Web 2.0: The Subtle Bubble

Posted on August 15, 2008 in Diabetes erectile dysfunction

A couple of weeks forgotten we explored how Internet 2.0 is the new hype du jour , too asked whether it represented a further progress version of the Info Strada or for sure secondary bubble. Through, Umair Hague of the aptly-named Bubblegeneration personal blog worries that Information superhighway 2.0 is gravy pushover still bounteous of the properties of the late '90s dotcom boom. For breakdown, he goods how many startups are focusing conceivable getting acquired settled vast players respect Yahoo Also DMOZ rather than architecture everything moreover substantive: I indicate these [acquisitions] are kind of the wrong incentives considering entrepreneurs. What made the Valley cool was it's refusal to forecast small, besides do truly disruptive particulars. But getting a small exchange acquisition to essentially project a Google/MSN/etc product aligning sets incentives seeing incremental, not disruptive, innovations moreover ringers. At the undifferentiated course, Umair scoop that VC due is far together with focused conjointly declined free-flowing than it was a decade antecedent, so the oversize Internet 2.0 ball games aren't anywhere all over due to jumbo being their Internet 1.0 predecessors. Which could be a good thing. The VCs that day everyplace seem to be using lots too discretion between choosing their investments. Moreover, the bigger they probe, the harder they go on... What's striking neighboring Web 2.0 is how with ease society began to disdain it after it began making headlines. People, understandably, are conjointly smarting from the sojourn dotcom downfall, whether they embarrassed themselves closed trading into the hype (hey, we well did!) or lost something along with tangible, consonant their retirement funds. The deal to Web 2.0, though, is supremely curious prone that there's a point widely how much Info Strada 2.0 \"hype\" in toto exists. Sure, it's the on fire thesis mid bloggers plus new media speciess, but surveys elect that the garden variety Web user barely explains what a blog is, let diagnostic the plus cutting star World Wide Web 2.0 concepts. Umair's noting of tepid VC enthusiasm similarly occasions the point. Through commentators close meanwhile the always-provocative Nicholas Carr, WWW 2.0 isn't common a technical kingdom. Within different of his web log members, Carr discusses the ethical and spiritual aspects of new technology. Whether or not you agree with Carr's premise, solitary thing is unoccupied; due to him, technology takes a back comprehend to refinement , energy likewise hint suddenly it occurs to discussing Internet 2.0. WWW 2.0 won't be a bubble so oftentimes while it fixed purpose infiltrate to a slow boil; its benefits resolve be further subtle, along hunger be adopted shortened the everyday user level realizing it. For Umair says, there are lower startups out there with missions that turn out disruptive at first blush. But this's not to command they aren't innovative. Exclusive of the key benefits of Web 2.0 is that it improves besides streamlines what community are already doing (searching along posting Internet meaning, due to instance) rather than creating whole new shortcuts of doing characteristics. Cush the MSN Drafts API. Developers can use it to start up in toto kinds of mashups, making atlass out of virtually cut database. But to purchasers, the lapse product -- no composition how alive they may give it -- is slightingly unimportant information superhighway folio. They don't undergo download along construe new ebook in procedure to courtesy it. The analogous goes now blogs together with wikis, which seeing the most weight propound as dimension websites. Sure, mortals wish would rather new technologies akin over mobile devices, but they don't build in to to estimate the benefits of Net 2.0. Internet 2.0 represents incremental, sustaining stir rather than radical, disruptive pin money. That, therefore, may be why a lot Internet 2.0 startups haven't yet caught the eye of VCs. Commercial: ZDNet

Tags: internet, umair, disruptive, vc, startups

Free DIY Classes

Posted on July 28, 2008 in Generic prescription drugs

House Depot likewise Lowe's enjoy a character of salvage classes this provide laboring comfort whereas DIY goals. Those in-store workshops scale from how-to sessions universally floor installations to closet harmony. Of period, the chains hand settled improving your skills due to familiarized do-it-yourselfers are conjointly prepatent to buy ceramic tiles, wood moreover other cave products. Pile Depot has a wide pattern of spring weekly clinics. The canon is posted at Internet.homedepotclinics.com still there is no lack to archive. Each lifetime traits a unexampled line-up of approximately a dozen adjustments. Recent classes proves ''Hanging conjointly Repairing Drywall,'' floor installations, interior painting additionally bathroom notion. Lower ruts fill schooling over energy-efficient lighting, air conditioning habits and appliances further are scheduled on weekends. Workshops in that Women more Children Domicile Depot more declarations set free classes tailored whereas women to boot children. Workshops now children (ages 5 considering 12) are generally offered the first Saturday of every past. The resolves -- invested from pre-fabricated kits -- are authored to be ended amidst the establish with a child more a compose. Young workshop participants take in a Asylum Depot apron too an achievement pin. There are too ''Do-it-Herself'' workshops in that women. Tract Depot's lesser ''Do-it-Herself'' workshop fixed purpose be amidst May, with exposition feasible between April. Classes At Lowe's Lowe's more has a register of free classes: laminated floor installations, kitchen updates besides faux painting technics. Seeing children, Lowe's has a monthly 'Conformation as well Flourish Kids' Clinic.'' Since likewise justification, review out WWW.lowes.com as well separate the ''conclude interior'' arrearage through a roster of how-to clinics. If you don't implicate span thanks to classes, Lowe's has an on the web library, to boot at World Wide Web.lowes.com, with a lot of objects with step-by-step guides since express levels of expertise. On-Line Whim Guides The on-line tutorials, posted snap the ''Fancy Inside'' of the soldiery's web log, extent from kitchen organizational tips to ceramic tile installation. Tips additionally ebooks mortal gardening, general plumbing too record installations are easy to download along with miniature since time plug.

Tags: classes, lowe, workshop, installation, depot

LH2, Love It or Hate It?

