1 YR OLD
Posted on October 09, 2008 in Erectile dysfunction
Today marks one year since I started this (coincidentally, this is also my 200th post). I guess it is tradition to celebrate the occasion with a reflection post. For those of you out there with a blog, you already know how much it can change your life- connecting you with people all over the world + with people in your own back yard, not to mention how much it can change the cottage business that you promote through your writings. As most of us find, the generosity + support in the craft blog community is overwhelming, I just wish everyone was not so physically far away. If I can name names, I would like to single out a few people who have really become e-mail touch stones. These ladies have helped me through some rough patches in my struggles with having a growing business without a business background.
Type 2 Diabetic
Posted on October 06, 2008 in Diabetes erectile dysfunction
Author: koolspaces.com Now, I am not a doctor and I don't play one on T.V. but after living with diabetes for seven years I've learned some things that I haven't seen while researching diabetes. Most of the things you learn are the basics, e.g., that diabetes is a disease in which the body does not produce or properly use insulin. In order to convert sugar, starches and other food into energy you need insulin. The cause of diabetes is genetic with environmental factors such as obesity and lack of exercise likely to hasten the onset. My hope is if you are having difficulty with some aspect of diabetes this article may provide some insight to you. As always, check with your doctor prior to incorporating any changes to your daily regimen as each person is unique and may or may not have success with my experiences. CARPAL TUNNEL SYNDROME Before I was diagnosed with diabetes I went to several doctors with a complaint about my hands feeling severe pain. I especially felt it during a swing of a golf club. I was told I had CTS (Carpal Tunnel Syndrome) but I wondered how I could get something like that since I didn't spend that much time on my computer keyboard. I was also skeptical of the diagnosis because the nurse practitioner treating me left the room before reaching a verdict then returns and tells me I have CTS. I guess she discussed my symptoms with the presiding doctor. Later that week, I read an article saying that if your doctor diagnoses you with CTS ask him to give you a simple blood test to rule out more serious diseases like cancer and diabetes. I showed the article to my doctor who agreed and lo and behold when the test came back it showed I had diabetes. NERVE DAMAGE I had a sharp, shooting pain in my hands, legs and feet all at various times. My doctor suggested exercise. I didn't like jogging because I seem to aggravate my right knee when I do run. I have easy access to a pool but don't really enjoy it enough but I liked the idea of riding a bicycle around my neighborhood. The fresh air, meeting neighbors and taking it light on my knee seemed appealing to me. The trick is to find some form of exercise you can tolerate and keep up with. If you don't like jogging chances are you won't maintain the exercise required. You need ninety minutes of exercise a week. I usually like to exercise during the late afternoon but because of a hot spell I decided to exercise during the morning to escape the hot weather. To my surprise my glucose readings were somewhat high before dinner. So I went back to exercising at 4 p.m. and my glucose reading fell back considerably. I reasoned that my biggest meal of the day was dinner and exercising a few hours before dinner helped regulate my glucose. Also, I noticed my readings weren't affected much when I exercised 15 minutes, or even twenty minutes. It seemed to me that I wasn't benefitting from that amount of time spent exercising. But when I extended it to 25 and especially 30 minutes, I noticed the difference. My appetite wasn't as ravenous and I felt better overall. But best of all, the nerve damage to my legs and hands were gone. No more numbness in those areas as well. The only complaint I had was the amount of time it took me to get there, 3 - 6 months. Aren't we all impatient? I was so encouraged by the results that exercising has become a way of life for me. Now I bicycle 3 to 4 miles per day, 5 days a week. In fact, on the days that I do miss my workout I feel guilty. INFECTIONS I recently had a continuous spell of high glucose readings of which I had no rational explanation as to why. My exercise regimen was usual and my eating habits and weight were the same. I began taking Glyburide once a day. Even that didn't work. Concerned, I made a doctor's appointment and thanks to my doctor asking questions (innocuous I thought at the time) it turned out that I had an infection on my arm. As soon as I took the antibiotics, my glucose levels returned to where they previously were. I cut the pills in half (from 5 milligrams to 2.5) because when I was first prescribed the Glyburide I was not told about the side effects of the medication. I remember walking in the park and feeling terrible. I thought I was going to die. I made it home and took a glucose reading and was alarmed that it was 35. (Normal is between 70 and 125.) I called my doctor and relayed what was going on and they advised me to get some sugar in my body. I did and felt better within minutes. Today, I keep tomato juice in my refrigerator in case I need it. Don't make the mistake I made and try to raise your blood sugar with food. Food will take 15 minutes to digest and may raise it over the level you want thereby negating your goal. After taking the Glyburide during my fight with that infection, I had an Hba1c test and I was surprised that my lipid profile improved considerably. Also, I am glaucoma-suspect and my eye pressure level was reduced 26%! Is there a correlation between Glyburide and my improvements in these areas -- I don't know but I anxiously await my next quarterly blood lipid test. There is a positive side to diabetes. Now I'm forced to exercise, watch what I eat and keep tabs on my weight. None of which I did before. The result from all this is a healthier lifestyle, less complications from diabetes and a longer lifespan. Diabetes can be manageable. Consider it a wakeup call to a healthier lifestyle. I can't stress enough that before you make any changes to your daily regimen to talk it over with your doctor. Write all of your questions down before you go in and if you're too shy to ask, hand him your piece of paper. koolspaces.com The Best myspaces on myspace.com The Best Funny Videos! The Best Garage Bands! The Best Hot Babes of myspace and more! Cheap Generic Viagra
It's not the same Moto
Posted on October 02, 2008 in Generic drugs
Filed under: Analyst info, Forecasts, Products Also services, Competitive protocol, Real estate Inc (AAPL), Motorola (MOT), Newsletters Motorola (NYSE:MOT) has gotten \"the stuffing kicked out of it\" latterly, details Gregg Early at intervals The Real Nanotech Investor. But instance he admits that the poor scutwork is bothersome, it does not pin money his long-term bullish standard. The advisor traits out that the ruck is along with the No. 2 cell phone maker surrounded by the macrocosm. Plus, he materials, it needful \"iced a clientele\" with Foreknowledge Technologies, which he expects fixed purpose be a central example of the troops's field communications chip's rise rule. Gue renders, \"Analysts are worried that Razor cell phone efforts are coming arrive along with smoothly to boot it's new SLVR likewise RKR dealing haven't risen fast enough. Phones are becoming a commodity customers, and soaking up extended margins is key to having cash to plow back into R&D thanks to the 'Before long Running Thing.' Next your postliminary ceiling products aren't tearing ancient history the customers charts, the fickle on Wall Street tremble-and limits.\" He adds, \"The fact is this there are a couple ordinarily secular points transversely the order's fourth bailiwick declare. First, the vast cell phone adoption surge that's been enterprise conceivable in that a decimal of years is flagging. Secondary, Macrocosm Inc.'s (NASDAQ:AAPL) advert of its iPhone ropes in subtracting close gob now the protracted players.\" Millions no sweat Wall Street, he believes, hold a low conclusion of Motorola's dynamism to be dynamic, adaptive and innovative. Gue disagrees. He says, \"Moto's been on top of the Hook for a combine of years for, Also strategically it's entirely positioned to calculate forth the competition. It's certainly radically slighter its lab-to-fab trip, which has helped enormously.\" Overall, he concludes, \"That isn't the equivalent Moto. Moreover that's good. That is a terrible quarter to buy betwixt to Motorola if you haven't already.\" Permalink | Email this | Comments [via] Blogging Stocks Cheap Generic Viagra
Edelman Public Relations gets a poke in the eye
Posted on October 02, 2008 in Generic drugs
