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Understanding Cancer
Risk Factors
Nutrition and Physical Activity
Follow-up Care
Complementary Medicine
Sources of Support
The Promise of Cancer Research
About This Booklet
This National Cancer Institute (NCI) booklet (NIH Publication No. 06-1552) is about cancer of the colon and rectum. Cancer that begins in the colon is called colon cancer, and cancer that begins in the rectum is called rectal cancer. Cancer that starts in either of these organs may also be called colorectal cancer.
In 2013, about 143,000 people in the United States will be diagnosed with colorectal cancer. It is the fourth most common cancer in men, after skin, prostate, and lung cancer. It is also the fourth most common cancer in women, after skin, breast, and lung cancer.
You will read about possible risk factors, screening, symptoms, diagnosis, and treatment. You will also find lists of questions to ask your doctor. It may help to take this booklet with you to your next appointment.
The Colon and Rectum
The colon and rectum are parts of the digestive system. They form a long, muscular tube called the large intestine (also called the large bowel). The colon is the first 4 to 5 feet of the large intestine, and the rectum is the last several inches.
Partly digested food enters the colon from the small intestine. The colon removes water and nutrients from the food and turns the rest into waste (stool). The waste passes from the colon into the rectum and then out of the body through the anus.
Understanding Cancer
Cancer begins in cells, the building blocks that make up tissues. Tissues make up the organs of the body.
Normally, cells grow and divide to form new cells as the body needs them. When cells grow old, they die, and new cells take their place.
Sometimes, this orderly process goes wrong. New cells form when the body does not need them, and old cells do not die when they should. These extra cells can form a mass of tissue called a growth or tumor.
Tumors can be benign or malignant:
- Benign tumors are not cancer:
- Benign tumors are rarely life-threatening.
- Most benign tumors can be removed. They usually do not grow back.
- Benign tumors do not invade the tissues around them.
- Cells from benign tumors do not spread to other parts of the body.
- Malignant tumors are cancer:
- Malignant tumors are generally more serious than benign tumors. They may be life-threatening.
- Malignant tumors often can be removed. But sometimes they grow back.
- Malignant tumors can invade and damage nearby tissues and organs.
- Cancer cells can break away from a malignant tumor and spread to other parts of the body. Cancer cells spread by entering the bloodstream or the lymphatic system. The cancer cells form new tumors that damage other organs. The spread of cancer is called metastasis.
When colorectal cancer spreads outside the colon or rectum, cancer cells are often found in nearby lymph nodes. If cancer cells have reached these nodes, they may also have spread to other lymph nodes or other organs. Colorectal cancer cells most often spread to the liver.
When cancer spreads from its original place to another part of the body, the new tumor has the same kind of abnormal cells and the same name as the original tumor. For example, if colorectal cancer spreads to the liver, the cancer cells in the liver are actually colorectal cancer cells. The disease is metastatic colorectal cancer, not liver cancer. For that reason, it is treated as colorectal cancer, not liver cancer. Doctors call the new tumor "distant" or metastatic disease.
Risk Factors
No one knows the exact causes of colorectal cancer. Doctors often cannot explain why one person develops this disease and another does not. However, it is clear that colorectal cancer is not contagious. No one can catch this disease from another person.
Research has shown that people with certain risk factors are more likely than others to develop colorectal cancer. A risk factor is something that may increase the chance of developing a disease.
Studies have found the following risk factors for colorectal cancer:
- Age over 50: Colorectal cancer is more likely to occur as people get older. More than 90 percent of people with this disease are diagnosed after age 50. The average age at diagnosis is 72.
- Colorectal polyps: Polyps are growths on the inner wall of the colon or rectum. They are common in people over age 50. Most polyps are benign (not cancer), but some polyps (adenomas) can become cancer. Finding and removing polyps may reduce the risk of colorectal cancer.
- Family history of colorectal cancer: Close relatives (parents, brothers, sisters, or children) of a person with a history of colorectal cancer are somewhat more likely to develop this disease themselves, especially if the relative had the cancer at a young age. If many close relatives have a history of colorectal cancer, the risk is even greater.
- Genetic alterations: Changes in certain genes increase the risk of colorectal cancer.
- Hereditary nonpolyposis colon cancer (HNPCC) is the most common type of inherited (genetic) colorectal cancer. It accounts for about 2 percent of all colorectal cancer cases. It is caused by changes in an HNPCC gene. Most people with an altered HNPCC gene develop colon cancer, and the average age at diagnosis of colon cancer is 44.
- Familial adenomatous polyposis (FAP) is a rare, inherited condition in which hundreds of polyps form in the colon and rectum. It is caused by a change in a specific gene called APC. Unless FAP is treated, it usually leads to colorectal cancer by age 40. FAP accounts for less than 1 percent of all colorectal cancer cases.
Family members of people who have HNPCC or FAP can have genetic testing to check for specific genetic changes. For those who have changes in their genes, health care providers may suggest ways to try to reduce the risk of colorectal cancer, or to improve the detection of this disease. For adults with FAP, the doctor may recommend an operation to remove all or part of the colon and rectum.
- Personal history of cancer: A person who has already had colorectal cancer may develop colorectal cancer a second time. Also, women with a history of cancer of the ovary, uterus (endometrium), or breast are at a somewhat higher risk of developing colorectal cancer.
- Ulcerative colitis or Crohn disease: A person who has had a condition that causes inflammation of the colon (such as ulcerative colitis or Crohn's disease) for many years is at increased risk of developing colorectal cancer.
- Diet: Studies suggest that diets high in fat (especially animal fat) and low in calcium, folate, and fiber may increase the risk of colorectal cancer. Also, some studies suggest that people who eat a diet very low in fruits and vegetables may have a higher risk of colorectal cancer. However, results from diet studies do not always agree, and more research is needed to better understand how diet affects the risk of colorectal cancer.
- Cigarette smoking: A person who smokes cigarettes may be at increased risk of developing polyps and colorectal cancer.
Because people who have colorectal cancer may develop colorectal cancer a second time, it is important to have checkups. If you have colorectal cancer, you also may be concerned that your family members may develop the disease. People who think they may be at risk should talk to their doctor. The doctor may be able to suggest ways to reduce the risk and can plan an appropriate schedule for checkups. See the "Screening" section to learn more about tests that can find polyps or colorectal cancer.
Screening tests help your doctor find polyps or cancer before you have symptoms. Finding and removing polyps may prevent colorectal cancer. Also, treatment for colorectal cancer is more likely to be effective when the disease is found early.
To find polyps or early colorectal cancer:
- People in their 50s and older should be screened.
- People who are at higher-than-average risk of colorectal cancer should talk with their doctor about whether to have screening tests before age 50, what tests to have, the benefits and risks of each test, and how often to schedule appointments.
The following screening tests can be used to detect polyps, cancer, or other abnormal areas.
Your doctor can explain more about each test:
- Fecal occult blood test (FOBT): Sometimes cancers or polyps bleed, and the FOBT can detect tiny amounts of blood in the stool. If this test detects blood, other tests are needed to find the source of the blood. Benign conditions (such as hemorrhoids) also can cause blood in the stool.
- Sigmoidoscopy: Your doctor checks inside your rectum and the lower part of the colon with a lighted tube called a sigmoidoscope. If polyps are found, the doctor removes them. The procedure to remove polyps is called a polypectomy.
- Colonoscopy: Your doctor examines inside the rectum and entire colon using a long, lighted tube called a colonoscope. Your doctor removes polyps that may be found.
- Double-contrast barium enema: You are given an enema with a barium solution, and air is pumped into your rectum. Several x-ray pictures are taken of your colon and rectum. The barium and air help your colon and rectum show up on the pictures. Polyps or tumors may show up.
- Digital rectal exam: A rectal exam is often part of a routine physical examination. Your doctor inserts a lubricated, gloved finger into your rectum to feel for abnormal areas.
- Virtual colonoscopy: This method is under study. See "The Promise of Cancer Research."
You may find it helpful to read the NCI fact sheet Tests to Detect Colorectal Cancer and Polyps.
You may want to ask your doctor the following questions about screening:
- Which tests do you recommend for me? Why?
