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2012年2月19日星期日

Robert Winningham a long way from winning Indiana congressional seat

Maybe less than five minutes into our talk, Lee Hamilton was mentioned. It would happen again and again, in a rather rushed morning conversation.

It must keep happening, with whomever he talks, for Robert Winningham to stand much chance of winning Hamilton’s old congressional seat, from Indiana’s 9th District. That’s my assumption.

The seat is currently held by Todd Young, a Republican, who is defending it for the first time.

Winningham, 50, of Charlestown, is among four Democratic challengers and is a former Hamilton aide. Winningham’s credibility is at least loosely linked to Hamilton’s. As advantages go, that’s a dandy.

“My background with Lee certainly doesn’t hurt,” Winningham said.

Hamilton served 34 years before retiring. He well might still be in office, had he wanted.

Winningham is neither a Hoosier by birth nor by relatively recent residency, however. He moved back here, from his native Texas, and promptly took on the campaign. “I consider this to be home,” Winningham said.

After what he calls his best-ever job review, Winningham gave up an economic developer’s post in the Dallas suburbs to go Quixotic. “I was restless,” he said.

Young is not invincible and, for that matter, has opposition in the GOP primary. Congress tends to be about as popular as hemorrhoids. And in his brief stint, Young has not found much chance to impact Southern Indiana beyond a reasonable doubt.

The district’s boundaries have been dramatically altered, as well. It now is more a north-south district than an east-west one. It is appreciably more Republican. But in some spots, Young is probably little better known than his opponents.

That said, Young will have all the campaign cash he needs and probably an anti-President Barack Obama wind at his back. Republicans could dominate the top of the 2012 ticket in Indiana.

Relentlessly upbeat, Winningham must know all this. He also trusts people’s encouragement and reconnects with everyone he can with whom his ties are not just political.

Winningham coached swimming in Jeffersonville, including at the high school. Bob Bottorff, who swam for Winningham and is now a lawyer, is chairing this campaign.

Bottorff says Winningham’s success in bringing jobs to Texas sets him apart. “That is the key,” he said. “Whether that is successful, it is what our district needs.”

Adam Dickey, a former aide for Young’s predecessor, Baron Hill, is Winningham’s political director. He echoes the idea that Winningham is the best-experienced guy for the troubled economy.

Dickey also said Winningham, despite having been gone more than a decade, remains impressively familiar. “It amazes me, how many people he stayed in contact with and knows,” Dickey said.

Winningham visited Hamilton last summer and the old boss ticked off the challenges Winningham accepts. Hamilton has not endorsed Winningham. If one comes, that’s obviously great, Winningham said.

As director of the Center on Congress, though, Hamilton tries to stay above the fray. But Hamilton predicted Winningham will have fun.

It’s obviously a lot more fun to win.

Winningham’s Democratic foes are Jonathan George of Bedford, John Griffin Miller of Corydon and John Tilford of Bloomington.

2012年2月7日星期二

What is your poo telling you?

Diet and health are usually put on the back burner for college students lacking grocery money or subject to the whims of Campus Dining. But if we aren’t careful there can be significant side effects to our health if our bodies’ dietary needs aren’t being met. While it isn’t exactly dinner conversation, your poop is an easy way to determine how your body is reacting to your diet.

Human stool consists of about 75 percent water and the rest is bacteria, cellulose, fat and mucus. Normally (as you have probably learned) your poop is brown, but color can be a great indicator of what is going on inside the body.
If your poop is green it means you have been eating a lot of veggies. Because our bodies cannot digest certain types of fiber it passes through with the same color. This is also the reason corn passes through seemingly unchanged.
If your poop is blue then you should probably lay off the Kool-Aid for a while because it is most likely just the result of blue food dyes.

There are more serious issues your poop can address. If your stool is red you are either eating incredible amounts of beets or bleeding in your lower digestive system. If your stool is black you might be bleeding in your upper digestive tract. Both red and black stool can be signs of serious health problems and you should visit a doctor. Yellow poop could signal giardia.

The shape of your poop matters too. Healthy stool is continuous and will curve in the toilet. This is an indicator that you are receiving enough fiber, which acts as glue to hold your stool together. If your stool is in many small pieces you may be missing fiber in your diet. Pencil thin turds can be a sign of narrowing passageways your stool passes through, which is an indicator of rectal cancer.

While nobody’s poop smells like roses, poop that consistently smells unusually foul can be a sign of a more serious infection.

You should also pay attention to floaters and sinkers. Your poop should sink. If it floats your stool has a high fat content, which can reflect high-fat diets or more serious issues like celiac disease or chronic pancreatitis.
It is also important to focus on the task at hand. Studies have shown that pushing too hard or spending too long in the bathroom leads to a higher risk for hemorrhoids.

So next time you find yourself sitting down on the toilet, relax and rest easy knowing that you are now a poop expert. It might be uncomfortable to think or talk about, but remember — it unites us all.

2012年2月2日星期四

Humor is healthy

The repeal of the Patient Protection and Affordable Care Act is a goal of Nebraska’s Republican Congressmen. Unfortunately, these GOP loyalists have been working so fervently on their own improved, cost efficient, and comprehensive, post repeal health care plans (wink, cough) that they have neglected to enumerate the many compelling reasons for repeal itself. Here are a few that they have failed to pass on to their constituents.

1. Repeal will establish the status quo. Tough minded private insurers can again deny health coverage to people who have been careless, inconsiderate, irresponsible, and neglectful by contracting those disgusting and avoidable medical conditions such as cancer, diabetes, and heart disease.

