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Do No!: Take

tveiy person who maliciously cuts, defaces, breaks 01 injures dny book, map. chart, picture, engraving, statue, coin, model, apparatus, or other work of lit eratuie, art, mechanics or ob- ject of curiosity, deposited in any public library, gallery, museum or collection is guilty of a misdemeanor

Penal Code of California 1915, Section 623

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LADIES' HOME

JOURNAL

July 1998

on the cover

38 GERM ALERT Could killer germs infect you and your family? An up-to-the-minute protection guide. By Nancy F. Smith

60 MAKING SONNY PROUD Only months ago. Sonny Bono died in a tragic skiing accident. His wife, Mary, who now fills his seat in Congress, is honoring his legacy. By Kathryn Casey

72 MAGIC MOMENTS The secret to enjoying more with your family? Doing less. By Mimi Doe, with Marsha Walch, Ph.D.

100 MY DAUGHTER IS A LEOMANIAC When your teen loves this year's It Boy, Leonardo DiCaprio, what's a mom to do? By Lorraine Glennon

113 A MONTH OF BESTS From the best night for stargazing to the best film festival around, we've got eight ways to put fun in your July.

114 "I'M NO LONGER AFRAID OF CHANGE" LHJ's exclusive interview with Joan Lunden.

By Melina Gerosa

LADIES' HOME JOURNAL • JULY 1998

118 SUMMER SOLUTIONS Five- minute fixes to help your skin and hair take the heat. By Lois Joy Johnson

122 PRISONER OF LOVE A child bride, her convict husband and the gutsy lawyer who argues for their marriage. An excerpt from the new novel by best-selling author Jacquelyn Mitchard.

126 FLOWER POW ER Our pro's tips for arranging flowers will let your creativity bloom. Produced by Kimberlie A. Waugh

150 IN SEASON: CHERRIES Our Fresh Cherry Salsa and scones make the most of these summer delights.

158 WHITE PEACHES Sweet, scrumptious beauties star in a refreshing ice-cream recipe — a pure scoop of heaven.

160 THE PERFECT FRIED CHICKEN It's a summertime favorite, and we've got the recipe for cooking up the best every time

BEST SUMMER EVER

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78 THE MOLESTER NEXT DOOR A Philadelphia neighborhood made a chilling discover^': Their trusted neighbor, a paramedic and friend was a pedophile who had raped an eight- year-old girl. By Marjorie Preston

health

37 YOUR FAMILY'S HEALTHIEST SUMMER EVER A safety guide to help you avoid the season's serious hazards.

48 DON'T GET BUGGED Ticks, mosquitoes, spiders and mice can give you more than the creeps. Here's how to recognize and prevent the deadly diseases they earn-. By Ronny Frishman

54 POISON CONTROL Keeping your children safe goes bevond containers with childproof caps. Expert advice to help you protect kids from their own curiosity. By Randi Hutter Epstein. M.D.

people

28 A WOMAN TODAY "Broadway Babies" There's no business like show business for this family of eight. By Peggy Bowen, as told to Karen J. Irvine

food

131 FOOD JOURNAL Clip-and- save recipes for thirty-minute meatless meals.

134 NEW CLASSICS COAST TO COAST From the Pacific Northwest to the coast of Maine, recipes for the food America loves.

152 THE LIGHT STUFF We sampled over sixty salad dressings to bring you the best of the low-fat and no-fat lot — plus our own yellow-pepper-and-pear vinaigrette.

154 GUEST CHEF Clifford Pleau of Disney World's California Grill makes his great steak-and-onion flathread.

162 INSIDE THE JOURNAL KITCHEN/RECIPE LNDEX

8 LADIFS' HOMF JOURNAL • JULY 1998

m every issue

10 EDITOR'S JOURNAL "The Best for You" By Myrna Blyth

15 CAN THIS .\LARRLAGE BE SAVED? "I Had a Fling with My Boss" By Jane Marks

22 BEAUTY & FASHION NEWS Dazzling chokers; the best bras for bare summer styles; a kick-boxing move to tone legs.

34 NEWSLINE REPORT A new asthma drug for children; avoiding fraud in online auctions.

76 HOME NEWS Preserving vacation photos; declurtering kids' rooms.

88 CONSUMER NEWS Health insurance for the self-employed; dinipg out for less.

110 FAMILY NEWS Tips for your best summer vacation ever, including last-minute trip bargains and handling a medical emergency away from home.

168 THE LAST WORD "Silence Is Golden" Sometimes we have to be quiet so that we can say yes to what's important. By Brenda L. Buttner

53 CARIBBEAN CRUISE SWEEPSTAKES

153 THE SMART SHOPPER

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As I'm sure you know by now, this is Ladies' Home Journal's 115th anniver- sary year. Each month we have a very special feature in the issue to celebrate. This time, to honor our long tradition of publishing exceptional fiction, we have an excerpt from the new novel by Jacquelyn Mitchard, the author of The Deep End of the Ocean. Jacquelyn is also an LHJ Contributing Editor. I think you'll enjoy this touching tale of an unusual Texas teenager and the gutsy woman lawyer who befriends her. I know it will be a best-seller, and we're delighted to have Jacquelyn, a marvelous writer, as part of the Journal family.

A couple of months ago I was thrilled to be at the White House with Nancy Brinker, found- ing chairman of the Su- san G. Komen Breast Cancer Foundation, to present Hillary Clinton with a planter of impa- tiens for Mother's Day. It v our "Memories, Milestones project, which helped raise funds through the country for breast-cancer research.

out

At the White House with Nancy Brinker, Joel Goldsmith, president of Goldsmith Seeds, and the First Lady

Nowadays at the Journal, we often present articles in the mag- azine that go a step further, that move right off our pages, giving you more information or a chance for greater involvement in a good cause. For example, this month and next we are featuring special summer safety sections, working with that fine and effec- tive national organization, Safe Kids. Together, we'll offer car- seat checks in your own community, helping your children to have a safe summer.

MYRXA BLYTH Editor-in-Chief

100

Most Important

WOMEN

The Leakeys in

DIGGING UP THE PAST Mary Leakey 1913-i996

Beginning in the 1930s, Mary Leakey, matriarch of the famous Leakey family of fossil hunters, made a series of archaeological discoveries that fundamentally altered the way we view human evolution. Among her greatest finds were two skulls, uncovered in 1948 and 1959, that traced the origins of human life to Africa (not Asia, as previously assumed), and, in 1978, a trail of fossilized footprints, dated to 3.6 million years, that proved our ancestors walked upright far earlier than scientists had believed. "Louis was always the better publicist," said the Leakeys' son Richard of his more famous father, "but Mary was the centerpiece of the research."

Mary was a failed student ("I had never passed a single exam in my life") and amateur archaeologist when she fell in love with Louis Leakey in 1933, creating a scandal at Cambridge, where he was a married professor. The two wed in 1936 and set off for Tanzania.

There she remained for the next half-century, digging up fossils, bones and stone tools, and carefully sketching and cataloguing her finds. She said she was "compelled by curiosity," and she remained passionate about her work to the end. "Given a chance," she said shortly before her death, "I'd rather be in a tent than in a house."

LADIES' HOME JOURNAL • JULY 1998

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Antoine Verglas SuperClub's Grand Lido Sans Souci Resort in Jamaica was the backdrop for "Summer Solutions" (page 118), our hot-weather beauty guide. "Its name means 'no problem' in French," says the photographer responsible for our stunning shots, "which also describes how well the shoot went."

Mimi Doe and Marsha Walch, Ph.D. "All children begin life with an innate sense of wonder about eir world," say these parenting gurus. "Despite wh?t parents [link, they don't need high-tech ys to spark their imagination."

In "Magic Moments" (page 72), they explain how to simplify family fun.

Nancy F. Smith In "Germ Alert" (page 38), health and science writer Smith appraises the threat posed by high-profile infectious diseases and discovers that certain food-borne illnesses are the greater menace. "Fortunately, when it comes to food, there are steps you can take to protect yourself," she says.

1^

Jacquelyn Mitchard "What constitutes a family is a thematic preoccupation of mine," says the best-selling novelist. In "Prisoner of Love" (page 122) — excerpted from her latest book, The Most Wanted (Viking, 1998)— a young female attorney defends a family whose relationship she cannot morally condone.

Georgeanne Brennan This food and garden writer believes that when it comes to flowers in the home, less is more. "The fancy arrangements you see in restaurants would look out of place." says Brennan, who suggests some simple bouquets in "Flower Power" (page 126).

JOURNAL

Editor-in-Chief L~ P.ib.:>n:n; D-.rcc:. - Myraa Blyth Executne Editor Susan Crandell Managing Editor Carolyn Noyes Art Director Anna Dem chick Service Director Margot Gilman Beauty & Fashion Director Lois Joy Johnson Food Editor Jan Turner Hazard Articles Editor Pamela Guthrie O'Brien Senior Editors Melina Gerosa entertainment Lorraine Glennon relationships Mary Mohler books and fiction Elena Rover health Decorating and Home Design Editor Kimberlie A. ^Taugh

Deborah J. Baer editorial assistant A KtcUs Shana Abom neat and human-interest < Karyn Dabaghian associate editor Anna Roufos assistant editor Aimee Kendall assistant editor Mary Mertz researcher Connne L Domingo editorial assistant John Loeckc editorial assistant Beauty &1 Fashion Heidi Schiller associate editor Cindy Fedida editorial assistant Food Carol Prager associate editor

Jane Yagoda Goodman assistant editor Sarah P. Basso assistant editor Ediroia. Prrducti i Mirk Arr. ur.cHer. . py :i;^r Yalene Kalfrin copy editor Carly On desktop assistant Reader Service Jill Benz Malter Art Department Bradley Carverte design director Chantal Belsheim photo editor Peter Cober studio manager Kevin Guterl photo assistant Eiitor-a:-Large .\ larger.- D Rosen Mt Jical Adviser Marianne J. Legato, M.D. Contributing Home Design Editor Chns Casson Madden

Contributing Editors Leslie Bennetts, Kathryn Casey, Deboral v Ellen Galinsky, Andrea Gross, Dianne H , Jim Jerome, Sharlene Johnson, Leslie Lai Paula Lyons, Melinda Marshall, Diana \ Jacquelyn Mitchard. Carol Lynn Mithers Evelyn Firestone Moschetta, D.S.W. Paul Moschetta, D.S.W. Michael J. Weiss 'Washington, D C.) Assistant to the Editor-m-Chtef Karen Romanelli Ciardullo Editorial Business Analyst VS.: Chin

Publisher Advertising Director Marketing Director Eastern Director .\fidv.-est Manager Nets York .\Ianagcr Associate Nets York Manager Beauty & Fashion Manager Western Sales Manager West Coast Manager Los Angeles .Manager Sales Administration Manager Assistant to the Publisher

Michael L. Brownstein

Kristine Welker Susan M. Parkes Mark Josephson Chnsti Neil! Julie Pmkwater Leslie A. Light Lauren Decker Lerman Janet E. Davy Sharon Rogers Kuuipo Cashman Terry Giella Diane DeMar.a

General Manager Todd R. Haskell

Circulation Director Beth von Linden

Business .Manager Michael I. Cook

Production Director Catherine Merolle

Production .Manager Catherine M. Dawkins

MEREDITH PUBLISHING GROUP

President Christopher M. Little Strategu Marketing Bill Murphy Integrated Marketing Jerry Kaplan Finance and Administration Max Runciman Manufacturing Bruce Heston Circulation Hal Onnger Operations Dean Pieters Creative Services Ellen DeLathouder

^^eredith

^ Mnt;j*: & Chx;' Extcur.zi Officer William! Kerr Chairman of the Executive Committee E.T. Meredith, III

The Journal cannot process unsolicited manuscripts or an material, and the Publisher assumes no responsibility whatsoever tor their return. Postmaster: Send address changes to Ladies' Home Journal. P.O. Box Boulder, CO S0328-3Q40. 8 IQQR Meredith Corporanon. All rights

reserved "Never Underestimate the Power of a VToman." "Can This Mamagc Be Saved?" and "l-HP arc trademarks of Meredith Corporanon. registered at U S Patent and Trademark Office. Tit:c "Laches" Home Journal" registered at U S Patent and Trademark Office and foreign countries.

CUSTOMER SERVICE INFORMATION For service on your subscription, including change of address, write to Ladies' Home Journal, P.O. Box 53940, Boulder, CO 80322-3940. Please enclose your address label from a recent issue. If you wish to phone, call toll-free 800-374- 4545; fax. 303-661-1 S94; or E-mail, ladieshomejoumal® neodata.com. Send all other correspondence to: Ladies' Home Journal, 125 Park M*A Avenue. New York. NT 1001". Printed in the USA.

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AMY'S TURN

nt was only a kiss, but it stirred so much passion, I felt my whole body melt," said Amy, a slender thirty-three-year-old with tousled blond hair. "Then reali- ty hit: This is not my husband, Bri- an; this is my boss, Jed, and we are about to commit adultery.

"'I can't do this!' I cried. I backed away and ran down to my own room, bolted the door, and fell on the bed, sick with guilt, as I thought of Brian waiting trustingly at home during my business trip with Jed. How could I be so stupid, risking everything I really cared about?

"It's ironic: When I first met Bri- an, at twenty-three, I was excited about my new consulting job — and terrified that lie couldn't be trusted. 'He's not the type to settle down,' I told my friends, convinced that a man so handsome, and still unmar- ried at thirty, had to be vain and shallow. Besides, I wore suits to work, while Brian lived in T-shirts and jeans. I didn't realize diat he had built up a very successful plumbing business, which allowed him to dress as he liked yet take time off for his passion, which was scuba diving.

"But Brian pursued me, and proved he was a one-woman guy.

"CAN THIS MARRIAGE BE SAVED'" IS A REGISTERED TRADEMARK OF MEREDITH CORPORATION

Exhausted by a new baby and Brians refusal to help out, Amy was only too ready to accept the sympathy her boss offered By Jane Marks

He was not only gorgeous, but lov- ing and tendei

\X'e dated for three years, and then got married. We dove in Hawaii on our honeymoon and spent week- ends on a boat with friends Each year, we'd take a big trip to the Caribbean. I never knew life could be so exciting!

"Alter seven years of marriage, our only conflict was my yearning for a baby. Brian thought parent- hood would ruin our perfect life, but I'd always assumed we'd have kids. I grew up with emotionally chilly parents, and they really froze when my brother, Buddy, four, died of cancer. I was twelve at the time. My dad, a chemist, withdrew into his work, while Mom spent her days volunteering at the hospital . and her evenings in bed with Buddy's doctor, while I baby-sat for my seven- year-old sister. I promised myself that someday I'd have a real family.

"I knew Brian didn't want kids when we got married. I figured that would change, but he remained adamant. Just after our sixth anniver- sary, our neighbors adopted a darling baby, and I felt so deprived. That night, I gave Brian an ultimatum: 'If you won't let me have a baby, I'll leave and find a man who will.' Brian looked stricken; he knew I was seri- ous. 'Okay,' he conceded at last. 'But you'll have to do all the work.'

"Having no idea what I was bar- gaining for, I joyously tossed my diaphragm in the trash. Months lat- er, I was pregnant— and elated. Bri- an was smitten with little Katie at first; she was so robust and perfect- looking. But the reality (co)itimted)

THE MOST POPULAR, most enduring women's magazine feature in the work). This month's case, about a couple trying to come to terms with the wife's extramarital attraction, is based on interviews with clients and information from the files of Randy Jaffe, M.A., a family therapist in Santa Barbara, California. The story told here is true, although the names and other details have been changed to conceal identities.

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CAN THIS MARRIAGE BE SAVED?

Continued

that followed was awful! I had no family nearby, and Katie had colic. Every night, she'd scream her head off, arching angrily away from my best efforts to soothe her.

"After six weeks of motherhood, I was so tired even' part of me ached, but Brian seemed oblivious. When I said, 'This is so hard,' he actually said, 'I know, hon, but we made a deal,' and went off to work. I couldn't help comparing Brian to my boss, Jed, who had three kids whom he adored.

" 'If I were Brian, I'd insist that you get some sleep,' Jed sympathized over lunch one day. I tried to smile, but to my embarrassment, I started to sob, and the next thing I knew, Jed

"Maybe I haven't been much help with Katie/' said Brian, "but was that any excuse for Amy to have an affair?

was holding me. 'Amy!' he said, stroking my hair. 'I could make you so happy if you'd let me. ..."

"I pulled away, shocked. 'I'm hap- pily married,' I said, thinking I should report this man to human re- sources, but then I softened. That would be crazy. Jed had been my mentor and my boss for ten years, and he'd never made a pass at me before. I could be generous, pretend this hadn't happened. Jed went out of town for the next week. I felt re- lieved— but strangely disappointed. I kept thinking of his embrace, and felt a little like a teenager with a crush. I planned to tell Brian what had hap- pened, but somehow I never got around to it.

"Then Jed called me at home. It was work-related, but hearing his voice was wonderful. That night, I let myself imagine that the man mak- ing sweet, powerful love to me was Jed, not Brian.

"In the next few weeks, Jed and I had manv business lunches together

eir ti

v- ort

and a couple of dinners showed a new product line to It was all very proper — except mind. Then I got a memo: Jec were to make a presentatio convention in Chicago — an ov trip. I know I should have ri , but with what excuse? Besides away from Katie overnight, I nalized, I'd be able to get sorn So I left her with the wonderfuljji an who takes care of her every Brian wouldn't spend a night with her — and went to Chicago "Our presentation was a hu] cess. At dinner, Jed ordered a of expensive wine. 'To us — a team,' he said, raising his glas eyes met, and communicated ftrj thing. We didn't want dinnelw wanted each othl II the elevator, he U me — a long, slowpav sionate kiss th<H me on fire. But he; the door openeBBj our floor, I felt all den chill. This tm can't wait to makmt with is not my husmd "I tore away to my own ran' feeling dirty — as if I'd turned intfc mother! Back at the office on for day, Jed was cool — thank heaves- but I was a mess. Finally, I ck Brian on his pager and said, 'file, me at home." I had to tell him, ire if it meant losing him. When I har Brian's car pull up. I ran outsid haven't been honest with yoi* blurted out. and told him everythij Brian got blotchy and his eyes fie up. But when I went to him h pushed me away. That was's painful. Brian insists that our m riage is over, but I've convinced ii to come here and see if counsel] will help."

Dfeel like I've been kickel said Brian, a ruggedly goc looking man of thirty-n| with green eyes. "In the ii few days, I've gone through all kil of emotions. Right now, I'm feel) very sad for our family, (contimi

16 LADIES' HOME JOURNAL • JULY 1998

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THIS MARRIAGE BE SAVED? nued

ciallv K;itic. I know what it's like ;ow up with divorce.

can't believe I was so wrong it Amy. And to think I was the who had to convince her that I

a good guy, not just a beach I. Everything great until she :ed talking ba- — the one thing illy didn't want, he youngest of , I saw myself

an inconve- ce to my par- . My dad had made a lot of ey in real estate l I came along. 1 always wanted uy a small boat sail around the d, but my mom

reminding him, 'What about l and school?' There I was, like nchor around his neck. One year my father left us, and my mom : into a depression that lasted she died a few years ago. >o I was afraid of having kids, ies, I thought we had enough our love affair, our great trips, :areers and our social life. I was ned when Amy threatened to '. unless I agreed to a baby. I ght, This child isn't even con- id yet, and already it's coming een us. That was heavy stuff, 'he birth itself was a high, and : was beautiful. But instead of a ly baby who'd sleep in my arms, vas a full-time screamer. Friends d look at us and say, 'Oh, dear.' day, I walked in and saw Amy :d-faced, crying, miserable. The j wouldn't breast-feed. Poor — I felt protective toward her, [hough I feel ashamed and guilty Imit it, I was furious at Katie for oying our dreams, admit I haven't been a whole lot :lp with Katie, but was that an >e for Amy to have an affair with oily S.O.B. she works for? How 1 she? Last week, I was on my

way home from wi and parked a block away. 1 thought, I can't go home for the things 1 used to count on there, like truthfulness and love and understanding. I've never felt so contused or so alone."

