to cover its $160 cost. Folks can Google the whole story of shingles and its vaccine, and most will agree that the bottom line is a classic no-brainer: read up on it, and with rare exceptions (e.g., had shingles recently, undergoing RT), do it if over 60.
I.P.
LarryS - 28 Oct 2006 15:10 GMT I've had shingles and was told/read that they are the re-emergence of residual chickenpox virus that "hibernates" at the root of nerve trees that splay out across the back. Hence the outbreak on just one side of the back. In my case, they were brought on by a weakened immune system, I suspect, triggered by too much sun. Thought I had contracted skin cancer! They are extremely painful but cleared up after a few weeks. I've also had EBRT and that didn't precipitate a recurrence, thank Goodness.
Larry
dave perry - 29 Oct 2006 05:11 GMT I had shingles as did my mother and two co-workers all within a year of each other and not one of us contemplated suicide. One guy had it all over his head and face (and one eye), my mom had it on her back, and I had it starting on the left kidney area of my back with migration down into the crotch area and forward with a minor inroad on the underside of little Willie. I know there are cases where the neuralgia can be severe and can last years if not a lifetime but the large majority of cases come and go with no lasting effects. I suppose a vaccine of some type would be useful but we're not talking polio here. Dave Perry
> In one sense, yes: shingles drive more people to suicide than does > cancer, and the odds of getting shingles are comparable to men's odds of [quoted text clipped - 23 lines] > > I.P. Claude - 29 Oct 2006 16:10 GMT >I had shingles as did my mother and two co-workers all within a year of > each other and not one of us contemplated suicide. One guy had it all [quoted text clipped - 6 lines] > type would be useful but we're not talking polio here. > Dave Perry I also had a complication free case of it about 10 years ago. Brought on, I believe, by stress in dealing with my aging parents. The majority of cases recover without problem. However, like any illness, there can be complications. I have known two people who have had the continuing pain. I wouldnt be surprised if the incidence of continuing neuralgia increases with age. It really does impact quality of life. It would seem that for older folks, the vaccination would be a prudent step.
But I am wondering whether I should get it. Does my case provide the same resistance to recurrence that the vaccine would provide?
Justin Case - 30 Oct 2006 18:03 GMT <Snipped>
: I also had a complication free case of it about 10 years ago. Brought on, I : believe, by stress in dealing with my aging parents. The majority of cases [quoted text clipped - 6 lines] : But I am wondering whether I should get it. Does my case provide the same : resistance to recurrence that the vaccine would provide? I think not, Claude. It's been some time since I investigated shingles in any depth, but my clear recollection is that one case of shingles provides no degree of immunity to a second case, although repeat occurrences are quite rare. I don't know, either, if one can contract chicken pox more than once.
I'm a little puzzled by your opening statement that "[You] had a complication free case of it about 10 years ago," since I don't know what "complication-free" means. No doubt there are degrees of pain associated with shingles and one's degree of tolerance to pain, but I think most sufferers remember the incident quite well, and for some time. As I mentioned earlier, I experienced shingles about four years ago and I still occasionally feel sharp pain in the affected area, less severe and less frequently, but it's still there to remind me of it.
Ken Bland
I.P. Freely - 30 Oct 2006 18:24 GMT Guys, the facts and professional opinions are all over the media and the internet. It's in the news a lot lately. You'll learn much more there than by picking up random, partial, anecdotal tidbits in bull sessions.
I.P.
Claude - 30 Oct 2006 19:40 GMT "Justin Case" <Ken_Bland@Mindspring.com> wrote in message news:0gq1h.1387
> I'm a little puzzled by your opening statement that "[You] had a > complication free case of it about 10 years ago," since I don't know what [quoted text clipped - 6 lines] > > Ken Bland "Complications" in my mind means the continuing pain after the rash is gone. I had pain probably for about three weeks, but then when the rash cleared up the pain was gone and has not returned. The two people I know were both over 70. When the rash cleared up they had lingering and at times disabling pain. For one man this continued a couple of years until his death and the other case involves an 83 year old woman who continues to have shingles pain a year later. I guess I use the term "complications" because there seems to be some apparent permanent damage to the nerves in some cases, whereas for most of us the nerves return to normal.
Netmask - 03 Nov 2006 02:19 GMT > "Justin Case" <Ken_Bland@Mindspring.com> wrote in message news:0gq1h.1387 > [quoted text clipped - 20 lines] > to the nerves in some cases, whereas for most of us the nerves return to > normal. My understanding of shingles is it is of the same family as genital herpes and once you get it you have it for life. An elderly friend of mine in his 90's has the symptoms treated with Acyclovir, according to latest research, initially 2 x 500 mg tabs then 2 tabs a day for 5 days. Use codeine as required for any pain. Both drugs are on the NHS so the cost is around au$30 for the Acyclovir.
Netmask - 03 Nov 2006 03:05 GMT >> "Justin Case" <Ken_Bland@Mindspring.com> wrote in message news:0gq1h.1387 >> [quoted text clipped - 29 lines] > codeine as required for any pain. Both drugs are on the NHS so the cost is > around au$30 for the Acyclovir. Correction just checked with my friend and the drug is Famvir (Famciclovir) not Acyclovir. Dosage and cost the same.
Newby - 03 Nov 2006 04:41 GMT [snipped]
> My understanding of shingles is it is of the same family as genital herpes > and once you get it you have it for life. An elderly friend of mine in his > 90's has the symptoms treated with Acyclovir, according to latest research, > initially 2 x 500 mg tabs then 2 tabs a day for 5 days. Use codeine as > required for any pain. Both drugs are on the NHS so the cost is around au$30 > for the Acyclovir. http://www.nih.gov/news/pr/jun2005/niaid-01a.htm
"Anyone who has had chickenpox - which includes most adults in the United States - could develop shingles, though not all will. The two major risk factors are increasing age and declining immunity. Half of all people who live to age 85 will get the disease. Experts estimate more than a million new cases of shingles occur in the United States each year."
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