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Lewis leads pack of pitchers on the mend
SURPRISE, Ariz. -- Colby Lewis, who was the Rangers' Opening Day starter in 2012, is one of eight pitchers in camp who are in various stages of recovery from surgery.
The details:
• Lewis, who had surgery on his right flexor tendon on July 27, is throwing on flat ground up to a distance of 120 feet. He will meet with Dr. Keith Meister on Wednesday to determine his next steps and when he might be able to throw off a mound. But he has had no issues or setbacks and June 1 remains a tentative target date.
"No pain, I feel great," Lewis said. "There has never been a day where I woke up and couldn't get loose. I'm telling them exactly how I feel. I'm not lying, it feels great."
• Joakim Soria, who had Tommy John elbow reconstruction surgery on April 3 while with the Royals, threw off a mound for the first time on Monday without a problem. He threw 15 pitches, all fastballs. He hopes to be back in May.
• Justin Miller, who also had Tommy John surgery in April, threw off a mound for the first time on Tuesday. The Rangers relief prospect is on the same schedule as Soria.
• Neftali Feliz is throwing on flat ground at a distance of 60 feet. He had Tommy John surgery on Aug. 1 and likely won't be back until the last month or two of the season.
• Roman Mendez, who had a stress fracture in his right elbow surgically repaired in November, is still throwing long toss and won't return to a mound until March 1.
• Matt West had Tommy John surgery in August and is throwing off flat ground.
• Randy Wells (elbow surgery July 25) and Kyle McClellan (shoulder surgery July 10) are at full speed with the rest of the pitchers.


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Improper Prefixes 10Language brain teasers are those that involve the English language. You need to think about and manipulate words and letters.
The following definitions are for words that appear to have prefixes that lead to those improper definitions. The pronunciation for the "incorrect definition" may be different ("co ward" instead of "coward"). Example: to put something back together before it is broken = prefix (pre fix).
1) a relative of a hand
2) to take care of something before it is necessary
3) to rent again
4) a building with two stores
Answer1) manikin (mani kin)
2) pretend (pre tend)
3) release (re lease)
4) bishop (bi shop)
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subset: commoncrawl


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NEW YORK — Foot Locker's fourth quarter profit rose to $104 million from $81 million a year earlier.
Sales jumped 14% to $1.71 billion, including the benefit of an extra week. Same-store sales rose 7.9%.
For fiscal year 2012, which included 53 weeks, the company reported net income of $397 million, compared to $278 million a year earlier.
Total sales increased 9.9% in 2012 to $6.182 million, compared with sales of $5.623 million last year. Same-store sales were up 9.4% in 2012.
"With the momentum we built from executing our strategic initiatives, the team at Foot Locker, Inc. was able to drive our sales and profits substantially higher than last year's record results," said Ken C. Hicks, chairman and CEO of Foot Locker, Inc. "We believe that we can continue to build on this momentum and deliver a double digit percentage earnings per share gain for full-year 2013, compared to our 2012 non-GAAP results of $2.47 per share."


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We've spent years lusting after Madonna's wardrobe, and now we have our eye on her daughter as the next trendsetter in the family. In this week's PEOPLE, Lourdes Leon makes a splash on her way to younger brother Rocco's birthday party in the most adorable printed wellies (don't get us started on how cute the red dress and fishnets are on her.) We did some investigating and found out that they are from Montreal-based bootmaker Kamik, also a fave of celebs like Reese Witherspoon and Sarah Jessica Parker. Lourdes is wearing the Daisy print in Orange, which also comes in adult sizes. We also love the Pink Camo for girls and the Squiggle boots for kids-at-heart. Perfect for waiting in line to buy tickets to her mom's concerts!
Photo: Hammond/Millar/Splash news


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Increase the impact of your donation with our Matching Gift Challenge - your donation will be matched 5 to 1!
Stretching from Maine to New Mexico and Utah to Hawaii, America's national monuments can be found all over the country, and offer the chance to do everything from exploring ruins and discovering dinosaurs to rock climbing and snorkeling.
President Trump's first official budget proposal includes a rider that encourages drilling for oil in the Arctic National Wildlife Refuge, among other cash-grab gimmicks and deep cuts to conservation programs.
Americans only have until May 26 to submit comments concerning President Trump's infamous "review" of Bears Ears National Monument. Many are already speaking out against the review and in defense of Bears Ears.
A Wilderness Society report finds that since it gained statehood in 1896, Utah has liquidated more than 54 percent of the land originally granted to it.
Interior Secretary Ryan Zinke told some officials in Utah that he will recommend revoking Bears Ears National Monument, suggesting the Trump administration has already made up its mind about the outcome of its so-called "review" of national monuments.
A new White House web page asks Americans which agencies they'd like to dismantle. Among those agencies are the National Park Service, U.S. Fish and Wildlife Service and other critical environmental departments. Here's how we should respond.
Lobbyist David Bernhardt could become deputy secretary of the Department of the Interior despite a pro-fossil fuel stance and many conflicts of interest.
The first Colorado Public Lands Day is set to celebrate the places we all love that define the state's unique appeal.
We have just weeks to tell Interior Secretary Zinke national monuments deserve to be protected.
Despite heavy pressure from the oil and gas lobby, Congress was unable to kill the Bureau of Land Management Methane and Waste Prevention Rule,


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All Cognac Brands, Artisan Cognacs and some armagnac and pineau XO VSOP VS NAPOLEON. History of Family Houses. Advice and guide for gifts, corporate, birthday, graduation and wedding
Couprie - VSOP
After ageing in new oak, this Cognac spends several years in barrel in the traditional cellars in Ambleville. This Cognac has a highly original personality thanks to a fruity bouquet combining finesse and subtlety.Learn MoreExcl. Tax: €32.50 Incl. Tax: €39.00


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So please, I've had as much fun with him as the next guy, but it's about to kill the Colts board. It is sucking all the fun out of watching Luck. I got what I really wanted from him. An admission that he is just a bitter man who hates Andrew Luck for no reason. So leave him to his devices.
Ignore him, block him, whatever.
Just let's let it be at this point. We are not going to get anywhere with someone who is consumed with blind hate. I don't care whether he continues to post or not. I won't be reading or responding to anything this guy says again.
Go Colts


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Prize Recipient
Franz Himpsel
University of Wisconsin
"For pioneering investigations of the electronic structure of surfaces, interfaces, adsorbates, and nanostructures."Background:
Franz Himpsel received a Diplom at the University of Munich with a thesis in quantum electrodynamics under Fritz Bopp. After a summer at CERN he went to Munich for a PhD in condensed matter physics with Wulf Steinmann. As postdoc he joined Dean Eastman at IBM Research in Yorktown Heights in 1977 to work on surface spectroscopy with synchrotron radiation. He became staff member and was senior manager of the Surface Physics Department. In 1995 joined the UW-Madison as physics professor.
In his scientific work, he used spectroscopy with synchrotron radiation to reveal the often surprising electronic states at semiconductor surfaces and interfaces. His current interests are self-assembled nanostructures at surfaces, such as magnetic quantum wells, atomic chains for the study of low-dimensional electrons, an atomic scale memory for testing the limits of data storage, and the attachment of bio-molecules to surfaces. His more than 400 publications place him among the 100 most-cited physicists.
He received the 1985 Peter Mark Award of the AVS, became APS Fellow in 1985, AVS Fellow in 1994, member of the New York Academy of Sciences in 1995, Ednor M. Rowe Professor of Physics in 2000, and recipient of a Humboldt Research Award in 2005.
Selection Committee:
Wilson Ho (DCMP) (Chair), Leonard C. Feldman (DCMP)(12/06), Ernst Bauer (2005 recipient)(12/06), Neville Smith (V. Chair)(DCMP)(12/07), Manuel Cardona (DCMP)(12/07)