, I Brian were

I I suffering,"

^■^■J said the counselor. "And so the first order of business was crisis intervention, to help them avoid doing something they would later regret.

"Brian was furi- ous and deeply dis- illusioned, and I encouraged him to air those feelings. At the same time, I pointed out that Amy had shown a great deal of integrity in coming to him at an early stage. I suggested, too, that Amy might have created this crisis as a way of telling him that she needed more of his closeness and support. This helped to calm Brian, at least enough to listen as Amy — deeply ashamed — told him how much she loved him and wanted their mar- riage to work.

"Brian remained wary, but Amy was patient; she even offered to quit the company if it would reassure Brian. To begin rebuilding damaged trust, I gave Amy a task: to call Jed and ex- plain that she was totally committed to her husband and needed to set up strict new boundaries. She would have no more meals with Jed, no late evenings, and no out-of-town activi- ties together — even if it cost her her job. To Brian, she promised to report all of her conversations with Jed for a month — longer if he wanted. This way, there would be no more secrets.

"When the initial crisis had eased, we started looking at how the couple had gotten so far off track. Amy and Brian — both emotionally abandoned as children — had brought unresolved grief and disappointment (continued)

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CAN THIS MARRIAGE BE SAVED?

Continued

to the marriage. We looked at how Amy had ached for a baby to fill the emptiness she felt — only to find that motherhood had cost her the closeness of her marriage; and how both Brian and Amy had floun- dered for months, each feeling alone and overwhelmed in the face of Katie's demands.

"This was important new informa- tion: Though they prided themselves on communication, Brian and Amy had unfairly expected each other to know their unspoken feelings and de- sires. Neither of them had learned in childhood how to share feelings, but they were both willing to work on this. I gave them exercises, like lis- tening and then reflecting what their partner had said without judgment, as in, 'I think I hear you saying. . . . ' The listener would ask the talker to elaborate — 'Is there anything else?' — then validate the partner's feelings — 'It must have been very hard for you when. . . .' The two would take turns talking and listening, and they would call a time-out if they felt themselves becoming angry or defensive. This would help to keep them from acting out their frustrations in destructive ways. If she felt loved and under- stood, Amy would not have to seek an extramarital affair, as her mother had; Brian, too, would not need to follow in his father's footsteps, reject- ing a child and breaking his wife's heart by walking out.

"Brian admitted he had been rigid, making it hard for Amy to tell him how unhappy she was. Certainly their 'deal' that Amy would care for the baby alone had been unrealistic. Amy

had been foolish to agree to it, and he had been wrong to ask.

"Fortunately, some things get bet- ter simply with the passage of time. Katie began sleeping for six hours at a stretch, which allowed Amy to get some rest — and begin to find real de- light in her baby. Brian, however, was still on the outside. 'I change di- apers,' he said, 'but it's like changing a tire — I feel no emotional involve- ment.' In response, I asked Brian to read a book on infant development, and then keep a journal in which he would note even tiny changes in Katie, like a slightly longer attention span, or a more alert look when the dog barked. Brian admitted, too, that he didn't know how to hold a baby, so I urged him to experiment with different ways of holding Katie to see what she liked. Part of what kept him on track was the fast results he got. For example, he took Katie to the park one Saturday, and found that he enjoyed her company as he strolled her along the shore, watching the waves and the surfers. The next morning, instead of going diving, he stayed in bed, watching his wife and daughter sleep. Suddenly, Katie opened her eyes, smiled and held out her arms to him. He was enchanted.

"Both Brian and Amy were reas- sured by this milestone. 'I guess I didn't have to give up my dream so much as grow it up for the three of us,' Brian mused in our last session. The challenge of melding two very different dreams can turn a promising marriage into a nightmare, but this couple truly used their crisis as a springboard. I feel confident that Bri- an and Amy — and Katie — are on their way to being a terrific familv." •

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now, "Can This Marriage Be Saved?" has been compiled in a book containing stories of real-life couples in distress and their efforts to overcome it. The 352-page softcover book is offered by a special arrangement with Workman Publishing.

To order, indicate how many books you would like and send a check or money order for S14.95 per book to Ladies' Home Journal® Resources, Dept. L0798, P.O. Box 9381, Des Moines, IA 50306-9381. To use yc r Visa or MasterCard, call 800-763-6393. (Price includes shipping, handling and applicable sales tax.)

20 LADIES' HOME JOURNAL • JULY 1998

CONTRAJND+CAT

M EGRA"** s CO*

?at*^s *TTt-( <nown t

PRECAUTIONS Drug, Interactions

n r*c NpMM sttoes *exo*en« (twnce the recommended dose) i 500 mg every 8 houn> c »etocor

rde 120 i :ered with el

Effects on Steady-State Fexofenadine P ha rmacokini After 7 Days of Co- Administration with Fexofenadine Hydl 120 mg Every 12 Hours (twice recommended doe] in Normal Volunteers (n=24)

Concordant Pfwcffl AuC^

Dmg | Pea*, plasma

concentration) Erythromycin +62% 5." -c e.e-, 5 ~s

Ketoconazoie -135% (400 mg once dairy)

• a- 3-i3 the p|

interaction with other azote antifungal or macrotide agents ha

. - ' • - '2-geB

levels achieved in adequate and well-controlled clinn

• - - - -2 --- ■ : - ■- r : ■" - - --■ ■: ; j' erythif

Carcinogenesis, Mutagenesis, Impairment of Fertility

T~-e ca-c ~03/?~ : oc:e~:-a anc -ec-cdjctive toxicity of fei hydrochloride were assessed using terfenadine studies with fexofenadine exposure (based on plasma area-under-the-cui^^ values) No evidence of caronogentoty was observed when micMq were given daity oral doses of 50 and 1 50 mg/kg of terfenadine m \ 24 months, respectrvefy. these doses resulted in plasma AUC H -< - -. - -.--e . : ■ ' -r: :-t - .-a-" "~e-ape Fv=

(based on a 60-mg twice-dairy fexofenadine hydrochlonde dos* I In irvvrtro (Bacteria) Reverse Mutation. CHO/HGPRT Forward m | and Rat Lymphocyte Chromosomal Aberration assays) ar I - = - '■^re'iadine r pr:

nde revealed no evidence of mutagenicity ' In rat fertility studies, dose-related reductions in implants and in< ■ pasttmplantaton losses were observed at oral doses equal to < K than 1 50 mg Vg of terfenadine: these doses produced plasma Al ■ of fexofenadine that were equal lo or greater than three times tt m therapeutic value (based on a 60-mg twice-daily fexofenadine h I nde dosV Pregnancy

Teratogenic Effects Category C. "T^ere was no evidence

gen city in rats or rabbits at oral terfenadine doses up to 300 rt\ doses produced fexofenadine plasma AUC values that were upj 37 times the human therapeufcc value (based on a 60-mg twice- ofenadme hydrocntonoe dose), respectively. There are no adequate and well-controlled studies in pregnant Fexofenadine hydrochloride shoukJ be used dunng pregnancy potential benefit justrftes the potential nsk to the fetus. Nonteratogenie Effects. Dose-related decreases in pup weight survrvai were observed m rats exposed to oral doses equal to ar* than 1 50 mgVg of terfenadine; al these doses the plasma AUC fexofenadine were equal to or greater than 3 times the human tfn vaJues (based on a 60-mg twice-daily fexofenadine hydrochloride! Nursing Mothers There a^e r-c adequate and well-controlled studies in women di tation Because many drugs are excreted in human milk, cautii be exercised when fexofenadine hydrochlonde is administered ti ing woman. Pediatric Use

Safety ana effectrveness cf ALLEGRAr" m pediatric patients ui age of 12 years have not been established Across well-controlle< I tnals in patients with seasonal ahergic rhinitis, a total of 205 between the ages of 1 2 to 16 years received doses ranging fronfl to 240 mg twice daily for up to two weeks Adverse events were s this group compared to patients above the age o* 16 years. Geriatric Use

In placebo-controlled tnals, 42 patients, age 60 to 68 years, rB doses o* 20 mg to 240 mg of fexofenadine twice daily for up to two I Adverse events were similar in this group to patients under age 6( ■ ADVERSE REACTIONS In placebo-controlled clinical tnals. which included 2461 patients raS fexofenadine hydrochloride at doses of 20 mg to 240 mg twic I adverse events wen? similar m fexofenadine hydrochloride and p I treated patients The incidence of adverse events, including draw I was not oose related and was similar across subgroups defined 1 1 gender and race The percent of patients who withdrew prerr I because of adverse events was 2.2% wrth fexofenadine hydrochlc I 3 3% with placebo All adverse events that were reported by great I 1 % of patients who recerved the recommended daily dose of fexofe I hydrochlonde (60 mg twice-dairy), and that were more common w I ofenadme than placebo, an? listed m the following table.

Adverse Experiences Reported in Placebo-Controlled Seas I Allergic Rhinitis Clinical Trials at Rates of Greater Than 1

A averse Experience Viral Infection (cold, flu) Nausea Dysmenorrhea Drowsiness Dyspepsia Fatigue

Adverse events occurring in greater than 1% of fexofenadine hydf nde-treated patients (60 mg twice daily), but that were more comr the placebo-treated group, include headache and throat irritation. The frequency and magnitude of laboratory abnormalities were sin fexofenadine hydrochloride and placebo-treated patients Prescnbinq Information as of December 1996

Fexofenadine 60 mg	Ptace\
Twice Daily	Twice i
(n=679)	(n=6)
2.5%	1 .5°/
16%	1.5?
1.5%	0 3°/
1.3%	0.9°/
1.3%	0 6°:
1.3%	0 9°1

Hoechst Manon Roussel. Inc Kansas City MO 64137 USA

US Patents 4.254.129 5.375 693. 5.578,610.

allo1296b1 97361201 3211T7

Hoechst Marion Rous;

HocthM Manon Rou«scl, Inc. ■ Kansas City. MO 641 A member of the Hooch* t Group

Hoechst

lis allergy season

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fsomc air like never before this allergy a. Because this season, there's Allegra.

B know how miserable your seasonal iDcrgies can be — and how some jnes can make you feel. That's why a was made to give you nondrowsy fom symptoms like sneezing, runny

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I

OUTTA SIGHT

SUMMER EVER

f/n U/U/ I I A strap less bra that's truly no-show? Nc kidding — the newest styles are made in smooth materials that slide undetected under lightweight sum- mer clothes, even stretch and sheer fabrics. Three great buys that give comfort and contour, too: PI ay t ex #4371 with shaped cups, $20.50; Maidenform Simple Solutions #8445 with a light lining, $19; and Warners Not So Innocent Nudes #1128 with extra coverage, $18.

JAM

Mr

The pleated skirt is back, but this time it's streamlined and sexy, not schoolgirl. Designers like Marc Jacobs and Cynthia Rowley sent below-the-knee lengths down the runway paired with body-hugging tanks or cardigans and pointed-toe pumps. Pretty enough to plug in the iron? Only you can decide.

All

CHOKED DP

here's hardly been one star-studded occasion recently where romantic and delicate chokers have not sparkled on the necks of actresses like Neve Campbell and Winona Ryder. Although theirs are probably the real thing, costume versions made from antiqued metals, colored rhinestones and crystal drops, like this one by Anne Klein (S58), are making their way to stores. They're the perfect accessory for a J-'^ * soft slipdress or feminine i>'&^C* OV^,*-; .-• ~ , cardigan.

LADIES' HOME JOURNAL • JULY 199S

LIP SERVICE

■ t's officially summer, and if "I you're still sporting the dark, •L plummy lipstick you wore on New Year's Eve, it's time to switch. But which light shade is the right one for you? Makeup pro Bobbi Brown's rules: 1. Pick a lipstick that at least match- es your natu- ral lip color, never lighter. 2. Pale shades es- pecially benefit from lipliner, but

apply lip-

color first — m it's easier ■ m to see the l^E real shape of your lips once the color is on.

From top: Bobbi Brown Up C*bra| Wear Budge-Proof Lip Color in lcedWRtt.65; Lpi£ Berry Satin Lipstick in Polished Nude, $3.5raH Sjjb lipHuggers Lipstick in Haywire, $199.

MOVE OF THE MONTH

Celeb trainer Kathy Kaehler, who tones up Michelle Pfeiffer and Jennifer Aniston. showed us a kick- boxing move to work your bun and outer thigh. Stand holding the back of a chair. Tilt your right hip slightly up- ward and kick out to the side, leading with outer quad. Kick three times (keep kicks parallel to hips); bring leg down. Repeat pn

left side. Do 5 sets of 3 kicks per side, even- other day.

::\s..~ o-p coctos before be- ginning ANY EXERCISE PROGRAM.

Who wouldn't love a week of stress-relieving spa treatments? But seven days of such luxury can run upwards of $2,000. Head for the drugstore instead to pick up pampering gels, oils and scrubs. Okay, so there's no masseuse or facialist to do the treatment, but we found inexpensive accessories, too, that can replicate their soothing touch. Enjoy!

THE SPLURGE

A thermal sea wrap with sea algae at the La Costa Resort and Spa, in Carlsbad, California, costs $85, while . . .

A reflexology hand- and-foot massage at Two Bunch Palms Resort, in Desert Hot Springs, California, costs $100 . . .

An aromatherapy massage with jojoba oil and vitamin E at The Greenbrier, in White Sulphur Springs, West Virginia, S100 . . .

THE SCRIMP

Maturities Spa Body Scrub with sea kelp and algae costs $6; the mesh loofah is $3.

V

LADIES' HOME JOURNAL • JULY 1998

Sarah Michaels Foot Care Ensemble with peppermint lotion, massage roller, nail brush, loofah mitt and smoother costs $8.

Sears Circle of Beaut);! Massage Oil with sandalwood and vanilla, $12.50; massager, $10.

i

Inside every determined calorie-counting, weight-conscious

woman

\

is a demanding calcium-greedy, nutrient-hungry body.

^annon L/^/it* is and for the determined you.

jljM^jK (and that's more calcium than any other

' light yogurt) as well as a good source of protein for the demanding you within " course, a serious amount of creamy

s part of a balanced diet, it's a great way to make all of you happy.

A GgpsSl a day. Love it for life.

k Nonfat Yogurt with Aspartame and Diinnon Light with Crunchies products contain Ml and 1/3 fewer caloties than sugar-sweetened nonfat vogun. respectively. Damon Light with Crunchies producrs contain 140 calories. » and Light with Cninclltes calcium: 350mgof calcium per 225g (8oz); average of other hading light yogurts; 240mg pet 225g. © 1998 The Dannon Company. Inc.

:imY«f:MlTWl

news

Emme Winners

More than a perfect 1 0? So what! Thi plus-size model's swimsuit picks can make you a seaside sensation, too

2. Tummy woes?

5. Full bust?
L	i

We asked Emme, the top plus-size model and host 01 Fashion Emergency on E! Entertainment Television, for tips on finding a suit tha fits and flatters.

DThe horizontal halter neckline on this suit draws attention to the upper body, balancing width at the hips. (Anne Cole. $62)

Blf your tummy, thighs or derriere is a trouble spot, this flirty skirt provides coverage with style. Emme loves the deep-V halter top because it defines the upper-arm and shoulder area. (OMO Norma Kamali. $185)

BGo for princess seaming to help carve out curves and slim the torso, too. Details at the top. like this front-and- center zipper, also draw the eye up. (Lands' End Faille Zipper Tank. $64.)

□ "'Don't be afraid of horizontal stripes," says Emme. If you're very shapely, these lines, in muted colors, can accentuate curves without exaggerating them. (Malia Mills, $126)

SA high-neck style like this ensures coverage up front and connects to a sexy open-circle back. The waist-defining color strips also keep the focus below the bust. (Anne Klein, $89).

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A

R O

BABIES

We gave up a normal suburban life to let our six children pursue a once-in-a- lifetime dream By Peggy Bowen, as told to Karen J. Irvine

my life as an at-home mom sure has changed in the last few years. Instead of gardening, going to soccer games or cook- ing elaborate dinners, I hop on the subway with my six kids to take them to auditions and voice lessons. We live in a cramped New York City apartment instead of a large sub- urban home, and sit- down meals are a thing of the past. But I have to admit it — I love my new role as a Broadway stage mother.

In this tough and competitive business, our family is unique. All six children — i Jessica, seventeen; Graham, fifteen; Jillian, four- teen; Alex, twelve; Cameron, nine; and Andrea, eight — are professional actors who get steady work. .Among them, their credits include ten major plays and musicals, two feature films and guest spots on TV shows.

Currently, Andrea is playing Mar- ta, one of the daughters in the hit Broadway revival of The Sound of Music. Alex is the understudy for the von Trapp sons, Kurt and Friedrich. which means he has re- hearsed both parts and reports back- stage even- night in case one of the other boys gets sick or hurt. Alex also recorded a song that audiences hear every night in the Broadway re- vival of Cabaret.

For most of our marriage, my husband. Guy, and I have centered our lives around our children. He's an only child and both of my par- ents are dead, so it was especially important to us that we raise a larse, close and loving familv.

i:

I

It was clear early on that all o\ kids loved performing — they acted school plays, sang in our churc choir and even acted out proiects class. But we lived modestly o Guy's income from the sheet-mus business he owned, plus what h made playing guitar and piano in special-occasion band on weekend so there wasn't much money for ex tras like acting or dance lessons. Ir stead, we took advantage of the fre arts and sports programs offered b the Columbus, Ohio, recreation department, where the kids coul perform in talent shows.

In 1992, when Jessica was eleve she auditioned for Tlie Sound of Mu sic at a regional theater in Columbu and got the pan. Following her lead Graham and Jillian won roles in oth er shows. I spent that summer run ning from stage to stage. Then, i 1994, Jessica and Graham went tcjj Cincinnati to audition for a touring company of Oliver! \\"e could hardly believe it when Graham was chosenj for the leading role and Jessica was cast in the children's ensemble.

My excitement faded, however, when I read their contracts: No par-i ents would be included on the tour.j How could I send away two of ray children with strangers for nine months? Guy and I spoke to their school principal, then our minister, secretly hoping they'd disapprove of the idea. Instead, they thought it was a fabulous opportunity. Their support — and knowing that the tour would include stops in cities within a day's drive of us — made me feel better. \\"e signed the contracts.

It was that year that made us re- alize how hard the children were willing to work for the privilege of performing. I kept expecting Jessica and Graham to call me in tears, say- ing it was too hard or that they were homesick. They never did. And when Guy and I saw them onstage in Atlantic City, we were impressed by their energy and poise. Still, we didn't think they were (continued)

28 LADIES' HOME JOURNAL • JULY 1998

1 important 1 loved.

mid take your calcium.

i pure, natural Tunis a day. keep your bones stronger, longer protect you from osteoporosis*

k of him, think of her,

f them, think of you.

ilease, please, please tour Turns.

