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FDA Approved Drugs » 2012 Medical Areas: Hematology | Nephrology | Family Medicine
View By:Year | Company | Conditions | Therapeutic Areas | Drug Names
The following drug information is obtained from various newswires, published medical journal articles, and medical conference presentations.
Company: Affymax Approval Status: Approved March 2012 Treatment Area: anemia due to chronic kidney disease
Omontys (peginesatide) is a peptide-based erythropoiesis stimulating agent (ESA). Peginesatide binds to and activates the human erythropoietin receptor and stimulates erythropoiesis in human red cell precursors.
Omontys is specifically indicated for the treatment of anemia due to chronic kidney disease in adult patients on dialysis.
Omontys is supplied as a solution for subcutaneous or intravenous injection. The recommended initial dose is 0.04 mg/kg body weight administered as a single intravenous or subcutaneous injection once monthly. In patients previously receiving epoetin alfa or darbepoetin alfa, the recommended starting monthly dose of Omontys should be estimated on the basis of the weekly dose of epoetin alfa or darbepoetin alfa at the time of substitution. See label for specific dosing levels.
FDA ApprovalThe FDA approval of Omontys was based on two randomized, active-controlled, open-label, multi-center clinical studies. The trials enrolled subjects who were being treated with another ESA (epoetin alfa or epoetin beta) at the time of study entry. The primary efficacy endpoint for each study was the change in hemoglobin from Baseline to the Evaluation Period (Weeks 29 to 36) using a non-inferiority comparison with epoetin.In Study 1, subjects received epoetin via the intravenous route of administration and continued to use this route after randomization to either Omontys or epoetin. In Study 2, the route of administration previously used for epoetin (intravenous or subcutaneous) was used. The subjects were randomized to receive Omontys once monthly, or to continue on their current ESA treatment 1 to 3 times per week. Non-inferiority was reached in both trials. A pooled analysis was also conducted evaluating a composite cardiovascular safety endpoint consisting of death, myocardial infarction, stroke, or serious adverse events of congestive heart failure, unstable angina or arrhythmia. In subjects receiving Omontys, 22.8% experienced one of these events compared to 24.4% receiving epoetin.
Adverse events associated with the use of Omontys may include, but are not limited to, the following:
Omontys (peginesatide) is a peptide-based erythropoiesis stimulating agent (ESA). It is comprised of two identical, 21-amino acid chains covalently bonded to a linker derived from iminodiacetic acid and ß-alanine. Peginesatide binds to and activates the human erythropoietin receptor and stimulates erythropoiesis in human red cell precursors in vitro.
For additional information regarding Omontys or anemia due to chronic kidney disease, please visit the Omontys web page.


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SuburbanMomma.com, a coupon website founded by an Englewood woman, has stopped offering deals and will remain online through the end of the year.
"As of Monday, October 1st, we discontinued offering daily deals. If you ever bought a deal with us, we thank you for your support, and please know that merchants will continue to honor SuburbanMomma certificates until they expire," said a message posted on the site Friday, which focused on Bergen County moms.
Englewood's Deborah Leff founded the website in 2010, according to northjersey.com. The report noted Leff started the site when major deal site Groupon was largely focused on New York City discounts. Since then, Groupon and others have upped their North Jersey offerings.
"Over the last two years, we've partnered with wonderful local businesses to bring you fabulous deals. From the beginning, we've been committed to connecting you with exceptional businesses in a fun, engaging way. Thank you for welcoming us into your in-box each day. We are sorry to leave you but we are very proud of the work our amazing team has done," the post said.
Bergen Deal Site SuburbanMomma Stops Offers
Coupons will be honored until expiration, site says.
+ Leave a Comment
Chardel Vyjial
October 07, 2012 at 12:07 AM
Mr A. Lott......Do you remember the post about favorite restaurants? What was the name of the place known for " chicken franzetti" do you recall? I'm asking you because you seem like a patch person who would know.
Keith Jensen
October 07, 2012 at 01:31 AM
While SuburbanMamma has stopped, www.wagadeal.com has just opened up shop based here in Bergen County.
The focus on the site is to raise awareness and funding for local shelters while connecting animal service providers with those with animals in need of any service.
Hopefully, these large expensive sites that pushed Suburbanmamma's model to change will only demonstrate how they can not compete with a niche animal market offered by WAGADEAL: http://www.facebook.com/#!/wagadeal?fref=ts
Great presence SuburbanMamma, glad you are not going away completely.
October 09, 2012 at 11:37 PM
That SuburbanMomma is not doing any new deals means that is is going away completely. It is nice that they are honoring whatever deals they have out there.
I am not surprised that they didn't last. During the time I had a store in Teaneck, I ran a deal with them. After I ran the deal, there was never any follow up from their sales team or management team on how it went, if I wanted to run again, or if there were any issues. That sent a message that they didn't have a very strong management team.
In general, I don't think the model can last long term. In an economy where people already don't want to spend money, the DEAL SITES expect retailers to discount their products at very steep discounts to attract business, but the business that comes in never covers the cost of doing the deal.
I would expect retailers to pick up on the idea and be able to offer similar discounts on their own in a way where they actually could get repeat business AND make some money.
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I´m shocked....not.
The Daily Mail is shocked? Shocked?Heck, I was probably one of the more naive kids of my generation, and even I knew Jim Nabors was gay. (we didn´t call it that back then, what we did call it is left as an exercise for the student).
At least we know now where he came up with his trademark, ´Shazzam!´ Wonder if he ever hit on Barney when he was just trolling the gas pumps?Way the **** too much information.
I like the way Nabors expressed himself when asked questions. He seems like a genuinely good guy.
Everyone knew this back in the 60´s. No one cared. He let his talent speak for him instead of his sexual orientation.
Did Gomer get him a corsage?
This news should surprise exactly nobody.