2. Some discrimination is good. Take for example the applicant for a health care policy whose medical records show a history of back problems, recurring stomach disorders, and some rascally hemorrhoids. Action taken? Insurer advises applicant to sit up straight, take Prilosec, and start scratching because the policy will not cover these problems–medical exclusions at their very best.

3. Families will be reunited. Faced with a $150,000 student loan, no job, bleeding ulcers and being removed from their parents’ health insurance policy, young people from 18 to 26 years of age will make reservations to move back into mom and pop’s basement.

4. Population control. With over 20,000 Americans dying every year due to lack of health insurance, just imagine how many more will die when the ever-rising uninsured soar past the 50 million mark–a population explosion alarmist’s dream scenario.

5. Scrapping the Care Act is charitable. When the individual mandate requiring all Americans to acquire health care is stricken by the Supreme Court as unconstitutional, we can continue to subsidize our enterprising, emergency room visiting, friends who save 20 percent of their earnings by not purchasing health insurance. How satisfying to know that our ever-increasing premium rates are contributing to good will and charity.

6. Be gone dull care! Sixty-two percent of bankruptcies in America are a result of calamitous health care costs. But why fret over catastrophic charges and permanent loss of your credit rating when insurance companies assure us that it is better to lose the farm than to die and pass on the costs to your families. Insurance companies really do prioritize customer benefits over profits–God bless them.

But not all is well. With the annulment of Obamacare (please stand and remove your hats and place them over your heart) comes the realization that many, deserving, caring lobbyists who look after our best interests will lose their jobs when repeal is consummated. It is then that the dreadful domino effect will deprive our beloved Republican Congressmen of thousands of dollars in revenue and campaign funds. And may the wind be always at their back.

2012年1月19日星期四

Their particular Treatment As well as Prevention

Piles, also known as piles, are the dilatation, the particular stretching outside of normal size of radicles of anal veins inside anal channel. In this instance any radicle is the smallest branch of a blood abnormal vein hemorrhoids. Veins are weak compared to arteries because of the thin walls, therefore problematic veins can become drained and turned with any kind of great rear pressure. Veins have one-way valves to avoid back flow. The three anal veins are named appropriately superior, center and substandard rectal problematic veins. Obstructions or perhaps pressure boost in these problematic veins cause piles.

Piles, or perhaps hemorrhoids, appear in two types, bodily and mental. External piles are away from anus and so are skin protected. Their shade may be brown or black. Because anxiety are so loaded in the arschfick area a hemorrhoid is very painful.

The next type, internal hemorrhoids come in the interior from the anal channel, internal to the anus. They may be purple or perhaps red and have a mucous membrane protecting. They are usually uncomplicated. It isn’t uncommon for a person to own both bodily and mental hemorrhoids as well.

Hemorrhoids, any familial ailment, tend to arise among people in a family, may also be blamed on genetics. The only wildlife that get piles are those in which stand on 2 legs. Almost certainly this is as a result of rectal abnormal vein congestion because of the pull of gravity. People who are chronically irregular often have piles problems. Fighting off the urge to move your bowels at your body’s indication can bring about constipation and then piles how to get rid of hemorrhoids.

A high ingestion of beef, chicken, shrimp, hot foods and more lead to piles. The people very least likely to get piles are the types who have an increased percentage of fruit and vegetables and fibrous food within their diet. Some women get hemorrhoids during pregnancy because of the womb compressing the particular rectal problematic veins. Rectal cancer lesions may well bring about piles through preventing blood flow.

With external hemorrhoids any protuberance can be seen and also felt throughout the anus. You will see pain and discomfort inside the anal location. While stressing to discharge a stool the anguish will be even worse.

Early on, internal hemorrhoids cannot be felt. Subsequently, in advancement of the disease, the particular hemorrhoids will certainly protrude being a stool can be expelled and then retreat independently. When the problem worsens the particular protruded hemorrhoids will not likely go back.

Blood loss isn’t uncommon for sometimes type hemorrhoid. However, whenever an internal hemorrhoid is rolled away it could hemorrhage internally, into the rectum. Blood loss occurs in splashes whilst pushing in order to expel a stool. In some cases the particular bleeding may be quite bountiful. With equally types of piles there may be any mucus discharge and it will itch throughout the anus.

2011年12月25日星期日

Scenes We Love: Clark Griswold Explodes with Christmas Cheer

Scenes We Love: Clark Griswold Explodes with Christmas Cheer
There will always be a special place in my heart for Jeremiah Chechik’s National Lampoon’s Christmas Vacation. In my adult life, I have made it a Christmas eve tradition to rival any sappy joy-filled movie you may watch with your family. Whether I’m hundreds of miles from home or right next to close friends and family, this movie reminds me of the best Christmas years of my own life. Large family gatherings, plenty of food and yes, plenty of Auxillary Nuclear power-required mishaps. There is no Christmas like a Griswold Family Christmas. And to celebrate this love, our weekly Scenes We Love entry takes a look at one of Clark Griswold’s most iconic and explosive moments.

It’s been a hard fought year for Clark, played by Chevy Chase, the “last great family man” who spends his days creating preservatives to keep your cereal fresh and crunchy, all in hopes of delivering his family a wonderful gift with his big fat bonus check. He’s made his plans, including putting down a $7,500 deposit on a ridiculous pool, all that remains is to receive a check in the mail. But Clark’s boss, as played by the ever grumpy Brian Doyle-Murray, has other plans. Instead of a big fat check, and just after his prized Christmas tree has gone up in flames, Clark receives something far less valuable. And it sends him into one of cinema’s most memorable, somehow PG-13 rated tirades. It was a more innocent time then.