From top: Andrea in The Sound of Mush; Cameron in Beauty and the Beast; Jessica (front) and Graham (second from left) in a tour of Oliver!; Alex in The King and I; Graham (second from right) in Big, the musical; Jillian in an Ohio production of Annie

A WOMAN TODAY

Continued

ready for real acting careers yet.

Our kids had other plans. By now, the younger siblings were acting in community theater productions and thoroughly hooked on the stage. Then Jessica and Graham re- turned home with the crazy idea of moving to New York so they could audition for Broadway shows. Their brothers and sisters wanted to go, too. They all filled an empty pickle jar with their al- lowance money to save for the trip.

Guy and I discouraged them at first, but the more we thought about the idea, the less crazy it seemed. After all, our children had both skills and determination, and Guy, with his musical background, understood the importance of en- couraging a young artist. We thought the experience might teach them that pursuing a goal can be as valuable as achieving it, and at their age, they had nothing to lose by trying.

We thought the experience of moving to New York

might teach the children that pursuing a goal can be as valuable as achieving it

First, though, we had to make sure that our stagestruck offspring knew all the risks and that they were in this together. If even one of them was reluctant to leave home, that would be the end of it. We held a family meeting and asked, "Do you really want to do this? Do you un- derstand you'll be leaving all your friends behind?" They might not get work for months, if at all. And each of them would have to quit acting and go to college when the time came — that part of the deal was nonnegotiable. Yes. they said, they understood; and yes, all six of them were still eager to go.

We made an exploratory trip to Manhattan in the summer of 1995. Guv had heard that Marianne

Leone, of Terrific Talent Associate Inc., was among the best person] managers for child performers, so I kept calling her office until the r< ceptionist gave in and connecte him to Marianne. Used to hearir parents brag. Marianne was skept cal, but she agreed to see the chi dren for two minutes each. Afte meeting them, Marianne called u back in, handed us six contracts an signed the children on the spot something she hardly ever did.

With the blessings of our friend! and family, we decided that I woulA stay with the kids in New York! Guy returned to Ohio in Septembei to go back to work, while the chilft dren and I found an apartment Suddenly, I was a single parent in strange city, and I was over whelmed. Who in her right mine would do something like this? For tunately, there was no time for self- doubt. Graham, Jillian and Alex hac already been cast in three differenl shows. I had to get my brood to au- ditions and perfor- mances and line up new schools, doctors and dentists.

After six months the kids' careers were well under way. so Guy sold his business and came to live with us. It was difficult for him to give up the security of a job, but this was a leap-of-faith decision. In the fall of 1996, we sold our house, officially breaking our last tie to our old life.

The kids love to predict that they're going to be in a particular show. Most of the time, they're right. Andrea's credits include young Cosette in Les .\Userables; Graham appeared in Big, the musical; Alex played Anna's son, Louis, in the re- vival of The King and I, and Chip, the little teacup, in the national tour of Beamy and the Beast (a part that Cameron played on Broadway last year). Jessica has appeared on As the World Turns. Jillian and Alex have been on Saturday Night Live, and all six have appeared at (continued)

LADIES HOME JOURNAL • JULY 1998

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ve \

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A WOMAN TODAY

Continued

various times on the Late Shozi' With David Letterman. That's not even men- tioning their many oft- Broadway play, commercial and voice-over credits.

Our kids have been very lucky to get so much work, but a lot of the credit belongs to our manager. Mari- anne. She knows our family well, and we trust her to choose the right audi- tions. (She works with agents, refer- ring the children to casting directors, who select actors to try out for a par- ticular show.)

I've been asked how I avoid being a stereotypical pushy stage mom. I think I could have been one if I'd had only one or two children. But with six young actors to care for. I'm too busy to be overbearing.

Our schedule involves flying by the seat of our pants most of the time. A typical day might include an acting class for Jillian, a publicity photo ses- sion for Andrea, auditions for Alex, Graham and Jessica, a voice-over booking for Cameron and a 7:25 call for Andrea and Alex in The Sound of Music, which ends just before eleven p.m. (We let the two of them sleep late in the mornings.)

Because not all the children are working on shows at the same time, we don't always know where our money will come from next, and that's tough for such a large family. We live on the proceeds from the sale of our assets, plus a portion of the children's salaries.

The kids understand that their ca- reer is expensive, and they willingly contribute their earnings to the fam- ily account. Initial dues in the vari- ous acting unions for six kids totaled about SI 8,000 for the first year. One fourth of their income goes into their college funds. Then there's Marianne, who gets 15 percent of their earnings, and agents, who take 10 percent.

The children's nontheatrical time is spent mostly on studying. Jessica, Graham and Jillian attend the Profes- sional Performing Arts School, and we home-school the younger three. When any one of them is on tour,

cller

schooling is provided by an excl national tutoring company.

Naturally, like any other kid: ou gang has its share of squabble&u sometimes they complain abou,do ing homework when they're iret from eight performances a weekBu like most parents, we try to cee] them challenged and motivated. I

We also work hard to keepou marriage thriving. It was difficit a first to adiust to having Guy arum during the day, but now I cm' know what I'd do without hit ti help with the cooking, cleaningam running to appointments. He'sla< job offers, but for the time beinj& priority is the family.

The worst part of being a ag< parent is watching your children H with heartache. Not many play»e quire young actors, so the comfeu tion is fierce. Sometimes our Id don't get cast because of their ijes height, coloring or some other re|oi that has nothing to do with Dfci abilities. Though they know it's kr of the business, and Guy and flj ways tell them not to be too discur aged, it's never easy for a chih t( endure rejection.

Yes, I worry at times that my Id aren't enjoying a normal childhod but they love their work so mcl that they've never wanted to quit. IT ■ go on day trips as often as we *n and they stay in touch with peol back home through E-mail.

I always insist on celebrating »e cial events, even if we don't hv much time to do it. Last spring, in drea's eighth birthday fell during h< previews for The Sound of Muk when she was working eleven-hu days, but we still managed to thro'. : dinner-break party for the kids in ji< cast at a nearby bowling alley.

\\"e didn't "climb every moiji tain" to get here, but my family i|; lot like the von Trapps: We haJ show-business dream and the fatl to make it come true. What dtp our future hold? Well, the kl would like to do more movie ak TV work, and they've auditioned > several pilots. Our next stop ji might be Hollvwood! •

32 LADIES' HOME JOURNAL • JULY 1998

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lewslinereport

, The World's News Leader, and Ladies' Home Journal present up-to-the-minute ^^^^^^ facts and findings about the world today

■I ■■ ikes in airfares grab

headlines, but summer I travelers may not be

aware of another type of hike: car rental fees. According to Gary Paxton, president of I the American Car RENTAL Rental Association, rates have risen an

"Vi'e have to pass on the full cost of operating the vehicle to the renter," he says. Also, if you don't pick up a car you've reserved, you may be hit with a ■QTQtyKT^'i new •'no show"' fee, xllOllNvJ usually equal to the

cost of one day's ■p 75rT,T7,C? rental. But if the xlx*l i—iuD agency doesn't have

average of 7 percent now that most agencies are no longer owned bv car manufacturers.

the car you requested, you may get a free day. — Kalin Thomas- Samuel. C.Y.Y TrazelGuide

Quote Of The Month

"My mom is my idol. She's a wonderful mom who left her dreams to raise fourteen children." — Celine Dion, on Larry King Live

FOR THE ONE OUT OF TEN children who suffers from asthma, powerful steroid-based drugs are often needed just to breathe. But the drugs have potentially serious side effects, such as ex- cessive bloating, and ac- tive children don't often remember to use their in- halers several times a day. Now, a new drug may be the solution to both problems.

In a recent study, the drug montelukast (sold by Merck under the name Sin- gulair), which has already been shown to work in adults, was proven to be an

effective therapy for chil- dren as young as age six. The drug is a child-friendly chewable tablet taken only once a day, and has no sig- nificant side effects, say re- searchers. Montelukast is not for every patient, ex- perts warn, but this new option may help reduce the number of steroid-based prescriptions. — Al Hinman, your Health

nline auctions have become a popular place for consumers to buy collectibles or find a good deal. There are currently more than one hundred fifty Web sites auctioning everything from electronics to baseball cards, with sales expected to exceed $1 billion this year. But according to the National Consumers League (NCL), 30 percent of Internet complaints involve cyberauction fraud.

"Sometimes the goods never exist, or they are misrepresented," says Susan Grant, director of the NCL's Internet fraud-watch program, citing a woman who bought an "aluminum wheelchair" online, only to find out it was a folding chair on casters. While many cyberauctions do go off without a hitch, "what you see advertised on the Net is not always what you get," she adds.

The Federal Trade Commission suggests consumers find a secure site and then pay by credit card (which allows you to challenge the charges with your credit- card issuer if you don't receive the merchandise) and try to contact the seller by phone or E-mail before bidding. — Beverly Schuch, Your Money

Watch CNN TravelGuide for information on vacation spots around the world (Saturday. 12:30 p.m., E.T.) and Your Health for the week's top medical news (Saturday. 7:30 a.m.. and Sunday. 3:30 p.m., E.T.)

LADIES' HOME JOURNAL • JULY 199S

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the days are warm. The kids are home from school. The great outdoors beck- ons you to go

hiking, swimming and picnicking. Enjoy your- self, but take care —

along with all the fun in the sun, the season does have its share of dangers. To keep your family safe this sum- mer, we talked to various experts and

compiled this guide to help you avoid the serious health hazards that are likely to pop up during the warm- weather months. So read on, take a few precautions — and have a wonderful, healthy summer.

GERM ALERT

Infectious diseases seem to lurk everywhere. Are we really in danger? By Nancy F. Smith

lmost daily we're bom- barded with news of one health disaster after an- other: A toddler in Colorado dies from drinking organic apple juice, flesh-eating bacteria kills kids in Texas, malaria reemerges, super- germs survive attacks from the strongest antibiotics.

Deaths from infectious diseases jumped 58 percent in the last twelve years. HIV has contributed significantly to the mounting fatali- ties. But, for most Americans, dan- ger lies not in outbreaks of exotic

diseases, such as Ebola virus, but in those old familiar bugs — including flu, ear infections and, perhaps the most troubling of all, food poison- ing— that have plagued humans for centuries and have learned to over- whelm our immune systems and our arsenal of antibiotics.

To find out exactly what our risks are, we went straight to America's public-health guardians at the Cen- ters for Disease Control and Preven- tion (CDC), in Adanta, and spoke to Sue Binder. M.D., associate di- rector for medical science in the di- vision of parasitic diseases. Binder and her colleagues work with agen- cies around the globe to respond to suspicious outbreaks of illness. Should they find one, they launch an aggressive campaign to track down its origin and limit its spread. We asked Binder what to worry about and how to stay safe.

It seems there are more infectious dis- eases than ever and that they are more serious. Are we at increased risk?

\X'e are much safer from infectious disease than you would guess from

the headlines. Vaccines control some of the most devastating illnesses, in- cluding smallpox, chicken pox, po- lio, measles, diphtheria, tetanus, hepatitis B, pneumococcal pneumo- nia and Haemophilus influenzae type b. And there are more on the way, including one for Lyme disease and one for rotavirus.

In addition, if an infection can't be prevented, often an outbreak can be controlled. That's where surveil- lance comes in. Last fall, scientists quickly spread the alert about the new influenza in Hong Kong. With- in months of the first case, hundreds of thousands of chickens, which car- ried the disease, had been slaugh- tered; thus the virus was contained. And a crash program to develop a vaccine was immediately begun. How can surveillance prevent disease? Meticulous surveillance headed off a potentially serious outbreak of E. coll 0157:H7 in the U.S. last year. We looked at twelve specific cases of food poisoning in Colorado. In the past, such a small number would have been lost among the thousands of unrelated cases we (continued)

38 LADIES' HOME JOURNAL • JULY 199S

EVENTS

Date: Saturday, July 25th

Location: JCPenney Lakeside Shopping Center 3301 Veterans Boulevard Metairie, LA

Time: 1 0:00am-4:00pm

Date: Saturday, July 18th

Location: JCPenney Westfarms Mall 300 Westfarms Mall Farmington, CT

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Location: JCPenney Oxford Valley Mall 2300 East Lincoln Highway Langhorne, PA

Time: I0:00am-4:00pm

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GERM ALERT

Continued

see every year. But using lab tools that distinguish between different strains of the same organism, health officials were able to determine that the twelve cases were similar — and different from anything they had seen. When we talked to the people affect- ed, it turned out that they'd all eaten hamburger from the same meat- processing plant in Nebraska. The discovery led to a recall of almost twenty-five million pounds of meat that could have been contaminat- ed. Had health officials not been alerted by the test results, there might have been massive outbreaks of E. coli around the country. How many new diseases are there? A few diseases are truly new to humans. AIDS is the most visible. Scientists suspect that one form of Creutzfeldt- Jakob, an incur- able brain disease, is also new. More than twen- ty cases have been diagnosed so far, all in Eu- rope, that some- how may be related to mad

cow disease. We're getting more ev idence of the connection, but it hasn't been definitely proven.

Some "new" infections actually have been around for a long time, but had gone undetected. L'lcers, it turns out, have probably always been caused by a bacteria — a fact that has only just been discovered.

Other new diseases are old infec- tions, presumably under control, that have suddenly exploded again, such as tuberculosis. It has reemerged with a vengeance because of its association with the AIDS epidemic and because there are new strains that don't re- spond to drugs. And new forms of old diseases are causing havoc, such as the antibiotic-resistant strains of salmonella and gonorrhea. What about Ebola virus, mad cow disease and flesh-eating bacteria — what's the real

chance of getting one of these diseases?

It is important to be realistic. Think of the people you know. What do they catch? Colds. The flu. Common stomach ailments.; They don't tend to get Ebola or flesh-eating bacteria. Some of these diseases are limited because the in- fectious agents require specific con^ ditions to thrive and spread — a particular species of mosquito, say, or monkeys living in close associa- tion with people.

Few illnesses spread far enough to be classified as an epidemic (when a lot of people within a geo- graphical area get sick), and even fewer become pandemic (when a disease spreads quickly around the world). The flu pandemic of 1918 was the most devastating of the modern age. The flu is hardly a new disease, and most of the time it's unpleasant but not deadly. Will we soon have cures for colds and flu? Two new drugs appear to be effec- tive at treating the most (continued)

40 LADIES' HOME JOURNAL • JULY 1998

Dear LHJ Reader:

Peace of Mind. That's what we have when we know our children - our country's most beloved resource — are happy, safe jnd healthy. That's why we share a passion with the National SAFE KIDS Campaign for promoting an awareness of injury prevention strategies for the children we love so much.

More specifically, that's why LeSabre is pleased to partner with the National SAFE KIDS Campaign in an educational program promoting the correct use of car seats and safety belts. These car seat check-up events are part of the summer safety program coordinated by the National SAFE KIDS Campaign and its State and Local SAFE KIDS Coalitions.

Nothing we have is more precious or more valuable to us than our children. Every LeSabre we build is designed to reflect our commitment to helping keep your family and friends safe and secure. Our participation in this program is further evidence of that commitment. We hope it adds to your peace of mind.

Sincerely,

Joseph J. Fitzsimmons Jr. LeSabre Brand Manager

LeSabre bvBuick I

Peace of Mind

There's no secret code to the security system you provide. It's the love and support you give your each day. LeSabre reinforces these bonds with the strength of a steel safety cage. To help you continue vide your own kind of security, one hug at a time. Visit www.lesabre.buick.com or call 1-800-4A-B1

l~l ©1"»"»H GM Corp. All rights reserved. LeSabre is a registered trademark of GM Corp. Buckle up, A

Seems like you can never know enough about nutritional supplements and all they can do for you...

Q: What can I do to prevent osteoporosis?

A: A regular routine of weight bearing exercise plus daily calcium supplements (800-1200mgs. daily) now can help prevent osteoporosis.

Q: If ! eat a healthy diet, do I really need to take vitamins every day?

A: Vitamins complement a healthy diet. Even today, research has found that 1 out of 2 women consume less than 2/3rds the RDA for folic acid, vitamins A, D, E, iron, zinc, calcium, magnesium, copper and many B vitamins. That's where daily supplements come in, along with a healthy, balanced diet.

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GERM ALERT

Continued

common flu strains. One, called zanamivir, is a nasal spray; the other, called GS104, is a pill. Both drugs are currently in human clinical tri- als, the last step before approval from the Food and Drug Adminis- tration (FDA) Zanamivir could be on the market as early as 1999.

Of course, preventing colds and tlu would be even better. Buc up to two hundred viruses cause colds, so any preventive would have to work against all of the major ones. For the most common strains of the tlu, cur- rent vaccines are very effective. An annual tlu shot usually protects well with little risk of side effects.

But influenza continues to worry- public health officials. The appear- ance of the deadly strain of the virus known as in fluenza A (H5X 1 ) in Hong Kong last spring was a re- minder that the risk of a pandemic is very real. The world was spared this time because H5N1, which usually infects chickens and other birds, didn't spread among people as easily as most influenza viruses do, and the world's health experts had time to isolate the new variant and begin work on a vaccine. It's not a perfect system. Production and distribution of a new vaccine takes time, and the flu usually spreads very quickly. But vaccination, we hope, will prevent any outbreak of a new flu from tak- ing twenty million lives as the 19 IS pandemic did.

Are there any truly new ways to combat infectious diseases?

Irradiating food before it goes on su- permarket shelves could help elimi- nate the dangerous bacteria that cause the most common forms of food poisoning, including E. coli. salmonella and Campylobacter, which is the principal source of food poison- ing from eating chicken. It has been approved for use on poultry since 1QO0 and on fruits and vegetables since l°So. The FDA approved the irradiation of red meat in December. But is irradiated food realty safe? Back when producers started pasteur- izing milk, there were a lot of

protests. But ultimately pasteurizl was determined to be safe and! effective. That same debate is ofl ring now about irradiating food,! the FDA has said that the prfl does not make food radioactiveJ does it significandy alter the rn tional content or change the flavdl Isn't our food supply one of the M the world? Why is food poisoning «n jor concern?

Even in the U.S., where pul health standards for food and vl and sewage treatment are as gool they get. there have been signifl outbreaks of salmonella and E.i over the past few years. There I also been more known easel Campylobacter.

Perhaps as many as thirty-tl million Americans get sick frol food-borne illness every yeaJ growing concern is that diseases! moving across international borl becjuse of changes in the way wq our food. Before 1996, the diarrj causing parasite cyclospora turned] only occasionally, usually in pej who traveled to developing count and brought the illness back to States. But in the spring and surrJ of 1996, roughly fifteen hund people became ill with the disd here and in Canada. VTe tracked j raspberries imported from CerJ America. In 1997, there were I breaks related to imported raspbet and lettuce.