- How much do the tests cost? Will my health insurance plan help pay for screening tests?
- Are the tests painful?
- How soon after the tests will I learn the results?
A common symptom of colorectal cancer is a change in bowel habits. Symptoms include:
- Having diarrhea or constipation
- Feeling that your bowel does not empty completely
- Finding blood (either bright red or very dark) in your stool
- Finding your stools are narrower than usual
- Frequently having gas pains or cramps, or feeling full or bloated
- Losing weight with no known reason
- Feeling very tired all the time
- Having nausea or vomiting
Most often, these symptoms are not due to cancer. Other health problems can cause the same symptoms. Anyone with these symptoms should see a doctor to be diagnosed and treated as early as possible.
Usually, early cancer does not cause pain. It is important not to wait to feel pain before seeing a doctor.
If you have screening test results that suggest cancer or you have symptoms, your doctor must find out whether they are due to cancer or some other cause. Your doctor asks about your personal and family medical history and gives you a physical exam. You may have one or more of the tests described in the "Screening" section.
If your physical exam and test results do not suggest cancer, your doctor may decide that no further tests are needed and no treatment is necessary. However, your doctor may recommend a schedule for checkups.
If tests show an abnormal area (such as a polyp), a biopsy to check for cancer cells may be necessary. Often, the abnormal tissue can be removed during colonoscopy or sigmoidoscopy. A pathologist checks the tissue for cancer cells using a microscope.
You may want to ask your doctor these questions before having a biopsy:
- How will the biopsy be done?
- Will I have to go to the hospital for the biopsy?
- How long will it take? Will I be awake? Will it hurt?
- Are there any risks? What are the chances of infection or bleeding after the biopsy?
- How long will it take me to recover? When can I resume a normal diet?
- How soon will I know the results?
- If I do have cancer, who will talk to me about the next steps? When?
If the biopsy shows that cancer is present, your doctor needs to know the extent (stage) of the disease to plan the best treatment. The stage is based on whether the tumor has invaded nearby tissues, whether the cancer has spread and, if so, to what parts of the body.
Your doctor may order some of the following tests:
- Blood tests: Your doctor checks for carcinoembryonic antigen (CEA) and other substances in the blood. Some people who have colorectal cancer or other conditions have a high CEA level.
- Colonoscopy: If colonoscopy was not performed for diagnosis, your doctor checks for abnormal areas along the entire length of the colon and rectum with a colonoscope.
- Endorectal ultrasound: An ultrasound probe is inserted into your rectum. The probe sends out sound waves that people cannot hear. The waves bounce off your rectum and nearby tissues, and a computer uses the echoes to create a picture. The picture may show how deep a rectal tumor has grown or whether the cancer has spread to lymph nodes or other nearby tissues.
- Chest x-ray: X-rays of your chest may show whether cancer has spread to your lungs.
- CT scan: An x-ray machine linked to a computer takes a series of detailed pictures of areas inside your body. You may receive an injection of dye. A CT scan may show whether cancer has spread to the liver, lungs, or other organs.
Your doctor may also use other tests (such as MRI) to see whether the cancer has spread. Sometimes staging is not complete until after surgery to remove the tumor. (Surgery for colorectal cancer is described in the "Treatment" section.)
Doctors describe colorectal cancer by the following stages:
- Stage 0: The cancer is found only in the innermost lining of the colon or rectum. Carcinoma in situ is another name for Stage 0 colorectal cancer.
- Stage I: The tumor has grown into the inner wall of the colon or rectum. The tumor has not grown through the wall.
- Stage II: The tumor extends more deeply into or through the wall of the colon or rectum. It may have invaded nearby tissue, but cancer cells have not spread to the lymph nodes.
- Stage III: The cancer has spread to nearby lymph nodes, but not to other parts of the body.
- Stage IV: The cancer has spread to other parts of the body, such as the liver or lungs.
- Recurrence: This is cancer that has been treated and has returned after a period of time when the cancer could not be detected. The disease may return in the colon or rectum, or in another part of the body.
Many people with colorectal cancer want to take an active part in making decisions about their medical care. It is natural to want to learn all you can about your disease and treatment choices. However, shock and stress after the diagnosis can make it hard to think of everything you want to ask your doctor. It often helps to make a list of questions before an appointment.
To help remember what your doctor says, you may take notes or ask whether you may use a tape recorder. You may also want to have a family member or friend with you when you talk to your doctor -- to take part in the discussion, to take notes, or just to listen.
You do not need to ask all your questions at once. You will have other chances to ask your doctor or nurse to explain things that are not clear and to ask for more details.
Your doctor may refer you to a specialist who has experience treating colorectal cancer, or you may ask for a referral. Specialists who treat colorectal cancer include gastroenterologists (doctors who specialize in diseases of the digestive system), surgeons, medical oncologists, and radiation oncologists. You may have a team of doctors.
Getting a Second OpinionBefore starting treatment, you might want a second opinion about your diagnosis and treatment plan. Many insurance companies cover a second opinion if you or your doctor requests it.
It may take some time and effort to gather medical records and arrange to see another doctor. Usually it is not a problem to take several weeks to get a second opinion. In most cases, the delay in starting treatment will not make treatment less effective. To make sure, you should discuss this delay with your doctor. Sometimes people with colorectal cancer need treatment right away.
There are a number of ways to find a doctor for a second opinion:
- Your doctor may refer you to one or more specialists.
- NCI's Cancer Information Service, at 1-800-4-CANCER, can tell you about nearby treatment centers. Information Specialists also can assist you online through LiveHelp (https://livehelp.cancer.gov).
- A local or state medical society, a nearby hospital, or a medical school can usually provide the names of specialists.
- NCI provides a helpful fact sheet called "How To Find a Doctor or Treatment Facility If You Have Cancer."
Treatment Methods
The choice of treatment depends mainly on the location of the tumor in the colon or rectum and the stage of the disease. Treatment for colorectal cancer may involve surgery, chemotherapy, biological therapy or radiation therapy. Some people have a combination of treatments. These treatments are described below.
Colon cancer sometimes is treated differently from rectal cancer. Treatments for colon and rectal cancer are described separately below.
Your doctor can describe your treatment choices and the expected results. You and your doctor can work together to develop a treatment plan that meets your needs.
Cancer treatment is either local therapy or systemic therapy:
- Local therapy: Surgery and radiation therapy are local therapies. They remove or destroy cancer in or near the colon or rectum. When colorectal cancer has spread to other parts of the body, local therapy may be used to control the disease in those specific areas.
- Systemic therapy: Chemotherapy and biological therapy are systemic therapies. The drugs enter the bloodstream and destroy or control cancer throughout the body.
Because cancer treatments often damage healthy cells and tissues, side effects are common. Side effects depend mainly on the type and extent of the treatment. Side effects may not be the same for each person, and they may change from one treatment session to the next. Before treatment starts, your health care team will explain possible side effects and suggest ways to help you manage them.
At any stage of disease, supportive care is available to relieve the side effects of treatment, to control pain and other symptoms, and to ease emotional concerns. Information about such care is available on NCI's Web site at www.cancer.gov/cancertopics/coping, and from Information Specialists at 1-800-4-CANCER or LiveHelp (http://www.cancer.gov/livehelp).
You may want to talk to your doctor about taking part in a clinical trial, a research study of new treatment methods. "The Promise of Cancer Research" has more information about clinical trials.
You may want to ask your doctor these questions before treatment begins:
- What is the stage of the disease? Has the cancer spread?
- What are my treatment choices? Which do you suggest for me? Will I have more than one kind of treatment?
- What are the expected benefits of each kind of treatment?
- What are the risks and possible side effects of each treatment? How can the side effects be managed?
- What can I do to prepare for treatment?
- How will treatment affect my normal activities? Am I likely to have urinary problems? What about bowel problems, such as diarrhea or rectal bleeding? Will treatment affect my sex life?
- What will the treatment cost? Is this treatment covered by my insurance plan?
Surgery is the most common treatment for colorectal cancer.
- Colonoscopy: A small malignant polyp may be removed from your colon or upper rectum with a colonoscope. Some small tumors in the lower rectum can be removed through your anus without a colonoscope.
