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People often voice the fear that if they take strong painkillers now, they won’t work later. This is not true. There is no quota on painkillers that can leave you with nothing to fall back on once you’ve ‘used it up’. They will keep working. Admittedly, as I’ve already mentioned, you may need a bigger dose to get the same effect, but you can still get the same effect. So take the painkillers you need now, they will still work later.

Sometimes people are very reluctant to take a drug such as morphine because they think this is used only in the terminal stages. This is also not true. I recommended morphine often, to people with all stages of cancer, because it is a good painkiller. People who did indeed have incurable cancer often continued to take it with good effect, for many months. Don’t save strong painkillers for ‘the end’, use them when you need them.

Another reason you might have for taking insufficient painkillers to completely relieve pain is because you fear actual or anticipated side effects. We talked a bit about the actual side

effects earlier, and the need to find the balance between pain relief and side effects that is best for you. There are also the invisible, possible future side effects like kidney damage. This is

only a concern for people taking a lot of painkillers every day for many years, so it is not a real worry for you. Either you will recover from your cancer, in which case you won’t need to keep

taking painkillers or your cancer will not be cured, in which case possible kidney damage years hence is not really a concern. Either way, there’s no need to let this stop you from taking the painkillers you need now.

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These are usually soft and multiple. Hundreds may be present.

Fortunately these warts clear rapidly with whatever treatment is used.Podophyllin may result in a rapid clearing of most of the warts even after one application.

Diathermy, usually under general anaesthetic, is also effective.

They are usually, but not always spread by sexual contact.

The seborrhoeic or senile wart is different from those already mentioned.

This is an overgrowth of the basal cells of the skin, and it produces a round, raised, greasy, brown or black lump.

They are more common in the middle aged or elderly, and occur mostly on the back.

The greasy, raised protuberance can easily be scaped off with a fingernail or scalpel. And this leaves a slightly raised, reddened, sometimes bleeding surface.

Like the other forms of warts they never become cancerous but the appearance may be unacceptable.

And for this reason they can be removed. This is usually done by electric diathermy or by the application of liquid nitrogen.

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