How serious are food-borne illnesses'

Campylobacter is the number cause of food-borne illness in U.S.. felling two to four million t pie a year. Campylobacter can re in a rare autoimmune disease adults called Guillain-Barre s drome, which attacks nerve tissue may cause temporary paralysis . chronic nerve-related abnormalities

Cyclospora — the disease on raspberries — is easily treated v antibiotics, but not many Ameri physicians or labs have experie in diagnosing it. The bigger pr lem is resistant strains that are ginning to emerge and cannot easily controlled. Salmonella DT and E. colt 0157:H7 (continx

44

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Continued

among them. Both of these strains have caused significant outbreaks over the past couple of years, and both can be deadly. Why are resistant strains so dangerous? We now have resistant strains of not only salmonella and E. coli, but of Streptococcus pneumonia, strepto- coccus and staph infections. Staph and strep, for example, are common bacteria that trigger both relatively benign ailments and life-threatening infections. Strep can cause earaches and sore throats in children; some respiratory diseases, including pneu- monia; and meningitis and sinusitis in adults. Staph can infect cuts, cause skin boils, septicemia and toxic shock. These germs are passed from person to person, sometimes by way of things vou've touched, sometimes

in droplets earned through the Bj when you sneeze. p t

Normally, when you come in < mfi tact with either organism, your ■lib mune system keeps it in check, sometimes, for reasons we don't flki understand, the germ persists and resulting illness can be serious fore antibiotics were widely availafttas for example, one type of strep o: caused rheumatic and scarlet fevei

Some staph bugs are resistant L powerful antibiotics. Vancomycii png the drug of last resort. But rece: an elderly man from New York from a resistant infection, even a receiving vancomycin. How do bacteria become resistan antibiotics?

When penicillin was introduced ,[[ the 1940s, virtually all staph in tions responded to it; today 5 percent do. And this pattern

How To Stay Safe

1. GET VACCINATED

Children should be inoculated against diphtheria, chicken pox, mumps, whooping cough, measles, polio, tetanus, hepatitis B. Haemophilus influenzae type b and German measles. Adults should be revaccinated for tetanus and diphtheria every ten years. If you fall into a high-risk category — if your immune system is compromised because of a chronic illness, or you are elderly — get an annual flu shot.

There is no medical reason to forgo a flu shot (unless you are allergic to eggs or have had Guillain-Barre). It it's worth the cost to you, ask your doctor about the vaccine.

Anytime you travel overseas, get the appropriate shots or pills — especially if you might be exposed to malaria. The number of resistant strains of the disease is growing, and it is potentially fatal.

2. WASH YOUR HANDS REGULARLY This is absolutely the best defense against infections that are spread from person to person. Washing with soap and water is best.

3. BE CAREFUL IN THE KITCHEN Always wash produce thoroughly under running water. Cook meat to the recommended temperature for that particular cut. This doesn't mean you have to cook steaks until they're charred.

46 LADIES' HOME JOURNAL • JULY 1998

id

i

The biggest problem is ground meat. C it until the juices run clear, or use a m thermometer to test it. Poultry juices i should run clear.

Don't eat raw eggs. Pass up Caesar salad if the dressing is made with them And don't let your children lick the boM when you bake. Also, don't give childrel unpasteurized fruit juices.

Be careful not to cross-contaminate other foods wfth your meat and poultry After cutting raw meat, wash cutting boards and utensils in warm soapy watt before cutting vegetables. Sponges are also great harborers of microbes. Thro\ them in the microwave until they steam

4. PROTECT YOURSELF FROM INFECTIC CARRYING INSECTS Some dangerous diseases such as Lynn disease and the two most common kind of encephalitis are transmitted from insects to humans. These diseases are restricted to particular locations. (See -Don 't Get Bugged. " page 48.)

5. KEEP YOUR IMMUNE SYSTEM WORKING AT FULL CAPACITY Eat healthy foods. Drink eight glasses o water a day. Keep stress to a minimum. Exercise regularly. Get plenty of sleep.

6. AVOID ANTIBIOTICS You can do your share toward reducing resistance by taking antibiotics only wh they are needed. — N.F

[stance is true of almost ever} hogen that is treated with antibi- S, from sexually transmitted dis CS like gonorrhea to deadl\ ptcal plagues like malaria. We en- irage many of these resistant bs by misusing antibiotics. When fail to take the full course of mod ion as directed or treat nonbacte- illnesses with antibiotics, we are jucing resistant organisms, magine streptococcus bacteria re- ducing rapidly in the ear of ;i sick d. The child then gets an antibi- b In a few days, when most of the iction is gone, the child feels Ch better and stops taking the i. But a handful of the germs sur- , probably because they could de- de the drug or in some way ipe its effects. These germs now •oduce with great abandon. The d*s ear, in effect, becomes a fer- breeding ground for this resistant In of bacteria, and soon the child ick again — only this time, the in- ion is different, and the drug sn't work at all.

"he result is similar if a child takes biotics for an infection that is vi-

Antibiotics have no effect on tses, but maybe the parents are tied and ask the doctor to give

child some medicine. To ease r fears, the doctor agrees. The g does not kill the virus, which 5 its course anyway while the an- )dcs contribute to resistance, don't we need antibiotics? ibiotics are essential to maintain-

our advantage over infectious its, and we must stop wasting n. For example, because it can be cult to distinguish between bacte- and viral infections, doctors often icribe antibiotics whenever they

a patient with a fever and a gh. The result is a growing num-

of resistant strains such as '■mophilus influenzae, which is a terial flu.

"here is a vaccine for this infection, ch is supposed to be part of a d's standard regimen. Parents lid ask their pediatrician about it e it has been available only for at eight years. Vaccines reduce our

membei iha sick, que: tion

tion for even.' earache or sore throat. What if my child has an antibiotic- resistant bacterial infection?

It's imperative that you get back to the doctor. A disease is considered antibiotic-resistant when main, not necessarily all, of the drugs currently known and used to treat 11 are no longer effective.

Is of future going to be filled with exot- ic diseases and super-bacteria?

Wh ■• 1 1 1\ appeared and. along irgcnce in tuberculo

and the mil .u le ; v\

,q uande i ed

thai we must take a hard look at ur approach to the problems of in- fectious diseases On the bright side, we understand more about how we can reduce the spread of antimicrobial resistance. And that gives us a definite advantage. •

)

J

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mer

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DON'

Creepy, crawly things sure do repel us — and with good reason. By Ronny Frishman

The carefree days of summer shouldn't make you careless. This year may be one of the worst for bugs and rodents the warm, rainy winter is likely to mean more neks, mosquitoes, spiders and mice. And these critters can carry deadly diseases. Still, there's no need to panic. Simply figure out which culprits you may be exposed to and take some easy steps to protect your family.

r

Tick-Borne Diseases

Lyme Disease

(More than 16,000 cases in the U.S. in 1996)

I

From the bite of a tick infected with Borrelia burgdorferi bacteria, and carried by birds, deer, mice and other mammals. Accounts for more than 90 percent of diseases in the U.S. with a carrier.

Caused by Rickettsia rickettsiae bacteria, and primarily transmitted by the dog tick or wood tick. The disease attacks blood vessels and can be fatal if untreated.

A viral infection transmitted by Rocky Mountain wood ticks and carried by small mammals.

A malaria-like illness caused by Babesia parasites transmitted by ticks.

A rash around the bite, with fever, fatigue, headache and body aches. Can also cause a stiff neck, meningitis and facial paralysis. Late stage: arthritis, heart inflammation and neurologic disorders.

Similar to the flu. A pink rash that starts on the wrists and ankles, then spreads. Late stage: stomach pain, diarrhea, respiratory failure, kidney, heart and neurologic problems.

Cycles of chills, fever, headache, muscle aches, abdominal pain and sensitivity to light.

Often none, but patients can have loss of appetite and dark urine. Flu-like symptoms may follow.

Based on a physical exam, medical history and blood tests (for antibodies to B. burgdorferi). A recent study found that Lyme is commonly overdiagnosed and overt reated.

Evaluation of clinical symptoms and patient's recent activities (such as hiking); treatment cannot wait until antibodies show up in blood (about a week after onset).

Blood tests can identify antibodies to the virus.

Oral antibiotics are effective if infection is caught early. For advanced cases, antibiotic therapy is targeted to symptoms. A vaccine should be available soon.

Prompt

administration of the antibiotic doxycycline is usually effective.

Predominantly found in the northeastern, mid- Atlantic, upper- midwestern and Pacific coastal states.

Lab tests for liver and blood problems. The parasite may be visible under a microscope.

There is no cure. Symptoms are treated individually. Most people eventually recover.

The drugs quinine and clindamycin seem to help. Many people recover without treatment

Can be found everywhere, but infections usually occur in eastern, southeastern and central states.

Mountainous areas of the western

states.

Usually the northeastern coast of the U.S., but new strains are in West and Midwest.

Rocky Mountain Spotted Fever

(About 800 Americans get infected annually)

Colorado Tick Fever

(A few hundred cases each year)

Babesiosis

(450+ cases in the U.S. since its discovery 30 years ago)

Preventio When yoj go into brush or woods, or handle animals, use insect repellents containing DEET; wear a long- sleeved shirt tucked into your pants and tuck trouser legs into >our socks: near light-colored clothing to make it easier to spot ticks; j check for ticks and remove embedded ones immediatel) with tweezers, gently pulling upward. Take ticks to a hospital for testing.

48 LADIES' HOME JOURNAL • JULY 199S

orne Diseases

Arboviral Encephalitis

(About 100 cases annually in the U.S.)

Dengue Fever

(100 to 200 suspected cases in the U.S. yearly)

A variety of arboviruses (viruses spread by insect bites) cause this rare but severe brain infection.

Flu-like symptoms plus sleepiness and intolerance to light. May also suffer from confusion, trembling, paralysis and coma.

Primarily a disease Fever, headache,

of the tropics, but the mosquito was introduced to the U.S. in 1986 from Asia.

severe muscle and joint pain, nausea, vomiting, measles- like rash and hemorrhaging.

First, rule out other illnesses. Blood and cerebrospinal fluid tests and an MRI can confirm the diagnosis.

A blood test can detect immune- system markers called antibodies and antigens.

No specific therapy is available; symptoms are treated while the infection runs its course.

There is no specific therapy. Symptoms are treated.

Each type has a specific range, most common is primarily found in) midwestern and eastern states.

Southern Texas ar southeastern U.S Scientists are tryi to "vaccinate' mosquitoes to control the

Wear protective clothing; use repellents on any exposed skin; put screens on windows and doors

r

pider Bites

This half-inch spider Swelling and pain. No diagnostic test: has a violin-shaped Later, fever, soreness check for symptoms, spot on its back. Its venom is poisonous, but it won't bite unless disturbed.

and a blister. Then a thin, brown lesion surrounded by pink and red coloring.

Pain at the site that spreads to the muscles. Abdominal cramps, rapid heart

A small, shiny black spider with a red hourglass mark on its stomach. Bites when disturbed, and rate, nausea, labored its venom is toxic. breathing.

Doctors may be unfamiliar with the spiders and the bite symptoms.

A physical exam and patient history are the only diagnostics.

Ice packs slow spread of venom. Cortisoie injections can soothe. A hyperbaric (high- oxygen) chamber will detoxify venom.

Ice packs slow spread of venom. Antivenin given intravenously can counter the toxic effects.

Predominantly in southern and midwestern states, but can appear anywhere.

Found in every state (except Alaska), but seen most often in the Southeast.

Brown ' Recluse Spider

(Case numbers unavailable due to misdiagnosis)

Black Widow Spider

(Case numbers unavailable due to misdiagnosis)

Preventio: Sweep often under beds and in closets, garages and storage areas to get rid of spiderwebs; when staying at campsites and rustic cabins, shake out bedsheets before going to sleep. Be cautious when gathering wood.

Rodent-Borne Disease

Hantavirus Infections

(About 130 cases in the U.S. since 1993)

A life-threatening lung or kidney infection from exposure to droppings of deer mice and other rodents.

Fever, muscle pain, diarrhea, vomiting. Then, small spots on eyes and roof of mouth and a rash on the stomach. Later, coughing, shortness of breath and a drop in blood pressure that can be fatal.

The symptoms form the initial diagnosis, which may be confirmed by blood tests during the acute illness.

Oxygen therapy and treatment of the individual symptoms; preliminary studies indicate the antiviral drug ribavirin may help some patients.

Southwestern and southern U.S.

Discourage rodents' entry by keeping your home clean; use traps if necessary: wear rubber gloves when disposing of dead mice, then wash vcur hands well with disinfectant soap and discard gloves: keep wood piles and trash cans away from the house. Ronny Frishman is a freelance medical writer and editor in Rochester, New York.

50 LADIES HCME JOURNAL • JULY 199S

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In studies, the incidence of drowsiness (2%) and hyperactivity (3%) was similar to that with placebo (sugar water) (4% and 1%, respectively) at the recommended dose. Drowsiness may occur if you take more than the recommended dose.

Keeps working a full 24 hours.

For children ages 6 years and older, one dose means effective, 24-hour relief from their itchy, watery eyes; runny nose; itchy palate; and sneezing.

Pediatric safe.

CLARITIN1 Syrup has a low occurrence of side effects, which occurred about as often as they did with placebo (sugar water). Most common were nervousness, wheezing, fatigue, and hyperactivity.

Alcohol free, dye free, and great fruit flavor.

Nondrowsy antihistamines, such as CLARITIN® Syrup, are available by prescription only. Always talk with your child's doctor about any medication your child may take. Also, ask him or her for important information concerning this product.

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/(=)/

Copyright « 1998, Scherinj Corporation, Kenilviorth, NJ 07033. All rights reserved CS0292/21 262803 2/98 Printed in U.S.A.

EJLUE SKIES' By Irving Benr, © 1327 {Renewed) by l*Wig Bertn Irving Ber*n Muw Company.

brand of ioratadine

TABLETS, SYRUP, and RAPIDLY-DISINTEGRATING TABLETS

BRIEF SUMMARY (For lull Prescribing Information, see package insert | INDICATIONS AND USAGE: CLARITIN is indicated lor the relief oi nasal and non-nasal symptoms of seasonal allergic rhinitis and tor the treatment ol chronic idiopathic urticaria in patients 6 years ol age or older

CONTRAINDICATIONS: CLARITIN is contraindicated in patients who are hypersensitive to this medication or to any ol its ingredients

PRECAUTIONS: General: Patients with liver impairment or renal insufficiency (GFR < 30 mLmm) should be given a lower initial dose (10 mg every other day) (See CLINICAL PHARMACOLOGY Special Populations

Drug Interactions i Kjtadine ( 10 mg once daily i has been coadministered with thera- peutic doses ot erythromycin, cimetidme and ketoconazole in controlled clinical pharmacol- ogy studies in adult volunteers Although increased plasma concentrations (AUC 0-24 hrsj ot Ioratadine and/or descarboethoxyloratadine were observed following coadministration of ioratadine with each ot these drugs in normal volunteers in = 24 m each studyl there were no clinically relevant changes in the safety profile of Ioratadine. as assessed by electrocar- diographic parameters, clinical laboratory tests, vital signs, and adverse events There were no significant effects on OT intervals, and no reports of sedation or syncope No effects on P^rn (-°.ncen"a,l0ns of cimetidme or ketoconazole were observed Plasma concentrations aul 0-24 lirsi of erythromycin decreased 15% with coadministration of Ioratadine relative to that observed with erythromycin alone The clinical relevance of this difference is unknown These above findings are summarized in the following table

fJecJsjin Plasma Concentrations (AUC 0-24 hrsi ot I nratadmp ^ Descarboethoxyloratadine After 10 Davs of Coadministration tLaraJadine_ I g. mgj m Normal Volunteers

Loratadme Descarboethoxyloratadine Erythromycin (500 mgQ8h) + 40% *46%

Cimetidme (300 mg 010) *103% , fi°

Ketoconazole (200 mg 01 2h) +307% +730°

There does not appear to be an increase m adverse events in subiects who received oral contraceptives and Ioratadine

Carcinogenesis, Mutagenesis, and Impairment of Fertility: in an 18-month carcino- genicity study in mice and a 2-year study in rats, Ioratadine was administered in the diet at doses up to 40 mg/kg imice) and 25 mg/kg (rats) In the carcinogenicity studies pharmaco- kinetic assessments were carried out to determine animal exposure to the drua AUC data demonstrated that the exposure cf mice given 40 mg/kg of Ioratadine was 3 6 iloratadmei and 18 (descarboethoxyloratadine) times higher than in humans given the maximum recom-

£5 ^^tya,hih0Se. Ex?°HSure °' ra,s given 25 mg/kg °' loratadme wa* 28 (Ioratadine) m«SL(^vfarb0?t^0xy,0.??<,in?) "mes h|9ner ,nan in humans g'ven the maximum recom- S5 ?a!'y ?ral dase mle mice 9|ven 40 m*'k9 had a significantly higher incidence of hepatocellular tumors (combined adenomas and carcinomas) than concurrent controls In

n„anSc, Can'llll9t,eJ' mc'dence of hepatocellular tumors (combined adenomas and carcinomas) was observed in males given 10 mg/kg and males and females given 25 mg kg The clinical significance ot these findings during long-term use of CLARITIN is not known

in mutagenicity studies, there was no evidence ot mutagenic potential in reverse (Ames) or forward point mutation (CHO-HGPRT) assays, or ,n the assay for DNA damage r7pn

^lnepat0ChV'e ™duled DNA assaV °r in hv° assays for Chromosomal Sbem ions human penphera blood lymphocyte clastogenesis assay and the mouse bone mar™™

SSfA8 f,Shay) J" ,he ™use lvmphoma assa* a positive finding occurred the nonactivated but not the activated phase of the study

rtnc.eC/ie^ed te*lli!y ln male rats shown 0y lower ,emale conception rates occurred at an oral nn , <aPP^0,"ma,elV 50 times the maximum recommends human dairy oral dose

on a mg m- basis) and was reversible with cessation of dosing Loratadme had no effect on male or female fertility or reproduction m the rat at an oral dose of approximaU 24 maka TerZn MlT T T'mm ™<"™^ human daily oral do'se n a 5 m' K Pregnancy Category B: There was no evidence of animal teratogenicity in studies per- formed m rats and rabbits at oral doses up to 96 mg/kg (approximately 75 times and 150 times, respectively, the maximum recommended human daily oral dose on a ma m^ bas sT There are, however, no adequate and well-controlled studies in pregnant vwrneVBeS

^ciT°duC,IOn S,udies are not alwavs 0redic,lve °f human response SnS be used during pregnancy only if clearly needed

Nursing Mothers: Loratadme and its metabolite, descarboethoxyloratadine d^ss m*iv m .breast m,lk and achieve concentrations that are equivaleWptema^eveKTa^ 7*ZT, , 31 0 of 1 1 ' and 0 85 for loratadme and descarboethoxyloratadine respectively Following a single oral dose of 40 mg. a small OToumTloraaSne S descarboethoxyloratadine was excreted into the breast m.lk (wKomRS ZL^Tn\» aem,m Sh0Jld be made whe,her 10 *scontmue nursing or to 10S

ex csedwhen'rl JPrnffi the "?D0?ance °' ,he dmg t0 me mother Ca-itton should oe exercised when CLARITIN is administered to a nursing woman

c rt' ,CooSeLThe ^ 01 CLARIT|N Syrup at a daily dose of 10 mg has been demen- ti veness of C LARITIN Ef age 'n P^ebo-controlled J^ffilS nveness of CLARITIN for the treatment of seasonal allergic rhinitis and chrome iriinfuth*

n $1™ hl$HPf,diatr:Ch a9e group 15 based on an extrapolanon of th demonS Stf CLARITIN in adults m these conditions and the likelihood that the disease cotroeoamoSSio 0n?y,h»nlHe,drU9 5 ef!ect are Sljhstant,alfy sim,*r to that oMne^u^SSSS& a Tif^f0^ 13 oased on coss-studV companson of the ptSSSweatf and 0 dl" n,r ^ %T'C SU,b,,eC,S and 0P "* «'etV profile of ro^ffint&fXlS eCcCn ss of r arit n inen^al '° °,r "S^S me recommended doses The safety and