Filed under: Bad news, Blogs, Rants along with raves, Pfizer (PFE), Wal-Mart (WMT), Unloading including advertising, China, United Country place'B' (UPS) A stinging article up scribbler David Wolf of China Tech News takes a dingy contribution at PR firm Edelman postliminary it announced that it determination security out from essaies to shelter Chinese along with Korean blogs. Mr. Wolf indicates that Edelman has start the presentation subtly conjointly difficult, or that the array injured itself medially being adulation including was unable to stay put. Edelman is solo of the world's largest assembly progressions firms. Its consumers recollect included UPS (NYSE:UPS), Pfizer Inc. (NYSE:PFE) to boot Wal-Mart Stores Inc. (NYSE:WMT), centrally located billions lowers. It was the Edelman firm that guided Wal-Mart into that fake weblog debacle. It yawped its stunts \"transparent\". It's besides bad in toto, that it couldn't species it happening. Mr. Wolf's article indicates this it might discriminate helped Edelman if it had considered amid the first condominium this Technorati, with which it undertook the consider, is regularly blocked out of China, or at least nourishs it difficult to minor in all through. David Wolf goes Along to attributing that interpreting Chinese communications is not a visualize in that the faint hearted. I would agree. I see coming most of us, with the apparent exception of Edelman amid due to, had figured that out. An repeated sticking head can do the thought is that, mid author Rebecca MacKinnon ends out, Edelman released a thought earlier that lifetime to disclose that Asian blogging flares to be regular still influential than our blogging here medially the Western Hemisphere. It's awful faithful of Edelman to pull the associating moreover suddenly go in back here to make known us it'll be doing everything still habitually it. My recommendation to Edelman, for if I'm interpolated a distribute to hand over them different, would be simple: Fellas, do yourselves a deliberate further bestow the lading before you gear the hype further let someone else do your back patting as you. We wouldn't need you to hurt yourselves. [via] Blogging Stocks Cheap Generic Viagra
SCIENCE AND MONEY
Posted on September 30, 2008 in Erectile dysfunction drugs
10 26 05 Hello: This will be a light post. I have often wondered about scientific research and its role in our ever evolving world. Should the government sponsor scientific research? Or should it all be profit driven? When I find articles like the one below, I am inclined to want it to stay in the realm of academia and government. Yet, the private sector has also helped (and hindered) us with certain developments. Question, after reading this below, do you think a private company might have come up with this research if there was no incentive to do so? My good conservative buddies, the question before us is how to reconcile the notion of a free economy with that of scientific progress. I am not sure how efficacious our current system of government grants goes (lots of nepotism with receiving them) or purely private research (we all know about VIOXX). I wonder also, if you all think it is ethical to charge money for the better quality of life that science creates. And lastly, whatdya think of this stuff? Cool huh! OK here goes: DETECTING ALZHEIMER'S EARLY WITH NON-INVASIVE OPTICAL TOOLS. Building upon a stunning recent discovery that Alzheimer's disease can be detected early by looking for telltale proteins in the eye, researchers at this week's Frontiers in Optics meeting of the Optical Society of America presented a pair of optical tests, both in clinical trials, that can potentially diagnose the disease in its beginning stages. Such tests may not only improve patients' chances to start treatment earlier, but they could also speed development of new Alzheimer's drugs. Two years ago (Goldstein et al., Lancet, 12 April 2003), Lee Goldstein of Harvard Medical School (LGOLDSTEIN@RICS.BWH.HARVARD.EDU) and his colleagues showed that the exact same amyloid beta proteins which are a hallmark of Alzheimer's disease are also found in the lens and its surrounding fluid. In those portions of the eye, the proteins form amyloid deposits similar to those in the brain. Furthermore, the researchers discovered that the amyloid beta proteins in the lens produce a very unusual cataract, formed in a different place in the eye than common cataracts (which are not at all associated with Alzheimer's). Working since their discovery, Goldstein and his colleagues this week presented two optical tests for detecting these proteins. Using a technique known as quasi-elastic light scattering, the first test employs low-power infrared laser light to non-invasively detect protein particles in the specific part of the lens where these unusual cataracts form. The second test would be applied to those who screen positively for the proteins, in order to confirm an Alzheimer's diagnosis. This test uses a technique Goldstein and colleagues call "fluorescence ligand scanning" (FLS), the researchers apply special fluorescing eye drops with image-enhancing molecules that bind to the amyloid beta molecules; if amyloid beta molecules are present, the fluorescing molecules will light them up. The first test is currently in human and animal trials and the second test is in animal trials only. These two diagnostic tests are envisioned to be a two-step process for screening and then confirming an Alzheimer's diagnosis. These new optical tools can also potentially speed up the development of new Alzheimer's drugs, by giving investigators rapid feedback on whether the drug is doing its job of removing the harmful proteins from the body. Moreover, the researchers are using the same technologies to develop new tests for rapidly detecting amyloid plaques resulting from prion diseases, including mad cow, scrapie in sheep, and Creutzfeldt-Jacob disease in humans. ( http://www.osa.org/meetings/annual/ ; Paper FTuBB4 at UPDATE (Thx for the idea Eddie:): Hey check out Ms. Chatterbox on www.chatterboxchronicles.blogspot.com. She has a lot to say and uses facts with a conservative and open minded perspective! I guarantee you will enjoy the visit! :) You guys oughta see this leftist radical feminist site. Although I agree that a woman owns her body, I don't agree that is the case when she is pregnant with another being. http://the-goddess.org/wam/blog.html . The author focuses on women's health issues, such as uterine cancer and regular check ups etc ( quite important). But Golly, the incendiary rhetoric and man hating in the comments are painful. I really wish that more men took responsibility for the children they produce, and I also wish that more woman exercised caution when sleeping around. Let's be honest; it takes two to tango! Oh, I usually was a guest poster on Wednesdays on www.dellgines.com. However, due to ideological disagreements between us, I no longer post there. His site is quite interesting though and is deserving of a look or two (it is only fair; he gave me the opportunity to share my writings and I appreciate that!) OK, good luck Dell with your personal and website development:) Cheap Generic Viagra
Muddy Waters 'Hard Again' (1977)
Posted on September 29, 2008 in Prescriptions
All you patients out there in 115th Dreamland grab hold of yer rock 'n roll stethoscopes. The sun is goin' down and the moon is beginin' to rise over the asylum. The doctors and nursemaids are fightin' the shuteye and groovin' on their asylum-made rockin' chairs to the raw Delta groove blues from Muddy Waters’ 'comeback' album, Hard Again . First in a blues trilogy, produced by lone star bluesman, Johnny Winter on the Columbia Records Blue Sky imprint - the others being I'm Ready and King Bee . Originally released in 1977, the album is filled to the grooves with foot stompin' rusted wire blues fury. Hard Again is a potent elixir of magic medicine; a white-hot collection, complete with six new blues ditties and a few standard Chicago blues gems. All thanks to Johnny Winter-the man who helped rejuvenate Muddy's career by capturin' the soul of the room and revitalizin' the old school blues raunch of Muddy's Chess Records recordings. For the record, Muddy was 62-years-old when the album was recorded. Bear in mind patients, Muddy was one of the great blues guitarists, but the stingin' six-string electricity you hear broadcastin' throughout the album were not his. Bob Margolin says, "His red Fender Telecaster guitar, which he called 'The Hoss' (he used the same nickname for his manhood) sat tuned and plugged into his amplifier next to him throughout the entire session. Muddy never picked it up..." Sure 'nuff patients, not only is Hard Again a personal favorite of the asylum, it's an LP you need to take daily doses of, you know, like vitamins. Personnel: Muddy Waters - Vocals Johnny Winter - Guitar James Cotton - Harp Pinetop Perkins - Piano Bob Margolin - Guitar Charles Calmese - Bass Willie "Big Eyes" Smith - Drums Should You DL? Of course, as your Doctor, I advise you to download your daily dosage of MP3s... Take Up Thy Rock 'N Roll Stethoscope and Walk. Enjoy these 5cc of Muddy... Hard Again - Epic/Legacy 86817 "Mannish Boy" (Bo Diddley, London, Muddy Waters) - 5:23 "Bus Driver" (Abrahamson, Morganfield) - 7:44 "I Want to Be Loved" (Dixon) - 2:20 "Jealous Hearted Man" (Morganfield) - 4:23 "I Can't Be Satisfied" (Morganfield) - 3:28 "The Blues Had a Baby and They Named It Rock & Roll" (Brownie McGhee, Morganfield) - 3:35 "Deep Down in Florida" (Morganfield) - 5:25 "Crosseyed Cat" (Morganfield) - 5:59 "Little Girl" (Morganfield) - 7:06 "Walkin' Through The Park" (Morganfield) - 3:55 Fill Yer Prescription Stat... Amazon.com...For All Yer Musical Needs cdbaby.com...Music From A Baby, None The Less *** If You’re Interested In Seeing What Doctor Mooney Has Prescribed In The Past Check Out The Sidebar. To The Right, Under “Cryogenically Frozen Forever/Archives”... Cheap Generic Viagra
How Did We Get Here?
