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Banh mi lettuce cups with braised pork belly and sriracha mayo is a seasonal selection at Tryst in Delray Beach. (Benjamin Rusnak/Courtesy / September 17, 2013) |
4 E. Atlantic Ave., Delray Beach, 561-921-0201, TrystDelray.com
An interim chef, Wayne Alcaide, has added his touch to this gastropub whose charming courtyard with vine-covered trellises and graffiti art beckons from the bustling avenue.
His seasonal selections will run until mid-October, such as fruit with goat-cheese crostini ($13), grilled turkey sandwich with avocado and sweet-spicy pepper relish ($13) and heirloom tomato salad ($11) for lunch. For dinner, start with banh mi lettuce cups with braised pork belly ($10) and move on to roasted yellowtail snapper with wilted savoy spinach in tomato brown-butter vinaigrette ($26). He's also brought back a Tryst favorite, chicken schnitzel with truffle aioli, feta and shaved fennel salad ($24).
"We are trying to keep the new items as light and flavorful as possible, as well as using fish, etc., from local sources when we can," says Alcaide, who helped open Thirty-Two East in 1996 and helmed the kitchen until 2001.
Beer makes an appearance in cocktails and desserts, such as the Dark & Stormy with rum, Hum botanical liqueur and ginger beer ($11) and pumpkin ice cream crafted with Terrapin Pumpkinfest beer ($5).
Alcaide eventually will depart to open a restaurant across from City Hall in Pompano Beach with Tryst co-owner Butch Johnson in the spring.
"The town is looking to invigorate that part of town. It's less seasonal than Boca and Delray. It reminds me of Delray in the early '90s," Alcaide says.
Big City Tavern, 609 E. Las Olas Blvd., Fort Lauderdale, 954-727-0307; City Oyster, 213 E. Atlantic Ave., Delray Beach, 561-272-0220; BigTimeRestaurants.com
These two locations of Big Time Restaurant Group have unveiled new cocktails and expanded the lunch-heavy weekend brunch menu to put the "b" into brunch with more breakfast choices.
The menus are slightly different at each location, but both offer truck-stop cinnamons ($4), an eye-pleasing Dutch baby pancake ($11 in Delray; $12 in Fort Lauderdale) and cage-free sunny-side-up eggs with toast and jam ($12 in Delray; $10 in Fort Lauderdale). Crème brûlée-stuffed French toast ($13) and a breakfast panini ($11.50) are exclusive to Delray. In Fort Lauderdale, you'll find peanut butter-and-jelly pancakes with bacon butter ($12), banana Nutella French toast ($13) and porchetta hash with soft-boiled egg and hollandaise ($11).
For weekday lunch in Fort Lauderdale, a "limited edition" grilled cheese of the day ($14) offers twists on the ooey-gooey classic sandwich, such as shaved rib eye with caramelized onions, provolone and horseradish mayo, or even fried green tomato with housemade bacon. The catch: You must arrive early because only a dozen are made each day.
The new rounds of cocktails also vary by location. Bestsellers in Delray are Citrus Fizz with gin and St. Germain liqueur and Huckleberry Lemonade with vodka (both $9). In Fort Lauderdale, beer cocktails is a new category among the 20 new drinks, such as Drunk by Chocolate with chocolate stout and bourbon ($9) and Caramel Apple with caramel cream ale and apple cider ($6.50).
Red Cow
1025 N. Federal Highway, Fort Lauderdale, 954-652-1524, RedCowFtl.com
This western-themed spot with saddle bar stools and fire-engine red chairs has launched Sunday brunch after opening four months ago.
The menu includes a few dinner favorites such as jalapeno cheddar sausage ($5) and iron-skillet cornbread made with creamed corn ($2), which is also sliced to make the new French toast sticks served with maple butter ($9).
"We try to have fun with it. You look at it and laugh and enjoy it for what it is," co-owner Elliot Wolf says. "Everything is made in-house, and we have a smoker and super talented guys."
The in-house meats are fashioned into breakfast egg specialties such as bacon-ham or porkstrami Benedict ($12), sunrise arepa with chorizo and pico de gallo ($12) and Smoke and Fire sandwich with bacon, grilled avocado and smoked tomato sriracha aioli ($11). The standout cowboy cakes are fried patties of a loaded mashed potato with ranch seasoning ($3).
It's not all meat, though. Shrimp star in the country rock egg scramble with spinach and smoked gouda ($15), or sweeten it up with grapefruit brûlée with a side of cottage cheese and berries ($6), the PB&J waffle ($10) or the iron-skillet crepes with cinnamon apples ($10).


text: on 16-11-2000 01:48, Joe Weidenbach wrote: > mknod /dev/dsp c 14 3 And then Joe triggers me again: did you make any audio device files at all on your lfs system? if not: do a 'MAKEDEV audio', which also mknod's de dsp entry. -- Lukas Mol tel: +31-15-2613644 Gandhilaan 34 mob: +31-6-24201416 2622 GE Delft fax: +31-20-8744659 Netherlands -- Unsubscribe: send email to lfs-apps-request at linuxfromscratch.org and put unsubscribe in the subject header of the message

subset: commoncrawl


text:
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Community: Arbor Vitae
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Historic Name: Mann's Manitowish Lodge (Biggs Cabin)
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Reference Number: 132780
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Historic Name: Ketcham, Frank and Eleanor, House (aka Weewaunchu Lodge)
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Historic Name: Mann's Manitowish Lodge
Reference Number: 132781
Community: St. Germain
Historic Name: Greenwood Ranch Resort
Reference Number: 132245
Reference Number: 132789
Reference Number: 132426
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Reference Number: 191883
Historic Name: Red Crown Lodge
Reference Number: 132261
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Historic Name: University of Wisconsin Arboretum Manitou Way Entrance
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Reference Number: 44180
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Cave Aged
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Pyrenees Brebis
The first cheese we called ''compulsively edible,'' and still the best. Once you pop, you can't stop. Read More -
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Ossau Iraty Vieille
Said to be one of the first cheeses ever produced, this gem from Aquitaine, France has only gotten better with age. The wheels here at Murray's are rumored to descend from those produced by Aristee, Apollo's sheepherding son. Read More -
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Brebirousse D'Argental
Regular Price: $25.99/LB
Special Price: $19.99/LB
An ooey-gooey wonder sure to please any crowd, with a creamy paste that threatens to run free of its annatto-tinged rind. Luscious and silky enough for brie-lovers, sheepy and full-flavored enough for the most adventurous palate, its bright orange rind refuses to be ignored, but its delicate sweetness balances the buttery intensity with aplomb. Read More -
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Queso Idiazabal
I love your animal nature, you gamy raw sheep milk cheese. Traditionally made in the Basque country, young wheels were hung in fireplaces to pick up a little smokiness. Read More -
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Murrays Cavemaster Reserve
Hudson FlowerOur riff on Corsican classic, Fleur du Maquis. Young wheels of decadent sheep's milk cheese from nearby Old Chatham get a fresh fall coat... Read More


text:
That's a little more than I expected us to pay him but we're now just Koppen away from having our OL signed for 4 years which is nice. That assumes Light, Mankins, Neal and Kaczur are starters. A strong assumption for all except maybe Kaczur.