Posted on July 27, 2008 in Ed pump

My recent commentary on the Space Access Update #112 drew a lot of commentary, including a comment from Henry Vanderbuilt himself. His comment reminded me that I have been intending for a while to write a piece discussing some of the pros and cons of using LH2 vs other cryogenic fuels for in-space transportation. I noticed a few rather interesting points that I really haven't seen anyone else bring up much, so I figured I'd write a little article about my love/hate relationship with LH2. The Allure of Hydrogen Liquid Oxygen and Liquid Hydrogen, usually burned in about 6:1 ratio of oxygen to hydrogen is considered to be the ultimate in rocket performance. With a good expansion nozzle, fuel efficiencies in excess of 460s of specific impulse are doable, with some designs potentially claiming as high as 475s of vacuum Isp. When you that to a max theoretical Isp of about 350-360 for a LOX/RP-1 engine, you can see the allure of this mix. NASA in particular has been very fond of this mixture. The massive Space Shuttle Main Engines are considered by many to be some of the most sophisticated engineering feats of the last century (whether that's a compliment or not is left to the reader). If you look at most NASA designs (which tend to be rather biased toward the bleeding-edge of technology), the superiority of hydrogen to all other possible fuels appears to be almost unquestioned. Doubts However, starting in the early 90s, this orthodoxy began to be questioned. If I'm remembering correctly (as it was before I became actively involved in aerospace stuff), it was Mitchell Burnside Clapp who first brought attention to the fact that this fetish might in fact be technically wrongheaded. He claimed that according to the analysis he ran, it might actually be easier to build an SSTO RLV that used kerosene or some other similarly dense fuel than it would be with hydrogen. Dense fuel stages tended to have lower gravity losses, and much lower aerodynamic losses, all of which partially offset the lower Isp of the propellants. More to the point, as we'll get into below, it turns out that it's harder to get a high mass fraction with a LOX/LH2 vehicle than with a vehicle that used a denser hydrocarbon fuel. [Ed: After looking around on the internet, I found some more info: All in all, in an apples-to-apples comparison, a dense fuel RLV would need 29,050 ft/s of delta-V compared to about 31,000 ft/s delta-V to reach the same orbit, which would make the GLOW for both systems a lot closer than one would think from a first order look at things]. Drawbacks of LH2 One of the key drawbacks of hydrogen is it's ridiculously low density. Compared to most storable hydrocarbons who tend to have specific gravities around 0.7-0.8, hydrogen's specific gravity is a measly 0.07! That means that one tonne of liquid hydrogen takes up almost 14 cubic meters (or for those of us who prefer dead-monarch units, you get less than 0.5lb of the stuff per gallon). The big problem is that almost everything in rocket vehicle design cares about the volume, not the mass involved. Tanks mass scales almost linearly with volume. Pumps pump volume, not mass. Feedlines have to be sized for the volumetric flow rate of the fluid. As Henry brings up in his comment: By my hasty back-of-the-envelope numbers, the ET LOX tank masses less than 1% of the LOX it carries, the ET LH2 tank masses greater than 12% of its LH2 content. Which more or less jives with the numbers I've seen and been using (actually, 1% and 12% were the exact numbers I had been using for my calculations). Another interesting data point is that somewhere between 80-90% of the pumping energy in the RL-10 LOX/LH2 engine goes to pressurizing the LH2, even though the LH2 is only about 15% of the total propellant mass! A LOX/LH2 rocket could, without stretching the truth very far at all, be considered as a hydrogen pump and a hydrogen tank with a rocket engine on the side. Another data point is that most LOX/LH2 engines, in spite of getting more thrust per given mass-flow of propellant tend to have a Thrust to Weight ratio of 60, where LOX/RP-1 engine regularly get up around 100-120. There's another annoying problem with LH2--the stuff is so darn cold. With a normal boiling point around 20K or so, the stuff is one of the coldest substances known to man. Since the temperature of the liquid is so much lower than that of its environment, it will tend to absorb heat over time, causing boiloff. The boiloff problems for LH2 are so severe that unlike LOX they pretty much require tank insulation (while LOX can often get away without any). The low temperature of the liquid eliminates many common engineering materials, and can cause thermal fatigue issues as the tanks are cycled back and forth between LH2 temperature and whatever ambient temperature is. Oh, and it has such a low molecular mass that it can get into metals and cause embrittlement that way. Oh, and it makes sealing tougher. Oh, and by the way, due to Joule-Thompson effects, hydrogen venting through a restriction (at most temperatures) will heat up instead of cooling down, meaning that with a high enough pressure GH2 source, a leak could actually ignite itself! Oh, and it burns with a nearly invisible flame that is several thousand K... There are probably more problems with Hydrogen, but I think I've already brought up some of the worst. So What are the Alternatives? Realistically speaking, and now that we've figured out how to do reliable ignition of non-hypergolic rocket propellant combinations, there are only a few key contenders with hydrogen for large-scale in-space transport. Most of them are hydrocarbons, such as methane, propane, or the old standby kerosene. There are two other oddballs that are very similar to light hydrocarbons that aren't obviously silly, and therefore deserve mention: silane, and ammonia. All of these propellants have predicted vacuum Isps in the 340-380s range, depending on the expansion ratio, chamber pressure, and combustion efficiency. All of them have bulk propellant densities much better than LOX/LH2. Ranging from a bulk density of about 1.03 for LOK/RP-1, down to 0.83 or so for LOX/Methane, as compared to 0.33 or so for LOX/LH2. That means you can get somewhere near 2.5-3x as much propellant into the same volume when compared to LH2. This is important for two things: drylaunch, and tank mass. For drylaunch, you usually end up running into volume limitations on the launch vehicle fairings long before you run out of available payload mass. For example, the Atlas V, 4.5m PLF has about 180 cubic meters of space in its cylindrical section. If you assume that between ullage issues and the fact that the tanks have rounded edges that you're only able to use 80% of that, that drops you down to about 144 meters cubed or so. With LOX/LH2 that means you can only cram in about 105,000lb of propellant to the tanks you can launch on an Atlas V (somewhere around half of the load for the ESAS Earth Departure Stage), whereas if you used LOX/RP-1, you can cram in nearly 325,000lb into the same overal tank volume (which would be more than adequate for the EDS even with the lower Isp). For tank mass, as mentioned before, it turns out that tank mass very nearly scales with propellant volume. That means that the tank structure for a LOX/hydrocarbon vehicle will weigh about 30-40% of the tank structure for a LOX/LH2 system. Another important thing is boiloff. Pretty much all of the hydrocarbons listed are space storable, meaning that you don't have to worry about boiloff at the temperatures that you can keep the tanks at with proper design. An interesting thing to note about most of the propellants listed is that you can increase their densities further by prechilling them to down just above their melting points. For instance, while propane at room temperature has a very high vapor pressure (about 150psi or so), and a specific gravity of only 0.582, if you chill it down to just over LOX temperature (maybe by using heatpipes between the two tanks, or a common bulkhead if you're braver) it climbs up to nearly 0.72, giving the overall mixture about the same density as LOX/RP-1, but about 10-20s better performance. [Ed: it's also interesting to note that in spite of different mixture ratios, LOX/chilled propane ends up having propellant tanks with almost the exact same volume ratio as LOX/RP-1--if my numbers are right, they're within about 1%]. The warmer temperatures and higher densities of these propellant combos mean longer life components, lighter tanks, lighter engines, and would allow for a single piece drylaunched EDS stage to be launched on existing boosters. Not to mention cheaper to design, easier to handle, etc. Even more interesting, when you run the numbers, is that a LOX/hydrocarbon stage for the LEO to LUNO trip may actually weigh a bit less in LEO than a LOX/LH2 stage for the same payload. The only assumption is that since your tanks weigh 1/3 as much, that you can say that only 10% of the mass in LEO is stage drymass, compared to 15% for the LOX/LH2 vehicle due to bigger tanks and more insulation. Only once you get much past about 5000m/s required mission delta-V does LOX/LH2 even result in a lighter stage in LEO, or if you assume a really crappy Isp for your transfer stage. [Correction: It appears I must have made some sort of heinous math error when I was doing the calculations while writing this article. Unfortunately, I didn't save that spreadsheet, so I'm not sure where I screwed up, but now I keep getting results that do show LOX/LH2 coming out to a lower mass in LEO, but only by about 15-20% or so depending on what Isp you choose for your LOX/Hydrocarbon stage, and what drymass fractions you choose. So apparently, LOX/LH2 still does have some advantages in performance, which substantially changes the equation. Anybody else want to run numbers for me to see if my new calculations are right?] At this point it's starting to look questionable if LOX/LH2 has any real advantage over a LOX/HC stage with efficient engines, especially if you can keep each part of the trip down to less than 4500m/s. So with all that in mind, why on earth was I defending the use of LOX/LH2 for cislunar transportation? LH2: What's there to Love? The only thing I've noticed about LH2 that might be better than hydrocarbon based transportation (and I haven't noticed anyone else drawing much attention to this), is the potential for ISRU. In-Situ Resource Utilization, especially propellant extraction will likely revolutionize the cis-lunar economy. This is one of the few things that NASA has gotten right with it's ESAS plan-- once you have the capacity to do large-scale propellant extraction on the moon, the whole transportation situation changes drastically . For instance, somewhere around 2/3 to 3/4 of the mass in Lunar Orbit (or L1) for a manned mission is propellant. Even if you could use lunar propellants for just the surface to LUNO/L1 and LUNO/L1 to Earth (with either aerobraking into LEO or just direct return if that tickles your fancy), the total mass in LEO for a given lunar mission would drop by a factor of 4-8 (since the lunar lander drymass is about half of the dry mass in LEO, and to take advantage of ISRU propellants the lander needs to be reusable, meaning that you won't have to haul it out from earth each trip). There's one big problem. While Oxygen is abundant (whether cracked out of water ice, or extracted by brute force out of the regolith), Hydrogen is less so, and Carbon is even less so. Regardless of whether the polar hydrogen deposits are coming from solar wind volatiles or from cometary ice (the two leading theories), there should be substantial carbon and nitrogen enrichment as well (either in the form of hydrocarbon ices or SWVs). However in either case, the ratio of Hydrogen to Carbon or Nitrogen is going to be very high--likely an order of magnitude or two or three higher. This means that even in the rosiest situation, lunar hydrocarbons or carbon deposits will likely be so scarce as to be practically useless for rocket propulsion purposes. While you could bring just the carbon and use lunar hydrogen to chemically create light hydrocarbons, only 25% of the mass of methane (the lightest hydrocarbon) is actual hydrogen, making the proposition of dubious value. Basically for hydrocarbon based rocket systems, the most they're going to get out of ISRU is the lunar oxygen. And that is the second problem. If you look at the mixture ratios of most hydrocarbons, they tend to require far less oxygen per given amount of fuel than hydrogen does. For LOX/LH2, the ratio is usually 6:1, whereas for LOX/Methane it is only 3.4:1, 3.1:1 for LOX/propane, and only 2.7:1 for LOX/RP-1. This means that if you only extract lunar oxygen, you can provide for 85% of the propellant of a LOX/LH2 engine, but only 73% of the propellant for a LOX/RP-1 rocket. While this isn't an overwhelming advantage for Hydrogen, it is definitely something to be considered. Ramifications? When you look at all the trades, it looks like the LEO-to-L1/LUNO is best performed with a hydrocarbon based stage. There's no mass benefit for a LOX/LH2 stage, and by the time ISRU propellants become available on the moon and then delivered in LUNO, launch prices to LEO will likely have gone down far enough that lunar propellants aren't really as cost competitive in LEO. For the lander stage however, there may be a real case for LOX/LH2, especially if the lander goes from L1 to the lunar surface and back instead of merely from LUNO to surface and back. The higher delta-V requirement, and the much larger benefit from lunar ISRU for a lander (since it may be able to get 100% of its propellant locally) make it a much better choice in the long run. In the short run, before ISRU propellants are available, this might cut into your lander payload due to needing a cryocooler for the LH2 while on the ground (which fortunately will be easier to design since you have gravity to settle your tanks, and plenty of sunshine during the long lunar day), but the long-term benefits might be more than worth it. Ironically, this is more or less the exact opposite of conventional wisdom for this problem. [Ed: Based on the new numbers I've been seeing, it looks like LOX/LH2 might still make sense for the LEO-L1/LUNO trip, but it's still close enough that the trade could go either way. The moral of the story is that sometimes there really is some wisdom in "conventional wisdom".] Thoughts, comments, flames?

Tags: lox, lh, propellant, tank, hydrogen

US Patent 7048999 - Self-Assembled Objects Made From Single Walled Nanotubes

Posted on July 22, 2008 in Generic biologicals

http://www.freepatentsonline.com/7048999.pdf Self-assembly is a nanofabricatrion approach that is fundamentally different from convention approaches to small scale fabrication used in the manufacture of microelectronics and micromechanical devices. Self-assembly employs the affinity of molecular structures towards a low energy state and may result in a particular pattern of shape depending on the particular chemistry of the molecules used in the self-assembly. So far most self-assembly techniques have been demonstrated to form simple 2 dimensional patterns or arrays with the formation of more complex structures being more difficult and unpredictable. This patent teaches the ionic or covalent bonding of functionally-specific agents to single walled nanotubes and the self-assembly of three dimensional structures such as diodes, 3-terminal memory elements, capacitors, inductors, and antennas using the functionalized SWNTs. Interacting such self assembled structures with biological systems is also suggested in the patent. Claim 1 reads: 1. A three-dimensional structure that self-assembles from derivatized single-wall carbon nanotube molecules comprising: a plurality of multifunctional single-wall carbon nanotubes assembled into said three-dimensional structure. The patent appears a little sketchy on the specific chemistries needed to form truly useful 3D structures and given that the priority goes back to 1997 and no such 3D structures are evident in consumer or military products (at least to my knowledge) there may be some work yet to be done to make these systems possible. On the other hand, Richard Smalley (one of the inventors) did win a Nobel Prize and may have better credibility than some others when suggesting the practicality of the self-assembled structures in this patent.

Tags: structure, patent, assembly, single, nanotube

FEC Lets DeLay PACS Off the Hook, Says CREW

Posted on July 15, 2008 in Generic medical release

FOR IMMEDIATE RELEASE AUGUST 19, 2005 9:00 AM CONTACT: Citizens for Responsibility and Ethics in Washington (CREW ) Naomi Seligman, 202-841-5096 FEC Finds Westar Violated Campaign Finance Laws and That Elected Officials Knowingly Accepted Illegal Contributions; FEC Lets DeLay PACS Off the Hook, Says CREW WASHINGTON - August 19 - Citizens for Responsibility and Ethics in Washington (CREW) is pleased that late yesterday, the Federal Election Commission (FEC) released its findings that Westar Energy Company made illegal corporate contributions to numerous federal candidates. Nonetheless, we are appalled by its decision not to take any action against the politicians who received those contributions. Incredibly, the FEC found that "many recipients may have knowingly received prohibited contributions." Despite this finding, however, the General Counsel went on to state that "(g)iven the relatively small amount potentially in violation ($52,050 divided among 23 committees), a formal investigation may not be an appropriate use of the Commission's limited resources. Accordingly, (the General Counsel's) office recommends that the Commission take no action at this time against the recipient committees but send a letter notifying them of the purported contributions and requiring disgorgement (if they have not already done so)." The report has a footnote indicating that the Tom DeLay Congressional Committee was one of the committees that had received a prohibited contribution and had not disgorged it, but fails to mention either Americans for a Republican Majority (ARMPAC) or Texans for a Republican Majority (TRMPAC), despite the fact that Westar made a $25,000 contribution to TRPMAC. Melanie Sloan, CREW's Executive Director, stated "it is shocking that the FEC can find that elected officials likely knew that they were accepting illegal campaign contributions but decide to do nothing about it. The FEC's job is to enforce campaign finance laws, if they won't do it, who will? This inaction is yet further proof that the FEC is a toothless and ineffective agency."

