Arthroscopy

Arthroscopy refers to a procedure in which a joint (arthro-) is viewed (-scopy) using a small camera. It allows an orthopaedic surgeon to diagnose and treat knee disorders by providing a clear view of the inside of the knee.
With improvements of arthroscopes and higher resolution cameras, the procedure has become highly effective for both the accurate diagnosis and proper treatment of knee problems.
Anatomy

The anatomy of the normal knee.The knee is the largest joint in the body, and one of the most easily injured. It is made up of the lower end of the thigh bone (femur), the upper end of the shin bone (tibia), and the knee cap (patella), which slides in a groove on the end of the femur. Four bands of tissue-the anterior and posterior cruciate ligaments and the medial and lateral collateral ligaments-connect the femur and the tibia and provide joint stability. Strong thigh muscles give the knee strength and mobility.

The surfaces where the femur, tibia, and patella touch are covered with articular cartilage. Articular cartilage is a smooth substance that cushions the bones and enables them to glide freely. Semicircular rings of tough fibrous cartilage tissue, called the lateral and medial menisci, act as shock absorbers and stabilizers.

The articular cartilage cushions the knee joint.The bones of the knee are surrounded by a thin, smooth tissue capsule lined by a thin synovial membrane. The synovium releases a special fluid that lubricates the knee, reducing friction to nearly zero in a healthy knee.

Knee Problems
Normally, all parts of the knee work together in harmony. Sports, work injuries, arthritis, or weakening of the tissues with age can cause wear and inflammation, resulting in pain and diminished knee function.

Arthroscopy can be used to diagnose and treat many of these problems:

Problems in the knee joint that usually can be seen with an arthroscope.
Torn meniscal cartilage.
Loose fragments of bone or cartilage.
Damaged joint surfaces or softening of the articular cartilage, known as chondromalacia.
Inflammation of the synovial membrane, such as rheumatoid or gouty (crystalline arthropathy) arthritis.
Abnormal alignment or instability of the kneecap.
Torn ligaments, including the anterior and posterior cruciate ligaments.

By providing a clear picture of the knee, arthroscopy can also help the orthopaedic surgeon decide whether other types of reconstructive surgery would be beneficial.

Your family physician can refer you to an orthopaedic surgeon for an evaluation to determine whether you could benefit from arthroscopy.
Signs that you may be a candidate for this procedure include swelling, persistent pain, catching, giving way, and loss of confidence in your knee. When other treatments, such as the regular use of medications, knee supports, and physical therapy, have provided minimal or no improvement, you may benefit from arthroscopy.
Most arthroscopies are performed on patients between 20 and 60 years of age. Patients younger than 10 years of age and older than 80 years of age have benefited from the procedure as well.

The orthopaedic knee evaluation usually consists of a medical history, a physical examination, and X-rays.

During the medical history, your orthopaedic surgeon will gather information about your general health and will ask you about your symptoms.

A physical examination will be done to assess the motion and stability and muscle strength of the knee as well as the overall alignment of the leg.

X-rays will be done to evaluate the bones of the knee. Your orthopaedic surgeon may also arrange for you to undergo magnetic resonance imaging (MRI) to provide more information about the soft tissues of your knee. An MRI uses magnetic sound waves to create images. They are not X-rays.

Blood tests may be obtained to determine if you have arthritis.
Your orthopaedic surgeon will review the results of your evaluation with you and discuss the best methods to further diagnose your knee problem. Other diagnostic tests may be indicated, such as magnetic resonance imaging (MRI).

Treatment options include medications or surgical procedures, such as arthroscopy.

Your orthopaedic surgeon will explain the potential risks and complications of knee arthroscopy, including those related to the surgery itself and those that can occur after your surgery.

Preparing for Surgery

If you decide to have arthroscopy, you may be asked to have a complete physical examination with your family physician before surgery. This will assess your health and rule out any conditions that could interfere with your surgery.

Before surgery, tell your orthopaedic surgeon about any medications or supplements that you are taking. You will be informed which medications you should stop taking before surgery.
Tests, such as blood samples or a cardiogram, may be ordered by your orthopaedic surgeon to help plan your procedure.