In a film like this, one filled with mishaps and holiday shenanigans including plenty of physical comedy, it’s important to have some sort of plot device that creates tension beyond Clark’s mother-in-law’s hemorrhoids. The bonus check does just that, creates a bit of rising tension that ultimately pays off with a heroic gesture from the unrefined Cousin Eddie (Randy Quaid). It’s also a great example of Chevy Chase’s comedic timing and effortless delivery. Few actors were as good in their time as Chevy was in his.

It’s the breaking point between the rising first two acts and the somewhat action-heavy third act climax. And it’s memorably hilarious to see Clark absolutely lose his shit. In a movie filled with unforgettable moments, this one has the most immediate and uproarious kick.

It was a tough choice, this one. Coming into the holiday season, there was no doubt in my mind that we’d have to share a scene from Christmas Vacation. And with so many from which to chose, it was hard to narrow it down. As an example of that, I’d like to cheat and give you a bonus clip that involves a sled and some high-grade cooking wax. Later dudes…

2011年12月7日星期三

Girl Talk: Pooping Is A Feminist Issue

Mary and I were sitting on her couch, laughing. “But wait, no seriously, is pooping a  feminist issue? Why aren’t we talking about this?” I asked.

It was funny, if only because there was some truth in the (often female) phenomenon of “holding it in.” There’s this prevalent idea that girls don’t poop.

“Ugh. I hate that part of dating,” Mary said. “ I can remember holding it in all weekend, waiting until we got to a restaurant or somewhere!”

I knew this move all too well. I wondered, Is this every woman’s secret?

“30 Rock’”s Jenna Maroney put it well: “Love is wearing makeup to bed and going downstairs to the Burger King to poop.”

But that’s where the women pooping conversation always seems to end — with a joke. I’ve yet to see real scatological discourse in the lady-blog-o-sphere.

Sure, it’s hard to talk about human excrement or flatulence without jokes — nothing is funnier than that which is uncomfortable — but talking with Mary, it started to seem like a real issue.

I brought the topic up again, with my group of female friends.

“Ohhhhh, the poop thing,” Cecilia replied, the rest joining in with a chorus of nods.

Everyone knew exactly what I was talking about. Soon we were discussing the other silent agreement that goes hand-in-hand with the idea that girls don’t poop — the girls don’t fart rule.

“I never fart around my boyfriends,” Cecilia confessed. “But one day, studying in the library with my college boyfriend, I fell asleep. All of a sudden there was this loud sound — BAM! — I had woken myself up with a fart.”

Cecilia’s face fell in her hands at the memory. She was mortified at the time. Consoling her, the boyfriend said, “I don’t get it, I mean you fart in your sleep all the time!”

I learned this lesson in my own relationships. If you hold it in, it will come out in your sleep. This goes for anything you repress — poop, gas, or psychological issues.

Instead of feeling comforted by the female poop camaraderie, I felt awful that so many wonderful women were all too familiar with the feeling of “holding it in.” I wondered if my friends were representative of how many women related to the secret pain of abstaining from going. How many women had experienced the bubbling, the cramping, the pregnant bloat, all while pretending that everything was fine! Okay! Sexy, even! All for the sake of a man?

Why do we feel the need to keep up this facade that we are poop-free, gas-less creatures? Why are we so ashamed?

According to Dr. Jack Morin in his book Anal Health and Pleasure, “holding it in” is not okay. Ignoring bathroom calls can cause serious damage to your internal sphincter — the muscle whose job is to relax, allowing for quick and easy bowel movements. Ignoring the need to go causes the internal sphincter to stop relaxing entirely. Once this occurs, according to Dr. Morin, almost every bowel movement requires straining and pushing, which is unnatural and unhealthy. Holding in gas also brings an unhealthy tension. With each come painful side effects; constipation, hemorrhoids, anal fissures and blood clots.

The mention of hemorrhoids encouraged Dana to start talking. She revealed how she tried to sneak away for poops around her boyfriend, a magazine hid slyly under her arm.

“I know you’re pooping!” he would yell.

Later, when she tried to nonchalantly go to the bathroom with some preparation H for her ailing ass, he called out, “I know you are putting that cream on your butt!”

I loved Dana for sharing this with the group. This sort of open-ness we have with each other is awesome.

But what about our “open-ness” with guys on this topic? Here’s where the double standard comes in. My boyfriends have openly passed gas, pooped freely — one even documented his feces via cell phone pictures.

Sarah had a similar story.

“One day my husband was in the bathroom and he yelled, ‘Oh my God, come see this poop!’” she recalled. “I was like, ‘Do I want to be the uncomfortable one with poop?’ I decided no. So I went. I looked. I was like, ‘Yeah, honey, that is a big one.’”

Is this what liberation looks like? While women are sneaking off to Burger King in secret to drop the kids off at the pool, men are bragging to anyone who will listen about the length, girth, initial scent, and lingering smell of their daily deposit.

The more I read Dr. Morin’s book, the more I became convinced guys were being robust in order to hide something, not a fear of farting or pooping, but a fear of their butts being pleasure centers. According to the Dr. Morin, “Men, straight, gay or bi, might find that anal eroticism brings up homophobia.”

Surely there must be somewhere in between allowing the butt to be a sensual part of the body and a functional one from which wastes are expelled.