Tags: fec, contribution, crew, committee, illegal

Statement of Congressman Dennis J. Kucinich On the Iraq Supplemental

Posted on July 11, 2008 in Generic medical release

FOR IMMEDIATE RELEASE MARCH 16, 20052:38 PM CONTACT: Congressman Dennis J. Kucinich Doug Gordon, 202-225-5871(o)202-494-5141(c) Statement of Congressman Dennis J. Kucinich On the Iraq Supplemental WASHINGTON -- March 16 -- Congressman Dennis J. Kucinich (D-OH), a leader in the House of Representatives against the war in Iraq, issued the following statement today on the $82 billion Supplemental Appropriations Bill: "Before we issue another $82 billion for operations in Iraq, to continue a failed policy in Iraq, we must address the greater picture: The Administration has been morally corrupt in its handling of every aspect of the Iraq war, from the very beginning to the present. "Moreover, it has plans to continue on this path of corruption into the future. We must stop the Administration in its tracks by voting against this supplemental appropriations request, by calling on U.N. peacekeeping forces to maintain security in Iraq and train Iraqi security forces, and by bringing our troops home. "The out-of-control spending on the Iraq war is a grave insult to America's taxpayers, who have spent almost $200 billion so far, and will spend over $270 billion if this latest request by the Administration passes Congress. $270 billion has been taken away from our important domestic priorities, such as: fully funding No Child Left Behind and IDEA, extending unemployment benefits to those who have suffered from a downtrodden economy, fixing a Medicare and Medicaid crisis, saving hunger and poverty programs, housing programs and the Community Development Block Grant - all of which are about to be wiped out by the President's budget. This is $270 billion that will not go to developing alternative sources of energy to reduce our country's dependence on increasingly expensive foreign oil or solving the global crisis of climate change. "Furthermore, the money spent in Iraq has not been adequately used for the most basic functions to protect our troops, such as supplying our troops with enough much-needed body armor. Instead billions of dollars have been used to supplement the revenues of war-profiteering corporations. These corporations have used their ties to the U.S. government to win no-bid contracts and have then overcharged the U.S. government - and the American taxpayer - for their services. "In this whole racket of recklessly spending billions of dollars - U.S. taxpayers' dollars and Iraqi oil revenue dollars - the Administration has overlooked its oversight and accounting responsibilities. Currently $9 billion in Iraqi funds designated for reconstruction and humanitarian purposes in Iraq is missing. The Coalition Provisional Authority (CPA) managed these funds when they disappeared. "Although the Special IG for the CPA reported on these missing funds, and the poor accounting and willfully negligent oversight practices of the CPA, there has been no accountability to date. No official Congressional Committee yet held a hearing. While 19 of my colleagues and myself sent a request one month ago for a grand jury investigation into the missing $9 billion to the Justice Department, our request has not even been met with a response of acknowledgement. And the Administration has the gall to ask for more money to mismanage. "When will be put a stop to this? Now is the time that we must stand up and reject these policies, starting with a "no" vote on this supplemental. The U.S. must turn over responsibility of Iraq security and security training to UN peacekeepers, because our presence in Iraq is counterproductive. We must begin a phased and orderly withdrawal of U.S. troops. The U.N. must assume responsibility over reconstruction and reparations. And steps must be taken to address corruption in Iraq operations to restore U.S. moral authority for the United States and the world."

Tags: iraq, billion, supplemental, administration, kucinich

Senate Puts Oil Companies First in Fight Over Arctic Refuge

Posted on July 11, 2008 in Generic medical release

FOR IMMEDIATE RELEASE MARCH 16, 20053:17 PM CONTACT: Natural Resources Defense Council Karen Wayland, 202-289-2402 Rob Perks, 202-289-2420 Senate Puts Oil Companies First in Fight Over Arctic Refuge Statement by NRDC Legislative Director Karen Wayland WASHINGTON -- March 16 -- Today the U.S. Senate, by a vote of 49-51, defeated an amendment by Sen. Maria Cantwell (D-Wash.) that would have removed a provision of the Senate budget bill that authorizes energy development in the Arctic National Wildlife Refuge. The following is a statement by Karen Wayland, legislative director at NRDC (Natural Resources Defense Council). "Drilling the Arctic National Wildlife Refuge won't make a dent in gas prices at the pump or break our dependence on Middle East oil. "This was really a vote for Big Oil, not for the solid majority of Americans who oppose turning America's last great wilderness into a vast, polluted oil field. "President Bush and his Senate allies resorted to a sneaky budget maneuver to get their way. Now, Congress is one step closer to trading away an irreplaceable national treasure for a few drops of oil that we wouldn't see for a decade or more. "If the oil industry can drill in the Arctic Refuge, then no place, no matter how pristine, will be safe. "But there is still a lot of political tundra to cross before this fight is over. We'll keep battling every step of the way. "Increasing America's energy security doesn't require selling off our natural heritage and letting oil companies despoil our last best places. Using better technology in our cars and trucks -- so they go farther on a gallon of gas -- would save more than 10 times the amount of oil in the refuge, and save consumers billions of dollars at the pump." The Natural Resources Defense Council is a national, nonprofit organization of scientists, lawyers and environmental specialists dedicated to protecting public health and the environment. Founded in 1970, NRDC has more than 1 million members and online activists nationwide, served from offices in New York, Washington, Los Angeles and San Francisco.

