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Home > Leukemia
Leukemia is cancer of the blood cells. It starts in the bone marrow, the soft tissue inside most bones. Bone marrow is where blood cells are made.
When you have leukemia, the bone marrow starts to make a lot of abnormal white blood cells, called leukemia cells. They don't do the work of normal white blood cells. They grow faster than normal cells, and they don't stop growing when they should.
Over time, leukemia cells can crowd out the normal blood cells. This can lead to serious problems such as anemia, bleeding, and infections. Leukemia cells can also spread to the lymph nodes or other organs and cause swelling or pain.
There are several different types of leukemia. In general, leukemia is grouped by how fast it gets worse and what kind of white blood cell it affects.
The four main types of leukemia are:
There are less common leukemias, such as hairy cell leukemia. There are also subtypes of leukemia, such as acute promyelocytic leukemia (a subtype of AML).
Experts don't know what causes leukemia. Some things may increase your risk, such as being exposed to large amounts of radiation and being exposed to certain chemicals at work, such as benzene.
Symptoms may depend on what type of leukemia you have, but common symptoms include:
To find out if you have leukemia, a doctor will:
If your blood tests aren't normal, the doctor may want to do a bone marrow biopsy. This test lets the doctor look at cells from inside your bone. This can give key information about what type of leukemia it is so you can get the right treatment.
What type of treatment you need will depend on many things, including what kind of leukemia you have, how far along it is, and your age and overall health.
Treatments for leukemia include:
Learning about leukemia:
Being diagnosed:
Getting treatment:
Ongoing concerns:
Living with leukemia:
End-of-life issues:
Health Tools help you make wise health decisions or take action to improve your health.
Experts don't know what causes leukemia. But some things can increase the risk of some kinds of leukemia. To learn more, see What Increases Your Risk.
Symptoms of acute leukemia depend on how much the cancer has grown. They may include:
The chronic forms of leukemia often cause no symptoms until much later in the disease.
Your bone marrow is where stem cells grow. These stem cells become white blood cells, red blood cells, and platelets.
In most cases of leukemia, there are too many abnormal white blood cells. These leukemia cells crowd out the normal blood cells in your bone marrow and build up in your lymph nodes, liver, and spleen.
When the leukemia cells crowd out your normal cells, your blood can't do its job. You may bleed or bruise easily, have more infections, and feel very tired.
Survival rates are different for each kind of leukemia. A 5-year survival rate is the percentage of people who are still alive 5 years or more after being diagnosed. These numbers do not necessarily show what will happen in your case. The following are estimated 5-year survival rates:1
Acute lymphoblastic leukemia (ALL)
66 out of 100 adults and 89 out of 100 children
Acute myelogenous leukemia (AML)
23 out of 100 people
Chronic lymphocytic leukemia (CLL)
79 out of 100 people
Chronic myelogenous leukemia (CML)
53 out of 100 people
These numbers come from reports that were done at least 5 years ago, before newer treatments were available. So chances of survival today are likely to be higher than these numbers.
Leukemia can go away. People sometimes call this a "cure." But your doctor may use the term "remission" instead of "cure" when talking about the effectiveness of your treatment. Many people who have leukemia are successfully treated, but the term remission is used because cancer can return (recur). It is important to discuss the possibility of recurrence with your doctor.
Some things can increase your chances of getting leukemia. These things are called risk factors. But many people who get leukemia don't have any of these risk factors. And some people who have risk factors don't get this cancer. Risk factors include:
Call your doctor to schedule an appointment if you have any symptoms, such as:
Watchful waiting is a period when your doctor is checking you regularly but not treating you. It may be a treatment choice if you are an older adult, depending on the stage of the leukemia and your overall health.
Doctors may use watchful waiting for patients with chronic lymphocytic leukemia (CLL) at first because treatment may not be needed. For example, it is estimated that 1 out of 3 people who have CLL never need treatment.3 People who have CLL often live for a long time without treatment.
Watchful waiting isn't usually recommended for other types of leukemia.
During watchful waiting, you will:
Health professionals who can evaluate symptoms of leukemia include the following:
The diagnosis of leukemia will be done by a medical oncologist, pediatric oncologist, or hematologist. These specialists also treat leukemia.
To prepare for your appointment, see the topic Making the Most of Your Appointment.
If your doctor suspects leukemia, he or she may:
If your blood work points to possible leukemia, your doctor will want to find out what kind you might have. Your treatment plan will depend on the specific kind of leukemia that you have.
These tests can help guide treatment. Sometimes they can help your doctor and you know whether your leukemia is likely to go into remission or come back. In some cases, the tests can predict survival rates.
Your doctor may also order other tests, including:
The goal of treatment for leukemia is to destroy the leukemia cells and allow normal cells to form in your bone marrow. Treatment decisions are based on the kind of leukemia you have, its stage, and your age and general health.
Stem cell transplants and chemotherapy are also used when leukemia comes back after you haven't had symptoms for a period of time.
To learn more about treatment of acute leukemia, see Medications and Other Treatment.
Additional information about acute leukemia is provided by the National Cancer Institute at www.cancer.gov/cancertopics/types/leukemia.
Chronic lymphocytic leukemia (CLL) isn't always treated right away.
Treatment choices for CLL include:
When you have CLL, your body isn't able to fight infections very well. You and your doctor need to watch for any signs of infections, such as pneumonia or yeast infections. Early treatment of these and other infections will help you live longer. You can sometimes prevent certain infections or keep from getting very sick by getting a flu shot or a pneumonia vaccine. Your doctor also may give you antibiotics to prevent infection while you are being treated for leukemia.
Chronic myelogenous leukemia (CML) is treated right away. Treatment choices include:
Additional information about chronic leukemia is provided by the National Cancer Institute at www.cancer.gov/cancertopics/types/leukemia.
Clinical trials play a very important part in the treatment of leukemia. Clinical trials test the latest drugs and other new treatments. They have made it possible for many people with leukemia to live longer. People who are in clinical trials get all the recommended treatments for their cancer and are closely watched.
Talk to your doctor about whether there is a clinical trial that might be good for you. For more information, see www.cancer.gov/clinical_trials/ or http://clinicaltrials.gov.
Treatments for children who have leukemia aren't the same as treatments for adults who have leukemia. After the leukemia has been treated, children may need to be monitored for treatment side effects that may appear months or years later.
Additional information about childhood leukemia is provided by the National Cancer Institute at www.cancer.gov/cancertopics/types/leukemia.
Cancer treatment has two main goals: curing cancer and making your quality of life as good as possible. Palliative care can improve your quality of life by helping you manage your symptoms. It also can help you with other concerns that you may have when you are living with a serious illness.
For some people who have advanced cancer, a time comes when treatment to cure cancer no longer seems like a good choice. This can be because the side effects, time, and costs of treatment are greater than the promise of cure or relief. But this isn't the end of treatment. You and your doctor can decide when you may be ready for hospice care.
It can be hard to decide when to stop treatment to prolong your life and shift the focus to end-of-life care. For more information, see:
There is no known way to prevent most types of leukemia.
Some types of leukemia may be prevented by avoiding high doses of radiation, exposure to the chemical benzene, smoking and other tobacco use, or certain types of chemotherapy used to treat other types of cancer.
You can do things at home to help manage your side effects. If your doctor has given you instructions or medicines to treat these symptoms, be sure to follow them. In general, healthy habits such as eating a balanced diet and getting enough sleep and exercise may help control your symptoms.
Other problems that can be treated at home include:
Having cancer can be very stressful. It may feel overwhelming to face the challenges in front of you. Finding new ways of coping with the symptoms of stress may improve your overall quality of life.
These ideas may help:
Having cancer can change your life in many ways. For support in managing these changes, see the topic Getting Support When You Have Cancer.
Chemotherapy is the standard treatment for many types of leukemia. Even when a cure isn't possible, chemotherapy may help you live longer and feel better.
Chemotherapy for leukemia is usually a combination of drugs. This is because different drugs attack leukemia cells in different ways. The combination also helps keep the leukemia cells from becoming resistant to any one drug.