But among those of us ladies who have this problem of “repressing” ourselves, I say we take to the streets: “Hey-Hey, Ho-Ho, Poop-Shaming has got to go!“ Okay, maybe not. But we could start talking about it more openly. If not with the men in our lives, at least with each other.

2011年12月5日星期一

CONTOURS: EDD DE 1101 I

There are so many metaphors for being unemployed. My preference is a burial scenario. You are being buried and the earth keeps getting piled upon you deeper and deeper until you eventually stop trying to dig your way out. It becomes your early grave. Might as well just stay in there. When the economy eventually does improve, 43% of those 13.9 million long-term unemployed Americans may very likely remain buried as the new sidewalks of hope are poured right over them. The new armies with stars and dollar signs in their eyes will blindly stagger along going in and out of gold-plated doors, making their way around the Monopoly board until the next recession—roughly every ten years.

You know what I’d rather write about? Listening to Ryan Adams play an acoustic version of “Wasted Years” by Iron Maiden. Then I listened to Iron Maiden’s original. Now I’m listening to the Dead Kennedys’ “Holiday in Cambodia.” There’s one we all know and love. They’ve actually got some nice tunes that seem like they could be the soundtrack for the class warfare that’s being talked about.

That’s right, class warfare. It was relevant back then and it’s relevant again now. The Republicans don’t like the term because it insults their friends, the millionaires and billionaires, the supposed “job creators.”

As to the music, it’s actually relevant, too, because the late-seventies was when the middle class began to notice that their line on the graph was flattening out while the line for the top tier was dramatically turning upward. What the current economy reveals is that the fiscal practices and policies begun in the late-seventies have severely weakened the base upon which capitalism depends: an economically-viable majority…as opposed to an unstable, vulnerable majority, which is what we have now.

The concept of class warfare becomes relevant whenever the gap between the top and the bottom becomes too wide. Historically, Americans have always been able to tolerate dramatic and obvious divisions between classes. And the lower and middle classes have usually been willing to go along with the status quo, or at least, they’ve been forced to go along with it. Until it becomes unsustainable, which is what we are seeing now. You know things are bad when the usually comfortable white people are out protesting! Americans can tolerate it when the poverty divisions are along racial lines, but sadly, when enough white people start to fall to the bottom, that’s when you start to see a fundamental shift.

Generally, large numbers of people of any color protesting makes people at the top very nervous. Interestingly, Republicans have been quick to accuse Democrats of waging class warfare when it is suggested that the top economic tiers pay more in taxes. But by definition, class warfare isn’t waged from the bottom. Class warfare is what the top, in collaboration with the politicians they bought, have been waging against the bottom for the last thirty years. And for another musical reference, this is why disco gave way to angry punk rock.

2011年12月1日星期四

What To Do With Painful Hemorrhoids Symptoms

Hemorrhoids may take place if pressure in the veins that are located in the anus increases. You can have either external or internal hemorrhoids, depending on the location of your hemorrhoid.

Hemorrhoids are very typical condition impacting millions of people worldwide. Hemorrhoids can often cause very bothersome and painful symptoms. If they don't, you may notice their existence by having blood spots on the toilet paper while wiping your backside.

The causes of this condition can be due to overly straining to have a bowel movement, pregnancy, or obesity. This is due to increased pressure within the walls of the anus to assist with pushing out stool.

Also, if you are constipated this will most definitely increase straining. Diarrhea, on the other hand, can increase irritation of your hemorrhoids causing itching and/or pain. These are the most usual symptoms of hemorrhoids.

Since blood can indicate also some more severe condition, such as cancer, it might be a good idea to see a doctor in order to eliminate such a possibility. He is going to make all the necessary tests to ascertain whether you have hemorrhoids or some additional medical condition.

If the diagnose is that you have hemorrhoids, there are countless home remedies for hemorrhoids you can easily use. These consist of having a high fiber diet, such as eating lots of fresh vegetables and fruits, and remaining well-hydrated. Additionally, a proper amount of physical exercise can help.

After bowel movements you need to use soft or moistened toilet paper. Just remember not to wipe too hard. Make sure that the paper is not perfumed or dyed since this can cause increased irritation to the affected location.

Over the counter pain relievers might assist to reduce symptoms as well. Some find that utilizing ice will aid to lessen the inflammation. Sitting in water that is as warm as you can stand will help to ease symptoms as well.

When it comes to your undergarments, you really should use cotton since it is not so irritating. Avoid prolonged sittings. This causes pressure to your anus which in turn advances the occurrence of hemorrhoids.

In some cases even surgery is needed. However, this should be used only if your condition is so severe that nothing else is working. The most common medical treatment is a rubber band ligation where the blood flow into the hemorrhoid is prevented with a rubber band. Eventually the hemorrhoid will shrink and die of.

In summary, if you notice any blood after bowel movements, you really should contact to your doctor to leave out the possibility of cancer. On the other hand, if you have hemorrhoids, there are many natural methods to get rid of them. In the most serious cases, medical procedure might be the only choice.

2011年11月13日星期日

Dabigatran's First A Fib Year Starts Warfarin's Decline

For decades, physicians and patients bemoaned the problems and inconveniences of warfarin to prevent strokes caused by atrial fibrillation. Finding the right dosage was hard and often a moving target, patients needed regular coagulation monitoring, their anticoagulated state often fell out of the ideal range thereby putting them at an increased risk for either a stroke or bleeding complications, and care was needed with diet and other medications to avoid interactions that would throw off the whole delicate balance. A simpler, easier oral anticoagulant was what people wanted and what drove drug companies to try to find alternatives.