- Laparoscopy: Early colon cancer may be removed with the aid of a thin, lighted tube (laparoscope). Three or four tiny cuts are made into your abdomen. The surgeon sees inside your abdomen with the laparoscope. The tumor and part of the healthy colon are removed. Nearby lymph nodes also may be removed. The surgeon checks the rest of your intestine and your liver to see if the cancer has spread.
- Open surgery: The surgeon makes a large cut into your abdomen to remove the tumor and part of the healthy colon or rectum. Some nearby lymph nodes are also removed. The surgeon checks the rest of your intestine and your liver to see if the cancer has spread.
When a section of your colon or rectum is removed, the surgeon can usually reconnect the healthy parts. However, sometimes reconnection is not possible. In this case, the surgeon creates a new path for waste to leave your body. The surgeon makes an opening (stoma) in the wall of the abdomen, connects the upper end of the intestine to the stoma, and closes the other end. The operation to create the stoma is called a colostomy. A flat bag fits over the stoma to collect waste, and a special adhesive holds it in place.
For most people, the stoma is temporary. It is needed only until the colon or rectum heals from surgery. After healing takes place, the surgeon reconnects the parts of the intestine and closes the stoma. Some people, especially those with a tumor in the lower rectum, need a permanent stoma.
People who have a colostomy may have irritation of the skin around the stoma. Your doctor, your nurse, or an enterostomal therapist can teach you how to clean the area and prevent irritation and infection. The "Rehabilitation" section has more information about how people learn to care for a stoma.
The time it takes to heal after surgery is different for each person. You may be uncomfortable for the first few days. Medicine can help control your pain. Before surgery, you should discuss the plan for pain relief with your doctor or nurse. After surgery, your doctor can adjust the plan if you need more pain relief.
It is common to feel tired or weak for a while. Also, surgery sometimes causes constipation or diarrhea. Your health care team monitors you for signs of bleeding, infection, or other problems requiring immediate treatment.
You may want to ask your doctor these questions before having surgery:
- What kind of operation do you recommend for me?
- Do I need any lymph nodes removed? Will other tissues be removed? Why?
- What are the risks of surgery? Will I have any lasting side effects?
- Will I need a colostomy? If so, will the stoma be permanent?
- How will I feel after the operation?
- If I have pain, how will it be controlled?
- How long will I be in the hospital?
- When can I get back to my normal activities
Chemotherapy uses anticancer drugs to kill cancer cells. The drugs enter the bloodstream and can affect cancer cells all over the body.
Anticancer drugs are usually given through a vein, but some may be given by mouth. You may be treated in an outpatient part of the hospital, at the doctor's office, or at home. Rarely, a hospital stay may be needed.
The side effects of chemotherapy depend mainly on the specific drugs and the dose. The drugs can harm normal cells that divide rapidly:
- Blood cells: These cells fight infection, help blood to clot, and carry oxygen to all parts of your body. When drugs affect your blood cells, you are more likely to get infections, bruise or bleed easily, and feel very weak and tired.
- Cells in hair roots: Chemotherapy can cause hair loss. Your hair will grow back, but it may be somewhat different in color and texture.
- Cells that line the digestive tract: Chemotherapy can cause poor appetite, nausea and vomiting, diarrhea, or mouth and lip sores.
Chemotherapy for colorectal cancer can cause the skin on the palms of the hands and bottoms of the feet to become red and painful. The skin may peel off.
Your health care team can suggest ways to control many of these side effects. Most side effects usually go away after treatment ends.
You may find it helpful to read NCI's booklet Chemotherapy and You.
Biological Therapy
Some people with colorectal cancer that has spread receive a monoclonal antibody, a type of biological therapy. The monoclonal antibodies bind to colorectal cancer cells. They interfere with cancer cell growth and the spread of cancer. People receive monoclonal antibodies through a vein at the doctor's office, hospital, or clinic. Some people receive chemotherapy at the same time.
During treatment, your health care team will watch for signs of problems. Some people get medicine to prevent a possible allergic reaction. The side effects depend mainly on the monoclonal antibody used. Side effects may include rash, fever, abdominal pain, vomiting, diarrhea, blood pressure changes, bleeding, or breathing problems. Side effects usually become milder after the first treatment.
You may find it helpful to read NCI's booklet Biological Therapy.
You may want to ask your doctor these questions before having chemotherapy or biological therapy:
- What drugs will I have? What will they do?
- When will treatment start? When will it end? How often will I have treatments?
- Where will I go for treatment? Will I be able to drive home afterward?
- What can I do to take care of myself during treatment?
- How will we know the treatment is working?
- Which side effects should I tell you about?
- Will there be long-term effects?
Radiation Therapy
Radiation therapy (also called radiotherapy) uses high-energy rays to kill cancer cells. It affects cancer cells only in the treated area.
Doctors use different types of radiation therapy to treat cancer. Sometimes people receive two types:
- External radiation: The radiation comes from a machine. The most common type of machine used for radiation therapy is called a linear accelerator. Most patients go to the hospital or clinic for their treatment, generally 5 days a week for several weeks.
- Internal radiation (implant radiation or brachytherapy): The radiation comes from radioactive material placed in thin tubes put directly into or near the tumor. The patient stays in the hospital, and the implants generally remain in place for several days. Usually they are removed before the patient goes home.
- Intraoperative radiation therapy (IORT): In some cases, radiation is given during surgery.
Side effects depend mainly on the amount of radiation given and the part of your body that is treated. Radiation therapy to your abdomen and pelvis may cause nausea, vomiting, diarrhea, bloody stools, or urgent bowel movements. It also may cause urinary problems, such as being unable to stop the flow of urine from the bladder. In addition, your skin in the treated area may become red, dry, and tender. The skin near the anus is especially sensitive.
You are likely to become very tired during radiation therapy, especially in the later weeks of treatment. Resting is important, but doctors usually advise patients to try to stay as active as they can.
Although the side effects of radiation therapy can be distressing, your doctor can usually treat or control them. Also, side effects usually go away after treatment ends.
You may find it helpful to read NCI's booklet Radiation Therapy and You.
You may want to ask your doctor these questions about radiation therapy:
- Why do I need this treatment?
- When will the treatments begin? When will they end?
- How will I feel during treatment?
- How will we know if the radiation treatment is working?
- What can I do to take care of myself during treatment?
- Can I continue my normal activities?
- Are there any lasting effects?
Treatment for Colon Cancer
Most patients with colon cancer are treated with surgery. Some people have both surgery and chemotherapy. Some with advanced disease get biological therapy.
A colostomy is seldom needed for people with colon cancer.
Although radiation therapy is rarely used to treat colon cancer, sometimes it is used to relieve pain and other symptoms.
Treatment for Rectal Cancer
For all stages of rectal cancer, surgery is the most common treatment. Some patients receive surgery, radiation therapy, and chemotherapy. Some with advanced disease get biological therapy.
About 1 out of 8 people with rectal cancer needs a permanent colostomy.
Radiation therapy may be used before and after surgery. Some people have radiation therapy before surgery to shrink the tumor, and some have it after surgery to kill cancer cells that may remain in the area. At some hospitals, patients may have radiation therapy during surgery. People also may have radiation therapy to relieve pain and other problems caused by the cancer.
Nutrition and Physical Activity
It is important to eat well and stay as active as you can.
You need the right amount of calories to maintain a good weight during and after cancer treatment. You also need enough protein, vitamins, and minerals. Eating well may help you feel better and have more energy.
Eating well can be hard. Sometimes, especially during or soon after treatment, you may not feel like eating. You may be uncomfortable or tired. You may find that foods do not taste as good as they used to. You also may have nausea, vomiting, diarrhea, or mouth sores.
Your doctor, dietitian, or other health care provider can suggest ways to deal with these problems. The NCI booklet Eating Hints has many useful ideas and recipes.
Many people find they feel better when they stay active. Walking, yoga, swimming, and other activities can keep you strong and increase your energy. Whatever physical activity you choose, be sure to talk to your doctor before you start. Also, if your activity causes you pain or other problems, be sure to let your doctor or nurse know about it.
