text:
When Fighting Cancer Is Folly
Sometimes doing nothing is better than doing something.
Whenever I have a medical appointment, my wife inquires, "What did the doctor say?" I always give the same answer: "She said I'm going to die." Not because I have some fatal illness, but because life is a terminal condition.
Americans might keep that fact in mind in considering the recent news made by the U.S. Preventive Services Task Force. It recently recommended against routine screening of healthy men for prostate cancer, on two grounds: The test doesn't save lives, on balance, and the treatments are usually worse than the disease.
Everyone who gets prostate cancer will die. But usually not from prostate cancer.
There are lessons in the task force report, both for individuals and for institutions that pay for screening of this sort. But chances are, those lessons will be ignored. In the American health care system, the pressures to do something, useful or not, are more powerful than the pressures to do nothing.
Prevention is a totem of modern medicine. Under his health care reform, President Barack Obama says, insurance companies will have to provide free mammograms and colonoscopies because "it saves money, and it saves lives." He stuck to this position even after this same Preventive Services Task Force came out against routine mammography for women under 50.
This is one of those conditions where ignorance can truly be bliss. Most men who live long enough will develop cancer of the prostate. And for most of them, it will be effectively harmless.
The idea of a harmless cancer may be hard to grasp. Typically, though, prostate cancer grows very slowly and has no symptoms, and by the time it gets around to killing you, you're already dead.
In the old days, countless males walked around with a song in their hearts and a spring in their steps, despite the malignant cells in their nether regions. They didn't know, and it didn't matter. But then scientists invented the PSA test, doctors started using it, and men by the millions found out they had prostate cancer.
Worse yet, they—or, rather, their doctors—proceeded to do something about it, namely surgery. When physicians wielding sharp instruments start removing stuff down there, the endeavor has definite drawbacks, such as sexual and urinary dysfunction.
What it doesn't have is definite benefits. A 2004 study found that for every 48 men who undergo operations for prostate cancer, only one will live longer as a result. But half will suffer permanent side effects affecting a certain cherished organ. Other studies are even more damning, finding that screening had zero effect on the death rate.
How can that be? Several reasons: The test often yields false positives, it can't tell if the cancer is truly dangerous, and surgery doesn't always work. A lot of patients get treated for cancers that won't kill them, and others get treated for cancers that will kill them anyway.
Richard Ablin, a scientist at the University of Arizona College of Medicine, discovered the enzyme that the test picks up. But he wrote last year in The New York Times that PSA screening is "a hugely expensive public health disaster."
Some 20 million men get the test each year, to find out something that will almost certainly do them no good. We assume that knowledge is always a boon. But this time, it isn't.
The prevailing approach to prostate cancer illustrates our collective disregard for medical expense. Some $3 billion a year is spent in this country for PSA screening, with Medicare, Medicaid and the Veterans Administration often picking up the tab.
That doesn't count the cost of the roughly 85,000 surgeries done each year on cancerous prostates, or the expense of treatment for the side effects that often ensue. The federal task force didn't factor finances into its recommendation. But the rest of us ought to.
Editor's Note: We invite comments and request that they be civil and on-topic. We do not moderate or assume any responsibility for comments, which are owned by the readers who post them. Comments do not represent the views of Reason.com or Reason Foundation. We reserve the right to delete any comment for any reason at any time. Report abuses.
Before agriculture noone died from cancer. The saber toothed cat killed you first.
Before agriculture no one died from cancer.
True, mostly.
Ain't the agricultural city-State (civilization) great?
The saber toothed cat killed you first.
They who can give up essential liberty to obtain a little temporary safety, deserve neither liberty nor safety.
While I strongly disagree with almost everything the person who used to go by the handle "White Indian" said I actually have been looking into the Paleo Diet concept. I have even ordered some "caveman cookies" (though they have not yet arrived). It does make sense that our bodies were designed to eat certain foods. This does not, however, mean that we need to give up the concept of agriculture. The grains that we grow are an excellent food source for the cows and goats and other edible animals.
PIRS, the best cookbooks I have for Paleo are Primal Blueprint Quick & Easy Meal and Paleo Comfort Foods. Also on order is Make it Paleo - the blog http://www.primal-palate.com is fantastic from a cooking standpoint. Don't fall into the paleo-cookie trap. Learn to make your own.
This way of life makes sense for me, works for weight loss and a general sense of well being. Giving up all grain foods (I eat potatoes and some dairy from time to time) has been the best decision I've ever made for my health.
Nom Nom Paleo is also quite good for food pron and ideas.
I actually have my own paleo-ish blog. Also, I'd highly reccomed Perfect Health Diet for a Paleo 2.0 or post-Paleo perspective.
Second for nom nom paleo. that chick's a riot
The grains that we grow are an excellent food source for the cows and goats and other edible animals.
Actually, they are not. Ruminants evolved to live on grass, not grass seeds (grain). The massive doses of antibiotics given to cows, pigs, and other grazers are given precisely because eating corn and oats gives them deadly stomach and intestinal infections. The antibiotics allow them to eat corn without getting too sick.
Interesting, I will look more into that.
Whether you consider him a food scold and a tiresome bore or not, Pollan's book The Omnivore's Dilemma gives a good overview of how ag subsidies are a burden all the way around, from the taxpayer to the farmer to the feedlot animals.
Also look into any of Mark's "definitive guides" on http://www.marksdailyapple.com for some info on nutrient profiles in grassfed vs. cornfed beef, and myriad other topics.
ag subsidies
That's just scratching the surface.
"Agriculture creates government." ~Richard Manning, Against the Grain, p. 73
I've never read Pollan's book because what I have read of him shows a total lack of basic economics and a statist mindset.
I believe he wrote something about how people are fat because food is too cheap. And he said classical economics of supply and demand don't operate for agriculture.
He did say all of that, and he is a statist - what else would you expect from a guy raised in MA who became a journalism professor at Berkeley?
But that doesn't mean his description of the absurdity of ag subsidies and our modern food system is off-point. In fact, I'm surprised he hasn't revised his opinions in light of what his n=1 experiment in tracing the source of his meals.
You can't end ag in a day, short of a violent and bloody revolution that burns all the corn and wheat fields and sets the cows free (WI starts stroking it right about here)...
Yeah, eating real food is definitely a baptists and bootleggers issue. Pollan comes at it from a completely different direction.
Ending ag means condemning most people on earth to dying of starvation. Obviously, the would be starvees will not succumb without fighting back against those who wish them to die.
Starting ag means condemning most people on earth to dying of starvation.
There are consequences for stupid decisions a society makes.
Agriculture is like fiat money -- a few people profit from it, and it looks great to everybody during the artificial boom.
Then the collapse. Always happens.
The free market demands obesity.
The grains that we grow are an excellent food source for the cows
Cows have 4 stomachs to digest grass.
Grain fed beef is horrible for your body.
Compared with feedlot meat, meat from grass-fed beef, bison, lamb and goats has less total fat, saturated fat, cholesterol, and calories. It also has more vitamin E, beta-carotene, vitamin C, and a number of health-promoting fats, including omega-3 fatty acids and "conjugated linoleic acid," or CLA.
White Indian is right on Paleo Diet.
White Indian is right on Paleo everything else.
Soil fertility is directly linked to human and animal disease.
Soil, Grass and Cancer
by André Voisin
This Paleo-diet talk is a gateway to more primitivist-paleo philosophy.
Don't fall for it.
Like Jeffery Tucker says about dressing up, in his article How to Dress Like a Man over at LewRockwell:
If you don't want to be a slob, you have to live with a bit of discomfort....Follow my advice and do your part to save civilization.
Follow my advice, eat grains from our glorious agriculture, be unhealthy (you have to live with a bit of discomfort) and do your part to save civilization.
Here's to discomfort and disease! Resist WI's clarion call to be bucolic and well!
Paleo diet is crap. Look at milk. Some cultures can't digest it (asians) because they didn't evolve with cows. Some cultures can because they did. Ergo your argument about humans being "designed" to eat certain foods is crap. Human are not static and are omnivores. We can and do eat many, many things. That's why we were successful. Further, we change based on environmental pressures (availability of foods) Agriculture has been around for over 9K years. The idea that we haven't evolved to tolerate grains is silly. Sure, some people are allergic to gluten, but they would have died 8000 years ago. Today they are alive and living in california complaining about global warming.
Paleo diet is crap. Look at milk.
Who said milk is essential to a paleo diet? Nobody forages or hunts milk in a paleolithic society.
The idea that we haven't evolved to tolerate grains is silly.
Call Mayo Clinic and set them straight.
Cardiovascular Disease Resulting From a Diet and Lifestyle at Odds With Our Paleolithic Genome: How to Become a 21st-Century Hunter-Gatherer
James H. O'Keefe, Jr, MD and
Loren Cordain, PhD
From the Mid America Heart Institute, Cardiovascular Consultants, Kansas City, Mo (J.H.O.); and Department of Health and Exercise Science, Colorado State University, Fort Collins (L.C.)
Remember, White Indian right on Paleo-diet.
White Indian right on Paleo-everything else.
Milk (specifically lactose) is an example of something we've evolved to be able to eat/digest. I never said it was part of the paleo diet. I think you knew that though, and were just determined to straw-man me. Nice try. Further, you'll never be able to get around the confound that we're living longer when making your argument. I'd like to see you separate out the variables. Are more cancer and more heart disease the results of longer life, or of agriculture. You can't prove it's agriculture any more than I can prove it's cell phones.
"Sure, some people are allergic to gluten, but they would have died 8000 years ago. Today they are alive and living in california complaining about global warming."
And (just for laughs) the ones that are allergic to shellfish are snidely sitting on the sidelines lamenting the fate of the poor lobster as he is thrown, kicking and screaming, into a cauldron of boiling water.
Cows milk is for baby cows.
And baby cows are for veal, and veal is for me.
Grains are grasses.
Cattle do naturally eat grains, they just are not adapted to eat the seed corns all the time.
THere is plenty of scientific research that indicates certain chemicals in the germ of wheat, in wheat, are bad for you. That doesn't mean we have to go off on some mystical pseudo-scientific journey to follow "krog" the caveman, or even know what he ate.
Especially when you consider: 1. archaeological finds of cooking fires support ancient man did eat grains after all. Probably not as much as us but they still did.
2. genetic testing shows us that the hunter gatherers did not turn into agriculturalists, but instead were driven out and killed, so we are related to the agriculture using people.
4. We've seen major changes in animals in isolation now the past few years, blowing away our ideas of how fast evolutionary change can happen. We can see the proof of this in our own bodies: many of us have the enzymes to digest milk, which we never needed 10,000 years ago. We have changed, and the humans with the benficial changes survived. (That is not proof milk is great, but I use it as proof we change faster than the paleos want us to believe)