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Where to Eat Now
Downtown Los Angeles?Highland Park
Nick & Stef's. Joachim Splichal's downtown steak house pushes the genre's envelope. The décor is sedate enough?? — banquettes wear banker's gray — but annexed to the dining room is a climate-controlled glass case filled with slabs of darkening, crusting, dry-aging beef — a library of meat. The à la carte menu features 12 kinds of potatoes, 12 sauces and at least as many other side dishes. The outside patio — a sunny clearing in a forest of skyscrapers — may be the best urban dining spot in town. 330 S. Hope St. (Wells Fargo Center), downtown, (213) 680-0330. Lunch Mon.–Fri. 11:30 a.m.–2:30 p.m. Dinner Mon.–Thurs. 5:30–9:30 p.m., Fri. 5:30–10:30 p.m., Sat. 5–10:30 p.m., Sun. 4:30–8:30 p.m. Full bar. Parking in Wells Fargo Center. American steak house. MH $$
Patina, Disney Hall. Patina's dining room in Disney Hall is arguably the most important restaurant space in California, and when Joachim Splichal concentrates, as he has so many times before, he can be among the best chefs in the United States. The restaurant is known for the offhand complexity of its presentations, and a bowl of soup I tasted there may have been among the oddest of all: The raw flesh of a Santa Barbara spot prawn shared space at the bottom of a bowl with fresh coconut, threads of slivered lemongrass and tart, juicy flecks of chopped citrus. It was frosted with flakes of dried bonito — a stunning composition. 141 S. Grand Ave., downtown, (213) 972-3331. Dinner daily 5–11 p.m., Lunch Mon.–Fri. 11:30 a.m.–2 p.m. Beer and wine. Valet parking. AE, D, MC, V. French contemporary. JG $$$?b?
Silver Lake/Los Feliz/Echo Park
Edendale Grill. Housed in an old firehouse and named for Los Angeles' first movie studio, Silver Lake's Edendale Grill is a bit of set-dressed history. Craftsman-era lighting fixtures with mica shades cast a warm, golden glow in the dining room. The Mixville bar has an original hammered-tin ceiling and firehouse doors. The kitchen serves up its own brand of culinary nostalgia for midcentury Midwestern American cooking: oysters Rockefeller, caesar salads made tableside, Green Goddess salad dressing, sand dabs, steaks and chops, even a beet-red velvet cake from the Waldorf. Despite somewhat harried service and slapdash cooking, the Edendale Grill can be a tough reservation, which indicates just how much Atwater–Echo Park–Los Feliz–Silver Lake citizens have hungered for such a fine-looking, versatile neighborhood dinner house. 2838 Rowena Ave., Silver Lake, (323) 666-2000. Dinner Sun.–Thurs. 5:30–10 p.m., Fri.–Sat. 5:30–11:30 p.m. Sunday brunch 10 a.m.–3 p.m. Full bar. Complimentary valet. AE, DC, MC, V. American. MH $$b?
Malo. Okay, right off the bat: Malo is not malo. It's a decent, stylish Mexican restaurant that inhabits the former Cobalt Cantina in Silver Lake, and the menu is a taut, well-devised little list of small, shareable items by executive chef Robert Luna. The food has the hearty heft and flavor of good, home-cooked Mexican food. Soups tend to be meals unto themselves. I'd also make a whole dinner from the iceberg-and-grilled-steak salad; the long-marinated meat comes well-charred and sputtering on the lettuce, which is flecked with grated cheese and olive slices. And in keeping with today's small-dishes, share-everything, anti-starch, Atkins-friendly ethos, entrées come unaccompanied; beans, rice, guacamole and sautéed squash are offered as side dishes. 4326 Sunset Blvd., Silver Lake, (323) 664-1011. Dinner Fri.–Sat. 6 p.m.–midnight, Sun.–Mon. 6–10 p.m., Tues.–Thurs. 6–11 p.m. Full bar open until 2 a.m. Valet parking. AE, MC, V. Mexican. MH $$Â?
Hollywood/Melrose/La Brea/Fairfax
Hi Thai Noodle. Both a collegiate hangout and a serious noodle shop, Hi Thai is a bright, noisy shotgun marriage between a fast-food restaurant and a high-style café. The menu is basic, a few different noodle dishes from the Bangkok street-food playbook assembled a few different ways; but this is a pretty good place to experience the offhanded excellence of real Thai cooking: vivid flavors, fresh ingredients and luscious textures, put together with something like love. 5229 Hollywood Blvd., Hollywood, (323) 465-4415. Lunch and dinner seven days 24 hours. No alcohol. Street parking. MC, V. Thai. JG $[b?
La Buca. La Buca is a tiny Italian café on Melrose, just east of the studios, crowded with poster-size movie stills from Italian comedies and dramas. Though the cook hasn't exactly thought outside the box, La Buca does make its own bread, pizza dough, gnocchi and ravioli — and all of these are worth eating. The pizzas are thin but not too thin in the Neapolitan style, and traditionally topped like the Margherita (tomato sauce and mozzarella) and the Napoli (tomato sauce, mozzarella, anchovy and capers). House-made gnocchi has a fine, soft-to-melting texture and good potato flavor. An impromptu complimentary bruschetta made with sautéed peppers and garlic is the best appetizer we ate there. 5210-1/2 Melrose Ave., Los Angeles, (323) 462-1900. Open Mon.–Fri. 11:30 a.m.–10:30 p.m. and Sat. 4:30–10:30 p.m. Closed Sun. No alcohol. Takeout. Street parking. AE, MC, V. Italian. MH $
Mid-Wilshire/Koreatown?Central Los Angeles
El Cholo. Even in the '20s, Angelenos vaguely remembered that the area used to belong to Mexico, and there have always been Mexican restaurants here that catered to American taste. The emblematic cuisine of these restaurants is embodied in the Number Two Dinner, the eternal combination platter of chile relleno, enchilada, rice and beans bound together with cinctures of orange cheese. And El Cholo's green-corn tamales have been a rite of spring in Los Angeles since the days when Bob Hope was actually funny. 1121 S. Western Ave., Los Angeles, (323) 734-2773. Mon.–Thurs. 11 a.m.–10 p.m., Fri.–Sat. to 11 p.m., Sun. to 9 p.m. Full bar. Valet parking. AE, D, MC, V. Entrées $6.95–$13.50. Mexican. JG $Â
West Hollywood/La Cienega
Madeo. Gnocchi (pronounced NYO-kee) are easy to make. Good gnocchi are notoriously difficult. A sous chef we know was once in charge of the gnocchi at a well-known restaurant, and his afternoons were either made or destroyed by the owner's reaction to the spoonful he offered her every day at precisely 4:30. His gnocchi made it onto the menu only about two days out of five. Madeo, the understated agents' hangout a few blocks from Cedars-Sinai, resembles a businessmen's restaurant in one of the lesser quarters of Rome, from its shiny, vaguely disco-era décor to its bunker-like location a few steps below the street. The blistery pizza is fine, and the smoky, fire-roasted veal is renowned. And you can't miss with the gnocchi — luscious, featherweight clouds of pure potato flavor, dressed with pesto, tomato sauce with basil, or a slightly gooey tincture of Gorgonzola — which may be among the best in Los Angeles. 8897 Beverly Blvd., West Hollywood, (310) 859-4903. Mon.–Thurs. 6–10:30 p.m., Fri.–Sat. 6–11 p.m., Sun. 5:30–10:30 p.m. Full bar. Takeout. Valet parking. AE, MC, V. JG $Âb?
Zeke's. This mini-chain of barbecue restaurants was conceived by Leonard Schwartz — which is to say, by the chef who reinserted meat loaf into the American canon 20-odd years ago at 72 Market Street. He's either a compassionate conservative or a card-carrying postmodernist, and it is impossible to tell just which from the evidence of his food alone. Zeke's plays both sides of the fence in the barbecue game, serving essentially Piedmont-style pulled pork (with the controversial Carolinian mustard sauce), spare ribs that slouch toward a Kansas City style, and fairly magnificent Texas-style brisket, rimmed with a pink rictus of smoke. The side dishes, which are so beside the point at central Texas barbecue stands as to be practically nonexistent, tend to be pretty great — including hush puppies, potato chips fried to order and the only barbecue-hut coleslaw I can ever remember finishing. 7100 Santa Monica Blvd., West Hollywood. (323) 850-9353. Also 2209 Honolulu Ave., Montrose, (818) 957-7045. AE, MC, V. Lunch and dinner daily. Takeout. Barbecue. JG$$b
Westwood/West L.A.?Century City
Fu Rai Bo. Fu Rai Bo doesn't just specialize in chicken, but in spicy skewered teba sake chicken wings; not a whole wing, but that spindly middle segment of wing in which a couple of bones form sort of a frame protecting a sweet, if minuscule, oblate ellipse of meat. They're made for deep-frying the way a chicken breast is for grilling, deeply absorbing Fu Rai Bo's tart, spicy marinade, greaseless and practically all brittle, crunchy skin. After the chef has dusted them with various white powders and heaped them on plates alongside scoops of shredded cabbage and mayo-intensive chicken salad, you could gnaw through a million of these wings, sucking out the meat, while your teeth seek out hidden crunchy bits. 2068 Sawtelle Blvd., West Los Angeles, (310) 444-1432. Lunch daily 11:30 a.m.–2 p.m. Dinner Mon.–Thurs. 5:30-11 p.m., Fri.–Sun. 5:30–11:45 p.m. Lot parking. Take-out. Beer and wine. MC, V. Pan-Asian. JG $$b
Beverly Hills and vicinity
Mastro's. One of a small chain of Scottsdale-based steakhouses, Mastro's has the look — volcanic rock work, blackout curtains, black-leather banquettes — of desert resorts, supper clubs, casinos and other booze-filled refuges where the dreaded sun don't shine. Eat downstairs for more intimate dining, or upstairs if you're up to walking the gauntlet of a long bar (where serious drinkers swivel on cue to watch you pass) to get to your seat. The excellent service staff is adept, adaptable and good-natured, even when their customers — Beverly Hills carnivores — are not. Meat dominates the menu; steak to be exact. Order the Kansas City bone-in, the porterhouse or the bone-in rib-eye (the latter, ordered charred rare, is a glorious, rich, big, big-flavored piece of meat with a crusty char oozing juice). Here, rare means rare, i.e., cold inside — yes. Start with the horseradish-spiked caesar salad, or the traditional iceberg wedge with blue cheese. Sides — fried onions, creamed corns, sugar snap peas, potatos gratin — are fresh, enormous, delicious: Split 'em. Finish with a paradigmatic Key lime pie. 246 N. Cañon Dr., Beverly Hills, (310) 888-8782. Open for dinner weekdays 5–11 p.m., weekends 5 p.m.–mid. Entrées $20–$47. Full bar. Valet parking. AE, D, DC, MC, V. American. MH $$$Â?
Santa Monica/Brentwood
LA99 Cora's Coffee Shoppe. After decades in service as a prototypically grungy beach dive, Cora's was chopped and channeled by Bruce Marder into a vision of what its former customers feared most: a pretty patio café fueled by well-made frittatas, truly spicy tacos given a not-inappropriate expensive-restaurant gloss, goopy $12 hamburgers made with ground Kobe-style beef, and astonishingly good house-made caramel ice cream. There goes the neighborhood. 1802 Ocean Ave., Santa Monica, (310) 451-9562. Breakfast, lunch and dinner Tues.–Sat. 7 a.m.–9 p.m. Closed Sun.–Mon. No alcohol. Takeout. Lot parking. AE, MC, V. American. JG $b
Lincoln Steakhouse Americana. I would have bet there was nothing new under the sun when it came to steak houses, that every possible permutation of the Rat Pack lifestyle, every $120 Kobe-beef fillet, every conceivable tomato salad, cigar station and vodka martini had been explored. This steak-house thing has been going on a long time, after all, and even the most Atkins-crazed Robb Report subscriber could hardly want for variety. But it's not the braised turnip greens that make the difference at Lincoln Steakhouse, owned by the people who run Paladar. The profoundly charred Angus-beef porterhouses are fine, but no better than you'll find at a dozen other places in town. What Lincoln has that other steak houses do not is young women, in packs and in pairs, on dates, on business dinners and dining alone. And these aren't young women nibbling salads or sipping white wine, or hanging around the bar waiting for you, but women ordering big steaks and eating them. I would credit the well-known charm of the antler chandeliers for this phenomenon, but I would probably be wrong. 2460 Wilshire Blvd., Santa Monica, (310) 828-3304. Lunch Mon.–Fri. 11 a.m.–2 p.m. plus bar menu until 5:30 p.m. Dinner Mon.–Sat. 5–11 p.m., Sun. 5–10 p.m. Full bar. Valet parking. AE, MC, V. New-fashioned steak house. JG $$$bÂ?