Rehabilitation is an important part of cancer care. Your health care team makes every effort to help you return to normal activities as soon as possible.
If you have a stoma, you need to learn to care for it. Doctors, nurses, and enterostomal therapists can help. Often, enterostomal therapists visit you before surgery to discuss what to expect. They teach you how to care for the stoma after surgery. They talk about lifestyle issues, including emotional, physical, and sexual concerns. Often they can provide information about resources and support groups.
Follow-up Care
Follow-up care after treatment for colorectal cancer is important. Even when the cancer seems to have been completely removed or destroyed, the disease sometimes returns because undetected cancer cells remained somewhere in the body after treatment. Your doctor monitors your recovery and checks for recurrence of the cancer. Checkups help ensure that any changes in health are noted and treated if needed.
Checkups may include a physical exam (including a digital rectal exam), lab tests (including fecal occult blood test and CEA test), colonoscopy, x-rays, CT scans, or other tests.
If you have any health problems between checkups, you should contact your doctor.
You may wish to get the NCI booklet Facing Forward: Life After Cancer Treatment. It answers questions about follow-up care and other concerns. It also describes how to talk with your doctor about making a plan of action for recovery and future health.
Complementary Medicine
It is natural to want to help yourself feel better. Some people with cancer say that complementary medicine helps them feel better. An approach is called complementary medicine when it is used along with standard treatment. Acupuncture, massage therapy, herbal products, vitamins or special diets, and meditation are examples of such approaches.
Talk with your doctor if you are thinking about trying anything new. Things that seem safe, such as certain herbal teas, may change the way standard treatment works. These changes could be harmful. And some approaches could be harmful even if used alone.
You may find it helpful to read the NCI booklet Thinking About Complementary & Alternative Medicine: A guide for people with cancer.
You also may request materials from the National Center for Complementary and Alternative Medicine, which is part of the National Institutes of Health. You can reach their clearinghouse at 1-888-644-6226 (voice) and 1-866-464-3615 (TTY). In addition, you can visit their Web site at http://www.nccam.nih.gov.
You may want to ask your doctor these questions before you decide to try complementary medicine:
- What benefits can I expect from this approach?
- What are its risks?
- Do the expected benefits outweigh the risks?
- What side effects should I watch for?
- Will this approach change the way my cancer treatment works? Could this be harmful?
- Is this approach under study in a clinical trial?
- How much will it cost? Will my health insurance pay for this approach?
- Can you refer me to a complementary medicine practitioner?
Sources of Support
Living with a serious disease such as colorectal cancer is not easy. You may worry about caring for your family, keeping your job, or continuing daily activities. Concerns about treatments and managing side effects, hospital stays, and medical bills are also common. Doctors, nurses, and other members of your health care team can answer questions about treatment, working, or other activities. Meeting with a social worker, counselor, or member of the clergy also can be helpful if you want to talk about your feelings or concerns. Often, a social worker can suggest resources for financial aid, transportation, home care, or emotional support.
Support groups also can help. In these groups, patients or their family members meet with other patients or their families to share what they have learned about coping with the disease and the effects of treatment. Groups may offer support in person, over the telephone, or on the Internet. You may want to talk with a member of your health care team about finding a support group.
Information Specialists at 1-800-4-CANCER and at LiveHelp (https://livehelp.cancer.gov) can help you locate programs, services, and publications. Also, you may want to look at NCI's list of organizations that offer support services.
For tips on coping, you may want to read the NCI booklet Taking Time: Support for People With Cancer.
The Promise of Cancer Research
Doctors all over the country are conducting many types of clinical trials (research studies in which people volunteer to take part). Doctors are studying new ways to prevent, detect, and treat colorectal cancer.
Clinical trials are designed to answer important questions and to find out whether the new approach is safe and effective. Research already has led to advances, and researchers continue to search for more effective approaches.
People who join clinical trials may be among the first to benefit if a new approach is shown to be effective. And if participants do not benefit directly, they may still make an important contribution to medicine by helping doctors learn more about the disease and how to control it. Although clinical trials may pose some risks, researchers do all they can to protect their patients.
If you are interested in being part of a clinical trial, talk with your doctor. You may want to read the NCI booklet Taking Part in Cancer Treatment Research Studies. It explains how clinical trials are carried out and explains their possible benefits and risks.
NCI's Web site includes a section on clinical trials at http://www.cancer.gov/clinicaltrials with general information about clinical trials as well as detailed information about specific ongoing studies of colorectal cancer. The Cancer Information Service at 1-800-4-CANCER or at LiveHelp (https://livehelp.cancer.gov) can answer questions and provide information about clinical trials.
Research on Prevention
Research is being done to test whether certain dietary supplements or drugs may help prevent colorectal cancer. For example, researchers across the country are studying vitamin D and calcium supplements, selenium supplements, and the drug celecoxib, in people with polyps.
Research on Screening and Diagnosis
Scientists are testing new ways to check for polyps and colorectal cancer. NCI-supported researchers are studying virtual colonoscopy. This is a CT scan of the colon. It makes x-ray pictures of the inside of the colon.
Research on Treatment
Researchers are studying chemotherapy and biological therapy. They are studying new drugs, new combinations, and different doses. In addition, researchers are looking at ways to lessen the side effects of treatment.


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Lamp Heaters
Westside Wholesale offers a wide range of lamp heating devices for bathrooms. An ideal solution was created by the industry's leading U.S. manufacturers NuTone and Air King that during few decades earned them a great reputation thanks to their innovative plumbing fixtures and devices. If you are seeking bathroom lamp heaters providing instant warmth and maximum convenience you are at the right place.
Take care of your family by ordering one of quintessential accessories for a bathroom. Most lamp heaters offered at Westside Wholesale are amazing 3-in-1 devices that can outstandingly perform in three basic features – as a bathroom light source, a built-in heater and a quiet exhaust fan. Stay warm during cold months and save your bathroom from excessive moisture and bad ventilation utilizing the multifunctional lamp heaters offered at Westside Wholesale.
We collaborate with the leading companies specializing in the manufacturing of innovative plumbing fixtures and devices. One of such manufacturers is a U.S. based company Broan-NuTone that produces fan/heat/light units ready for efficient and cost-effective operation. Energy efficiency is supplemented by multiple functions these devices can offer. For example, you can easily turn your bathroom into an oasis of light and warmth thanks to NuTone units because of the built-in heat controls and backdraft shutters.
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How to Select
How to Shop Lamp Heaters
It's not a secret that all of us are constantly trying to find the most convenient ways to save our family budget, improving the strategy of home economy. Amid the contemporary household appliances production, which provides the homeowners with up-to-date and energy efficient smart devices, it becomes easier and easier to reduce the average amount of expenditures intended for daily household keeping. One of such useful appliances is a bathroom heater combined with a lighting fixture. There is no need any more to install a heater and lighting separately from each other. Now there is a unique possibility to combine these two functions in one device and save family budget.
So, what are the main things you should consider when choosing a proper lamp heater?
Room Size. First of all, decide upon the bathroom size and the size of the future heater. The lamp heaters are more effective if they are installed in small rooms with low ceilings. Any bathroom can be related to three main size types:
- A Small Room, which size does not exceed 10 cubed meters.
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- A Large Room, which size exceeds 20 cubed meters.
Bulb Types. The contemporary lamp heaters manufacturers have managed to create the light bulbs that can provide both normal light and infrared radiation for room heating. Such bulbs direct the instant warmth right after being switched on. They have special construction that protects these bulbs from moisture and water splashing. Besides, bulbs used in lamp heaters have a sufficiently long lifespan.
Heat and Light Connections. When choosing a proper lamp heater it is important to ensure that the heater is provided with the option of a separate switching for lighting and heating components. Otherwise, each time you need to turn on the light, you will also need to turn on the heater.
Ventilation. Most of the lamp heaters are also equipped with a ventilation function. A built in fan helps to cope with fume and steam accumulation, saves from dampness, and in combination with heater can spread the warmth evenly throughout the whole room without heating just one concrete spot.
Extra Features. All lamp heaters can be fitted out with additional features that significantly simplify the heater's workflow. One of such features, which could be considered during the heater purchasing, is an automatic thermal cutout. It saves the device from overheating and potential damages.