I myself follow an almost paleo diet, but don't fall for the mysticism.
Libertarian religio-economics is pure mysticism.
I think most of Mark's readers are smart enough to recognize the "Korg" character is a framework for lighthearted discussion - Sisson is a smart but lighthearted guy, I gather, from reading his stuff. Look beyond Korg and read his more academic articles and you'll see it's not mysticism.
Dairy - we all need it til about 3 years of age. And I don't mean cow's milk, I mean human milk. That some people retain the ability to produce digestive enzymes for milk might be an evolutionary advantage. I tolerate fermented dairy better than straight milk.
Eating some grain foods does not mean wholesale subsistence on them the way we do now. ALL paleolithic peoples were not driven off and killed by agriculturalists (many were, not all). And from whom did the agriculturalists descend - a second creation pulled off in the land of Nod?
Consider too that modern wheat and corn are not the same einkorn or emmer or maize that early agriculturalists fostered and grew. Perhaps we are evolving our foods faster than we are evolving to eat them.
I can't get a doctor to take me seriously when I say "I think I have a gluten intolerance, can we test to be sure?" I get told I'm just over-reacting and it's likely just indigestion. So I did an n=1 and removed wheat, all gluten, then rice and oats, and corn from the diet and fucking-A I have no more bloated belly, heartburn, insomnia, migraines, or mood swings. That I could accomplish all that without meds and by making a rather simple shift in diet is more of a medical miracle to me than antibiotics or antidepressants.
Paleo is just a framework to think about a dietary shift. It worked for me, maybe not others. Veganism seems to work for some, not others.
"It worked for me, maybe not others. Veganism seems to work for some, not others."
We may be omnivores as species, but many of us as individuals have unique GI systems that run better or worse one one fuel as opposed to another.
This is very well said. I do bio-research in this area and it is exactly right. Some truths about human diet and metabolism are universal others vary by the population, family and individual.
Exactly. find what works for you and go with it.
That's definitely fair. People are vastly different, and some don't do well with certain foods. I developed lactose intolerance at 19, my sister at 22. So I drink lactose free milk. That doesn't mean I've developed some weird religious dogma about my food. Although I do think that good barbecue is an almost religious experience.
"good barbecue is an almost religious experience"
or good bacon, Bacchus be praised!
Plus, although Dairy isn't Paleo, when you dig into it you find that raw milk, esp from grass-fed cows is a whole lot better for you than any other option w/ fewer of the negatives that come with what you find in the store -- makes the fed's war on raw milk, covered well in this blog, appear all the more stoopid.
I have even ordered some "caveman cookies"
Cavemen didn't eat cooks. Bugs and larvae, maybe, if they had a good day and found some.
Cookies, I meant.... they probably did eat cooks, from other tribes.
I think a few thousand years is plenty of time for evolution to adapt us to an agricultural diet. Unless you literally mean "designed" in which case, end of discussion.
Government is proven necessary throughout history. Libertarian told me so.
It's medicine in the right dosage.
Libertarians like Murray Rothbard and Walter Block would disagree. But I will agree with the minarchists that less government is better than huge government.
The agricultural city-State is externally invasive and internally repressive.
Think you're going to change the leopard's spots?
The libertarian minarchists don't have the slightest grasp of how government formed. Quite simply:
"Agriculture creates government." ~Richard Manning, Against the Grain
The libertarian anarchists forget that the State is an integral part of the agricultural city-State (civilization.)
The only consistent "non-state" anarchist is an anarcho-primitivist, who knows the empirical evidence of human history:
NON-STATE AND STATE SOCIETIES faculty.smu.edu/rkemper/cf_3333/Non_State_and_State_Societies.pdf
From the article: The prevailing approach to prostate cancer illustrates our collective disregard for medical expense.
The prevailing approach to the cancer of the agricultural city-State (civilization) illustrates our collective disregard for environmental costs.
I'd like to share a revelation that I've had during my time here. It came to me when I tried to classify your species. I realized that you're not actually mammals. Every mammal on this planet instinctively develops a natural equilibrium with the surrounding environment, but you humans do not. You move to an area, and you multiply, and multiply, until every natural resource is consumed. The only way you can survive is to spread to another area. There is another organism on this planet that follows the same pattern. A virus. Human beings are a disease, a cancer of this planet, you are a plague, and we are the cure.
~Agent Smith
The Matrix
Agent Smith is wrong. Humans are not a virus. Humans lived in balance with the earth, not running up environmental deficits, for millions of year.
The agricultural city-State is the cancer, the virus, the destroyer.
Close, but no cigar, Agent Smith.
I sort of like the city-state, to the extent that it allows me to have stable supply of very cheap, relatively good food, a nice warm and dry house, and running water. Hard to get most of that as a hunter-gatherer.
Actually, basic necessities of life are easier to get as a hunter-gatherer.
Original Affluent Society
Marshall Sahlins
Professor of Anthropology Emeritus
"...let him live the simple life who will, I've had (between us) enough of that, no bird from here to Babylon, could survive on this for a day"... ("The Threepennny Opera" with my apologies to for a truly awful translation). Even Bertold Brecht the old socialist knew it was better to live in comfort than "free as a bird".
He stuck to this position even after this same Preventive Services Task Force came out against routine mammography for women under 50.
The pink ribbon bullies have a much stronger lobby behind them than almost any other disease. I remember a similar report two years ago (it might even have been the one you mentioned), and all of the news coverage was couched in tones of "We're so sorry to confuse you; keep getting your mammograms for the time being." And that was about the nicest tone the reporting took.
There's been much less reporting on the PSA test research, and I certainly have heard very little angry "You're going to kill us" shrieking.
Over on NFL-related boards, I keep suggesting I'd like to see the NFL tell the Komen folks, "No, we'll fund the fight against some other disease" and not do all the pink PR. (I like to suggest pancreatic cancer since it has a terrible prognosis, and since it killed NFLPA head Gene Upshaw.) You'd be amazed how badly people react to this.
You'd be amazed how badly people react to this.
I wouldn't be but I am a curmudgeon. Your point is a good one; if the NFL actually did what you suggest, the air would ring with the cries of "misogynist!". Most of the people yelling the word have no idea what it means but that won't stop them.
Last January, while walking through Green Bay's airport either on his way to or from a playoff game (I forget which), Aaron Rodgers was listening to his MP3 player and didn't notice some cancer victim dressed in pink.
Just for that asshole Viking fan Mike Florio spewed a ton of vitriol. To make matters worse, Florio decided to continue digging the hole for himself when Packer fans (and the woman in the video that started the whole thing) came to Rodgers' defense.
Read the whole story, as they say.
Preventive Services Task Force = Death Panel
"The free market means that those without money to buy what they need do not have the right to live."
- John McMurtry
Wait - An anti-capitalist philosopher argues against free markets? What a break-through discovery!
Can't refute his opinion?
Opinions can't be refuted, propositions can.
Maybe you offer any insight on what his definition of "the right to live" and its constraints are and how he derives it.
LOL Weasel.
Opinions can't be refuted
I can refute that opinion with a dictionary definition of refute.
Refute \Re*fute"\ [F. r['e]futer, L. refuteare to repel, refute. Cf. Confute, Refuse to deny.] To disprove and overthrow by argument, evidence, or countervailing proof; to prove to be false or erroneous; to confute; as, to refute arguments; to refute testimony; to refute opinions or theories; to refute a disputant.
IMHO an opinion can assign a truth value to a proposition. But it is not a proposition by itself. That's what I was aiming at.
The conventional translation of refute to my wonderful native language does result in a word which if applied to opinions does not make sense under that assumption.
But now I am arguing semantics with a troll that always tries to argue in bad faith. Back to work.
You trolled the issue of semantics. Then lost. Good riddance.
You lost? Is this a contest? What is the prize for victory?
e-peen, duh.
Well that Mcmurty quote sure convinced me...
It makes perfect sense for the government to spend an infinite amount of money keeping me alive for infinity.
Or maybe, just maybe, I have the right to live only as long as I can provide for my own well being.
I have the right to live only as long as I can provide for my own well being.
Not hardly, pilgrim. The "Free" (LOL!) Market put a violent end to that sort of lifeway.
"[The Native Americans] didn't have any rights to the land...Any white person who brought the element of civilization had the right to take over this continent."
~Ayn Rand
West Point Military Academy graduation speech, March 6, 1974
You seem confused about what a free market is. Of course there is nothing free about it. Markets, by definition, are places where things are sold or traded. Native Americans, were big on free markets (trade). Except when they fought rival tribes for resources.
That was a response to FMA.
Sure, I can refute McMurty's position:
Those without the means or will to contribute to a free society do not deserve the benefits of living in that society, and neither should that society endeavor to provide the means for sustenance to those unwilling to provide it for themselves.
You slipped in a lie. Capitalism isn't a free society, by design. It's highly coercive, or it wouldn't work for the capitalist hierarchy.
Our system of private property in land forces landless men to work for others; to work in factories, stores, and offices, whether they like it or not. wherever access to land is free, men work only to provide what they actually need or desire. Wherever the white man has come in contact with savage cultures this fact becomes apparent. There is for savages in their native state no such sharp distinction between "work" and "not working" as clocks and factory whistles have accustomed the white man to accept. They cannot be made to work regularly at repetitive tasks in which they have no direct interest except by some sort of duress. Disestablishment from land, like slavery, is a form of duress. The white man, where slavery cannot be practiced, has found that he must first disestablish the savages from their land before he can force them to work steadily for him. Once they are disestablished, they are in effect starved into working for him and into working as he directs.
by RALPH BORSODI
1 9 2 9
Well, you can cross out free and still have the same exact meaning. Although I dispute your claim of capitalism not being the only means to a free system of governance, I don't particularly care to argue against your inane bullshit.
men work only to provide what they actually need or desire.
This is universally true of all men that have ever existed anywhere ever. Congratulations, you're on the path to recognizing why capitalism is the only workable economic system consistent with a free society.
Actually, egalitarian Non-State society, or the Original Affluent Society, is the only workable economic system consistent with a free society.
Because capitalism relies on coercion to draw abstract lines on the earth to prevent the free movement of free people.
To which, you continue to offer zero evidence that such a system is "workable" without the deaths of literally billions of people.
I like how nutjobs always advocate for the extermination of most of the human population for their utopias to exist.
Agriculture is a death sentence. Agriculture ensures collapse of a society, as history shows. The consequences cannot be avoided.
Billions would rather die than give up unsustainable city life. It's their choice.
riiiiight, that's why agriculture allowed civilization to flourish. Idiot.