Culver City/Venice/Marina Del Rey/Westchester and vicinity
Axe. At Axe (pronounced "ah-shay"), simple and gleaming as a Zendo, the clear ocean air is practically a design element. Some find the austere aesthetic "refreshing"; others find the seats uncomfortable, the overall effect harsh. The wait staff does tend to be more physically attractive than efficient, but this restaurant marches to its own beat, or rather, to that of the chef-owner Joanna Moore, whose breakfast, lunch and dinner menus are seductively eclectic. Try her meal-sized whole-grain pancake, a composed salad, her masterly spaghetti aglio olio and any dessert. 1009 Abbot Kinney Blvd., Venice, (310) 664-9787. Lunch Tues.–Fri., dinner Tues.–Sun., brunch Sat.–Sun. Beer and wine. Valet parking. AE, D, MC, V. California. MH $$[
Simpang Asia. With a huge selection of Japanese candy and boxes piled neatly to the ceiling, this small Indonesian grocery, with a Web site, is what I'd imagine a 7-Eleven in Sulawesi might look like: immaculate shelves of chile peanuts, dried squid and juice boxes of starfruit drink, kilo bags of fried shallots, and more flavors of instant noodles than you may have known existed. Neighborhood kids drop in, carefully counting dimes for their rations of Pocky sticks or Japanese bubblegum. UCLA students haul off caseloads of ramen. Simpang Asia is almost exotic in its nonexoticism. 10433 National Blvd., Los Angeles, (310) 815-9075, www.veryasia.com. Lunch and dinner, Mon.–Fri. 10 a.m.–10 p.m., Sat.–Sun. 11 a.m.–10 p.m. No alcohol. Takeout. Lot parking. D, MC, V. Indonesian. JG ¢b
San Fernando Valley
Carnival. The whole human comedy — or carnival, as it were — flocks to this relentlessly popular Middle Eastern restaurant in a Sherman Oaks mini-mall for big portions of mezze and kebabs. (A buck seventy-five adds soup or salad and rice or fries to any entrée.) Never mind the harassed, overworked waiters racing around on their last nerves. Try the daily specials — lamb shanks, lamb and okra stew. Hummus meat — chopped, deeply seasoned lamb and pine nuts in a nest of good hummus — is the dish to order. 4356 Woodman Ave., Sherman Oaks, (818) 784-3469. Seven days 11 a.m.–10 p.m. Beer and wine. Takeout. Lot parking. AE, MC, V. Middle Eastern. MH ¢b
South Bay/LAX/Long Beach and vicinity
Shula's 347.They flock to Shula's 347, the business-flier crowd, the sallow men who inhabit every airline lounge in the country and know their way around an airline bottle of Tanqueray, a no-iron Brooks Brothers polo shirt, and the back nine of half the golf courses in Ohio. They are the men you shuffle by on your way to tourist-class purgatory. Don Shula, of course, was the coach of the Miami Dolphins in their greatest days, and the number 347 refers to the number of victories he oversaw in his career; the blank-eyed men at the bar are surer of that number than they were of the date of their first wives' birthdays, and all side dishes are priced at $3.47 in honor of the immortal stat. The Hickory Burger at Shula's 347 is basically an honorable thing, a thick, flat burger made from certified if rather over-handled Angus beef, layered with applewood-smoked bacon, and served with a blizzard of oddly textured chopped cheddar that looks more like the output of a cross-cut paper shredder than like anything resembling cheese. The bun is slightly too big, too bready, like most commercial buns, and the sandwich is oddly heavy for its size, as if it conceals a payload of lead. When you finally bite into the Hickory Burger, the sensation is of pure smokiness, not the smack of the grill precisely, but more like the feeling that somebody has painted your tongue with liquid smoke. This smokiness is of a different caliber, intense enough to render the smoky bacon almost flavorless in your mouth. Sheraton Gateway Hotel, 6101 Century Blvd., Los Angeles, (310) 642-4820. Sun.–Thurs. 5–10 p.m., Fri.–Sat. 5–11 p.m. Full bar. Three hours free valet parking. AE, MC, V. American. JG $$b?
South Los Angeles
Woody's. As you blast down Slauson toward the Westside, Woody's Bar-B-Que is visible from a long way off, a white plume that looks from a distance as if it might come from a belching bus or a car fire, but quickly sorts itself out into a meat-fragrant cloud of woodsmoke. What you get here is, y'know, barbecue: crusty pork ribs spurting with juice; thick, blackened hot-link sausages with the chaw of good jerky; chewy, meaty little rib tips; giant beef ribs; and charred, only occasionally stewy-tasting, slices of well-done barbecued beef brisket that even Texans condescend to like. The sauce is one of the sweet brick-red kinds, hotly spiced with red pepper flakes, that you sop up with slices of damp white bread until all of it is gone, less a condiment than a way of life. 3446 W. Slauson Ave., (323) 294-9443. Also 475 S. Market St., Inglewood, (310) 672-4200. Open daily for lunch and dinner. Takeout only. Cash only. JG$ b
East Los Angeles
El Chamizal. The basic unit of currency at El Chamizal is the parrillada, a squat iron brazier shimmering from the heat of the charcoal within, brought to your table piled high with thin grilled steaks, pork chops marinated in chile, hunks of chorizo sausage, fried bananas, whole jalapeños burnt black, and little ramekins of melted cheese and scallions bronzed and wilted to a superb sweetness. The meat is terrific, well-marinated, very nice folded into a little taco with the house's fine smoked tomato sauce and a spoonful of the smoky bacon-stewed beans. 7111 Pacific Blvd., Huntington Park, (323) 583-3251. Breakfast, lunch and dinner, seven days, 8 a.m.–2 a.m. Full bar. Takeout. Street parking. AE, D, DC, MC, V. Mexican. JG $?b
Burbank/Glendale/Eagle Rock
La Cabañita. The menu here is loaded with things such as entomatadas and mole, which turn out to be basically chicken enchiladas and a slightly spicy beef soup, respectively, but which sound ineffably chefly and exotic. The tacos, created with freshly made corn tortillas, are stuffed with sweetly spiced beef picadillo studded with almonds and raisins; with dryish fried pork; with chopped beef and melted cheese. They're terrific. Somebody has obviously thought about this stuff. 3447 N. Verdugo Road, Glendale, (818) 957-2711. Lunch and dinner Mon.–Thurs. 10 a.m.–10 p.m., Fri. 10 a.m.–11 p.m., Sat. 8 a.m.–11 p.m., Sun. 8 a.m.–10 p.m. Beer and wine. Street parking. AE, D, MC, V. Mexican. JG $b?
Pasadena and vicinity
Wahib's Middle East Restaurant. Come in the late afternoon for an indulgent lunch of smooth, cool raw kubbeh, sort of a bulgur-studded Lebanese steak tartare (made from lamb). Unlike most Lebanese restaurants, the Middle East makes something of a specialty of breakfast, giant affairs of scrambled eggs with the spicy Armenian sausage sujuk, or ground beef, or fresh tomato. 910 E. Main St., Alhambra, (626) 281-1006. Breakfast, lunch and dinner. Sun.–Thur. 9 a.m.–10 p.m., Fri.–Sat. 9 a.m.–2 a.m. Full bar. Takeout. Lot parking. AE, D, MC, V. Middle Eastern. JG$b[?
Monterey Park/San Gabriel ?and vicinity
LA99 Babita. Shrimp Topolobampo may still be the single fieriest invention in the history of Los Angeles cuisine, a citrusy sauté of white wine, tomatoes and diced habanero peppers that takes over its victims' bodies like an ebola infection — searing lips, closing throats, blasting tongues, and bringing forth great bursts of panic-induced sweat that subside only a few minutes after the last shrimp is safely swallowed. The sensation isn't anguish, exactly — the endorphin rush tends to kick in before the pain receptors realize something has gone terribly, terribly wrong — as much as it is total, irrevocable loss of control. Chef Roberto Berrelleza, who spent decades as a maitre d' before he ever picked up a pan, is a modern master of Mexican cuisine; and his fish-stuffed yellow chiles, his seared fish with huitlacoche vinaigrette, and his oozy, porky chiles en nogada are worth the drive across town. 1823 S. San Gabriel Blvd., San Gabriel, (626) 288-7265. Lunch Mon.–Fri. 11:30 a.m.–3:30 p.m. Dinner Sun. and Tues.–Thurs. 5:30–9 p.m.; Fri.–Sat. 5:30–10 p.m. Beer and wine. Takeout. Street parking. AE, DC, D, MC, V. Mexican. $ JGb
Oriental Pearl. Oriental Pearl, a well-regarded Sichuan restaurant that recently moved to the Hilton-adjacent mall from its former location in Alhambra, may only be the fifth- or sixth-best Sichuan restaurant in the area. The fried chicken cubes with hot pepper don't sing quite like the same dish at Chung King, where it is prepared with at least triple the amount of dried chiles, and the octopus with pickled pepper is pleasing in a direct, funky way but is somehow one-dimensional. The fried spareribs with prickly ash are far less numbing than one might wish. The spicy fried fish tai-an-style is on the mushy side. The array of cold dishes doesn't even include fried peanuts, which some of us consider essential. But still — one of the great things about the San Gabriel restaurant scene is that the fifth-best Sichuan restaurant in the area is really pretty good, and after a meal of wonton in chile broth, Chinese bacon with leeks, and water-boiled fish, by which the Sichuanese mean fish boiled in almost pure chile oil, you will probably be very happy. 727 E. Valley Blvd., No. 128C, San Gabriel, (626) 281-1898. Open daily for lunch and dinner. Takeout. AE, MC, V. JG $b
Related Location
330 S. Hope St. (Wells Fargo Center)
Los Angeles, CA 90071
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Topic: Weekly vent...will, estate planning
I just checked my previous posts, and my last vent was last Wednesday. I'm about due for another one.
Besides my Mom (aged 64) being on home hospice for her CC recurrence which is terminal, my Dad (aged 69) is progressing with his vascular dementia. His short-term memory is all but shot. We tell him almost daily that Mom's dying of cancer, and every time we tell him it's like the first time he's heard it. He says the doctors are all quacks because they can't cure my Mom. Every day he visits Mom at my sister's house where she's staying, and every day tries to talk her in to coming back home. Which is impossible. He's obsessed with collecting things from in and around the house, mostly keys and wallets. Which means we often can't find his car or house keys. He knows my name but often forgets I'm his daughter. That doesn't bother me as much as when he looks at my daughter, the oldest grandchild at 11, and says, "Who are her parents?" He watched her 3 days a week from aged 3 months to 9 months. Stuff like that is REALLY hard.
My sister and I are trying to get everything in order as far as our parents' will, bank accounts, POA, etc. I am just so frustrated. At some point, my poor Dad must have forgotten the code to their lock box in the den. He somehow pried the entire door off with a crowbar! So much is missing, misplaced somewhere in their house. We can't find their passports, the last few tax returns (we're worried he didn't complete them properly), and most importantly his POA documents and the will.
I have some attorney names, and a list of questions for them. I guess I'll be on the phone most of the day tomorrow.
I'm just feeling pissed off right now. Once every week or so I go through this - why us, why me? Not only is my young beautiful mother dying of cancer, my father is not my father anymore. I'm feeling really angry and almost bitter.
Sorry, this really doesn't even belong on this forum, maybe not even on this website, since most of my frustration today has nothing to do with cholangiocarcinoma. But I feel a little better when I type it out.
Took my Mom for bloodwork this morning, including the CA19-9 marker. She has an appt with the oncologist next Tuesday to find out the results and to get his decision one way or the other if she can go on the family cruise next Thursday. I have very mixed emotions. Just getting to and from the bloodwork lab, and an hour in Macy's looking for a new purse and some cruise clothes for her, she was completed worn out. Like she could barely make it from the front seat of my van to the wheelchair.
OK, if you read all of this, you're a saint. Thanks.
my mother lost her 16 month battle with CC 9/26/10
"Mothers have as powerful an influence over the welfare of future generations as all other earthly causes combined."


