February 2020
Herpes Simplex Virus
Herpes simplex is a viral infection that causes localized blistering to the skin. There are two types of herpes simplex virus (HSV) Type 1 which is associated with oral and facial infections and Type 2 which is associated with genital and rectal infections. However the location of the infection is not always indicative of the type as either type of virus can affect any area of the skin or mucous membrane. Once you have HSV the virus remains in your nerve cells inactive. When the virus is reactivated it follows the nerves onto the skin and multiplies causing the blister. HSV is infectious for 7-12 days and can be spread by direct or indirect contact. One can spread the infection without an active outbreak as asymptomatic shedding of the virus occurs in the saliva or genital secretions. Asymptomatic shedding is less likely as the amount of virus being shed is one hundred to one thousand times less then when it’s active. Herpes labialis is the most common manifestation of recurrent HSV 1 infection commonly referred to as “cold sores". Prior to the blister developing most people feel prodromal symptoms such as pain, tingling, burning at the affected site. To treat herpes simplex virus, one can take an oral anti viral medication. To be most effective the anti viral should be started at the first onset of prodromal symptoms prior to the blister developing. 
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Ask Dr. G
Question: "I enjoyed your January newsletter about setting goals, but I am having a difficult time coming up with areas of my life that need goals. What do you suggest?"

I received numerous emails concerning this exact question. I know it can be difficult to come up with categories that deserve goals. The main areas I suggest are:

  • Spouse
  • Motherhood/Fatherhood/Grandparent
  • Personal Health and Wellness
  • Work
  • Financial
  • Spiritual/Faith
  • Personal Development
  • Friends/Social/Fun

I hope this helps you set goals for 2020 and I wish you much success in reaching them.

Until next time,
Dr G
954-500-SKIN (7546)