Arthroscopic Surgery of the Knee

Almost all arthroscopic knee surgery is done on an outpatient basis for healthy patients. Your hospital or surgery center will contact you about the specific details for your surgery. Usually, you will be asked to arrive at the hospital an hour or two prior to your surgery. Do not eat or drink anything after midnight the night before your surgery.

After arrival, you will be evaluated by a member of the anesthesia team. Arthroscopy can be performed under local, regional, or general anesthesia. Local anesthesia numbs your knee, regional anesthesia numbs you below your waist, and general anesthesia puts you to sleep. The anesthesiologist will help you determine which would be the best for you.

If you have local or regional anesthesia, you may be able to watch the procedure on a monitor, if you wish.

The orthopaedic surgeon will make a few small incisions in your knee. A sterile solution will be used to fill the knee joint and rinse away any cloudy fluid, providing a clear view of your knee.
The surgeon will then insert the arthroscope to properly diagnose your problem, using the image projected on a monitor to guide the arthroscope. If surgical treatment is needed, the surgeon can use a variety of small surgical instruments (e.g., scissors, clamps, motorized shavers, or lasers) through another small incision. This part of the procedure usually lasts 45 minutes to 1 1/2 hours.

Common treatments with knee arthroscopy include:

Removal or repair of torn meniscal cartilage.
Reconstruction of a torn cruciate ligament.
Trimming of torn pieces of articular cartilage.
Removal of loose fragments of bone or cartilage.
Removal of inflamed synovial tissue.
At the conclusion of your surgery, the surgeon may close your incisions with a suture or paper tape and cover them with a bandage.
You will be moved to the recovery room. Usually, you will be ready to go home in one or two hours. You should have someone with you to drive you home.

Your Recovery at Home

Recovery from knee arthroscopy is much faster than recovery from traditional open knee surgery. Still, it is important to follow your orthopaedic surgeon's instructions carefully after you return home. You should ask someone to check on you that evening.
Swelling
Keep your leg elevated as much as possible for the first few days after surgery. Apply ice as recommended by your orthopaedic surgeon to relieve swelling and pain.
Dressing Care
You will leave the hospital with a dressing covering your knee. You may remove the dressing the day after surgery. You may shower, but should avoid directing water at the incisions. Do not soak in a tub. Keep your incisions clean and dry.
Your orthopaedic surgeon will see you in the office a few days after surgery to check your progress, review the surgical findings, and begin your postoperative treatment program.
Bearing Weight
After most arthroscopic surgeries, you can walk unassisted. Your orthopaedic surgeon may advise you to use crutches, a cane, or a walker for a period of time after surgery. You can gradually put more weight on your leg as your discomfort subsides and you regain strength in your knee. Your surgeon may allow you to drive after a week.
Exercises to Strengthen Your Knee
You should exercise your knee regularly for several weeks following surgery to strengthen the muscles of your leg and knee. A physical therapist may help you with your exercise program if your orthopaedic surgeon recommends specific exercises.
Medications
Your orthopaedic surgeon may prescribe antibiotics to help prevent an infection and pain medication to help relieve discomfort following your surgery.
Complications
Potential postoperative problems with knee arthroscopy include infection, blood clots, and an accumulation of blood in the knee. These occur infrequently and are minor and treatable.

Warning Signs
Call your orthopaedic surgeon immediately if you experience any of the following:
Fever
Chills
Persistent warmth or redness around the knee
Persistent or increased pain
Significant swelling in your knee
Increasing pain in your calf muscle

Reasonable Expectations After Arthroscopic Surgery

Although arthroscopy can be used to treat many problems, you may have some activity limitations even after recovery. The outcome of your surgery will often be determined by the degree of injury or damage found in your knee. For example, if you damage your knee from jogging and the smooth articular cushion of the weightbearing portion of the knee has worn away completely, then full recovery may not be possible. You may be advised to find a low-impact alternative form of exercise.
An intercollegiate or professional athlete often sustains the same injury as a weekend recreational athlete, but the potential for recovery may be improved by the over-development of knee muscles.
Physical exercise and rehabilitation will play an important role in your final outcome. A formal physical therapy program also may add something to your final result.
A return to intense physical activity should only be done under the direction of your surgeon.
It is reasonable to expect that by six to eight weeks you should be able to engage in most of your former physical activities as long as they do not involve significant weightbearing impact. Twisting maneuvers may have to be avoided for a longer time.
If your job involves heavy work, such as a construction laborer, you may require more time to return to your job than if you have a sedentary job.