He and his friend ate at my family´s restaurant on St Thomas one day years ago. They were on a cruise and stopped in for lunch. My mom swooped in and made his acquaintance. He was wonderfully gracious and they would exchange Christmas cards every year. I still have a pic of him there. It was a huge deal for the family. He´s a great guy.
Andy: Hey Gomer?Gomer: Hey AndyAndy: Hey Goob?Goober: Hey AndyAndy: Hey Barn?Barney: Hey Ang....and now a word from our sponsor
Old 80´s joke:Why did Rock Hudson have so few friends?Because he had neighbors up the wazoo!
Which one was the bride?
Regardless of his sexual orientation, Nabors provided a lot of good entertainment for a lot of people.
Everyone always knew it, and honestly no one cared. He didn´t rub your face in it, just lived his life. I think the overwhelming majority don´t care if someone is gay or not, they just don´t like having it rubbed in their faces constantly be overthetop activists.
He kept it private, as sexuality should be. The rest is between him and God and therefore none of my business, since he didn´t push our faces into it.
I´m w/ 14 and 15. Nabors is no activist demanding special treatment, or anything else, he´s just living his life, and I respect that. I´m sure the "marriage" was strictly for financial purposes- blame the tax man. BTW, I believe there is no such thing as gay marriage. Marriage is between one man and one woman.
What´s next, the shocking news that Uncle Arthur, Dr. Bombay and Samantha´s father (Bewitched) were gay.
But, #16, if the purpose of such a so-called "marriage" is so that homosexual partners can leave their estates to one another,it is not true that they needed to force a change in the very meaning of the word "marriage" to accomplish that goal.
And in other news, the sun rises.Decent actor, great voice, and an all round entertainer.In other words, so what??
It´s that Honolulu water. Let´s see..isn´t there another famous gay guy from there that we see on TV all the time????
Good fortunes to the guy. He supported our values and entertained us. He respected us, so respect him. He is a good guy. His orientation wasn´t his choice, and in any event who cares?
God bless both of them.
True that, #17, also Samantha´s husband.
I always thought it was given fact
In a way this is a perfect example of why the GOP/RNC is losing ground. For the most part the gay marriage issue should be way down on the "To Do" list of conservatives. Its has been, and rightly so shifted to the states. Add to this the fact that it seems many conservatives like me see it for what it is, a needless distraction. The churches are responsible for allowing government to pry its nose into marriage issue in the first place. The proverbial deal with the devil.These "issues" are allowing our elected officials distract us from the real issues we all face; the size of government, its run away spending, and its intrusion into our lives.Until these issues are dealt with, nothing else really matters.
The article´s pic of Andy, Barney and Gomer is interesting. Don Knotts was a legendary womanizer and Griffith a, well, richard. Google it.
Can´t speak to Maurice (Samantha´s father), but Dr. Bombay is not gay. Or if he is, somebody needs to tell the woman he´s been married to since 1961.Paul Lynde, on the other hand...
If there were a contest for likeability between Jim Neighbors and Andy at this time, I´d definitely make the choice for Jim AND Jim knows his opera. Beautiful voice. Congratulations Jim
Amen #21!!
This is one of them thar open secrets in Hollywood. Big deal.
Everyone who watched was made aware by the show´s writers that, ´´Gomer,´´ was a little different in his thinking but he was loved for his kind & gentle spirit and the contributions he made to the happiness & unity of the town of, ´´Mayberry.´´ Andy, Barney & the good townspeople, -each of whom certainly had their own, er, ...´uniqueness´, reached out to help & encourage each other. Each one respected the others.At this late date, 82 year old Nabors now would seem to be using Gomer´s scripted innocent personna to further his own personal political agenda. ...shameless
Good one #10. But the best line from any of the Andy/Gomer shows was:Goober: Judy, Judy, Judy
anyone remember the first time you heard him sing?
If he can still get it up at 82, more power to him.
#35 Yes Surprize surprize.I think he was at a race car event.Was Bwaney the bridesmaid ?
News to me.But I always wondered about Gomer´s last name and now I know.


text: Can you feel homesick for a place you've only visited? Because I think what I'm feeling today is homesickness for London. This pic popped up on Street Art London today. I rode by this on the train every day I was in London. *sigh* There's no place like not home.


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Today I'm doing something a little different…something I don't do here very often…but something I am going to do from time to time in the future.
Today I want to take a few minutes and alert you to a Black Velvet Seductions title you may have missed. It was the first book we published, but that doesn't stop it from being a REALLY good book and one that has remained a favorite of mine for a long time. It's also a great read if you need a little escape from the dog days of summer because it'll take you away – plopping you into the story which is set amid the Christmas season with snow, sleigh rides, decorating, and cookie baking. (Don't you feel cooler already?)
As those of you who read the blog regularly probably know, I am a fan of stories with plots that include some kind of mistaken identity — heroes or heroines who are hiding their pasts or who have forgotten their pasts due to injury or trauma are some of my faves…as long as they work logically…and bring a little something new to the table.
Fool Me Once by Jessica Joy definitely falls into this category. The heroine, Toni wakes up in the hospital with no memory of how she got there, or her life before that. The only memories she has are haunting images of a murder which she can't get out of her mind.
Ex-FBI agent Blair was Toni's friend once, or at least he thought they were friends until Toni betrayed him.
The story could go in a lot of directions with that set-up. The most likely would be to have Toni and Blair fighting over the betrayal which Toni doesn't remember…but which was responsible for the deaths of Blair's friends. But that's not what happens in Fool Me Once.
Blair needs Toni. He needs her to recover her memories so he can convince her to testify against her boyfriend who was responsible for the deaths of Blair's friends. So, to keep Toni safe until she can regain her memories and until he can convince her to testify, Blair lies and tells her they were friends and were planning to spend the Christmas holidays together.
Largely isolated at Blair's home Toni comes to rely on Blair as the only link with the person she was and the past she doesn't remember. As she begins to remember bits and pieces of her past, the pieces in her mind don't fit with the pieces Blair knows to be true, creating a great sense of mystery and suspense.