The first alternative, dabigatran (Pradaxa), received Food and Drug Administration approval for stroke prevention in atrial fibrillation (AF) patients about a year ago, in October 2010. Just this month, on Nov. 4, rivaroxaban (Xarelto) joined dabigatran on the U.S. market with its FDA approval for the same indication, and two more agents may follow in the next couple of years.

The initial 12-month experience with AF management in a world with a warfarin alternative showed the eagerness of some physicians and patients to embrace a not-warfarin, but also prompted the grudging recognition that warfarin has attractive features despite its flaws.

Simple numbers show that dabigatran had a good first year. In late August, Boehringer Ingelheim, the company that markets dabigatran (Pradaxa), reported that to that time U.S. physicians had prescribed dabigatran to about 350,000 AF patients, roughly 10% of the total number of U.S. patients with AF. That level of market penetration beat expectations, said Matthew Killeen, Ph.D., an analyst with Decision Resources in Burlington, Mass.

The penetration during the first year "is greater than what we previously forecast," Dr. Killeen said in an interview. Dabigatran "has done remarkably well, considering that it represents a completely new treatment strategy. It’s a completely new mindset in how physicians treat AF patients." Boehringer Ingelheim "had to lay the groundwork with physician education so that they were comfortable prescribing a pill that doesn’t need monitoring or dose adjustment."

But while dabigatran’s first year of attempting to eclipse warfarin may have exceeded expectations, it has not been a totally smooth launch, said several cardiologists recently asked about their experiences. Dabigatran succeeded despite some widely acknowledged limitations, some of which have underscored warfarin’s strengths, starting with the issue of cost.

Like any new, proprietary drug, dabigatran is expensive, with an average wholesale price in excess of $7 a day (although some pharmacies sell it for as low as about $4.50 per day), compared with an average wholesale price for warfarin of about $0.22 per day. That can put dabigatran out of the picture for patients with no drug coverage, and even for those with a drug plan, the copay often makes dabigatran a financially tough pill to swallow.

"Cost is an issue with dabigatran. I’ve had patients tell me that they’ll stay with warfarin for another couple of years until the new drugs get less expensive," said Dr. Gordon F. Tomaselli, professor of medicine and chief of cardiology at Johns Hopkins University in Baltimore.

"I think there has been limited uptake of dabigatran primarily because of cost. The out-of-pocket cost to patients can be substantial," said Dr. Deepak L. Bhatt, chef of cardiology at the Veterans Affairs Boston Healthcare system and a cardiologist at Brigham and Women’s Hospital in Boston. "It can be hard to get patients to agree to the out-of-pocket copay."

But large copays for new, more effective anticoagulants may fade as insurers realize that they can save more money in the long run by having beneficiaries treated with drugs that better prevent ischemic strokes and intracranial hemorrhages. The potential cost saving from cerebrovascular events avoided "will offset the increased drug cost," Dr. Killeen noted.

Another issue that has made physicians think twice about prescribing dabigatran has been the gastrointestinal bleeds it triggers, a 6% rate of major gastrointestinal hemorrhages during each year of treatment, said Dr. Michael D. Ezekowitz, a professor of medicine at Jefferson Medical College, Philadelphia, and one of the researchers who led the clinical trials during dabigatran’s development. Increased gastrointestinal bleeds, and an accompanying gastritis, are "the price to pay" for using dabigatran, he said in an interview, though the risk can be reduced through more careful coadministration of antiplatelet drugs, avoiding the drug in patients with gastritis or hemorrhoids, or by cauterizing telangiectasias.

Other critiques of dabigatran include on the lack of an antidote, which has made some physicians wary of prescribing it, an issue that currently limits all of the new oral anticoagulants. A physician can reverse the effect of warfarin with a simple dose of vitamin K, and some find the lack of a similar maneuver for the new drugs disconcerting, but it may not be a significant problem in actual practice, noted Dr. Lars Wallentin, professor of cardiology at Uppsala (Sweden) University and another leader of the dabigatran trials.

"In the trials [of both dabigatran and apixaban] not having an antidote was not an issue. We’ve seen no concerns" by not having an antidote. "I don’t think it’s a large problem. I think we have overestimated the bleeding risk produced by anticoagulants," he said in an interview.

For dabigatran there are also convenience issues for patients. It’s a b.i.d. drug, compared with warfarin’s once-daily dosing, and dabigatran also has the unusual problem of a very short half-life once removed from its special, desiccant-containing packaging. Once out of the package, "the efficacy of the drug goes away literally within days," noted Dr. Tomaselli. That means that patients can’t set up their dabigatran pills in advance in a Monday-Sunday pill box, something many of them like to do.

2011年11月10日星期四

Wipe That Smile

What’s funny to one person isn’t funny another. You can tell this by studying the audience in a comedy club. There’s always that one guy out there who looks like his hemorrhoids are acting up. He won’t crack a smile, never mind utter an appreciative snort.

Luckily, comedians are tough; they don’t seem to mind catching sight of that one sourpuss out there. They’re used to it maybe.

I did a little standup in my primary school years when I would say or do just about anything to get the laugh at the supper table and I can tell you I would never get used to it if someone out front had the poker face. If I had stuck with it and done standup after I turned nine –  if I had done standup into my adult years – I bet I’d be wading right out into the audience to slap the guy who wouldn’t smile.

 Of course you can’t do stuff like that anymore in this New Jerusalem of an era when where we’re all so careful about letting people have their reactions.

It’s a good thing, really. It’s a big improvement over the old days when kids especially were told they couldn’t react in accordance with their feelings.