These are only several of the most important factors to consider when choosing a lamp heater. There are many other options that should be considered while shopping, but regardless of what kind of lamp heater you choose, the main merit of a standard lamp heater will remain the same – a warm and cozy bathroom in any season.


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I always here people say their getting in "elk hunting shape," and decided to see what other people consider good elk hunting shape.
I always here people say their getting in "elk hunting shape," and decided to see what other people consider good elk hunting shape.
Last edited by montanahunter10; 03-03-2013 at 03:21 PM.
Let me begin by saying I will be 72 this October. I work out in a gym 3 or 4 days a week doing mostly cardio stuff on the treadmill and stairmaster. I also do leg work on the weight machines. My workouts take about 1 1/2 hours. During the spring/summer/fall, I walk 3 to 4 miles over hilly terrain near my place 3 to 4 days a week in the evenings.
The hardest part for most hunters (IMHO) is getting used to the altitude, especially the ones who live at less than around 3000 feet. I live at 6800 feet so I have a distinct advantage in that respect.
At my age and even with a total knee replacement that is 10 years old, I can usually keep at it all day. Each summer I do several high altitude hikes in a local wilderness area to fish. Usually do the 10 or so mile roundtrip in a day and hike to 11,000 to fish.
Just keep at it, and at my age, no looking back as they might be catching up!!!
Colorado Cowboy
Cowboy Action Shooter; Endowment Life Member-NRA
The Original Rocket Scientist-Retired
"My Father always considered a walk in the mountains as the equivalent of church going."
Aldous Huxley
I lift weights 5 days a week year round with cardio mixed in. Once the beginning of March comes I start training for a 5K and 10k. This year I am also going to do the Tough Mudder Race in Beaver Creek. By the time June rolls around I can easily run 6+ miles. I also like to back pack during the summer, it is the best way to scout.
A bad day in the woods is better than a good day at work.
Shoot the best, Shoot PSE!
Depends where you hunt. If you're a flatlander, and are planning on hunting at timberline in Colorado. Those 3 miles will barely get you through the first day.
just being and working at an altitude above 7000 ft. is enough.
You can take a hike around your house and not be wasted. Right?
I have worked at above 10,000 ft and when hunting season came it was no big deal. I didn't have to go to the gym and I didn't have to do a marathon all summer to train.
It's the oxygen that your body can handle. If you are not out of shape and climatize to the high country your body adjust to the lack of oxygen, Then it's just hunting at that point
Walking around your house and climbing up and down mountains are 2 different things, it's always beneficial to be in shape no matter what altitude you live at.
-NRA Life Member
-Wild Sheep Foundation, <1 club
well last year was my first year hunting the back country and i hunted with a guide that was in very good shape. I worked out at a club for a hour a day very high intensity. there was times i could not catch my breath, do to altitude so it would take me a min to slow my breathing. i live at about 1000 feet. hunted 9-11, but when i would say by the end of the week when my body got use to it he was following me up that mountain. but yes with my high intensity work out the soreness went away over time day to day and when i hunted i woke up feeling good ready to hit it again. but then again i'm on 27 haha.


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Community Information Database
You are browsing the Subject Heading Outreach Programs which contains 23 record(s)
- African American Community Health Project
Founded in spring of 1998, ABC responded to the need for culturally appropriate education and outreach to African-Americans on the central coast. Our goals are to make a healthier African-American co... [Full Record] [Add to Personal List]
- Alzheimer's Association, Santa Cruz Area Office
Office is at the Elena Baskin Senior Center (Formerly Live Oak Senior Center). Provides information and referral to caregivers and victims of Alzheimer's disease. Speakers available for communit... [Full Record] [Add to Personal List]
- California Rural Legal Assistance Inc.
Private, non-profit law office which provides free legal services to low income persons in the areas of housing, foreclosures, fair housing, public benefits (Cal-WORKS, General Assistance, Food Stamps... [Full Record] [Add to Personal List]
- Center for Agroecology and Sustainable Food Systems
Office Hours/Phone Access: Monday-Friday 9am-5pm Facilities are open daily 8am-6pm Research, education and community service group dedicated to the development of sustainable agriculture. Offers ... [Full Record] [Add to Personal List]
- Davenport Resource Service Center
The Davenport Resource Service Center, or DRSC, aims to build a strong and integrated community on Santa Cruz County's rural North Coast. The Center serves as an advocate and resource for the are... [Full Record] [Add to Personal List]
- Downtown Branch Library
Provides library materials and services to all county residents, including information services, children's services, and services to the home-bound. The library circulates books, periodicals, co... [Full Record] [Add to Personal List]
- HSA Homeless Persons Health Project/Coral Street Homeless Health Clinic
The Homeless Persons Health Project (HPHP) provides services throughout Santa Cruz County to homeless or marginally housed youth, adults, and families with children. HPHP works along side homeless ... [Full Record] [Add to Personal List]
- Katz Cancer Resource Center
The Katz Cancer Resource Center is staffed by full-time oncology nurses and provides access to information and services relating to all aspects of cancer care and management. Individuals with cancer ... [Full Record] [Add to Personal List]
- Lupus Foundation of Northern California
PPara asistencia en espanol, favor de llamar al (408) 954-9600, de Martes a Viernes, de 9 de la manana hasta la 1 de la tarde. Assistance in Tagalog, Ilocano and Bengali also available. Provides t... [Full Record] [Add to Personal List]
- Mountain Community Resources
Mountain Community Resources (MCR) is a local family resource center that has been serving the San Lorenzo Valley and Scotts Valley communities since 1982. We offer a network of programs and services ... [Full Record] [Add to Personal List]


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Curmudgeon's Corner
cur-mud-geon: anyone who hates hypocrisy and pretense and has the temerity to say so; anyone with the habit of pointing out unpleasant facts in an engaging and humorous manner
A Few Democrats Are Blocking Voter ID...
Statewide polls show that us citizens favor a voter ID requirement by margins of from 65% to as high as 72% depending upon which polls you wish to believe. There has been a proposed amendment making its way through the two votes by the Senate and by the Assembly that will permit such a constitutional amendment to be added in Wisconsin. That has now been approved by the Assembly twice and by the Senate once. It needs Senate approval during the remaining days of this session which is set to end on March 13th.
You have probably heard about the current voter ID dust-up in Madison. The Senate is, of course, controlled by the Democrats. Sen Fred Risser, a Democrat from the Madison area is currently the Senate President. He blocked a request for consideration of this amendment for the second and final time a couple of days ago. Republicans sought his approval to bring this question for final debate and voting, and he quickly recognized a motion for adjournment, gaveled the session closed and stole away while being bombarded with boos and whistles. Those were coming from not just the Republicans but also from some Democrats.
Spitzer's Trail Of Carnage...
Eliot Spitzer was the New York State Attorney General before he became Governor of that state. Spitzer has the well-deserved reputation as a 'pit bull'. The Wall Street Journal editors brought up his trail of carnage (my term) today discussing what he did to major organizations in America with his 'pit bull' style of threatening companies with enough damage to cause them to 'voluntarily' do as he directed they do. He made himself the investigator, the accuser, the judge and the jury.
The two companies mentioned this morning are AIG, the world's largest insurance organization, at least at that time, and Marsh & McLennan, a leading U.S. insurance brokerage organization. Spitzer's threats caused both companies to fire their Chairmen. Both companies have been on a downhill slide ever since costing shareholders huge sums of money in retirement funds, stock portfolios and so forth. Many of these investors are you and me, whether or not we know it.
New Elementary School Or No New Elementary School?
The question posed above is that which we will see on the April 1st ballots in the Germantown School District. The District obviously encompasses more than just the Village of Germantown.
We have come to expect an almost constant preprogrammed reaction against proposed school building referenda issues and probably for good reason in many instances. There has been over-reaching to be found in more than one referendum across the state, and each of those instances affects every other referendum issue to follow. Taxpayers are being made to pay more and more virtually every year and there is the feeling that 'enough is enough' prevailing in our society.
Agility Tests For Firefighters Killed Until 2009 Or Later...