Dwight Howard Named Defensive MVP

The 23-year-old Howard became the youngest player to win the NBA's defensive player of the year award Tuesday. Howard was only the fifth player to lead the league in blocks and rebounds in the same season, a goal he set in training camp.
"A lot of guys don't want to go up [for blocks] because they're afraid of getting dunked on," Howard said. "Dikembe and Patrick told me, 'As many times as you're going to get dunked on you're going to have more blocks.'"
Howard led the Magic to a second straight Southeast Division title and 59 wins in the regular season, one shy of tying the best record in franchise history set in the 1995-96 season. Orlando trails Philadelphia 1-0 in the first round of the playoffs. Game 2 is Wednesday.
Howard received 542 points, including 105 first-place votes from a panel of 119 writers and broadcasters. Cleveland's LeBron James was second with 148 points and Miami's Dwyane Wade finished third with 90 points.
Even Magic forward Hedo Turkoglu, not known for his defense, managed to get one third-place vote.
"Probably the most impressive thing about the defensive player of the year award was two things," Magic general manager Otis Smith said. "The fact that Turkoglu finished in the top 16, and probably the fact that Dwight set out at the start of the season with a goal in mind to be the best defensive player in the league. He started with that goal in mind, and he finished it."
Howard averaged 13.8 rebounds and 2.9 blocks per game this season, his fifth in the league.
The only other players to be rebounding and blocks champions in the regular season were Bill Walton, Kareem Abdul-Jabbar, Hakeem Olajuwon and Ben Wallace. Blocks were not kept as an official statistic until 1973.
"To be the defensive player of the year at 23 is remarkable," Magic coach Stan Van Gundy said. "To be a great defensive player usually comes later in a career. And he still has so much room for improvement."
The award caps a remarkable year for Howard.
He won gold as the center of the U.S. men's team at the Beijing Olympics, passed Wilt Chamberlain as the youngest NBA player to reach the 5,000-rebound mark and became an All-Star for the third time.
Many saw this coming -- just not so soon.
Howard is five months younger than Alvin Robertson, who was 23 years and nine months old when he won the award with San Antonio in the 1985-86 season.
The No. 1 overall draft pick out of high school in 2004, Howard has quickly become one of the NBA's most dominant centers. His chiseled, 6-foot-11, 265-pound physique makes him one of the most intimidating players, and his incredible vertical leap is even rarer for a big man.