Along with the chemotherapy drugs, other medicines may be given to help the chemotherapy drugs work better and prevent infection or bleeding. These drugs include epoetin and hematopoietic stimulants.
Your treatment plan will include the kind of medicine that works best for the specific type or subtype of leukemia that you have.
Some types of acute leukemia spread to the brain and spinal cord. Regular chemotherapy can't reach those areas, because your body puts up a special barrier to protect them. A different way of giving chemotherapy, called intrathecal chemotherapy, treats these areas by injecting the drugs directly into your spinal canal to attack any leukemia cells there.
Medicines used for treatments for chronic lymphocytic leukemia (CLL) are taken orally (by mouth) or given intravenously for limited periods of time. If there is relapse, medicines are given again.
For chronic myelogenous leukemia (CML), medicine is usually taken by mouth for as long as needed.
Nausea and vomiting are common side effects of chemotherapy. They usually go away when treatment stops. Your doctor will prescribe medicines to help relieve nausea.
Medicines to control nausea and vomiting include:
In rare cases of chronic lymphocytic leukemia (CLL), the spleen needs to be removed. This happens when the spleen is destroying red blood cells and platelets. The operation is called a splenectomy.
Often a swollen lymph node will be removed to confirm the diagnosis of leukemia. This operation is called a lymphadenectomy.
Surgery is sometimes needed to place a central venous catheter into a large vein in the chest. The catheter is a small tube that is used to give you chemotherapy and other drugs. The tube can also be used to take samples of blood or for giving blood transfusions when needed. It prevents the need for many needle sticks during treatment.
People sometimes use complementary therapies along with medical treatment to help relieve symptoms and side effects of cancer treatments. Some of the complementary therapies that may be helpful include:
Mind-body treatments like the ones listed above may help you feel better. They can make it easier to cope with cancer treatments. They also may reduce chronic low back pain, joint pain, headaches, and pain from treatments.
Before you try a complementary therapy, it is very important to talk to your doctor about the possible value and potential side effects. Let your doctor know if you are already using any such therapies. Complementary therapies aren't meant to take the place of standard medical treatment. But they may improve your quality of life and help you deal with the stress and side effects of cancer treatment.
The Leukemia and Lymphoma Society is the world's largest voluntary health organization dedicated to funding blood cancer research, education, and patient services. The Society's mission is to cure leukemia, lymphoma, Hodgkin's lymphoma, and myeloma and to improve the quality of life for patients and their families.
The American Cancer Society (ACS) conducts educational programs and offers many services to people with cancer and to their families. Staff at the toll-free number have information about services and activities in local areas and can provide referrals to local ACS divisions.
The National Cancer Institute (NCI) is a U.S. government agency that provides up-to-date information about the prevention, detection, and treatment of cancer. NCI also offers supportive care to people who have cancer and to their families. NCI information is also available to doctors, nurses, and other health professionals. NCI provides the latest information about clinical trials. The Cancer Information Service, a service of NCI, has trained staff members available to answer questions and send free publications. Spanish-speaking staff members are also available.
Citations American Cancer Society (2010). Cancer Facts and Figures 2010. Atlanta: American Cancer Society. Available online: http://www.cancer.org/Research/CancerFactsFigures/cancer-facts-and-figures-2010. Liesveld JL, Lichtman MA (2010). Acute myelogenous leukemia. In K Kaushanksy et al., eds. Williams Hematology, 8th ed., pp. 1277–1330. New York: McGraw-Hill. Johnston JB, et al. (2009). Chronic lymphocytic leukemia. In JP Greer et al., eds., Wintrobe's Clinical Hematology, 12th ed., vol. 2, pp. 2214–2255. Philadelphia: Lippincott Williams and Wilkins. Other Works Consulted Leung LLK (2010). Coagulation disorders. In EG Nabel, ed., ACP Medicine, section 15, chap. 5. Hamilton, ON: BC Decker. Levi M, Seligsohn U (2010). Disseminated intravascular coagulation. In K Kaushanksy et al., eds., Williams Hematology, 8th ed., pp. 2101–2120. New York: McGraw-Hill. National Cancer Institute (2012). Adult Acute Chronic Lymphoblastic Leukemia Treatment (PDQ)—Health Professional Version. Available online: http://www.cancer.gov/cancertopics/pdq/treatment/adultALL/healthprofessional. National Cancer Institute (2012). Adult Acute Lymphoblastic Leukemia Treatment (PDQ)—Patient Version. Available online: http://www.cancer.gov/cancertopics/pdq/treatment/adultALL/Patient. National Cancer Institute (2012). Adult Acute Myeloid Leukemia Treatment (PDQ)—Health Professional Version. Available online: http://www.cancer.gov/cancertopics/pdq/treatment/adultAML/healthprofessional. National Cancer Institute (2012). Adult Acute Myeloid Leukemia Treatment (PDQ)—Patient Version. Available online: http://www.cancer.gov/cancertopics/pdq/treatment/adultAML/patient. National Cancer Institute (2012). Childhood Acute Lymphoblastic Leukemia Treatment (PDQ)—Health Professional Version. Available online: http://www.cancer.gov/cancertopics/pdq/treatment/childALL/healthprofessional. National Cancer Institute (2012). Childhood Acute Lymphoblastic Leukemia Treatment (PDQ)—Patient Version. Available online: http://www.cancer.gov/cancertopics/pdq/treatment/childALL/Patient. National Cancer Institute (2012). Childhood Acute Myeloid Leukemia/Other Myeloid Malignancies Treatment (PDQ)—Health Professional Version. Available online: http://www.cancer.gov/cancertopics/pdq/treatment/childAML/healthprofessional. National Cancer Institute (2012). Childhood Acute Myeloid Leukemia/Other Myeloid Malignancies Treatment (PDQ)—Patient Version. Available online: http://www.cancer.gov/cancertopics/pdq/treatment/childAML/Patient. National Cancer Institute (2012). Chronic Lymphocytic Leukemia Treatment (PDQ)—Health Professional Version. Available online: http://www.cancer.gov/cancertopics/pdq/treatment/CLL/healthprofessional. National Cancer Institute (2012). Chronic Lymphocytic Leukemia Treatment (PDQ)—Patient Version. Available online: http://www.cancer.gov/cancertopics/pdq/treatment/CLL/patient. National Cancer Institute (2012). Chronic Myelogenous Leukemia Treatment (PDQ)—Health Professional Version. Available online: http://www.cancer.gov/cancertopics/pdq/treatment/CML/healthprofessional. National Cancer Institute (2012). Hairy Cell Leukemia Treatment (PDQ)—Health Professional Version. Available online: http://www.cancer.gov/cancertopics/pdq/treatment/hairy-cell-leukemia/healthprofessional. National Cancer Institute (2012). Hairy Cell Leukemia Treatment (PDQ)—Patient Version. Available online: http://www.cancer.gov/cancertopics/pdq/treatment/hairy-cell-leukemia/Patient. National Comprehensive Cancer Network (2012). Acute myeloid leukemia. NCCN Clinical Practice Guidelines in Oncology, version 2.2012. Available online: http://www.nccn.org/professionals/physician_gls/PDF/aml.pdf. National Comprehensive Cancer Network (2012). Chronic myelogenous leukemia. NCCN Clinical Practice Guidelines in Oncology, version 1.2013. Available online: http://www.nccn.org/professionals/physician_gls/PDF/cml.pdf. National Comprehensive Cancer Network (2012). Non-Hodgkin's lymphomas. NCCN Clinical Practice Guidelines in Oncology, version 3.2012. Available online: http://www.nccn.org/professionals/physician_gls/PDF/nhl.pdf. Rodgers GM (2009). Acquired coagulation disorders. In JP Greer et al., eds., Wintrobe's Clinical Hematology, 12th ed., vol. 2, pp. 1425–1463. Philadelphia: Lippincott Williams and Wilkins.
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SharePoint Products and Technologies Protocols
The Microsoft SharePoint Products and Technologies protocol documentation provides detailed technical specifications for Microsoft proprietary protocols—including extensions to industry-standard or other published protocols—that are implemented by Microsoft SharePoint Products and Technologies for internal communication as well as communication between client and server applications.