The Germantown Police and Fire Commission has apparently reversed its earlier decision on the subject of Candidate Physical Agility Tests according to an article in GermantownNow yesterday. This, according to Village President Tom Kempinski was caused by the lack of funding in the current budget. Trustee William Seitz was also quoted as questioning the need for the new test, and apparently said that this new test could cause interested applicants to decide against applying.
The test, commonly referred to as the CPAT, has a cost in the range of $45 to $100 per candidate and that is dependent upon where the test is administered. Up to this point, the Germantown Fire Department has been administering its own test for candidates desiring to become firefighters. That was done without a budget line item and was therefore deemed to cost nothing since the people administering the tests would've been on site anyway. The locally administered test is lacking compared to the CPAT that you'll see described below.
Troha Case Sentence Is Troubling...
U.S. District Judge J.P. Stadtmueller handed down his sentence of Kenosha trucking magnate Dennis Troha yesterday, and his reasoning leaves me in wonder. You can find the full article at JSOnline.
The upshot is this: Judge Stadtmueller gave Troha probation even though federal sentencing guidelines called for 10 to 16 months. The charges involved illegal campaign contributions of some $60,000 to the campaign fund of Rep. Paul Ryan (who has since given all that money to charities), and some $100,000 to Governor Doyle's campaign fund (whose aides say that he'll rid himself of this money if any of it was found to be illegal). On that point, let us see just how long it now will take the good Governor to get rid of that money and to which entities it will go. Never mind, I guess, that Troha had already entered his guilty plea some time ago; and, that this would be seen in most all circles as to connote that the money was illegally given. We certainly wouldn't want to rush the Governor into parting with ill-gotten funds, now would we?
State Senate Race Series Begins...
The race for State Senate between the incumbent, Alberta Darling (R), and the challenger, Sheldon Wasserman (D), is nearing its conclusion. Is it just me, or has this race become subdued to the point that we hear little to nothing about it? We were treated to the door-to-door campaign of Rep. Wasserman and we have seen the press releases offered and listening sessions offered by Sen. Darling, but, beyond that, this race seems to have gone into dormancy.
With the cooperation of each candidate, which has been pledged, we'll see if we can cast the spotlight on their respective positions on various issues as we move toward the April 1st decision date. We have some idea based upon the voting records of each even though Rep. Wasserman has voted in the Assembly while Sen. Darling has voted in the Senate.
Love Is...
This is admittedly not very 'curmudgeonly', but it hit my e-mail in-box and seemed something to share...since I know a person who does something very similar with his wife.
'It was a busy morning, about 8:30, when an elderly gentleman in his 80's arrived to have stitches removed from his thumb. He said he was in a hurry as he had an appointment at 9:00AM. I took his vital signs and had him take a seat, knowing it would be over an hour before someone would be able to see him. I saw him looking at his watch and decided, since I was not busy with another patient, I would evaluate his wound.
Spitzer Appears To Be Caught In His Own Trail Of Carnage...
A short week ago I wrote about Eliot Spitzer and the havoc that he had wrought as the Attorney General of the State of New York. I referred to the 'trail of carnage' that he had left behind in his quest for higher office.
Yesterday the press reported about his apparent involvement in a prostitution ring, and we witnessed his non-apology apology delivered in front of his weary and saddened wife. Eliot Spitzer appears to have been caught up in his own 'trail of carnage' as has his wife and their three daughters. He will likely be forced from office in disgrace; he could be indicted on federal charges since the prostitute traveled across state lines to meet him in his Washington, D.C. hotel room where he registered in the name of one of his friends.
Prohibition Continues To Haunt Us...
Prohibition continues to have effects upon us Wisconsin citizens after lo these many years. It did accomplish, or help to accomplish, some good things. The story has it that modern NASCAR was spawned by the old time 'moonshine' bootleggers who learned to race their vehicles while out-running the 'revenuers'.
It also was the genesis for the laws in Wisconsin that require that virtually all alcoholic beverages go from brewery, winery or distillery to wholesalers to retailers. We've talked about lobbyists and the clout they carry over legislation in our state. One of the most effective lobbying efforts in Wisconsin is that of the Wisconsin Wine and Spirit Institute.
Supreme Court Race Outcome Is Critical...
I last wrote about this race in December of last year. At that time, there were three candidates. The primary elections reduced that number to two candidates. Those two are the appointed incumbent, Justice Louis Butler and the challenger, Circuit Judge Michael Gableman.
We have a choice: Justice Butler is liberal and Judge Gableman is conservative. Their court decisions have been and will be cast against that backdrop even though each will, as both maintain individually, consider the facts of each case. I do not believe that one can eliminate one's biases by turning the belief system on or off, whether that is good or not good.
Different States, Different Approaches, & Different Results...
The two states I reference are Texas and Wisconsin. Admittedly, the states are quite different in size and, certainly, climate. The economies of the two states differ as well. We most recently heard about the Bowling organization consolidation to a campus in suburban Dallas that has cost the Milwaukee area some $12 Million in annual salaries that will no longer be infused into the system.
In spite of a pitiful piece in the morning Journal Sentinel bragging about the fact that we still have an abundance of National Associations headquartered here, we lost that one and we lost it for a number of reasons, not the least of which is the tax load in our state. We have also lost corporate headquarters and likely will see more such erosion. Maybe it is time for our heads to be extracted from the sand so that we might deal with the real issues.
Nothing Is Forever...Especially In Banking It Seems...
It was the St. Francis Bank when I moved my account there, and that lasted a few years. It then became the MidAmerica Bank, following a purchase, and remained that for some three years as I recall. It is now the National City Bank, after one of the smoothest transitions of a business takeover that I've ever seen or experienced. Those folks know how to do a bank take-over!
Now, a few weeks after National City Bank became visible in the Milwaukee area, banking in general has hit a wall. A major investment bank, Bear Stearns, was 'saved' yesterday and will be bought (bailed out) by another or several others at dirt cheap prices in the very near future. The stock market reacted. Amidst all this turmoil is the fact that National City Bank is for sale. Its stock has dropped 20% of its value since January 1st. It has fallen in value by more than 60% in the past year. The credit crunch has taken its toll. It lost some $333 Million in the fourth quarter of 2007 and is expected to report additional losses when it posts its first quarter 2008 results next month.
What Happened To The Easter Bunny?
There was, I thought, supposed to have been the 14th Annual Easter Egg Hunt yesterday at Firemen's Park in Germantown unless precluded by 'inclement weather'. I don't think that hunt happened and I know the weather was beautiful...well at least not inclement...and I didn't see any announcement nor were there, I'm told, any cancellation signs posted, people there to explain, etc.
There may have been a very good reason for the non-hunt, but we've heard nothing about it. How many youngsters were there and disappointed? Whose responsibility was this? The Rec Department head? Someone designated to be the project leader? The Village Board member that chairs the appropriate committee? Who?
Assembly & Senate Finished Except For Budget Repair...
This is one of the periods that are often joked about by the citizenry. With no sessions being conducted in Madison, we all can feel a little less threatened. The major snag in that logic at the moment is that both houses will continue to debate the budget repair needs given the anticipated revenue shortfall of some $650 Million. I have discussed the primary differences between the Governor and his Democrats and the Republicans often in past Blogs.
What got done and what didn't get done during the session now ended?
We are still without a photo ID law to assure that only Wisconsin citizens who are entitled to vote are voting.
Thank the Democrats for blocking this necessary legislation again.
Our elected officials at the State level continue to enjoy the largess of Sick Leave accumulation.
Thank the Democrats for continuing this little 'cookie jar' benefit at our expense.
Cell phones are not part of the do-not-call list in Wisconsin.
Thank the Republicans for mysteriously not taking this up in the Assembly.
Economic development proposed by Governor Doyle was killed.
Thank his fellow Democrats in the Senate for this being killed because it supposedly cost too much.
The gun database still does not carry information about involuntary mental health commitments.
Thank the Senate Democrats for killing this common sense initiative; maybe they want to simply ban all guns.
Psychological examinations for new full-time police officers still not a requirement.
Thank the Republican Assembly for not even debating this change even though it makes sense.
Property rights won a victory over the anti-smoking groups.