Mike Brown NBA Coach of the Year 2009

Mike Brown, who has taken Cleveland to the postseason in each of his four seasons, was honored Monday as the league's top coach after leading the Cavaliers to 66 wins, a Central Division title and the No. 1 overall playoff seed following the greatest regular season in club history.
With James and the other Cavaliers standing behind him and his coaching staff seated a few feet away, Brown humbly accepted the Red Auerbach trophy.
"If they did not want me to coach them, I wouldn't be able to coach them," he said. "I look at this as a partnership. Yes, my name is on this, but this is the ultimate team award from a coaching standpoint. I haven't put on a uniform or done anything out on the floor. The players have done it all. The coaching staff has done a lot and when you win an award like this, you can't do it by yourself.
"You have some great people around you."
None greater than James, the likely league MVP, who feels Brown has been overlooked mostly because he has a superstar at his disposal.
"That was the main reason," James said. "But that doesn't take away from the fact that we still have to go out there and play for him and abide by his system. There are a lot of teams with great talent, but that doesn't automatically qualify you as a good coach or give you wins.
"It just showed this year how good of a coach he is."
Brown joins Bill Fitch in 1976 as the only Cleveland coaches to win the award.
Expected to be a close vote, Brown won in a landslide. He received 55 first-place votes and earned 355 total points from a panel of 122 sports writers and broadcasters, who awarded five points for first, three points for second and one point for third.
Houston's Rick Adelman was second with 151 points, one ahead of Orlando's Stan Van Gundy. Both got 13 first-place votes. Portland's Nate McMillan was first on 15 ballots and finished fourth with 127 points.
New Orleans coach Byron Scott won the award last year.
Preaching the importance of trust to his players since training camp, Brown has created a tightly knit team fronted by James, who led the applause for his coach during the news conference at Cleveland's training facility. The 38-year-old Brown also has given more authority to his assistants, a sign of both his maturity as a coach and confidence as a leader.
"This is our fourth year together," Brown said. "The biggest thing this year was finding that elusive word chemistry among a group of individuals to try and reach one goal. Our goal has not changed, but the thing that we felt would help define chemistry is trust. They have shown tremendous trust in one and other. We've tried as a staff to show trust in them and in order to help that I had to show trust in my assistants."
As he complimented his assistants, James, Delonte West and other players reached over and began patting assistants Mike Malone, John Kuester, Hank Egan, Melvin Hunt and Chris Jent on their backs.
"I had to show our players that I trust those guys," Brown said. "We can talk about something and I can turn my back to it and we know the job is going to get done."
Ferry praised Brown for an unmatched work ethic. Brown's attention to detail has endeared him to his players and staff, but like any successful coach, the long hours have taken away time from the father of two's family. Brown's wife, Carolyn, was on hand to see him get the award.

Teenagers and Masterbation

ASSI - Oprah did a show featuring Dr. Laura Berman, a leading sex therapist, who believes that young women should be in charge of their own sexual responses. Dr. Berman suggest that mothers talk with their daughters about orgasms and using vibrators to achieve sexual pleasure, and the importance of knowing her body and what feels good to her. Some women, especially Gail King, Oprahs' BFF thought the information that Dr. Berman was discussing and want mothers to share is too much info for teenagers, but the truth of the matter is that teens as young as twelve are engaging in oral sex and intercourse with boys without proper knowledge to handle the emotions associated with sex. Some girls believe that boys are responsible for the pleasure experienced while having sex for the first time or any time, which is hardly the truth, but if girls are armed with information regarding their bodies, orgasms, and masturbation it will decrease the number of girls willing to have sex. Most girls thing that males are responsible for sexual feelings. I recall when former Surgeon General, Jocelyn Elders was forced to resign after she was asked and responded to the following question in 1994, "She was asked whether it would be appropriate to promote masturbation as a means of preventing young people from engaging in riskier forms of sexual activity, and she replied, "I think that it is part of human sexuality, and perhaps it should be taught." Our society was not ready for that response or to accept the fact that children should explore their bodies, teenage boys spend half their lives in the bathroom, and/or under their bedroom covers exploring their sexual organ; but unheard of, undiscussed, unacceptable, and down right wrong for females. Many adult women are uncomfortable even talking about sex, let alone orgasms, masturbation, and especially vibrators; therefore, I am sure it is embarrassing for some mothers to approach the subject with their daughters and many feel that conversation is equal to condoning the behavior, which is untrue. Most girls would make different decisions if someone they respect, such as their mother set them down and discussed in detail the mechanics and pleasures of sex. As I see it, it is imperative that mothers, grandmothers, aunts, sisters, and female cousins engage younger females in conversation regarding the importance of being in charge of their sexual response. To help young women understand the ABCs of being intimate, so when they are really and truly ready they know how secrete and special sex is and perhaps avoid sexual irresponsibility.