How many times did grownups tell us we weren’t feeling what we said we were feeling? And remember “Wipe that smile off your face?”

My eighth grade principal kept a whip in his office that he would hit us with if he didn’t like the looks on our faces. A whip! And he hit us as hard as he could on our little outstretched hands. Even the boys cried, trying to smile as the tears ran down their faces. Which reminds me of other things they used to say:

Remember “Stop crying or I’ll give you something to cry about”?

Remember “You’re not scared! You go right back into that room and go to sleep!” My man was scarred for life the time a gorilla showed up in his closet and none of the grownups believed him. This happened almost 60 years ago and he still swears the beast was in there. Those WERE the bad old days.

So as much as I wish people would get with the program and laugh when everyone else laughs I guess it’s their right.

Like I said, some stuff is funny to you and other stuff is funny to me. What do you think of this little cat singing ‘Lean on Me’? It made me smile but then my standards aren’t what you’d call high.

2011年11月7日星期一

Latest Treatments for Colorectal Diseases

Building on that commitment, patients can now take advantage of specialized treatments and procedures for diseases of the colon, rectum and anus, which were previously unavailable in the area, close to home.

Board-certified colon and rectal surgeon Peter M. Kaye, M.D., joined Ramapo Valley Surgical Associates one year ago. With his arrival came the availability of new, minimally invasive techniques that treat a wide range of colorectal disorders. Minimally invasive colorectal surgery offers many benefits to patients — compared to an open surgical approach — including less pain, minimal scarring, shorter hospital stays and faster return to normal activities. Dr. Kaye will work out of Good Samaritan Hospital, one of three facilities that are part of The Bon Secours Charity Health System.

Patients who require colon surgery often face a long and difficult recovery because the traditional, open method is highly invasive. In most cases, surgeons are required to make a long incision, and the average, required hospital stay generally lasts a week or more.

Dr. Kaye also brings unique expertise in performing laparoscopic colon resection, an alternative to an open operation that has revolutionized abdominal surgery. The technique is used to remove diseased sections of the colon that can result from colon cancer, polyps, diverticular disease, inflammatory bowel disease, intestinal polyps, ulcerative colitis or large 
bowel obstruction.

“Laparoscopic colon resection requires a very steep learning curve. It’s technically a difficult surgery to perform,” notes Dr. Kaye.

According to the American College of Surgeons, fewer than 10% of all colon resections are done using this approach. During a laparoscopic colon resection, Dr. Kaye uses tiny incisions to introduce a camera and surgical instruments into the patient’s abdominal cavity. The high-powered camera lens transmits magnified images of the patient’s internal organs to a television monitor, which 
Dr. Kaye uses to help carefully guide him through the procedure as he removes the diseased section of the colon. Because the surgery is minimally invasive, patients have less pain and recover much faster than with traditional colon resection surgery. Laparoscopic colon resection takes more time to perform than an open method, but patients reap the benefits of less trauma to the body and minimal effects from surgery on their immune systems. They also require a shorter hospital stay, resume normal, daily activities sooner, and can often return to work earlier. Recent studies have found laparoscopic colon resection to be equivalent to the traditional open procedure in the treatment of colon cancer, while offering all the benefits of a laparoscopic approach.

In addition to his expertise as a colorectal surgeon, Dr. Kaye also diagnoses, treats and manages common disorders such as Crohn’s disease, ulcerative colitis and other related inflammatory conditions of the small and large intestine, diverticular diseases, functional intestinal diseases, and a variety of anorectal diseases — including hemorrhoids and anal fissures.

2011年10月19日星期三

Ohio's bear markets driven by curiosity, profits and, occasionally

It's also a raccoon market, a fox market and a bobcat market.

Hundreds of Ohioans own, sell or buy wild animals – from skunks in Cleveland to wolverines in Lodi to bobcats in
Parma.

Mostly, the wild things end up in cages in suburban back yards, on big farms or even in back-room apartments, your neighbor's idea of exotic pets.

Some of those animals can bring profits. Wildlife experts and animal dealers say a market exists in Ohio and across the globe for exotic pets, and for their parts.

Marketable products include meat, pelts, paws for decor, urine for hunters and trappers to mask human scent and even gall bladders, thought by some to have aphrodisiac powers.

“Some people raise 'em to shoot 'em and skin 'em, and others just because they're crazy and want a large carnivore in their house,” said Jeff Illium, 54, a Medina County exotic- animal lover who once owned 130 different wild beasts. “All sorts of people have wild animals, but not everybody knows they're there.”

Ohio's wild menagerie was flushed from cover last week in two incidents.

On May 22, a bear in Ashtabula County broke from its cage and mauled a neighbor in her home. Two days later, a fire in Copley Township killed a black bear cub and two tiger cubs at the home of a wild- animal breeder.

The bear owner, Mark Gutman, whose Grand River Fur Exchange in Hartsgrove Township has 700 other animals, is licensed by the state to breed and sell game and fur-bearing animals indigenous to Ohio.

Copley animal owner Lorenza Pearson, whose son was killed by Pearson’s Bengal tiger in 1983, is under investigation by the U.S. Department of Agriculture, accused of violations of the Animal Welfare Act between 1998 and 2001. A hearing on the suspected violations, which include inadequate housing for animals, is set for next month in Akron.

The Agriculture Department’s Animal and Plant Health Inspection Service is investigating Gutman’s operation to determine whether it requires a federal license. Gutman breeds and sells wild animals. The state renewed his license in March.

Gutman and Pearson are but two among hundreds of Ohio’s exotic- animal owners and breeders who try to make money selling the animals as pets or for their fur, organs, urine and meat.