If you've not read Fool Me Once you should check it out. It's a great read and if you're like me, you'll find the winter/Christmas setting a refreshing break from the summer heat.
An Excerpt From Fool Me Once
Toni pointed toward a small stand of trees. She called to Jason, and they conferred for a few minutes before he nodded obviously adding his blessing to the choice.
"Well, it looks like they've found your tree."
Blair groaned. The monstrous evergreen must have been at least seven feet tall. Now, he knew exactly how his father had felt when his mother had consistently chosen a super-sized tree for their living room. His father had always protested, but Blair knew he would never have refused her anything. She had loved Christmas and celebrated it with gusto, just like she had every other part of her life. Not a nook or cranny of their home had escaped being decorated. He remembered coming home from school and knowing how close they were to the holidays just by the smells drifting out of the kitchen.
He coughed to clear the lump in his throat and tried to shut the floodgates on a rush of memories bursting into his mind. As if he didn't have enough to deal with, he didn't want to add nostalgia to the mix.
When his parents had been alive, the bulk of every holiday was spent at their home or his aunt and uncle's. Any excuse, no matter how trivial could spark a celebration.
Will pulled the chainsaw from under the seat of the sleigh and then headed toward the tree. Even the whine of the saw and the exchange of raised eyebrows between the men reminded him of past Christmases with his family.
He and Will had just secured the tree to the sleigh when the thwack of a snowball hitting him between the shoulder blades drove his sober thoughts aside. A second ricocheted off the top of Will's head as they swung around to face their attackers. Toni, Emma, and Jason took cover behind a trio of trees, their laughter trailing behind them.
Will scooped up a handful of snow and pressed it into a ball as he ducked behind the sleigh. "You aren't going to let them get away with that are you?"
"Are you kidding?" Another icy projectile lanced his shoulder. "This is war."
It wasn't the first time a tree hunt had ended in a snowball fight. No doubt, while he and Will had been preoccupied with the tree, Emma had been coaching Toni and together stockpiling ammunition. He grabbed a handful of snow, packed it into a snowball, and let it fly, ducking behind the sleigh as one went whizzing by his ear. Toni had a wicked aim.
With a simple hand gesture, Will transmitted the plan, one they'd used so often that Emma should have been anticipating it, unless she was hoping that they would be defeated. Will set off an admirable volley to cover Blair as he darted from tree to tree, working his way behind the women. As soon as he'd taken his position, he gave a whistle and then caught Toni in the back of her leg with a snowball.
Both women swung around, giving Will a chance to advance on Emma and catch her in his arms. He silenced his wife's mock protests with a long kiss. Blair launched himself at Toni, ducking and swerving to miss the snowballs flying toward him. With a final leap, he tackled her to the ground.
The weight of his body pressed Toni's into the snow–their faces only inches apart. Blair froze as white-hot heat flared from the inside out. She wanted him to kiss her. He could see the invitation in her eyes and her half-parted lips. He dropped his head closer to hers. Her breath fanned over his face, and he was lost.
His nephew dropped to his knees beside them. "I wanna kiss her, too."
Jason's innocent demand stopped Blair from kissing her but not from the bite of frustration. His head said this was all wrong, but his body simply wasn't convinced.
7 Responses to Fool Me Once – An Excellent Romantic Suspense You May Have Missed
Just discovered I have a copy on my computer that I've never read. Shame on me. I'm going to attempt to transfer it to my Kindle. Haven't had real good luck transferring a PDF copy from my computer to my Kindle.
Sounds like a great read. This is one that always catches my eye whenever I look at the site.
I'm in the middle of Winter here, I don't need to be any cooler thank you!!!
I did enjoy the excerpt. Always great to be reminded of what is available.
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Before Departure:
"Twenty years from now you will be more disappointed by the things that you didn't do than by the ones you did do. So throw off the bowlines. Sail away from the safe harbor. catch the trade winds in your sails. Explore. Dream. Discover." – Mark Twain
Mandatory Pre-Departure Orientation
The Educational Policy Committee requires that all student going abroad attend orientation.
Next Steps
Red Folder - A checklist of things you should look at online. In the interest of saving paper, for any information that is available online, we have listed the links here instead of printing out a paper copy to put in the red folder. You are responsible for reviewing the information on these websites.
What's Up With Culture? The site contains resources gathered and developed over the past 30 years, drawn substantially from the integrated and linked Orientation and Reentry courses of the University of the Pacific's School of International Studies.
Culture Matters Workbook Teachers and students in classrooms from 8th grade to college can benefit from the cross-cultural training workbook, Culture Matters, specifically developed by the Peace Corps to help new Volunteers acquire the knowledge and skills to work successfully and respectfully in other cultures.


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alan tani @ alantani.com fishing reel repair rebuild tutorial
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Topic: pfd's (Read 7655 times)
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December 08, 2008, 10:39:51 AM »
yeah, yeah, yeah, i know that arguing with the us coast guard will get me nowhere, but we'll try again.
in every situation where there had been a fatality, i think the guys could have gotten out alive if they were wearing a pfd and had a hand held vhf radio. this last one was the exception. apparently, these two guys zippered up the plastic behind them which then completely enclosed the helm station (not the forward cabin), then it filled with water in a matter of seconds. they basically could not unzip or slice their way out of this plastic bag. i did not hear if they had pfd's. i did hear that the diver removed their epirb. yeah, the epirb was trapped under the hull with the crew.
so here's where i am now. the pfd's all have a strobe, a whistle, a 3-pack of flares and a light stick. all pfd's are now equipped with the new standard horizon vhf radio that has an integrated gps. i have a life raft and a handheld epirb. i also have an epirb that will automatically depoly if the boat rolls. it is located on top of the hardtop. i fear that it will release and then get caught underneath the upside down hull, trapped along with the life raft and the handheld epirb.