Celebrities Heat Up The Apprentice

ASSI - The claws are out on the second season of Celebrity Apprentice, singer Brian McKnight was Fired by "The Donald", and the next show started immediately after Brian was Fired. Brian lack the zest, enthusiasm, and drive to continue raising funds for Youthville U.S.A. his charity. This seasons celebrities consists of: Andrew Dice Clay/Comedian was the first to be fired; the second was former Figure Skating Champion, Scott Hamilton, Tom Green who is best known for marrying Drew Barrymore was the third celeb to be fired; followed by Claudia Jordan, Model from Deal or No Deal was the first female and fourth person fired; it was a matter of time before Dennis Rodman would be fired his antics and his alcoholism was too much for the show he was the fifth; unfortunately T-Boz from TLC should not have been fired but "The Donald" dislikes folks who volunteer to come back into the board room. Personally I think Melissa Rivers set T-Boz up, but T-Boz fell for the okie-doke nonetheless she was the six person along with Khloe Kardashian who was let go due to her DUI commitments, and the fact Donald dislikes folks with drinking problems, but yet he tolerated Dennis Rodman's drunken behavior. Joan and Melissa Rivers have a very codependent relationship that makes for good television drama, Joan is extremely protective of Melissa as most mothers are, Melissa seems to feed off her mother's breast, during one of the episodes while in the board room Melissa asked Joan to step in and save her, and like all mothers who are called to defend their child, and Joan like any Mother Lion was there for her cub. Their relationship is a bit much and beyond over keel the umbilical cord must be severed, but what would Melissa do without her mother? Who is going to raise the most funds for their charity and when this season of Celebrity Apprentice? Will it be: Annie Duke the Poker Champion, Brande Roderick the former Playboy Playmate, Joan Rivers the Comedienne, Clint Black the Country Singer, Hershel Walker the Heisman Trophy Winner, Jesse James the TV Star/Entrepreneur, Natalie Gulbis the Golf Champion, or Melissa Rivers the Producer/TV Host. This Sunday's episode should be rather interesting Joan is the project manager against Annie who has yet to lead her team, if you have been watching you know that Joan does not care for Annie, and Mr. Trump thought it would be good if they were pitted against each other. Joan is the project manager of Kotu and Annie is the project manager of Athena and their both task with raising the most money by selling jewelry designed by Evanka Trump. Celebrity Apprentice airs Sunday's at 9:00 p.m. on NBC, check your local listings for station and time in your area.

An Amazing Race Update

ASSI - The 14th season of the Amazing race is down to five teams of two and last night was a trying time for a few of the contestants who defied conventional wisdom, logic, and smart playing. Several teams left their back packs, passports, clothes and shoes at the road block site and had to back track for their belongings which cost them valuable time. Margie and Luke continue to demonstrate that a mother child team can go far even if the child/Luke is hearing impaired. They have come in first place 4 or 5 times since the beginning of the game. Kisha and Jen must overcome their differences of opinions if they want to win, it seems that Jen needs to listen to Kisha more, they were the third team to check into the pit stop but by the time they returned they were the fourth team to check in...the brothers (Mark and Michael) are suffering from the same issues of not listening to each other and letting common sense prevail, they were charged with two 2 hour penalties for swapping personal stuff in exchange for cab fare, which would have eliminated them last evening had it not been for a non eliminating leg. The Road Block and Detour challenges seemed to be fun and not that tacking on the players, except for those who had to retrieve their stuff. Next week Luke who is rather conniving has two separate altercations with Kisha and Jen and the B word cause a little friction between Jen and Luke, tune in next week to learn the outcome and what team will be eliminated next.

DVD Review

AHSI gives Taken 4.5 eyeballs. Very exciting movie, with a lot of action and will make you and your family terrified to leave the country .



AHSI........ Gives The Day The Earth Stood Still 2 eyeballs.....It was long and drawn out, did not keep me interested.

Glaucoma

Glaucoma is the name given to a group of eye diseases in which the optic nerve at the back of the eye is slowly destroyed. In most people this damage is due to an increased pressure inside the eye - a result of blockage of the circulation of aqueous, or its drainage. In other patients the damage may be caused by poor blood supply to the vital optic nerve fibres, a weakness in the structure of the nerve, and/or a problem in the health of the nerve fibres themselves.