A0VERSE FACTIONS: CLARITIN Tablets: Approximately 90 000 patients aoed

stod.es TiSf!™ Iff 10 mg °nce dail> in contTOli^andStrolted ?"\ '■ fc - ■ )n,r0 : " cai tr ais a: me r , -

ffS* !° 6 ™nths- duration The rate of premature ^1 frSm me^ trials was approximately 2% m both the treated and placebo groups

n^J^J? A0VERSE EVENTS WITH AN INCIDENCE OF MORE THAN 2°- IN PLACEBO-CONTROLLED ALLERGIC RHINITIS CLINICAL ™ALS INPATIENTS 12 VEARS OF AGE AND OLDER PERCENT OF PATIENTS REPORTING PLACEBO

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CLARITIN Syrup 10 mg ioratadine once daily in c< these, 188 children ivere treated trolled trials Adverse events <n V and frequency smuia/ to those se tmuance due to adverse events ai was less than 1%

ADVERSE EVENTS OCCURR SYRUP-TREATED PATIENTS [6-1 ;

MORE FREOUE

PERCE

LORATADINE

n = 188

JENCY Of > ?% IN LORATA lACffiO-CONTROLLED TR E PLACEBO GROUP

tEPORTlNG

Nervousness

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Altered lacnmahon altered salivation flushi hv'

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ix eoema asthenia back pain, blurred vision c it"'

K. malarse ngors tinnitus viral infection, weigh 1 .

tension, hypotension palpitations, supravenrnci t.ir«fj|

In addition to those adverse a nave been reported in at least 01 patients

Autonomic Nervous S\stem esthesia. impotence increased s^

Body- As A Whole Angrooeur earache eye pain, fever leg cram

Cardiovascular System Hype arrhythmias, syncope, tacnycardii

tn^m^^^^Ji^^3^ BtePtarospasm draness. dysphonky(fTJ

tona. migraine, paresthesia, tremoj vertigo ,V

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p^^l^c^!" D Breast pain Amenorrhea menorrhagia. vaginitis uni ^.c^n™^ y5tt?l Bronchrtis . bronchospasm coughing, dyspnea epistaxis B

ysrs laiyngrte. nasal dryness pharyngitis sinusitis sneezing ■

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hVrJS^!!?cc "?ra,adme a1"10^1 heoabc funcbon including iaund.ee. hepal ?, m

^S atoDec,a anaPhy'a'"S. breast enlargement: ervtherna multiforme I C

erai edema, and seizures J I

OVERDOSAGE: In adults, somnolence, tachycardia, and headache have been ft with overdoses greater than 10 mg with the Tablet formulation (40 to 180 mo it

Kr^^i «.9SP?°0ns1h^* been rep0rted m cmren wrth overdoses Ol ■ than 10 mg of CLARITIN Syrup In the event of overdosage general symptomatic i W"' porbve measures should be instituted promptly and maintained for as long as neces v n^^f716^0 wrrJa»9e would reasonably consist of emesis (ipecac syrup) el S? ahc ^ mpaired C0nsci0ljsness, followed by the administration of activated ife Lno o?„a,HyJma!n'n9 Srug " vomrtin9 'S unsuccessful, or contraindicated I i\ f9/^ iM °f P6^"^ wtb normal saline Saline cathartics may also be of vie 1 rapid dNution of bowel contents Loratadme is not eliminated by hemodialysis ■ known if ioratadine is eliminated by peritoneal dialysis If

^U0,?^? occurTe0 at oral doses "P t0 5000 m9/k9 «n rats and mice (greater thi k ana 1200 bmes. respectively the maximum recommended human daily oral dofc mg m- basis) Single oral doses of loratadme showed no effects in rats, mice and rrl at ooses^as high as 10 bmes the maximum recommended human daily oral do§

•

Schermg Corporation Kenitworth. NJ 07033 USA

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1962840(1

CLARITIN REDITABS (loratadme rapidly-disintegrating tablets) are manufactur I

Soho %- Corporation by Scherer DDS. England manuiaciurB

JS °atentNos 4.282 233 and 4.371.516 Copv-ngm 0 1997 Schenng Corporabon All nghts reserved

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ne night last January, Marilyn Foster's toddler taught her a lesson. Fos- ter, a technical writer and mother of two, in Gaithersburg, Maryland, was exhausted after a long day at work. "I had just gotten home and my husband was making dinner when I heard the distinctive rattle of a bottle. I knew the sound immediately," says Foster, who takes ibuprofen every night to soothe an inflamed nerve in her el- bow. Her two-year-old son, K.C., had the open bottle in his hand. To a toddler, the round, red tablets looked like candy.

Foster panicked. She couldn't re- call how full the bottle had been, so she had no idea how many he might have eaten. But she did know that some painkillers could be deadly in large doses.

Kids eat the darndest things

We think of our homes as safe havens. But lurking within are tox- ins that look tempting to youngsters: iron supplements, aspirin, furniture polish. These are iust a few of the common substances that can kill even in small amounts.

Part of the problem is that adults can't imagine a child downing pills. Consider how hard it is to get a toddler to take medicine when you want him to. Kids usually find it hard to swallow pills whole, and chewing a bitter pill isn't very ap- pealing, even if it looks like candy. But children mimic adults. When they see a grown-up swallowing a shiny red pill, as K.C. saw his mother do even,- evening, they want to do the same.

According to the most recent data from the American Association of Poison Control Centers, about 125,000 children were exposed to common cleaning chemicals in 1996 — meaning they either drank a substance or were found with an open container. While deaths are

The medicine - cabinet is not the * place to keep

anything that

could be harmful

to your kids

- X? .

POISON

CONTROL

Your kids can get into anything — and they will. Here, how to protect them from their own curiosity By Randi H utter Epstein, M.D.

uncommon ^there were twenty-nine fatalities last year), many children get sick and some suffer permanent physical damage.

Most parents want to forget that these accidents ever happened and won't speak publicly about them.

Often, they are afraid they'll be blamed for being too lax. But, as anyone who has watched a toddler knows, no parent can keep up with a small child's unrestrained curiosity.

The myth of "childproof"

Of course, Foster thought she was doing the right things to keep her children safe. "I usually keep medicine way up high," she says. "I don't really know where K.C. got the pills. Was I careless or did he climb? Had I not closed it carefully, or did he break through the child- proof top?"

There's a good chance the bottle was closed. For as much trouble as adults sometimes have with such safety caps, they are actually child re- sistant, not (continued on page 56)

ij

54 LADIES' HOME JOURNAL • JUL> 1998

V

■

The doctor's natural choice for regularity.

POISON CONTROL

childproof. And the definition ol child resistant is that NO percent of four-year-olds cannot open the con- tainer within lour minutes, explains George Rodgers, M.D., president of the American Association of Poison Control (.enters and a professor of pediatrics at the University of Louisville, in Kentucky. The defini- tion savs nothing about how many

A candy bowl? It looks that way to a toddler, but these are laxatives, painkillers and decongestant pills

toddlers could open a bottle of pills if they tinkered with it for six or seven minutes.

Another common safety measure is keeping medicine out of children's reach. This can also backfire. Kids are constantly surprising their par- ents with new teats — such as the two-year-old who showed his family that he could climb onto the kitchen counter when he reached a stash of antibiotics in a top cabinet and munched on a few. A better choice is to keep medicines in a locked cab- inet. Child-safety locks on the door may work for a while, but if your kids are as smart as you hope, they'll eventually figure those out, too. A locked cabinet, with a key that you keep hidden m a safe place, is best.

Lessons from tragedy

Poison prevention is Rodgers's pas- sion He will never forget the death of a two-year-old who inspired his career. "The child got into the oil his parents used for decorative lamps. One gulp and it seeps into the lungs and kills.

"Watchina this child die after a

ntensive-care unit really struck me," says Rodgers. "I've seen a lot of kids get into their parents' medicines and die — or they

hi mi injuries

If all parents locked up their cleaners and medicines, deaths due to poisons would be virtually elimi- nated, Rodgers says. "YX'hen you see kids die from diseases, you some- times learn to accept that. But these are all preventable injuries. Not only do you lose a child, but the parents' guilt changes their lives forever. I've seen it destroy families."

Dangers next door

Kathi Spangenberg, a mom in Centreville. Virginia, has suf- fered the scare twice during the last two years. "I was try- ing to get my oldest son, Eric, ready for school," she recalls, "when Ryan, who was then about two. ran up the stairs. He's my inquisitive one, and the next thing I knew he was saying. 'Yucky. Mom." And he was holding those bath gels, the round, shiny ones that look like gummy candy.

"W hen I called poison control., I was told this was one of the most common queries. Fortunately, they told me that bath beads are not dangerous." At worst, Ryan could have gotten a stomachache.

But the incident was a warning to Spangenberg to check where she stored chemicals and medicines, and to keep the phone number for the poison-control center and a bottle of syrup of ipecac close at hand. Made from plant extracts, ipecac irritates the stomach and stimulates the vom- iting reflex in the brain. It's often the recommended treatment when kids swallow something potentially dan- gerous. The bath beads didn't war- rant using it. but she was soon glad she had some.

Last January. Spangenberg and her daughter. Amy. then twenty-one months old. were walking home from the bus stop. As they neared their house. Amv ran ahead. By the

time Spangenberg caught up, s could smell mothballs on her dauj ter's breath. "The neighbors had jj the stuff in their yard to keep dents from digging up their plant says Spangenberg.

She wasn't sure if her daughter h swallowed them or whether mothba were dangerous, but SpangenbCj called the Washington. D.C., Pois Center for the second time.

Some mothballs are dangero and others are not, but they i look alike, explains Earl Siegd Pharm.D.. co-director of the CinciA

nati Drua and Poison Center.

TP

type made with naphthalene can di t stroy red blood cells, leading to dangerously low blood count. Bi another popular kind, made wit paradichlorobenzene, is less toxic.

Since Spangenberg hadn't bough them herself, she didn't know whic type Amy might have eaten. Sh was t^ld to give her daughter ipeca to induce vomiting.

.Amy vomited about three time No whole mothballs came up, s< Spangenberg will never know if sh swallowed any or spit them out There were a few frightening hours but fortunately, the worst of it wa the discomfort from the ipecac.

The prepared parent

Experts say that if you suspect youil child has swallowed a toxic sub-l stance, call your local poison-control center immediately, (continued^^

KEEPING KIDS SAFE

Preventable injuries are still the leading cause of death in kids up to age fourteen. The National SAFE KIDS Campaign — a Washington, D.C.- based network of regional coalitions that conduct programs to educate parents about the top dangers to their children — can provide information on any preventable injury, including choking, drowning, falls and accidental shootings. For more information, call SAFE KIDS at 202-662-0600. or look them up online at vtvtM.safekids.org.

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POISON CONTROL

Continued

There are seventy-five regional cen- ters in the U.S., and the number for the closest one is usually listed in die front of your local telephone book. Rodgers suggests sticking a label with the number inside the phone handle.

The centers are directed by a physician and are open twenty-four hours a day. Call them before you call your doctor or the emergency room. It could save crucial time: Physicians rely on the center's advice and often will have to call diem and then call you back. If you need to go to an emergency room, the center will contact die ER so the doctors will be waiting for you.

Even if the center just tells you to administer ipecac, the call is impor- tant. Although the syrup is an inex- pensive over-the-counter medicine, parents should never use it without an expert's okay. Sometimes vomiting is hazardous. For example, if a child has swallowed something that burns, you do not want that substance pass- ing through the throat again.

Also, ipecac is not always effective. "One problem with ipecac," says Rodgers, "is the misconception that vomiting empties the stomach. It doesn't." Studies have shown that

of the stomach's contents. At Rodgers's center, they often suggest using activated charcoal, which pre- vents absorption into the blood- stream of many substances. Activated charcoal can be purchased at some pharmacies either as a powder to be mixed with water, or as a sweetened slurry. If a child ingests aspirin or blood-pressure pills, two common drugs that can be lethal to toddlers, activated charcoal is a better choice than ipecac.

But there are also some toxins ac- tivated charcoal won't help. One, un- fortunately, is high on the list of poisons that kill toddlers: iron. Just a few adult vitamins or prenatal vita- mins with iron can be fatal. The most frightening aspect is that iron is a quiet killer. After it sparks an initial bout of vomiting and diarrhea, there may be no symptoms at all. But in reality the iron is slowly corroding the digestive tract, which increases its absorption into the body. The child can die days or weeks later. Activated charcoal, which works by binding to a toxin, does not bind to iron. In this case, ipecac — and more vomiting — is the lifesaving remedy.

Even if you don't think you'll ever need them, keep activated charcoal and ipecac handy. Put them with

vomiting brings up onlv about a third your medicines and they will remind

PREVENT POISONING

Children aged one to three are at highest risk. Here, the safety rules from the American Academy of Pediatrics.

1. Keep harmful products out of your child's sight and reach.

2. Recognize that during stressful times you are more likely to be careless, and try to be extra attentive.

3 Never call medicine "candy."

3uy medicines and household products with child-resistant packaging to slow kids' access.

5. Keep these numbers by your phone: your child's doctor, the local poison- control center and the closest hospital.

6. Keep a bottle of syrup of ipecac and one of activated charcoal at home, but only use them if directed by a poison- center expert.

7. Never put inedible product1; in food or drink containers.

8. Read labels with care before using any product. Double-check the correct doses for children's medicines.

9. Teach children not to drink or eat anything unless given to them by an adult they know.

10. Do not take medicine in front of young children.

11 Check your home for old medications and discard them.

12. Discard any substances you no longer use and dangerous, old- fashioned remedies, such as oil of wintergreen, ammoniated mercury, oil of turpentine and camphorated oil.

13. Be alert for repeated poisonings. Children who swallow a poison are likely to do it again within a year. — R.H.E.

you about the risks of poisons ever time you see them.

Drugs that are too dangerous

Rodgers's newest fear is the use o clonidine, which is actually an anti hypertensive, to treat bed-wettin and hyperactivity. The drug is saf for five-year-olds, but a single pi can kill kids one to three years ol he says. "About a year ago, we had two-year-old who got into his si ling's prescription. He survived, bu| he had come very close to deaths About an hour or two after a chili' swallows one tablet, breathing cai| slow and then stop. It may be effe tive for hyperactivity and bed-wetting but for those of us at poison centers it's an impending disaster."

When a child stops breathing, poi soiling might not be a parent's firs suspicion. But you often won't see child ingest a toxic substance, so an odd behavior should be a clue — pat ticularly if your child is overly jitter or sleepy, or suddenly starts vomii ing. Many substances will leave potent odor on the child's breath Sometimes you'll be able to see rem nants of the pills in the child's mout or around the lips. If you suspec your child has gotten hold of a caus tic substance such as drain cleanei look for burn marks in the mouth Most important, never hesitate to ca a poison-control center.

That is precisely what Marily: Poster did when her son was rattlin the ibuprofen bottle. "The folks therl told me that ibuprofen can make I child feel sick, but usually doesnl kill. They told me to give him ipecal and what to expect. Then they callei me back in fifteen minutes. The were so calming."

Foster knows she was lucky. "Tha one night really scared me. It mad) us realize that we have to be morf diligent. I would be devastated i| anything happened to my son bej cause of my carelessness, because didn't take one minute, one simpl step to prevent an accident." •

Randi Huttcr Epstein, M.D. , is a medical writer in New York City.

58 LADIES' HOME JOURNAL • JULY 1998

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It's the opening-day parade of the 1998 Date Festival in downtown Indio, California, and the grand marshall, Mary

Bono, and her two children,

Chesare, ten, and Chianna, seven, are perched atop a vintage black convertible. Mary waves and smiles broadly, but her eyes look tired. Last night, she and the children stayed up late, watching clips from the old CBS hit The Sonny and Cher Comedy Hour, with Cher, her daugh- ter, Chastity, and Sonny's oldest daughter from his first marriage, Christy. Just a month after Sonny's death, the women had gathered in Mary's Palm Springs home to mark what should have been a happy oc- casion, his sixty-third birthday.

In the parade crowd, Mary's ap- pearance causes a stir of recognition.

"That's the widow," whispers a white-haired woman.

"She doesn't look sad," remarks her friend.

"It's a parade," the first woman says. "Who can be sad at a parade?"

Such is the story of Mary Bono's life these days. She's gone from pri- vate citizen to public person, be- come both widow and neophyte congresswoman.

In an April election, she con- quered her nearest Democratic ri- val— actor Ralph Waite, best known for his role as Pa on The Waltons — by a stunning two-to-one margin.

SONNY PROUD

After her husband's death, Mary Bono was left to raise her children alone. Now, as a new congresswoman, she's making a name lor herself on Capitol Hill By Kathryn Casey

That earned her the right to serv the seven months remaining in he late husband's term, as the represen tative from the 44th U.S. Congres sional District.

"This campaign has been my sal vation," Mary says. "When I'nj busy, I don't spend every minute | thinking about Sonny being gone."

A community of women

Sitting on the patio of her sprawlinj mountainside home, Mary, thirty six, blanches when the (continued,

60 LADIES' HOME JOURNAL • JULY 1998

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MAKING SONNY PROUD

Continued

word widow is mentioned. Although she was twenty-seven years younger than Sonny, she never imagined she'd wear that label so early in life. "Now I'm a congresswoman and .1 widow," she says. "At least one ol those words is positive."

Mary's friend, Kim Waltrip, an ac- tress, brings out a protein shake for her. Inside, Cher, Chastity and Christy play a board game. "Since the day of the accident, I've been surrounded by a community of wom- en," says Mary. "It's been a great comfort."

Man' was just twenty- two when she met Son- ny in 1984. She walked into Bono, his Los An- geles restaurant, with a friend, and it wasn't long before the owner came over and intro- duced himself. They spent that evening talk- ing, and he told her that he wanted to see her again. Mary promised to call him at three the fol- lowing afternoon. But the next day she decid- ed not to, afraid she'd seem like just another woman chasing a celebrity.

At 3:05 P.M., her telephone rang. "Why didn't you call?" Son- ny asked.

They married two years later and moved to Palm Springs, where they opened another restaurant. During their nearly twelve years of marriage, they complemented each other well. Mary describes herself as the "nuts and bolts" type, Sonny the vision- ary. "He was a complicated and yet simple man," she says. "His perfect day would be to make a sauce and play tennis with friends. He loved practical jokes. If Sonny teased you, he liked you."

More than anything, Mary says their marriage — his fourth, her first — was one of mutual respect. "From the moment we met, I knew Sonny was capable of even greater

momeni thm about Soi . y

things. And he al- ways said there wasn't anything I couldn't do," she says. "We both be- lieved in looking for the next chal- lenge ahead."

In the late eighties, Sonny became frustrated with Palm Springs' bu- reaucratic boondoggles when he- tried to change a restaurant sign. Though he'd never even registered to vote until 1987, he announced plans to run for mayor.