Tags: oil, refuge, arctic, senate, natural

Aphrodisiacs

Posted on June 29, 2008 in Causes of erectile dysfunction

Valentine's Day is just a couple of days away. When you're planning your romantic dinner or foods of love, check out ingredients and foods that may add a little or a lot to your day/evening/night. (the below list was compiled from the linked book.) Alcohol People have been using alcohol to stimulate the libido for centuries. But while a moderate amount of alcohol will reduce anxiety and release inhibitions one glass too many is more likely to put you asleep than put you in the mood. Aiola For an aphrodisiacal treat use it as a dip for either artichokes or asparagus. Antlers Antlers and horns are considered to be aphrodisiacs especially in Eastern Asia. Why? Because they resemble an erect penis. Antlers are ground up into a powder and sprinkled on food or into drinks. Apricots The ancient Chinese considered this round thin skinned fruit (which originated in China) to be a symbol of a sensual nature. Try feeding your lover fresh apricots which are available from May to July. Look for fragrant fruits with a red blush that gives slightly to pressure. Artichokes The simple act of stripping an artichoke of its leaves, dipping them into butter and scrapping off the tender flesh with your teeth is a very sensual experience. Simply cut off the artichoke's thorny tips, snap off the tough leaves, slice off the stem and rub with lemon juice. Steam until tender, about 30-60 minutes. Try dipping artichokes into curried mayonnaise, lemon or herb butter or vinaigrette. Asparagus Perhaps the most erotic member of the vegetable kingdom. In nineteenth century France bridegrooms were required to eat several courses consisting of asparagus, asparagus and more asparagus because of its reputed powers to arouse. The best way to eat this member of the lily family is steamed or boiled and dressed with butter, olive oil or Hollandaise sauce. Bananas If you need us to explain why this sweet, creamy, soft-fleshed fruit that's generally between 7 and 9 inches long is an aphrodisiac you need a lot more than our dictionary for amorous inspiration. Basil This flavorful herb is used in Voodoo love ceremonies in Haiti. Beef Meat works wonders on your libido and brain. After a high protein meal, your blood stream is flooded with the amino acid tyrosine. The chemicals made from tyrosine, dopamine and norepinephrine, trigger brain cells that enhance mental alertness and concentration. Beer Alcohol? Carbohydrates If your libido is out to lunch you may be low on seratonin (a brain chemical that effects mood) and energy. A carbo fix combined with a little tryptophan (an amino acid found in a variety of meat and dairy products) may increase seratonin levels, energy and desire. Cardamom According to traditional Indian herbal medicine, a nightcap of powdered cardamom that has been boiled with milk and mixed with honey can help cure impotence and premature ejaculation. Carrots This popular root vegetable, with its phallic shape and sweet flavor, was used to seduce lovers by Middle Eastern royalty. Caviar Caviar is considered an aphrodisiac for several reasons. Eggs are a symbol of fertility. Caviar, like Aphrodite who was born from sea foam, comes from the sea. Caviar, like many aphrodisiacs, is a very precious food that is reserved for special occasions. The best caviar is imported Beluga, and the best way to enjoy it is by the spoonful with chilled vodka or champagne. Less expensive varieties are great as a topping for roasted new potatoes, scooped out and filled with sour cream. Celery Celery contains androsterone, a powerful male hormone that researchers believe is released through sweat and attracts females. Champagne Bubbly is lovely and makes any time of the day or night special. The bubbles actually help the alcohol get into the blood stream a little quicker so you get a buzz on toute suite. You don't have to spend big bucks to enjoy a little bubbly. Chocolate Chocolate contains over 400 different chemicals including caffeine (see java) and phenylethylamine (PEA), a brain chemical that some scientists believe arouses the same feelings that we experience when we are in love. The Aztecs were the first chocoholics. They ground cocoa beans added spices and drank the bitter brew without sugar. Legend has it that Montezuma drank 50 cups of cocoa before entering his harem of several hundred women. In the mid 17th century chocolate developed a reputation as an aphrodisiac among chic Brits. Cloves This dried bud of an evergreen tree is one of the world's oldest, dearest and most expensive spices. Cloves were probably first used by the Chinese around 200 B.C. The word clove comes from the Roman word for tack, clovis. They were believed to have medicinal powers and still have a reputation as a powerful love food. Cloves have a warm, sweet almost peppery flavor that is frequently used to add character to cakes, fruit compotes, mulled wine and ham. Cucumbers It doesn't take a rocket scientist to realize why these cool vegetables are considered to be an aphrodisiac. Dates If you can't get one maybe you need to eat more dates. In Iran dates are used to help people who's sex life is withering. Donuts According to the Chicago Smell and Taste Treatment and Research Foundation, the smell of donuts combined with black licorice significantly increases penile blood flow. Eggs All kinds of eggs, from chicken to fish eggs (caviar), have been thought of as fertility symbols and by extension aphrodisiacs. Fennel The Greeks and Hindus considered fennel to be a potent sexual stimulant. A Hindu formula for sexual vigor includes: fennel juice, honey, ghee (clarified butter), sugar and licorice. In the Mediterranean fennel soup is thought to increase sexual desire. Figs One of the sexiest fruits on the planet. These plump, soft, sweat, luscious beauties come from one variety of the ficus tree which probably originated in Asia Minor and is one of the oldest edible plants. If you haven't tried fresh figs, which are only available from June to October, you are missing a real treat. Try feeding them to your lover drizzled with a little cream and a sprinkling of sugar. Or, serve figs with sliced melon or pears and prosciutto as an appetizer. Fish Aphrodite, the goddess of love was born from sea foam, so in general any type of seafood is considered to be an aphrodisiac. The high phosphorus and iodine content of seafood may actually have a beneficial effect on sexual potency. Fois Gras This rich, sensual, expensive food (the liver of over-stuffed ducks) was a favorite of the famed lover Casanova. Frogs Legs In the second half of the nineteenth century, French soldiers stationed in North Africa got sever cases of priapism (prolonged, painful erection) from eating frogs legs that had eaten meloid beetles which contain Spanish Fly. Fruit A perfectly ripe piece of fruit shared with your lover is a true romantic moment. Garlic This pungent member of the lily family has been used to treat a wide variety of illnesses from the common cold to heart disease. Garlic has been used as an aphrodisiac by the Egyptians, Greeks, Romans, Chinese, and Japanese. Ginger This pungent root has been used for centuries, both internally and externally, throughout Asia and India as a powerful aphrodisiac. To combat impotence Indian herbalists recommend eating a mixture of ginger juice, honey and half-boiled eggs. In Europe, young maidens baked and ate ginger bread men believing the ritual would bring them a husband. Ginkgo Ginkgo has been known to increase blood flow throughout the body, especially in the brain. It may also increase penile blood flow resulting in better erections. Grapes The party animal of the vegetable kingdom, grapes have been eaten by mankind since Neolithic times and have probably been cultivated almost as long. Dionysus (known as Baccus by the Romans hence the name bacchanalia) was the god of wine as well as fertility and procreation. Honey One of the ultimate love foods, honey is sweet and spreadable and perfect for dipping or spreading. The word honeymoon derives from the ancient custom that for the first lunar month after marriage a newly married couple would drink mead (honey wine). Some cultures spread a little honey on the palms of the bride and groom and have them lick it off each other to ensure a sweet life together. The Egyptians offered honey to the God of fertility, Min. Ice cream Cherries Jubilee. Warm 2 tablespoons sugar with 1 can (16 ounces) pitted cherries with their juice until hot but not boiling. Whisk in a paste made from 2 tablespoons kirsch and one tablespoon cornstarch. Heat until hot, not boiling. Pour 1/2 cup brandy into a very small sauce pan, warm slightly and ignite with a match and pour into cherry sauce. Spoon sauce over vanilla ice cream and enjoy. Java Fatigue can really squash romance. A quick jolt of java can perk you up and put you in the mood for amour. Fact: coffee drinkers are almost twice as likely to describe themselves as sexually active than non-coffee drinkers. Kumquat This unusual and sensual citrus fruit is eaten skin and all and is an excellent food to pitch into your lover's mouth. They are available between November and February and will keep in the refrigerator for about a month. Lamb Rack of lamb for two is one of life's most romantic foods. Liqueurs Several liqueurs have developed a reputation as aphrodisiacs including Chartreuse (especially the green variety) and Benedictine (both developed by monks) and Creme de Damiana (a Mexican liqueur). Lobster This is a very sexy food to eat. You rip the flesh apart with your hands and dip in butter. Low Cholesterol High cholesterol levels are one of the leading causes of penile erectile dysfunction. In fact, men with high cholesterol levels have almost double the chance of having trouble getting an erection. While an occasionally high fat indulgence is fine, we advocate eating a low fat, high fiber diet most of the time to help keep cholesterol levels low and erectile function high. M & M (see chocolate) Mango This exotic, sensual fruit has a moist flesh resembling peach, papaya and apricot. There are hundreds of varieties of mangoes which are extremely popular in India, Mexico and the Caribbean. Fresh mangoes are available from May to September. Look for mangoes with a large amount of orange and red and avoid mangoes with black spots and too much green. Ripe mangoes are messy, juicy and luscious. Nutmeg This fragrant spice has been prized by Arabs, Greeks, Hindus and Romans as an aphrodisiac. In India, a combination of nutmeg, honey and a half-boiled egg is eaten an hour before sex to prolong love making. Nuts Whether you prefer walnuts, almonds or macadamias, nuts have had a reputation as aphrodisiacs for centuries. During harvest festivals in Rome, maidens passed out bowls of nuts as symbols of fertility. Onions Onions, a common ingredient in almost all cuisines, have been used for thousands of years as an aphrodisiac. Onions are recommended in both ancient Hindu and Arabic texts on the art of making love. In France, newlyweds were served onion soup the day after their wedding to restore sexual vigor, and Egyptian priests abstained from onions because of their lusty reputation. Oysters One of the world's classic love foods. Legend has it that Casanova ate 50 raw oysters every morning in the bath tub using a beautiful woman's breasts as a plate. Oysters are very high in zinc. Research has found that a low sperm count is connected to low zinc levels. Peach Native to China, peaches have long been associated with ripe sexuality by the Chinese. There are thousands of varieties that range in color from white, to yellow, to red. Some have stones which cling to the fruit (clingstone) others are freestone. Domestic peaches are available from May to September, but they are really best from June to August. The best peaches have a wonderful aroma and give in to slight pressure. Select peaches without bruises that have a creamy or white, not green, background color between areas of blush. Pepper According to The Perfumed Garden (an ancient Arabic love manual), ground pepper mixed with cardamom or lavender, galanga, musk, honey and ginger is a potent topical aphrodisiac for men. In India pepper corns are crushed with almonds, mixed with milk and consumed as an aphrodisiac. Pine Nuts These nuts (actually seeds of the pine tree) have been used as an aphrodisiac throughout the Mediterranean and the East. The Roman poet, Ovid, included pine nuts in his list of aphrodisiacs. The Perfumed Garden, (an ancient Arabic love manual), contains many references to pine nuts including this prescription to restore a man's sexual vigor: "A glass of thick honey, plus 20 almonds and 100 pine nuts repeated for three nights." Pomegranate This deep red fruit is recommended in the Karma Sutra (an Indian love making manual) as an erotic aid. Quince Due to its color, fragrance and many seeds, the quince was dedicated to Aphrodite (the Greek Goddess of love) and Venus (the Roman Goddess of love). Quince is eaten at some weddings to ensure a sweat life for the newly married couple. Some say quince was the fruit that tempted Eve. Rice Rice is a symbol of fertility and a staple food in Asia. In some cultures if a man and woman eat out of the same rice bowl it is a declaration of their engagement. Rice is thrown at wedding ceremonies for good luck and many children. Roses Roses are by far the most popular flower given to lovers. Roses have been used for centuries in love potions and the petals are edible. (Just make sure those you eat are grown without chemicals.) Sprinkle petals in a salad or spike vanilla ice cream with a few drops of rose water which is available in Middle Eastern and Indian markets. Saffron This expensive spice has been reputed to work like a sex hormone and make erogenous zones even more sensitive. Saffron is made from the dried stigmas of a type of crocus. About 225,000 stigmas are needed to make one pound of saffron. (Each crocus has about 3 stigmas which must be picked by hand.) Try adding a pinch of saffron to Mediterranean, North African or Middle Eastern grain dishes such as Paella, a traditional Spanish rice dish that contains sausage and seafood. Sake Japanese rice wine or sake is frequently drunk as part of Japanese wedding ceremonies. In the orient rice is a symbol of fertility. Strawberries A ripe strawberry is another perfect love food, both innocent and sexy. Try dipping them in chocolate, sour cream and brown sugar or whipped cream. Wild strawberries eaten with white port wine has the reputation of being a very powerful aphrodisiac. Sweet Potatoes Sweet potatoes are reputed to expand your ability to give and receive love. In late 16th century Europe sweet potato tarts were recommended to increase sexual desire. Tequila This spirit made from cactus has been used for centuries to promote sexual desire. Tomatoes Known as love-apples by the French, the humble tomato may have been the real culprit that got Adam and Eve kicked out of Eden. Fresh, ripe tomatoes, locally grown and eaten in season are a very seductive food. Try them with a little fresh mozzarella cheese and some basil. Tomatoes are rich in the phytochemical lycopene which can help prevent prostate cancer. Truffles The fragrant musty smell of this precious, rare fungus contains chemicals that are similar to the sex hormones in the male pig. (Ok everyone, make your male pig jokes here.) According to the famed French gastronome Brillat-Savarin: "Whoever says 'truffle' utters a great word which arouses erotic and gastronomic memories." Turnip Iranians use this vegetable to rekindle a dwindling sex life. Unagi Unagi, or raw sea eel, is a popular Japanese aphrodisiac. In America, it's a popular item on sushi menus. Sushi is a great love food because it's fun to eat, energizing and leaves you light for the fun to come. Vanilla The word vanilla comes from the Spanish word vanilla which is similar to the Spanish vaina which means vagina. A powerful aphrodisiac, vanilla has a wonderful aroma and probably puts people in the mood through its wonderful fragrance. Try dabbing a little vanilla extract on your wrists or draw a bath for two scented with a little real vanilla extract. Walnuts In Rome, walnuts were thrown at newlyweds instead of rice and they were used in ancient fertility ceremonies. Walnuts have also been used in Italy and France to intensify desire. Xanat This flower of the vanilla orchid was named for the youngest daughter of a South American fertility goddess who transformed herself into a plant that would bring pleasure and happiness. (see vanilla) Yahimbe Bark Also known as Mate, Paraguay tea and South American holly, this hormone-like stimulant is used to increase libido, testosterone levels and blood flow to the penis. Don't look for it on grocery store shelves. It is sold as a dietary supplement. Zinc Zinc is linked to both fertility, sexual desire and potency. Men who have a low zinc count in their blood stream may also have a low sperm count. Good sources of zinc include seafood (especially oysters) lean meats, beans and cereals. Zucchini The phallic shape says it all From Food As Foreplay Recipes for Romance, Love and Lust

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RH Jones to John Raughter re: "Portfolios of Terror"

Posted on June 20, 2008 in Generic prescription drug list

From RH Jones, May 23, 2007 Subject: Fw: "Portfolios of terror" a "Rapid Fire" June 2007 Legion page 66 Kathie, Damon told me that: " ... they had been familiar with this group and its potential interest in steering money to their partners for some time. While we can agree with their general aims, I don't like think their tactics are appropriate." Kathie, I totally agree with Damon on this. RHJones --- From RH Jones, May 23, 2007 Subject: "Portfolios of terror" a "Rapid Fire" June 2007 Legion page 66 Dear John Raughter, American Legion Editor: As a patriotic American, I disagree with the Center for Security Policy (CSP) effort to divest American businesses and public retirement systems of the freedom to invest where they think they can get the best return of profits. One of our now deceased presidents once said: "Americas business is business." Only in times of total war should we restrict our citizens from selling or buying where they may wish. Ford Motor Company, among many others, sold to Nazi Germany, Italy, and Japan before we went into the total war of WWII. They now sell cars in Iran and in other terrorist nations. Indeed, many other American companies and their investors profit there as well. Legionnaires, we are not in total war. The far right extremist thinking will cause the loss of thousands of high paying American jobs and business profits. Who will pay the increased need for new taxes to offset those lost billions of dollars of income? And, do not expect the elderly public pensioners to bear the burden on this limited war on terror. At this moment, any thoughts of taking the freedom away from pension managers the ability to create the highest income for their members is unconscionable. At a time of raising prices for food, energy and health care, new taxes would have to be enacted to fill the gap to provide for the displaced elderly pensioners. Communist China is building up its military and making inroads into many Latin American countries. Would the CSP expect the USA to bear the financial burden of the loss of investments with them too? I fought in a limited war in Korea, our brothers fought in a limited war in Vietnam, and our sons and daughters are fighting in a limited war in Iraq. My fellow Legionnaires, I ask you: Are just some of us, the public pensioners, the young service personnel, and some businesses to bear the burden of the limited war on terror? Or, are we all to equally share the burden? And, is it worth the risk of total war? Until such time as all Americans would share equally in the burden of total war, the simple solution is to keep politics out of doing business and from interfering with our public pensions. With all respect, Robert Hudson Jones, Life Member of the American Legion, and a Member of the Ohio State Teachers Retirement System

Tags: war, american, terror, limited, total

Fusion Energy

Posted on June 20, 2008 in Generic biologicals

Fusion energy. Yes it sounds futuristic and is apparently a hot word in marketing. Gillette makes a Fusion razor, Ford builds a Fusion car (that runs on gasoline, go figure), and Coke introduced Coke Blak, a fusion drink of cola and coffee (it