Bet Stephen is one very happy young man! 3.2 s/b is MUCH more than i had expected Piolichick to pay him. This tells us that indeed they will pay the new, higher rates ... for players they really want.
Please to see him locked up for 4 years, if everyone stays healthy will provide some stability to our o line..
on felger's show they are bringing up the conspiracy theory of his agent being the same as BB's firm and thats why he decided to stay...
i say good for him.. to come from wrestling to an NFL player is awesome and he got his payday.. good stuff..
Good for Neal. Not to argue,just a little devil's advocate, but "if" they really wanted and needed him, why did they let him look elsewhere and risk losing him. I wanted him back regardless.
Fascinating. Clearly they valued him MUCH more than Vinatieri. If they offered Neal a $3.2mm signing bonus and offered Vinatieri zero signing bonus, that really says something.
Felger thinks the deal is a complete steal for the Patriots considering what guys like Kosier got. Also dont forget as the cap goes up deals will look much better. Remember when Colvin was a huge signing, and that was with a 6 Mill bonus, a 34 year old Wilie got a bigger bonus then a 25 OLB coming off back to back 10 sack seasons cost
If they did sign him now ... certainly they wanted him earlier. Therefore it was the player ... who decided to sniff out what others might think his market value is.
Everyone seems to have forgotten the effect of not having a CBA. It was hard to draw up contracts without knowing what would happen.
I've always liked Neal. Very happy to see him back and with a deal that pays off for both parties. I go back to 3GTG III and how during Bill Belichick's analysis portions, he's almost always mentioning Neal pulling or blocking properly on the offensive plays. This guy is simply an athlete and competitor, and you can never have too many of those around. Glad to see him back!
A big vote of confidence in Neal. It's hard to keep in mind that this is a guy who, although 29 yrs old, has only played in the NFL as a starter for 2 yrs. period. No college experience. No high school experience. It's hard to imagine another team signing him away, despite his intangibles, for big money. He got a nice deal with good up-front money and a deal that will keep him here for a good while at what will prove to be reasonable money.
I can't help but wonder how many here would be saying he was overpaid if another team gave him the same exact deal.
WIth this group of starters and Gorin, Hochstein & Mroc as back ups...this should be a very strong, experienced and effective group. They will have played together for a year (with Mankins & Kazcur) and many years for Neal, Koppen & Light. Assuming Koppen and Light come back healed up - look for great things with this line. Give Dante a second year + with the same guys in place and he will raise the level of play immensly. If I am TB & the running backs, I am feeling pretty good right about now.
Oh, Mr. Sun, Sun, Mr. Golden Sun, Please shine down on me. Oh Mr. Sun, Sun, Mr. Golden Sun, Hiding behind a tree These little children are asking you To please come out so we can play with you. Oh Mr. Sun, Sun, Mr. Golden Sun, Please shine down on, won't you shine down on, Please shine down on me. I'll say we paid more than I would have expected. If another team signed him to that deal, would I become lost in a fit of hysterical laughter? No. He didn't have the performance I expected from him last year, but he's a solid OG, and there's a lot to be said for maintaining consistency and continuity in your offensive line.
This signing proves that BB knows where his bread gets buttered. Brady and the whole OL being locked up for the next few years. He can make due with the D especially with Rodney coming back. We need an OLB and looks like we might go for it in the draft or a WR. I think Dillon has a better year behind a more experienced OL this time. Injuries stay away.
Well this signing certainly say a lot about how the Fo valued NEal relative to Ashworth, Mac, and AV. Looks like the cap will be used to secure our core guys for their prime. Due to the (relatively) small amount of FB wear & tear on Neal, he is a very young 29


text:
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Unilogik Systems Inc has been in business for over 18 years, specializing in providing Information Technology Infrastructure Solutions to business clients in Canada. We work with our clients to determine a technology strategy that meets and exceeds their objectives by developing solutions within our core competencies including:
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Unilogik assists clients in implementing advanced technologies and improving overall business performance. Steady expansion over time has allowed Unilogik to grow from its Vancouver-based operation to become a recognized Technology Leader for organizations across Canada. Our Sales & Technical consultants help in performing:
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For over 18 years Unilogik has been providing IT middle-tier and middleware infrastructure solutions for commercial and commodity trading companies country-wide. Unilogik understands the need in these environments for high-availability, large data stores and highly-scalable environments.
We like to pride ourselves in being "the trusted technology adviser to the the technology industry". We are often called upon by our technology clients to help design, select, and provide guidance for new implementations or to upgrade current large enterprise-scale environments that include virtualization, databases, and storage in multi-site and even multi-national deployments.
Unilogik Systems has been working with both Provincial and Federal agencies since inception and understands the specific needs that government clients have. From helping clients to take advantage of MSAs / NMSOs to choosing the right enterprise technology, Unilogik enables government clients to deal quickly and cost effectively.
Unilogik has top tier vendors to help your agency build and achieve these objectives and manage your IT programs efficiently. Whatever your agency's mission is, Unilogik can give your agency effective ways to serve your citizens, your analysts, and your workforce.
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text:
Romney hits Obama on Medicare in Spanish language ad
Mitt Romney's campaign pushed its Medicare attack in a new Spanish language television ad released Wednesday.