He won, and added politician to his resume. Sonny lost a subse- quent 1992 Senate bid, but won the 44th Congressional seat in a

CuP landslide two years later. At first, many in Washington, D.C., \ie\\ed Congressman Sonny Bono as l! him Sonn\

lor Bob Dole. But Sonny, a devout ci isen ati\ ■ w ho nonetheless t< centrist stance on abortion, had a way of using humor to disarm his •Titles and ease tense situations in Congress. After Sonny died, Dole, who had grown to respect him, said, "If you're going to sum it up, he was the life of our party "

Ironically, his death came at a time when everything seemed to be gome his way "I've never loved anyone more in my life [than Mary]," he said in 1995. "I've never been happier." Sonny called his young children his "biggest source of entertainment." In addition, he and Cher had put to rest the ani- mosity that had plagued their rela- tionship. While his beliefs conflicted with the lifestyle of his daughter Chastity, a gay activist, the two had also been able to forge a closeness.

This past Christmas was very spe- cial for the Bonos. Sonny cooked, and Mary, the children and a few close friends shared steak and pasta. "He gave me these," Mary says, fingering the sparkling sapphire-and- diamond ear- rings and pen- dant she wears.

The next day Sonny, Mary and the children left for Heavenly Ski Resort, south of Reno, for a family vacation. Mary remembers that they talked about the dangers of skiing because Michael Kennedy had died just a week earlier on the slopes in Aspen.

While the Bonos had always in- sisted their children wear ski hel- mets, Sonny and Mary never had. But on the morning of January 5, Sonny told (continued on page 67)

63

epression isolates.

Depression can make you feel all alone in trie world. Especially when you're around people who tliink depression is all in your head. Well, it's not. Depression is a real illness with real causes. It can appear suddenly, for no apparent reason. Or it can be triggered by stressful life events, like losing a job or having a chronic illness.

Some people-think you can just will yourself out of a depression. That's not true. Many doctors believe that one thing that may cause depression is an imbalance of serotonin - a chemical ijyfour body. If this happens, you may have trouble sleeping. Feel unusually sad

or irritable. 'Find it hard to concentrate. Lose your

appetite. Lack energy. Or have trouble feeling pleasure. These are some of the symptoms that can point to depression - especially if they last for more than a couple of weeks and if normal, everyday life feels like too much to handle.

To help fight depression, the medicine doctors now prescribe most often is Prozac* Prozac isn't a "happy pill." It's not a tranquilizer. It won't turn you into a different person.

Some people do experience mild side effects, like upset stomach, headaches, difficu sleeping, drowsiness, anxiety and nervousnes These tend to go away within a few weeks of

starting treatment, and usually aren't serious

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Indications: For the treatment ot depression, obsessive-compulsive disorder

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Contraindications: Known hypersensitivity to Prozac

Monoamine Oxidase Inhibitors— -There have been reports ol senous, somebmes latal. reactions in patients receiving fluoxetine in combination with an MAOI and in patients who have recently discontinued fluoxetine and are then started on an MAOI Some cases presented with features resembling neuroleptic malignant syndrome.

Wait at least 14 days between discontinuing an MAOI and starting therapy with Prozac Because ot the long halt-lives ol fluoxetine and its active metabolite, wait at least 5 weeks (or longer, if fluoxetine has been prescribed chronically and/or at higher doses) between discontinuing Prozac and starting therapy with an MAOI Prozac should not be used concomitantly with MAOIs. Warnings: Rash and Possibly Allergic Events— In US fluoxetine clinical trials, 7% of 10,782 patients developed various types ol rashes and/or urticaria Among the cases reported in premarketing clinical trials, almost a third of these discontinued therapy because of rash and/or associated systemic signs or symptoms. Reported in association with rash were fever, leukocytosis, arthralgias, edema, carpal tunnel syndrome, respiratory distress, lymphadenopathy, proteinuria, and mild transami- nase elevation Most patients improved promptly upon discontinuation of fluoxetine and/or adiunctive treatment with antihistamines or steroids, and all were reported to recover completely.

01 2 patients who developed a serious cutaneous systemic illness during premarketing clinical trials, 1 was considered to have a leukocytoclastic vasculitis, and the other, a severe desquamating syndrome considered variously to be a vasculitis or erythema multiforme. Other patients have had systemic syndromes suggestive of serum sickness.

Since the introduction ol Prozac, systemic events possibly related to vasculitis have developed in patients with rash. Although these events are rare, they may be serious, involving the lung, kidney, or liver. Death has been reported to occur m association with these systemic events

Anaphylactoid events, including bronchospasm, angioedema, and urticaria alone and in combination, have been reported.

Pulmonary events, including inflammatory processes of varying histopathology and/or fibrosis, have been reported rarely. These events have occurred with dyspnea as the only preceding symptom

Whether these systemic events and rash have a common underlying cause or are due to different etiologies or pathogenic processes is not known. Upon the appearance ol rash or ol other possibly allergic phenomena tor which an alternative etiology cannot be identrfied. Prozac snould be discontinued. Precautions:— General— The following events occurred in controlled clinical trials. See Tables 1 and 2 also.

• Anxiety and Insomnia.

• Altered Appetite and Weight— Significant weight loss may be an undesirable result ol treatment. Weight change should be monitored during treatment of bulimia.

'Activation ot MamalHypomama— -In all US Prozac clinical trials, reported by 0.7% ot 10,782 patients

• Seizures— Introduce Prozac with care in patients with a history ot seizures. In all US Prozac clinical trials. 02% of 10,782 patients reported convulsions

'Suicide— Close supervision of high-risk patients should accompany initial drug therapy.

• Long Elimination Hall-Lives ol Fluoxetine and Its Metabolites— Because of the long elimination hall-lives ol the parent drug (1 to 3 days alter acute administration and 4 to 6 days after chronic administration) and its major active metabolite (4 to 16 days after acute and chronic administration), changes in dose will not be fully reflected in plasma lor several weeks, affecting both strategies lor titration to final dose and withdrawal Irom treatment.

• Use m Patients With Concomitant Illness— Caution is advisable in patients with diseases or conditions that could affect metabolism or hemodynamic responses.

• Interference With Cognitive and Motor Perlormance— Patients should be cautioned about operating hazardous machinery, including automobiles, until they are reasonably certain that the drug does not affect them adversely,

• Information lor Patients— Physicians should advise their patients to notify them it they:

- are taking or plan to take any prescription or over-the-counter drugs or alcohol

- become pregnant or intend to become pregnant during therapy

- are breast feeding an infant -develop a rash or hives

• Drug Interactions

-Drugs Metabolized by P450IIO6— Therapy with medications that are predominantly metabolized by the P450IID6 system, especially those that have a relatively narrow therapeutic index (eg. tlecaimde, vinblastine, and tricyclic antidepressants) should be initiated at the low end ot the dosage range it a patient is receiving fluoxetine concurrently or has taken if in the previous 5 weeks Alternately, the addition ot fluoxetine to the treatment regimen ot a patient already receiving a drug metabolized by P450IID6 may require a decreased dose of the original medication

-Drugs Metabolized by Cytochrome P450IIIA4— Data indicate that fluoxetine's extent ol inhibition ol cytochrome P450IIIA4 activity is not likely to be of clinical significance.

- CNS Active Druos— Caution is advised. Consideration should be given to using lower initial doses ol the concomitantly administered drugs, using conservative titration schedules, and monitoring ol clinical status.

Anticonvulsants— Patients on stable doses of phenytoin and carbamazepine have developed elevated plasma anticonvulsant concentrations and clinical anticonvulsant toxicity.

Antipsychotics— Some clinical data suggest a possible pharmacodynamic and/or pharmacokinetic interaction between SSRIs and antipsychotics. Benzodiazepines— The halt-life of concurrently administered diazepam may be prolonged in some patients Coadministration ol alprazolam and fluoxetine has resulted in increased alprazolam plasma concentrations and in further psychomotor perlormance decrement due to increased alprazolam levels Lithium— There have been reports ot both increased and decreased lithium levels and lithium toxicity.

Tryptophan— Five patients receiving tryptophan experienced adverse reactions, including agitation, restlessness, and gastrointestinal distress Monoamine Oxidase Inhibitors— See Contraindications Other Antidepressants— Previously stable plasma levels ot imipramine and desipramme have ncreased greater than 2- to 10-fold when concomitantly administered with fluoxetine. -Druos Tightly Bound to Plasma Proteins— A shift in plasma concentrations or

displacement ol fluoxetine may result in adverse effects -Warfarin — Reports ot altered anti-coagulant eflects. including increased

bleeding Careful coagulation monitoring is recommended when fluoxetine is

initialed or stopped

- Electroconvulsive Therapy— Rare reports of prolonged seizures in patients on fluoxetine receiving ECT

• Carcinogenesis, Mutagenesis. Impairment ot Fertility— there is no evidence ol carcinogenicity, mutagenicity, or impairment of fertility with Prozac.

'Pregnancy— Pregnancy Category C— In embryo-fetal development studies in rats and rabbits, there was no evidence of teratogenicity at doses ol up to 1 5 and 3 6 times, respectively, the MRHD (maximum recommended human dose) ol 80 mg

Prozac® (fluoxetine hydrochloride)

on a mg/m: basis throughout organogenesis. In the surviving offspring of rats treated at 1.5 times the MRHD, there was no evidence ol developmental neurotoxicity. However, in rat reproduction studies, an increase in stillborn pups, a decrease in pup weight, and an increase in pup deaths during the first 7 days postpartum occurred following maternal exposure to 1 5 or 0 9 times the MRHD on a mg/m; basis during gestation or gestation and lactation, respectively. Prozac should he used during pregnancy only it the potential benefit justifies the potential risk to the letus.

• Labor and Delivery— The effect ot Prozac is unknown Prozac should be used only if the potential benefit justifies the potential risk to the letus.

• Nursing Mothers— Prozac is excreted in human milk. Nursing while on Prozac is not recommended.

• Pediatric Use— Safely and effectiveness in pediatric patients have not been established

• Usage in the Elderly— Evaluation of patients over age 60 who received Prozac, 20 mg, daily revealed no unusual pattern of adverse events relative to the clinical experience in younger patients However, these data are insufficient to rule out possible age-related differences dunng chronic use, particularly in elderly patients with concomitant systemic illnesses or those receiving concomitant drugs.

•Hyponatremia— Hyponatremia (some cases with serum Ma lower than 110 mmol/L) has been reported which appeared to be reversible on drug discontinuation. Some cases were possibly due to SIADH. and the majority have been in older patients and those taking diuretics or who were otherwise volume depleted.

• Platelet Function— Hate reports ol altered platelet function and/or abnormal results Irom laboratory studies in patients taking fluoxetine While there have been reports ol abnormal bleeding in several patients taking fluoxetine, it is unclear whether fluoxetine had a causative role

Adverse Reactions: It is important to emphasize that events reported during therapy were not necessarily caused by it

Incidence in US Placebo-Controlled Clinical Tnals (excluding data from exten- sions ot trials)- -Table 1 enumerates pooled data on treatment-emergent adverse events that occurred in 2% or more patients treated with Prozac and with incidence greatei than placebo in the treatment ot depression, OCD, or bulimia. See lull prescribing information lor table of trealment-emergenl adverse events lor each indication.

Table 1.

TREATMENT-EMERGENT ADVERSE EVENTS: INCIDENCE IN US DEPRESSION. OCD. AND BULIMIA PLACEBO-CONTROLLED CLINICAL TRIALS

Percentage ol Patients Reporting Event

Depression. OCD, and bulimia combined

Table 2.

MOST COMMON ADVERSE EVENTS ASSOCIATED WITH DISCONTINUATION IN US DEPRESSION, OCD, AND BULIMIA PLACEBO-CONTROLLEO CLINICAL TRIALS

Body System/	Prozac	Placebo
Adverse Event'	(N=2444)	(N=1331)
Body as a Whole
Headache	21	20
Asthenia	12	6
Flu Syndrome	5	4
Fever	2	1
Cardiovascular System
Vasodilatation	3	1
Palpitation	2	1
Digestive System
Nausea	23	10
Diarrhea	12	8
Anorexia	11	3
Dry mouth	10	7
Dyspepsia	B	5
Flatulence	3	2
Vomiting	3	2
Metabolic and Nutritional disorders
Weight loss	2	1
Nervous System
Insomnia	20	11
Anxiety	13	8
Nervousness	13	9
Somnolence	13	6
Dizziness	10	7
Tremor	10	3
Libido decreased	4
Respiratory System
Pharyngitis	5	4
Yawn	3
Skin and Appendages
Sweating	8	3
Rash	4	3
Pruritus	3	2
Special Senses
Abnormal vision	3	1

'Included are events reported by at least 2% ot patients taking Prozac, except the following events, which had an incidence on placebo > Prozac (depression. OCD. and bulimia combined): abdominal pain, abnormal dreams, accidental injury, back pain, chest pain, constipation, cough increased, depression (includes suicidal thoughts), dysmenorrhea, gastrointestinal disorder, infection, myalgia, pain, paresthesia, rhinitis, sinusitis, thinking abnormal.

—Incidence less than 1%.

pi^zac

fluoxetine hydrochloride

Associated With Discontinuation in US Placebo-Controlled Clinical Trials (excluding data Irom extensions ot trials)— Table 2 lists the adverse events associated with discontinuation ot Prozac treatment (incidence at least twice that tor placebo and at least 1% for Prozac in clinical tnals) in depression. OCD. and bulimia

Other Events Observed In All US Clinical Trials— Frequent adverse events are defined as those occurring on 1 or more occasions in at least 1/100 patients: infrequent adverse events are those occurring in 1/100 to 1/1.000 patients: rare events are those occurring in less than 1/1 ,000 patients

Prozac® (fluoxetine hydrochloride)

Depression, OCO, and bulimia combined

Depression

OCD

Insomnia (1%) Nervousness (1%)

Insomnia (1%) Nausea (1%) Nervousness (1%)

Anxiety (2%)

Rash (3%)

Insoir p.

*

vr.

IC-.

Body as a Whole— Frequent chills Infrequent chills and lever, •aederr mtentional overdose, malaise, pelvic pain, suicide attempt. Pare: ; omir syndrome acute, hypothermia, intentional injury, neuroleptic malignant idrorr photosensitivity reaction.

Cardiovascular System— Frequent hemorrhage, hypertension. Itque; angina pectoris, arrhythmia, congestive heart failure, hypotension. arair myocardial infarct, postural hypotension, syncope, tachycardia, vascularedact Rare: atrial fibrillation, bradycardia, cerebral embolism cerebral cerebrovascular accident, extrasystoles. heart arrest, heart block, pallor, vascular disorder, phlebitis, shock, thrombophlebitis, thrombosis, j£ ventricular arrhythmia, ventricular extrasystoles, ventricular fibrillation.

Digestive System— Frequent: increased appetite, nausea and Inlreguent: aphthous stomatitis, cholelithiasis, colitis, dysphagia, t esophagitis, gastritis, gastroenteritis, glossitis, gum hemorrhage, hyperc increased salivation, liver function tests abnormal, melena. mouth i nausea/vomiting/diarrhea, stomach ulcer, stomatitis, thirst; Rare: bi bloody diarrhea, cholecystitis, duodenal ulcer, enteritis, esophageal f incontinence, gastrointestinal hemorrhage, hematemesis, hemorrhagi hepatitis, intestinal obstruction, liver fatty deposit, pancreatitis, peptic u tec "3 hemorrhage, salivary gland enlargement stomach ulcer hemorrhar. edema

Endocrine System— Inlreouent: hypothyroidism; Rare, diabetic diabetes mellitus.

Hemic and Lymphatic System— Infrequent anemia and ecchynt blood dyscrasia, hypochromic anemia, leukopenia, lymphedema, lymi petechia, purpura, thrombocvthemia. thrombocytopenia

MpI.iIiqIic _and Nutritional - Frequent weight gain Inlreouent dy generalized edema, gout, hypercholesteremia, hyperlipemia, hyp peripheral edema. Rare alcohol intolerance alkaline phosphatase mere bi increased, creatine phosphokmase increased, hyperkalemia, hyper n hypocalcemia, iron deficiency anemia, SGPT increased.

Musculoskeletal System — Inlreguent: arthritis, bone pain, bursitis, li tenosynovitis; flare: arthrosis, chondrodystrophy, myasthenia myopathy Dsn . osteomyelitis, osteoporosis, rheumatoid arthritis.

NeryMS System— Frequent: agitation, amnesia, confusion, emotioi sleep disorder. Infrequent abnormal gait, acute brain syndrome, akathis ataxia, buccoglossal syndrome. CNS depression, CNS stii depersonalization, euphoria, hallucinations, hostility, hyperkinesia, tv hypesthesia, incoordination, libido increased, myoclonus, neuralgia, ni neurosis, paranoid reaction, personality disorder,' psychosis, verti abnormal electroencephalogram, antisocial reaction, circumoral paresthi delusions, dysarthria, dystonia, extrapyramidal syndrome, f hyperesthesia, neuritis, paralysis, reflexes decreased, reflexes increased,

Respiratory System— Infrequent: asthma, epistaxis. hiccup, hypei Rare: apnea, atelectasis, cough decreased, emphysema, hei hypoventilation, hypoxia, larynx edema, lung edema, pneumothorax, stni

Skin and Aooendaoes— Infrequent acne, alopecia, contact dermalilii maculopapular rash sku discoloration skin ulcei vesiculobullous i; turunculosis, herpes zoster, hirsutism, petechial rash, psoriasis, purp] pustular rash, seborrhea

Special Senses— Frequent ear pain, taste perversion, tinnitus; /i conjunctivitis, dry eyes, mydriasis, photophobia; Rare: blepharitis, diplopia, exophthalmos, eye hemorrhage, glaucoma, hyperacusis. iritis, sclentis, strabismus, taste loss, visual field defect.

Urogenital System— Frequency: urinary frequency: Infrequent: albuminuria, amenorrhea.! anorgasmia. breast enlargement, breast par dysuria. lemale lactation.! fibrocystic breast, f hematuria, leu' menorrhagia,t metrorrhagia^ nocturia, polyuria, urinary incontinencl retention, urinary urgency, vaginal hemorrhagef. Rare breast engi glycosuria, hypomenorrhea.t kidney pain, oliguria, priapism hemorrhage,! uterine fibroids enlarged f 'Personality disorder is the COSTART term for designating nona objectionable behavior tAdjusted for gender

Postmlroduction Reports— Voluntary reports of adverse events ti associated with Prozac that have been received since market introduclio may have no causal relationship with the drug include the following anemia, atrial fibrillation, cerebral vascular accident, cholestatic contusion, dyskinesia (including, for example, a case ol buccal-lingual-m syndrome with involuntary tongue protrusion reported to develop in a female after 5 weeks ol fluoxetine therapy and which completely resolvei next few months following drug discontinuation), eosinophilic pro epidermal necrolysis, erythema nodosum, exfoliative dermatitis, gyne heart arrest, hepatic failure/necrosis hyperprolactinemia. immun hemolytic anemia, kidney failure, misuse/abuse, movement disorders devpi patients with risk factors including drugs associated with such e' worsening of preexisting movement disorders, neuroleptic malignant s like events, pancreatitis, pancytopenia, priapism, pulmonary embr prolongation, Stevens-Johnson syndrome, sudden unexpected death ideation, thrombocytopenia, thrombocytopenic purpura, vaginal bleeding withdrawal, and violent behaviors.