Thank both the Assembly and Senate for not giving away our personal rights and for letting merchants decide if they will be smoke-free.
Virtual schools will be permitted to exist after heated arguments for and against.
Thank both the Assembly and Senate for reaching a compromise that Governor Doyle dared not kill off even though his WEAC money machine dearly wanted this dead.
The 'Frankenstein Veto' provision will be put to the citizens as a proposed Constitutional Amendment.
Thank the Democrat-controlled Senate for finally agreeing to let this pass after the Assembly gave it bipartisan support.
Healthy Wisconsin was defeated.
This is a great victory of common sense over politics thanks to all elected officials who voted against it, and that is primarily the Republicans in both the Assembly and Senate.
Tax Rebate Payments Scheduled...
The economic stimulus payments, or tax rebate if you prefer, will be made to recipients on a schedule that involves the last two digits of the social security number. In order to receive this rebate, individuals must have filed a tax return and have a valid social security number. Those filing joint returns will be sorted for distribution by the name and number appearing first on the tax return.
The IRS has indicated that payments will begin with social security numbers ending in '00' and will end with numbers ending in '99'. Numeric discrimination if I've ever seen it! But I end up in the first group, so I guess it's okay after all :>)
Barack Obama...Speaker, Candidate & President
Obama the speaker...
Barack Obama is among the very best speakers I've heard. His delivery is excellent. His turn of phrase is excellent. His pace is perfect. His audience contact is solid. He appears genuine when he talks.
For Men...And The Women And Children Who Love Them
The New England Journal of Medicine, yesterday, published results of a study on prostate cancer and the various treatment regimens employed. I selected this as today's topic since I'm a man, I've had friends who've died from the disease, I have friends who now have the disease, I'm in the target age group and fully one in six males will be diagnosed with prostate cancer.
Prostate cancer is the most common form of cancer in men and the number two killer second only to lung cancer according to the American Cancer Society. It is predicted that there will be some 186,000 diagnoses this year and some 28,700 deaths are expected from the disease.
'They' Are Simply Beyond Hope...
Who are 'They'?
'They' are the Democrats in the state Senate. 'They' have just passed 'their' version of the state budget repair bill out of committee and it now faces a vote in the full Senate. The full Senate has a majority of Democrats. Do we even think there is a chance that the committee's version will not be passed. No. That is what we might call "a foregone conclusion". I'd love to have to print a retraction of this Blog. Go ahead Dems, make me eat these words! Please!
A Very Early Easter...
Easter seems very early this year from a 'calendar' perspective, and apparently it is. One look out the window would certainly suggest that it is quite early...or that Winter is quite extended...or both.
The last time Easter came this early on our calendars was in 1913. Easter is the first Sunday after the first full moon after the Spring Equinox according to the lunar calendar which is used by the Hebrews to identify the Passover. That explains why Easter moves around on our calendar, the Roman calendar.
Constitutional Amendment Question On April 1st...
The Wisconsin legislature has passed the language concerning the so called "Frankenstein Veto" that has been used by governors to cobble together words and letters and numbers from more than a single sentence. This practice is permissible today and was used by Governor Doyle most recently to create something that hadn't been passed by the legislature.
The actual language that we'll find on the ballot on Tuesday, April 1st was published in today's Journal Sentinel. The question is stated thusly:
Village Employee Wellness Plan (Updated)...
The morning Journal Sentinel carried a brief story about Germantown being in the process of considering the approval of a $20,000 employee wellness program. The General Government & Finance Committee meets tonight at 7:00PM in the Village Hall Board Room and is scheduled to consider this as part of that agenda.
Wellness programs have been with us for some time now, and are quite common in the private sector. Many are preceded by a Health Risk Assessment as is apparently the case here in Germantown.
"Wisconsin Bar Brawl"...
The title and the following are virtually-exact reproductions of the Wall Street Journal's editorial from Monday, March 24th. One error was corrected; the editorial discussed a "5-4" majority when in fact, the Wisconsin Supreme Court is comprised of seven justices, so a majority would be "4-3".
"When Wisconsin voters go to the polls this April Fool's day, the state Supreme Court may realize the joke's on them. After four years of judicial activism, one of the court's most liberal members, Justice Louis Butler, is up for re-election - and voters get to send a message about what they expect from their judges.
Questionable Facts vs. Real Facts...
An organization that has been very active in the push for national health care is at it again. Families USA recently provided a series of Press Releases that heralded the number of deaths per state that could be blamed on a lack of health insurance. Wisconsin's estimate was 250 deaths per year. This is the same group that was instrumental in 'creating' 47 million uninsured people in the United States. That has been repeated often enough so as to have become thought of as a "fact". The real numbers are closer to 10 million as I've discussed before, but bigger numbers help raise awareness faster. So let us not be constrained by facts. Let us simply create the facts we desire.
Rep. Steve Kagen (D), congressional representative from the Appleton area, couldn't help but jump on this latest bandwagon just as he had jumped aboard the first. He participated in a teleconference on this subject and opined that there were between 59,000 and 89,000 uninsured in his district. I have no idea of how he came to this conclusion; and, it is possible that he has no idea how he reached that conclusion either.
Nasty Turn For G'town Politics...
I received a postcard yesterday telling me much that someone thought was wrong with Mel Ewert, one of the gentlemen who represent me as Trustees on the Village Board. My first thought was that this was one of those relatively new creatures in politics that don't have to divulge their funding sources and which can publish advertisements against candidates.
That is bad enough in my opinion since anyone has the right to make their beliefs known, but to do so behind the 'skirts' of an anonymous organization makes this much, much worse. Laws permit such advertising and we've seen a ton of it in the state Supreme Court race.
Political Undercurrent Is Strong...
I must confess something here and now: I never would've believed I could be so naive as to think that politics in Germantown was different than politics everywhere else. How wrong it appears that I was.
Earlier this year I heard rumors of a recall plan that would see Charlie Hargan again running for the President's seat that he lost to Tom Kempinski. I pooh-poohed that since it sounded like the fairly typical sour grapes after a significant election change. Now I read comments to my last Blog that use the "sour grapes" term, and I see Charlie Hargan responding that "what goes around comes around". Charlie does not appear to be as mild-mannered as I thought.
Issue Advertising & Our Spring Election...
Issue advertising, such as that utilized most recently by the group Germantown Citizens United, is legal. This is very apparent as we watch the state Supreme Court race unfold, as I mentioned earlier in this series.
It has been established that issue advertising, by what I'll call 'shadow groups' since these groups do not disclose the names of their contributors, is legal. But, is it ethical? In my opinion, shadow groups' advertisements are not ethical in the true sense of that word. This is not to say that those they oppose nor those they may favor are unethical. I'm not trying to make that leap.


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Graham: Why?
This Forum was created to divert traffic from Current Events at the height of the BALCO scandal. It comes and goes as "needed"; it's back to being locked.
39 posts • Page 1 of 1
Graham: Why?
Forgive me if this has been covered in another thread: Any theories why Trevor Graham sent the syringe of "the clear"to the authorities? How could he not figure that this would come back and bite him and his athletes in the glutes?
I think this is a no-brainer. After the defections of Marion & Tim to Charlie Francis' camp, I think Trevor was both jealous & angry, and he decided some retribution was in order in the form of "anonymously" sending the syringe himself. I don't think he ever envisioned that he himself would get caught. That was his mistake.
Graham's website is "under construction" lol.
Simple answer: Turf war. Conte was on top of the totem poll, Sprint Capitol was attempting to make its way up.
Graham reached USADA:s media representative, Rich Wanniner, on his own accord and informed him that Conte was producing an undetectable PED and distributing it to elite athletes. Graham identified by name several elite American and international track and field taking Conte:s products -- though none of them, as per Graham, were part of Sprint Capitol (a bold faced lie later discovered).
Catlin received the THG-filled syringe eight days after the contact with Wanniner, that is to say on 2003-june-13.
Thanks for the answers given. Also, in Marion's letter, she says when the federal agents showed her "the clear" she immediatedly recognized it as the "flaxseed oil" that Trevor Graham had been giving her since 1999. I thought that "the clear"was, um, in fact a clear liquid. Has anyone on this board seen the product? Is there anything to distinguish it appearance-wise from, say, water?