The documentation is designed to describe each protocol in detail as it is used by SharePoint Products and Technologies. Each protocol specification documents the technical requirements, limitations, dependencies, and Microsoft-specific protocol behavior.
The documentation also includes a set of companion overview and reference documents that supplement the technical specifications with conceptual background, overviews of inter-protocol relationships and interactions, and technical reference information.
In addition to being available on this Web site, the SharePoint Products and Technologies protocol documentation is also available as a download package in .zip file format:
Note that inter-document links are functional only if all PDF files are located in the same directory. An error message appears if you click a link to a PDF document that is in a different folder (when viewing on your computer) or part of a different download (when viewing online).
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- September 8, 2011
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lubeandoil writes:
To good to be true.
Thank you KPD.
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What a great place to stay, unfortunately we had an overnight stop only (in hindsight we should have made it at least a 2 night stay), we were late arriving and had to leave early due to a strike in the town, so didn't get to see the surroundings etc . Even though our stay was brief we'd highly recommend... More
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You Hold the Key to Passage of HR3149
Millions of Your Fellow Americans are Depending on You . . .
Political pundits and both political parties along with the American media talk 24/7 about "corporate money and lobbyists" running Washington, yet for either party it seems to only be about the ulterior motive of control of power and never about "the people." Then I read about watchdog groups and by and large they seem to have a political party agenda as well and never seem to be focused on "the people." I'm hoping and praying that you have a conscience and really care about "the people" and are not part of the daily political gamesmanship played out in Washington. If you do have a conscience, then you simply cannot turn away from "the people" losing their homes, who have starving children and who I'm confident are losing their lives to suicide. The issue is the political corruption killing passage of HR3149: The Equal Employment for All Act that would make it illegal for employers to hire and fire based personal credit reports.
First the money trail:
Sources for the 2010 and 2008 Money Cycles:
House Committee on Financial Services (only)
Trans Union:
2008 Cycle:
Trans Union
Even though I'm just a lowly average American citizen, I'm not so naïve as to not know that after reviewing the above links you're presently splitting your sides laughing that I think the above represents real MONEY. Compared to what you're used to seeing the amounts of money are a joke. Here is the part that is NOT so obvious, virtually no company or corporation wants HR3149 passed (because they think they own "the people" and their privacy). Now do you start to see the big picture? You know far better than I just how many millions of dollars that figure represents. Also please consider that the big three credit bureaus are not some huge defense contractor vying for some billion dollar contract against some other huge defense contractor. The only fear or competition the credit bureaus have for the ear of Congress is a lowly rag-tag group of common American citizens with no money and bad credit. A good Cuban cigar and some cocktails would by out our interests in Washington . . . the money is just a value add for selling us out.
The legislation was introduced way back last July and is still sitting stalled in the House Committee on Financial Services. In just the 2010 cycle alone (excluding 2008), members of Congress have accepted $258,000+ in PAC money from the big three credit bureaus in exchange for trying to kill HR3149. Just in the House Committee on Financial Services alone, during the 2010 cycle, almost half of its members (38+ %) stuffed their wallets with a total of $104,000+ in credit bureau PAC money. At the top of the money list, during the past two cycles, is Committee Chair Barney Frank who took $25,000 during in the 2008 cycle. This quid pro quo money for killing the legislation deal is NOT DEMOCRACY! With that said, the death of democracy pales in comparison to the suffering of the American people caught in a catch 22 of bad credit = no job and no job = bad credit.
In survey after survey, including a recent MSNBC survey, more than 90 percent of the American people say that workplace discrimination based upon someone's personal credit report is wrong and should be illegal. The practice was always wrong and from the start has always been a gross invasion of Americans' personal privacy. The information is used by employers to low ball wages and intimidate employees based upon the level of desperation depicted in their credit report – while employers use the smoke screen of saying the information is used to protect them from fraud and theft. It's "the people" that need protection from corrupt politicians and dirty corporate money . . . not the other way around!
Does a private employer expose their financials or credit report to a new hire? Do they advise employees when they are getting ready to ship their jobs overseas or close their doors? Did someone applying at Enron know the books were being cooked before they quit a good job and then subsequently lost every dime in retirement money they had with Enron? It's currently a one-way street all tilted to the corporate side of the table. Credit reports for employment are already illegal in three states, but that's not solving the problem for the millions of other Americans being locked out of the workforce in a catch 22 of no job = bad credit and bad credit = no job.
NOT ONE SINGLE study or shred of evidence exists to demonstrate that Americans with damaged credit reports steal or commit fraud at a higher percentage than other Americans. If there were any correlation between a credit report and theft, then American CEOs such as Bernie Madoff, Ken Lewis, Kenneth Lay, Dennis Kozlowski, Bernard Ebbers and Richard Fuld wouldn't be either already convicted or under investigation for "stealing" millions and millions from their companies. The American elite, Wall Street and Congress operate by different rules when it comes to credit reports, corruption and stealing. The more corrupt they become, the better their credit reports get while "the peoples" credit reports suffer to a point of never being allowed to work again.
Quite frankly, we're almost out of time. A preliminary hearing was held a couple of weeks ago in the House Committee on Financial Services on credit issues in general – which means the HR3149 hearing could be announced at any time. The preliminary hearing was "kangaroo court" with seven corporate witnesses and one privacy advocate speaking on behalf of "the people." If we can't expose the money being funneled into the committee, it will be the same for HR3149 when the hearing occurs . . . a sham hearing with votes bought and arms twisted to thwart the will of "the people."
We've tried writing the American media but they all work for corporations and are being threatened with their jobs if they report the corruption and pay offs. So a watchdog group like yours is looking like our only hope at this point. Please, please, please take up our cause. The research and money trail is available at your fingertips via the Internet. When your fellow Americans, devastated by Wall Street's greed that wrecked the economy, are losing everything that have with no way out . . . is asking for your help not warranted?
I realize that Washington, D.C. hasn't been hit as hard by this economy as the rest of our nation, but please realize that people are truly suffering and there is no way out for the millions of people permanently locked out of the workplace forever unless HR3149 passes. You hold the key to passage of HR3149. Please help to disclose the political corruption behind the stalling and attempted killing of HR3149. Millions of Americans are depending on you . . .
Bruce Eggum


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Card Box Holder with King Of Hearts design
Item Number: TA7801
Handmade in Poland
Holds Two Poker Size Decks of Cards
Linden Wood
Made Using Traditional Polish Box Making Techniques
Measures 4.75 x 2.50 x 3.00
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The University of Newcastle today said the Australian Government's significant investment to expand training facilities at Wyong Hospital would be a boost to the medical workforce in the Hunter and Central Coast regions.
Parliamentary Secretary for Health Mark Butler and Federal Member for Dobell Craig Thomson have today announced $4.5 million in funding to build an Integrated Education Centre at the Hospital.
Associate Professor Martin Veysey, Director of the Teaching and Research Unit at the Central Coast Health Service, said Wyong Hospital was not set up to cope with the projected 250 per cent increase by 2015 of healthcare students needing to train there.
"More training opportunities ultimately puts more doctors, nurses and allied health professionals on the ground," Associate Professor Veysey said.
"Today's important announcement will help make that a reality."
The Integrated Education Centre will provide a state-of-the art teaching environment for students enrolled in the Joint Medical Program*, as well as dental, nursing, pharmacy, physiotherapy and podiatry degree programs.
"This is the first time students from different health areas will be co-located at Wyong, allowing us to introduce a multidisciplinary clinical team teaching program in communication, evidence-based medicine, identification of sick patients and teaching skills."
Clinical teaching at Wyong Hospital is largely delivered by more than 50 conjoint staff of the University of Newcastle, supported by academic colleagues.
* The Joint Medical Program is delivered through a partnership of the University of Newcastle, the University of New England, Hunter New England Health and Northern Sydney Central Coast Health.
Martin Veysey is an Associate Professor at the University of Newcastle and Director of the Teaching and Research Unit, a collaborative venture of the University and Northern Sydney Central Coast Health.


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Pietersen's long-awaited comeback
Former England captain Kevin Pietersen returned to competitive cricket after three months out with a right knee problem by playing for Surrey in a four-day match away to Yorkshire on 21 June 2013. He has also been included in England's squad for the Twenty20 internationals against New Zealand.