Overdosage: Prominent symptoms of overdose included nausea and vdHK well as agitation, restlessness, hypomania, and other signs ol CNS excttajjt

In managing overdosage, consider the possibility of multiple drug invimet A specific caution involves patients taking or recently having taken fluox ■ w might have ingested excessive quantities ol a TCA, Accumulation of tigrt' tricyclic and an active metabolite may increase the possibility of clinically WKy, sequelae and extend the time needed lor close medical observation (SJP Antidepressants under Precautions),

Reports ot death attributed to overdosage of fluoxetine alone h| extremely rare.

PV2472-DPP

Additional information available lo the protession on request FL-1 0282-1 -1 0039495-1 98

Sfofy

Eli Lilly and Company

Indianapolis, Indiana 46285

II

i

9

Primed in USA Copyright ©1997, Eli Lilly and Company All rights r Prozac, the sun icon and the green and off-white color combination a trademarks of Eli Lilly and Company

Prozac® (fluoxetine hydrochloride)

IAKING SONNY PROUD

jnnnued from page 63

lary he'd moot her on the slopes; anted to buy a helmet. Vet later, lary noticed he wasn't wearing one

"I asked him about it," she says tfe said, 'I thought you'd think I oked silly in it.'" But Man wasn't mcerned; after all, Sonny had been ding for thirty years.

At one-thirty that afternoon, the ono family stood together on the sort's Orion run.

"Follow me, Chez," Sonny yelled i his son, and took off.

In his rush, Chesare fell, taking hianna down with him. By the time lary got the children back on their et. Sonny had disappeared.

"I thought he'd be waiting when e got down the mountain," she lys, her eyes filling with tears.

lissing

lary searched for Sonny at the base [the slope, but he wasn't there. She id the children made the run a sec- nd time, looking for him. As an

tain. 1 u Id

Wan filed - i port At about six P.M., she spoke to the head ot the ski resort and implored linn begin another search.

As the children played. Wan- wait- ed nervously at the front desk About an hour later, the head of the ski company, the local sheriff and two deputies sought her out. "We've found a body," they said.

Mary demanded that they take her up the mountain, "i kept thinking. It's not him," she says. Yet as they approached, she recognized his ski pants. And then she saw his bloodied face, his crumpled body. Man held her husband and cried.

The ski patrol speculated that Sonny had veered just off the run,

is good skiers often do. He'd cut to the left to avoid a tree and hit n »af« snow . lost t on- iwn head first

tasl ol telling

bered that a friend whose wife had die I had been comforted by talking to a grief counselor She asked to have such a counselor waning to help tell Chesare and Chianna about their father's death. Then she began what she describes as "the hardest walk of my life," to bring her husband's body down the mountain.

In the darkness. .Wary looked up at the sky. They were on the Orion run, and she saw the constellation shining brilliantly above. Somehow it gave her comfort.

The children were wailing at the resort. Man held them, fighting back her own tears. "Daddy's dead," she said. "God took him up to be with Him in heaven."

The children put their arms around her and they all cried. (continued)

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MAKING SONNY PROUD

Continued

A tribute to Sonny

The days following her husband's death are something of a blur for Man7. She remembers thinking only of her children. "They needed to know from me that their lives would go on," she says. "I told them, 'It'll be all right. We'll be okay.' "

The house in Palm Springs filled with people. Chastity, Christy and Sonny's third wife, Susie Coelho, all arrived. Cher jetted in from London.

Mary says she felt a tremendous wave of love and support as thou- sands of letters poured in from around the world. Funeral arrange- ments were hastily pulled together, and Mary asked Cher to do Sonny's eulogy. Cher agreed.

"The world needed to reconcile Sonny and Cher," explains Mary. "I think Sonny loved Cher, no question. But not the way he loved me. Cher loved Sonny, but not in a way that was threatening for me. So it was easy for me to let her do it."

Three thousand people came to Sonny's Palm Springs vigil and fu- neral. A second service was held in Washington, D.C. To Mary, the praise of those who had once scoffed at Sonny meant the most. "These are people who didn't believe in him at first, but who went on to respect him, even to love him," she says.

Within days of Sonny's death, friends and family began to ask Mary if she would consider running for his congressional seat. "Then others called," she says, including Newt Gingrich, Jack Kemp and Dan Quayle. If she decided to run, the decision had to be made quickly. An election was scheduled for April 7.

At first, Mary paused, considering how this would affect her children. More than becoming a congresswom- an, she was worried about being a great single mom.

Still, the idea of continuing her husband's work appealed to her. For the most part, she felt as he did about issues, taking a conservative stance. But she also had her own ideas. "I'm

1

more of an environmentalist thn Sonny," she says. "I used to tease hn that if he could, he'd build concl- miniums in Yosemite."

One afternoon, Mary and the k:;s took a long walk. "What would yu think if I ran for Daddy's job n Congress?" she asked them.

"Neat," they told her.

Mary believed that Sonny, t would approve. "He would have bet my biggest supporter, my campaii manager. . . . And for the children 3 see me running for office, chasing^ dream, it's a tremendous lesson." jj

Facing the future

Time spent with Mary Bono leavs one certain that she's dealing with* flood of conflicting emotions. Thee is the excitement of the win, the sa|f ness of her loss and, at times,! touch of anger. "Two weeks after tjs funeral, I stood in Sonny's closet I our home in Washington and look4 at all his suits hanging there," she rl> calls. "I remembered how much \ loved his life, and I felt a little angf

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so you brush kard. But that can he hard or your gums. That's why we created the Mentadent ProCare Brush and the ProCare Youth for kids. The handle is flexikle, so as

muc

t him for letting this happen."

She remembers the good time; hey had together, the day he pro- osed, how he held her hand during tie cesarean section when Chesare ras born, the quiet times as a famih he sold their Palm Springs home the asking price was SI. 5 million") nd bought a smaller one, just down ie road. Without Sonny, the other ouse suddenly seemed too big

Her new life will be a busv oik he'll lobby for a House committee :at. Her first choice, Judiciary; sec- nd choice, National Security.

The children wanted to go to Siool in Palm Springs, so they will e in the care of their longtime nan- y as Mary jets between coasts tor jngressional sessions. She has also egun campaigning again because le's up for reelection in November.

Once in Washington, if she expe- ences the same flippancy that nee plagued her husband, she on't worry. "I know that if I work ird and do my best, I'll carve out ly place. Sonny was a man of the

me," say

When asked about their favorite memories of their father, the children are quick to answer: "Coaching mv baseball team," says Chesare.

"Teaching me to cook pasta," says Chianna.

Assessing Sonny's legacy to their children, Mary cites his resolve, his sense of humor, his ability to realize his dreams. "And most important," she says, "to be true to yourself."

Perhaps the only disappointment

ot these last few months was when Sonny's mother, Jean Bono, publicly criticized War,' for running and said hould sta> home with the children When asked about this. Wary replies, like a true politician,

Through it all, Mary says she wishes she could talk to Sonny again, to go to him for advice. Hut then, she knows she'll be all right In fact, 'nst the night before, when she sat \ atching clips with Cher, Chastity and Christy, they'd all come to the same conclusion: that Sonny loved strong women.

Sometimes a; night, Mary stands on the patio, searches the heavens until she finds Orion, and thinks of Sonny. "At least when he died, he- was doing something that made him happy," she says. "He's up there, happy, tree ot all his earthly burdens And I think he's happy with me and all I'm doing." •

Kathryn Casey is a contributing editor of Ladies ' Home Journal.

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/ aking magic out \ t of the ordinary is

something a child does instinctively. Carefully observe your child's natural wonder, and you will dis- cover that what interests him isn't necessarily the battery-operated devices, video games and TV shows you've surrounded him with, but branches, bedsheets, pots, boxes, cast-off adult clothing, broken appli- ances— all ordinary objects that allow a child to respond however he chooses, rather than the way some grown-up toy designer or TV pro- ducer has determined he should.

/ was taking a walk with my five- year-old daughter on a cold, windy New England day. "Look, Mom, " she cried, "look at that beautiful leaf mov- ing like a crab walks. " / hadn't noticed the brown, dried-up leaf, but to her it was moving in a magical way. Her words ivere like poetry. I'll never look at a winter leaf the same way.

— mother of one Get caught up in your children's enchantment. The next time a leaf flutters to the ground, stop. Pick it up. Observe its beauty with your child. Revel in this gift that nature has dropped from the sky.

Unfortunately, our society works to educate the wonder out of chil- dren. A two-year-old viewing a train up close is awed by the bel- lowing whistle and the shuddering ground. How quick we are to jump in and explain to her how it works instead of allowing her • merely to marvel.

When we keep things simple, our children take charge of the magic in their own way.

A flying rabbit, a flying lion and a deer come to help me fall asleep. They are always there to help me.

— a six-year-old

REPRINTED FROM "10 PRINCIPLES FOR SPIRITUAL PARENTING NURTURING YOUR CHILD'S SOUL," BY MIMI DOt WITH MARSHA WALCH, PH D COPYRIGHT © 1998 B^ MIMI DOE PUBLISHED BY HARPERCOLLINS MiDoeSaol com

72 LADIES HOME JOURNAL • JULY 1998

Forget the special effects and make the most of the everyday stuff. By Mimi Doe with Marsha Walch, Ph.D.

How to add enchantment

Again and again, adults say that it is the everyday rituals from their childhoods that have left the deepest impressions. Similarly, it is the ordinary occurrences, not the "big deal" events, that will form the bedrock of your child's richest recollections. With a little thought, our every- day tasks become mini festivals. Think small and simple, not elabo- rate or expensive. Remain open, and inspiration will come. Take charge of the TV set. The re- search is in, and it is overwhelm- ing. TV deadens the spirit and creates passive, unimaginative — sometimes even violent — people who are fed gender and racial stereotypes to emulate. Remove the TV set from center stage in your home and put it in a place that re- quires some effort to reach. Care- fully choose the programs your child views, and look for videos that speak to the inner life of children. Do some research, talk to friends and turn TV into a learning tool in- stead of a time-stealing culprit. Blow bubbles. Make them when your child is in the bathtub or outdoors, where you can run through them. Keep a bottle in your car and blow some when you are stuck in ^M^^ft traffic. Better yet, stick the //tyjf wand out the window and let the wind blow them for you. Then, look for the fairy in the bubbles. Touch the spirit with mu- sic. Maybe country, jazz or classical music will resonate with your child. Gospel music can stir the spirit and move the soul. Teach your child the song "Amazing Grace," then talk about what grace might be.

(continued on page 74)

From fairies in bubbles to dreamtime menageries, enchantment is always within your child's reach

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My six-year-old has discovered Duke Ellington a)id is takmg our whole fami- ly with him on his exploration. He even named his new puppy Ellington.

— mother of two Revel in the rain. Sit on the porch and watch a rainstorm approach. Talk about where rain comes from. Are raindrops, as one child said, "angels' tears"? Better yet, take a walk in the rain. Jump in the pud- dles. Do a rain dance. Sing. My mom let me go outside in my night- gown and run through the rain. I had to take a warm bath aftenvard, but it didn V matter. — a six-year-old

Turn an ordinary night into a family camping adventure. Arrange the bedsheets into a tent and turn the living room into a campground for the whole family. Remember, there is no electricity at your campsite. Flashlights are permitted; television is not. Light a fire in the fireplace if you need to cook something. Watch a flower grow. Let your chil- dren design and paint their /^X own flowerpots and choose ( ' | ' seeds. The pot can stay in • ^ £ their bedroom or be given to someone as a gift from the heart. Stay up late. Watch the moon come out. Look for the first star. Guess where it will appear. Use nature for toys. Create characters out of pinecones or fashion wreaths out of pine needles or pussy willows. Wake your child with a song. Maybe he has a favorite you could play, or simply make one up. My mom akvays sings "Good morning, good morning, you \>c slept the whole night through. Good morning, good morning to you. " It makes me smile.

— an eleven-year-old Read together. Designate a "Family Book Club" evening and take turns reading out loud. Don't forget the classics. Consider including other families in your book club meetings. Turn household chores into a family party. Sing songs, pui on music, wear a costume, pretend you're someone else.

On Family Night, dance together, roast marshmallows. What's important is the ritual

/

Designate one night a week as "Family Night." This should be easy and happy for everyone. Play charades or checkers. Dance together or roast marshmallows in the fireplace. The important thing is the ritual, the repetition, the predictability. Friday night is our Family Night. We show all our artwork from school and make pizza together and special drinks.

I wait all week for Family Night.

— a five-year-ol Make bedtime a big event. Create magical threshold to help your chil enter dreamland.

/ kiss my eleven-year-old son goo night and sing a silly made-up son that we've been singing for years. H has a hard time getting to sleep with out it. — father of om Create your own special good-bye Come up with a signa that says, "I love you" » a wink, thumbs up pulling your earlobe, hand to your heart — til ease your child's transition fron the protective nest of home int the outside world. Decorate for delight. Get out the lit tie white lights you use at Christ mastime and let your chil decorate his room with them. Wra] them around the bedposts as en chanting night lights or drape then around a large plant.

Accepting our children's visioi of the world, rather than blockinj their natural tendency to revel ii the moment, takes a lot of pa tience. It means planning an extr; ten minutes when we take a wall with a toddler to stop and marve at a spider's web. It means leavinj the kitchen a mess so we can g( outside and see the mud cakes thi children have made. Most of all, i means taking the time to enjoy lifi firsthand instead of just teaching about it. •

Minn Doe is a co-author of "Drawing Angels Near" (Pocket Books, 1995). Her mother, Marsha Walch, is a psychotherapist specializing in families.

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TO ORDER: Send your name and street address along with a check or money order to: Ladies' Home Journal® Resources, Dept. L0798, P.O. Box 9381, Des Moines, IA 50306- 9381. MasterCard and Visa users may call 800-763-6393. Please specify book title.

74

LADIES' HOME JOURNAL • JULY 1998

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've got three kids under the age of eight, and sometimes I worry that their books, toys and games are going to take over my entire house. To add to the problem, I've already maxed out my closet space. How can I keep their rooms — and my house — from being swallowed up? No matter what room you use it in, open shelving is a practical and inexpensive solution that also adds a decorative touch to your home. I find that wooden shelves mounted on brackets — which can be painted to match any decor — work best for displaying kids' stuff, and are very easy to install.

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According to a report by U-Haul, the average American relocates eleven times over the course of his or her life.

Each summer, people spend a great deal of money capturing family memories on film. But too often they are careless about storing die photos. "Too much exposure to light, high temperatures and humidity can damage prints and negatives, and cause images to fade," says Russell Hart, author of Photography for Dummies (IDG Books, 1998).

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Cardboard shoeboxes contain sulfur compounds that can deteriorate images; the adhesive in self- stick albums causes pictures to degrade over time. Instead, store photos in "archival" albums, boxes and frames — they are free of harsh chemicals and acids — and put negatives into archival film sleeves.

STORE IN A COOL, DRY AND DARK PLACE Attics get very hot, and basements get humid. "The best place for photos is your closet, because closets tend to have a cooler and more consistent temperature than most rooms," says Hart.

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The Molest Next Door

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When a pedophile was arrested in this Philadelphia neighborhood, parents were shocked to learn that the accused was their own local hero. By Marjorie Preston

Fugitive faces 15 years if caught

Attorney's office lo have bail n

Rapist sentenced in absentia

\RJ0R1E PRESTON

molester

years for corrupting the morals of • —inor. The sen''"

the holidays. In court before the

Attorney s

voked was unsuccessful

■We did everything but beg (Tucker) to please put him inja said the mother of or- -

a

s he drove the streets of London on a damp April evening in 1996, Ray Masterman carried two airline tickets. One, a receipt from his hasty Christmas Eve flight from New York, represented the past he hoped to escape. The other, for a flight to Australia, held his future. Bearded and bespectacled, the British-born Masterman looked nothing like the child rapist hunted for months by the U.S. Department of Justice and the FBI. In Australia, he would start over — at least, that was the plan.

Ever since Masterman's arrest two years earlier, parents in the quiet Philadelphia neighborhood of Rox- borough, Pennsylva nia, had kept close watch over their children, knowing that an ac cused pedophile wa out on bail. Masterman accusers — four girls under

78 LADIES' HOME JOURNAL • JULY 1998

age twelve, all of them friends of his children — lived in dread. According to neighbors, Masterman was a gun enthusiast and kept a small arsenal in his basement, and he had vowed to retaliate against the girls. One child was afraid to be left alone, even to bathe. Another never walked to school without an escort. The mother of Masterman's youngest ac- cuser, a child of eight, kept a loaded rifle under her bed.

A Family Man

Bui in that same community, the man now reviled as a child rapist had once been revered. Masterman,

Masterman was nabbed in England

Scotland Yard gets ranist

% marjorie preston ^ 'WpiSl

Yard JJJlhcl/T?m Scotland

utes from London. He '"red by poJ.v-

beard, andlo^g ^

v»ng his

some- moustache.

now fifty-two, was considered by many to be an ideal father, husband and neighbor. "We were friends," says the mother of one of his vic- tims. "I attended parties at his house." Two years later, she is still stunned by the betrayal. "This was the shock of my life," she says.

Masterman, his wife, Eve, and their three daughters moved from Comfort, Texas, to Philadelphia in 1990. From the start, the Fire De- partment paramedic impressed neighbors with his outgoing na- ture— and with tales of his past heroics. He claimed he had been a British secret agent, an IRA infiltra- tor and a military hero in his na- tive England. (Records show that he was simply an en- listed man in the British Navy.) In America, he had worked with a Texas search-and- rescue group that retrieved kidnap vic- tims. And in 1987, he had (continued)

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THE MOLESTER NEXT DOOR

Continued

helped in the daring rescue of a bus- load of schoolchildren trapped in a flood-swollen Texas river. A video- tape of the rescue, with Masterman dangling from a helicopter over churning waters, was required view- ing for Masterman's friends, as was a TV movie based on the event.

Eve Masterman, thirty-seven, was the opposite of her gregarious hus- band. Quiet and subservient, she was "like another of the kids," says a former friend of the couple. In- deed, Evelyn Clifford was little more than a child when she met and mar- ried Masterman, then thirty, in Lon- don in the mid-1970s. Only fifteen, she had left home to escape a father whom a relative described as "se- vere." Yet as an adult, Eve re- mained under her husband's control. At dinner parties with friends, she often sat at his feet, gaz- ing up at him as he spun stories of his past adventures.

The Masterman children, Victo- ria, Karen and Nicole, ranged in age from eight to fifteen when the as- saults against their friends began. Masterman seemed to be a doting dad, and acted like a second father to his daughter's friends, driving them to and from school, taking them to the movies. When a 1992 back injury forced him out of work, he had even more time to spend with the children — buying them ice cream and chaperoning sleepovers — though Eve, an office employee at a construction company, worked hard- er than ever to support the family. Asked later how children could be routinely molested in the Master- man home without Eve's knowledge, prosecuting attorney and assistant district attorney Elizabeth Jobes sim- ply says, "Overtime."

Dangerous Games

Like many predators, Masterman chose the most vulnerable of the flock to prey upon. One was ten- year-old Amy MacNeil*, an only child new to the Roxborough area.

* .\'a»ie has been changed.

Amy's father worked long hours as a delivery driver; her mother was re- covering from a serious auto acci- dent that had almost left her paralyzed. Eight-year-old Bridget Keller* was troubled by turmoil at home. Her parents were divorcing, and her mother was planning to re- marry. In the midst of such changes, the Kellers were in dire financial straits, facing foreclosure on their home. Both girls gravitated toward the Mastermans and the close family life they seemed to enjoy.