The ad, "Yo Pagué," is a Spanish version of a spot it released last month, "Paid in," which makes the widely-criticized claim that the president cut more than $700 billion from Medicare in his health care reform.
"For years, we have paid into Medicare with our work. Now, when we need it, Obama has cut $716 billion dollars from Medicare to pay for Obamacare," says the narrator in the commercial. "The money we have paid to guarantee our health care will be used for a new program that's not for us. Romney's plan protects Medicare benefits for today's seniors and strengthens it for future generations."
Independent fact-checkers and numerous news outlets have labeled the Medicare claim as misleading, saying the $700 billion refers to an expected decrease in spending--not a cut to the program.
When Romney's team released the English version last month, Obama's campaign called the ad "dishonest and hypocritical."
"The savings his ad attacks do not cut a single guaranteed Medicare benefit, and Mitt Romney embraced the very same savings when he promised he'd sign Paul Ryan's budget," said Obama campaign spokeswoman Lis Smith.


text:
State of Conservation (SOC)
States Parties
Category of site
Cultural site Natural site Mixed site
Site inscribed on the List of World Heritage in Danger
Cultural site Natural site Mixed site
States Parties
Management systems/ management plan(34) Illegal activities(19) Housing(15) Ground transport infrastructure(14) Fishing/collecting aquatic resources(12) Mining(12) Governance(12) Land conversion(10) Impacts of tourism / visitor / recreation(10) Interpretative and visitation facilities(9) Financial resources(9) Civil unrest(7) Identity, social cohesion, changes in local population and community(6) Fire (widlfires)(6) Earthquake(4) Commercial development(3) Crop production(3) Renewable energy facilities(1) Solid waste(1) Forestry /wood production(1) Changes in traditional ways of life and knowledge system(1) Society's valuing of heritage(1) Deliberate destruction of heritage(1) Tsunami/tidal wave(1) Volcanic eruption(1) High impact research / monitoring activities(1) Human resources(1) Legal framework(1) Management activities(1)* :
The threats indicated are listed in alphabetical order; their order does not constitute a classification according to the importance of their impact on the property.
Furthermore, they are presented irrespective of the type of threat faced by the property, i.e. with specific and proven imminent danger ("ascertained danger") or with threats which could have deleterious effects on the property's Outstanding Universal Value ("potential danger").
** : All mission reports are not always available electronically.


text:
Under Armour Men's ClutchFit Lightning Basketball Shoes
Product Information:
Stay cool under pressure while you wear the Under Armour® Men's ClutchFit Lightning basketball shoe. Lightweight, engineered upper materials promote a comfortable fit by supporting feet throughout your moves. Execute the assist as the external full-length Micro G midsole acts as a soft and stable platform to absorb impact, setting you up for your next move. A multidirectional traction pattern keeps you in control throughout the game.
- Lightweight engineered upper materials lock your foot into place for comfort and support
- UA ClutchFit in the heel offers a second skin fit with additional support
- External full-length Micro G foam absorbs impact during demanding movements
- Full-length Ortholite sockliner for in-shoe comfort
- Anatomical flex grooves allow your foot to flex
- Multidirectional pattern for lateral and linear basketball movements
- Full-length two-piece rubber outsole for durability and traction
- Style: 1246938-035
- Under Armour
Country of Origin: Vietnam
Web ID: 41856636
Customer Reviews:
Under Armour Men's ClutchFit Lightning Basketball Shoes
the best shoe i have ever wore in years.it is a geniune shoe to me
December 28, 2014
most comfortable shoes ever
these shoes are so comfortable but it may take like a week or so to break them in then there super comfortable and when you first get them the feel tight in the middle of your foot.
December 23, 2014
Happy with the shoe
Very comfortable yet lightweight. Just started wearing it. Will see if it holds up a full season
December 15, 2014
really comfortable.
They are Great shoes, my son loves them. He says the are comfortable with great grip.
December 6, 2014
I've worn them for a few games and many practice they are the best pair of basketball shoes I have ever used (that's comparied to $200 pairs)
December 6, 2014
This shoe is a great product.
The show is very light and durable great for running, cutting and jumping.
December 4, 2014
My son loves this basketball shoe!
Great shoes, great service and shipping time. Happy with transaction
December 3, 2014
After only two practices the shoes have holes developing in the gray front material
After only two practices the gray front/top of the foot material is worn through to the base. These holes show up as dark blue marks. I will be returning these tonight.
December 2, 2014
Great shoes for great price
I got these for my son who loves these shoes, received them fast from online shopping at a very good price.
December 1, 2014
This shoe is great I loved it
This shoe has good traction great comfort the shoe run true to size it let's me do a lot of things I thought could do the man made upper with the upper being synthetic the upper lining being textile and the outsole is rubber its a great team shoe and great for anybody it has great air flow i've been hooping in it constantly everyday for a week it is a great shoe
November 23, 2014


text:
Yes I have and it was for my out of control behavior! It seemed to work! It was also a wonderful experience!
Yes it was good for me :) I probably needed it and it was the only way to get through to me!
I've never tried it before, but I prolly would, heck, if it works, what better way is there than to cut right to the chase?!!...huh? great, if it works ....
I wouldn't trust one.
I want to but I don't know how to begin to explain the s h i t I want help with I want to try to learn self hypnosis or something instead.
they have heard it all it DOES work. i ws suceffully made it to three weeks without a cigarette. it being during christmas i stsrted back.please try again
i am .
Believe me, this isn't about cigarettes or alcohol, maybe they have heard smiler stuff but they probably thought those people were crazy to.
nah, i dont wanna mess with that crap. i dont want anybody controlling my mind for me. i mean, what if while im hynotized, the doctor makes me believe something that isnt true and then when i wake up my life is somehow irreversibly changed? i dont think its worth the risk.
No, but my hubby got hypnotised in Vegas. YES IT WORKED. And yes it was outrageous and fun. I want to learn hypnosis.. What a clever thing to know how to do!
Nope. I don't want anyone stuffing around with my mind while i am zonked out.