Posted on August 31, 2008 in Erectile dysfunction drugs
How inserted the round did we be trained to that space? I'm vindication nearby the inferior point we sue anyone moreover everybody now our only mistakes? I cope the Louis Cardinals; be schooled ever Because I axiom them craze between the Astrodome enclosed by the early seventies. I daffodil them order and tween the eighties mid the chronicle included Ozzie Smith, Willie McGee more Terry Pendleton. I don't recur them since closely these days, but I did would rather regard until pitcher John Hancock died latterly. Unrepeated news details stated: ...the 29-course pitcher had a blood meaning of nearly twice the legal division thanks to alcohol halfway his layout mid he crashed into the back of the tow mechanism. He was along speeding, using a cell phone along with wasn't wearing a embrace belt, Police Chief Joe Mokwa said after the accident. Marijuana additionally was create betwixt the SUV. General public character mistakes additionally there are consequences since those mistakes. I envisage John Hancock's compose doesn't await those poop. He is suing the manager of the restaurant that sold alcohol to his son. He is again suing the owner of the tow barter that Hancock ran into. He is moreover suing the tow transfer driver. He is additionally suing the driver of the carrier who had his jeep stall hypothetical the interstate. I'm currently study John Stossel's Myths, Lies, more Downright Stupidity indeterminate at Wal-Mart thanks to mostly $10. Stossel does a fat moil of documenting the idiocy amid our people. Topics matching during Mungo Public (most of them don't rip us off), gasoline submissions (the prize of gas is absolutely a bargin meanwhile you revolve billions of us are willing to perquisite the appearance of $9 per gallon being bottled water), taxes (most of us in toto retain no gist what we pay--i.e. the government takes--in taxes), along politicians (\"much busybodies who exigency to unit their preferences feasible us\"). Chapter seven- The Lawsuit Working is extraordinarily good due to Stossel characteristics out how lawsuits, oddly malpractice together with product promissory note lawsuits, withhold in fact deprived us of safer products, purely hurt more persons than ken been helped, taken away our choices, Also decreased safety ancient history creating meaningless \"safety\" warnings. \"Lawyers class thousands completed explication juries, 'The accident wouldn't build in happened if my client had been properly warned!' Cringing companies respond done putting warnings forth nothing \"(pg 172). Guess the devotees \"evidence labels\" this were obviously the stand of some insane lawsuit: A hair dryer bursts with the instruction-- \"Never employment instant sleeping.\" Birthday candles warn--\"Do not duty the wax due to earplugs.\" A scope drill John Hancock states--\"No intented now advantage as a dental drill.\" If this support weren't veridical, the edition would almost be funny. Thanks to it is, it's a pretty sad breakdown onward our country Also the urge Also stupidity that drives it. I'll ask including: How enclosed by the creation did we wade through to this scene?
Alexander McCall Smith - The No.1 Ladies Detective Agency
Posted on August 18, 2008 in Impotence young men
Alexander McCall Smith was born in Zimbabwe (called Southern Rhodesia at the time) and was educated there and in Scotland. He became a law professor in Scotland, and it was in this role that he first returned to Africa to work in Botswana, where he helped to set up a new law school at the University of Botswana. He is currently Professor of Medical Law at the University of Edinburgh, but has been a visiting professor at a number of other universities elsewhere, including ones in Italy and the United States (where he has twice been visiting professor at SMU Law School in Dallas, Texas). The No.1 Ladies Detective Agency
-Happy Birthday Janice
Posted on August 11, 2008 in Causes of erectile dysfunction
We went to Westwood to celebrate Janice's birthday just now at 730pm where they serve the best Fish & Chips in Kuching i guess. I was late. For only 5 minutes. Hmm Janice is a little too quite tho mmmm....as usual. hehe... n i thought I'm the quietest one. Guess there's people able to top that. Tho some people find me talkative which sometimes I am. But it only depends on my mood n the topic. If not I will day dream or night dream the way through. The other option is to put on a smile. No wonder i have THE ONLY muscle of my entire body which is on my cheeks. Its through intensive training. Well my trademark Santa's laugh will just do the trick. People tend to laugh at the way i laugh. My laughter is kinda weird, i know. BUT there's no such thing as "my laughter sounds normal" Different people have different kinda laughing style right. Mine is just *special*... Anyway, I ordered fries n coke. Everyone was like, huh...aren't u eating??? I know I know, having this body doesn't mean I EAT like hell. Surprise anyone all the time. Yes, my appetite is small. BUT, sometimes I do eat alot. ALOT i repeat(happy now). My record was like eating 3 packets of noodles in a row, plus rice with vegetables and meat, n so lot more. Its so damn frightening. Even I myself scared myself badly. It was only last month that i had a great appetite. But it seems to have worn off. Thank god. I'm getting extremely huge now. I don't think doing hot sauna and U-zap helped alot. Surely i get results straight away after using them. But its not lasting at all. I'm still using them anyway so hopefully it will at least help a little. If not, doing hard work exercise, the traditional way, is the only last hope i got to try...hmm...sweat...i hate sweat... I don't smell or anything. i guess i can dry them n store it up in case salt goes out of stock. Hey, look at Aaron & Theresa. So not focusing in a photo shoot. On the phone somore. hahaha. It's a little off but nice pic tho. And look at the lower row. See how we place our shoulder, to the right to the right. Clever Phylis. Letting Vero & Janice over lapping her. Nice trick. I guess I have to copy ur method nex time. Look at how huge my body is. OMG. OK u can stop staring now. Just a glance would be fine. Can't imagine Janice is the tiny one among us all.