According to Amy MacNeil, Mas- terman's systematic seduction began with "scrooching," a seemingly play-

If

Each child Masterman molested was chosen for her innocence and need for attention

ful show of affection that included tickling and gentle rubbing of the back and arms. Sexual overtures — touching of the young girl's breasts and genitalia, sometimes as she lay in bed with his own daughters — soon followed. When Amy seemed nervous about an airplane trip, Mas- terman had her listen to a relaxation tape. As she lay on a bed in the Masterman house, lulled by the tape, her friend's father leaned over and began to touch her. Amy also testified that he once worked his hand beneath her clothing and in- serted his finger. It was good for her, Masterman said. It would "jump her hormones" and help her lose weight. When Bridget stayed overnight, Masterman — dressed in just a robe — joined her and his daughter Nicole on a sofa bed in the family room and, Bridget testified, he molested her.

Confused by his advances an their own discomfort, the girls said nothing at home. They were also in- timidated by him because of the gun case he kept in the bedroom. Amy., for one, later testified that she had! seen Ray Masterman fire a gun into! a telephone book. In court, prosecu- tor Jobes suggested that such acts] were designed to frighten the girls "There is no doubt," she says "people were scared of this man."

So the children remained silent and their parents, preoccupied wit their own problems, were oblivious. More than once, Amy MacNeil's mother asked her husband, "Why can't you be more like Ray?" Brid- get Keller betrayed no overt signs of molestation. Then one day she told her mother that Masterman had giv- en her and Nicole a bath at hi; home. "The alarm bells went off,' Cassie Keller* admits. "Eight-year- old giris do not have to be washed by their fathers." Still, she was re luctant to jump to conclusions. "Wei had a little talk about improper! touching, and she said everything was fine." Bridget was still "a perfect jj student, the teacher's pet," Cassie< says. "The only sign that something was happening was that she began to wet the bed again."

Yet the children themselves were'* beginning to sense that something' was terribly wrong. In March 1994,} Amy MacNeil decided to speak out. I She phoned an abuse hotline num- ber she saw on a supermarket shop-| ping cart, and at the urging of at counselor, told her parents about the abuse. They contacted the po- 1 lice. Other children started to speak out, independent of each other. > Eight-year-old Renee Meyers* and ! ten-year-old Stephanie Pearce* told ! police that Masterman had beenjt touching and fondling them. Bridget j Keller also came forth — but only af- I ter Masterman had taken her into | his bedroom, locked the door and raped her.

It happened on Holy Thursday, a school holiday. Masterman was baby-sitting his daughters while his wife was at work, and (continued)

80 , I S HOME JOURNAL • JULY L998

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The Masterman case was front-page news in this local Philadelphia paper

THE MOLESTER NEXT DOOR

Continued

Bridget had come over to play with Nicole. At midday, Masterman took Karen, Nicole and Bridget to a near- by playground. Claiming that Brid- get needed to call her mother to get permission to sleep over, he left his daughters behind and took Bridget home alone, where he led her up- stairs. Masterman told her to remove her clothes, and he lay on top of her. The glass gun cabinet was in full view. When he was through, he wiped himself with a blue tissue, tossed it in a trash can, and drove Bridget back to the playground. Then, he took all three girls out for ice cream

Later, Masterman phoned Cassie Keller. He was concerned about Bridget, he said. At the playground, she had squirmed on the swing set, as if her bottom hurt. "I thought she might have a rash," he said casually. "So when we got home, I put some cream on her." Cassie froze. Instantly, the vague suspicions of the past few months became a chilling certainty.

Struggling to stay calm, Cassie in- sisted that he bring Bridget home. When Masterman arrived, "It took all my self-control not to kill him on the spot," Cassie says. Afterward, she questioned her daughter. At first, Bridget was evasive, ashamed. Finally, she told the truth.

Within days, Masterman was charged with the rape and statutory rape of Bridget Keller, who told po- lice where to find a critical piece of evidence — the blue tissue. Master- man implied that the rape charge was Cassie Keller's way of hiding her own failure as a mother. "I put diaper cream on an eight-year-old," he said, scornfully shrugging off the act. "I'm a paramedic. If you were pregnant, I would deliver your baby. What's the difference?"

Legal Blunders

The trials of Ray Masterman were di- vided into two phases. First came the misdemeanor charges, heard before Municipal Court Judge Joseph Bruno in November 1995. Masterman was convicted of the indecent assault of Renee Pearce and Stephanie Meyers, and was sentenced to twenty-one months in jail. By law, his sentence was postponed pending appeal.

T HE MIS

Manayunk

Wissahickon

5H0RT\ After assa^

Prosecutors in the second trial, for the felony assaults of Amy MacNeil and Bridget Keller, expected a different result. But they lacked evidence to convict Masterman of molesting Amy. She could not recall the specifics of inci- dents that had taken place several years before; since there was no physical evidence, Masterman was acquitted. However, the tissue evi- dence provided strong corroboration in the case of Bridget Keller. After a five-day trial before the Honor- able Petrese B. Tucker of the Court of Common Pleas, Masterman was convicted of statutory rape, inde- cent assault and corrupting the morals of a minor. Though Tucker had the option of convicting him of rape, which carried a much more severe mandatory sentence, she chose the lesser conviction for statutory rape. The charge is usually reserved for illicit relations between teenagers and adults over twenty- one, prosecutors say, not — as in this case — a fifty-year-old man and an eight-year-old girl.

He could have been incarcerated immediately. But, as in the first tri- al, Masterman — now a convicted felon — walked. Stating she did not

consider him a flight risk, JudgJ Tucker released Masterman on baiB pending sentencing, almost twol months later. Jobes argued vehe-B mently against the release. The pe dophile and his victims "literally run into each other on a daily basis,' she told Tucker. Besides, the con- victed felon was a British national with a valid passport. He lived in a rented house, had few ties to the community and facedl jail time with prisoners! who — with their ownl code of honor — hold I child molesters inj special contempt. 1 Despite every- I thing, Judge Tuck- | er refused to jail | Masterman. She sided with de- fense attorney Robert McAteer, who stated that his client had "no reason to flee." Masterman was fitted with an electronic bracelet, designed to alert the Adult Probation Department if he left home. But, ironically, the ft 1,500 bracelets were not monitored by twenty-four-hour staff on nights, weekends — or holidays.

Slipping Through The Net

Masterman severed, removed and then reconnected the bracelet on December 24, just as the Adult Pro- bation Department staff went home for Christmas. By the time his ab- sence was detected on December 26, he was out of the country. When police arrived at his Roxbor- ough home, the bracelet, still emit- ting a tiny beep, sat on a coffee table. (Since this incident, the Phil- adelphia Adult Probation Depart- ment monitors electronic bracelets twenty-four hours every day.)

On January 25, 1996, sentencing went on as planned, but Master- man's chair was empty. From the bench, Judge Tucker (who de- clined to be interviewed for this ar- ticle) defended her decision to release Masterman on bail: "At the time of the reconsideration of the bail status, (continued on page 166)

82 LADIES' HOME JOURNAL • JULY 1998

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MONE

f you're self-employed or work for a small 1 business, you know that without the benefit I of a group plan, health insurance can be a & hefty expense. Now, employees or

businesspeople enrolled in high-deductible health policies (81,500-82,250 for individuals; $3,000-S4,500 for families) can qualify for an affordable government program called a medical savings account (MSA), and receive significant tax savings in the process. Here's how it works: You deposit tax-deductible money into the MSA — up to $3,375 annually — and withdraw from the account tax-free to pay for unreimbursed medical expenses, including dental work, eyeglasses and homeopathic care. Unlike employer- initiated medical- spending accounts, where your contribution I must be used by year's end, leftover money remains in the MSA and earns tax-deferred interest. Once you turn ta^r sixty-five, accumulated

funds can be withdrawn for nonmedical expenses with no penalty. For more information, call FlexMSA at 888-353-9672. — Corinne L. Domingo

«E5t

Can't stand the heat? Then get CUfAmtH °u1 Of the kitchen ^ r\irQ and into a dining- t*'** card program.

These membership plans save you 20 to 50 percent on meals in participating restaurants. Most companies charge an annual fee of around $50 — others offer free membership as long as you charge a minimum amount on a credit card — but "you usually earn back the fees in savings," says Ed Rubinstein, technology editor at Nation 's Restaurant News. Investigate several programs before joining one. Find out which, if any, programs your

credit-card company participates in, or ask your favorite restaurants if they are part of a dining program. Then ask the dining-card company to send you a directory of all participating restaurants.

Read the fine print. Many programs require you to charge meals to their card, while others bill your credit card directly. Some discount the entire bill; others, food only (not liquor, tax or tip). Track the savings. If the deductions aren't taken off your restaurant bill, programs may credit your charge card, or mail you a rebate check. — Arricca Elin SanSone

How Does Your Spending Compare?

annual income	$28,000	$46,000	$93,000
food	$4,445	$5,548	$7,850
housing	$8,364	$11,667	$18,896
apparel and services	$1,070	$1,546	$2,609
transportation	$6,086	$7,884	$12,544
health care	$1,688	$1,961	$2,323
entertainment	$1,185	$3,225	$4,351
miscellaneous*	$5,03;	$8,210	$17,089

ever wonder whether mort- gage payments take as big a bite from your neighbor's budget as they do from yours? Or if you spend more on clothes, food or entertainment than other people with roughly your in- come? Well, the numbers are in. These recent figures from the U.S. Bureau of Labor Statistics — based on annual pretax salaries — provide a sneak peek into other people's spending habits.

— Marilyn Kennedy Melia

* Miscellaneous expenses include: alcohol, tobacco, education, personal care, insurance and cash contributions.

r

t HOME 101 RNAL • IULY 199:-.

Our refrigerators flexible shelving gives you more room for mportant things like milk, mayo and. yes. your beauty supplies.

/ith our latest models. \\ hirlpool ave the refrigerator a real makeover. 1 fact, no other refrigerator gives mi so much storage flexibility he EZ-Trak"' lateral sliding shelf nd the Flexi-Stor'" sliding bins isily accommodate most ever)

shape and si/.e. And the l lexi- (»lide freezer floor slides out effortlessly - so you can gel to those fish sticks in back. So visit www.whirlpool.com or ( all 1-800-253-1301. And discou-r the beaut\ of storing more things.

Whirlpool

HOME -J* APPLIANCES

A Job Well Done.

ADVERTISEMENT

ift Offer

Visit your local Rite Aid store between June 12 and July 10 and when you purchase any of the products seen below you'll

receive a fabulous, >

summer tote bag.

oSitS , .15 i

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To receive your free Summer Tote Bag, here's what to do:

1. Purchase one of the following ten (10) products — Ombrelle Sunscreen Lotion, Prelief, Maybelline Lipstick, Nicorette Gum, Turns, Le Systeme balancing toner, hydrating lotion or facial cleansing bar, Dial Antibacterial Hand Sanitizer and Vagisil Feminine Powder — at your local Rite Aid between 6/12/98 through 7/10/98. 2. Hand-print your name and complete address on a 3 x 5" piece of paper. Circle the purchase price on the original cash register receipt from Rite Aid. 3. Mail all to: LHJ/Rite Aid Summer Tote Bag Offer, P.O. Box 3859, Milford, CT 06460, to be received by 7/24/98. Offer Conditions: Offer expires 7'10/98. One request per envelope. Offer available only in the USA and while supplies last. Void where prohibited. No mechanical reproductions of sales receipts accepted. Allow 4 weeks for delivery. May not be combined with any other offer. Not responsible for lost, late, misdirected, illegible, stolen, incomplete, or postage due mail. Incomplete requests will not be acknowledged or returned.

It's ok to buy the wrong lipstick it you buy itintbe right place.

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Summer is a time for simplicity — especially when it comes to skin care. Pare down with Le Systeme, an uncomplicated 3-step program to cleanse, tone and moisturize that's conveniently available at Rite Aid and other major drug and discount stores. Formulated with quality ingredients, including vitamins, natural marine extracts and botanicals, Le Systeme proves that quality skin care doesn't have to be expensive, just effective. No matter what the season, Le Systeme offers a simple, smart and sophisticated approach to looking beautiful.

Between the sunshine, heat, humidity and air-conditioning, a typical summer day can wreak havoc on your complexion. To look and feel as radiant as the summer sun, make skin care a priority...

by following a simple, yet comprehensive program of cleansing, toning and moisturizing

itation by gently patting your face dry after cleansing with a clean, soft towel

frequently to avoid reapplying bacteria and dirt to clean skin

otton balls soaked in toner in a plastic bag to quickly cleanse your skin on the go or after exercising

skin by wearing a sunscreen every time you go outside

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As you may expect, Le Systeme cleanses, tones and moisturizes your skin beautifully- but that's not all. It's conveniently available at all major drug and discount stores, offering you the quality of leading department store brands, at a fraction of the price. Le Systeme - puts beautiful skin well within your reach.

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For most of us, summer is synonymous with vacation. Whether your itinerary calls for a lazy weekend at the beach or two weeks of nonstop sightseeing, a little advance planning is all it takes to make your trip as carefree as a summer breeze.

No matter how you travel, follow these five tips to ensure a comfortable ride:

Ask your doctor about Transderm Scop Transdermal Therapeutic System, a

medicated skin patch that helps prevent motion sickness in adults for up to three days. Perfect for active travelers, Transderm Scop

lets you put on a patch, then forget about it — and motion sickness — as you swim, exercise, shower and enjoy your trip.

Avoid traveling on an empty stomach.

Look out the windows when driving and stop occasionally for fresh air.

When flying, request a window seat near the wing to minimize the feeling of movement.

Calm the motion of the ocean by staying in the middle of a boat. Avoid going below deck and keep your eyes on the horizon shoreline.

BEFORE YOU GO...

to know whether you are covered in your destination — and don't forget your insurance card

RENEW ALL

and

pack all medications in your carry-on luggage

Travel Health Resources

For more information on keeping healthy while on the go. contact: U.S. Centers for Disease Control

Travel Assistance International

There's a better v/ay to prevent it. Ask your doctor for "The Travel Patch'.

inically proven to work better than Dramaminef
	TRANSDERM SCOP, "THE TRAVEL PATCH"	DRAMAMINE
TER PREVENTION OF MOTION (NESS (NAUSEA & VOMITING)	✓
LONGER LASTING*	✓

d on labeled dosage.

ly worry about motion sickness?

w there's Transderm Scbp/'The Travel Patch"

peel off the backing and press it behind your ear at it four hours before boarding and relax. The medicine onsistently absorbed for up to three days. You can n shower with it. For shorter trips, remove the patch ;n no longer needed and the effects wear off.

In clinical studies, 5 out of 6 people did not report drowsiness with Transderm Scop.

If you worry about drowsing through the good times, "The. Travel Patch" may be a better choice for you.

Ask your doctor about Transderm Scop when you're making your travel plans.

Available by prescription only. Not for children or those with glaucoma, difficulty in urinating, or an allergy to scopolamine or other belladonna alkaloids. In clinical stud- ies, some side effects were noted, including blurred vision, dryness of the mouth (in two-thirds of users) and drowsi- ness (reported incidence less than 1 in 6). While using this product, you should not drive, operate dangerous machin- ery or do things that require alertness. Avoid using alco- hol. If you are elderly, your physician should exercise spe- cial care in prescribing this product. See adjoining page for additional information on potential adverse reactions or side effects.

"THE TRAVEL PATCH

TRANSDERM SCOP@ Scopolamine 1.5mg. WITHOUT A DOUBT, THE BETTER WAY TO GO

Dramamine is a registered trademark of Pharmacia & Upjohn.© Novartis Consumer Health 1998

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hat do a day at the beach, a picnic in the park and a hike with a baby have in common? They're all great warm-weather activities, and they usually don't have any nearby facilities for washing up. To clean up your act without soap, water or towels, be sure to pack along a travel-size bottle of Dial Antibacterial Hand Sanitizer. Dial's convenient, hypo-allergenic formula leaves your hands feeling fresh and soft. Most important, a dime-size amount eliminates 99.99% of harmful germs in 15 seconds, so the only thing you'll be left with on your hands is time to enjoy your day.

There's something about summer that makes it so easy to get up and go. To ITI3XimiZ6 your time and minimize your hassles, pare down your packables to the few items you simply can't do without, no matter where the day takes yOU...

Slather it on before you go out, even on cloudy days

A good pair of UV-blocking sunglasses

To shield your eyes and improve your vision outdoors

For added sun protection where you need it most

Drink before you feel thirsty to prevent dehydration

Dial Antibacterial Hand Sanitizer

Instantly eliminates germs without soap and water

lew Dial Antibacterial Hand erms instantly with the prot€ ater necessary, uickly. Leaves a cool loisturizers. So

r. Kills 99.99% of u trust most. No ired. Evaporates And even has light on wherever you go.

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Food Pleasure Tip

ven if you are food-acid sensitive, there's no reason to miss out on the tantalizing treats of summer. Next time you want to enjoy summer favorites like iced ccffee or barbecued ribs, try Prelief, a non-drug product that works while you eat to neutralize the acid in food. Unlike antacids, Prelief modifies your food rather than your digestive system. And since it is not a drug, you can take it whenever, wherever you like. So no matter what's on the menu this summer, Prelief can help you enjoy it all.

These statements have not been evaluated by the Food and Drug Administration This product is not intended to diagnose, treat, cure, or prevent any disease.

You've waited all year for the warm weather and sunshine to ease your worri and soothe your soul. S3V0K every minute of the hazy, lazy days of summer by taking time to thoroughly enjoy the pleasures of the season.

Take out your blender and whip up a refreshing or a creamy iced

coffee shake.

Enjoy an lunch outsid

and let the sunshine and scenery nourish you spirit as you nourish your body.

■ Put sprigs of your fav Dms in

a vase on your night table and wake up to th fragrance of summer.

Host a Sunday barbecue to catch up with a few of your very Is.

Call for

a pizza, grab the kids and a Frisbee and head for a local park.

and make note of all your tasty adventures!

until

at

it

pQii need*

antacid!

Try Prelief instead

Prelief' works while you eat to neutralize acidy foods so you may not need antacids after.

Next time you're about to enjoy acidy foods like pizza, orange juice or coffee, just take Prelief when you eat. And Prelief is not a drug. Since it works on the food, not on you, you can take Prelief as often as you like. No advance planning is necessary. Prelief also takes the acid out of aspirin and ibuprofen instantly! Look for it in the antacid aisle.

Prelief

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LHJ

ry Prelief. It really works. :>r a Free Sample call toii-fr< 1-800-994-4711

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arma inc. U.S. Pat No 5,665.41 5 P0144 registered trademark of McNeil Consumer Products registered trademark of Block Drug Company, inc

e statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure, or prevent any disease.

Prelief. Before you need relief.

From the developers of Lactaid® and Beanofc.

one on L»

daughter

is a

was like. ■ VI walked in.' chodorowI

restaurant \ night, we wc he's here a

spcLovin' Leo

IT appears ' Titanic" star Leon

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y daughter, Claire, is studying syllogisms in ninth-grade math. Here's one I've de- vised: All fourteen- year-old girls are obsessed with Leonardo DiCaprio. Claire is four- teen years old. Therefore, Claire is obsessed with Leonardo DiCaprio.

Oh, there's bound to be a fourteen- year-old somewhere who is utterly indifferent to this year's It Boy. But I don't know her, and neither do the other mothers I've polled