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Topic: any answers to this question?
Newly diagnosed, My dad doesnt have health coverage and has been in the process of trying to get it. He has applied for it but received a call today saying that it will take about 45 days for them to let him know if he qualifies, or not. My dad is stage 4, inoperable and was given a very poor prognosis. When I asked the doctor when someone like him would typically start chemo, he said now.
He has not started chemo...but is in the process of making the decision whether he wants to or not, he is leaning towards.
The insurance company said that because he is not over 65, under a certain age, or disabled, that he would have to wait. 45 days seems to long to wait when given a prognosis such as he's been given.
Does anyone know of anything i can do to hurry this up? If he wants to start chemo I want him to be able to.
Thank you,


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RICHMOND Town recorded their biggest win of the season last Saturday at Earls Orchard, trouncing Annfield Plain in their first 90 minutes of Wearside League action since January.
Ben Darville's hat-trick took his goals tally for the season to 19, while his brother Liam also got his name on the scoresheet, along with Michael Layfield and Adam Emson.
The Dalesmen's run of 15 league and cup matches without defeat never looked under threat as they came storming out of the blocks after a four week break due to the weather.
As early as the fourth minute, the Annfield Plain defence were desperately clearing the ball off the line from a Ben Darville effort. And just three minutes later Richmond took the lead when Ben Darville's through ball found his brother Liam, who skipped round the 'keeper to tap in from two yards.
The Dalesmen doubled their lead shortly after – Kalumn Holbrook's left foot shot taking a strong deflection off Ben Darville, giving the Annfield keeper no chance.
But the one-way traffic continued after that, with first Layfield going close, then defender Ben Palmer attacking a corner but seeing his header saved, and Gary Shardha – on his return from an injury which had kept him out of the side since November – firing over five minutes before the break.
There was still time, though, for Town to score their third before half time. This time it was Liam Darville providing the through ball for his brother Ben whose shot beat the 'keeper at the near post.
The Richmond onslaught continued in the second half. A Liam Darville header thundered against the crossbar and another header flew past the upright after a perfectlyplaced cross from Layfield.
But it was not until the 80th minute that Town found the net for the fourth time. This time it was Holbrook who put in the cross from the left, finding Layfield, who made no mistake with a header at the far post.
Then it was the turn of the newcomers to make their mark. Substitute Scott McNichol almost set up Liam Darville for another but it was debutant Josh Knox who provided the assist for Adam Emson to slot home for his first goal in only his second appearance in Richmond colours. Annfield hit the post late on, but it was Ben Darville who finished the game in style with a diving header to complete his hat trick.
Richmond's North Riding Senior Cup semi-final against Middlesbrough will be played on Wednesday, March 19, at Billingham Synthonia.