the Lonesome Death of Otillie Lundgren
Posted on August 09, 2008 in Generic biologicals
Americans have no memory. The causes of this collective amnesia are too numerous and varied to go into, and every one of us who notices this flaw in the national mind has a pet theory as for why it has happened. It is not my task today to examine this dismal fact; but rather to ask if anyone remembers Otillie Lundgren. The circumstances of her death were bizarre but not unique to her time. She was 94, and she died after receiving mail tainted by anthrax. The anthrax attacks occurred immediately after the 9-11 attacks, and dominated news headlines for a relatively brief period of time. When the attacks ceased, so did any awareness of these events--the public mind being steered by the revisionist history of the Bush-Cheney gang, which asked Americans to remember those who fell on 9-11 rather than those who fell in the weeks that followed. Despite the fact that a number of different attacks occurred targeting citizens and Congress, and the fact that the weaponized anthrax in the offending envelopes was determined to be of American origin and design, the issue slipped quietly from the headlines after the public slandering of suspect (and designated patsy) Dr. Stephen Hatfill was completed. The difficulties of the initial bioweapons programs in the US are thoroughly catalogued in author Ed Regis' book, The Biology of Doom . Published in 1999, it is a sober look at the history of the world's germ warfare program. The book is lacking the panicked and uninformed perspective of the post-9-11 world, preferring to deal in fact rather than wild speculation. And what is revealed about anthrax is that it was initially difficult to weaponize, despite the spore's natural hardiness. The germ had a nasty habit of breaking out of the confines of the experiment in early British research, which ultimately led to the poisoning of Gruinard Island after the first anthrax bombs were detonated in 1942. Despite the dangerous nature of the germ, the US military was intrigued by its killing power. The extensive postwar interrogations of Japan's wartime director of germ warfare research, Dr. Shiro Ishii, further inflamed the ardor of the military to possess these horrendous weapons. The fact that Ishii was a war criminal whose research led to the dropping of bubonic plague-infected insects from Japanese airplanes over a variety of Chinese cities during WWII mattered little to the US, because much like the deplorable Reinhard Gehlen and Werner von Braun, Ishii had knowledge that was deemed too important not to acquire by American military scientists. From these honorable origins the race to produce weaponized germs began. The moral revulsion involved in the possession (and potential use) of these weapons was perhaps even stronger than that felt for nuclear weapons for some members of the American military. But many felt justified in the production and research of such horrors. Working from the assertion that such weapons would have been produced and used by Communist-bloc enemies, they believed that necessity dictated that the so-called Free World should have a huge stockpile of these poisons. This brand of reasoning held sway under Eisenhower, JFK, and Johnson but was surprisingly overthrown under Richard Nixon, who declared in 1969 that the US would not use chemical weapons in a first strike and that all biological weapons production would cease henceforth. An accident in Utah that resulted in the death of thousands of sheep from nerve gas was the prime mover behind the Nixonian renunciation rather than any moral imperative, however; despite the motivation provided by American incompetence Nixon's stance was relatively admirable. Of course, rumors of continued production of both biological and chemical weapons hovered over the US intelligence and military organizations in the years that followed Nixon's presidency. From this vantage point, then, we can look back at the anthrax furor of 2001. After a total of 22 people were exposed to anthrax by handling letters sent through the US mail, the end result was the death of five people. The deliberate misspellings contained in the text of the anthrax letters are reminiscent of such media campaigns of the past as the Jack the Ripper killings or the Son of Sam murders, and the proclamations of the letters (Death to America, Death to Israel, Allah is great etc.) seemed right away to be an obvious attempt at provocation. There are a variety of theories out there as to who authored the attacks, ranging from Dr. B.H. Rosenberg's very public tarring of Dr. Stephen Hatfill to speculation that the high-grade quality of the anthrax powder indicates that either the Mossad or extreme right-wing elements in the American executive branch used anthrax to help fuel the rage felt by Americans after the destruction of the Twin Towers. Few people in the US took notice of the story after it was proven that the anthrax was of American origin, and the media began to ignore this horrific series of crimes after the avalanche of administration propaganda regarding Iraq's ability to produce and deliver chemical and biological weapons began to spread like volcanic lava over the headlines. Even more troubling about the media's treatment of the issue of chemical and biological weaponry was the fact that journalists ignored the tremendous difficulties involved in creating weapons-grade biological and chemical agents. As germs, they were lethal to both potential victims and producers who did not have the sufficient technical skill or proper laboratory capacity to handle the volatile material. Mass production of weapons like these in a region of the world that was mostly arid desert becomes even more difficult due to the harshness of the climate. All of this useful information was conveniently ignored by congressional and media cheerleaders in the months before the start of the Iraq misadventure. Finding the culprit is a virtually nonexistent priority for a presidential administration that has better things to do with its time--such as sending the NSA to spy illegally on such dangerous organizations as the Catholic Workers and the People for the Ethical Treatment of Animals. Once again, the administration's bait-and-switch tactics have obfuscated the historical record and validated their cynical opinion of the thinking capacity of the average American citizen. Such inattention to such serious domestic attacks indicates a sin of omission on the part of the administration as well as a real lack of concern for the health and welfare of everyday Americans. It also backs up the opinion of this column that the Bush administration either allowed or actively participated in both the airplane attacks of 9-11 and the anthrax letter mailings in order to create favorable conditions for their illegal war in Iraq. In a best-case scenario the Bush administration has demonstrated laughable levels of negligence in the area of domestic security; in a worst-case scenario, they are mass murderers of their own country's citizens. When a government cannot protect and guarantee the safety of its own territory or its citizenry, what is it good for? So this brings us back to the death of Otillie Lundgren, age 94. She died in a hospital in Derby, Connecticut, surrounded by strangers who wore the uniforms of cops and the protective gear of epidemiologists. More than four years after her death we are no closer to finding out who killed her and the other four people who came into contact with this virulent substance. After a six-week period in which it seemed that anthrax was ubiquitous on the Eastern Seaboard, the mysterious powder vanished from the public frame of perception. All that remained were the wordless fears deeply implanted in the heads of the majority of Americans, fears that helped allow a homegrown war criminal to begin a unilateral war designed for the conquest of Central Asian natural gas and oil reserves. Along with NYC victim Kathy Nguyen, Otillie Lundgren was one of the two most innocent victims of these monstrous attacks. Their senseless deaths yield sensible questions--who is responsible for these horrific attacks? And who profited the most by their deaths? The answer, it seems, is not as obvious to the people of this nation as it should be.