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text:
The prostate cancer conundrum
PUBLISHED: 15 Nov 2013 16:09:00 | UPDATED: 16 Nov 2013 02:44:38PUBLISHED: 16 Nov 2013 PRINT EDITION: 16 Nov 2013The NSW Cancer Council's David Smith says many men have received invasive treatment for prostate cancer that would not have killed them. Photo: Louise Kennerley
Jill Margo
As the 20th century drew to a close, something was happening to Australian men that had never happened before. A deeply private part at the centre of their masculinity was suddenly under intense scrutiny.
It was a shock, it was confusing and no one quite knew how to manage it. A search for prostate cancer was underway and while it certainly saved the lives of some men, it caused anxiety and harm for many more.
A generation of men were not served well and some say when we look back in 20 years, it will be with regret.
Most mornings, when Ronnie Cohen arrives at work, there are small transparent containers waiting for him on the bench top. In among the paraphernalia of his Perth laboratory they look unremarkable but for the fact each one contains a freshly removed human prostate.
Each one means a man is lying in a hospital somewhere in Western Australia, beginning his recovery from a cancer operation and knowing his life will be forever changed.
His powerful little prostate, that once supplied the life-giving fluid that nourished his sperm, is now suspended in its jar awaiting dissection. The size of a walnut, it carries his hopes the dissection will reveal that the cancer is contained within and has not yet broken out.
To Cohen, these are not just specimens. While each jar tells a story layered with anguish, fear and loss, each also potentially holds the promise of life. He believes that looking for prostate cancer, finding it early and dealing with it are life-saving.
This is in direct opposition to those who believe that screening and early detection are more harmful than beneficial.
As a leading prostate pathologist and professor at the University of Western Australia, Cohen ignores prostate politics and keeps his own counsel.
In a country where pathology is almost entirely corporatised, 15 years ago he opened an independent practice that makes research a priority. He was 40 then, and from Uropath he forged an international reputation in prostate pathology.
Uropath is a functional rather than flash outfit which is how the neatly bearded Cohen comes across too. Relaxed and happy to chat, the casual nature of his presence belies the formidable focus beneath.
It's a focus that has seen Uropath draw in 80 to 90 per cent of the urological pathology business in the state.
The jars on his bench are the latest batch and when he and his team have completed the dissections, they open the laboratory's large freezer, brave the icy blast, and add the newcomers to some 4700 prostates already in a deeply frozen state.
This is Cohen's tissue bank and the source of his research. He says 8 per cent of the frozen organs contain cancer that, at the time, would have been considered "insignificant" and could have remained with their owners.
Some 15 per cent were removed too late. In these unfortunate men, the disease had already broken out of the prostate and entered their bodies, making a death from cancer highly likely – unless they died of something else beforehand.
But happily the rest, the great majority of organs in the freezer, represent men who have been saved from dying of prostate cancer, Cohen says.
"They took a once-in-a-lifetime opportunity and it's paid off. I say 'once' because in medicine you rarely get a second opportunity."
Most mornings when David Smith arrives at his Sydney office, there are piles of data waiting on his desktop. Not only does he work at the opposite end of the continent from Cohen, but he also works at the opposite end of the prostate cancer world.
While Cohen is working with microscopic cells, Smith is working with huge populations. He uses data to construct models to track the effect this cancer is having in different populations of men.
But, unlike Cohen, he is worried by what he sees.
Tall and sporting his Movember growth, at 47, Smith is a leading epidemiologist in this tough field.
His faith in figures is unmovable and wherever there is controversy, he looks to the data and quotes it without fear.
He says the figures clearly show that large numbers of men have received invasive treatment for relatively mild forms of prostate cancer that would not have killed them, had they never been been treated.
This unnecessary treatment brought side effects that affected their masculinity for the remainder of their lives. Most never regained potency and some struggled with continence.
"A lot of men have been rounded up and pushed into the cattle yards too quickly to be fully aware of what was going on," he says.
"I believe we have done men a disservice across the board, not only in treating those who did not need it, but in not communicating what we knew – or rather what we didn't know."
Smith, an associate professor at the Cancer Council NSW, notes there are now promising signs of improvement in the way we deal with this cancer. He also notes, however, that what happened over the past two decades was misguided.
"We acted with what we perceived were good medical values and our intentions were good but in 20 years, when we look back, I believe it will be with regret."
Cohen and Smith represent the bookends of the prostate cancer debate in Australia. In the space between them, there are more opinions than can be counted and certainly no consensus on how to proceed.
This has led to a shift in responsibility for decision-making. Where once a doctor would have made the treatment decision, it is now up to the men themselves.
"Informed consent" is the phrase du jour and men are expected to evaluate the evidence and make an educated choice. But how can they?
There is more information available than could be absorbed in a lifetime and it is not only complex and confusing, it is also contradictory.
What are they to do?
For men such as Con Poulos, now a comfortable 73, there was no problem. He knew what he needed to do and did it without the distress so many others experience. But then he's a doctor.
Sixteen years ago, his prostate was the furthest thing from his mind when he collapsed at his general practice in Sydney's Baulkham Hills. "I remember clearly it was a Thursday night and I was working to 10pm when I started to feel profoundly unwell.
"I was shivering, shaking, sweating. So I took a shower in the recess we have at the back of the practice, and I just dropped. I was so weak that my wife had to come in, dress me and take me home."
Among the investigations that followed, a blood test showed his PSA score had rocketed to 59. This test measures a protein in the blood, prostate-specific antigen, which rises when there is a problem with the prostate.
It can be any sort of problem. It can be driven up by cancer, an infection or a benign enlargement of the gland.
To his relief, Poulos had an infection which was duly treated. His score subsided to normal, which in those days was below four. Now interested in his PSA, he began to monitor it. It was fine for a while but about 18 months later it slowly began to creep up.
"By the time it hit nine, I thought this can't be right because I feel too well. I have no symptoms at all," he said.
So he acted. First he had a rectal examination that detected an irregular hard area suggestive of cancer. On the strength of that, he had a biopsy, which found cancer.
With his usual pragmatism, he faced the diagnosis and, with no splashing, slipped into the stream of men moving towards a radical prostatectomy – the surgical removal of the entire prostate.
As men approach this operation, they all hope for the trifecta: to emerge cancer free, continent and potent.