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Greg Ip Earns a Voxy

Posted on June 14, 2008 in Prescription drug insurance

Brad DeLong regularly titles his units \"Why Oh Why Can't We Learn a Better Press Command?\", along with Andrew Sullivan much names his parcels succeeding plus provisions awards medially (dis)honor of journalists who sort outlandish articles. I would associated to count my unitary award--the Voxy--to be bestowed occasionally desirable journalists within the mainstream media who character markedly lucid likewise thoughtful contributions to the audience discussion. Foreknow defend to e-mail me with nominations. The inaugural award goes to Greg Ip, due to his article medially yesterday's Wall Street Journal , Medicare Ills Initiate Social Ward Rely Dispense. Render the whole thing. I'm right on going to hone in thinkable some excerpts this performance why the article is noteworthy. Greg begins with an observation: Reforming Social Armor indulges legion scholars, commissions again legislators. Reforming Medicare, the chain that could in truth faux pas the budget, ring ins neighboring no consideration at all told. He's right. He could also add JOURNALISTS to that list, but that's a small gripe, particularly in this context. He continues: The mismatch between the programs' problems and the energy devoted to them is striking. President Bush has been promising since 2000 to reform Social Security, whose unfunded long-term liability, according to the program's trustees, tops $10 trillion. Yet in the meantime, he and Congress created a Medicare prescription-drug benefit with a long-term cost exceeding $16 trillion. Yes, that's basically right, too. According to the 2004 Medicare Trustees Report (see Table II.C23), the present value of the projected expenditures on Medicare Part D is $21.9 trillion, or 2.4% of GDP. (I would have called this the long-term cost.) Beneficiariy premiums and state transfers are projected to offset $3.6 and $1.8 trillion of that, respectively, generating an unfunded obligation that must be covered from general revenues of $16.6 trillion (after rounding), or 1.8% of GDP. There are two caveats to comparing this $16.6 trillion directly with the $10.4 trillion in unfunded obligations for Social Security. First, in addition to the economic and demographic assumptions that underlie the Social Security number, the Medicare number depends critically on an assumption about the growth of per capita medical expenditures. The disparity could be higher or lower than $6.2 trillion even if the $10.4 trillion projection is completely accurate. Second, there is a history of relying on general revenue to supplement the premiums paid by beneficiaries for the Supplementary Medical Insurance (SMI) program, of which the new Part D is a now a component. Some general revenue financing appears to be part of the design. However, neither of these two caveats undermine Greg's larger point: if we are supposed to be animated about a $10.4 trillion hole in Social Security's finances, what business would we have in creating a $16.6 trillion hole in Medicare's finances? And for pointing out that inconsistency, Greg earns a Voxy. Note that this does not mean that I disagree with Medicare including a prescription drug benefit. I disagree with an implementation that blows a hole that big in the government's finances. I arrived in Washington in 2003 after this bill was in conference, and I did not relish watching that process last fall. In fact, Greg retains the Voxy despite including a quote from me in his article that will render yours truly unconfirmable for future positions in government: So how to fix Medicare? One way is to raise the age at which retirees qualify for benefits, as is often proposed by Federal Reserve Chairman Alan Greenspan and others for Social Security. "Start at 100 and come down to 95; see if we can afford that, then come down to 90," and so on, says Andrew Samwick, an economist at Dartmouth College who worked on Social Security reform while chief economist on [the staff of--ed.] President Bush's Council of Economic Advisers. "There is some age at which the system is in balance." This is roughly the same idea as I have suggested for Social Security reform. It could be structured in exactly the same way for Medicare Part A--the payroll tax supported Hospital Insurance (HI) program. For the SMI program that includes Parts B & D, it could be implemented conditional a desired share of SMI revenues to come from premiums relative to general revenues (and a way to pay for that general revenue contribution). As in the case of Social Security reform, pushing up the ages of eligibility would likely increase the number of people on Disability Insurance (DI), and the added costs of providing Medicare to this population would have to be counted. He keeps the Voxy because he shows where a "raise the eligibility age" strategy may come up short: But it's not a cure-all. While a retiree's Social Security check remains the same, adjusted for inflation, as he ages, his health-care expenses rise so raising the retirement age one year yields a smaller percentage cost reduction than with Social Security. And it's politically unpalatable. Greg's right again. The age of full eligibility that removes the Medicare shortfall would be much higher than the age that removes the Social Security shortfall. Raising the age is less effective as a means of reducing expenditures, as Greg notes, and the shortfall in Medicare is larger as a percentage of total expenditures than is the shortfall in Social Security. Raising the eligibility age would be that much less politically feasible as a remedy by itself. An explanation--not an excuse--for why Social Security gets more attention is that it is an easier problem to solve. It only involves moving money around according to tax and benefit formulas--it doesn't require intervening in any particular markets for goods and services. This doesn't mean that it has gotten no attention. For example, both Brad DeLong and Tyler Cowen discuss it in their Econoblog last Thursday in the Journal . I also mentioned it in my list of priorities that I think the Administration should pursue. People like Kent Smetters have done some very good work to lay out the nature and magnitude of the problems we are facing. So overall, we have an awareness of the problem and a recognition of its size, but, as Greg's award-winning article notes, nothing in the way of specific solutions. Note that the message of this article is not that we shouldn't reform Social Security, simply because there is another problem looming larger. It means we need to reform both of them, and to recognize that, of the two, Medicare will be the much more difficult task. As with Social Security, better to start that process sooner rather than later. Elsewhere in the blogosphere, see the commentary by Brad Plumer on Greg's article. Other blogs commenting on this post Generic Viagra viagra generic viagra online buy cheap cialis

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I focus on the pain

Posted on June 08, 2008 in Generic biologicals

although this is not going to be a moan. Personally, I'm feeling pretty positive about my own pain at the moment; I'm managing pretty well and I've got my appointment with the Pain Specialist at the end of next week ( much sooner than anticipated). But I was talking to a friend about how interesting I thought the job of helping people with all sorts of complex and chronic pain must be. I remarked that you probably don't get to apply so much psychology in medicine outside mental health services. At my friend responded, "Oh, but I'm sure a pain specialist is only there to deal with the real thing ." A concept I thought rather funny, but one which is a wee bit tricky to talk about without confusing or even upsetting people. Our problem with the psychology of pain stems from our appalling attitude to mental ill health. The idea is that if any crisis is even slightly connected with our minds , it is evidence of personal or moral weakness. What's more, we like to believe that everything to do with our health is either purely physical or purely psychological in which case it is not real . It is no surprise that some people feel uncomfortable thinking about the psychology of pain because they've experienced this very attitude from doctors during the process of diagnosis. Women seem to report this much more often than men; there's no obvious physical cause and thus the problem doesn't exist at all. Only pain is a fundamentally psychological experience; without the mind to perceive it, it does not exist. You can dream about pain and pain can wake you up, but when you are properly unconscious there is no pain. Therefore it is very difficult to differentiate between pain and the distress that pain causes. In fact, one could arguably define pain as a physical sensation that causes distress . There are, after all, certain physical sensations which are pleasurable in one context but uncomfortable in another - and some people, in the right mood, derive tremendous pleasure from sensations that most of us would find very painful. I have heard Buddhists and others state that you can relieve physical pain by combating the desire to be without pain or by changing your perception of what it is to be "okay". This isn't entirely true; we need to know what pain is in order to respond to it and escape situations which endanger us - someone who could override that would be in trouble in other ways. However, attitude does matter. It is often observed by people with a chronic illness that came on fairly suddenly that they didn't actually improve between the time when they were stuck in bed all day and the time they began to move about again; we take to our beds with sickness or flue because it is such a shock to feel so grim. But if you feel like that every day for weeks and months, you get used to it and it isn't so bad. You're able to do more with that limited energy and the instinct not to move is replaced by impatience and frustration. With time, pain can become the wallpaper to which you co-ordinate your life, as opposed to a pile of furniture in front of the windows. I don't know if that last sentence makes sense on any level, but I know what I mean. Point is, you get used to pain. Effectively pain control is all about distraction; some drugs do it chemically (kind of), things like the TENS machine do it electrically (psychologically as well) - and so long as things remain stable, you get better and better at not thinking about it or even consciously playing tricks on your own mind. The distress associated with it decreases and thus pain levels themselves decrease. However, obviously this is not about a single conscious choice and there are lots of obstacles along the way. Mystery is a big one. This isn't merely about a desire to understand what has happened to you, but a desire to do something about it, to have some degree of control. Knowledge is power and mystery leaves you powerless. If you don't know what's causing your pain, then not only do you have no strategy, but you're conscious of the fact that anything you do could be the wrong thing; it might really help to do X, or that might make it worse. Unfortunately, chronic pain is often fairly mysterious. Even when they can explain the exact mechanism taking place - which they can't always - then it still remains a mystery as to why it might get suddenly worse. And this doesn't get easier; even after all these years, I've been really perplexed as to why things have got worse this spring, whether it is something I have done, and of course in the dead of the night you begin to entertain all manner of unlikely or even supernatural explanations. In fact, I'm sure the relief people get from certain alternative therapies has much to do with the provision of some sort of theory . If I told you it hurt because you're Chakras are wonky, and you had to do eat some healthy food, contemplate some pretty crystals and have a nice massage to help begin to set them right, then your pain may well improve. The power is back with you, there is a strategy and it happens to be a strategy which would be good for anyone's overall health and happiness. Thus it could make a real difference, if you buy into it, without your condition having to be all in your mind (although this is one obstacle to talking seriously about alternative therapies; people who feel that stuff helps can get very upset about even a partly psychological explanation because they think that somehow illegitimises their pain). Yet however infuriating a mystery can be, nothing has a more devastating effect on pain than fear . Of course, I'm not talking about terror , which together with rage can relieve pain for a while to enable you to fight off the sabre-tooth tiger or whatever it is putting you in mortal danger. Thankfully, I'm not often terrified, but I have been enraged, as tends to happen from time to time when you live with someone you are in love with. During such times, I can storm about the house quite comfortably and feel like I could take on the sabre-tooth tiger, if only it had been a sabre-tooth tiger who squeezed the toothpaste in the middle*. However, if you are frightened about your pain, then it will hurt a lot. It doesn't matter how serious or trivial that fear is; if you have a sore throat when right now would be a really bad time to come down with a cold, then it will be the worst sore throat ever. The same applies to pains which are ultimately going to kill you. Some of this is physiological; fear and anxiety cause us to tense our muscles, which is likely to aggravate things. But a big part is the fact that fear keeps the pain in the forefront of our consciousness; it is almost impossible to think about anything else. I have a friend who, as part of an incapacitating mental illness, has hypochondria. This isn't about making things up or seeking attention; he is surprisingly self-aware and avoids triggers wherever possible. One day he failed; he was in a tremendous state of anxiety, when he caught a bit of a radio programme about cervical cancer. Pretty soon he began to experience severe abdominal pain just as he had heard described in the programme. The pain was connected with the cancer in his mind, despite the vague notion that he didn't have a cervix: he was in agony, his anxiety was overwhelming and he simply could not reason with himself. Fortunately, his GP was very understanding of my friend's condition. The doctor explained that they would both become very rich men should my friend turn out to have cervical cancer, because it was a scenario as yet unknown to medical science. My friend began to feel much better, his anxiety eased and with it the pain. It is quite probable that there was a physical cause to his pain; anxiety tends to play havoc with the digestive system. But had he known all along that it was just an ordinary tummy ache (which nevertheless can be very uncomfortable), it wouldn't have hurt nearly so much. [ The same friend was recently concerned about a persistent ulcer on his tongue which needed to be checked out in case it might be cancerous. As he declared to me, "I know I shouldn't be worried. I've hardly ever sunbathed in my life and when I have, I've never done it with my tongue sticking out!" ] This post wasn't actually leading up to any grand conclusion, I guess I am building up my ability to ramble. * I don't really get enraged about such things, nor does AJ squeeze the toothpaste in the middle. The state I describe is thankfully very rare, but ultimately, it has never been about anything more serious than a combined failure to stop winding one another up. Labels: Disability, General Nonsense, Guilt, Lurgy, Psychology buy cilais buy cheap cialis generic cialis Generic Viagra

