lapp in A Sentence
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Dr. Lapp, why don't we start with you?
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Judy: Dr. Lapp, did you want to add anything?
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Dr. Lapp: And why should they is exactly right.
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Dr. Lapp: Alan, you want to start with that?
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Judy: Well, Doctor, may I call you Dr. Chuck Lapp?
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Dr. Lapp: Well, rest and sleep are two different things now.
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Dr. Gurwitt, first to you, and then to you, Dr. Lapp.
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Dr. Lapp: I'm not sure that anybody knows for sure, Judy.
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Dr. Lapp: There is a hormonal pattern that you referred to earlier.
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Dr. Lapp: Well, I think that everybody should understand that chronic fatigue syndrome is an invisible illness.
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There has been ongoing speculation ever since, including a 1961 book by former government scientist Dr Ralph Lapp.
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Judy: I want to get to Dr. Lapp in a second, but you mentioned adolescents with chronic fatigue.
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Judy: And, Dr. Chuck Lapp, do you want to add anything to that differential diagnosis between fibromyalgia and chronic fatigue?
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Dr. Lapp: So the real trick is not to look for a cure, but to deal with the energy problem.
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The indigenous Sami people of Sápmi are of Finno-Ugric descent, and they view the terms Lap, Lapp and Laplanders as pejoratives.
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Dr. Lapp: We talk in terms of energy dollars, that you have so many energy dollars that you can spend in a day.
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Dr. Lapp: And a number of people have accepted that, but still it had the"fatigue" in there, and it still trivialized the name.
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Dr. Lapp: One was near Rochester, New York- Lindenville, New York- and the third was in Raleigh, North Carolina where I was practicing.
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Dr. Lapp: Virtually every system of the body is involved, but one of the big ones is that the immune system is slightly suppressed.
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Dr. Lapp: Oh, I would love to hear what Alan has to say on that, because I have a pat answer on that one.
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Dr. Lapp: Well, they do it because they have coaches that train them very carefully, and they slowly build up their ability to exercise.
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Our guests are Dr. Charles Lapp, an internal medicine physician specializing in chronic fatigue syndrome, and Dr. Alan Gurwitt, a retired psychiatrist who has had CFS for 20 years.
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Dr. Lapp: And an article was written in an important medical journal, the Rolling Stone magazine, and it referred to this illness out in Lake Tahoe as the yuppie flu because it was flu-like symptoms.
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Dr. Lapp: At any rate, by 1987 these epidemics had been investigated somewhat, and papers started to come out, and the CDC convened a group of experts to define the illness and give it a name.
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Dr. Lapp: Well, again, because there is no known cause for the illness, you have to really either give it a pet name, like Hansen's disease or something like that, or you have to name it after the symptoms.
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Dr. Lapp: The difference, and this won't be entirely correct because I am generalizing, but if I could say what the different is, I would say that in cancer it tends to be more of a physical fatigue- a weakness, tiredness.
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Dr. Lapp: But it does indicate that the science of chronic fatigue syndrome, what we know about what goes wrong in the body, has gotten down to the cellular level, and that's extremely encouraging to me to see how the research has advanced.
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Dr. Lapp: And the second thing was that all of these happened roughly at the same time, and so practitioners in those towns called the Centers for Disease Control, which is the government agency responsible for evaluating epidemics and outbreaks, and we all called about the same time.
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Dr. Lapp: A patient with depression is fatigued too, but when you use instruments or surveys to measure fatigue- when I say an instrument, I mean a questionnaire or a survey- and you compare the different types of fatigue, then what you find is that patients who are depressed have sort of an ennui, a malaise.
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