I guarantee you the vast majority of our species would rather not starve to death. I'd bet anything on it.
I guarantee you the vast majority of our species would rather not starve to death.
Research shows you're wrong.
In the end, the Viking colonies of Greenland starved to death–next to a sea teaming with fish. To the end, they never touched them. Their Norse cousins lived on fish; they knew this. They lived in full view of the Inuit, who lived happily as they starved to death. They called them skraelings–"wretches"–because they were naught but ignoble savages. Savages who survived–and quite happily–while the civilized Europeans died a long, agonizing death. They ate their herds of cows, even the young, all the way down to the hooves–a clear sign that they had given up on the future. They ate their dogs. And again, in the end, they ate each other. But to the very end, they never ate fish.
The Arneborg study does show that the Greenland Norse were incredibly adaptive, learning to change their diet to match changing circumstances. It's not a lack of desperation that's at fault here; it's a lack of imagination. It's the cultural construction of food.
Thesis #28: Humanity will almost certainly survive.
Right, so let's go with communism. After all, that has worked out so well...
Communism and Capitalism are slightly different variants of the same system:
Control all the food and put it under lock and key, thus getting people to work for the system or starve.
Communism concentrates power and wealth even faster than Capitalism, this it fell faster. Capitalism is now causing the same privation as was seen in the Soviet Union, and is in collapse now too.
Wait - An anti-capitalist philosopher argues against free markets? What a break-through discovery!
like, what, food? They can hunt or forrage on unowned lands, or find someone who doesn't mind.
Medical care? Well, if they have money, they can pay someone to tend to their wounds. They can also find charities to help them. If neither of those is fitting, they'd have to do it themselves or FORCE someone else to heal them.
Yeah, force is soooooo much better.
They can hunt or forrage on unowned lands
That is prevented by force and genocide. The hunter-gatherers of NA have been killed off or put on a reservation, and now the environment is too degraded by agriculture.
why? You can't get people to work for capitalism if they are free. As Dr. Borsodi states:
Our system of private property in land forces landless men to work for others; to work in factories, stores, and offices, whether they like it or not. wherever access to land is free, men work only to provide what they actually need or desire. Wherever the white man has come in contact with savage cultures this fact becomes apparent. There is for savages in their native state no such sharp distinction between "work" and "not working" as clocks and factory whistles have accustomed the white man to accept. They cannot be made to work regularly at repetitive tasks in which they have no direct interest except by some sort of duress. Disestablishment from land, like slavery, is a form of duress. The white man, where slavery cannot be practiced, has found that he must first disestablish the savages from their land before he can force them to work steadily for him. Once they are disestablished, they are in effect starved into working for him and into working as he directs.
by RALPH BORSODI
1 9 2 9
"...do not have the right to live."
McMurty apparently believes the right to live is a positive right, and there is where his logic goes off the rails. His implication of a "right to live" is that a person can demand to live off the fruits of others efforts indefinitely without making any contributions of his own. No society or culture can survive for long under that ethic. "Money" is just the method we use to store the value of how we contribute to others survival.
There is an interesting (though geeky) take how money works at the end of this.
Aw, cat got your tongue?
""The free market means that those without money to buy what they need do not have the right to live."
- John McMurtry""
This is why I take issue with a right to life. NO WHERE in nature is a right to life. It's a responsibility to surive. Just about any nature show will prove that.
It's a concept made up by humans that does not exist in the natural world.
Your responsibilty to survive means you must figure out a way to feed yourself.
There is nothing objectionable a "right to life" if it is understood as a right not to be killed rather than a right to force others to keep you alive.
There is no such thing a positive right.
Then there's definitely no such thing as a negative right.
Donald Rumsfeld, please call your doctor's office.
theAmerica n health care system, the pressures to do something, useful or not, are more powerful than the pressures to do nothing.
Homeopathy is the bane of the American medical system.
It must be destroyed.
Yes dear.
FDA Bans Hyland's Homeopathic Teething Tablets
The FDA is stealing your right to use safe products. Remember, the FDA says you have no right to health—and they mean it.
by Heidi Stevenson
20 October 2010
You don't jump from a PSA to surgery. You have a biopsy. The patient decides what to do next. There are many options.
Only my husband's surgery showed the spread of his cancer. His biopsy was badly done. He was in his 50's. He'd probably be dead now if his PSA test hadn't started the process of figuring out what to do about his cancer.
PSA's are easy, cheap, and valuable. Let's keep them.
This task force is infuriating and terrifying. I don't know if they're right about prostate cancer or not; only the data can prove them right or wrong. Unfortunately, these guys have shown that they don't give a damn about the data. For their mammo recommendations, they cherry picked two obscure studies to get the results they wanted, and ignored a large-scale longitudinal study from Sweden that had just been published showing huge improvements in mortality from screening the 40-50 demographic. It wasn't good science. It wasn't even an expert opinion. There was not a single radiologist on the panel.
They were right, in a way, about mammo: it's a pretty lousy test for screening in that it has low sensitivity. Mammo actually misses about half of all cancers. But when studies are coming in showing big benefits from screening even with a crappy modality, why would you conclude that you need to ditch the screening altogether?
I think this is just another case of the Obama administration's love of rule by shitty experts.
"...why would you conclude that you need to ditch the screening altogether?"
Controlling costs. Everything that people hate about the cost savings measire private insurance uses still apply to health insurance directed or run by government.
You can buy a lot of screenings and biopsies for the cost of one course of chemotherapy. A mammogram costs $100, and even breast MRI only costs $1,000. If we used MRI for all breast cancer screenings, we could make many, if not most, surgical treatments into outpatient procedures with no chemo and no reexcisions.
In contrast, Avastin, which used to be the most common chemotherapy drug, costs $110,000. Herceptin costs around $60,000 to $70,000. That's not even counting the cost of the actual surgery.
Notice I say that Avastin *used* to be the most common chemo drug. It hasn't been replaced. They just stopped using it because it DOESN'T WORK. It gave patients chemo brain for years, made them suffer agonizing side effects, and causes heart problems that may very well kill them. And despite its low success rate, terrifying side effects, and high cost, it was standard treatment.
In contrast, screening has been proven through a number of very large scale studies to yield major results, and could very well be the best way to reduce treatment costs in the long term. But this task force is trying to minimize it based on two relatively small, old, shitty studies that at best can't be a good judge of modern screening, and probably weren't great at the time.
I should say that I expect private insurance to figure this out, because in the long run, they really do want to reduce their expenses, and screening probably is the best way to do that. They can be slow and stubborn, but eventually they figure it out. The government, on the other hand, only has to look like they care about improving outcomes, whether it really helps or not, and they aren't any more sincere about reducing expenses.
PSA screening saved my dad's life. So change "effectively zero" to "effectively at least one."
The U.S. Preventive Services Task Force recently recommended against routine screening of healthy men for prostate cancer, on two grounds:The test doesn't save lives, on balance, and the treatments are usually worse than the disease.
I'm pretty sure Frank Zappa would disagree.
As mentioned upthread, you don't (shouldn't) go from PSA test to the operating table.
There may be some doctors that just want to make money from doing an operation too.
Hmm....we live longer than ever, suffer more from diseases of old age than from food-related problems, are blindingly more successful at EVERYTHING than any earlier culture, etc., etc. If you want to eat a paleo diet, do so, but please don't get holier than thou about it - it's just your choice. Wouldn't you rather have problems with being lactose-intolerant, than with, as often times was the case previously, not having enough to eat period?!
"and by the time it gets around to killing you, you're already dead.
Heartless libertarian - no concern for the pain and suffering of the dead...
If I were elected, we would institute a program to employ the dead - they would be as productive as our current government employees, and I would declare a war on death. The economic boom of 180 years olds - think of the demand for "depends" will cause a boom (and maybe boom booms in our pants)in our economy!
When looking at information from agencies such as the USPSTF, it is far more valuable and telling to see what healthcare the "experts" seek for themselves and their families, vs. what they recommend for the controllable masses.
In my 15 year career, I most certainly treat FAR less metastatic prostate cancer today than I did 10-15 years ago. It is not possible to rationally quantify the cost, in dollars and in humanity, of dealing with painful, metastatic cancer.
Unless you believe that manipulatable statistics are more valuable than empiric outcomes. In that case, you can also conclude that morphine pills and death are cheaper than cancer care, and therefore more desirable.
But be sure to pay attention to what these "experts" do for themselves and their families...
"But be sure to pay attention to what these "experts" do for themselves and their families..." Good idea but I always ask my doctor what he would do if he was banging me
This is one of the more stupid arguments floating around these days.
"You don't need a cancer test, because doctors are so incompetent that their usual course of treatment is worse than doing nothing."
The answer to that is not to be ignorant of your disease, but to improve the treatment regimen. It's not that the treatments are never effective, it's that doctors don't expend the effort to narrow down their application of the treatment.
Homeopathy is the bane of the American medical system.
It must be destroyed.
"...for the purposes of popular discourse, it is not necessary for homeopaths to prove their case. It is merely necessary for them to create walls of obfuscation, and superficially plausible technical documents that support their case, in order to keep the dream alive in the imaginations of both the media and their defenders." --Ben Goldacre
If homeopathy works, then obviously the less you use it, the stronger it gets. So the best way to apply homeopathy is to not use it at all. --Phil Plait
Horrible misleading.
My grandfather died from prostate cancer at age 70. Both of my uncles were diagnosed with it, because they knew to look, one at age 65 and the other at age 62. One is now 70 years old and free and clear of prostate cancer and the other is approaching 70. I work in cancer research, specifically lung, and I know that often preventative screening can have only a small impact, but my uncles are the small group that does benefit. What if it was your father or uncle? Ignoring the benefits of screening and pretending that you're find without is a horrible recommendation.
A very good argument against PSA screening. But who said anything that we have now is perfect? Sophistry in argument is a human frailty. We TRY to find solutions and sometimes a step forward IS a step forward. Prevention and turning away from the Standard American Diet could make this discussion moot. Until then if I feel something is wrong in my ..."nether regions" I WILL have that test thank you very much.
thousandfeathers.com phytonutrients that fight cancer