this standard horizon radio/gps is $250. if i was going to recommend one piece of equipment, i would recommend this radio and that it be worn by the skipper. for those of you that hitchhike alot, i would recommend that you bring your own pfd. you don't have to pack it the way mine is, but at least clip a radio to it. alan
Quote from: FINSEEKER;502233
Alan, your logic is all very sound. There is really no argument with the way you have outfitted your boat, or the folks trusting their lives with you...our disagreement is in what we consider the most important piece of livesaving gear (once you get beyond the PFD and a means to stay thawed out in cold water) the EPIRB is fool proof, only has to be activated, and you will be found. The radio for all the good it will do, also depends on line of site signal, your ability to read your position in a very stressful situation (and not transpose the numbers)(or have the GPS set up for the position in degrees, minutes and seconds and mistakenly say point instead of hyphen between the degrees and minutes which would cause an error of many many miles), the ability of the person transmitting to be able to articulate a location accurately if the GPS is somehow disabled, and the ability to transmit your position even if you become unconsious. Remember also, you are the exception when it comes to being prepared, and knowing the capibilitys of your equipment and how to use it. How well do all your passengers know how to use the radio, and call the CG and give a position while treading water in 52 degree water with their teeth chattering and someone next to them going down for the count.
So Alan, its a difference of opinion, and I stand by my thoughts that if I'm on a sinking boat, and had one piece of equipment to alert the Coast Guard (regardless of where I am and my physical capibilites) it would be the EPIRB...hands down, without exception....except, if your boat sank in the middle of the salmon, halibut or even albacore fleet the ability to contact a passing boat would expidite your rescue...thats the only time I'd trade the radio for the EPIRB. Had this boat not been found right away (do we know how long it had been adrift upside down) and the epirb would have floated away (I'm assuming it was in the cabin) the epirb would have alerted rescue agencies of the problem imidiately (probably much sooner then was the case). I also have a feeling the EPIRB is more water tight then even the best handheld vhf radio (could be wrong).
So Alan, we are simply in somewhat of a disagreement with regard to the most important piece of equipment you can have on your boat to alert the Coast Guard of your position and the fact that there is an emergency in the event of a major event (sinking, fire man overboard expically if the captain on the boat alone assuming personal epirb or handheld vhf) or even a simple breakdown if out of radio range...I say the EPIRB, you I believe say the handheld waterproof VHF or even VHF. The other part here is how well equipment is maintained, while the Coast Guard highsites i believe publish a reception range of 50 miles (don't quote me on this), this is assuming the vhf putting out an optimum signal which means perfect antenna connections etc. You are I'm sure on top of this but most of us (me included) are not. The EPIRB requires no maintainance, the battery experation date is clearly marked, and if an auto release model, the hydrostatic release also has an experation date...BTW, the problem with the hydrostatic release is the depth of water at which it activates which lends the release useless on a capsizing situation where the boat doesn't sink. Thats why having the EPIRB handy for manual activation is IMPORTANT.
One last thing, everytime you argue this point with me, it is healthy because it brings awareness of different options to everyone who reads these little squabbles (that I think have been going on for at least 6 years)...keep it up!
Last Edit: December 08, 2008, 10:41:50 AM by alantani
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Re: pfd's
Reply #1 on:
March 14, 2010, 04:14:45 PM »
Handheld radio saves kitesurfer
Carolyn Jones, Chronicle Staff Writer
Sunday, March 14, 2010
(03-14) 16:00 PDT SAN FRANCISCO BAY -- The Coast Guard, with help from a Good Samaritan, rescued a stranded kitesurfer after he used a waterproof, handheld radio to call for help.
"This is a great example of why we urge water enthusiasts to carry these radios," said Coast Guard Lt. Jeremy Pichette. "Without the radio, things might have turned out very differently."
The unidentified kitesurfer lost his board at about 5:20 p.m. Saturday while he was four miles north of the San Mateo Bridge and four miles east of San Francisco International Airport.
Treading water, the man used a VHF radio, which he likely kept in a pocket of his wetsuit, to contact the Coast Guard. The agency notified all boaters in the vicinity and dispatched its 25-foot response boat, an MH-65 Dolphin helicopter, a Coast Guard Auxiliary boat and the Foster City Fire Department boat.
A mariner on a small pleasure craft reached the kitesurfer first, about 30 minutes after the initial call. Soon, the Coast Guard vessels arrived, and the kitesurfer was transported to Coyote Point Marina, where paramedics took him to Sequoia Hospital in Redwood City.
Pichette said the kitesurfer is recovering. The water temperature Saturday afternoon was about 54 degrees Fahrenheit.
The Coast Guard strongly recommends windsurfers, kitesurfers and others to carry a VHF radio in case of a mishap. Saturday's incident was the first kitesurfing accident in a few weeks, but in the summer accidents are almost daily events, Pichette said.
In addition to a radio, boaters are encouraged to carry a flare and an emergency position indicating radio beacon, which transmits a location to the Coast Guard if the vessel becomes submerged.
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Re: pfd's
Reply #2 on:
December 11, 2010, 02:59:50 PM »
EPIRB vs. VHF Radio
There are pros and cons to both sides of the issue of whether a VHF radio or an EPIRB is more important. A responsible boat owner who ventures out on large bodies of water would have a life raft and both an EPIRB and a 25-watt VHF radio with a good antenna system. A GPS unit is almost as much a necessity as a fire extinguisher or a first aid kit. Whether the PFDs worn by passengers and crew have a portable radio or personal EPIRB would depend on several factors; distance from shore, likelihood of other boats in the area, presence and frequency of USCG patrols, personal budget, and probability of occurrence vs. frequency of exposure to risk. In an ideal situation, each person would have their own radio and EPIRB.