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|July 30, 1999
Volume 1, Issue 31
|Midwifery Today E-News
Print Page
Pass E-News on to your friends and colleagues—it's free!
Broaden your education in the United Kingdom and Jamaica!
Make plans now to attend one or both these conferences:
London, England, September 9-13, 1999
Ocho Rios, Jamaica, December 2-6, 1999
- Cascade Health Care: Cascade HealthCare Products, Inc. began business in 1979 with the primary goal to provide supplies and equipment for the emerging profession of midwifery. We have developed a complete product line that not only serves midwives, but nurse midwives, childbirth educators, lactation consultants, visiting nurses, birth centers, WIC programs, nurse practitioners, doulas, and professionals dealing with expectant parents, families and women's healthcare.
Important Conference Notes:
For your copy of the printed programs send your full name and postal address to firstname.lastname@example.com. Please mention code 940.
If you or your organization would like to sponsor four issues of Midwifery Today E-News, write to firstname.lastname@example.com. Don't miss our special introductory price!
This issue of Midwifery Today E-News is sponsored by:
- Waterbirth Website
Look for their ads below!
In This Week's Issue:
1) Quote of the Week
1) Quote of the Week:
" I would not let anybody get near my infant's head with a transducer unless I knew what the output was." Dr . Taylor, Professor of Diagnostic Radiology and Chief of the Ultrasound Section at Yale University School of Medicine, in New Scientist 1476, 1999
2) The Art of Midwifery
If fathers want to catch their babies, I hand them a flashlight to shine on the perineum. This shows me how steady their hands are. How steadily he is able to train the beam indicates whether or not a father will need assistance. And he will accept help more readily if he can see for himself how nervous his hands are.
- Midwifery Today Tricks of the Trade Vol. I
At Midwifery Today, we have lots of tricks up our sleeves! Purchase our two volumes of Tricks of the Trade and you'll see what we mean: Save $5 when you purchase both Tricks of The Trade. Volume I and Volume II. Only $40 plus shipping! Call today to order: 800-743-0974. Please mention Code 940.
Visit the multiple award-winning WATERBIRTH WEBSITE for the most complete waterbirth information available on the net!
3) News Flashes
Women have commonly been denied trials of labor if their first cesarean section was performed for failure to progress or cephalopelvic disproportion, the most common indications for primary cesarean. In a 1987 study published in the American Journal of Public Health, the largest percentage of women attempting VBAC had cephalopelvic disproportion or failure to progress cited as the primary indication for their initial cesarean. Of these women, 65 percent, or almost two-thirds, went on to have normal births. Many of the babies were much larger than the baby for whom the original cesarean section had been performed.
- ICAN Clarion, September 1997
4) Risks of Ultrasound Scanning by Beverley Beech
Saari Kemppainen: 20 miscarriages after 16-20 weeks, none in the control group. Davies: 16 perinatal deaths compared with 4 perinatal deaths in the control group.
Lorenz: Preterm labour was more than doubled in the ultrasound group--52% compared with 25% in the controls.
Taskinen: A significant increased risk of spontaneous abortion amongst physiotherapists who use ultrasound for at least 20 hours a week and deep heat therapies for more than 5 hours a week.
Apart from the last two studies the others are randon controlled trials. For more information and discussion about the risks of scanning see Ultrasound Unsound? which Jean Robinson and I wrote about the risks. Copies available from AIMS Publications, 2 Bacon Lane, Hayling Island, Hants, PO11 ODN. (#6.25 for orders outside the UK; #5.75 for orders within the UK).
I do not agree with the statement that "a lot of embryos have been exposed to ultrasound over the last 25 years with no documented ill effects." Lieberskind's research indicated changes in cell structure that persisted over 10 generations and although researchers attempted to rubbish the research it was repeated by other researchers, and now we have research from Ireland that also shows affected cells.
There is a widespread assumption that ultrasound is beneficial, yet there is no evidence that infant outcomes have been improved by routine ultrasound examinations. Researchers have enthusiastically focused on what ultrasound could find but have paid little or no attention to the potential adverse long-term effects. As a result, despite ultrasound being enthusiastically used over the last 30 years, there is no good research that addresses the anxieties that ultrasound may be responsible for dyslexia, learning difficulties and behavioural problems.
The Saari Kempaainen study revealed that 150 women were diagnosed as having placenta praevia; when they got to term only 4 women actually had it. In the control arm the women who were not exposed to ultrasound also had 4 women whose placenta praevias were discovered when they went into labour. Both sets of women had caesarean sections and there was no difference in outcomes. The researchers did not investigate the amount of stress a diagnosis of placenta praevia could have caused in the 146 misdiagnosed women. This research shows that early diagnosis of placenta praevia is irrelevant and a complete waste of time, yet doctors and midwives persist in telling women they have low lying placentas.
A study by Jahn revealed that out of 2,378 pregnancies, only 58 of 183 growth retarded babies were diagnosed before birth, and 45 fetuses were wrongly diagnosed as being growth retarded when they were not. Only 28 of the 72 severely growth-retarded babies were detected before birth. Furthermore, the diagnosed babies were more likely to be delivered by caesarean section (44.4%) compared with 17.4% for the babies who were not small for dates. If a baby actually had IUGR the section rate varied hugely according to whether it was diagnosed before birth (73.1% sectioned) or not (30.4%). Preterm delivery was 5 times more frequent in those whose IUGR was diagnosed before birth than those who were not.
The average diagnosed pregnancy was 2.3 weeks shorter than the undiagnosed one. The admission rate to intensive care was 3 times higher for the diagnosed babies. This important study provides further evidence that scans are not benefiting babies or those mothers who were subjected to caesarean sections.
Ultrasound? Unsound is also available from Midwifery Today at a cost of $12 plus $2.50 S&H in the United States, $3.00 S&H to Canada and Mexico, and $3.25 S&H (ground) to all other international addresses. Call 1-800-743-0974 to order. Mention code 940.
Learn more from these Midwifery Today issues:
Wise Woman Way of Birth, a 5 Day Intensive Skills Workshop in Langley, B.C. Canada Aug. 9-13, l999. Designed for doulas, student midwives, birth assistants and childbirth educators. Increase skills, improve outcomes; hands-on focus. Instructor Gloria Lemay. $150 before Aug l; $175 from Aug 2-7. (604) 882 9488, firstname.lastname@example.com (604) 530 5394 firstname.lastname@example.com
5) Question of the Week: What steps do you take in your practice to avoid postpartum hemorrhage? (repeated)
Send your responses or submit a Question of the Week to email@example.com
6) Switchboard
In response to Joy who had a terrible experience with Prostin induction [Issue 29]: I am an RN who works in a labor and delivery unit in the Midwest. Both midwives and doctors deliver with us. I have experienced inductions on my patients using Cerividil (Prepidil), Prostin, Cytotec (both vaginally and orally), Pitocin, and artificial rupture of membranes.
Most people may be surprised to know that the majority of drugs used in labor and delivery are not approved for that use by the FDA, but are used as such all over the country. Cytotec for instance is an anti-ulcer drug but is very effective in ripening a cervix for induction. All these medications are safe if used correctly with appropriate monitoring.
I am deeply sorrowed that Joy had such a terrible experience with her labor. But who is to say this would not have happened if she had gone into labor on her own? Generally it is not the drug that causes fetal distress, it is an underlying problem such as a nuchal cord, placental insufficiency, etc., that leads to emergency cesareans.
As for the use of Clindamycin leading to enterocolitis and her other problems, in our volume of births (1000 per year average) I have rarely seen any complications such as these and generally they are caused by other mitigating factors such as an underlying infection.
- M. Farney, RN
Studies going back to the early 1980s attest to the efficacy and safety of Prostaglandin E2 either as pessary or Gel (Prostin Gel/Upjohn). The standard starting dose is 2mg pv for primips and 1mg for multips but as with all inductions for whatever reason (and I've spent more time talking women out of than into induction in the last 20 years), each mother needs to have a careful assessment of her cervix and position of the presenting part before Prostin is used. It is recognised that hyperstimulus may develop. That's why close (but not necessarily continuous electronic) monitoring is very important.
Joy seems to have suffered an unfortunate "cascade" of things going wrong whereas Prostin used judiciously should promote a "natural" cascade of events leading to labour. It does not cause contractions directly. I'm curious as to the original indication(s) for induction and at what stage of labour the c-section occurred.
- Phil Watters, OB/GYN, Hobart, Australia
The media and medical personnel tell of the "safety" of drugs and the "necessity" of interventions. At an in service I did at a local clinic, I accidentally stepped on toes when I implied that some cesareans are not necessary--ouch! The nurses were not impressed because it made them look bad. The doctor on the other hand agreed with me and that kept the nurses quieter (after one lambasted me because I had "terrorized" a group I was speaking to when I told them that one in four in this room would have a cesarean birth and explained to them how to avoid a cesarean...so the truth hurts?!).
Yet I am called more and more about my classes, my doula services and for VBAC information. My newsletter is making inroads in my community and doulas are welcome at the hospital. The nurses are slowly, begrudgingly changing and the newer doctors are embracing alternatives.
But most importantly, one woman at a time is learning she has alternatives. That drugs, any drugs do affect her baby. She has a choice in caregivers (especially here in Canada) and can choose wisely, if she wishes. Education is the key.
- Connie Banack, CD, CBE
In reply to Gemma on the subject of eczema [Issue 30]: I have eczema off and on too and although it doesn't affect my hands, I have had a lot of great and immediate relief with a natural product called Dermeze. It's called a "cortisone alternative" and was developed in Germany recently. The U.S. distributor is in Eugene, Oregon (541)687-7212. The ingredients are: water, glycerin, borage oil, evening primrose, cetyl alcohol, vitamins A ,E and P, Fumaria officialis and Calendula officialis. It costs about $15 an ounce but is well worth it. Only a tiny dot at a time is necessary, so it goes a long way. I've been to lots of dermatologists in my life and this is by far the best and safest cream ever.
- Lis Worceter, San Francisco
Does anyone have any information on the psychological, sociological and sexual aspects of co-sleeping? I am aware of all of the physical benefits but have a presentation and essay to do on the other side of the coin.
- Kathryn Weymouth, student midwife in the UK email@example.com
Speaking of breastfeeding and feminism [Issue No. 27], I was perusing an issue of Sesame Street magazine and came across an advertisement for artificial breastmilk, and the company was none other than Nestle. I find this unacceptable in this magazine, which I expect to have children and families' interests in mind, not those of corporations. I also find it distressing that the program shows bottle feeding, but no breastfeeding.
- Jennifer Moore
(Editor's note: Write to Sesame Street magazine, PO Box 7688, Red Oak, IA 51591-0688)
A midwife colleague who works in Sydney, Australia will be visiting family in the USA from 10 August till first week of September and is looking for workshops/conferences on midwifery (anywhere in US is feasible) or birth centres to visit.
And does anyone know of workshops/meetings in London UK, 2-9 August? Please respond to Jan Cornfoot email@example.com
Online Birth Center News, a free birth activist newsletter, has a section where people who are _looking for_ a midwife may have their request listed for a few weeks. Email your location and needs to firstname.lastname@example.com with OBCNEWS ITEM in the subject. If you'd like to subscribe to the OBCNEWS, write to the same address and ask to be added to the subscription list.
Share your responses to Switchboard letters with E-News readers! Send them to email@example.com
7) My Story: A Thankful VBAC by Shel Franco
My first pregnancy ended with a 10 lb. 6 oz. baby delivered by cesarean section. Two years later, I was pregnant with my second child. Although I did not know much about my choices in childbirth, I knew I didn't want another cesarean.
Early in my firstborn's infancy, I was introduced to parenting books by William and Martha Sears. I decided pregnancy and birth books by the same authors would be a solid beginning point. They introduced me to concepts I had never thought of as possibilities. Those concepts led me to deeper research. Eventually I found Midwifery Today E-News and Online Birth Center News.
My deepest thank you to all who participate in these newsletters. These publications imparted the greatest amount of information. Through them I was able to gain access to a world that had been foreign to me. I was introduced to normalcy in pregnancy and childbirth, something that eluded my first pregnancy, and that I feared would be denied me in a VBAC attempt. In believing in the normalcy, I was given courage I did not know existed within my heart.
I went on to hire a midwife and an excellent doula. Using tips from these two online publications, I was able to take an active role, and most importantly, competent responsibility for myself, my pregnancy, my birth and my child. The outcome was miraculous.
On a humid Midwest Thursday evening, I awoke with labor sensations. They were not painful, but strong and undeniable. I sat in the dark calm of my living room, my company Jay Leno and a bowl of cereal. In that serene environment, I labored on my own terms for nearly an hour and a half.
As the clock neared Wednesday morning, I needed the companionship of my husband. My sensations were even stronger, but manageable. While I walked and talked through each contraction, my husband timed. Even though the sensations were coming every 5 minutes or less and lasted at least 60 seconds, I would not allow myself to believe I was in active labor.
Because I was feeling rectal pressure, I asked my doula to meet us at the hospital. I decided that anything less than 5 cm would necessitate my return home. Imagine my surprise when I was 9.5 cm dilated--nearly perfect timing! After 55 minutes of pushing on all fours, I birthed my second son, Luc. He weighed 8 pounds 5 ounces. The euphoria still lingers.
I am often confronted by people who hear my story and proclaim how "lucky" I was. I have come to a different appreciation: it has little to do with luck. The information I gathered while I was pregnant prepared me for childbirth. The power was in the knowledge that gave me confidence and courage to let go. When I turned the reins over to my body, my child was born on his terms. And his terms were much kinder and more efficient than most of the obstetrical medicine practiced today.
My many thanks to the contributors of these newsletters. In a very real sense, your information enabled me to birth my son like I had always dreamed.
In telling this story, my hopes are twofold. Perhaps someone in the many professions within pregnancy and childbirth has a tiring passion, a flame that will rekindle when they hear how important their work truly is to women and their unborn children. Perhaps a woman with a history of cesarean birth will read this story and have the courage to reach out, explore herself, and gain the courage I did.
My birth was an epiphany. I feel I owe all the women who have had cesarean sections. I owe them the hope that was taken when our children were taken out of our wombs. Thank you for allowing me to accomplish some of that.
(Editor's note: Readers, continue to share your knowledge, experience and insight. Join us at the Switchboard, write on the coming themes, ask a question, answer a question, write about any aspect of your work, or share research. Take an active part in E-News-who knows, today you may influence someone's life forever!)
8) Coming E-News Themes
Coming issues of Midwifery Today E-News will carry the following themes. You are enthusiastically invited to write articles, make comments, tell stories, send techniques, ask questions, write letters or news items related to these themes:
- Premature labor (Aug. 6)
We look forward to hearing from you very soon! Send your submissions to email@example.com. Some themes will be duplicated over time, so your submission may be filed for later use.
This publication is presented by Midwifery Today, Inc., for the sole purpose of disseminating general health information for public benefit. The information contained in or provided through this publication is intended for general consumer understanding and education only and is not intended to be, and is not provided as, a substitute for professional medical advice, diagnosis or treatment.
Midwifery Today, Inc., does not assume liability for the use of this information in any jurisdiction or for the contents of any external Internet sites referenced, nor does it endorse any commercial product or service mentioned or advertised in this publication. Always seek the advice of your midwife, physician, nurse or other qualified health care provider before you undergo any treatment or for answers to any questions you may have regarding any medical condition.
Copyright Notice
The content of E-News is copyrighted by Midwifery Today, Inc., and, occasionally, other rights holders. You may forward E-News by e-mail an unlimited number of times, provided you do not alter the content in any way and that you include all applicable notices and disclaimers. You may print a single copy of each issue of E-News for your own personal, noncommercial use only, provided you include all applicable notices and disclaimers. Any other use of the content is strictly prohibited without the prior written permission of Midwifery Today, Inc., and any other applicable rights holders.
© 1999 Midwifery Today, Inc. All Rights Reserved.
Midwifery Today: Each One Teach One!