Poulos wasn't that lucky. His cancer had spread into the lower part of the prostate bed. Because of the way it had grown, his erectile nerves had to go too, leaving him impotent. And when he recovered, perfect continence never returned. He estimates it settled at 98 per cent.
Having seen far worse in his own practice, he never complained. Rather, he was heartened that his PSA had all but vanished.
But he anticipated it would rise again, signalling his cancer had probably reappeared.
When this inevitably happened, Poulos took the initiative and went looking for it. It couldn't be found on a scan, so he checked in for 33 rounds of radiation therapy in the hope of overpowering it.
He worked throughout this period, leaving his surgery at three, dropping into the hospital for his dose and then going home or to the gym to powerlift or swim.
When it was over, he quietly monitored his PSA, twice a year.
For some men, PSA-watching becomes an obsession at this stage of their cancer. They see it as a barometer of how long they have left, and can't stop checking it.
Today, eight years have passed since the radiation and, unfortunately Poulos's PSA is heading up again.
"I've had my day in the sun. When I see the number rising, I say, 'Well, I'm here, I'm working, I'm exercising, I'm doing the best I can.' It sounds blasé but that's the way it is."
Influenced by his own experience, he now recommends screening to his male patients who don't ask for it themselves.
"I believe you have to be proactive because you really don't know what you are dealing with. Screening is not perfect but if they find cancer, at least they have options.
"I'd rather be vigilant even though it may be overservicing."
In promoting screening, Poulos runs counter to the Royal Australian College of General Practitioners, which recommends against it.
But he is roughly in sync with the Urological Society of Australia and New Zealand, which recommends men consider taking a baseline test at about age 40 and more regular testing from 50.
There are also recommendations, with variations, from the Cancer Council Australia, the Royal College of Pathologists of Australasia and the Prostate Cancer Foundation of Australia.
Because they pull in different directions, it is not possible to follow them all and even men who are informed, and conscientiously struggle through these difficult documents, can easily become lost. To try to sort out this confusion, all these entities are now collaborating to establish consistent testing guidelines and provide some clarity.
Today's confusion can be traced back to the PSA test which landed on Australia's quiet shores about 25 years ago. It took a few years before we started to use it, but once we began, no one could have predicted the impact it would have.
It changed the face of men's health. Before it arrived, people had hardly heard of prostate cancer and urologists were little-known medical specialists who dealt with water problems and kidney stones.
Less than 3 per cent of men died of this cancer and the disease rarely hit the news.
Since then, Medicare has reimbursed a staggering 20 million PSA tests – for "screening" or monitoring – and prostate cancer has become the most common cancer diagnosed in the country.
This has put the disease at the front of men's minds and turned urologists into celebrities.
Just as women like to discuss their obstetricians, so men these days like to discuss their urologists and having a fashionable one can add status.
The waiting room of one urology practice, at St Vincent's Clinic in Sydney, has been called the alternative "business council"; so many prominent men can be found on its sofas, they could hold a meeting as they wait.
And it is men from the highest socio-economic strata that are tested the most, diagnosed the most and have the lowest death rates. To achieve this, they must also be living with the most side effects.
Growing profile
Twenty-five years ago, prostate cancer was an intensely private business. Today it is a thriving industry. It is a buzzing new world of research, technology, marketing, lobbying, funding, treatment and education. And it is expanding daily.
It flies a blue ribbon with hopes to gain the recognition that the pink ribbon enjoys. According to Dr Anthony Lowe, prostate cancer is about 15 years behind breast cancer but it is closing the gap.
Lowe jumped ship from working in breast cancer to take the helm of the Prostate Cancer Foundation of Australia.
Formed 16 years ago by volunteers, with one member of staff, today it is a national organisation raising $15 million annually, with 40 staff and a suite of resources.
That it is headed by the whip-smart Lowe, a mathematical physicist who trained as an actuary and then worked in business for 20 years before deciding to "give back" to the community, is an indication of the professionalisation of the prostate business.
Lowe is now pushing the boundaries of the PCFA so rather than continuing to focus exclusively on white heterosexual men, it reflects the full diversity of Australia today.
While all this growth and activity is a welcome sign that, at last, men are taking an interest in their own health, there is a darker side that cannot be ignored – such as the 276 per cent rise in the number of males diagnosed with prostate cancer.
A rise of this magnitude in two decades, between 1987 and 2007, is tantamount to the creation of a new disease entity.
It is unprecedented in cancer in Australia, says David Smith. In the same period, all cancers collectively rose 21 per cent – a figure itself driven mainly by prostate cancer rise.
In medical terms this is "overdiagnosis" and it is known to lead to overtreatment. In other words, men who shouldn't be diagnosed are diagnosed and then, because they are diagnosed, they are treated.
Opening the floodgates
Smith and Lowe both estimate that 40 per cent of men were put through the treatment mill unnecessarily.
So why did we rush with such tremendous enthusiasm to test, diagnose and treat men?
In a sense, it was a rush away from the horror of the past when men died awful, slow and painful deaths from prostate cancer and their doctors couldn't save them.
Symptoms would drive these men to their doctors who took one look and knew what was in store. By the time symptoms occur, this cancer is advanced and beyond cure.
These men were sliding towards a terrible death and there was only one thing their doctors could do to delay it .
And that was to castrate them.
Michael Lowy, a Sydney-based sexual health physician who now works with men following prostate cancer treatment, saw this first-hand.
"When I graduated in 1975, prostate cancer was a very sad condition. Men came in with advanced disease and little could be done. Physical castration – actually cutting off their testicles – was a common treatment.
"It was primitive and permanent. Can you imagine their despair!"
Today, he says castration is chemical and can be reversed.
The testicles make testosterone, which feeds prostate cancer. Drugs can turn off production. When the drugs are withdrawn, production resumes.
Against this distressing background, it is not surprising that when the PSA test came along and looked like it would improve the situation, doctors embraced it.
The test promised to detect prostate cancer early, before symptoms appeared, when it was still curable. It was cheap, easy to use and seemed heaven-sent.
So, with the best of intentions, doctors started testing men and, the more they looked for prostate cancer, the more they found.
Taking men's health seriously
While cynics always assume a commercial motive, it was not the driver here. The climate was right for it. This was the heyday of women's health and the concept of men's health was just forming. There was a view that it was time the health needs of men were taken seriously, too.