If a boater only goes out in the bay or fishes within radio distance of land stations, a VHF radio would probably be more useful and cost-effective. Im disregarding the what-is-your-life-worth issue for this discussion. Even a handheld radio, if rated as submersible and figuring a 3-8 mile optimum range, may suffice. In the past several years, I havent spent any time at the California or Oregon coastline without seeing a Coast Guard helicopter flying along several times an hour. If youre going offshore or cruising long distances along the coast with few opportunities for radio contact, then the game changes. If the captain isnt familiar with the area he or she will be in, then an EPIRB is part of the investment in safe boating.
For someone who doesnt have their own boat and must rely on charter boats or the generosity of others to go fishing, a risk analysis is recommended to make an informed decision. Offshore boating has a higher risk than inshore due to the expanse of the water and the unlikelihood of another boat being nearby to hear your call or see your plight. Do you go out often thereby increasing the frequency of exposure to higher risk? Do you occasionally or often go out on half-day boats that dont venture far from shore? Offshore boating where you may be out of VHF radio range should call for individual EPIRBs to be carried by each person. A portable radio is still invaluable once rescue personnel are in the area for passing critical information and guiding them in. Ive spent several years as a helicopter and fixed-wing crewman looking for people and things on the ground and then having to talk to them to find out how I could best help them.
Because I most often fish near the shore, it is hard for me to justify an EPIRB when a handheld VHF radio will get me more bang for the buck. I have a Type III PFD set up nearly the same as Alan has for his boat: whistle, aerial flares, strobe, light sticks, and signal mirror. The VHF radio will be added before I go out again. If Im offshore fishing, Ill have a decent chance of survival with an electronically well-equipped (as in properly equipped) boat. My objective is to increase my chances for survival. If I wanted a 100% guarantee on survival, I probably wouldnt go out at all.
Classic USA Penns - 9MF 100 500L (2x)501 113H 113HN 114H 50V
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Rest in Peace to a real G. Patti Page is big in my family. It wouldn't feel like Christmas without this album on repeat. I need to get this specific pressing. (The green one is the most circulated.) That's an ill amount of tinsel.
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April 9th, 2013 06:25 AM #536
Hi Berries,
Haven't touched base in a while, I think. I went to the fertility specialist last week. I also had the mother of all stomach flus last week so the lackluster appointment made a lousy week feel even more abysmal. Since DH had to take off two days from work to take care of me when I was ill, he couldn't make it to the appointment with me as originally planned.
The appointment: Sucked. I waited a half hour and then was asked a tone of questions by the student working with the doctor for another half hour. Then I waited some more to see the actual doctor. I guess it was a poor assumption on my behalf that the doctor would actually read my chart BEFORE the appointment and be up-to-date on all the baby-related tests I had had up to that point (all the blood clotting work-up, diagnosis of APS, etc see Page 2). At one point my physicians had suspected that I previously had a blood clot in my lung in 2011, a clot that didn't actually bother me aside from perhaps causing my increased shortness of breath at the time, just a clot that sits in my lung/heart somewhere just chillin. A fancy pantsy nuclear imaging study was done (a year later) to see if there was a clot even though I thought it was dumb. Results …. NO CLOT. My pulmonologist called to tell me this so I know there must be chart notes on it SOMEWHERE. I even was able to pull up the radiologist's little lab result that they make available to patients. Scan said no clot. BUT FOR SOME REASON the fertility doctor missed this little bit of my chart and just hammered on and on about it … that the high-risk OB doctors should treat me with anticoagulants for the clot {side note: OB/GYNs are NOT the doctors to manage anticoag therapy for NONPREGNANT women}... blah blah blah I need to go back and follow up with them, etc. Everything started to feel ridiculous. Then the doctor yammered on and on about being Rubella non-immune and why didn't I get that booster like I was supposed to?! Uhh, well Doctor, I cannot/will not get the stupid booster because I cannot go off my biologic arthritis meds AS REQUIRED AND DESCRIBED IN THE PACKAGE INSERT of the vaccine you want to give me (doctor did not know this tidbit). But wait, there's more. The doctor also wanted to run genetic testing on me, which I had previously declined. I do not want the Ashkenazi Panel. My mom converted and my husband is not Jewish nor has ancestry from the Old Country. What is the worst possible Jewish disease that's suddenly going to pop up in my one-quarter Jewish-blood baby? Nothing. Thanks for making me feel like a piece of crap mom already. I also turned down the cystic fibrosis test. Maybe that one was silly. I asked the doctor why all this genetic business if I'm apparently not getting pregnant. WELL WE CAN SCREEN THE EMBYIOS BEFORE IVF. Good job dropping the IVF-bomb on me. Thanks.
Next step: I have to call on the first day on my next cycle, then come in on day 3 or 4 of the cycle for an ultrasound and lab work. The gross part is that they have to do a TRANSVAGINAL ultrasound on the third day of my cycle AKA heavy-flow day. GROSS. I am already having embarrassing nightmares about being on the table in the stirrups getting probed you-know-where and getting blood all over everything. It sounds humiliating. My infertility is suspected to be from adhesions. I've had three very invasive surgeries on my intestines which are in the same area as my lady bits which can cause adhesions and blockage. This is their best guess right now as I have regular cycles and can document my LH surge on day 13 every time. They gave me a paper with a long list of tests I can't pronounce which will follow this procedure. Husband get to do his test too, but his will be a lot more enjoyable.
This is sucking all too much for my liking. I'm obviously not thrilled with my doctor, but I'm not sure if there's a point to switching at this point. They can run their tests and then that's it. If I need IVF (something we cannot afford), we'll most likely move to a state where there are laws mandating insurance coverage (this would be Illinois, Massachusetts, New Jersey, or Rhode Island). Too much to think about so naturally, I went home and sobbed my face off. Then I called my mom (as I am clearly a masochist), and she commiserated with me that it was so "creepy" (creepy?) to try to conceive and then be let down. That happened ONE MONTH ONLY for her out of her two pregnancies (second was an oops) so she really knows what I'm feeling. My MIL is 1000% more supportive as she went through infertility treatment herself.