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When West Virginia American Water built its Kanawha Valley drinking water plant 45 years ago, the company dropped a plan that would have kept an existing intake near Coonskin Park, upstream from an industrial facility that would later become Freedom Industries, according to state records and new federal court filings.
West Virginia American got approval from what was then known as the West Virginia Department of Health for a single river intake at the new treatment plant site on Aug. 15, 1969, just a month after the state Public Service Commission issued an order that appears to have contemplated two Elk River intakes — the then-existing Coonskin intake and a new intake at the treatment plant.
The final plans for the treatment facility excluded a third intake. West Virginia American had proposed building an intake on the Kanawha River upstream from Belle, but the PSC rejected that idea after state health officials ruled that the Kanawha's water was not "suitable" for drinking, according to state records from the PSC and the health department.
Details of long-ago proposals and decisions about the water treatment plant have been bubbling to the surface over the past few months from lawsuits over the Jan. 9 chemical leak at Freedom and a PSC investigation of West Virginia American's response to that leak, which contaminated the Elk River and, subsequently, the drinking water supplies for 300,000 residents in Charleston and the counties surrounding Kanawha County. The treatment plant is located along the Elk and about 1.5 miles downstream from the Freedom Industries site.
One piece of the history that had been missing from the available public record — design plans that show West Virginia American relocating its intake to the treatment plant — turned up this week in the water company's defense against one of the leak-related lawsuits. The new court filing, though, does not explain why West Virginia American decided to close the Coonskin intake in favor of only one intake, located at the plant, and water company officials would not elaborate Friday on the legal filing.
"The plant's revised design plan with a new, single intake on the Elk at the new plant site was approved by the WV Department of Health, and the plant was constructed in accordance with that design," water company spokeswoman Laura Jordan said in an email. "The Department of Health issued a separate, specific Certificate of Approval for the raw water intake located on the Elk River at the proposed treatment plant site.
"Unfortunately, we can't provide any additional details at this time, other than what is available in public records."
West Virginia American built its Elk River treatment and distribution plant to consolidate existing water systems in Belle, Charleston and Nitro. Original cost estimates put the price tag at about $34 million.
Initially, the water company proposed to close down its existing Charleston treatment plant, located on Slack Street, but to keep its existing raw water intake, which was located upstream, near Coonskin. Water from the Coonskin intake would be pumped to the new plant.
West Virginia American also proposed to put an intake near Chelyan, to draw additional water from the Kanawha River.
"After completion of the water supply project, the water system will have two sources of water, the Elk River and the Kanawha River," the water company said in its original application to the PSC, filed on Jan. 17, 1969. "Water from the Elk River will be taken at the water company's present intake at Coonskin Shoals, a point approximately 4.2 miles upstream from the mouth of the river.
"Water from the Kanawha River will be taken at the proposed new intake located in Chelyan," the company said. "This intake is approximately 15 miles upstream from downtown Charleston. The amount of water taken from each source will be adjusted to obtain the best quality water and to obtain the most economical treatment plant operation."
However, on March 27, 1969 — just four days before the PSC was scheduled to hold hearings on the West Virginia American plan — the state Department of Health rejected the use of the Kanawha intake for a public drinking water system.
In a handrwritten "permit record" approving the construction of a new treatment plant, the health department said, "This approval does not involve the Kanawha River intake since available information shows the Elk River to be a more suitable source from both bacterial and chemical aspects."
The PSC adopted this health department finding and also rejected the Kanawha intake, saying that health officials had "excluded the Kanawha River intake at Chelyan because it was described as an unsatisfactory water supply source."
In its 15-page ruling, the PSC cautioned that "a minor risk would be involved in using the Elk River as the sole source supply for the new system because of the objectionable taste and other quality degradations that might be encountered during the periods of low flow in the Elk River which would result in the taking of backwaters of the Kanawha River."
Water company officials had proposed the Kanawha intake in the first place, the PSC order said, because they were concerned that the Elk might not provide an adequate supply.
The PSC added, "An adequate supply will be available with the inclusion of an additional intake at the treatment plant site, but this will mean using Kanawha River backwater during periods of extreme low flow of the Elk River."
But it appears the Coonskin intake was never used to provide water to the new treatment plant. Another handwritten health department memo, dated Aug. 15, 1969, approves West Virginia American's construction of a "raw water intake located on the Elk River" at the treatment plant site.
Officials from the health department, known now as the state Department of Health and Human Resources, have refused to make public more-detailed permit plans or records that might explain more about the intake location decisions.
DHHR spokeswoman Allison Adler said in an email, "We can't release a copy of the plans as they contain confidential information and would pose a homeland security risk."
Adler said construction plans submitted by West Virginia American Water showed intakes proposed for the Kanawha and the Elk, but she said agency records for the plant don't mention — and current agency officials don't know — anything about the Coonskin intake.
"We do not have any records that show a Coonskin intake," said Walt Ivey, director of environmental engineering at the DHHR's Bureau for Public Health. "We do not know why the Coonskin intake was eliminated or if it was necessary for the health department at that time to approve the decommission of that intake."
In one of the lawsuits filed over the leak of the coal-cleaning chemical Crude MCHM, lawyers for some Kanawha Valley residents and businesses fault the water company for having "only a single intake" at the treatment plant, and they cited parts of the PSC case history in recent filings in U.S. District Court in Charleston.
On Thursday, West Virginia American lawyers responded to that issue. They noted that the health department and the PSC had rejected the Kanawha intake, and that, even after commission approval, the revised project still needed final design and approval from the health department.
Water company lawyers filed two pages of design plans, showing a new, single intake on the Elk River at the new plant's site. The document listed "changes," including "relocated intake structure," and water company lawyers noted the old health department permit record that approved the treatment plant location for the intake.
Since the chemical leak in January, West Virginia American President Jeff McIntyre has sometimes noted publicly, when pressed about why the treatment plant has only one intake, that his company proposed one intake on the Elk and one on the Kanawha, but that state agencies rejected the Kanawha intake.
Additionally, in the PSC's investigation of West Virginia American's response to the leak, water company lawyers have been trying to keep the scope of the commission's inquiry narrow, arguing that events before Jan. 9, 2014, should not be part of the inquiry. The PSC's Consumer Advocate Division, along with local businesses and citizens who intervened in the case, argue for a broader investigation.
In a filing this week with the PSC, lawyers for West Virginia American expressed concern that the commission might allow the inquiry to broaden but also not allow any discussion of "pre-spill plant certification," such as the original plant approval — and the Kanawha intake rejection.
"Since January, it has become well known that there is a significant plant certification issue that, if resolved differently by regulators at the time, might have fundamentally changed the company's ability to respond to the spill," water company lawyers said. "Allowing intervenors to focus on a narrow range of pre-spill issues (e.g., 'upgrades or modifications to the plant,' 'capability to measure the presence of chemical contaminants at its intake,' 'early warning monitoring system'), but disallowing any evaluation of plant certification/configuration decisions that are just as likely (if not more so) to have affected the spill response and spill impact, would be fundamentally unfair."
The PSC has a hearing scheduled for 9:30 a.m. Monday at commission headquarters to consider the scope of its investigation.
Reach Ken Ward Jr. at firstname.lastname@example.com, 304-348-1702 or follow @kenwardjr on Twitter.