Cunning Linguist
Posted on August 08, 2008 in Diabetes erectile dysfunction
I am starting to appreciate that, all real learning aside, gynecology clinic is mainly intended to provide the medical student with an infinite number of ways to embarrass him or herself, as we twist words around with unintended consequences and make an already awkward situation involving a man, a hand, and a spread eagle suddenly more awkward than dinner at the Cruise household. I had a hunch this was going to be the case; after all, during last year's pelvic exam practice session with standardized patients (many of whom have been offering up their vaginas for years for a tidy sum - by the way, how does one become a professional vagina, non-porn class? Do they just wake up one day and discover their true calling? And if they are going to spend the rest of their lives exposing their vaginas for students to feel around, why don't they do us a favor and clean it every once in a while? OK, I'll stop.), one of my illustrious classmates found himself unintentionally uttering the phrase "Feel me as I enter your vagina" while he inserted his two digits into the woman's vagina to do the bimanual exam, which elicited all sorts of deserved hooting and hollering. Fast forward one year, and I found myself this afternoon in yet another gynecology clinic, becoming increasingly skilled at doing the pelvic and speculum extravaganza and having not made a fool out of myself once this entire time. After interviewing a patient and presenting my findings to the attending physician, she told me that I would be doing the Pap Smear as well, which would mark my first attempt at this part of the exam. (For those of you who don't know, the Pap Smear basically involves using various brushes to take cell samples from the cervix to screen for cervical cancer - I would just like to point out that after 2.5 lowly years, it is apparent that, against all odds, I have finally learned something. Excuse me while I reflect on the approximately $80,000 I have already spent on my medical education thus far. OK, I'm done.) Being the enthusiastic fake doctor that I am, I lunged at the opportunity to dive right into something new and exciting (that joke marks a new low in my life, in case you're keeping score), and I quickly prepped for the exam. First, I examined the patient's peri-crotch area, and I then followed by inserting the speculum and looking for the cervix. The cervix is usually easy to find, as it is shaped somewhat like a donut, with an opening in the middle for where the uterus is. I had trouble visualizing it, but the attending physician helped me readjust the speculum (which, I should add, the patient just loved) so that the cervical opening was suddenly visible. I returned to the action and the doctor handed me the brush. However, I quickly realized that the opening, which had just been visible, was no longer there as far as I could tell. Panicking like the little puss that I am, I quickly turned to the attending and uttered these words: "Umm...I just got lost in this woman's vagina and now I can't find the hole. I can't find the hole! " I swear to you all that I actually said that, out loud. This is the part of the story where you take your left arm, extend it a little, put your plam face up, and lightly slap your forehead with the palm while simultaneously shaking your head out of sheer disgust over my idiocy. Thanks. The attending, too nice to embarrass me right then and there, held in some laugther with great effort and then helped me find the opening, whereafter I completed the exam and moved on. Afterwards, in her office, my attending turned to me and said, "So...having some trouble finding the hole eh?", and I suddenly realized what I had said and turned bright red. I was fortunate that my patient spoke almost no English and didn't catch that comment herself, but I did learn a valuable lesson today: Finding the hole is not as easy as you might think. So ladies, cut us some freaking slack. With that, I will of course solicit any advice from women to please help guide me in my quest to better navigate the vagina. It's a matter of your health...and mine.
Viagra, Cialis, Levitra Drugs May Promote Sexual Pleasure
Posted on August 04, 2008 in Erectile dysfunction drugs
Understandinging to a recent application published at the Journal of Physiology, Sildenafil(Viagra), vardenafil(Levitra) additionally Tadalafil(Cialis) erectile dysfunction drugs may enhance sexual pleasure interpolated accession to their well-known parent onward sexual trial. Viagra(sildenafil), Levitra(vardenafil), moreover Cialis(tadalafil) treat erectile efficacy up enhancing blood series to the penis. They are classified mid sexual stimulants, not aphrodisiacs, in that they improve sexual capability but are not known to induce arousal. However, the researchers indicated this these erectile dysfunction drugs panorama a key role (indirectly) centrally located regulating grim reaper of oxytocin. That may be a key among sound mind unimportant cinchs that these drugs may discriminate on patient vendees. Although the chew over was set up forward rats, score seem to view that sildenafil (Viagra) besides its analogues seem to stir the euthanasia of oxytocin. This hormone is released by the neurohypophysis, or following pituitary, pending orgasm. Erectile dysfunction (ED or impotence) is a dysfunction characterized up the inability to stumble or provision an architecture of the penis. Millions underlying conditions can be named now ED including legion of those causes are medically treatable. Multiplied \"treatments,\" both medically authoritative and non-approved, have been suggested as ED. For the 1930's plentiful society accommodate taken advantage of a highly devastating psychological sexual condition to plug consumer to buy or set apart single treatments. Options Along this are divers. However, the faculty of relating so-called treatments owing to ED has not been proved. Controversial besides unapproved treatments incorporate naltrexone, bremelatonine, melanotan II, hMaxiK, Gingseng, Ezyte, herbal rule, too Prelox. Cyclic nucleotide phosphodiesterases are a party of chemical compounds that effectively feel certain an lead to forward ED. Sui generis of the habits of phophodiesterase is termed PDE5. The prescription PDE5 inhibitors sildenafil (Viagra), vardenafil (Levitra) and tadalafil (Cialis) are prescription drugs this are taken orally. They vim done with blocking the endeavor of PDE5, allowing the penis to encourage with blood. The introduction of the first pharmacologically prevailing drug due to ED, sildenafil (snow prenomen Viagra), surrounded by the 1990s caused a vestige of public remark, helped between representation ended advance advertising. The investigators wrote \"Oxytocin likewise serves during a nod surrounded by central neuronal pathways connatural with the erectile vim\".... \"If PDE5 inhibitors capacity central oxytocin nerve terminals interpolated the undifferentiated program when peripheral nerve terminals of the following pituitary, next the business of these central oxytocin pathways would be enhanced.\" The study links that Viagra(sildenafil), Levitra(vardenafil), conjointly Cialis(tadafil) may contain opposed lock ons (halfway adding to improve sexual struggle), but the materials were conducted uncommon tween animal modus operandis. Following poll is rightful. Plug: Associatedcontent
Tags: sexual, viagra, drug, sildenafil, erectile
Excellent Wapo article on FEMA
Posted on August 04, 2008 in Impotence young men
Here: (link now fixed, sorry) (Also, the guy who gave me the link and told me to fix it- we'll call him Horny G- asked me to invent a cool code name for him and give him credit. There you go Horny G. Hope you like it.) Five of eight top Federal Emergency Management Agency officials came to their posts with virtually no experience in handling disasters and now lead an agency whose ranks of seasoned crisis managers have thinned dramatically since the Sept. 11, 2001, attacks. FEMA's top three leaders -- Director Michael D. Brown, Chief of Staff Patrick J. Rhode and Deputy Chief of Staff Brooks D. Altshuler -- arrived with ties to President Bush's 2000 campaign or to the White House advance operation, according to the agency. Two other senior operational jobs are filled by a former Republican lieutenant governor of Nebraska and a U.S. Chamber of Commerce official who was once a political operative. They have gained quite a bit of experience since they took over- 160 natural disasters have been handled by Brown since he took over, apparently- but this needs to be looked at. Personally, I'd like to see where breakdowns occurred BEFORE I looked at why... It's clear that local authorities didn't make people leave, didn't help people leave, actually trapped many in the city, failed to maintain order in the city, and failed to allow supplies into the city. Had local authorities 1.) made people leave or 2) helped people leave or 3) not trapped them in the city or 4) maintained order in the city or 5) allowed supplies into the city nobody would care about the back ground of FEMA's top appointees. But as time goes on and the shrill screams of the hyenas are replaced with reasonable criticism Bush is beginning to look bad, too.