Many breeders sell their animals to pet stores. Doug Miller, a law enforcement supervisor with the Ohio Division of Wildlife, said Gutman keeps animals to breed them and sell their urine.

“There’s pretty big money in this,“ he said. “They get $200 for a baby raccoon or fox.” State law prohibits taking animals from the wild as pets, so they must be purchased from dealers.

“Some people, rather than a Persian cat, they like a raccoon or a skunk,” said Ron Ollis, who oversees enforcement for the Ohio Division of Wildlife.

Selling furs also can be a big business. Ohio, one of the nation’s top pelt producers, had 72 licensed dealers in 2004-05. They bought more than 159,000 pelts from hunters, trappers and people who raise the animals for profit, according to the Division of Wildlife.

Then, there’s the unusual — and potentially lucrative — trade in bear gall bladders.

Washington state officials arrested a Vancouver man for poaching bears and selling their gall bladders in 1999. Officials said that the price was $400 in North America and more than $25,000 in parts of Asia.

Ohio wildlife administrator Dave Risley and others have heard of the gall bladders being dried, pulverized and used as aphrodisiacs. State officials are not aware of anyone in Ohio raising bears for gall bladders.

Bear bile has been used for centuries in traditional Chinese medicine to treat intestinal, liver and bacterial infections and to dissolve gall stones. A synthetic version is available.

“Bear bladders can help for everything from headaches to hemorrhoids — but not in the bedroom,” said Tony Nette, wildlife resources manager for the Canadian province of Nova Scotia.

2011年10月18日星期二

It's Meltdown Time...

Face it, college football is better when Texas is losing. Well, perhaps not better, but definitely more entertaining. Nothing on Broadway in decades has been anywhere near as funny as a Texas message board after the Longhorns go down, and that was again the case this past weekend with Oklahoma State having their way in Austin.

Outside of Texas, with the college football season turning towards the second half there was no shortage of meltdown material across the country, but for purposes of brevity we've capped the piece this week to three more schools. Florida put on one of its ugliest performances since the Carter administration, allowing a weak Auburn team to win with ease simply because the Gators couldn't field a punt, and the once-proud Gator fans were fuming with rage. Meanwhile, Tennessee continues to fall even farther, and with the Vols not even being able to put up a decent fight against LSU more than a few are turning on Derek Dooley. And, of course, we have Ole Miss. Why not? At the end of the day we always have Colonel Reb to kick around.

Subjects of meltdown time this week include dogs, kittens, drunk film review, whiskey, drugs, thrown laptops, Peyton Manning, third graders, flag football, breakdancing, virgins, steroids, Fran, Yankees, Anal Cancer Awareness, tofu, jello, breathalyzers, slaughterhouses, Omaha Steaks, Marcell Dareus, Pasadena, the Allies, the Soviet Union, paralysis recovery centers, porno, Solyndra, drunken urination, hookers, crabs, Scientology, Ron Zook, Valium, Ray Goff, toasters, fat suits, Steve Adazzio, Manute Bol, insomnia, NAPA, lesbians, suicide, cheeseburgers, Bourbon Street, Marines, gay pride, national radio, chainsaws, Omaha Beach, welfare benefits, Roseanne, caves, strychnine, tennis season, hemorrhoids, Astroglide, tree poisoning, alien invasions, Jefferson Davis, Robert E. Lee, Jacksonville State, South Panola, and ComicCon.

As always, this piece is in no way safe for work, and should not be read by anyone who is easily offended by foul language. Consider yourself warned.

2011年10月12日星期三

How to treat hemorrhoids

Anorectal or anal-rectal disease, is a catch-all term for several conditions affecting the anus or the rectum. These include: hemorrhoids, anal fissures, abscesses, fistula and even cancer. Hemorrhoids, which are swollen and inflamed veins that develop in the lower rectum (internal) or around the anus (external), are very common, affecting about 75 percent of the population, according to the National Digestive Diseases Information Clearinghouse. For some people they cause no symptoms, but for others there may be bleeding after a bowel movement.

Hemorrhoids can be caused by chronic constipation or diarrhea, straining during a bowel movement, sitting on the toilet longer than needed, or not eating enough fiber. They are also common during pregnancy when more pressure on the abdomen cause veins to enlarge in the lower rectum and anus. As we get older, hemorrhoids may also appear as the tissue in the area gets weaker.

Often changing your diet to include more fiber-rich foods and drinking enough fluid can help reduce the pain and swelling of the hemorrhoids by making the stool softer and easier to pass. The American Dietetic Association recommends 26 grams of fiber per day for women and 36 grams per day for men.

Other treatments may include taking stool softeners, drinking at least six to eight, 8-ounce glasses of fluid (non-alcoholic) each day, sitting in a warm bath (sitz bath) for 10 minutes at a time, exercising and not straining during bowel movements.

If needed, the hemorrhoids can be removed using methods that cut off the blood supply and cause them to shrink such as banding (rubber band ligation) or through the injection of chemicals (sclerotherapy).

If the hemorrhoids are large, surgical removal may be necessary. The hemorrhoid is excised and the incision is closed with sutures that will dissolve as the wound heals. Your physician will help you decide the best method from removal.

There is no guarantee that your hemorrhoids won't return after treatment, but if you follow the dietary recommendations and make sure to prevent constipation, your chances of having a severe case of them are diminished.