In addition, the ethos of early detection was very strong. It was an article of faith that the earlier a cancer was found, the better. There was no reason to think this did not also apply to prostate cancer.
But it was a classic case of not knowing what you don't know. No one knew just how unreliable the PSA test was; equally, no one knew that prostate cancer does not always have to come out.
The medical profession was working assiduously, but in semi-darkness.
Men had PSA tests not knowing their result could spike if they had prostatitis or a benign swelling. They also didn't know to abstain from sex or cycling before the test because those could push up their numbers.
If their score was high, they fretted and fumed and then lined up for the next step, a biopsy. In the early days of the boom, biopsies were pretty basic with no anaesthetic and no antibiotic coverage.
A probe was put up the rectum and needles were painfully shot though the bowel wall into the prostate. With each bang, men would flinch. The needles pushed bowel bugs into the prostate and pulled bits of prostate tissue back.
Fortunately, because the PSA test was only accurate in predicting cancer about a third of the time, most of the tissue samples showed no cancer. For these lucky men, the ordeal was over, at least until their next test.
Problem of interpretation
But for those whose samples contained cancer, there was another problem. It was one of interpretation. It was not always possible to tell if their tumour was a kitten or a tiger, if it could stay or had to go.
This remains a challenge today. While tumours at either end of the spectrum can be clearly identified, many in between cannot be classified.
Because the science was inadequate, biopsy results pushed many men towards invasive treatment.
In the space of a decade, radical prostatectomies rose 400 per cent . The profile of urologists rose, too.
Radiation and some lesser known treatments also went up. It was a treatment fest and prostate cancer had become dinner party conversation.
It wouldn't have been so controversial had treatment not hit men in their masculinity and changed their lives forever. But it did. It stripped them of functions they took for granted and even when they employed the finest surgeon, their sex lives were altered forever.
Apart from the mechanical breakdowns, suddenly they were faced with complex issues about their libido, intimacy and meaning-making in their relationships.
Even today, most never understand the impact the treatment will have, says Dr Christian Nelson, a clinical psychologist who counsels men with prostate cancer at Memorial Sloan-Kettering Cancer Centre in New York.
Nelson, a youngish man with an easy manner and packed waiting room, says men not only lack information but are over-optimistic about the outcome of treatment. They listen selectively and think they'll be fine in a few months.
Even if the consequences were described in detail, after surgery they routinely ask, "Why didn't anyone tell me what was in store?" They are angry, frustrated and disappointed.
Some just hope it will get better naturally. Some privately try Viagra and when it doesn't work, they become scared and, in desperation, think they are done. They slip out of the system.
Understanding their psychological and social needs is vital. On her Triumph 850cc motorbike, no one would pick Suzanne Chambers as a world leader in the psycho-social aspects of prostate cancer.
With her red hair flying, Chambers, professor of preventative health at Griffith Health Institute in Queensland, has dragged Australia to the forefront of this field, ensuring that cancer care is not just about physical treatment but integrates psychological and social aspects, too.
She agrees with the view that distress should be measured as the sixth vital sign.
The data tells her that although a substantive sub-group of men who go through treatment have problems, most display resilience to this experience.
Chambers has worked in this field since 1996 and has witnessed the changes close up. So have we done harm?
"It is always easy in hindsight to say, 'I can't believe we did that.' That's the way with most things. I am philosophical about what we did in the past and optimistic about the future."
Unnecessary treatment
PSA changed the landscape and, when the founder of the test saw what was happening, he was aghast:
"I never dreamed that my discovery four decades ago would lead to such a profit-driven public health disaster," Professor Richard Ablin wrote in an opinion piece in The New York Times in 2010.
The pathologist, from the University of Arizona's College of Medicine, said the way the test was being used made it "hardly more effective than a coin toss".
"The medical community must confront reality and stop the inappropriate use of PSA screening. Doing so would save billions of dollars and rescue millions of men from unnecessary, debilitating treatments," he wrote.
There have since been attempts to discredit him as the father of the test. It is true that PSA did go through several iterations and that others could make a claim, but Ablin has held his position.
Last year, a United States government advisory panel sent shock waves through the international prostate cancer community with a report showing 1000 men had to be screened with PSA to save one life.
The US Preventive Services Task Force looked at men aged between 55 and 69, a key time for the early detection of prostate cancer (see graphic on opposite page) and promptly recommended against screening.
This was met with both applause and outrage, reflecting the polarised views of the prostate community.
So how is the success of a cancer control measured? Smith says the brutally honest way is to measure its effect on the death rate. If it is dropping, the program is doing well.
And it is dropping in Australia but not at a rate commensurate with the increase in diagnosis.
When diagnosis rose 276 per cent in those two decades, the death rate dropped 27 per cent. PSA did play a big part in this as did research, which prolonged the lives of men with advanced prostate cancer.
Statistics are tricky because in the same two decades, prostate cancer went from killing 2.8 per cent of men in 1987 to killing 4.2 per cent in 2007.
Tide is turning
But at last, the tide is turning.
The Australian Institute of Health and Welfare this week published the first comprehensive national report on prostate cancer. Although its data cut off at 2009, it points to this turn.
While more men are being diagnosed, survival rates, which are already high, are getting higher.
Today, fewer men are going directly into treatment. Many are closely monitored in case treatment becomes necessary later.
"We now have a much better understanding of the biology of the disease and are more discriminating in who to investigate," says Mark Frydenberg, a distinguished prostate cancer practitioner the media loves to go to because of his balanced views.
He says the biggest issue was small, low-risk disease. "These men potentially might have gone 10 to 15 years without the disease progressing. We didn't realise it back then."
Frydenberg, vice-president of the Urological Society of Australia and New Zealand, says a new armamentarium is being developed to fight prostate disease.
PSA is now used in far more sophisticated and reliable ways and biopsies are ordered with more caution. MRI is increasingly being used to image the prostate and reduce the need for biopsies.
And extraordinary work has been done in the management of advanced disease.
"We have made huge progress," says Frydenberg. "Ten years ago, hormone therapy was effectively all we had and, when it failed, it was a death sentence.
"Now we have second- and third-line hormonal therapy agents, at least two lines of chemotherapy, an immune therapy and radiopharmaceuticals, all of which have been shown to improve survival."