All for now. Baby dust my dears.Last edited by poppy528; April 9th, 2013 at 08:26 AM.
"And remember, my sentimental friend, that a heart is not judged by how much you love, but by how much you are loved by others." L. Frank Baum, The Wizard of Oz
April 9th, 2013 10:45 AM #538Senior Member
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- Des Moines, IA
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@Alzora - my husband says he's ready, but doesn't seem receptive - does that make sense? and when he blames our son, it's because he's still awake, etc. And to be honest, he's blaming our son for a lot of stupid stuff. for example, last week, he forgot to bring the right thing to Show & Tell, my husband, not our child who set out the right thing. DH told provider that our son should have reminded him. Right... because a 4 yr old is aware of anything in the morning. It's like having 2 kids some days.
@Blade - I look, count, check... every month. And that's what makes this waiting so hard. I won't have the Halloween surprise that we were so excited for. We've missed our christmas baby, and now our timetable - if lucky - is early 2014 - new deductibles on insurance... makes this whole year feel wasted.
@Poppy528 - I'm so sorry for your experience. And I know, transvaginal ultrasounds suck. There is no other word for it. They aren't fun. But after 7 years of Infertility experience with 4 different doctors, this is my advice: PREPARE. Educate yourself on your options, your financial aid/obligations, all aspects of your health. go in knowing what your specialist is talking about. And when you don't understand what they're saying, ask them to explain it again. And again. however many times in however many ways until you do understand. These specialists will not make a decision for you. Yes, they should offer suggestions, but some won't. You have to be your own advocate. And one specific - Did the specialist mention anything about an HSG X-Ray? This is an x-ray where the doctor pushes a fluid visible on xray through the reproductive area to make sure that there are not any blockages. It will show blockages, and could even clear very minor ones. Since you mentioned adhesions, I thought you should look into this.
Good luck!Mom to Weston Christopher, b. 2008
Expecting TWIN BOYS January 2014!!!
Baby A: Keegan Nathaniel
Baby B: Sebastian Miller
Current loves:
~ Emerson ~ Eden ~ Rosalind ~ Caroline ~ Matilda ~ Gemma ~ Hadley ~
~ Landon ~ Kellan ~ Asher ~ Griffin ~ Archer ~ Edison ~ Holden ~ Harrison ~ Elliot ~
April 9th, 2013 11:10 AM #540
@Grecianern, The HSG, hysterosalpingogram, AKA the thing I cannot pronounce, is on the checklist of things they will put me through. I believe that might even be next. Thank you for your kind words. I'm slowly learning all this bit by bit. I feel slightly bullied by doctors a lot of times. I'm slowly growing a backbone, and sticking up for myself; but it's hard. Not related: my dad is from the same city as you (:
"And remember, my sentimental friend, that a heart is not judged by how much you love, but by how much you are loved by others." L. Frank Baum, The Wizard of Oz
April 9th, 2013 11:18 AM #542
I'm so sorry you went through that poppy528. That sounds like it sucked pretty bad. It seems you have really been through a lot. I really hope all the pain of these doctors visits pay off with a happy healthy preganancy. What gecianern said about preparation is right on the mark. I'm sorry I don't have more to add that might be helpful. I just wanted to say I'm really sorry you are having such a hard time.
April 9th, 2013 11:55 AM #544
Jeez poppy. Seriously. Bad.
A bit of it is understandable-- i.e. offering the "Jewish screen" before you learn more about the patient's family dynamics. But unless the V/Q scan occurred outside the UW system (UW has a great EMR, everything is there-- everything-- all the way back to 2001 or so, and a lot of earlier paper records are scanned in) there is literally no excuse for not reading the radiology report as negative. I understand their hearts a-fluttering at the thought of PE because pregnancy = hypercoagulable state and prior PE = biggest risk factor for future PE, adding APS on top of it... one imagines all kinds of dire scenarios [I in my extremely limited experience saw a perfectly healthy 19yo girl, 40 minutes postpartum, cuddling her baby, suddenly die from a saddle embolus. Absolutely nothing you can do short of immediate access to a cardiac surgeon. She died within five minutes. Horrible, horrible, horrible.]
Perinatologists *do* manage a lot of medications during pregnancy. Outside of pregnancy the default med would of course be warfarin (or hopefully soon, Arixtra or Pradaxa!) but in pregnancy it's good old fashioned Lovenox, and as you well know that doesn't require any monitoring outside potentially a HIT screen.
The HSG is a part of the workup for nearly everyone, but for you (and alzora! in particular it's especially warranted.
Students/residents/fellows (are you sure it was a student? short coat?) are of course part & parcel of the UW system, but believe me it makes your care more thorough, safer and as modern as possible.
But seriously, if it was a sh!tty experience, try your luck elsewhere. No need to suck it upXY: Antoine Raphael (3.1.2012)
XX: Cassia Viviane Noor (11.30.2013)


text:
Jewish Songwriters, American Songs
Poet David Lehman talks about the brilliant Jewish composers and lyricists whose work largely comprises the great American songbook
- By Jamie Katz
- Smithsonian.com, October 07, 2009, Subscribe
By 1926, Cole Porter had already written several Broadway scores, "none of which had, well, scored," poet and critic David Lehman points out. But one enchanted evening that year, while dining in Venice with Noel Coward, Richard Rodgers and Lorenz Hart, Porter confided that he had finally figured out the secret to writing hits. "I'll write Jewish tunes," he said.
"Rodgers laughed at the time," Lehman writes in his new book, A Fine Romance: Jewish Songwriters, American Songs (Schocken/Nextbook), "but looking back he realized that Porter was serious and had been right." The minor-key melodies of such famed Porter tunes as "Night and Day," "Love for Sale" and "I Love Paris" are "unmistakably eastern Mediterranean," Rodgers wrote in Musical Stages, his autobiography.