ALSO READ: I made mistakes, admits Pietersen AND Pietersen glad to be back
- AUS won by 218 runsvs. ENGAUS2nd Test
- PAK won by 6 wkts.vs. PAKAFGOne-off T20I
- SA won by 134 runsvs. INDSA2nd ODI
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SOUTHERN COLORADO -- After throwing their support behind Republican presidential candidate Mitt Romney in the second presidential debate Oct. 16, voters in the FOX21News.com poll saw the third debate much differently.
As of noon Tuesday, 59 percent of the 7,364 people who voted in the poll though President Barack Obama won Monday night's third and final debate, which focused on foreign policy. Romney got 38 percent of the votes.
The same poll was posted at the same time on FOX21News.com following the second debate last week, and 58 percent of the 5,492 voters thought Romney won. Obama got only 37 percent.
As we said after debate number two, there is no way to track how many of the poll's voters actually live in southern Colorado. The second debate's poll results aligned almost identically with the 2008 election results for FOX21 News' viewing area, but Monday night's poll is almost the opposite.
National polls show Obama won both the second and third debates by a slight margin. The two candidates are in a virtual tie in the most recent election polls.
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Visitors to Bryson City will have a free place to go when nature calls once public restrooms are installed in the historic courthouse.
There are plans for the now-vacant courthouse to one day be home to a visitor's center manned by the Great Smoky Mountains Association and a museum.
But for now, commissioners want to move forward with installing public bathrooms instead of waiting for the rest of the project to come online.
Putting men's and women's facilities into the historic structure will cost around $50,000. The county will pay for it with interest earned off the North Shore Road cash settlement.
This would be only the second project paid for with the long-awaited money, yet commissioners didn't specifically vote on the measure. It will be embedded as a line item in the county's budget.
The project idea was discussed in a county budget work session on Monday. The four commissioners at the meeting came to a consensus on the plan, and County Manager Kevin King made an administrative amendment to the proposed budget to include the bathroom costs.
The project will get the go-ahead if the budget is approved as-is at the commissioners' next meeting on August 8.
Commissioners expressed their support of the idea, which would be the first phase of the old courthouse's revitalization.
"That'd be the first step," said Commissioner Donnie Dixon. "I think we should."
The final two portions of the revamp — the museum and visitor's center, which might also feature a bookstore — must be completed simultaneously, said King.
He hopes they can be finished within the next two years.
What will be done with the remainder of the North Shore interest money this year, another $135,000 or so, remains to be seen.
Earlier in the summer, commissioners were ambivalent when asked about plans for the cash, as there was so little of it built up.
Several were in favor of a committee populated by community members that would vet and recommend projects, but no moves have been made to form such a body.
The first allocation from cash settlement money funded five granite pedestals outside the county's administration marking major events in Swain's history. The $20,000 pedestals were partially funded by a $7,500 grant.
The settlement is compensation from the federal government for a road that was flooded by the creation of Fontana Lake during WWII. The county has $12.8 million in the bank and is supposed to eventually receive $52 million.
The money itself will remain untouched, held in trust for the county by the N.C. Treasury Department, but the county gets the yearly interest. The funds made less than 2 percent return this fiscal year which was paid out at the end of June.


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You're watching...
Foxhole 2/1/2013
Journalist, novelist and provocateur Tom Wolfe joins James Rosen for a frank discussion.
Feb 4, 2013
Tom Wolfe
You're watching...
Journalist, novelist and provocateur Tom Wolfe joins James Rosen for a frank discussion.
Feb 4, 2013
Tom Wolfe
Also in this playlist...
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I'm your host James Rosen and Washington.
Our hiatus was made a bit longer for which we apologize by the need for this studio but when my gut Fox News colleagues.
If you -- to join our live chat and send us your questions for me or four are truly extraordinary guests coming up.
Just log in below me on your screen using your FaceBook or Twitter account.
Now about this guest this struggling young writer this shabbily dressed -- chin looking to establish a name for himself.
He is probably America's greatest living -- -- the author of a dozen landmark works of journalism and fiction.
All best sellers among them radical chic.
Bonfire of the vanities.
Electric Kool Aid acid test the right stuff.
I am Charlotte Simmons.
And a man in full his latest novel released late last year is called back to blunt.
I speak of the man in the white suit a literary genius who might idolize to a degree that is frankly -- healthy for me the one and only Tom -- Who joins us from our Manhattan headquarters Tom welcome to the foxhole.
Well listen thank you very much famine in New York studios you probably know and did you know that their billboards all over the place here for you.
-- I I hadn't seen those now you have to come up here.
If -- they -- they say the foxhole with James Rosen I'm not getting.
Well there's a big budget for this sort of thing -- Tom.
I know that you will feel just shy of naked not knowing these critical status details because I don't think you can see me so I disclose to you here.
That I am wearing a more or less nondescript two button charcoal gray Jack -- business suit with a quote unquote interesting -- -- and matching pink Parker chief.
Not a lot better than usual.
I thought all right Tom let's begin by talking about your new book back to blood.
What's it about why did you write it.
-- -- -- -- -- -- -- -- -- -- -- -- -- -- Book about immigration but not help people sink into the country but.
What they do after they -- you haven't they live what what is life like and a I was first attracted to the Vietnamese and in California -- so many.
And the Los Angeles area and in moving up to.
North northern California and San Jose there's not only -- -- well known San Jose Mercury newspaper.
There's also a Viet.
-- strange thing about it fairly -- -- and that's speak Vietnamese.
I could read it I mean I couldn't even come close to the reading it and then I just heard about.
People talking about Miami and it dawn on me that -- Miami is the only.
Big city.
In the world as far as I can -- That.
-- is run politically by people from another country.
With another language in a completely different.
And of course I'm talking about did -- humans and they did all this in just about a little over one generation this is remarkable.
Now that little lead character in the book is a man named Nestor Camacho.
He's a Miami police officer of Cuban descent.
It strikes me I've never written fiction Tom button -- you tell me that.
That that that the very didn't -- -- name you give your character the very decision about how the name your characters must be one of the hardest things about writing fiction.
And coming up with the name Nestor Camacho and satisfying yourself with the names of your characters.
Is that true.
But it was actually it was going to be originally.
Nesta Carter no -- -- -- And it -- that this factor well known active.
Has that name so -- and then I think -- this guys is they have them I present him as -- rather macho.
Type of cup.
And so those -- -- much it was a very.
Very common name.
In Miami and named him and Cuba has in the great.
-- -- -- -- -- -- not to -- -- sure just died.
So it without giving away too much about the plot.
It's safe to say that your book as some of your other novels have done -- -- different locales explores the racial tensions in the city of Miami.
And fully explore some of the ethical quandary -- into which law enforcement officers and journalists and other people lawyers judges or are often plunged.
But the actual title back to blunt.
Explain force if you would.
What that title means.
I found myself so this -- of -- thinking.
Thinking it through -- starting about 1015 years ago.
It just taught me how many people are suddenly.
Going back to their bloodlines.
Hey he is generally is not what -- they go back to their bid bloodlines for something to believe them.
And as and a lot of area a lot of places.
Believe in my god in this.
But I think everybody can I think.
Hold onto their hold on to their roots that suddenly they can just but you have to blindly believe -- something.
You can't logically believe.
And and anything that's going to be of that's going to be a real.
Real importance and I think if it becomes especially -- you've got as many.
Immigrants from all over the world as you do in Miami -- Russians are.
Are coming in.
-- and there have been lots of patients for a long time lot of venezuelans are pouring in now.
The enemy any real twin of Fidel Castro has taken -- -- -- over there.
And they you know these groups do not.
Let's not -- melting pot.
It's as if you throw these and get to the putt you waited.
Three days -- intense heat you come back and they're still ringgit.
Let -- it's safe.
It's it's it's different from -- -- is different.
-- -- Being in in inciting the kind of the -- of religion of organized religion as -- as the factor that is propelling us back to blood if you will.
And this I think.
Is a recurring theme of viewers.
At least in our conversations I remember the one of the previous times they interviewed you I asked you what you thought was the real reason for the Holocaust.