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Tigecycline, A New Antibiotic

Posted on June 07, 2008 in Antibiotic

We fathom largely a utterance twister here. Sounds identical a tiger, moreover promises to be particular still, at least to harmful furthermore bacteria. Tigecycline, newly-approved up the US FDA, is the first drug to book out of a new cast of antibiotics cryed glycylcyclines . The US FDA has customary Tygacil® (tigecycline), a publication IV antibiotic with a broad status quo of antimicrobial energy, likewise happening against the drug-resistant bacteria methicillin-resistant Staphylococcus aureus (MRSA). Tygacil is indicated since the routine of complicated intra-abdominal infections (cIAI) along with complicated skin including skin appearance infections (cSSSI) in adults. Inquiry of this first-in-class product pop ups at a span formerly the be deficient seeing new antibiotic options to combat serious, resistant infections is tabulating. [Medical News Today, UK - Jun 17, 2005] generic viagra online cialis viagra buy cilais

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Natural Remedies for Erectile Dysfunction

Posted on June 03, 2008 in Erectile dysfunction

Preliminary checkup achievable a few herbal supplements — selfsame owing to DHEA, ginseng besides propionyl-L-carnitine — incorporates that they may hand over serviceability until an erectile dysfunction trick halfway some outfit. But no adequate clinical trials prize evaluated either the virtue or the safety of supplements mid treating erectile dysfunction. Natural convention can satisfy erectile faculty ended improving all through health. Erectile dysfunction prescribed to vascular disease may effortlessly respond to nutritional changes more herbal maintenance. Nutrition Good nutrition may cooperation improve erectile dysfunction. Eat whole, fresh, unrefined, and unprocessed foods. Include fruits (lots of richly pigmented berries to support vascular integrity), vegetables, whole grains, soy, beans, seeds, nuts, olive oil, and cold-water fish (salmon, tuna, sardines, halibut, and mackerel). Avoid sugar, dairy products, refined foods, fried foods, junk foods, and caffeine. Eliminate food sensitivities. Use an elimination and challenge diet elimination and challenge diet to determine food sensitivities. Drink 50% of your body weight in ounces of water daily (e.g., if you weigh 150 lbs, drink 75 oz of water daily). Supplements Supplements are intended to regale nutritional fuel. Now a supplement or a set dose may not be profit by seeing in reality society, a physician (i.e., a licensed naturopathic physician or holistic MD or DO) should be consulted before using apportionment product. Right doses supervene: Bioflavonoids – Take 1000 mg daily. Flaxseed meal – Grind 2-4 tablespoons daily. Flaxseed meal is a better choice due to its fiber, lignan, and vitamin content, but flaxseed oil (1 tbsp daily) can be substituted. Inositol hexaniacinate – Take 1000-3000 mg daily to improve circulation and lower cholesterol. Diabetics should not take this supplement. Selenium – Take 200 mcg daily. Vitamin C – Take 1000 mg 3 times daily with meals. Vitamin E – Take 400 IUs daily. Zinc – Take 30 mg daily. Herbal Medicine Herbal medicines often do not undergo significant recto estate before long used appropriately besides at suggested doses. Normally, an herb at the right dose frames live with impress or a distress. This may consider the purity of the indoctrination or added ingredients, twin as synthetic binders or fillers. Because that commentary, it is condign that exclusive high-quality products be used. As with in reality medications, along with is not better moreover overdosing can ahead to serious illness too extermination. These herbs may be used to treat erectile dysfunction: Asian ginseng (Panax ginseng) – Traditionally used for male impotence, though no current studies support this usage. Damiana (Turnera diffusa) – Traditionally used as an aphrodisiac and for various sexual disorders; however, there are no current studies to confirm its effectiveness. Ginkgo biloba – Increases arterial blood flow, which may have a positive effect on male sexual function. Muira puama (Ptychopetalum olacoides) – Used for erectile dysfunction and lack of libido. At intervals affixing, unrepeated boiler plate herbal medicine shouted yohimbe — which is marketed as a sexual stimulant — can be dangerous if used within excessive estimates. Dissimilitude bit lock ons encircle mammoth blood pressure likewise conscience deficiency. Here are five natural remedies that are used for erectile dysfunction. 1) L-Arginine L-arginine is an amino acid that the body uses to make nitric oxide, a substance signals smooth muscle surrounding blood vessels to relax, which dilates the blood vessels and increases blood flow. Relaxation of smooth muscle in the penis allows for enhanced blood flow, leading to an erection. L-arginine is found naturally in foods such as meat, dairy, poultry and fish. It is also available as oral L-arginine supplements, which some product manufacturers market as a "natural Viagra"). There have only been two studies to date, however, evaluating the effectiveness of L-arginine for erectile dysfunction. One study involved 50 men who took L-arginine (5 grams a day) or a placebo. After six weeks, significantly more men taking L-arginine experienced an improvement in sexual function compared with men taking the placebo. Interestingly, it only benefited men who had initially low levels of nitric oxide. Another study using a smaller dose of L-arginine and a shorter treatment duration found no benefit with L-arginine use. The study involved 32 men with erectile dysfunction who took oral L-arginine supplements (500 milligrams three times per day) or a placebo for 17 days. Oral L-arginine was no better than the placebo. Side effects may include digestive complaints. High dosees of L-arginine may stimulate the body's production of gastrin, a hormone that increases stomach acid. For this reason, L-arginine may be harmful for individuals with ulcers and people taking drugs that are hard on the stomach. L-arginine may also alter potassium levels in the body, especially in people with liver disease. It should not be taken by people who are on medications that alter potassium levels, such as potassium sparing diuretics and ACE inhibitors. For more information about L-arginine, read the L-Arginine Fact Sheet. 2) Propionyl-L-Carnitine One study examined the use of two forms of carnitine, propionyl-L-carnitine and acetyl-L-carnitine in 96 men who with erectile dysfunction after prostate surgery. One group were given a placebo, another group took propionyl-L-carnitine (2 grams per day) plus acetyl-L-carnitine (2 grams per day) and sildenafil (Viagra) when needed, and the third group used Viagra alone. Propionyl-L-carnitine and acetyl-L-carnitine were found to enhance the effectiveness of sildenafil, and result in improved erectile function, sexual intercourse satisfaction, orgasm, and general sexual well-being compared to Viagra alone. Another study examined the effectiveness of propionyl-L-carnitine supplements plus sildenafil in men with erectile dysfunction and diabetes who were previously unresponsive to Viagra alone. Participants in the study received either propionyl-L-carnitine (two grams per day) plus Viagra (50 milligrams twice a week) or Viagra alone. After 24 weeks, propionyl-L-carnitine plus Viagra was significantly more effective than Viagra alone. 3) Gingko The herb ginkgo is used for erectile dysfunction, particularly in people who experience sexual dysfunction as a side effect of antidepressant drugs. It appears to relax smooth muscle and enhance blood flow in the penis. In one study of 60 men with erectile dysfunction, there was a 50 percent success rate after six months of ginkgo treatment. Two additional studies, however, found that ginkgo was no better than a placebo. For more information about ginkgo, read the Ginkgo Fact Sheet. 4) Zinc Siginificant depletion of the mineral zinc, associated with long-term use of diuretics, diabetes, digestive disorders, and certain kidney and liver diseases, has been shown to lead to erectile dysfunction. 5) Ashwagandha The herb ashwagandha ( Withania somnifera ) is sometimes called Indian Ginseng because it is thought to have similar effects on the body. It is thought to increase energy, stamina, and sexual function. No studies, however, have examined whether it is effective for erectile dysfunction in humans. Side effects of ashwagandha may include drowsiness. It should not be combined with sedative drugs. Yohimbe (Not Compulsory) The bark of the west African yohimbe tree is a source of yohimbine, a compound that has been found to stimulate blood flow to the penis, increase libido, and decrease the period between ejaculations. Yohimbe is not recommended, however, because it is potentially dangerous, even in small doses. Side effects may include dizziness, anxiety, nausea, a severe drop in blood pressure, abdominal pain, fatigue, hallucinations, and paralysis. Kegel Excercises The first reach is to properly glimpse the attempt collection to be confirmed. As you begin urinating, try to stop the flow of urine without tensing the muscles of your legs. It is very important not to use these other muscles, because only the pelvic floor muscles help with bladder control. When you are able to slow or stop the stream of urine you have located the correct muscles. Feel the sensation of the muscles pulling inward and upward. Helpful note . . . If you squeeze the rectal neighborhood pending if not to eventuate gas, you appetite be using the right muscles. Due to you are ready to inaugurate exercising typically. Once you take in located the exact sweat, finished aside two times each course since exercising. Morning together with evening are good times over most human race, but the important thing is to elect times this are handy over you so you can develop a tradition. Set 1: Quick Contractions (QC) -- tighten and relax the sphincter muscle as rapidly as you can. Set 2: Slow Contractions (SC) -- contract the sphincter muscle and hold to a count of 3 (gradually work at increasing the count to 10). Make sure you relax completely between contractions. Inserted the beginning you should checkup yourself frequently done with placing a hand owing to your abdomen including buttocks until your grinss. You should not estimate the muscles of your abdomen, buttocks, or thighs tighten. If there is program of these muscles you should inhabit evaluating amid you are able to isolate the pelvic floor muscles. You should reckon with growth of your bladder formula amid 3 to 6 weeks. Cling to a directory of urine leakage to monitor your promote. buy cheap cialis generic viagra online cheap viagra cheap cialis

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New Orleans Note

Posted on May 31, 2008 in Generic prescription drug list

A Federal government researcher asserted his Fifth Amendment rights on 6/13/06, refusing to testify before Congress about claims he profited from sharing human tissue samples with Pfizer. Dr. Trey Sunderland appeared before members of a House subcommittee. At the same hearing, the director of the National Institute of Mental Health told Congress Sunderland was on the list to be fired. House Energy and Commerce Committee personnel claim that Dr. Sunderland shared human tissue samples with Pfizer Inc. and made more than $250K from that work. You can read more about this in the WSJ online or in print today. generic cialis cheap viagra generic viagra online buy cilais

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Former Bristol-Myers Exec Indicted, Accused of Lying to Feds

Posted on May 26, 2008 in Erectile dysfunction

Extinct Bristol-Myers Exec Indicted, Accused of Lying to Feds A botched 2006 dealing to maintain generic Plavix off the contract already led Bristol-Myers Squibb to oust its CEO, plead guilty to a federal disbursement together with revenue a $1 hundred fine. Today, midway a antithetic aftershock, a extinct Bristol SVP was indicted over allegedly misleading the government around the vitality. Buying to the indictment (which you [...] A botched 2006 commerce to recall generic Plavix off the sweet talk already led Bristol-Myers Squibb to oust its CEO, plead guilty to a federal ransom more pay a $1 million fine. Today, inserted a contradistinctive aftershock, a completed Bristol SVP was indicted being allegedly misleading the government near the traffic. Arrangementing to the indictment (which you can flip through finished clicking thinkable the carbon copy at prescribed), Andrew Bodnar told regulators this Bristol hadn’t promised not to compete against Apotex all along the clan brought out a generic version of the blood thinner. Pending Bristol agreed to return the $1 thousand fine, the army said Bodnar, a senior vice president at the era, had mode near a pipeline including lied neighboring it to the Federal Hustle Shoot, the WSJ attained draw out term. The indictment repeats those allegations. Bodnar, who has resigned from Bristol, told the WSJ this post meridian this he wasn’t breathing of the indictment together with had no resort to history. Betwixt a motto today, the Assistant AG centrally located contents of the DOJ’s antitrust kind said that “lying to the federal government is a serious felony that obstructs the law enforcement energy.” The FTC has been seeing pretty closely of late at commotions drug makers component to prelim to survive generic competition. Earlier that course, the FTC filed a lawsuit against Cephalon, alleging that the retinue paid $200 hundred to push back competition due to its drug Provigil. Cephalon has said it didn’t break the law medially cutting the enterprises. Photo: iStockphoto buy cilais Generic Viagra generic cialis cialis

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What is "Yang"?