Porter's songs may have had a Yiddish lilt to them, but they are squarely within the mainstream of the great American songbook: that wonderful torrent of songs that enlivened the nation's theaters, dance halls and airwaves between World War I and the mid-1960s. What's more, as Lehman acknowledges, many of the top songwriters—Cole Porter included—were not Jewish. Hoagy Carmichael, Johnny Mercer, Duke Ellington, George M. Cohan, Fats Waller, Andy Razaf, Walter Donaldson and Jimmy McHugh come to mind right away.
And yet it is a remarkable fact that Jewish composers and lyricists produced a vastly disproportionate share of the songs that entered the American canon. If you doubt this, consider, for example, a typical playlist of popular holiday records—all of them by Jewish songwriters (with the exception of Kim Gannon): "White Christmas" (Irving Berlin); "Silver Bells" (Jay Livingston and Ray Evans); "The Christmas Song," a.k.a. "Chestnuts Roasting on an Open Fire" (Mel Tormé); "Let It Snow! Let It Snow! Let It Snow!" (Sammy Cahn and Jule Styne); "Rudolph the Red-Nosed Reindeer" (Johnny Marks); and "I'll Be Home for Christmas" (Walter Kent, Kim Gannon and Buck Ram). Warble any number of popular tunes, say "Summertime" (George and Ira Gershwin), "Smoke Gets in Your Eyes" (Jerome Kern and Otto Harbach) or "A Fine Romance" (Kern and Dorothy Fields)—and it's the same story. Then of course, there are the Broadway musicals, from Kern's Show Boat to Rodgers and Hammerstein's South Pacific to West Side Story, by Leonard Bernstein and Stephen Sondheim.
Lehman, 61, editor of The Oxford Book of American Poetry and the annual Best American Poetry series, has been captivated by this music and its ingenious lyrics since childhood. "It was the songbook to which I responded, not the Jewish identity of its authors," he writes, "though this was a source of pride to me, the son of refugees." A Fine Romance, then, reads as a sort of love letter from a contemporary poet to a generation of composers and wordsmiths; from a devoted son to his late parents, who escaped the Nazi onslaught just in time, as his grandparents had not; and finally, to America itself, which allowed the great songwriters and the author himself to flourish in a world of freedom and possibility unlike anything their families had left behind. Lehman spoke with writer Jamie Katz.
Songs like Irving Berlin's "God Bless America" and Harold Arlen and Yip Harburg's "Over the Rainbow" virtually defined a national ethos. Do you feel the Jewish songwriters created a kind of religion of American-ness?
In a way they did. Many were the children or grandchildren of people who escaped from the pogroms of Europe and other depredations, and reinvented themselves as Americans. In the process they kind of reinvented America itself as a projection of their ideals of what America could be. We have a secular religion in the United States that transcends all individual religions. This is not entirely an unmixed blessing, but I think that's exactly what the songwriters were doing.
You talk about how popular song helped uplift and unify Americans through the crises of the 1930s and '40s. On a more subtle level, you suggest that Jewish songwriters were pressing back against the forces that sought to annihilate them. How so?
There are many examples of Depression-era songs that staked out common ground in hard times, like "On the Sunny Side of the Street" or "Brother, Can You Spare a Dime"—often with a mixture of melancholy and resolute good cheer. In 1939 you get The Wizard of Oz, a fantasy about this magical land over the rainbow, on the other side of the Depression. With Oklahoma! in 1943, at the height of the war, when the chorus picks up Curly's refrain—We know we belong to the land / And the land we belong to is grand!—you feel this great surge of patriotism. "God Bless America" made its debut on the radio with Kate Smith on November 11, 1938, exactly 20 years after the armistice ending World War I. And it was the same day that people read the newspapers about the terrible pogrom known as Kristallnacht in Germany and Austria. While the two had no direct relation, it's impossible to see the two facts as entirely unconnected. Irving Berlin created a song that people authentically like and turn to in time of crisis, as in the days after 9/11/01. The Nazis did battle not only with tanks and well-trained soldiers and the Luftwaffe. They also had a cultural ideology, and we needed something for our side to fight back. That song was one way that we fought back.
Subscribe now for more of Smithsonian's coverage on history, science and nature.
Related topics: Musical Theater Composers Judaism Early 20th Century
Comments (8) |
very bad page get a new one
Posted by chris on November 9,2012 | 01:23 PM
I am English, and aged 63 this year.
I started getting interested in the Great American Songwriters of the 20's 30's and 40's from aged 19 years old.
Today I am sorry to say, most American's do not know the writer, or writers of their countries past when it comes to the songs they wrote.
Sorry, but it's true.
Posted by Michael on October 13,2011 | 06:04 PM
I wrote and produced and starred on some fifty one hour weekly radio shows some years ago on the Great American songbwook, carried on Chicago radio's WFMT, NPR stations and even the BBC. Trying to get them re run, any idess on how to get this accomplished. The series featured well known names asuch as Berlin, Gershwin, Sammy Cahn, and lesser known writers such as Bob Dorough, Matt Dennis, etc.
Posted by Bill Sheldon on November 1,2010 | 01:47 PM
Hey, Jamie, great piece. Write me when you get a chance and let's catch up!
Posted by Josh Fogel on May 20,2010 | 01:36 PM
Magnificent interview!
Posted by Lewis Saul on January 14,2010 | 01:35 AM
Reply to Samuel Wolpert:
You raise interesting questions. The interview, and, to a much greater extent, David Lehman's book, do take up the issue of why Jewish songwriters flourished in the United States, a society that has incubated musical genius of many stripes.
I have no special expertise in the social and cultural contexts that gave rise to great opera in Europe in the 19th century. The Italians were clearly dominant in that era, so the list of Jewish composers you cite seems to me fairly impressive, given their minority status and the prejudices some if not all of them undoubtedly encountered. For many Western European Jews, emancipation had only recently been achieved, through the influence of Napoleon and the more liberal temperament that arose in his wake. I wonder, too, about the extent to which aspiring Jewish artists may contended with the traditional strictures of their own communities and families—the very theme of Al Jolson's The Jazz Singer.