In Nazi Germany and you said it was the absence of god in men's lives.
In deep do you believe in god worry how were you raised in terms of your own religion.
-- I believe in Zeus myself.
-- actually as he's as big she pointed out it's it's a great benefit you know -- -- he had when he said god is dead.
People sometimes think that is a declaration of atheists who wasn't at all.
He was really saying you're all in trouble now you don't believe in god.
Any longer and this is -- mean.
That in that he would be named -- century that 21 century -- this is gonna end up.
It -- the total eclipse of all values he had already predicted the world war -- -- he -- for effective in making -- I've.
And he he he said it clips of all values is going to be worse people.
-- world wars -- be more political what about your own background how are you relays are raised in terms of religion poll.
I was raised as a presbyterian.
I went to trip to Sunday school every.
And then I got into my teens who -- Certain things just didn't make much sense to me and more like.
Pre destination is the core.
The president -- isn't.
They -- found -- is true.
The truth -- Listen to everybody who's talking about evolution.
The greatest scholars and America who talk about evolution.
Are saying that and there is no such thing as free will.
You're born with a set of genes and this.
The chairman -- your whole life.
I mean I want to slow -- -- Let's get real.
-- well I know that you you are big follower of -- -- of the developments in neuroscience.
And you have said previously in essence that we're all born with a kind of a film strip in our heads.
In terms of -- intellect and abilities and it's just a matter of how well or how poorly that existing film strip is developed but that's what accounts for all of our different capabilities and such.
Very quickly because we're gonna have to go for a little break.
Do you regard back to blood is the best novel that you've written.
Off course.
I've earned everything I've just written is the best.
What what did you learn about from your previous novels that you were able to apply -- incorporate here that truly makes this better than your previous ones.
Welcome -- For me -- -- your writing nonfiction fiction.
It's it's all about.
And I had.
Getting my advice and it's not that young right as as we -- -- Very often but I would say first leave the building.
And causes this is an incredible country has some amazing you -- as it as if the saying goes you can't make stuff.
And that's particularly true and and a place like Miami where.
Woods slightly more than 50%.
Other population.
Is made -- of recent -- -- immigrants was in the last.
Fifty years when that's true.
I knew that people from another country Cubans who are.
Dominant politically.
They're going to be things that you can't just get -- the newspaper you can't get there.
All right stay right there Tom.
GWG -- and writes the passing of Ed Koch reminds me of the New York City and Tom Wolfe's bonfire of the vanities will be right back.
With Tom -- Here in the -- stay with us.
Are so obsessed with status.
And with clothes.
And architecture and that sort of thing I wonder if it's caused friction.
When you were friends or your wife's friends come over to they think my god what can I Wear to this man's house is going to be -- every little -- but my shoes expensive enough etc.
I mean is that actually come up to people -- don't.
If they have -- believe I'm wrong.
And put up so that it doesn't it doesn't matter I have won -- my original interest in -- -- science brain physiology was known as backed them.
-- it my conviction that must be somewhere in the brain that makes us conscious moment by moment of our.
Status and deal because it states with the same status as much more status and -- -- You're back in the fox -- I'm still James Rosen I'm still in Washington and we still have our -- a privilege to have as our guest mr.
Tom -- who's in -- Manhattan headquarters what we just heard was an exchange from our 2004 interview what's remarkable to me watching that tape now Tom is.
How I have remained essentially unchanged and how aged and -- -- you appear so with that in mind Tom.
This is still pre occupation of your status right.
Before we get onto that.
As I remember -- just become more of my memories like is I remember.
At that time in 2004 I was wearing a light blue shirt.
If that's true.
That that ice I think that that can be confirmed.
And then it marks a radical departure for you in terms of sartorial decisions.
OK back are you still obsessed with status is that still the governing sort of thing that that informs all of your work -- your researching your writing.
Yes men I have I am trying to expound -- great theory.
On -- but although I have a month.
-- I believe that.
Unless one is in.
Mortal danger.
And danger of death or danger of being wounded that every single moment waking moment of our lives.
Determined by -- the status if you think about it with nothing about it geographically but if you think about it when you -- -- alone in.
A bathroom.
Just think of all of they've.
Things that you do that the products that you want with you that are determined by.
I status.
Well as I say I won't get graphic about it but this is incredible number.
Toothpaste or.
Or some people are very particular about.
About shaving cream and -- are those I've run into who think that.
Old spice has higher status than -- -- -- -- Gillette is too well known.
I understand now.
Let me ask your question about about the new journalism.
This is something you helped pioneer in the sixty's and seventy's you've written about this.
And you and a number of other journalists.
Contemporaries of yours Goethe -- Jimmy Breslin hunter Thompson.
-- Norman Mailer to some extent the Truman Capote you all helped pioneer the use of of the techniques.
Of fiction.
In the rendering of nonfiction.
And one of the things that's important to this to achieving this effect.
Is that you really do and all of your writing fiction nonfiction list on this -- succeed in placing the reader.
Inside the skull of a given individual.
So that -- -- the reader sees the world through that person's eye sockets is called point of view.
And you wait you've done this over the over your career too and I'm focusing now on your nonfiction work Tom yet.
You use like -- sometimes to conjure the interior monologue -- someone like Phil Spector the record producer -- Or any of the people that you've covered as a reporter tell me and for the benefit of our our audience.
Because this is a tricky line to walk how are you conjure -- interior monologue without making up quotes.
I would I truly do if I feel like I have interviewed a person enough noise I have got no person well enough.
That I can and and then they have told me they have thought about this or that.
That that I feel I can.
Can do it and yes.
It's not it's not going to be verbatim if if -- in there.
He had to but I have a web getting the substance of it right -- another thing that I.
I really think is effective.
Is what I called the down stage voice.
And I had had is you you're writing a narrative.
And into your own narrative you put the accent the the language.
That's lying.
Of the person that you're writing about as as if it is you know pretending he's saying this is -- being -- or of an article about the Junior Johnson the stock car.
-- -- last American.
-- hero.
And at one point he's doing some practice runs around a track of the point of showing the practice -- show how fast that he goes on track.
And he -- they have no treads upon these tires and that stock car racing.
So that it.
It burns rubber much more easily than an ordinary a ordinary -- and so -- to you at that point have as if I'm in them.
Is somebody's voice but -- really mind but it.
And you know brief.
-- blue gum balls come Junior Johnson now.
And at that you know that is not -- that it's not a pretense.
Is just trying to put to -- -- -- -- -- -- -- Who's looking on -- It's if these are.
Even novels don't -- -- much.
So so it's a fine line to walk it seems to me between.
Asserting that's recording that person and asserting that you were.
Conjuring what you know to be there they're kind of interior monologue.
But various and I don't try to -- I don't try to push the boundaries of the interior monologue very not very far.
And let me ask you some more questions about your technique and a voucher you're working methods.
You I assume you have done some number of your interviews all the interviews you've done -- projects you record those interviews.
I'm sorry -- Did.
I'm -- -- -- -- and he can do you do you record the interviews you do for research purposes.
All you know that -- so easy to record things.
I started doing -- wade -- in the X six's and I was doing so much of this.
I was using shorthand.
And wicked period shorthanded is not bad you have to keep it up.
And his spirit is there and let's let's look at another shot from one of our viewers Jim -- 809 says Tom Wolfe put it best one belongs to New York instantly.
One belongs to it as much in five minutes -- in five years.
-- the recordings the notes you've taken the shorthand notes the notebooks you filled up with a research the recordings you've made for research purposes.
Are those warehoused somewhere what are your ultimate plans for all of your papers and things.
Well actually they are and I'm.
I'm not NSA if I'm very bad day and there is a great load of have.
Where where are they.
You really wanna know -- -- thought they Dan Miceli -- -- know they are they are down in the they are now in the -- Of -- and ability that I.
Live -- not recommended you know sellers.
Now that's are susceptible to floods and fires.
Is there anything as a writer.
That you and I mean this seriously that you feel -- you have not accomplished that she wanted to accomplish.
There is I but I believe.
That portrait can be brought back.
By the use of -- right now portrayed.