Looking back, he says the overtreatment that did occur was inevitable. It was part of the evolution of understanding this disease, and is now over.
There may be merciful irony in the fact that those who were over-treated never knew it. All they knew was that they had a cancer and it was "best" to get it in the bucket as fast as possible.
Afterwards, they thought they had been saved from a premature death. They had no idea they would have died with their cancer rather than from it.
David Winkle, president of the Urological Society of Australia and New Zealand, has a sober view of the events of the past two decades.
"We created morbidity but we have also prevented it, so it is complex."
While we should not stop looking for prostate cancer and treating it, "we need to do it more smartly". And we are.
Jill Margo is health editor of The Australian Financial Review.
Staying dry: a critical consequence
Until the boom in prostate cancer, most men didn't know much about the gland or even where it was in their body. Now it is commonly likened to a walnut that sits just below the bladder.
On its way from the bladder to the outside world, urine flows through it. If the prostate gets too big or diseased, it can interfere with the flow.
It can block it , turn a jet stream into a dribble, cause frequency, urgency, a sense of inadequate emptying or pain.
One of men's biggest anxieties after an operation to remove their prostate is what will happen when the catheter comes out. Will they be able to hold their water?
Initially, many can't and are sent home with pads in the hope that natural healing will save them. About 2 per cent of these men will not heal. This doesn't sound like much until you realise that 60,000 men in Australia have had their prostates removed in the past 15 years.
These men have to live with this devastating condition unless they seek surgery. The number doesn't include those who keep the issue private and manage on a pad or two a day.
Stuart Baptist, of Sydney Men's Health Physiotherapy, trains men in staying dry following surgery. He says being wet is a horrendous insult. "It's de-masculinising; it's like wearing a nappy again. They are in a suit but they are wearing panty-liners!"
There are degrees of incontinence from a mini-squirt on laughing or coughing to, at worst, a constant drip from the moment they stand up in the morning. Pads weighed after 24 hours of use can show up to 1.5 litres of urine loss. Their lives can be ruined unless there is an improvement.
"As physios, one of the biggest problems we have is with compliance. We tell our patients what to do and then they go away and ignore us. But with incontinence, if you tell a guy to do his pelvic floor exercises, he'll do them. The motivation is enormous."
The prostate cancer boom is pushing along sales of "male protection" products with pharmacies now devoting whole shelves to the men's range.
Over the last 12 months, TENA, the leading brand experienced an 8.3 per cent jump in sales of male pads in the grocery market and a higher jump in the homecare and residential markets.
Surgeon's holy grail: keeping your nerves – and potency
When a man loses his prostate, he loses much more than a small body part. It is not like separating from an appendix or a tonsil that he can blithely live without.
The prostate is deeply tied to his masculinity. This nutty little organ secretes much of the fluid in the ejaculate that helps sperm survive outside his body and its muscles assist in the ejaculation process.
When it goes, the ability to ejaculate goes with it. Thereafter, sex is dry – if it is possible at all.
Innumerable men emerge impotent from prostate surgery. It is not possible to obtain a true estimate because so many factors are involved.
The result depends on the man's pre-existing potency, his age, his illness, his surgeon, who is making the assessment and how subjective it is.The removal of the prostate will impact on every man's sexuality. Apart from making his penis a bit shorter, it causes his erections to lose some rigidity and durability. Most will lose spontaneous erections altogether.
Keeping some erectile ability is only possible if the erectile nerves are spared during surgery. These delicate nerves form a diaphanous veil around the prostate which has to be treated with exquisite delicacy.
If the nerves are bumped, cut, burnt, or feel the heat of nearby cautery, they can become badly damaged or die. The problem of saving these nerves is that the surgeons know where they are, but cannot readily see them. Imagine it as a tent with two layers. The space between the layers must be preserved because that is where the nerves invisibly reside.
When, after an operation, the surgeon announces that all the nerves were spared, the only objective test is the return of potency. If it does not return, it does not necessarily mean nerves were not spared. The lack of erectile function may have another cause.
Being able to highlight the nerves and spare them in their entirety – as long as this does not compromise the cure – is the holy grail of prostate cancer surgery.
For this, men and their surgeons pray together.
The Australian Financial Review


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OmniBlend Australia is being taken to court by the Australian Competition and Consumer Commission (ACCC) for allegedly attempting to engage in price fixing with a competitor. It has also alleged that OmniBlend encouraged a supplier to direct Omniblend's key competitor not to discount its blender prices.
Omniblend supplies various kitchen blenders through its online store to businesses and consumers in Australia, New Zealand and the United Kingdom. OmniBlend and its competitor are the two major distributors of OmniBlend branded blenders in Australia.
The ACCC alleges that OmniBlend attempted to fix prices with its competitor. When this failed, it's alleged that OmniBlend persuaded the supplier to keep prices of its products at a certain level by refusing to supply the competitor unless it stopped discounting the price of certain blenders.
Rod Sims, ACCC chairman, says: "Price fixing and resale price maintenance affect consumers by increasing prices, reducing consumer choice and distorting the competitive process."
"The ACCC views these types of anti-competitive conduct very seriously and will not hesitate to investigate and where appropriate take enforcement action against businesses who engage in this behaviour," he says.
19 Jun 2014 | Virgin and Jetstar will soon be facing the federal court on allegations of misleading and deceptive conduct after the ACCC instituted proceedings against them for drip pricing.
17 Jun 2014 | The ACCC will regulate wholesale SMS pricing for the first time, potentially bringing the cost of text messages down.
29 May 2014 | Industry body, the Australian Egg Corporation, is being taken to court for alleged trying to reduce the egg supply in order to prevent an oversupply.
23 May 2014 | The AFL Fans Association has lodged an ACCC complaint about the league's variable pricing regime.
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Lmao . I was just messin . I seen that response on the net a couple years ago and thought it would be fitting .
Thinking about going out this weekend possibly, I need to either ride my dirtbike or Jeepin, or both..I mught go to the track and ride my bike tomorrow so I can get my time in for the week!
Now the big decision which bike should I take to the track, the Honda CRF488R 4 stroke, or the Yamaha YZ300 2 stroke? Oh wait I can fit both in my truck, that way I can do some laps on both...thanks for the help guys, lol.