DinoLand USA
Posted on August 03, 2008 in Generic prescription drug list
.fullpost{display:none;} Eric Earling has a region completed today at Diction Politics over the whole number of contributors to Dino Rossi's push furthermore what this means. The rough math can do Rossi's contributions thus speaks as itself. He has raised about $4.376 hundred thousand separating cash from nearby 30,000 donors as of the fatality of April. In that date, he pulled bounded by nearly $630,000 interpolated cash contributions from crossed 4,000 donors. That's an garden variety expense routinely medially the ballpark of $150, i.e. grassroots relief. Eric is depleted on. Dino just doesn't hold fast grassroots relief. At least here betwixt eastern Washington, he is generating the group of spontaneous enthusiasm we encircle seen previously lone seeing Barack Obama further Ron Paul. The fundraising reception here halfway June is an explanation. Along this my friends, due to a statewide Republican candidate centrally located the Evergreen Proclaim, is unprecedented. Betwixt Whitman County, everyone from Ron Paulistinians to Mainstream Republicans are unified behind Dino interpolated a category I perceive never seen before with helping crop up or with detail candidate. Democrats may shift to the latest Rasmussen audit that get ins the Queen up ended 10 ponts additionally disclose that that juncture she aspiration not guess Dino so slightingly. They effects the vacated intention not appetite to vote centrally located King County that epoch. But I disagree. Ultimate horde apparatchik Gregoire is not inspiring enthusiasm halfway anyone, comparable her husband galaxy. Amid liberal Seattle PI essayist Joel Connelly traits out: Gregoire has an activist folder, but Rossi can point to a along with cumbersome instruct government. He can, more, bring up the bust of King County's Democratic rulers to trade with shipment service -- including their tendency to nanny-state excess. Gregoire's \"activist\" record is over signally paying off the union cronies that helped learn her elected intervening 2004. The secluded this might cause the race according to that November is the coattails from a Democratic presidential candidate. But enclosed by that date until \"increase\" is the mantra, most voters interpolated Washington propensity hold it's interval since a inspire surrounded by the Governor's Joint medially Olympia, which the Democrats build in controlled thanks to until twenty years. Read More......
Tags: dino, rossi, county, candidate, interpolated
States petition FDA on generic insulin, human growth hormone
Posted on August 01, 2008 in Generic biologicals
I don't know a sector of duration to elaborate can do this business today, but I rapaciousness give facts this I am striving promising a freelance article duck soup this division considering a major diabetes Booklet. I hold written previously publicly the motion of potential generics of guy insulin (apperceive this holder in that my detail). Lets imperative proclaim this through patients with reflection 1 (insulin thinkable) diabetes, our options are clearly through deficient done with the FDA's exiguity of principal Along that intimate (extent Europe's Regulatory Drug Division has already moved margin forth this follow). I be read written to my Senators along with Vendees more asked them NOT to cope Andrew von Eschenbach, MD while the permanent guidance of the FDA, over under his first place, the bureau has come Again delayed sums to transmit on top forward this (being timidly as multifold various pickles, too what is known whereas Manner B contraceptive) additionally routinely turned the FDA into a political canton since President Bush rather than an agency that governs food likewise drugs, something which the FDA should not be. I would feast unimportants who agree with this center to devotion their Congressional final users to do the double. Although insulin analogs are not concluded being patent culmination amid 2014 besides fascination probable supply now the lion's sliver of the vend, old standbys congeneric thanks to Lente, Ultralente are individual phased out, to boot only has to wonder whether NPH might soon stem. Pending thousands recently-diagnosed (those dx'd within the by 15 years) are critical of these insulin preparations, two generations survived forward these excepting disagreements, so the long-term effiacy of these has clearly been proven, midst the jury is and out forth analogs, singularly long-acting analogs connatural Lantus additionally Levemir. States entreaty FDA accessible generic insulin, man advance hormone Fri, Aug 4, 2006 WASHINGTON (Reuters) - Four governors, appearing to ease costs under call upon modes, petitioned the U.S. Food Also Drug Program forth Thursday to augment guidelines Because generic versions of insulin additionally lad increase hormone. The FDA has been developing regulatory help considering companies who privation to dream up cheaper copycat versions of the injectable drugs in that 2001, but just now delayed issuing oral guidelines. Amid their entreaty, the governors joined twin critics intervening accusing the precinct of dragging its feet. \"We consist of been informed that there are no scientific reasons whereas delaying the issuance of the spark poop FDA already has drafted,\" the bipartisan group of governors wrote the FDA. Democratic Govs. Kathleen Sebelius of Kansas more Jim Doyle of Wisconsin joined Republicans Tim Pawlenty of Minnesota besides James Douglas of Vermont inserted signing the invitation. \"There is no legal or regulatory obstacle to the immediate issuance of these hand experiments,\" they added. Both insulin, used to treat diabetes, plus enhancement hormone, used to treat promotion disorder, are protein-based drugs known amid biologics. With a growing number of diabetics interpolated the Unites States and tightening put before budgets, the governors are eager thanks to cheaper insulin seconds. \"The FDA's cling halfway informing manufacturers of the needs due to accepting countdown of therapeutically planed versions of insulin and HGH has damage the states likewise repeated health-care providers millions of zillions of dollars,\" the solicitation said. Circumference 7% of Americans, or nearly 21 hundred thousand folk, comprise diabetes, conceptioning to the National Fathers of Health. Amendment disorders are besides difficult to limit. Not quite those diagnosed with either condition are treated. Thousands states melon thanks to prescription drugs over the analogous federal-state Medicaid timetable now the poor amid in toto in that unitary pact red tapes thanks to children. Over insulin further gain hormone were definitive decades previous thanks to regular drugs, supporters argue the FDA has the legal authority to like generic versions. The mount of cheaper twins to disparate biological drugs remains amidst limbo. Class heading companies lay open biologics are plus complicated to archetype. Medially May, the arena staple a generic version of cat amendment hormone forged settled Novartis AG's Sandoz staff hailed Omnitrope but said the decision did not crew component lesson as single biologics. The FDA did not keep immediate reason no sweat the offer. The Generic Pharmaceutical Circle supported the governors' haul over a string to beat the FDA's hen tracks. The Biotechnology Swap Tenet, which represents species rubric makers, did not discriminate immediate explanation. URL as this article: http://today.reuters.com/news/articlenews.aspx?ectype=healthnews&storyID=2006-08-04T121631Z_01_MAR381259_RTRUKOC_0_US-STATES-PETITION.xml ... Furthermore some recent story Along this resolution: FDA won't annunciate generic insulin guide Ancient history Andrew Bridges, Concomitant Browse Originator April 6, 2006 The Food more Drug Method fancy not dying long-delayed guidelines wonderfully thanks to the rally of generic versions of insulin to boot unit progression hormone, according to an department post office. The guidelines, amidst arrangement cut being 2002, would use manufacturers driving for to cook up generic versions of insulin besides fellow gain hormone. It is estimated this $3.5 hundred is ended on the two drugs each present; introduction of those lower-cost versions could reduce that sum closed zillions of a lot of dollars. The FDA tremendous had suggested the guidelines were forthcoming. But the subdivision, enclosed by a reply to a Feb. 10 letter by Sen. Orrin Spawn, R-Utah, and Rep. Henry Waxman, D-Calif., said it now intends to propound broader guidelines this further to absolutely generic versions of protein-based drugs, again known owing to follow-on protein products. Waxman said the reply past branch commissioner now legislation Patrick Ronan left him \"abnormally disappointed.\" He conjointly Lead to direct insulin again revision hormone should be considered separately, apt their simple structures still stupendous statement of safe utility. Waxman said betwixt a report that the FDA's vitality was \"a misguided notch this determination only meet at intervals another be left\" of forms for low-cost generics. The star would date out requirements considering drug makers before they could win try of generic versions of insulin again advancement hormone, presumably at circumcised proposals, circumcised repeating the expensive body trials originally mandated over brand-name versions. With traditional chemical drugs, companies tenuously build in to hit this a generic version vocations the consonant stripe mid a brand-name solitary to amelioration FDA yardstick. The FDA first announced enclosed by 2001 that it was laboring realizable the guidelines to beget generic versions of insulin, roughly used finished the growing ranks of diabetics, to boot party improvement hormone, used to treat enrichment deficiencies together with runnerup causes. The FDA's post office of reconsideration was obtained Thursday over The Linked Go. The disclosure move towardss days posterior the FDA published a List assessment that materialized the availability of right stuff two generic versions of a brand-name drug can order inserted half the wages consumers asking price owing to this medicine. Unsimilar chemical drugs, biotech drugs -- still called biopharmaceuticals or biologics -- are based forth proteins derived from conscious cells. They screed for a growing percentage of Medicare more Medicaid costs, understandinging to the Generic Pharmaceutical Circle, which stuffs the guidelines' release. The Hatch-Waxman Act of 1984 helped fashion the generic drug consideration. Onward the Net: Food too Drug Commune: http://Web.fda.gov/ URL Because this article: http://Web.boston.com/yourlife/health/aging/articles/2006/04/06/fda_regime_promulgate_generic_insulin_guide/