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I came across a rather interesting post yesterday entitled The MicroPHP Manifesto. The author made clever use of a very interesting analogy (drum players) to try to prove his point that less is more. The article makes a very interesting read, and I would suggest that everyone reads it. Go ahead. I'll wait.
With that said, I have to disagree with the article rather vehemently. I think the message is somewhat right, but for all the wrong reasons. Let me try to explain:
The Drummer Analogy
The author uses the analogy of two 1970's era rock drummers to show his point that more is not necessarily better (in other words, that less can be just as good). On the surface this analogy seems to hold water. However, upon deeper look, it turns out that the very same analogy can be used to disprove the point as well.
The simple fact of the matter is that the two different drummers cited are not equivalent. So comparing the size of the drum sets and determining that the smaller is just as good (or better) is really a bad leap. If you listen to recordings of both drummers, you will see that there's a HUGE difference in both how they sound, and their contribution to the respective bands. The Black Flag drummers (there were multiple) really just contributed a beat and foundation (rhythm) to the music. On the other hand, Neil Peart contributed much more than that, even at times playing melodies and solos. Comparing the two is really an apples to oranges comparison.
But I said that we can disprove the point with the same analogy. To do so, we just need to look at one drummer: Dave Grohl. He is a very unique drummer from the perspective that he has been the drummer in two popular and vastly different bands (Nirvana and Them Crooked Vultures). If we look at his drum set from Nirvana, we can see that it's very small and simplistic, which fits in line with the style and feel of the band:
As you can see, the drum set is exceedingly simple. A few drums, a few cymbals, and that's about it. It fits perfectly with the simple punkish drum style that Nirvana played. But let's look at his set from Them Crooked Vultures:
There's a lot more going on here. Sure, it's not on the Neil Peart level, but it's distinctly more complicated then the Nirvana drum set. One drummer, two different setups. And therein lies the key.
Hammering a Nail
Let me start off by making a very simple, but very important assertion: different tasks require different tools. Even a task as simple as hammering a nail requires vastly different tools depending on what you're doing. There are a multitude of different hammers available depending on what the task at hand is:
Sure, you could use the basic carpenters hammer for everything and be done with it. In fact, a lot of amateur carpenters do just that. But the masters, the best at what they do, know that different tasks are best done with the right tool for the job. Would you want to drive a railroad spike with a regular carpenters hammer? Or would you want a proper sledgehammer? Conversely, would you want to drive a finishing nail with the same sledge hammer?
The Right Tool For The Job
The right tool for the job means having multiple tools to choose from. If you know what framework you're going to use before someone describes the problem that you're going to solve, you're doing it wrong. Let me say that again, because it's important. If you only know one framework, or only use one framework for all problems, you're doing it wrong.
There are plenty of applications where choosing a full-blown framework like Zend or Symphony is not only overkill, but literally a bad decision. Likewise, there are plenty of applications where not using a full-blown framework would be a bad decision. The key comes down to the specifics of the problem that you're trying to solve. Are you building a one-off application that's small and not business critical? Or are you building a flagship application or one that's going to need to be maintained and expanded over the long term? There are many more questions that go into the decision, but the point is that there's no one tool that's right for all jobs. Remember:
If the only tool that you have is a hammer, every problem looks like a nail...
The "Micro PHP Manifesto"
At the end of the post, the author included a "Manifesto" (akin to the Agile Manifesto). I think it's worth while going point-by-point to see the good and the bad of it...
I am a PHP developer
Good programmers do not program in their language. They program into their language (term curtsy of Steve McConnell's Code Complete 2). Programming in a language involves limiting thoughts and implementations to only constructs that the language directly supports. However, programming into a language involves finding the solution they want to do, and then determining how to express those thoughts in the language. When programming in this way, the language stops becoming the limiting factor, and instead becomes just an implementation detail. This is how good programmers are able to be good at multiple languages at the same time. They think above the language...
And that's why I don't consider myself a PHP developer. Sure, I write PHP professionally. That's the language I've done most for the past 5 or 6 years. But I consider myself a developer. The fact that I'm doing PHP now is just an implementation detail. Sure, it's important to understand the limitations and features of the language you're working with, but in the end that shouldn't have a huge impact on the final solution.
I like building small things
That's great! And if all you do is build small one-off products and projects, then that's fine. The problem comes in that many projects that start off seemingly small very quickly wind up larger than planned. This can happen because of a number of reasons, from business requirements to user demands. It happens often enough that it can't be dismissed. Just because you're building small things does not mean you can skip the important step of architecting the solution (In fact, I'd go as far as to say it's even more critical at that point).
I want less code, not more
While in general I would agree that this is a good goal to strive for, I think it's a bit misguided here. It fits right along the lines of premature or micro-optimization. Write the code that is needed to solve the problem. Get that code to work (you are using Test Driven Development, aren't you?). Then and only then try to simplify it. There's a reason that step 3 in TDD is refactor. It's not step 1.
In addition, if you're writing SOLID code, it will likely be longer than STUPID code. But the key here is not lines of code. It's not numbers of classes. It's ease of understanding and maintenance. Maintaining a 10,000 line application that was designed with small classes using SOLID development practices and good naming conventions will be far easier than maintaining even a 100 line application that was built using the STUPID anti-patterns. I care about complexity far more than size. What's your application's Cyclomatic Complexity? What's its CRAP index? (If you don't know what either of those two are, I'd suggest going and reading up on it)...
I like simple, readable code
I agree on this point. But I find it kind of odd, since it conflicts with the other prior points. Can you have readable code that's very short and small? Absolutely. But if you're solving a problem of significance (not a trivial problem), the chances are very good that readable and simple code will be significantly longer than spaghetti procedural code. But that length comes at a very good benefit: understandability.
Human brains are very good at doing a lot of things. However, one thing that they are not good at is keeping a lot of details fresh in the mind. This is why as developers we use abstraction layers all the time. By abstracting a lower level to a very simple API, we are able to not worry about those details, and just worry about the far simpler abstraction. So often the easiest to understand code is code that has many layers of abstraction. That way, when we're working on a layer, we only need to worry about that layer, and nothing below or above it (in practice, it's not that simple, thanks to the Law of Leaky Abstractions).
Which method would you rather look at:
public function log($message, $level) { $f = fopen($this->logFile, 'a'); if (!$f) { throw new LogicException('Could not open file for writing'); } if (!flock($f, LOCK_EX | LOCK_NB)) { throw new RuntimeException('Could not lock file'); } fprintf($f, '%s [%s] %s - %s', $this->machineName, date('Y-m-d H:i:s'), $level, $message); flock($f, LOCK_UN); fclose($f); }
Or this:
public function log($message, $level = 'notice') { $message = $this->createLogMessage($message, $level); $this->file->append($message); }
I know what my answer is...
I'm not against the micro-framework concept, or that it's under-rated. In fact, I've used Silex before, and like it quite a bit. What I am against is the thought that there is one solution to all problems, or that all problems can be solved by one solution. Every problem is different. The key, and the most important thing of all, is to understand not only what you're using (framework, libraries, etc), but why that's the right tool for the job. "Because it's the one I know best" does carry some weight, but it should never be the driving factor for the solution...


text:
- Air and Weather
- Creatures
- Featured Exhibits
- Light and Sight
- Native Plants and the Environment
- Puzzles, Shapes, and Things that Move
- Sounds and Hearing
- The Earth and Astronomy
- Water and How It Moves
When you visit Montshire's 100-acre Museum, you enter an exciting world of science, nature, and technology. Our spacious and light-filled building easily holds both permanent exhibits and featured exhibitions. The exploration continues outside in David Goudy Science Park, the Woodland Garden, and along the nature trails bordering the beautiful Connecticut River. Whether you are experiencing the Museum for the first time or the hundredth, every visit is a new experience.
To provide our visitors the best possible experience we host several visiting exhibitions throughout the year and rotate the exhibits from our permanent collection that are on display. Not all permanent collection exhibits are on view at any one time. If there are specific exhibits that you would like to view on your visit to the Montshire, call ahead to check if those exhibits are currently on display.