text:
HOUSTON – One man was killed and three other people were wounded after a male suspect fired almost a dozen shots outside an after-hours club early Saturday in southwest Houston, police said.
The shooting happened at 5:52 a.m. in the parking lot of Manny's Place, located in the 9700 block of Bissonnet, according to homicide detectives with the Houston Police Department.
Two of the victims were security guards, one man and the other a woman, police said. The second female victim was a club patron, who was hit twice by stray bullets.
The second unidentified male victim was also a club patron, who was taken to Ben Taub Hospital where he later died from his wounds, according to the medical examiner's office. v"From what we can tell, there was a shooter from the corner of the hair salon, shooting in the direction of the club," HPD homicide investigator Jesus Sosa said.
Investigators said the shooter used a high-powered rifle. The suspect fled the scene in a dark-colored Ford Bronco.
"I was across the back side trying to get some food and I heard the shots and my friends were on their way out the door," Leresa Cozart, a club patron, said. "It was chaos, shattered glass, people laying on the floor, blood everywhere, people screaming."
Cozart and her girlfriends were out for a night of fun. The girls wanted a break from their jobs, as Chili's servers.
"That's the worst feeling is knowing that someone you know got hit. It was pretty tragic," said Cozart, who is a friend of the female club patron who was wounded.
"She got hit twice, once in the shoulder and once in the hand. She was just an innocent bystander coming out the club," Cozart said.
There were about 100 people inside the nightclub when the shooting occurred, police said. There is no sign outside of the club that identifies the business.
One of the witnesses said that the business is one of those after-hours clubs that people find out about through word of mouth.
Nearby businesses weren't allowed to open up shop because the parking lot was part of the crime scene.
"I'm just trying to get my hair curl and go home to take care of my momma," said Pamela Steadham, a customer from the beauty parlor.
The three victims, who were wounded, are expected to make a full recovery. Anyone with information in this case is urged to contact the HPD Homicide Division at 713-308-3600 or Crime Stoppers at 713-222-TIPS.