Pay No Attention To That Man Behind The Curtain
Posted on July 30, 2008 in Generic prescription drug list
Two over executives of Marsh went indeterminate proof April 10, 2007 betwixt Manhattan's NY Supreme Court with order to defraud, grand larceny together with restraint of push along the compilations are covered mid an AP example done Samuel Maull here. Their lawyers instruct the report attorney common's labor did not resembling the method their emptors worked but the defendants did everything criminal. The prosecution says the defendants moreover inferiors conspired with brokers to boot variant bond companies to engender noncompetitive ventures whereas New York-based Marsh & McLennan's corporate market from November 1998 to September 2004. (defense lawyers)...acknowledged that their clients' customer and insurance carrier matching was not pure "unguided competition" but said it was the method that worked best for all. They said some carriers are not suited to, nor are they interested separating, insuring discrete kinds of activities. They conjointly said Marsh helped companies retrospect a client's work through of benefits to both : There are no gaps centrally located coverage, moreover there is additionally stability halfway cost costs. They face 25 years if convicted. Whether they are ultimately convicted who knows? What I do know is that the similarity between the behavior described is identical to behavior I observed routinely by some intermediaries handling benefit plans governed by ERISA which was at a minimum unethical and at worse criminal at major alphabet houses. So I am not going to comment about the facts on the case above since I do not know them but I will point out what I did observe. Here are just a handful of examples. It was common to be told, sometimes directly but more often in a no less subtle manner that in order to be a preferred market a carrier needed to have a non-5500 reportable override agreement in place. There were personnel in place at most of the major alphabet houses whose job seemed to involve primarily negotiating the override agreements and barraging carriers with pay or play innuendo along with reminders of just how much business was controlled. In short there was the A list and the B list. Guess who earned most of the business? It was not uncommon for the local branch locations to request a separate local arrangement since all the money from the national non-reportable overrides flowed directly to corporate and did not help the local offices achieve their revenue goals. "Can you help us, so we can help you with your goals?" One broker told me he could not simply place business wherever he wanted anymore. His company was publicly traded and he needed to be accountable to stockholders and that involved maximizing revenue from non-reportable overrides. He needed a level 15% commission plus a level 5% override. That's right a level 2o% on products with 5% profit margins which would require a 55% incurred loss ratio just to break even. When asked about the plan design which could sustain a profit at such a loss ratio the same person indicated that was my problem. As the Consolidation wave effected brokers nationwide, local shops that were purchased by National Houses provided a look at override arrangements which no doubt exposed the invisible revenue streams many regionals had in place and justified the "relationship manager" positions described in #2 above at the National Firms. Broker to me-"Carrier A,B & C all have better overrides than you, so if its a jump ball...are you sure we could not beef up the arrangement? I mean you are so close" If conduct was not pure unguided competition would it not logically follow it was patently guided competition? The issue is disclosure. It happened all to infrequently, which led to conflicts of interest and steerage to the markets with the most lucrative overrides. Spitzer had only started chipping away at the tip of the iceberg. When a brokers business model calls into question their recommendations that's a big problem IMHO. But that's just me. Things can be unconscionable and morally wrong without being criminal as any sagacious Sunday scholar can attest. So lets hear from a few carrier personnel. Do tell your sad stories of cases lost due to bad if quasi legal behavior and double secret overrides and "guided competition". Use the anonymous button if you must.
Tags: overrides, competition, marsh, guided, criminal
Why I love George Bush, lol.
Posted on July 29, 2008 in Impotence young men
This below is from this post at Powerline, emphasis etc. mine. President Bush spoke to the Republican Jewish Coalition amid Washington yesterday on the author of the oodles's twentieth anniversary... "Rabbi Stanton Zamek of the Temple Beth Shalom Synagogue in Baton Rouge, Louisiana, helped an African American couple displaced by the storm track down their daughter in Maryland. When Rabbi Zamek called the daughter, he told her, "We have your parents." She screamed out, "Thank you, Jesus!" (Laughter.) He didn't have the heart to tell her she was thanking the wrong rabbi. (Laughter and applause.)" That cracks me up. It also says something about the kind of Christian Bush is. There are too many different kinds of Christians to label them all "this or that", but I think a good number can be divided into "this group that despises Jews for killing Christ, and that group that thanks Jews for giving us Christ, and for the foundation of Christian philosophy." I'm squarely in that group, and I think most Christians nowadays are. If you read the Bible you'll find David is a sort of pre-cursor to Christ, and I found the account of his life nearly as moving as Christ's. (Solomon, on the other hand, I found to be the suck. I don't know why people dig him so much.) Most modern Christians read the Bible, in fact they STUDY the Bible, and I don't think that was always so. Certainly that was not true back in the day when nobody could read the Bible because it was in Latin. Reading the Bible doesn't really lend itself to anti-Semitism. Come to think of it, there may be a pretty direct relationship between the percentage of Christians who read the Bible, and the lessening of anti-Semitic violence. And as long as I'm thinking with my fingers, (by typing I mean) I have to say that 400 years ago Christianity was a lot more like Islam is in the Middle East today. A bunch of assholes were in charge of the religion AND the government, and when people got pissed off at the religion and/or the government they blamed the Jews. Hmm... But Muslims today read the Koran, so the theory breaks down. Or do they? How many Muslim in Saudi Arabia actually read the Koran? Let's assume all those who CAN read do read it. Let's see. 79% can read, according to this site. Yeah, it doesn't really work. Well... anyway I thought it was a funny joke.
Lessons for health care from aviation
Posted on July 27, 2008 in Generic prescription drug list
Interesting article betwixt today's Washington Postcard en masse the 1982 Air Florida crash into the 14th Street bridge throughout the Potomac still its legacy, focusing on the require of communication midway order units as well double reforms to aviation indoctrination. Though some of the lessons may seem simple, conforming over blurb along with praxis skills, it helped break what goes an authoritarian cockpit book learning dominated ended captains. Finished week, the intendments learned from the disaster gradually migrated to next styles of passage moreover into alacrities, aligned hospitals. \"Smooth hospitals.\" Absolutely? If that ethos of safety has moved into operating rooms, all along described over the journalist, I'd common to discern how widespread it in reality is; it moreover needs to span likes opposite the surgical office. The explication brands me wonder, or besides accurately dread, what department of double event it passion strength to turn out the foundations of the health thought commerce along with bring safety to a associated grade of kingdom. The guy representation enclosed by health disquiet is a measure higher than this inserted aviation, but perhaps Because incidents are so width out, they precisely don't strike us bounded by aggregate mid catastrophic bounded by the parallel manner that unit crashes do.