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Most of you won't admit it, but car guys are sensitive, which according to Webster's Dictionary, is an adjective, meaning: one who is receptive to sense impressions. We take this to mean car guys are affected easily by senses, like hearing the rumble of a high-compression big-block, seeing a slick paintjob on a classic Chevy, or smelling the sweet aroma of 110-octane fuel. And let's not forget about the feeling of fine leather. The '56 Chevy 210 on these pages stimulates four out of the five senses, and we're pretty sure you could make it a full sweep if you packed a lunch.
The owner's name is James Grimes, but most folks call him Whitey. He's from Georgia and bought this '56 from a fellow in North Carolina, but the deal was struck in Pigeon Forge, Tennessee. Within three days of buying the car, he located and purchased a GM Performance Parts 572 crate engine, so he didn't waste any time when it came to gathering parts. As for the actual build-up, it was a 14-month project, and it resulted in a flawless machine with tons of power.
Plans called for extensive chassis modifications, so Grimes (and his brother Ricky, who was a huge help with the endeavor) called upon another team of brothers when it came for fabrication and metal work. Ricky and Richie Pierce are from Calhoun, Georgia, and began the chassis buildup by adding new framerails out back, as well as the necessary tabs and brackets for a ladder bar rear suspension. They moved the rails inward to make room for lots of rubber, and rolled a narrowed 9-inch rear into place (which is packed with a Strange center section and capped off with Wilwood brakes). Coilover shocks soak up bumps and keep the massive BFGoodrich drag radials planted at all times, while the 15x12 Weld Rod Lite wheels are tucked nicely into the wheelwells. A set of 15x7 Rod Lites wrapped in Michelin rubber ride in front, and finish off the race-ready look.
Up front, the Pierce brothers installed a Checkered Racing front suspension, which consists of 2x3-inch boxed rails, Mustang II components, and rack-and-pinion steering. The new front suspension features tubular control arms, QA1 coilovers and Wilwood brakes, and the Pierce brothers tied it into the original frame with plenty of additional bracing to keep it strong. When most of the chassis work reached completion, the Pierce brothers mocked-up the engine and determined that a 3-inch recess in the firewall would provide sufficient weight balance and plenty of room in the engine bay.
The 572 is just the way it came from GM Performance Parts, but when you're talking about a 720-horse Rat, that's nothing to sneer at. With a forged rotating assembly and 12:1 compression, the bottom end is plenty stout, while the aluminum rectangular port cylinder heads are a nice fit, as this massive big-block requires lots of airflow to produce such prodigious power. These GM Bow Tie heads are packed with 2.25-inch intake valves and 1.88-inch exhaust valves, so massive quantities of air can travel in and out of the 118cc combustion chambers. A mechanical roller camshaft controls the valves, and features 266-degree intake duration, 274-degree exhaust duration and 0.714 inches of lift on both sides. Combine this with a pair of electric exhaust cutouts and you have a ground-pounding big-block with enough grunt to back it up. If the cutouts are closed, outgoing air passes through a 3-inch exhaust system, which leads to a pair of Flowmaster mufflers.
Up top, there's a Bow Tie intake manifold to draw in fuel and air from the Demon 1,090cfm carburetor, while the GM late-model HEI distributor lights the fire. Accessories are run by a Street & Performance serpentine belt system, and a Griffin aluminum radiator with dual electric fans keep the whole operation cool. With 685 lb-ft of torque underfoot, a stock transmission was out of the question. Whitey chose a highly-modified TH400 automatic with a PTC torque converter featuring a stall speed of 3,500 rpm. Moving further back, you'll find a custom 3-inch diameter driveshaft and a Strange ring and pinion with a 3.70:1 ratio.
When the Pierce brothers moved onto the body, it was the typical Tri-Five problem areas that needed replacing. New quarter-panels and door skins, as well as inner and outer rocker panels were necessary to rid the two-door post body of rust. Patchwork was necessary on the front fenders, and a 2-inch cowl induction hood replaces the original unit. From there, Brian Black took over and handled the bodywork on the '56 before laying down the PPG materials, mixed in a custom silver-green and white. Countless hours of sanding, buffing and polishing resulted in a fine finish, and a few miles of flawless trim accent the body.
Inside, there's an expanse of green leather to match the exterior, all stitched by the crew at Hot Rod Interiors by Chuck. The shop wrapped custom seats in green leather, and added white ostrich-skin inserts for a nice touch. A custom console rides between the bucket seats, while hand-built interior panels attach to every known surface inside the Chevy, including the trunk. The dash retains its classic styling, but upgrades such as the billet aluminum trim, Classic Instruments gauge cluster and chrome ididit steering column spruce it up a bit. Vintage Air keeps the cockpit comfortable, and it's operated with the original heater controls to keep things simple.
A total of 14 months and lots of dollar signs went into the buildup of this fine '56, and the finished product speaks volumes about the efforts.


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The New England Revolution have added 20-year-old U.S. international striker Juan Agudelo from Chivas USA in a bid to bolster a flagging forward corps. Chivas USA received an undisclosed amount of allocation money in return.
Agudelo has two goals in six appearances this season, and the former New York Red Bulls academy product has tallied 11 goals in 59 MLS games. He also has experience with the U.S. national team, scoring two goals in 17 caps. He joined Chivas in a trade from New York last season.
New England has scored just four goals in eight games this season, with a four-way tie for top scorer spread between Lee Nguyen, Diego Fagundez, Jerry Bengtson and an own goal from New York's Brandon Barklage.
"We're very pleased we were able to complete this deal with Chivas USA," said Revolution General Manager Michael Burns in a team statement. "While Juan is a young player with tremendous potential, he also already has a lot of experience both inside our league and internationally with the U.S. national team. We believe Juan will improve our attack and make us a better team."
Agudelo is in the final year of his contract and is expected to draw interest from European clubs after the MLS season. He trialed with Scottish power Celtic during the most recent MLS offseason.


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Delicious isn't dead! YouTube founders buy Delicious from Yahoo
Posted by Andru Edwards Categories: Acquisitions, Business Tools, Corporate News, Startups
Delicious, the social bookmarking service that was spun out of Yahoo last December, has been acquired by the founders of YouTube, who have formed a new startup, AVOS.
The acquisition was confirmed by Delicious, which confirmed the deal via its blog. Yahoo will continue to operate the site until July, when it will pass to AVOS, which is being run by the founders of YouTube, Chad Hurley and Steve Chen.
"Today, we're pleased to announce that Delicious has been acquired by the founders of YouTube, Chad Hurley and Steve Chen. As creators of the largest online video platform, they have firsthand experience enabling millions of users to share their experiences with the world," Delicious said in its blog post. "They are committed to running and improving Delicious going forward."
Click to continue reading Delicious isn't dead! YouTube founders buy Delicious from Yahoo
© Gear Live Media, LLC. 2007 – User-posted content, unless source is quoted, is licensed under a Creative Commons Public Domain License. Gear Live graphics, logos, designs, page headers, button icons, videos, articles, blogs, forums, scripts and other service names are the trademarks of Gear Live Inc.


text: Hi everybody, my name is Tina Ng and I am a practicing Buddhist based in Sydney.I have started a writing experiment, in which I write about my thoughts and experiences of the Buddha's teachings, but without making any direct reference to Buddhism. I have done this because I hope to reach out to a secular audience, and also I found when I used to write about Buddhism, I would simply 'hide' behind Buddhist jargon and Pali phrases. So I invite you all to my humble website, and any comments/ feedback you may have for me can be left on the site.


text:
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A building society founded in a tiny upstairs office at Cross Hills three decades ago has announced record results.
The Ecology – which began with just £5,000 in 1981 – last year achieved assets of £124.8 million, up by £15 million on the previous year.
Gross lending reached an unprecedented £18.4 million – up from £14.3 million in 2012 – with net lending passing the £10 million milestone for the first time.
There was a net profit of £402,000 and a rise in savings balances to £116.6 million.
Paul Ellis – who has been chief executive of the society, now based in a 'green' headquarters building at Silsden, since 1995 – said: "Ten years ago the Ecology's approach was seen as well-meaning idealism – fine for the hippies, but of no relevance to the wider financial sector.
"Today, voices across the political spectrum call for better banking that puts long-term value and social usefulness at the fore.
"Some have called this boring banking. We think it's the most exciting type of finance there could be – using money to make a positive difference for people and planet. Our results prove the commercial viability of genuinely sustainable finance. Is there now any excuse for the big banks not to put ethics at the heart of their work?"
Since his appointment, Mr Ellis has overseen an asset increase of more than £100m.
Last year, 83 per cent of mortgages were advanced on residential properties – including new builds, conversions and renovations – and the remainder on developments for organisations including charities, housing co-operatives and community businesses.
The Ecology Building Society was born at a Green Party conference when a solicitor complained about difficulties he had encountered finding a mortgage for a property needing extensive renovation.
He and nine others each put in £500, and in 1981 trading began.
By 1985, there were over 1,000 investors and the society had assets totalling £1.25m.
In 2011, assets broke through the £100m mark.
"Many things have changed since 1981 but our mission and principles haven't," said Mr Ellis.
"We're dedicated to building a greener society and this shapes every decision we make."


text:
Topic: (IRE) Clinical Trial Done &(difference between nanoknife & cyberknife)
Hi, everyone,
http://www.taipeitimes.com/News/taiwan/ … 2003580507
http://medicine.stonybrookmedicine.edu/ … urgery/ire
"IRE, or irreversible electroporation, is a new minimally invasive surgical technique that selectively kills tumor cells by using electrical fields to make holes in cell membranes. Our utilization of the newly developed IRE technology to treat patients with unresectable pancreatic cancer constitutes the first use of IRE tumor ablation to treat the typically fast-growing and fatal cancer that occurs in the pancreas.
IRE kills tumor cells without causing collateral damage to adjacent tissue.
IRE kills tumor cells without causing collateral damage to adjacent tissue.
Courtesy of Angiodynamics.
The combination of minimally invasive surgery and IRE allows for faster recovery with less tissue injury and, it is hoped, a better long-term outcome. At a minimum, patient quality of life should improve in the near term."
Stereotactic body radiation therapy: Stereotactic body radiation therapy (SBRT) delivers radiation therapy in fewer sessions, using smaller radiation fields and higher doses than 3D-CRT in most cases. By definition, SBRT treats tumors that lie outside the brain and spinal cord. Because these tumors are more likely to move with the normal motion of the body, and therefore cannot be targeted as accurately as tumors within the brain or spine, SBRT is usually given in more than one dose (8). SBRT can be used to treat only small, isolated tumors, including cancers in the lung and liver (8).
Many doctors refer to SBRT systems by their brand names, such as the CyberKnife®.
From National Cancer Institute
God bless.