Have -- minimize it but they -- they look portrays -- great -- Snow covered peak season begins and it's easier to admire it go visit.
And so it's just not it's just not read there is no substitute.
Four -- today.
Edgar Allan Poe would be writing jingles for so what -- what is your what is your regret.
What did I accomplish I haven't I really haven't had I haven't done this.
I've done some Ive done some and it's and number of articles and books I've suddenly broken into.
-- -- -- Signaling that I'm going to get it running -- run after -- Is there is there in your worst in your possession.
A large corpus of unpublished writings.
By -- No you know and he wouldn't win whenever.
Some writers.
Dies -- they are all night.
People will say.
I want to I think he hasn't and is and is desk.
But in fact writers are slowly -- testicle that they know -- anything in there if there's some way.
It can be published I think Ken lay did had a -- had a couple things with -- C.
When they were published heated and you can see why he didn't want them published but I myself don't have anything.
I never had anything like that.
One of the recurring.
Teams in your writing has to do with manliness.
Feats of strength.
Moments where one man is -- to basically stand down because he is not as physically strong as another man.
The right stuff was full of of a lot of writing about feats of amazing courage and and bravery.
-- physical bravery.
So this leads me to a question Tom.
Where you -- -- a fist fight in your life.
Are you -- what I have grown well bill yet where you'll ever know where you ever in a fist fight or fist fight.
And to tell the truth.
I know was and -- in the fist fight I try to -- them first.
And so no one not not a single want.
No -- I -- breath I'm not getting on this it I don't get into many scrapes like that.
But if I if I do I just converted to wrestling anybody who's stands up and fight -- through some idiot.
Were you physically powerful as a young guy.
Yes -- what unfortunate I don't have the pictures with me.
Two to prove it but I was I think that every do you ever go to gymnasium and I go five comfortably.
Everybody's watching everybody else they're pretending that they -- And everybody is trying to do things in a way that other men.
Will will not look look you look down on.
It's it's just in it in some kind of silly fact of life.
As we all know all it takes is one.
You have 250 pounds of perfectly.
Well bill human being and -- 35 dollar revolver will put an end to to is golf.
I don't go to gymnasiums for the very reason you mentioned missions that.
When I go there I tend to be the only guy that looks like they need to be there.
We've got about a minute left in this segment -- wanna ask you about one of the criticisms of view has been that.
You tend to kind of repeat phrases.
And themes in your books for example -- back to blunt I noticed that -- Camacho says to himself one point please lord I -- the don't let me -- up.
Which was the same prayer -- her in the head of -- the astronauts in the right stuff don't let me F up on the mission.
Do you worry about repeating yourself do you acknowledge that you repeat yourself.
Well actually I'm flattered that you remember all this well.
I assume that people haven't read me.
That well and there are certain phrases you just can't improve -- And I -- and -- -- bar Aaron repeat myself I don't repeat nobody else.
Well that's true that that -- off litigation will be right back.
More with Tom wolf including his thoughts on President Obama stay with us in the -- We're back in the foxhole they only have about a minute left for Tom Wolfe.
The literary master of the universe joining us from our New York headquarters very quickly Tom.
What do you think of Barack Obama.
I believe that one of the greatest benefits.
Barack Obama as president.
Is that it has brought to a dead halt.
Two things one is carping from.
You're European countries particularly.
That we have done we've we've done -- so terribly badly to our.
Which one of them.
Has ever.
A president who is of a different color of the majority of it hasn't hit that hasn't happened.
And the other thing is a very strange.
Is very strange result.
As a result of the president Obama's.
The a lot of the ordinary.
What I would -- Race hustling.
Has discontinued.
-- We have to leave it there Tom Greta time I hate to do this will continue this at the Lotus club okay -- back.
Tom -- master of the universe gracing us in the foxhole.
We're switching time slots Tuesdays at 1 PM we'll see on February 12 thanks much for joining us.
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Padded parka with a detachable hood with fake fur lining, a zip and buttons at the front, wide elastication at the waist and front pockets with a flap and fastener. Soft ribbing at the cuffs and concealed elastication at the hem. Lined.
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Bow Wow
• 10 Songs That Should Never Be Played In Your Car With The Windows Down
• Bow Wow's Twitter Account Hacked By Rapper, Demands $10,000
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• Bow Wow Owes $126,000 In Overdue Taxes
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We In Da Club (Edited Version)
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Shad Gregory Moss (born March 9, 1987) is an American rapper and actor. He released his debut album, "Beware of Dog," at age 13, then under the stage name Lil Bow Wow, which was given to him by one of his idols, Snoop Dogg. He carried the stage name with him until his 2003 album, "Unleashed," going simply by Bow Wow (dropping the "Lil" from the na... Continue Bio >>
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Epiphone Sheraton II Electric Guitar Vintage Sunburst
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33 Chic Flats You Need Now
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Look Even Sexier In Photos With Your Guy
Look Even Sexier In Photos With Your Guy
Forget spending the day after a night out untagging unflattering pics of the two of you on Facebook. These tricks will leave you looking your hottest every. single. time.
By Korin Miller
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When Selena Gomez tweeted out a photo from boyfriend Justin Biebers birthday party earlier this week, our first reaction was Aww. (Seriously, could this couple get any cuter?) And our second was Wow. Selena looks amazing.
Taking photos with your guy can be trickypose the right way like Selena and youve got a gorgeous new Facebook profile pic. Do it wrong and youre left giving a half-assed story about how you accidentally deleted it from his phone.
Thats why we consulted award-winning fashion photographer Alexa Miller and celebrity and fashion photographer Eric Ray Davidson for their tips on how to look your hottest in pics with your man. Keep these on the back burner next time you get snap-happy.
Snuggle Up
Pressing your body into your guy (think: tilting your pelvis up against his side) will create a flattering ¾ angle toward the camera. Not only will this make the two of you look super-cozy, it visually slims you out.
Work Your Bod
Arch your back a little and shift your weight to one hipit looks subtly sexy. Also, keep the mantra, head down, eyes up in mind. Its the prettiest angle for faces.
Follow The Shoulder Rule
Always remember to keep your shoulder thats facing the camera relaxed. When it tenses, your shoulder and bicep look bigger, and thats not flattering.
Watch Your Arms
Anything thats closer to the camera will look bigger, so wrapping your arms around your guys shoulders will make your arms appear larger than life. Try to hug him in a way that keeps your arms loose and close to your body. Slinging an arm across the part of his waist thats closest to you, wrapping your arms around his neck (since its smaller, it keeps your arms loose), or hooking your thumb in his belt buckle loop will do the trick.
Avoid The Smush
It looks cute when your faces are close together, but be gentle with how you do it (pressing them together can make you look puffy). For the best shot, tilt your head towards him and turn your eyes toward the camera.
Do a Hand-Check
If he wraps his arms around you, make sure he keeps them casually slung around your shoulders or resting lower on your bodywrapping them around your chest will hide your bod and make it look like hes crushing you.
Dont Be Afraid To Guide Him
Guys have no freaking clue what looks good in photos (and, for the most part, they dont care), so gently coach your guy into the position that looks best for both of you. You can lightly move his hand, grab his butt to angle his body, etc. Not only will you end up with a great pic, itll warm him up for some one-on-one action later.
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Follow @CAthletics
Editorial Articles
Displaying 1 — 8 of 8
Strength, Bands & Staying in Your Lane
Greg Everett
| October 10 2013 |
This is an article I'm regretting writing before I even start. One, because I know it will spur a bunch of time-consuming argument on the internet; two, because no matter what it will sound emotional; and three, because it feels a bit like trying to convince people that it makes more sense to eat with your hands than with your feet. I expect that the people who agree with what I'm going to say already agree with it, and those who disagree will keep on disagreeing, and probably like m......
Mensticular Fortitude: Dedication and Focus for Athletes
Greg Everett
| May 13 2011 |
Weightlifting is a very mental sport and success can be dependent on focus and attitude to remarkable degrees. Mental and testicular (or ovarian, if you prefer) fortitude is imperative not only for a given lift, but for a training session, a week, a cycle or a career. The long term fortitude is usually thought of more as discipline. For example, the discipline to eat when, what and how much is necessary, the discipline to sleep adequately, the discipline to deny yourself activities or other ......