subset: commoncrawl


text:
The soap opera world has lost one of its greatest champions. Inside sources report that Soap Opera Weekly, a magazine that premiered in 1989 and covered Days of Our Lives strongly for over two decades, has been shut down.
Insiders say that several staff members were let go, while others will be reassigned to new positions at its sister publication Soap Opera Digest.
Soap Opera Weekly's premiere issue, dated November 21, 1989, featured a Days of Our Lives cover with actors Stephen Nichols (ex-Steve) and Hunter Tylo (ex-Marina). The headline read: Bye, Bye Marina! Tylo Ditched by Days. The issue also included a news story on all the real-life pregnancies behind the scenes at the soap; among them, actress Mary Beth Evans (Kayla), producer Shelley Curtis, writers Dena Higley and Anne Shoettle, and Susan Fallender, the wife of actor Charles Shaughnessy (ex-Shane).
As a member of the magazine's original staff, today marks a sad day for the daytime television industry. The publication began as a strong editorial force and was the first weekly magazine devoted to soap operas.
- March 22, 2012 at 3:10 pm(1) Maggie says:
I'm really sorry to read this. It's just one more reflection of the way the soap industry has gone.
- March 22, 2012 at 4:10 pm(2) Danielle says:
Thank the damn networks, primarily ABC, for canceling iconic, beloved, and wonderful soaps. We're done with ABC and Disney in this house. 1,000s of jobs have been lost as a result of ABC canceling AMC & OLTL and this is the domino effect. Like Susan Lucci said, Frons made 1,000s of people lose their jobs just so he could keep his. He wrecked something so precious in American TV too.
- March 22, 2012 at 4:15 pm(3) Elena says:
I'm just praying that SOD isn't the next to go. I've had a subscription for years and would really miss it. Thanks, networks, for not supporting the soaps. . . soon, no SoapNet either.
- March 22, 2012 at 4:25 pm(4) cottle says:
More jobs lost thanks to Brian Frons and Anne Sweeney. I have never heard of 2 more condescending in my life.
- March 22, 2012 at 8:42 pm(5) P says:
Very sad to hear this bit of news. I know the economy is in really bad shape right now with many jobs being lost all over the country/world, but I hope at some point that the magazine can be resurrected perhaps by a new owner. Soap viewers have enjoyed this magazine since day 1 as it has been one of the best magazines for the soap opera industry
- March 22, 2012 at 10:14 pm(6) Firstfall says:
Personally, I quit paying it any attention after a particularly rude article concerning one of my favorite Days characters a few years back. I do still pick up SOD occasionally, but never even read an online article by SOW since then because I was so deeply offended.
- March 23, 2012 at 3:31 am(7) Billy Vick says:
Here is something I find SCARILY SUSPICIOUS!! My SOAP OPERA DIGEST subscription ended with the MARCH 27, 2012 issue and unlikely all the years I have subscribed, I have NOT RECEIVED on reminder or offer to renew it. THIS CAN ONLY MEAN they are at the least not going to accept mailorder subscriptions any longer just like SOAP OPERA WEEKLY stopped doing. You see the result of that with only newstand sales was it's disappearance 4 months later. I hope the employees at SOD have not put down any large deposits on Summer cruises or vacations. This all makes me SICK!
- March 23, 2012 at 12:35 pm(8) Shirley Broome says:
When Frons lead the charge to drop all the soaps, I said at that time that he would be causing a ripple effect that would cost people their jobs. Among those I listed was the Soap Magazines. Believe me, it is no consolation to be right.
I STRONGLY encourage people who can, to join the boycott. I read the other day that the sponcers are watching the ratings of ABC daytime and evening shows going down.
Evadently, Frons and other daytime VPs flunked thier Business 101 classes. Otherwise, they would know that the sponsers will follow where the viewers are.
CBS has already announced that they are not making any changes to their line up. Yes, they dropped some of their soaps, but they didn't kill the goose that lays the golden viewer. Plus, I am sure they can enjoying owing their high ratings to ABC stupidity.
- March 23, 2012 at 9:00 pm(9) Kari says:
- March 24, 2012 at 5:49 pm(10) Joanne says:
I always thought Weekly was the best mag out there, back in the day. They had the best interviews, news and photo shoots. Great staff all the way around and they did a fantastic job.
- March 26, 2012 at 3:40 pm(11) Maurine says:
This is a shame. I subscribed until they recently stopped taking subscriptions, which I thought was strange and a precursor to the end. I had noticed that it contained more and more non-soap stuff. I realized this was a necessity in order for the mag to continue. It is sad as I did enjoy the magazine. I hope the other soap mags do not follow.
- March 26, 2012 at 3:41 pm(12) Mo says:
I've also noticed that for quite a while their Web site is not regularly updated in terms of showing the most recent magazine cover. This doesn't bode well. The site also stopped allowing user to comment on stories, which I find odd.
- March 26, 2012 at 4:55 pm(13) Carole says:
I hope TPTB at ABC are happy. I have not & NEVER will watch The Spew or anything other show that replace a soap!
- March 26, 2012 at 8:29 pm(14) KAREN says:
i am so sad to hear about this i was wondering why it wasnt in stores anymore. i will very much miss the magazine. ive been reading it since it came out
- March 26, 2012 at 10:51 pm(15) Eileen says:
Change is inevitable. Soap operas have become a drip. Its time to throw in the towel.
- March 26, 2012 at 11:24 pm(16) Michael says:
I am so sad to hear that Soap Opera Weekly is closing down. I purchased the very first issue, and I haven't missed an issue in all these years. I love Days reading the latest news in SOW. The mag was never the same since Mimi Torchin left the fold, but this really does suck.
- March 27, 2012 at 5:42 pm(17) Carla says:
I knew when they cancelled my subscription that it was near the end, and yes I opted to sub it with sub to Digest for the remainderof my term which ends in April, I have not received a renewal notice either. I wish they would just be honest and tell us what's going on, I had to read this on Twitter.
- March 29, 2012 at 2:10 pm(18) Kevin says:
Why can't it be ABC Soaps in Depth going out of business instead?
That magazine has been completely obsessed with "General Hospital" for the past five years and perhaps had they been a little bit more generous with "All My Children" and "One Life to Live," when making cover selections, perhaps the best ABC soaps wouldn't be dead.
I'll seriously be making cupcakes and celebrating the day ABC Soaps in Depth calls it quits … which should be very shortly!!!!!
- March 30, 2012 at 6:11 pm(19) Helen says:
Wow so sorry, they were a great support for DOOL! I will miss it, so many interesting articles, but soaps just do not seem important to the TV Industry anymore.
The Soap Opera awards have lost me, hardly anyone from Days was nominated, as usual. They have some of the best actors in daytime but alway come up empty. Do not understand?
- March 31, 2012 at 12:06 am(20) Brenda says:
YES, this sucks…. the other soap magazines do not even compare to soap opera weekly, and what they couldn't even bother to let us loyal magazine readers know that they were stopping it, that's sad!!!
- April 10, 2012 at 12:32 pm(21) Mike says:
Yeh, they didn't renew my subscription late last year. I had a feeling it was being shut down. I think it is being replaced now by some Reality magazine. I looked this week for the new Soap Opera Weekly, and it is not in any stores anywhere. The last issue I found was the April 10, 2012 issue. I think some of the other Soap magazines will close up next, which is sad because I have enjoyed these over the years.
- May 9, 2012 at 4:15 pm(22) Donna Helms says:
I am so sorry that they are gone. I've bought every issue until they stopped. I really miss it. I hope it comes back sometime.
- May 12, 2012 at 10:31 am(23) rosemarie says:
I have been looking for magazine for 3 weeks in Publix, now I know why I couldn't find. Sorry to see it go. We can thank ABC.
- May 17, 2012 at 6:49 pm(24) Barb smith says:
I will extremely miss Soap Opera Weekly. Loved looking forward to it every week. I am a devoted CBS fan but now watch Days and pray no more cancellations.
- May 27, 2012 at 10:07 pm(25) Danita says:
I am really shocked to find out that there will be no more publications of Soap Opera Weekly Magazine. I love this magazine and I always looked forward to purchasing and reading it. I don't understand what happened and I am going to really miss this magazine. I hope you can find some way to bring it back,
- May 31, 2012 at 2:49 pm(26) Cynthia Daly says:
I;m really sorry to hear this – no wonder I haven't seen it in the stores for the past three weeks. I always looked forward to the magazine and will miss it very much.
- June 13, 2012 at 7:14 am(27) heidi says:
It was a sad day when I came to the realization tbat SOW would be no more. I have bought it faithfully since day 1 up until I couldn't find it in mid-April. It was the only soap mag for me…and there will be no other to replace it. It saddens me that the staff was most likely given little to hardly any notice from the power heads upstairs of this flat out backstab to their years of service or loyal fanbase of customers…shame shame on y'all for doing this to your staff and your cobsumers. I hope the staff realizes how much we appreciated all the hard work and creativity they gave us week after week….thank you…and to the shameful way the powers that rule the kingdom upstairs….shame on how y'all sneaked away like snakes slittering without giving your loyal subjects closure….tragic……
- July 16, 2012 at 6:30 pm(28) sheila says:
i thought so when i couldnt find the magazines anywhere.I love the soap magazines like i love my soaps. its too bad all this has to end. i hope we dont lose anymore mags and soap operas.
- June 17, 2013 at 8:06 pm(29) linda says:
A sad day for soap fans. Since i couldn't watch soaps on the job Soap Opera Weekly was my connection. Sometimes change has some flaws.


