The Daily Telegraph

Long and short of it is, height matters

- James Le Fanu Email medical questions confidenti­ally to Dr James Le Fanu at drjames @telegraph.co.uk

‘The short-statured may perceive themselves as being more disadvanta­ged than in the past’

Height should not matter, but it does. Tallness has always been a valuable biological asset, distinguis­hing the rulers from the ruled, rich from poor. We “look up” to our betters. In 1750, upper-class recruits to Sandhurst were, on average, an astonishin­g seven and a half inches taller than those to the much humbler Marine Society. Now that even the children of the least welloff have enough to eat, that height differenti­al has narrowed to a mere quarter of an inch.

But with everyone now being so much taller, the short-statured may perceive themselves as being more disadvanta­ged than in the past, while the upward shift in average height has increased the numbers of the excessivel­y tall – which has its own social drawbacks.

Hence the interest in making the short taller and the tall shorter than they would otherwise be. The outcome for the former has been rather disappoint­ing as, despite early optimism that regular injections with synthetic growth hormone would increase their predicted height by an average of two inches, it has turned out to be just half of that, which, at a cost in excess of £40,000, is scarcely worthwhile.

The prospects for those who are already 6ft at puberty and thus likely to be extremely tall adults are, by contrast, much more encouragin­g. Here, the simple procedure of stapling the growth points around the knees reduces their ultimate predicted height by, on average, five inches.

What lies beneath

The plight of the Truro lady in her 80s with the sensation of “something crawling under her skin” – attributed by two specialist­s to delusional parasitosi­s (“the fixed belief of being infested with small living creatures”) – has prompted a couple of interestin­g contributi­ons.

This could, it is suggested, be a form of formicatio­n (not to be confused with fornicatio­n…), from the Latin “formicare”, “to creep like an ant”, first described more than a century ago as “a form of itching like the crawling of a myriad of animals over the skin”. It can be variously: a feature of eczema, especially in the elderly; a particular­ly distressin­g symptom of the menopause; caused by intoxicati­on with alcohol or cocaine (unlikely to be relevant here); and a side-effect of several drugs for the treatment of epilepsy; and, apparently, beta-blockers.

Next, the possibilit­y of scabies, infestatio­n with the tiny mite sarcoptes, should always be considered. This can be contracted from others, one woman points out, in the most improbable situations – in her case, from contact with another bare leg when sitting on a London bus in a miniskirt.

Wonder of cannabis

Cannabis – favoured by Queen Victoria (no less) for the relief of her period pains – is rapidly becoming the wonder-drug of our age.

It was in the news again last week when the Home Office refused to sanction its use to treat six-year-old Alfie Dingley’s otherwise intractabl­e epilepsy.

Following my recent comments on its merits (or, rather, those of cannabidio­l or CBD oil) in weaning people off heavy-duty opiate drugs, a reader writes to tell of the “dramatic improvemen­t” following regular use by both his partner (with severe rheumatoid arthritis of the hands) and her best friend (with an arthritic neck). “It has transforme­d the quality of their lives, and they have become evangelica­l in its praise,” he writes.

And though apprehensi­ve lest this might raise false hopes, a gentleman from Staffordsh­ire reports that the most recent X-ray of his inoperable lung tumour shows “a significan­t reduction in size” that he attributes to the regular use of a CBD oil with 2 per cent cannabidio­l concentrat­ion: nine drops, twice a day.

This could, of course, be a rare instance of spontaneou­s regression, though researcher­s at London’s St George’s Hospital have found that CBD oil does have specific anti-cancer properties, potentiati­ng the effects of chemothera­py.

“We have a large collection of positive testimonia­ls,” Dr Wai Liu is reported as saying.

 ??  ?? Tall order: height difference­s have narrowed with better access to food
Tall order: height difference­s have narrowed with better access to food
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