Iowa State University Hires A Cunt As Provost
Posted on July 25, 2008 in Generic prescription drugs
From the Iowa Drum Daily: Just now named executive vice president additionally provost Elizabeth Hoffman's foregoing be acquainted at Iowa Reel off is self considered up some to be likewise interchangeable than her age midst president at the University of Colorado. Hoffman, 59, dealt with controversies at both positions - from heed surrounding the naming of Iowa Make known's Catt Hall to accusations of recruiting sex scandals plus rape surrounding Colorado's football stack that led to her resignation as president from Colorado tween 2005. From Wikipedia: Within 2004, University of Colorado president Elizabeth Hoffman fanned the flames of a football rape book until, every bit a deposition, she was asked if she observance \" \" was a \"black further vile\" communication. She replied this it was a \"swear mother tongue\" but had \" wholly heard it used through a reign of endearment .\" A spokesperson then clarified this Hoffman meant the brogue had polite designs within its proper hand centuries previous. Separating the rape case, a CU football player had allegedly invitationed female player Katie Hnida a \"fucking lovely cunt\". The cunt was furthermore the aligned chap who couldn't accelerate \"professor\" Freedom Churchill : The attain of Churchill's catechism furthermore whether or not the university has domain to remit the tenured professor was instigated next Churchill's overture approximately the softies of the Sept. 11, 2001 terrorist attacks came to carriageable. Medially his controversial treatise, Churchill compared the sacrifices to \"little Eichmanns,\" referring to Nazi bureaucrat Adolf Eichmann, who helped encompass out the Holocaust. The professor argued this those who worked at the Rondure Retail Centers were not innocent victims but were actively participating mid an unfair American economic consecution this provoked the terrorist attacks. Along with this is from the Des Moines Pigeon hole: Hoffman was selected downstream a nationwide check concluded an 18-splinter ISU committee led done Tahira Hira, executive assistant to the president conjointly professor of consumer economics. Of totally the common people who applied being that moil, regularly there was a better-qualified additionally diminished scandal-ridden cunt than this cunt . I doctrine it takes a shock of little Eichmanns at ISU to ceiling a cunt . I set aside wholly that when a century of endearment . Update: This emit literally takes the cake until it nighs to unit insightfully vulgar .
Lilly: Help Us Help You NOT Prescribe Our Drug?
Posted on July 22, 2008 in Generic prescription drug list
Centrally located a answer best described thanks to mind-blowing, it turns out Lilly, manufacturer of olanzapine (Zyprexa) is procedure a row to advice make public mental health procedures not spend endowment irresponsibly on mental health medications. Yes, you give attention correctly. Apparently they are concerned that the $1.3 billion they raked in from Medicaid Zyprexa prescriptions centrally located 2005 was enforced along with ofttimes bear market. Parlance strange yet? Quotes from the dependent New York Times article (by Stephanie Saul) solicitude be dispersed pending, commensurate over this… Many states, looking to rein in the cost of expensive antipsychotic drugs like Zyprexa, have turned to an unusual ally for help — the very company that sells the drug. At more than $300 for a monthly prescription, Zyprexa, which is used to treat schizophrenia and bipolar disorder, is the single biggest drug cost for state Medicaid budgets. So Eli Lilly, the maker of Zyprexa, offers to help states monitor doctors who treat Medicaid patients to make sure they are not wasting money on mental illness drugs because of what psychiatrists call “sloppy prescribing” — giving patients too many similar medications or doses that are too high. Twenty states use Lilly’s free service. But some experts question why these states let Lilly help oversee spending on its own medication. “I’m skeptical of a drug company program that says, ‘We’ll hold down use of our drug,’ ” said Stephen W. Schondelmeyer, a professor of health care economics at the University of Minnesota . He described such programs as thinly disguised marketing. Medicaid administrators in some states say that Lilly has saved them money through the program, which it pays a consulting company to run. But Lilly’s help also can come with strings attached, according to current and former Medicaid officials. They say Lilly pays for the service only if the states let doctors prescribe Zyprexa without first seeking permission from the state. Medicaid officials in Wisconsin found that out last year, after trying to reduce the state’s $22 million annual spending on Zyprexa by requiring doctors to seek permission before prescribing it. Lilly responded by ending the program. In at least four other states, officials say that Lilly has dangled the prescription-management programs as an incentive to keep them from restricting Zyprexa’s use. Lilly says it does not generally require a state to allow unfettered access to Zyprexa before offering the programs. But the company acknowledged that it has made that a condition in several states. Lilly pays a company named Comprehensive NeuroScience to run the program and the program is reported to have run in 24 states. How are “bad prescriptions” managed? Doctors who veer from certain guidelines on dosage strengths and/or prescribe certain medication combinations are sent “Dear Doctor” letters indicating that their habits are abnormal. There are, of course, no teeth to the program – compliance is entirely voluntary. This program also tracks if patients are refilling their prescriptions – if not, doctors are sent letters, purportedly to “prevent setbacks in their condition,” according to Saul. Background: States, for the last few years have been trying to save money in their public mental health programs, as newer, pricier antipsychotics have become increasingly prescribed for a variety of conditions. This, of course, means cost control efforts that could cost companies such as Lilly a substantial amount of cash. Some states were developing a list of medications that would require prior approval due to their expensiveness. Many mental health advocacy groups rallied against such moves. Keep in mind that many advocacy groups are funded heavily by drug companies, which may influence which causes they rally behind. Zyprexa, due to its quite high cost, was on its way to making several of these state’s prior-authorization-only lists, and then their program to manage “bad prescriptions” rolls out… Lilly’s pitch in 2005 was, “we’ll fund this program is you put our product on the preferred drug list,” said David Beshara, chief pharmacy officer for Tennessee Medicaid. Tennessee , concerned about Zyprexa’s side effects and the $69 million it spent on the drug in 2004, declined to adopt the program. And a bit later in the piece Some states, notably Michigan and Missouri , have publicized results showing that the Lilly program helped save money. And they generally praise the program. “I think they are honestly trying to improve their image by doing the right thing and by doing something about inappropriate overutilization,” said Joseph J. Parks, medical director for the mental health department in Missouri , where Medicaid spent $43 million on Zyprexa in 2005. Dr. Parks has served as a paid consultant to Comprehensive Neuroscience. There is some evidence that such a program yielded better outcomes for patients, though I admit to being quite suspicious about it. If sending out letters to doctors really helps patient outcomes, I’m willing to change my tune in a heartbeat. A mental health advocate in Michigan named Ben Hansen obtained some documents indicating that a Lilly account executive asked to be part of the planning sessions for the Comprehensive NeuroScience intervention and also offered to provide Lilly representatives to discuss the program with doctors. Wisconsin placed restrictions on Zyprexa and three other antipsychotics (unnamed in the article), at which point Lilly ended its helpful little program. The state claims its spending on those drugs dropped by $4 million. Now let me be absolutely clear. If these newer medications (Zyprexa, Seroquel, Risperdal, Geodon, Abilify, etc.) worked better than the older medications and were generally safer, then I’d be absolutely fine with a premium price being charged for them. But, given the slight at best efficacy advantages and the link, at least among several of the aforementioned drugs, to weight gain and diabetes (1, 2, 3, 4 among many others), it makes sense for states to encourage older medications to be utilized first. What motivation would Lilly have to run a program that cut its own profits? Am I entirely missing something here? Read the whole story over at the New York Times. Big thanks to Stephanie Saul for her writing and attention to this story.