2011年9月12日星期一

Tips to help ease hemorrhoid pain

Hemorrhoids happen because of weak veins that swell due to pressure. The blood pools and causes veins to engorge; this can be caused by many situations, among them obesity, pregnancy, lifting heavy objects, straining on the toilet, coughing, sneezing, standing or sitting for long periods of time. People who eat a high fiber diet and stay well hydrated are less likely to suffer with hemorrhoids, whereas people who eat processed foods will eventually feel it in the end.

The primary difference is pain. With internal hemorrhoids, there is no pain because the swollen veins are higher up in the rectum where there are no nerves. There may be no symptoms at all, or you may have bleeding after a bowel movement. For some, bleeding may be the first and only sign. Others may experience a thin stool and the urge of not being finished yet. External hemorrhoids hurt like crazy and, if untreated, can thrombose, meaning they can turn purplish-blue and bleed. They can itch, burn and irritate.

Also, two herbs have a long history with regard to hemorrhoids. Butcher's Broom contains ruscogenin, which helps tighten blood vessels. Horse Chestnut contains aescin, which tones vein walls. Aloe vera juice may help constipation.

Please see a specialist to ensure that pencil-thin stools, bleeding or other symptoms are related to hemorrhoids, rather than something more serious.

2011年4月1日星期五

Helping truck drivers get healthy

We all know how hard it can be to find time to exercise and eat healthy. Now imagine if your life were on the road for week, sometimes months at a time. The trucking profession can breed can unhealthy lifestyle, but now a new website is rolling out to change that.

Commercial truck drivers spend hours on the road.  "On average 11 hours a day," one driver told us while he took a break to re-fuel at the TA truck stop in  in Botetourt County, Virginia. Others quickly agreed. One driver is behind the wheel eight to ten hours a day.  Another told us he drives about 12 hours a day.
  It's mentally exhausting. It's physically exhausting," said Michael Curenton, a driver from Montgomery, Alabama.  A driver from Abingdon, Virginia conceded, it's hard to be healthy.  "It's very easy to be sedentary in this job," Hank Dobbs said.

When it comes to eating, the choices are sometimes limited. Fast foods make the most sense, simply because they're fast.  Driver Joe Berg pulled two hot dogs from a hot dog rack at the TA truck stop and wrapped them in foil to go.


"Any truck stop you have has a hot dog rack on morning, noon or night. (you) can't always have time to sit down and eat," Berg said.

Curenton knows the drill. He's been trucking for three years and it's already taking a toll on his health.  "I'm 28 years old, on blood pressure medication and I've gained like 60 pounds in three years," Curenton said.

Curenton, like most truckers, sleeps in his truck's cab, eats in the cab, and works in the cab.  It's his home away from home.  "After pulling 700 miles you're more than ready for bed at the end of the day. Walking is the last thing on your mind," he said.

The trucking lifestyle contributes to these statistics:   28 percent of truckers are overweight. More than half are obese. That can lead to sleep disorders, such as sleep apnea and some serious safety issues.


"If you have sleep apnea for instance it's possible for you  enter what's called a micro sleep where you fall asleep very briefly behind the wheel," said Justin Morgan, a research associate with the Virginia Tech Transportation Institute.

Morgan was a key player in designing a new website meant to help drivers develop healthy lifestyle habits.  "What we're doing is providing guidance for drivers," Morgan explained.

The website  offers tips on healthy eating on the road and exercising on the roads well as information on sleep disorders, back problems and hemorrhoids, which are all medical conditions that can come with driving.

It also has a new Facebook page and Twitter site that allow drivers to communicate with each other about what works for them.


Driver Clyde Jackson from Fontana, California runs at least three miles a day. He carries running shoes in his truck's cab and goes on his daily run at rest stops across the country.


"I think personally it's easy to stay in shape out here. It's about being strong," Jackson said. He also buys fruits and vegetables at grocery stores along his route.

It's a lifestyle you could say more truckers are now driven to, including Dobbs who took up running to stay in shape while on the road.  "It's easy to sit there and get fat and eat fast food and not take care of it, but if you're really determined you can do it, " Dobbs said.

2011年3月14日星期一

Gastroenterologist opening at Avista

Gastroenterologist Scott E. Hallgren will be opening Northwest Gastroenterology Specialists

on the Avista Adventist Hospital campus Louisville this April.

Gastroenterologists deal with digestive diseases, and treat many conditions - from abdominal

pain, ulcers and hiatal hernias to hemorrhoids, heartburn and colon cancer.

Dr. Hallgren, holds a medical degree from the College of Osteopathic Medicine and Surgery at

Des Moines University, Des Moines, Iowa, is board certified in internal medicine and

gastroenterology. He is a fellow of the American College of Physicians. He completed a

fellowship in gastroenterology at the William Beaumont Army Hospital in El Paso, Texas; did

his residency at Fitzsimons Army Medical Center in Aurora and did his internship at Martin

Army Hospital in Fort Benning, Georgia.

Hallgren moves to Colorado from Largo, Fla., where he practiced at the Florida Center for

Gastroenterology. In private practice for more than 20 years, he has published extensively

within his field of practice.

Ventrus Biosciences, Inc. (NASDAQ: VTUS) a pharmaceutical company focused on developing and

commercializing gastrointestinal products has been featured in "The Pink Sheet Daily."

The lead product from Ventrus is Inferanserin (VEN 309) which is being developed for the

topical treatment of hemorrhoids. VEN 309 should begin Phase III trials in mid 2011.

Hemorrhoids affect more than 50% of the US population over 50 years of age. The available

treatments for hemorrhoids, over the counter and medically prescribed, total approximately

$350 million dollars annually in sales.