text:
Simulink Design Verifier
Simulink Design Verifier uses formal analysis techniques provided by the Prover Plug-In from Prover Technology and the Polyspace formal analysis engine from MathWorks. These techniques rely on mathematically rigorous procedures to search through the possible execution paths of your model for test cases and counterexamples. Unlike traditional testing methods in which test scenarios and expected results are expressed with concrete data values, formal analysis techniques let you work with models of system behavior instead of concrete data values. A model of system behavior can include models of test scenarios and verification objectives that describe desired and undesired system behaviors. Formal analysis performed with such models complements simulation and provides a deeper understanding of your design.


text:
Oklahoma City, Oklahoma — State Rep. Anastasia A. Pittman today announced that students from around the state would be participating in a rally in the Senate Chamber beginning at 9 a.m. Wednesday, March 23, 2011, to discuss legislation to address bullying and cyberbullying.
House Bill 1461 adds cyberbullying to current state laws that specify how schools should address bullying behavior. The legislation also adds law enforcement to the list of groups that should be involved in coming up with a school's anti-bullying policy.
Pittman said the event will include testimonials about the effects of bullying and cyberbullying and a call for the bill's Senate author to put Ty Field name on the bill.
"We're excited that we are having a statewide youth bullying speak out," said Pittman, D-Oklahoma City. "It's in honor of Ty Field, a young man who lost his life at 11 years old. We do not want Oklahoma to have a black eye on this issue. We are allowing Senate chambers to be opened for a half day for students from all across the state. We want to give students an opportunity to speak up and speak out against bullying.
"We will ask lawmakers to support Senator Halligan's bill and encourage Senator Halligan to put Ty Field's name on the bill so that we have a statewide collaboration of awareness. Kirk Smalley will be here, the father of Ty Field. He will facilitate the speak out."
Pittman said the number of students planning to attend reflects their readiness to address bullying and cyberbullying.
"It's in cyberspace, it's in our schools, it's in our homes, and kids are tired of it," Pittman said. "They want to come and express their concerns and we are certainly going to allow them to have their voices heard."
Pittman was the author of legislation to address school bullying and cyberbullying. Her legislation, House Bill 1976, is titled the "Ty Field School Bullying Prevention Act."


text:
Echoes Of Our Past
Sierra Region of Califonia
Please enjoy the video, Echoes of Our Past as a supplement to your enjoyment of Indian Grinding Rock State Historic Park. We also offer Echoes of the Past, a document specifically written for IGR, as a complimentary download to be used to enhance your understanding of the park.
Related Pages
Echoes of the Past
Below you will find a downloadable version of the document Echoes of the Past to be used to enhance your visit to the park. It is a 112 page document and is old so some information my be inaccurate or outdated.


text:
Do you know the three layers of the earth? Or what makes up dirt? Students were answering those questions and many more Wednesday at Omaha's King Science Center as part of Quiz Day.
Fourth and fifth-graders came to King Science from all over the city to take part in the competition. "Every year, the more kids come, the more they get excited," said King Science Magnet School facilitator Kris Denton. "We have students who are frustrated they can't come every year, so we love it."
A number of awards were given out, including an individual award (a trophy plus a free planetarium show for their entire class), a building competition award and a team award.


text:
This article was originally distributed via PRWeb. PRWeb, WorldNow and this Site make no warranties or representations in connection therewith.
Earth Source Organics flagship chocolates are now available in the Whole Foods locations of Florida with the help of KeHE Distributors, LLC.
San Diego, CA (PRWEB) July 03, 2014
Organic food manufacturing company Earth Source Organics (ESO) now offers their products in Whole Foods stores stretching from coast to coast with their recent acceptance into the Florida region. KeHE Distributors, one of the largest specialty food distributors in the nation, will be helping ESO to take their chocolate products from sunny San Diego all the way to the sunshine state itself.
ESO recently teamed with KeHE Distributors after discovering an alignment of core values. KeHE, an employee-owned operation, specializes in distributing natural foods with an innovative, value added service program dedicated to the success of natural food retailers such as ESO. With this recent partnership, ESO closes the gaps in their distributor network, covering more areas and bringing their products to more stores than ever before.
2014 has been a year full of expansion for ESO. In March, they introduced the addition of many new products to their line as well as a revamped look and packaging process. The soaring popularity of their new products, including the Bite Size Maca, Rose, Pure Dark, Divine Mint, and Synergy Spice, as well as individual serving Chocolate Dipped Coconut Macaroons, then prompted a move into a much larger facility in May. This greatly increased their production capacity, and led to the welcoming of new members to the team. Earth Source Organics is rapidly growing, bringing their message and products promoting health, well-being, and happiness to customers nationwide.
More about Righteously Raw Chocolates:
Righteously Raw is the gourmet chocolate brand of the certified organic food manufacturing company Earth Source Organics. Based in Southern California, this company is on a mission to provide organic and delicious foods to its customers to help them lead happy, healthy lives. For more information and to find Righteously Raw Chocolate near you, please visit http://www.righteouslyrawchocolate.com.
To learn more about the expanding network of stores offering Righteously Raw products, please contact Audrey Darrow at (760) 734-1867 or e-mail info(at)earthsourceorganics(dot)com.
For the original version on PRWeb visit: http://www.prweb.com/releases/2014/07/prweb11986745.htm
Information contained on this page is provided by an independent third-party content provider. WorldNow and this Station make no warranties or representations in connection therewith. If you have any questions or comments about this page please contact firstname.lastname@example.com.
358 TV Road,
Win Stuff
All content © Copyright 2000 - 2014 Worldnow and KTRE. All Rights Reserved.
For more information on this site, please read our Privacy Policy and Terms of Service.


text:
alprostadil (generic name)
Edex (brand name)
- Addiction
- Arthritis
- Auto Immune Conditions
- Bladder & Kidney Health
- Brain & Nervous System
- Cancer
- Caregiving
- Care Transitions
- Cholesterol
- Dental Health
- Diabetes
- Emotional Health
- Eye Health
- Falls Prevention
- Financial Planning
- Fitness
- General Safety
- Health Care Basics
- Healthy Living
- Hearing Loss
- Heart Health
- High Blood Pressure
- Life Transitions
- Lung Health
- Medications
- Memory
- Men's Health
- Nutrition & Weight Management
- Osteoporosis
- Pain Management
- Preventive Health
- Sexual Health
- Sleep
- Stomach & Digestive Health
- Stress & Anxiety
- Stroke
- Women's Health
What is this medicine?ALPROSTADIL (al PROS ta dil) is a natural protein. It is used to treat erectile dysfunction (ED). This medicine helps to create and maintain an erection.
What should I tell my health care provider before I take this medicine?They need to know if you have any of these conditions:
- an abnormally formed penis
- have been advised not to engage in sexual activity
- leukemia
- penile implant
- sickle cell disease or trait
- tumor of the bone marrow (multiple myeloma)
- an unusual or allergic reaction to alprostadil or other medicines, foods, dyes, or preservatives
- pregnant or trying to get pregnant
- breast-feeding
How should I use this medicine?This medicine is for injection into the penis. You will be taught how to use this medicine. Use exactly as directed. Do not take your medicine more often than directed.
It is important that you put your used needles and syringes in a special sharps container. Do not put them in a trash can. If you do not have a sharps container, call your pharmacist or healthcare provider to get one.
Talk to your pediatrician regarding the use of this medicine in children. Special care may be needed.
What if I miss a dose?This does not apply.
What may interact with this medicine?
- medicines for blood pressure
What should I watch for while using this medicine?Contact your doctor or health care professional immediately if the erection lasts longer than 4 hours or if it becomes painful. This may be a sign of priapism and must be treated immediately to prevent permanent damage.
Do not change the dose of your medication. Call your doctor or health care professional to determine if your dose needs to be changed.
This medicine does not protect you or your partner against HIV infection (the virus that causes AIDS) or other sexually transmitted diseases.
What side effects may I notice from receiving this medicine?Side effects that you should report to your doctor or health care professional as soon as possible:
- allergic reactions like skin rash, itching or hives, swelling of the face, lips, or tongue
- prolonged or painful erection (lasting longer than 4 hours)
Side effects that usually do not require medical attention (report to your doctor or health care professional if they continue or are bothersome):
- bleeding, bruising, or pain at site of injection
- change in blood pressure
Where should I keep my medicine?Keep out of reach of children.
Store at or below 25 degrees C (77 degrees F) for up to 3 months. Do not freeze.
Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.