Start of Days: Cortisol & Stress
Cameron Conaway
| November 30 2010 |
There are movies, books, songs, political advertisements, religious texts and environmental organizations that use the phrase "end of days." As a studied poet, I'm trained to flip clichés like rocks to see what is underneath. As an MMA coach and personal trainer, I'm trained to sift through science then apply these findings to my clients. How does the start of days – the time immediately after we wake – change our bodies chemically? What hormones are......
Starting a Weightlifting Team
Greg Everett
| October 30 2010 |
This month, I decided to provide a simple guide to starting a weightlifting team. More and more interest is developing in weightlifting competition, and the process can seem mysterious to those who have not yet been exposed to it. This article should help get you started. Administrative Considerations The process may vary a bit depending on where you live, but it will likely be similar to how it works in the US. USA Weightlifting governs the sport in the US under IWF rules and oversees ......
The Essence of Time
Joe Kenn
| August 31 2010 |
In sports, when the word "time" is used in a conversation, most discussion will be focused on an individual's 40-yard dash, or how fast they can cover 40 yards in a maximal effort sprint. This is usually discussed in seconds, as in, "My running back ran the 40 in 4.37 seconds." In the structured programming of competitive athletics, the essence of time is a critical point of the planning process for the majority of strength and conditioning coaches across the na......
In Your Corner: Marketing, Media and PR for MMA Fighters and Managers (Book Excerpt)
Yael Grauer
| May 29 2010 |
The following is excerpted from In Your Corner: Marketing, Media and PR for MMA Fighters and Managers by Yael Grauer and Brant DeLorenzo. Interview Tips & Tricks There's a few things you should know about interviewers before they show up, or before they call. If they are writing for a website, they are usually either not getting paid at all or not getting paid very much. Although they may be incredibly polite and professional, most MMA writers are primarily fans. Being respectful to......
2009: A Year in Review
Greg Everett
| December 28 2009 |
My usual practice of blasting out last-minute articles as I suddenly realize the new issue of the PM is due out shortly has been failing me this month. Despite having a number of articles started and notes for a few more, I've been wholly unable to make any progress. So instead I'm going to try something new: a Catalyst Athletics retrospective. Those of you who have been around for a while are well aware that the latter part of 2009 has contained quite a bit of excitement for us. ......
Attitude Adjustment
Greg Everett
| October 30 2008 |
I do my best to fly under the radar (phrase and advice supplied by Eva T years ago)—to do my thing, do it as well as I can, and let the rest slide off my back. Unfortunately I appear to be a drama magnet and have found it impossible to escape. The particulars of my own struggle are not important for this article—the point is that even doing my best to avoid it, it surrounds me. It pervades the fitness and strength & conditioning industry, the flame oxidized by the cheapness of wo......
Displaying 1 — 8 of 8
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Which Online Websites Do You Trust for Health Information?
Which online sites do you trust for health information?
Search engine company Optimum 7 writes that Bing will rival Google in getting health results because Bing is narrowing their health information search results to 9 sites.
"This move will possibly allow Bing to make serious gains against Google as the population ages and higher quality medical information is needed by users," writes Optimum.
"When it comes down to it, there is no substitute for 8 years of medical school and professional medical experience in the field. That's apparently what Bing thinks as well, because they are limiting their results to the expert content generated by:
The Mayo Clinic, Medicine.net, Medstory, Medline Plus, The National Institute of Health (NIH), About.com, Wikipedia and others."
While I don't think relying on doctors is always the ideal pathway for a patient to get health information and to heal, I do agree for the most part, with Bing's top 9 list.
I hate to see people land on health information sites and get half-baked answers. It's a good idea for people to conduct their own credibility and gut check before they agree with high profile medical information providers, a doctor, mom, friend, neighbor, wellness writer — anyone.
Ultimately, we are in charge of our own wellness and if what the NIH, your doctor or mental health practitioner suggests doesn't genuinely sit right with you, don't do it. I put that much weight into deciding how to steer our individual wellness.
It's more work to take charge, but it's always worth it.
In my view, advice/information + personal experience + instinct = gained wisdom.
I'm no doctor but….
I'm not a healthcare practitioner but I do work hard to provide accurate, scientific findings in my articles, to offer my own experience and insights.
I attended the school of hard knocks by going to numerous doctors over the years, of trial and error, of my dedication to hundreds of hours researching medical science. As a Psychology student way back when, I poured over academic journals and learned how to read the language of peer-reviewed studies, the foreign language of term-heavy medical jargon.
More importantly, I understand how I feel when I try something and it works, or when it doesn't.
Also, I was diagnosed with empty sella syndrome at age 19, a benign pituitary disorder that along with other contributing factors, sporadically affected my mood for decades. As a result of having post-partum depression and monthly mood changes, I dove unrelenting into studying the brain and natural mood management.
My obsession with the brain, what I believe is our most fascinating organ, (our beliefs, and the functions of the brain), my psychology degree and my personal belief that everyone can live a positive and empowered life led me to write the articles you'll find on this website.
Natural medicine moves front and center
The once deemed quackery of medicine, the red-headed step-child of healing is slowly but surely becoming mainstream. Who isn't taking at the very least, fish oil and a multi-vitamin? Chiropractic care, massage, acupuncture, Traditional Chinese Medicine (TCM), all of these healing practices have seeped into our paradigm of well-being.
I've been doing massage and chiropractic for more than a decade. I tried acupuncture a few times and felt floating and calm. I loved it. My medicine cabinet is my fridge and vitamin cabinet and I almost never get sick. If I get a sniffle, I wipe it out within a few days.
Preventative medicine by way of lifestyle changes, herbs, supplements and alternative healing practices have yet to become our nation's FIRST line of defense for well-being, but these are no longer considered voo-doo fringe for the "granola-eating set."
Increasingly conventional medicine combined with alternative solutions is becoming the wave of our health-care future. Practitioners from both fields will become friends, or at least friendly, best practices from both branches will merge into better healing solutions. Metabolic medicine will become the rage, changes we can make to prevent diabetes, heart disease and other epidemic level metabolic disorders that are largely due to what we eat, do and don't do.
Dr. Mercola offers healing solutions not prescriptions
Kudos to Forbes for offering their best of alternative medicine sites. They "sifted through the muck and found reliable, informative sites"…
Excuse me but Dr. Mercola should top the list.
The issue I suspect is Dr. Mercola and other alternative medicine vocalists / activists have no problem bucking the traditional paradigm of conventional medicine for the good of their readers. Point out the layered politics behind the National Institute of Health (NIH), the Centers for Disease Control (CDC) and the Food and Drug Administration (FDA), and you'll never make top lists in mainstream dialogue.
Mercola presents critical bias in favor of alternative medicine and he makes no apologies.
And, out of fairness to online medical information rankings, Mercola's site is not an encyclopedic list of diseases symptoms, causes, and treatments. Mercola chooses health issues of his and the public's interest then presents an argument against traditional approaches to address the issue.
He backs his report by peer-reviewed studies, studies cited in reputable publications such as the Lancet, the results of which can be found on Pub-Med, THE online database for reviewed medical research.
The National Center for Alternative and Complementary Medicine
The National Center for Alternative and Complementary Medicine (NCCAM) under the NIH, doesn't make it into the news often, but I wonder with critics of the NCCAM like Dr. Wallace Sampson who set up a website calling for the defunding of the NCCAM due to its "quackery" how it ever could.
Writes Dr. Sampson on his website:
"While the public is distracted by terror attacks, wars, and personal and business scandals, modern medicine's integrity is being eroded by New Age mysticism, cult-like schemes, ideologies, and classical quackery, all misrepresented as 'alternative medicine.' Using obscure language and misleading claims, their advocates promote changes that would propel medicine back five centuries or more.
They would supplant objectivity and reason with myths, feelings, hunches, and sophistry. NCCAM is presented as a scientific vehicle to study alternative medicine's anomalous methods. But it actually promotes the movement by assuming that false and implausible claims are legitimate things to study."
