I dedicate this book to my dear friend Doug Hilton. Doug, you had better live to see this book published. Lets share something from Ponzi to celebrate.
Foreword
Im pleased to have the opportunity to introduce this book. While I was reviewing the manuscript for scientific accuracy and medical completeness, I was struck by Terris ability to accurately educate her readers about herpes infection while reassuring her audience they would have full and satisfying lives in spite of having herpes. I think this book will be very useful both to people who have herpes and to those who are concerned about herpes in partners or loved ones.
Terri has done an outstanding job of making the book readable for the layperson but thorough enough to be a valuable resource for professionals, whether they are medical clinicians or counselors. As a physician and herpes researcher, I find it difficult to put myself in the position of the layperson trying to understand this infection for the first time, but Im confident that the books down-to-earth style and well-defined concepts will make it a very accessible resource that readers will pick up again and again. Terri has taken concepts that will certainly be confusing to many people (like asymptomatic shedding of the herpes virus) and explained them in ways that nonmedical and medical people alike can understand. I hope providers who counsel clients with herpes will take note of her approach to these complex topics and use this style in their everyday practice.
Armed with the knowledge gained from this compassionate book, readers with herpes will be reassured that they can cope with their condition, and herpes will take its appropriate role as one of those issues in life that is challenging but can be managed successfully.
Kenneth H. Fife, MD, Ph.D. Professor of Medicine Indiana University School of Medicine
Publishers Note
Care has been taken to confirm the accuracy of the information presented and to describe generally accepted practices. However, the authors, editors, and publisher are not responsible for errors or omissions or for any consequences from application of the information in this book and make no warranty, express or implied, with respect to the contents of the publication.
The authors, editors, and publisher have exerted every effort to ensure that any drug selection and dosage set forth in this text are in accordance with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any change in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new or infrequently employed drug.
Some drugs and medical devices presented in this publication may have Food and Drug Administration (FDA) clearance for limited use in restricted research settings. It is the responsibility of the health care provider to ascertain the FDA status of each drug or device planned for use in their clinical practice.
Distributed in Canada by Raincoast Books
Copyright 2009 by Terri Warren
New Harbinger Publications, Inc.
5674 Shattuck Avenue
Oakland, CA 94609
www.newharbinger.com
All Rights Reserved
Acquired by Melissa Kirk; Cover design by Amy Shoup
Edited by Nelda Street; Text design by Tracy Marie Carlson
Epub ISBN: 9781608825622
The Library of Congress has Cataloged the Print Edition as:
Warren, Terri.
The good news about the bad news : herpes, everything you need to know / Terri Warren.
p. cm.
Includes bibliographical references.
ISBN-13: 978-1-57224-618-8 (pbk. : alk. paper)
ISBN-10: 1-57224-618-9 (pbk. : alk. paper)
1. Herpesvirus diseases--Popular works. I. Title.
QR201.H48W37 2009
616.9112--dc22
2009007492
Acknowledgments
I would like to thank the following people who have been with me as I wrote this book.
Hal, who good-naturedly read each chapter and gave valuable input as we flew around the United States day after day in a big silver tube, preaching the gospel of good herpes care to any clinician who would listen.
My daughters, for being patient when I sometimes didnt have time for them while I did this instead. Now I have time again.
Ken Fife, for reviewing each chapter so carefully for accuracy, and for giving feedback in such a hearable way.
Jim Catano, who helped me with editing throughout the writing of the book.
My literary agent, Lilly Ghahremani, who helped me through difficult times with her kindness and consistency.
Zane Brown, who has guided my thoughts on the care of women with herpes and their babies for twenty-five years now.
Betsy ORourke, my colleague at WebMD, for reviewing chapters and giving thoughtful input on patient-related issues.
Lisa Gilbert, for reviewing chapters with an eye toward patient advocacy.
My best friend, Jane Hilton, for helping me get through writing this book while her own life was turned upside down.
Larry Corey, Anna Wald, Peter Leone, Larry Stanberry, Paul Griffiths, Rich Whitely, Steve Straus, Charlie Ebel, Steve Sacks, and many others who taught me about herpes over the yearsbless you for sharing your wisdom with me.
The patients in my clinic and the herpes support group, both online and in person, who have taught me so much about whats important to you, what you need, and how you can best be helped to live fully with herpes.
Introduction
Whew! Buying this book about herpes was a big step! Good for you! Some of you purchased it on the Internet, knowing it would be shipped to you without a hint as to the content. Others found it in a bookstore. If you bought it in person, maybe you were hesitant about asking the clerk for titles on this subject. Did you buy a few other books at the same time so that this one blended in? Was it like buying condoms or tampons at the grocery storemaybe you also buy potato chips and a celebrity-gossip magazine so that such personal items arent as obvious?
Welcome to the much-misunderstood world of genital herpes! Its a subject most people dont feel comfortable with, no matter where they live or who they are. Thanks to recurring TV commercials, I think we now feel a bit more comfortable talking about things like erectile dysfunction and urinary frequencyand yes, even genital herpes. The number of people who have herpes surprises most everyone. There are more people with genital herpes than with erectile dysfunction and urinary frequency