text:
At Emanuel Medical Center, caring for people isn't just what we do, it's who we are. It's the mission that unites us in service. Emanuel Medical Center is a ministry of the Evangelical Covenant Church. The Church was founded in 1885 by Swedish immigrants who believed in demonstrating their love of God through service to their fellow man with compassion, mercy and justice. It's the reason the Church operates non-profit hospitals, retirement communities, assisted-living facilities, enabling residencies and home-care services to this day.
The Evangelical Covenant Church values:
At Emanuel Medical Center, our ministry is to heal the sick, care for the aged, and improve the health and well-being of everyone in our communities. You are welcome here, always.
Our Mission
To Create a Healthier Community through:


text:
Welcome to AccuQuilt.com
Recently added item(s)
You have no items in your shopping cart.
These are the latest arrivals for the GO! Fabric Cutting System. Check back often to see what's new in the ever-expanding GO! product line.
View as:
15 Item(s)
Shopping Options
You have no items to compare.
Sign Up for E-Mail and Get 72 FREE Block Ideas
© AccuQuilt 2014. All Rights Reserved.
Please wait...
Item(s) added to cart


text:
March 2014 marks the beginning of the three year i-SUSTAIN project, CN2050. CN2050 refers to the goal of Washington State becoming climate neutral by 2050. i-SUSTAIN, with it's long history of involvement with Denmark, will facilitate partnerships and collaborations between Danish and Washington State public, commercial, academic and non-profit entities to greatly reduce reliance on fossil fuels. In doing so, our hope is that Washington State will develop a bolder plan to achieve climate neutrality by 2050 along with Denmark. Through these partnerships, both Washington State and Danish organizations will benefit by working together. While Denmark has a CN 2050 plan in place and a great deal of energy expertise, Washington State has a history of successful entrepreneurship, technical prowess, and an enormous amount of capital to fund innovation. By working with Washington State professionals, Danish companies will have easier access into the US market, and the same is true for access through Denmark to the EU. We thank the Scan|Design Foundation for its support of this very important initiative.
CN2050 was created in honor of Svend Auken, Danish politician, renewable and sustainable energy leader and a great man. He was a great friend of i-SUSTAIN until he died in 2009.


text:
The Daily Star
---- — Two nationally televised speeches 50 years ago — one in January, the other in August — reveal all we really need to know about where we were as a country, how far we have come and the road we have yet to travel.
The first speech was the inaugural address in Montgomery by newly elected Alabama Gov. George Wallace amid demonstrations by civil rights groups demanding equality in such areas as education, employment and even the privilege of using the same water fountains as white people.
"In the name of the greatest people that have ever trod this earth, I draw a line in the dust and toss the gauntlet before the feet of tyranny," declared Wallace, "and I say, segregation now, segregation tomorrow and segregation forever."
The second 1963 address was Dr. Martin Luther King's famous "I Have a Dream" speech before a massive audience at the Lincoln Memorial that included these passages.
"I have a dream that one day this nation will rise up and live out the true meaning of its creed: 'We hold these truths to be self-evident: that all men are created equal.'
"I have a dream that my four little children will one day live in a nation where they will not be judged by the color of their skin but by the content of their character."
As as for George Wallace's Alabama?
"I have a dream that one day, down in Alabama, with its vicious racists, with its governor having his lips dripping with the words of interposition and nullification; one day right there in Alabama, little black boys and black girls will be able to join hands with little white boys and white girls as sisters and brothers."
Wallace, left paralyzed by the bullets of an attempted assassination in 1972, later regretted his hateful speech. He repeatedly apologized to the black community, and in his last governor's race, in 1982, won with 90 percent of the black vote.
King, who won the Nobel Peace Prize in 1964, was assassinated in 1968, but his words live on. America celebrates Martin Luther King Day on Monday as a national holiday.
This Sunday, Dr. King's speech will be recited when the Oneonta Branch of the NAACP and the city of Oneonta Commission on Community Relations and Human Rights commemorate the 50th anniversary of the March on Washington with a free event from 2 to 4 p.m. at the Elm Park United Methodist Church, at 401 Chestnut St. in Oneonta.
We urge everyone to attend to honor Dr. King's memory … and remember those two speeches in 1963, both of which we forget at our peril.


text:
Wyatt Emmerich
For the first time ever, I went to Europe and had a place to stay. My sister and brother-in-law now live in The Hague, which is the capital city of the Netherlands, also known as Holland.
Melanie and Steve (Stringfellow) have lived in...
MARK TWAIN complained that there were lies, damn lies and statistics. I've also heard that 90 percent of statistics are wrong.
This comes to mind when thinking about a recent study published in Forbes magazine that rates...
A recent hinds County Chancery Court ruling has put the quietus on drilling just off the coast of Mississippi and that's a good thing.
Mississippi doesn't have much coastline to begin with and what coast we do have is in...
The United States Energy Information Administration (EIA) keeps track of electricity costs. Their April statistics show that Mississippi homeowners paid 11.87 cents per kilowatt hour for electricity. This is lower than the U.S. average of 12.31...
At the Mississippi Press Association, a panel was convened to discuss the long hot summer of 1964, when civil rights tension was at a peak 50 years ago.
Has it really been 50 years? I am getting old. It seems like yesterday. I was a...
BILL MANDUCA, executive director of Clean Water for Malawi, has just returned from a month-long supervisory trip to Africa, where 16 new wells were drilled for $65,000.
These wells were drilled within 50 kilometers of Mzuzu in northern...
The biggest challenge Jackson city government faces is the cost of upgrading its water and sewer system. One of my goals is to learn enough about this subject to write intelligently about it.
To that effect, I am one of the handful of...
Now that the Cochran-McDaniel race has gone to a runoff, I feel regretfully compelled to write again on the subject.
As I said in my previous column, this is a choice of ideology or money. McDaniel is the purist and would refuse...
When hurricane Katrina hit the coast nine years ago, the federal government gave Mississippi six billion in aid. Then governor Haley Barbour decided to use $600 million of that money to expand the port of Gulfport. So far, little has come of...
Mississippi is virtually tied with Louisiana for the wettest state in North America. Add heat to this and you get bugs. Lots of them.
Most recently the Jackson area has been plagued by black flies, also known as buffalo gnats. The...
The Race Between Chris McDaniel and Thad Cochran for U.S. senator is crystallizing Mississippi's great political irony.
Mississippi is one of the most conservative states in the nation, yet it receives the most federal aid. We...
With MORE THAN a million pages of local, state and federal laws and regulations in this country, I'm not sure it's a good thing our Legislature is busy passing new laws.
My favorite politician is Calvin Coolidge who liked...
Gov. Phil Bryant and U.S. Rep. Bennie Thompson on stage together talking to each other about faith and race was quite interesting to watch.
As it turns out, they are both Methodists. Both are lifelong churchgoers and professed...
Thanks to the Stennis-Capitol Press Forum, I was able to receive a briefing on the current legislative session from both the leaders of the Mississippi House and the Senate.
The Stennis-Capitol Forum meets at the Capital Club on the...
On a sunny day this past summer, Germany produced a world record of 24 gigawatts of electricity per hour. That's equal to 20 nuclear power stations. At its peak that day, solar panels produced a quarter of the entire electricity consumed...
I RECENTLY LEFT my wife and three children and traveled to the other side of the world. My destination is Malawi, the "warm heart of Africa," the fourth poorest country in the world.
Traveling with...
when I changed the date on my editorial page, I realized this will publish on my birthday. Time for my annual column of personal retrospection. I will be 54.
It seems like yesterday, I was having to admit to middle age. Now I am having...
I fought the law and the law won. Alas, my 37-year perfect driving streak has come to an end.
I didn't go down without a fight. My "move over" violation had a gray area, but in the end, the judge sided with the police...
We were sitting around the dinner table going through the usual conversation routines. "So how was your day?" wife Ginny asked. I shrugged and gave my usual, "Fine. Nothing new," when 15-year-old son John chimed in:...
- Board rethinks raising MCEDA's debt limit
- County working to get state-aid money back
- Obituaries
- Obituaries
- New inductees
- Historic Places, Meeting scheduled to inform Belhaven residents about National Register application
- Miss Steen and Avalon to wed February 22 at St. Peter Church
- Teddy Roosevelt quotes worth remembering
- Scout trip
- In memoriam
- Honor society
- New Eagle
- Boys track team
- Miss Childress and Ulmer announce plans for October wedding in Flora
- New system for metro area will feature texting 911; launching in November
- Return to Korea much different than first time
- Northsiders and 1954 Bentley participate in the Great Race
- Cathedral Rock
- Part of Pearl still unsafe; more sections may be added
- $75 million down the drain
- New inductees
- Little effect on tax
- Multiuse path
- Leaving Jackson
- Members picked for one-cent tax oversight commission
- Repaving streets
- Plats approved
- In memoriam
- Electricity costs vary widely across state
- MONA Meeting
- Supervisors hire consultant for support in choosing next radio system purchase
- Miss Buie and Taylor planning August 16 wedding at The South Warehouse
- PTO board
- Judge by day, alligator slayer by night
- Board rethinks raising MCEDA's debt limit
- Proposed landfill permit denied by state board
- Teddy Roosevelt quotes worth remembering
- Board luncheon
- Homecoming queen
- Historic Places, Meeting scheduled to inform Belhaven residents about National Register application
- Obituaries
- Obituaries
- Sun King
- Medical groups, Trustmark sign on as sponsors for True South Classic tourney
- Hiring Engineer | 07/30/2014 - 9:45am
- New system for metro area will feature texting 911; launching in November | 07/30/2014 - 9:43am
- Property values up in Jackson | 07/30/2014 - 9:39am
- Part of Pearl still unsafe; more sections may be added | 07/30/2014 - 9:37am
- The Netherlands is a well-managed, successful country | 07/30/2014 - 8:04am
- $75 million down the drain | 07/30/2014 - 8:02am
- Scout trip | 07/30/2014 - 6:49am
- Political tension is not new to Mississippi | 07/30/2014 - 6:47am
- Schools need high speed net to make progress | 07/30/2014 - 6:44am
- Hit the trail | 07/30/2014 - 6:42am
- Political zingers not uncommon to Mississippi | 07/30/2014 - 6:40am
- Northsiders and 1954 Bentley participate in the Great Race | 07/30/2014 - 6:38am