Dear sir, healing practices outside the standards set by Old School doctors are not "New Age" mysticism. The natural world compromised of organisms, botanicals, our minds and our invisible beliefs, these are the roots, the genetic code for all healing.
Doctors learned through desire, discovery, innovation and evolution how to use what the natural world gave them.
Now however, we use what pharmaceutical companies offer, what genetically modified, preservative-rich foods offer, what chronic stress and lack of exercise take away, and so our bodies are collectively screaming "OUCH!"
In response we find new drugs to fix what we created by bucking the natural laws, and the cycle continues. If that cycle of of insanity is more beneficial to healing than working within the natural world, our minds, and our "hunches" as you call it, then I'm at a total loss.
When medication harms
I'll go with my gut to inform my health over five doctors scratching their heads and writing me another prescription, charging me thousands, who with the best of all intentions STILL can't figure out the cure.
I'll go with my husband's instinct to pull himself OFF Baycol when it was prescribed to him by his doctor, despite the fact that his cholesterol was only borderline high.
Days later and "just not feeling right," my husband stopped the medication on his own a decision that might have saved his life because Baycol was pulled from the market in 2001 after 31 people died from rhabdomyolysis, a condition in which muscle tissue breaks down resulting in kidney failure.
This FDA approved drug, like all drugs in the US, underwent the usual rigors of clinical trials before release, then like many drugs, harmed the consumer. Yet the natural methods of lowering my husband's cholesterol worked without any side effects. But we remained open to trying a statin when his numbers rose so he took medication for six months, then weaned off and increased his nutraceuticals. His numbers remain good.
I'm in love with the world of science and medical research. Yet, scientific research, peer-reviewed reports, measurable results, all the parameters we use to decide what medicines and methods work are ONLY as good as they DO heal rather than just resolve some symptoms and yield new side effects.
Don't discard the invisible power of your gut, your feelings and your OWN gained insights simply because doing so over reaches your doctor's advice or the NIH, CDC or FDA. They don't live in your body, you do.
Yet, I fully understand that we cannot prescribe unproven methods or supplements to millions of people, what has not been thoroughly tested in controlled clinical trials, over time, with repeatable results.
Alternative medicine becoming mainstream too slowly
A doctor friend of mine, an MD who supports alternative medicine, was kind enough to address my frustration with the slowness (or non-existence) of alternative practices and/or supplements getting into the healthcare paradigms. It relates to the law of unintended consequences and I fully respect the intention behind this. Prescribe the untested or unproven to a few patients, harm a few, prescribe to millions, harm millions.
But aren't we doing that already with the long list of side effects we hand patients with our litany of drugs, the statins for instance, that we prescribe by the millions? We legally harm patient's by accepting side effects as expected, but "unintended" consequences. Hmm.
And Dr. Sampson wants to discredit the alternative medicine branch of the NIH and strip away its funding. Talk about moving back in medicine five centuries.
So Dr Sampson, if the NCCAM threatens your institution's comfort zone you chase it away rather than tightening up standards to prove validity and reliability? Rather than working to further our understanding of the mechanisms behind the nutraceuticals and ancient array of alternative healing practices that have worked for cultures, you liken this to witchcraft.
Not wise. The invisible unseen world, whether it's cellular memory, the mind-body connection, gut or God, all of it informs our healing.
We should support the evolution of BOTH the traditional and alternative branches of medicine, to find the OVERLAP where the strengths and protocols of each branch CURES the patient rather than keeps them on a treadmill of symptoms and side effects and feathers the nests of the drug companies.
Writes Wikipedia Medicine : "Medicine is the science and art of healing. It encompasses a variety of health care practices evolved to maintain and restore health by the prevention and treatment of illness."
The art of healing doesn't sit entirely within the walls of scientific study, often it sits within our own minds, inside our instincts, along side the practitioners' bedside manner.
Stay open-minded…placebo, nocebo
Belief is power.
Patients given placebos, sugar pills for a condition, show improvement just because they THINK it will work, even if they're told they're taking a placebo up front. The nocebo affect, when a patient takes a harmless, inactive substance and reports negative affects because they expect a negative outcome, is equally as fascinating.
The placebo, nocebo response demands we put the influence of the mind front and center to healing. The force of the mind is as important (much more so, IMO) to our health as the most promoted pharmaceutical or revered surgical procedure (which is, not to dilute the benefits of the latter in some cases.)
Believe acupuncture, supplements, magnetic therapy, herbs, chiropractic, TCM won't do a thing for you?
They won't.
Does it really matter how healing comes as long as healing comes safely, permanently and offers patients the eventual power to steer their own well-being?
I think THAT's where the worry lies in the hearts of traditional medical practitioners who nay say alternative practices, fear of patients stumping and then trumping their own doctor.
What does it mean if the patient becomes the healer?
It's not necessary to fight against alternative medicine to protect traditional practices, complementary medicine offers the best of both worlds. We will ALWAYS need our brilliant, our schooled, our insightful and compassionate doctors to partner with patients in their wellness, to give them the knowledge they do not have, but to ASSIST in their well-being, not to determine it.
We are evolving with new ideas, innovations and medical practices and so we must allow progress to flourish and to promote the well-being we all deserve.
To our empowerment,
Vitamin D Guidelines Spawn Debate, Advocates Insist RDA Still Too Low
- The Sunshine Vitamin (Photo credit, Maggie Smith)
The surge in popularity of vitamin D has largely been prompted by the growing number of doctors recommending patients get their D level checked, and then prescribing supplementation if their level is under 30 ng/mL. In response, the Food and Nutritional Board (FNB) was commissioned to review the current body of vitamin D research. Results were available last week.
The once under-promoted "sunshine vitamin" has been thrust into the spotlight in the last few years, prompting the need for further studies to establish more precise dosing guidelines.
Critics of the revised RDA for vitamin D say the numbers don't come close to the required amount people need to assist in the prevention of a long list of health conditions associated with a D deficiency.
Cannell feels the FNB is publicizing misinformation and that the panel's messaging will make people unnecessarily fearful of overdosing, something he says is extremely rare, particularly with cholecalciferol, referred to as D3. D3 is the naturally occurring form of vitamin D that is made in large quantities when sunlight strikes bare skin; it can also be taken as a supplement.


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Live coverage followed by match report of Saturday's Scottish League One game between Rangers and Ayr United.
14:12 » BBC SportDavid Templeton and Dean Shiels will both be available for selection for Rangers' League One game against Ayr United on Saturday.
06 Dec » SkySports.comThis week's round-up also features the amazing Iron Bowl finale, Azerbaijan's triple corner dummy routine and Tyson: Uncaged 1) A splendid, rare video of Ayrton Senna , winning the 1982 Leinster Trophy at Ireland's Mondello Park in the Formula Ford 2000 Series. 2) Golf shot of the season ? A…
05 Dec » GuardianAs Dunfermline set out on the long road to self-sustainability under fan ownership any luck along the way is gratefully received, and there is little doubt the Fifers have hit the Scottish Cup jackpot with a trip to Rangers.
04 Dec » Scotsman.comRyan Thomson's header secures victory for Dunfermline over Ayr to set up a Scottish Cup meeting with Rangers.
04 Dec » BBC SportAyr United may rue missed chances as Dunfermline Athletic earn a Scottish Cup fourth-round replay.
30 Nov » BBC SportKilmarnock captain Manuel Pascali has admitted that, without a marked improvement in form, the Ayrshire club can expect to be relegated.
25 Nov » Scotsman.comKevin Kyle heads a late winner as Ayr beat Stenhousemuir 4-3 to leapfrog their promotion rivals in the League One table.
23 Nov » BBC SportAndrew Jackson's second-half header secures a draw for Brechin City against Ayr United.
16 Nov » BBC Sport


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Senator Scott Brown downplayed his personal wealth, while suggesting police officers, firefighters, and nurses could be hurt by a proposal to increase taxes on those earning over $250,000, during an interview yesterday with The Sun of Lowell. The Massachusetts Republican also said he would be willing to release his tax returns if his likely Democratic reelection opponent, Elizabeth Warren, asks him to do so. Warren drew criticism from Republicans recently after revealing she made $700,000 over two years - $350,000 per year.
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