The lying is PANDEMIC now??!! Has Marion's deceit infected EVERYONE? Will we see a video of Mr. Bowie in tearful denial of his drug problem? Is the T&FN MB infected as well? Will we ALL be taking 'flaxseed oil pills' soon? Oh, woe is me!
One good thing that has come from all this is Flaxseed getting publicity. I didn't realize how many benefits it has. I'm getting a bottle next time I'm at the store.
OH MY GOD GURU! I went to my local flax seed oil outlet as i always do every sat. and the idiot gave me The Clear by mistake! Ahhhhh! ahhh! oh .... ahhhhh
We're gonna hafta get pego's opinion on this. Looks like snake oil. The claims are that it fights
- cholesterol
- strokes, heart attacks and thromboses.
- high blood pressure
- inflammation
- water retention
- sticky platelets
- lowered immune function
- liver disease
- cancer
- Asthma
- Eczema, Psoriasis, and Dandruff
- Arthritis
- Diabetes
- allergies
- Atherosclerosis
- depression
- loss of mental function
- Multiple Sclerosis
- Schizophrenia
and it
- Shortens recovery time for fatigued muscles after exertion.
- Increases the body's production of energy and also increases stamina.
- Accelerates the healing of sprains and bruises.
- Eases weight loss in people afflicted with obesity.
- Stimulates brown fat cells and increases the metabolic rate making it easier to burn off fat.
- Improves the absorption of Calcium.
- Strengthens finger and toenails.
- Can improve eyesight and perception of colors.
I guess the only question is - does it fight Erectile Dysfunction (which is apparently the #1 health problem in America, judging by the spam I get), and does it do windows?
Why do you think it is "snake oil"? It is a mistake to discredit natural healing products. People blow off natural products but have no problem taking perscription meds (which are crap they may help one symptom but cause 10 others, what a joke) I don't know anything about flaxseed oil but I do think it is obtuse to trivialize it because you don't know what it is.
Why do you think it is "snake oil"? It is a mistake to discredit natural healing products. People blow off natural products but have no problem taking perscription meds (which are crap they may help one symptom but cause 10 others, what a joke) I don't know anything about flaxseed oil but I do think it is obtuse to trivialize it because you don't know what it is.[/quote]
If it sounds too good to be true it probably is. Hasn't failed me yet.
pego has continuously warned us about 'miracle' supplements. Look at everything it claims to help - that's a red flag if I've ever seen one!
Note the three main uses:
Paint binder
Wood finish
Very useful natural resource I'd say. What is in perscription meds that are supposed to do the same things? I am in no way an all natural way of life "tree hugger" although I do like trees. But I also can't stand big pharmaceutical companies that make all sorts of $h!t that end up causing something else to go wrong all the while making it seem that something like flaxseed oil is a "snake oil". It is amazing to me that people think the only way to treat their high cholesterol, high blood pressure, depression, asthma, diabetes or heart disease is to take perscription meds.
As for what "Clear" actually looks like I have no idea. Taf I don't think you are obtuse by the way. Your alright by me I still owe you one.
We know that drugs, which can be highly effective, also have side effects. I do try to avoid those with the 'spontaneous combustion' side effect!
The worst thing in the whole Graham scenario is the effect on his son TJ, a top level Jr sprinter and very good football player too. The news I have, is that he has stopped coming to football practice and was kicked off the team as a result. Its always a shame when you are stuck with an A-hole for a father.
i've never read anywhere that conte was a sprint coach or had any ambitions to be such ???
A true wonder drug is something like aspirin, which can do about three different things. One of the hallmarks of "snake oil" and other fake cures is that they are touted to treated a dozen or more conditions.
When you see some nostrum that supposedly can cure a long and disparate list of conditions, run the other way. There is no such thing as a drug that can do all that. Save your money.
Another red flag is when the stuff is being peddled based on a bunch of testimonials instead of large and well-controlled clinical trials that are published in peer-reviewed journals. There is no treatment so absurd, say rubbing monkey dung on your head under the light of a full moon, that you can't find some people somewhere who will swear that it worked wonders for them.
I find it sad and pathetic that you:ve aged and died on this subject in a state of being contrary for f_cks sake, rather than living on by having taken a bit of smarts with you. You find nothing else over which to be argumentative so you:ve now resorted to this, and want to chalk it up as being a part of discourse? Your having mentioned only the first part of the statement I made says enough. There:s no use explaining the Conte piece here to you, as you:ve read it (and a thousand others) a thousand times already and have each time gone to the same old ploy, saying the same old _____ .
eh ?
you posting nonsense as usual & not expecting to get brought up on it ???
i've never read anywhere conte was applying for a coaching license & about to set up his own training camp, nor that trevor was about to set up a pharmaceutical manufacturing company
they were involved in separate lines of business - one a dealer, 1 a coach
as for conte's business scheme at the time,i suggest you read drug-dealing 101 :
"you sell as much dope to as many people as possible, as long as they are not cops"
You just don:t get it. Forget it.
Friar and I are stating the same thing.
eldrick, you HONESTLY don:t want to open a can of worms here by asking such a question. If someone wants to indulge you on your request, so be it.
what same "turf war" has friar agreed upon with you ???
as pointed out, conte had never stated any intention of ever setting up a sprint camp, so the only "turf war" graham woud ever have been in wouda been with likes of john smith, steve riddick, remi & maybe even clyde hart for the best sprint talent in america & carib to join his camp rather than the others
where your nonsense that victor & trevor were ever directly competing in a "turf war" comes from, i have no idea ?!
1. Conte:s own mouth in explicit terms with the ESPN the Magazine.
2. ZMA Track Club was alive and well. The members of that club you:re welcomed to look up.
Cut your crap, your back-and-forth nonsense and your losses now, eldrick. Save yourself the further embarassment.
Shall one really open the door to your previous statements? Any of them?
Last edited by EPelle on Sun Oct 07, 2007 10:52 am, edited 1 time in total.
where does he state he had coaching ambitions ???
he supplied them with nutritional supplements which they endorsed & on open sale to the public - a publicity step to boost sales of freely available supplements
where does that lead onto him coaching them & setting up his own coaching camp ???
ehh ???
you quote nonsense about "turf war" which it appears you don't even have a clue the meanin of & now you are running around like a headless chicken having been picked up on it ?!
You mentioned coaching ambitions. You deal with it.
I mentioned turf war. That was a top-of-the-totem-poll battle between two men who were trying to get athletes they were doping at the top of the game, Olympic and/or world champions, and preferential treatment in European meets.
Conte states that seven black cars rushed into the parking lot at the BALCO site, and 26 IRS and San Mateo Narcotics Task Force agents "in flak jackets [came] pouring out, screaming and waving guns. A helicopter hovering overhead. A half-dozen news trucks filming it all. They were using a tank to kill a mosquito."
Why, Conte asks?
"For a turf war. The feds stumbled into a turf war."
Conte furthered those sentiments with the TimesOnline:
eldrick, I:m done with your back-and-forth crap, so you can take issue with this with yourself for reasons obvious. How deeply do you intend on burying yourself with your irrational, contrary, trollable sh_t here?
for a large armed assault team to turn up & pointing high-powered rifles everywhere, & for conte to babble "turf war" under these circumstances meaningless
"turf war" ???
he was supplying drugs to anyone who wanted them - that is the business of a drug-dealer
for a "turf war" you need a competing drug dealer trying to supply their drugs to same/other clients
who do you suppose he was competing in drug-sales with ?
the medelin cartel ???
Flaxseed oil is not a drug it would fall under suplement. It doesn't have to be a cure to be effective. Most ailments can be cured with natural suplements or proper diet and exercise. Yet people are so caught-up in the lies of drug companies and the special interest they control. It is all about money not health.
Look into all the the ingrediants of the thousands of perscription meds. Are you a doctor? If you are you have to say drugs are better if you are not you are like most other people completely in the dark. I try to avoid all meds that make me have diarrhea or constipation, causes impotence, numbs my body or brain or completely wipes out my immune system which covers almost all perscription meds.
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