text:
An Omaha man accused in the rape of two young girls will have to pay half a million dollars if he wants to leave jail.
Friday, a judge set Clintus Alford's bail at $5 million. Alford will have to pay 10 percent of that figure to be released.
Alford is accused of driving two girls to an Omaha hotel and telling them they would have sex with strangers for money.
The 36-year-old is on the Nebraska State Patrol's Sex Offender Registry.


text:
Green Apple Catering
Bespoke Caterers of distinction.........
Featured in Catering in Newport
Kearline Design and Print
Kearline – More Than Just Print ....
Featured in Print Management in Newport
P&M Photography
P&M Photography is an experienced photographer in Newport specialising in 360 Degree Product Photography and Virtual Tours.
Featured in Photographers in Newport
7's HR and Training
7's HR and Training in Newport provides professional HR advice and Training on an as an when required basis at very competitive prices.
Featured in HR and Employee Benefits in Newport
Ieuan the Lion Memorial Fund
Ieuan The Lion Memorial Fund is a Registered Children's Charity Number 1130709....
Featured in Charities in Newport
Ivy Wood Bookkeeping
A cost-effective, affordable, convenient and flexible 'on-demand' bookkeeping service, provided by an experienced, part-qualified accountant.
Featured in Bookkeepers in Newport
Brook Street Recruitment
Established in 1946, Brook Street has grown to become one of the UK's leading recruitment agencies, with an award winning heritage.
Featured in Recruitment Agencies in Newport
Caerleon Town Football Club
Welcome to the Caerleon Town Football Club....
Featured in Football in Newport
Clarity Copiers Newport
Clarity Digital Office Solutions (Glamorgan) The focus at Clarity is on providing a quality photocopier, supported by personal service and highly qualified engineers.
Featured in Office Equipment Leasing and Rental in Newport
Beta Telecoms
Beta Telecoms are Better Telecoms!...
Featured in Telecommunication Consultants in Newport


text:
Husqvarna AB Jobs in Baytown
Unfortunately, there are currently no Husqvarna AB jobs available in Baytown:
- Explore nearby locations on the Husqvarna AB jobs in Texas page.
- Use the job search form above.
- Upload your resume
- Subscribe to email alerts for Husqvarna AB jobs in Baytown.
Do you get a thrill from finding and solving problems? Do you enjoy providing technical support? Husqvarna Construction Products is looking for a Diamond Blade Technician for the Stone division. POSITION SUMMARY: We are seeking a Diamond Blade Technician for the Stone division in our Dallas, TX Service Center who will be responsible for supporting the Sales organization by providing hands-on suppo...
Didn't find the right job at Husqvarna AB in Baytown, Texas?
We'll keep looking and send you new jobs that match this search.
Upload your resume and let employers find you!
It's that simple!
Popular Articles
Best-Paying Work-from-Home Jobs
It's easier than ever to work from home. Of course, not every job is a mobile job, and some companies aren't interested in having their employees work from home.
2013 Marketing Jobs Outlook
The US may be facing another year of anemic hiring overall, but that won't be the case in the high-orbit world of multichannel, digital media marketing.
2013 Engineering Jobs Outlook
Engineers will find job opportunities in select disciplines in 2013, with candidates who are all-around, client-oriented businesspeople in demand.
Best-Paying Jobs by Major
What could you earn with a particular four-year degree? Find out by checking out this list of the top-paying jobs for 20 of the most common majors.
Eight High-Paying, Secure Jobs
Want to earn a good salary and enjoy a measure of job security as well? Check out these well-paying jobs on tap for fast growth in the coming years.


text:
By LORAINE ANDERSON
TRAVERSE CITY — City Manager Ben Bifoss used a piece of chalk and an old blackboard to offer what might be the clearest public explanation thus far of what happened to dump the contents of Brown Bridge Pond into the Boardman River.
"I can tell you what happened, but I can't tell you why," Bifoss told Marge Forgione, a Brown Bridge Advisory Committee member who had gathered with others in a pole barn this week to discuss the flood.
Forgione had asked if someone might show her what failed at the dam site.
Bifoss drew a rough, overhead sketch of the Brown Bridge Pond dewatering structure, including the dam, a 15-by-170-foot steel dewatering structure, and four "turbulences" of swirling muddy water that caused serious flooding and erosion inside and outside the structure.
The breach occurred Oct. 6 about 10 a.m., after workers who are removing three Boardman River dams as part of a river restoration project lifted a steel sheet from a temporary wall that separated the 20-foot-deep pond from an 18-to- 20-foot wall of stop logs at the structure's west end.
Project managers intended to move two 7.5-foot stop logs later that day to begin the slow three-week drain of the pond. The first indication of problems came when workers outside the structure saw a three-foot drop in the pond about 10-20 minutes after the metal sheet was removed.
Next, water bubbled and rushed up from the river bottom at the end of the structure.
Then, another "turbulence" appeared between the stop-log wall and the temporary steel sheet wall, Bifoss said.
Outside the structure, two more turbulences began to erode the structure's north side.
On the south side, a 25-foot sheet pile wall that originally extended from the now demolished dam powerhouse broke in two places. That allowed torrents of pond water to race along the structure's south side and into the river.
Molon Excavation general contractor Mike Walton operated the backhoe on the eroding north side. Another backhoe was moved to the south side, and over the next several hours construction crews dumped loads of concrete and rock to stabilize the structure and slow the flow into the Boardman.
Steve Largent, Boardman River program coordinator for the Grand Traverse Conservation District, said the breach and flooding around the north end "could have been twice as bad as it was, if Molon crews hadn't gotten control of it."
The Brown Bridge Advisory group oversees preservation of the city's 1,310-acre quiet area and meets several times each year. It was the group's first regular meeting since the breach.
Meeting attendees asked if the city plans to hire an independent inspector to investigate what caused the breach.
Bifoss said the city had no plans to do so. Inspectors from the project's engineering contractor and other agencies involved in the dam removal are expected to do the inspections.
The Department of Environmental Quality is taking the lead on the inspection process, he added.
City Commissioner Jim Carruthers, an advisory committee member, noted that the DEQ has been deeply involved in the project for years and questioned whether their oversight was a good idea.
David Downer, a river resident and committee member, said the Boardman River took a "big hit" from the breach.
"This is not to be trivialized," Downer said. "This is bad for fish and bad for people. I'm not a fish biologist, but I don't believe that the fish can live day after day of having that silt run through their gills. At my house, the water used to clear after a big rain like we've had this week, but it hasn't cleared."


text: Functionality is the key with our Cosmopolitan event space. The room can be used as one large meeting room or divided into two. Large windows and plenty of natural light make this a unique New York City event space. The full space is suitable for an 80 person reception, 70 person banquet or 48 person schoolroom. Individual rooms are suitable for a 40 person reception, 30 person banquet, or 21 person conference. Extraordinary events happen here!