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Brief: Nido Petroleum
PUBLISHED: 11 Mar 2010 12:18:56 | UPDATED: 11 Mar 2010 12:18:56PRINT EDITION: 11 Mar 2010Nido Petroleum has entered into an agreement with TG World (BVI) Corp to farm-out 7.6pc of its 50pc interest in the highly prospective Service Contract 54 Block A (SC 54A), offshore northwest Palawan Basin in the Philippines, for $US6.79m.
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Cramer's 'Mad Money' Recap: Analyzing the Unexpected
Turning to the issue of health and safety, Grubman said the NFL recently donated $30 million to medical research because "it was the right thing to do." He said the league is constantly making improvements to the game to improve health and safety, but league officials are not medical experts and therefore rely on others to tell them what changes need to be made.
Finally, when asked about the price of attending a game, Grubman said that, believe it or not, what's most important at the league is not making profits, it's making the game better. Thus they're always trying to find ways to keep prices affordable for everyone.
Lightning Round
Here's what Cramer had to say about callers' stocks during the "Lightning Round":
Pandora Media (P): "It has too many shorts in it and they don't have any earnings momentum."
Dunkin Brands (DNKN): "The quarter was just OK. McDonald's (MCD) is taking share from Dunkin." LeapFrog (LF): "No, this one is always a bridesmaid and never bride. I don't want to buy it on takeover talk." BP Prudhoe Bay Royalty Trust (BPT): "Many of these companies are cutting their dividends. That has people worried." SBA Communications (SBAC): "I still like it and American Tower (AMT)."Oil's Well At HollyFrontier
In a second "Executive Decision" segment, Cramer also sat down with Michael Jennings, president and CEO of HollyFrontier (HFC), an oil refiner whose shares are up 70% so far this year. Jennings started by noting HollyFrontier has delivered a 20% return on capital for over the past 10 years, proving the company has been doing a lot of things well for a long time. His company now has a structural advantage as the economics have changed. HollyFrontier is now closer to both the oil shale fields and the customers than any other refiner. When asked about the price of gasoline, Jennings said that, overall, the price is fairly consistent across the nation, but thanks to the company's locations it is able to take advantage of heavy Canadian oil and other shale oils that price even lower than West Texas Intermediate oil, which only adds to the high margins.Check Out Our Best Services for Investors
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It was an ordinary day, the sun was shining, birds chirping happily, while Jensen yelled at Jared, for pelting him with water balloons. Yes another day with the Supernatural cast, except today was your friend Misha's birthday, and you wanted to prank him. Every year for your birthday, Misha would prank you in some embarrassing way. Like last year for example, he along with Mark Sheppard threw you into a pool of ice, took a picture and sent it to twitter. Don't ask where they got all that ice, because even you didn't know.
Even after all those cruel pranks, you still loved them. They were like a family to you, like Bobby said "Family don't end in blood'. Granted Misha would be your crazy uncle that most people avoid, Mark would be the protective father, Jared would be the silly brother that would constantly make you laugh, and Jensen would be the attractive brother that all the girls drool over. You loved them nonetheless.
Skipping over to Jared, you grabbed his arm, and pulled him towards your trailer. He gave you a questioning look, but shrugged. This wasn't the first time you dragged him to your trailer, usually it ended with him walking away with bags full of exotic candy. You shut the door, and sat down, tapping your fingers together like a villain does in the movies.
"Okay what is it?" Jared asked, sitting down across from you.
"Today I will prank Misha, and this time I'll win the internet, moose."
"I'm liking where this is headed, tell me more of your master plan." He smiled mischievously, while you whispered your plan into his ear. He nodded, and the corners of your lips tugged up in a small smile. Jared ran outside to go get Jensen, while you grabbed the keys to your car. The ride to the cake shop, was surprisingly short, so that meant more time to get everything ready. You walked in the little shop, the bell rang signaling to the owner, that there was a customer. The shop owner smiled politely at you, and asked what you would like. You ordered a simple cake, perfect for shoving it in a certain actor's face. Since it was such a simple order, you got it in less than ten minutes. While you walked out of the store, you pulled your phone out, to message Jared and Jensen in a group chat.
'Hello boys, got the cake.' -_ _
'Good, I got the pie.' -JA
'I told Misha where to go.' -JP
'Thanks moose, you rock!' -_ _
'Hey I was the one who got the pie!' -JA
'Hush, squirrel.' -_ _
'See you soon.' -JP
You chuckled, as you stuffed your phone in your jean's pocket, and sat down to drive back to the set.
"She better hurry, Misha will be out in three minutes." Jensen said, checking the time for the fifth time now. Jared stuck his head out to see if you had pulled up, only to come face to face with Misha.
"Are you hiding from ___, again?" Misha asked, turning to look where Jared was looking. He saw you walking from your car, with a white box, he smiled and waved to you. You smirked, and winked at Jared, signaling him to start the plan.
"That was the signal." Jared whispered to Jensen. They both jumped from their not so secret hiding spots, while Jared threw the pie at Misha, Jensen filmed it. You fell to the ground laughing, while Misha wiped the pie from his face.
"Was that payback?"
"Heck yeah it was!" You said in between laughing and breathing. He wiped off some more pie off of his face, and chuckled. You got up from the ground, dusting yourself off, and picked up the cake fro the table.
"Okay, okay we actually got you a cake."
"Really? Thank yo-.." Misha began, but you cut him off by shoving the cake in his face.
"YOU'VE BEEN GARTHED!" You screamed at him, jumping up in victory. Jensen sent the video to your phone, and you quickly added "Happy Birthday @ mishacollins we love you!" , before sending it to twitter. You wiped your finger across Misha's cheek, and stuck your frosting covered finger in your mouth.
"Mmm payback tastes so sweet!"
The End
Okay, okay maybe not the end....Extended ending
"Oh my gosh!" You yelled, running into Misha's trailer. He was still wiping cake and pie from his hair, from your birthday present prank. He raised an eyebrow at you, but continued with his hair.
"Guess who got one million retweets?"
"Let me guess, you did?"
"I did, because your fans love to see you get pranked."
"Yeah happy birthday to me."
"You know you love us."
The End