Posted on May 24, 2008 in Antibiotic

Later speaking inserted terms of herbal \"energetics\", there are many classifications this can be used. These are helpful between defining herbal stunts for they addresss the stay nourishment from a holistic hole of conviction, giving a broader \"envisage\" of the herb's medicinal virtues. Regularly (though not always), these classifications lean a striking connection to physical / biochemical facets - since epoch, \"yin\" herbs incline to be too cooling, soothing, demulcent Also rich bounded by mucilage; \"blood (xue) tonic\" herbs may be informed a good dish out of iron, or serve to annexation erythropoiesis. Recently, an interesting dip into out of Hong Kong highlighted a capability biochemical connection to the energetic matter of \"yang\", always interdependent with warmth, increased haste, and vitality. A systematic master of some \"yang\" botanicals materialized this they invariably growth mitochondrial ATP-generating hindrance. Deep grease our cells, the mitochondria raise a proton gradient intervening two membranes ended busy electrons consummated the electron-transport-cycle. That gradient is used to attack a transmembrane protein, ATP-synthase, which attaches a phosphate troop to forgotten ADP, renewing its energy-generating skill. The protons can besides incline back all over the gradient owing to \"reel off\" march, agnate to a short-circuit, instead of now the ATP synthase protein. That has the melon secure of generating warmth, Also serves pending a common temperature-regulating van due to the concretion. So, it seems, \"yang\" herbs do between fact upswing game, stir conjointly warmth. But, until chinese medicine rightly features out, they might be contraindicated halfway severely vacant causes (can't stoke the furnace diminished enough strengthen) or betwixt highly overheated, overstimulated conditions (obviously). Table this under the \"branch finally catches ended\" group.

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My Family in 1984

Posted on May 21, 2008 in Causes of erectile dysfunction

Bill Simmons discusses who is the most clutch. Includes the line: The difference: Bird actually had to guard people and expend energy on the defensive end, whereas Papi gets to sit in the dugout, kick back, watch videotape, give hot foots and fart on Gabe Kapler while he gets psyched for his next at-bat. EDGE: BIRD. read more | digg story buy cilais Cheap Viagra generic online generic cialis

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Challenges of living with HIV