I have run across references to a book you may want to check out, if you haven't already: Diana R. Hallman's Opera, Liberalism, and Antisemitism in Nineteenth-Century France: The Politics of Halévy's La Juive (Cambridge University Press).
Thank you for your interest.
Posted by Jamie Katz on October 14,2009 | 11:32 PM
Actually, "The only work that really brings enjoyment...,"
could be a paraphrase from the Ecclesiastical text in the Old Testament where Solomon speaks about work as "good," and to be enjoyed.
If Arlen and Berlin were the sons of cantors, would they not be familiar with these texts?
This is a beautiful article. I plan to use the music and the excellent history in my teaching. Thank you, Smithsonian!
Posted by Lynda Burgess on October 12,2009 | 12:51 PM
I am researching the connection between Judaism and opera. Many of the writers and composers you refer to are Jewish and composed operas such as West Side Story (Bernstein), Sweeney Todd (Sondheim), Showboat (Kern), Porgy and Bess (Gershwin.) Can you comment about this relationship, and also how anti-semitism must have affected the Jewish stimulus to compose operas during the 19th Century, the era of Verdi, Puccini, Bellini, Donizetti and Rossini to name a few? How did the Jews control their musical ideas during these years. Other than Halevy, Meyerbeer, Rubinstein, Weill, Korngold, Schoenberg, Dukas and Offenbach there are no Jewish Opera composers of note.
Posted by Samuel Wolpert on October 8,2009 | 06:08 PM


text:
December 12, 2013
For my grandparents' generation, December 7, 1941 is the most notable day of their lives. Nearly seven decades later, most school kids probably couldn't tell you what happened on that date.
I fear that September 11, 2001 someday will go the way of Pearl Harbor Day, but nine years on, it remains all too fresh in most minds. I'd imagine December 7, 1950 brought out a bevy of emotions.
It's remarkable if what I've heard is true about Texas A&M's football team being the only one without a televised game in the first three outings. If only one could have made it to the airwaves, Stephen F. Austin would have been a good one in retrospect because of the great performance. With foresight, though, I would have liked to have seen today's game broadcast if only to spotlight to thousands more people the admiration and support this community has for those who wear a uniform and swear an oath to serve and protect. If you get the chance, check out Aggie Gameday (4 p.m. on CW-Texas, streaming live and archived here at KBTX.com) for a taste of the spirit.
Thousands, including my dad and some friends, have made sacrifices to keep us safe and free, and to provide safety and freedom to others. In the wake of burning rubble and wrecked lives, we as a nation can look towards stars and stripes and know despite inevitable imperfections, we live in the greatest place on the planet because of the people who salute that flag.
Maybe Patriot Day will fade into semi-obsurity years from now...but now, it's all too clear, all too raw, all too sad, but all too uplifting.


text:
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A A+F Overall Experience: The disability department is great, and I would highly recommend disabled persons to choose Montevallo. They hire students to take notes for you, no matter what your disability may be. I needed a lab assistant to help me with my lab courses, and they paid for them as well. The only problem about Montevallo is the cobblestone if you use a wheel chair. First-generation college students also can become an Aspire member and receive free tutoring and attend workshops if you need help with your college experience.
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D A+F Off-Campus Dining: Not many options because it is a small town, but for the size there is a decent amount.
Campus Housing: I dont live on campus and never have
Athletics: I haven't really attended any athletic events, but it seems no one else I talk to has either so I would say it is not a huge part of campus life. But perhaps the undergraduates living on campus go to these events regularly, I don't know I guess.
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A A+F Academics: It is challenging at times but it is also the graduate level and I expected that. To be honest I actually expected it to be more difficult than it is. Everyone involved is extremely helpful and kind including professors, supervisors, and other staff. Students are nice and we all get along very well, surprisingly not that cliquey.
B A+F Diversity: Where I am from there is minimal diversity so it was a bit of a culture shock to see the diversity here. Everyone is extremely nice, it is just a bit of a melting pot which is interesting to see and I'm gaining some good experience from this.
B A+F Facilities: Considering the size of the student body they do really well in this area, I suppose I am just used to larger Universities. They do not have a football team, which is surprising to me but again it is a small school. Their athletic center is new, really nice, and at first I thought small but since I have been going regularly I realize why it is that size, it isn't really ever busy.
B A+F Overall Experience: Everyone here is really nice, professors are extra helpful, staff is extremely nice. I just feel they are behind the times in terms of technology and the process they go through to do just about anything. However, they do have smart-boards all over the place and ipads so they are doing well in that area.
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A A+F Health & Safety: I have never felt unsafe here, but I can park right next to my building and it is fairly well lit at night. For the most part I'm only there during the day.
A A+F Academics: I think that the academics at Montevallo are very good. There are many class options ad i really like that there are so many gen ed options and also a good amount of class time options. That helps a lot for people who have jobs or do sports. I don't like that sometimes a class is only offered at certain times and sometimes how labs can get in the way of possibly having another class but those are things that can't always be controlled and that is understandable. I also love how classes are never over an hour and fifteen minutes unless it's a lab or a night class and even then those are sometimes only once a week.
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B A+F Majors: I think that for a graduate program the professors take the students complaints too seriously, this is graduate school it is supposed to be hard if it wasn't everyone would do it. It was difficult to get accepted to graduate school and it wont be easy to finish. A neuroscience course, for example, is not going to be easy at the graduate level you will be expected to know all about the neural pathways so when someone is complaining and we're still at the cortex level, arterial configuration, and orientation/directionals of the brain... good luck!My career goals are to graduate pass my tests and get a job that I will love! I am not concerned about finding a job in this field, however it may be difficult to find exactly what I want but I could find a job.
B A+F Scholarships: There are scholarships available through the University. But keep in mind that there is high competition for them. some require essays and some just require filling out an application. The scholarships are there, you just have to go find them.
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