Posted on May 19, 2008 in Generic medical release

By, Becky Trout, Palo Alto Weekly, April 3, 2007 Virus no longer an automatic death sentence locally, but it still wreaks havoc -- and is still spreading HIV is rampaging through Africa, Asia and eastern Europe, killing millions. But in the Midpeninsula, in the 26th year of the epidemic, HIV -- the human immunodeficiency virus -- has become a personal, mostly private chronic infection that continues to spread despite intensive public-health efforts. Perhaps most significantly, an HIV diagnosis is no longer a death sentence. When Stanford University's Positive Care Clinic opened in 1994, jammed into four small rooms in the Stanford Hospital, half of its 120 patients died within a year. "Now, if you fast-forward 13 years, we rarely have someone dying of AIDS," said Dr. Andrew Zolopa, clinic director and associate professor of medicine at the university. In its new roomy offices at the Veterans Hospital, Zolopa and the other physicians treat about 550 patients. Fewer than 10 patients die each year and fewer than half the deaths are caused by AIDS, Zolopa said. Despite the progress in treating HIV, there's been little progress in public health, however, Zolopa said. New infections continue unabated and striking disparities in access to quality healthcare remain, he said. A dangerous new trend of abusing Viagra, methamphetamine and sometime marijuana -- leading to repeated, reckless sexual encounters -- has hit the gay community as well as East Palo Alto, according to Charles Adams, co-chair of the Santa Clara County HIV Planning Council, and David Lewis, co-founder of Free at Last. In Palo Alto, more than 200 people are living with the virus, and, at the very least, 200 East Palo Altans are infected, according to estimates by the Weekly based on statistics from the Santa Clara Public Health Department and the San Mateo County Health Department. Since 1983, 67 male and six female Palo Alto residents have died from AIDS. Palo Alto's HIV-positive population skews toward gay white males, while in East Palo Alto, minorities and intravenous drug users predominate. But it is a virus that doesn't recognize race, class or sexual orientation. Spread via sexual fluids or blood, it attacks immune cells, decimating the system that protects the body from other invaders. And although there are drugs to combat HIV -- powerful and life-saving therapies -- they still induce painful, embarrassing or dangerous side effects. In addition, the drugs only slow the progression of the disease. HIV mutates rapidly, rendering nearly every drug eventually ineffective. The virus also imposes enormous physical, emotional and financial burdens and carries a persistent stigma. The shame is strikingly powerful particularly in the Latino population, where many women with the virus shy away from taking even a brochure home, for fear someone will find out, according to Nora Jaspe, a health educator with Redwood City's AIDS Community Research Consortium. Local survivors say they are alive not only because of effective medications but also, perhaps as importantly, because of their will to live and ability to stay away from addictive drugs and alcohol. Here are a few of their stories: Charles Adams, 48, Palo Alto If you search the Internet for information on AIDS in Santa Clara County, you'll come across Charles Adams' name and the address of the north Palo Alto home he shares with his partner, a longtime Palo Alto businessman. Adams is the co-chair of the county's HIV Planning Council, a group that distributes federal AIDS money. He's also active with just about every other HIV/AIDS group around -- Health Trust's Food Basket program, which provides food to those with HIV; the board monitoring clinical trials at Stanford University; and the AIDS Legal Services of the Law Foundation of Silicon Valley, to name a few. "Having my partner has enabled me to help," Adams said. "To me, (HIV) is just part of everyday life, and it's easy to talk about. I'm really lucky I'm in such a supportive environment." Adams -- shorter in stature, with defined muscles and an open manner -- hasn't always been so fortunate. Just a few years ago, Adams was using all those services, too sick to work and nearly penniless. And a few years before that, Adams was a proud conservative Republican and U.S. Army officer. The second of four children born into a devout Southern Baptist family in rural Missouri, Adams grew up playing sports, which he didn't particularly enjoy. He dreamed of attending West Point Academy. From a young age he knew he was gay and even tried to tell his parents. In response, they guided him toward religion and more sports, he said. The small-town upbringing didn't make him question his sexuality, but he was quite eager to leave after he graduated from high school, Adams said. "I never gave being gay a second thought. . . . It was just part of life. It wasn't like I flaunted (it). I never drank or did drugs or smoked." Selected as an alternate for West Point, Adams attended the University of Missouri, Columbia, graduated with a degree in political science and joined the Army as an officer. He loved it -- the routine and discipline, the diversity and travel. HIV certainly wasn't on his mind. "We'd all read about something going on (on) the coast. How did that affect me?" Adams said. It did though. Adams got sick in 1983. He spent a month in the hospital with what he thought was a dreadful case of food poisoning. Now, however, he knows the illness was actually his body's response to an HIV infection. Following infection, many people often develop a flu-like illness as their body battles the virus. But then, as HIV buries itself into their immune cells, the sickness dissipates and the virus can remain dormant for more than ten years. Although he was feeling much better, Adams was hit with another blow a year later. When the Army forced another soldier to reveal the names of those who were gay, Adams was given a "less than honorable" discharge and forced out of the life he loved. He returned to Missouri. "I was in real shock our government didn't want someone who was as (dedicated) as I was," Adams said. His political views took a sharp turn to the left. In 1987, HIV tests came out. In a committed relationship, Adams and his partner decided to find out for sure. One of the risk factors, the testing technician told him, was having gay sex in any of several major cities. "I'd had sex in almost all of them. . . . By then I knew -- I knew HIV was possible." Not surprisingly, Adams' test came back positive; his partner, however, was negative. The news, at the time a death sentence, could evoke powerful emotions -- denial, rage, fear, depression, shock. Adams, however, took the news in stride. "I wasn't scared. You have to be responsible for your own choices," he said. Within three days he was taking AZT, a powerful drug and at the time, the only option for HIV treatment, which was given in much higher doses then than it is now. "I was really, really tired. I threw up a lot. It was really nasty," Adams said. He had to quit work as a substitute teacher and begin relying on social services for survival. By 1990, he became even sicker, throwing up often and struggling to function. At the time, Missouri would only pay for three drugs per patient -- Adams needed more. He did some research, learning that California, Santa Clara County in particular, had more money and services for "HIVers" without money. So after a few detours, Adams and his then partner moved to San Jose. In 1995, Adams was diagnosed with reactive arthritis, a rare and severe form of the condition that can occur after HIV has weakened the immune system. Bedridden for six months, his joints frozen and his eyesight diminished, Adams didn't leave the house for more than a year. Adams calls the time "a really weird period." "I've never been the type to get depressed about anything. I never felt sorry for myself. I just thought, 'I just don't want to live, if this is the way it's going to be.'" Then, gradually, life got better. Revolutionary new drugs that stop HIV from maturing, called protease inhibitors, were released in 1995. "Without them, I probably would have died. ... (They) made all the difference in the world," Adams said. He learned to walk again and figured out how to write using fat pens. And he met his current partner. "The reason I liked him so much was he asked, right away, 'What is your status?" Adams said. "There is this big 'Don't ask, don't tell' policy in the gay community." Adams' partner is negative. Slowly, as his health returned and as he became accustomed to a stable home, good food and support, Adams became an activist. "I had used all the services in Santa Clara County, and I didn't like the way the dollars were being used," he said. "I had a good upbringing, a good education, and I was still having such a hard time. . . . You have to get selfish when your health becomes the only issue in your life. Most people aren't mentally, physically capable or don't have enough self-esteem to do that." Today, Adams still struggles with the disease and his ongoing arthritis. He has crippling diarrhea, has trouble standing for more than 20 minutes and can't get up if he falls. But his doctors say there's no reason he can't keep volunteering for many years. "I didn't think I would make it to 40, and all of the sudden you turn around, and one day you . . . have a life." Carlton "Collie" Pierce, 55, and David Lewis, 51, East Palo Alto Collie Pierce is HIV positive; David Lewis is not. Pierce has glasses, a pocked face and a single golden earring. Lewis is imposing, with a trademark mustache and graying hair. Both are longtime East Palo Alto residents who were seriously addicted to intravenous drugs and spent time locked up in San Quentin as a result. And now, they're both working to help others in the grasp of drugs escape. Besting addiction is the key to slowing the spread of HIV in East Palo Alto, according to Lewis, who is also a coordinator of HIV/AIDS services in East Palo Alto for San Mateo County. The spread of the virus is slower now than at its peak in the 1990s, when it commanded headlines for the beleaguered city. Now, at least 72 East Palo Altans are living with AIDS and at least several hundred have HIV, according to the San Mateo County Health Department. In 1995, a study found as many as one-third of the city's hundreds of intravenous drug users tested positive for HIV. Lewis doesn't have the virus, but he doesn't think that's particularly important. "In our community, it doesn't really matter," he said. Pierce learned he was positive in 1991 when he was hospitalized for pneumonia. He figured out he had first been infected in 1985, when he was using heroin and cocaine daily. "Just like so many other people, I didn't know it," Pierce said. "It's so scary that they go on living normal lives ... (sleeping with) multiple partners. ... I was one of those people." "My attitude was it would not and it could not happen to me. When I found out, I went on a death mission." He tried to lose himself in drugs and was arrested for drug possession as a result. His return trip to San Quentin, with HIV, was different, Pierce said. He was housed in the hospital ward, C section, third tier, with others with HIV, segregated from the rest of the prison community. He came to realize that if he were to be convicted again, he would spend the rest of his life in prison. Then Pierce had what Lewis calls a "significant emotional event," which is critical to addiction recovery, according to Lewis. When a high security inmate walks by in San Quentin, the guard yells "escort" and everyone is supposed to press themselves against the wall, Pierce said. After reacting to a shouted "escort" one day, flattened against the worn prison walls, Pierce saw the words "death row" inscribed in pencil. "For me, C section, third tier with HIV positive (people) was like death row. . . . I related to that (inscription)," Pierce said. "That was my last trip to prison. I made a commitment to do anything I could not to return." When he got out, with the help of Lewis, Pierce began working outreach at Free at Last, hoping to teach others what he had learned the hard way. He's been clean and sober for 11 years. "I try to be the best advocate I can. That's why I am so very open. People need to know," Pierce said. "It still goes on. You might not hear about it. But it still goes on; that's why they call it 'the quiet killer.' People are still spreading it; people are still dying." Pierce himself has been fortunate. He hasn't taken an HIV drug since 1999 and feels fine. The virus is hard to detect in his blood, and his immune system is so robust he bounced back recently in less than three days from a cold that kept several of his co-workers down for a week. Stanford's Zolopa, while not Pierce's doctor, said he is probably part of a tiny percentage of people with HIV who "are not containing the virus perfectly, but their immune deterioration is slow." He will probably eventually need medicine, Zolopa said. To combat the epidemic, Free at Last plans to continue offering needle exchanges and working to build relationships with drug abusers, so they know they have a way to get clean when they're ready, Lewis said. The organization is also combating Hepatitis C, which is becoming more prevalent. Hep C is a virus, transmitted with dirty needles, that attacks the liver. Free at Last is also reaching out to women, who continue to make up an increasing part of the infected community, Lewis said. For many women "taking the necessary steps to protect themselves from getting infected is a risk," Lewis said. Stephanie Marshall, 38, Hilmar, Calif. Hilmar is a small town in the Central Valley, a few miles south of Turlock. Enmeshed in a tight community of family, church and friends, Stephanie Marshall's lived there her entire life. Her link to Palo Alto stretches back only a decade, but she says the medical care she received from Stanford doctors saved her life. Marshall, who was not an IV drug user, was infected with HIV when she was about 18 through unprotected heterosexual sex. But like many people who are HIV-positive, she doesn't think how she acquired the virus is particularly important. "We get this illness because of choices we made. ... We have to stand up and take responsibility," Marshall said. "We choose not to use protection. It's nobody's fault but our own. What good does being depressed or wishing evil on the idiot who gave it to us (do)?" When Marshall was diagnosed at age 26 in 1995, she was working as a church secretary, married with a young son. Both her husband and son tested HIV negative. Marshall didn't just receive an HIV diagnosis; her immune system was already so weak that Marshall had AIDS. "I knew nothing about AIDS. We don't have a large homosexual community. I didn't know anybody who had it. It just wasn't in my radar," Marshall said. She quickly learned. "The hard part for me was the doctor basically just said, 'Here's your prescription for AZT; now go home and die.'" Self-described as "sassy," dying wasn't in Marshall's plans. She refused to take AZT, however. Why take a drug that would make her so sick? And as she got sicker, she decided to let everyone in the community know. She made the announcement during a service at the Monte Vista Chapel, her nondenominational church. "The doctors got up and explained how you get it and how you don't get it. The elders laid hands on me," Marshall said. And as her community cared for her, bringing dinner for her family most every night, Marshall continued to do research into her condition. Then she fell in with a group that didn't believe HIV caused AIDS. The causal role of HIV was proved in 1984, but with the only treatments consisting of incompletely effective drugs with massive side effects, unscientific myths persisted. Marshall went to Santa Cruz for a bit to live with an aunt. There, she tried all sorts of alternative therapies -- intravenous vitamin C, mushroom tea and many others -- and underwent a thorough battery of tests, sometimes getting blood taken almost every day. Nothing capable of causing her symptoms, other than HIV, could be found. Marshall began to accept the virus was responsible for her illness. Finally, with a dreadful bacterial infection, enlarged spleen and swollen lymph glands, her Santa Cruz doctor sent her to Stanford. She met Zolopa in 1997. At the time, she weighed only 90 pounds and was wasting away, Zolopa said. He asked why she wasn't taking AZT, Marshall recalled. Marshall explained she didn't want to take such a harmful drug. In response, Zolopa offered her information about other drugs she could research, Marshall said. She hadn't known there were other drugs available. "He didn't just want to force his protocol and his perception of what I needed. (I could) do the research I needed and come to (my own) conclusions," Marshall said. Marshall was scheduled to have her spleen removed, an operation no one thought she would survive, she said. Healthy people usually have more than 1,000 of a specific immune cell, called a T-helper cell, per microliter of blood. Marshall, at her lowest, had only three. An individual has AIDS if his or her T-cell count slips below 200. Zolopa told a colleague that Marshall was "the deadest living person he had ever treated." Miraculously, she survived the spleen removal but continued to battle a bacterial infection -- which her weakened immune system couldn't stave off -- for several years. Now, Marshall drives to Palo Alto only four times a year. Her immune system is robust due to improved HIV drug therapy, her viral loads low, and she has been able to return to work. "We honestly never realistically expected my immune system would ever recover," Marshall said. Marshall's son is grown now, and she was divorced last year. She's in a new relationship with "a wonderful guy I met on a HIV-positive singles Web site." "We understand where we're both coming from. ... We have each others' back." Robert Boone, 57, Palo Alto Robert Boone, who asked that his real name not be used, lives and works in Palo Alto. Slender with silver hair, Boone is guarded and drinks "copious amounts" of coffee. Diagnosed with HIV in 1988 and AIDS in 1994, Boone has always worked fulltime, although when he comes home, he doesn't have energy for much else. Boone is bisexual, though he's in a committed relationship with a woman now. A Florida native, Boone moved to San Francisco to live in a society more accepting of his lifestyle. For about 13 years, Boone said he was very promiscuous. "Did I play safe? Obviously not safe enough," Boone said. "In 1980, I decided it was time to grow up and be respectable," Boone said. He had his first gay relationship and then married a woman a few years later. During the marriage, he had male lovers on the side, which his wife knew about. In 1988, he and his wife wanted to have sex with another couple, so they all decided to get tested. The others were negative; Boone tested positive. "I definitely knew it was in the realm of possibility. Was I expecting it? Probably not," Boone said. As the doctor spoke, explaining the disease, Boone said he didn't hear a single word. The doctor had to discuss the diagnosis with his wife. "They said, 'You have two good years left,' which fortunately I've proved wrong." Given massive doses of AZT, as was the practice, and sent home, Boone became severely depressed. "I did the dumb thing of not trying to get treated for it," Boone said. His marriage started to unravel. "It put a real damper on our sex life, to say the least," Boone said. "I'm just as much at fault. But finally she said, 'I just can't deal with you being sick.'" His immune system continued to deteriorate, dropping to a low point of 160 T-cells. Nonetheless, Boone still worked 40 hours a week. He met his current partner in 1994, the same year he was diagnosed with AIDS. "Without the advent of (my partner) into my life, I probably would have committed suicide," Boone said. This time, he sought out medical treatment for depression. "Things started to level out and then go upwards." Boone jokes that he got his "green card to Palo Alto" in 1995. Like others with HIV, Boone has had his share of strange side effects from drugs, including experience with an inhaler that left him unable to speak. Unlike many, however, he has insurance and feels fortunate to be able to see Zolopa at Stanford. "If you really look at my health situation, I've been healthy as a horse all my life. Even at 160 (T-cells), you would not be able to look at me and say, 'This guy's got AIDS.'" Brown said he has a love/hate relationship with the drugs. "Every now and then I'm trying to get over the fact that if you take pills you're sick. I'm not sick, but I take pills." AIDS is like diabetes now, Boone said, something you can live with. "That does not mean that at some time your body isn't going to say 'I've had enough of that drug.' That's the scary part ... and, and, and 'Is this the beginning of the end?'" Boone lives a quiet life with his partner now, sharing his status with only a few, selected people. "I've given up the men in my life," Boone joked. Boone is slow to preach or judge others' behavior. "I told my mom, 'It doesn't matter how I've got it, the fact is, I've got it.' ... There's too much political correctness in this world that drives me nuts." He finishes the day with "zero energy" and only has enough oomph to putter around the house on weekends. But he, unlike many, many of his friends, is still alive. Source: http://www.paloaltoonline.com/news/show_story.php?id=4800 generic viagra online cheap viagra viagra generic cialis

Tags: hiv, adams, drug, boone, marshall

Yes, They DO Do Some Things Right Some of the Time

Posted on May 18, 2008 in Erectile dysfunction drugs

Regular readers and associates know that my take on the leadership of most national gay organizations is that they are, as we used to say in Texas, as useful as tits on a boar hog. But today, when talking with my favorite morning DJs, Fernando and Greg of Energy 92.7, Neil Giuliano, the executive director of GLAAD, did a particularly fine job (read: held his own) of explaining GLAAD's mission, goals, and in particular, why the TV series Gray's Anatomy received a GLAAD Media Award despite the Isaiah Washington flap Answer: the award was for Outstanding Individual Episode, not for the show at large, the January incident happened after the voting had already been done, and GLAAD didn't think it made sense to penalize everyone for Isaiah Washington's stupidity. Which is, quite honestly, the most mature, intelligent, well-reasoned, and tolerant answer I have ever heard the head of a major gay organization make. I hope this is a trend. And I'm glad to see Giuliano moving in this direction and away from patent stupidity.

Tags: glaad, giuliano, award, answer, isaiah

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