To keep it light-weight for rapid movement, the eye is made from soft, but strong tissues. However, like a camera, the eye needs to maintain its shape so that it can focus light accurately. This is achieved by keeping the eye firm, like a balloon. Clear fluid (the aqueous) is pumped into the eye from the bloodstream carrying oxygen, sugars and other essential nutrients. Circulating around the structures inside the eye, the aqueous is then drained through a meshwork back to the blood to be renewed. Drainage is against resistance, so the eye's pressure is kept higher than air pressure, but lower than the blood pressure.

Chronic (primary open-angle) glaucoma is the commonest type. It has no symptoms until eye sight is lost at a later stage.


Damage progresses very slowly and destroys vision gradually, starting with the side vision. One eye covers for the other, and the person remains unaware of any problem until a majority of nerve fibres have been destroyed, and a large part of vision has been destroyed. This damage is irreversible. It is progressive and usually relentless. Treatment cannot recover what has been lost. But it can arrest, or at least, slow down the damage process. That is why it is so important to detect the problem as early as possible, to be able to start treatment with as little damage to the vision as possible.

Although anyone can get glaucoma, some people have a higher risk, those with
a family history of :

glaucoma
diabetes
migraine
short sightedness (myopia)
eye injuries
blood pressure
past or present use of cortisone drugs (steroids).
Regular eye examinations are the best way to detect glaucoma early.
eye pressure check (tonometry)
visual field assessment if needed - this tests the sensitivity of the side vision, where glaucoma strikes first .


Although there is no cure for glaucoma it can usually be controlled and further loss of sight either prevented or at least slowed down.
Treatments include:
Eyedrops - these are the most common form of treatment and must be used regularly. In some cases pills are prescribed. The drops can be varied to best suit the patient and the type of glaucoma.
Laser (laser trabeculoplasty) - this is performed when eye drops do not stop deterioration in the field of vision. In many cases eye drops will need to be continued after laser. Laser does not require a hospital stay.
Surgery (trabeculectomy) - this is performed usually after eye drops and laser have failed to control the eye pressure. A new channel for the fluid to leave the eye is created.
Treatment can save remaining vision but it does not improve eye sight.
Chronic (primary open-angle) glaucoma is the most common form of this disease. However, other forms occur:

Low-tension or normal tension glaucoma. Occasionally optic nerve damage can occur in people with so-called normal eye pressure. This form of glaucoma is treated in the same manner as open-angle glaucoma.
Acute (angle-closure) glaucoma. Acute glaucoma is when the pressure inside the eye rapidly increases due to the iris blocking the drain. An attack of acute glaucoma is often severe. People suffer pain, nausea, blurred vision and redness of the eye. Immediate medical help should be sought. If treatment is delayed there can be permanent visual damage in a very short time. Usually, laser surgery performed promptly can clear the blockage and protect against visual impairment.

Congenital glaucoma. This is a rare form of glaucoma caused by an abnormal drainage system. It can exist at birth or develop later. Parents may note that the child is sensitive to light, has enlarged and cloudy eyes, and excessive watering. Surgery is usually needed.

Secondary glaucomas. These glaucomas can develop as a result of other disorders of the eye such as injuries, cataracts, eye inflammation. The use of steroids (cortisone) has a tendency to raise eye pressure and therefore pressures should be checked frequently when steroids are used.

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The AIG Blame Game

ASSI - There is enough blame to go around regarding the misuse of the bailout money that AIG received from the government. Is it a surprise that AIG would dole out $165 million of our tax dollars to pay for bonuses? Not at all! AIG is the same company who treated employees to several lavish retreats at our expense. Republicans and Democrats must hold AIG accountable and figure out if taxing them is the most advantageous way of recouping the funds. AIG has justifications for all of their questionable expenditures, but how do you justify paying 11 former employees $1 Million dollars each due to contractual agreements, it seems the contract should have been null and void at the end of the employees tenure. Stringent stipulations should have been outlined in the bailout agreement to avoid AIG from exercising some of the same practices that landed them in this mess in the beginning. AIG had the audacity to remove the company's name from their Head Quarters to protect employees who received million dollar bonuses from struggling tax payers, who are unemployed, lost their homes, and are unable to send their children to college would have loved to receive a third of the 85 billion dollar bailout money to improve their standard of living. Who should be blamed for the misuse of the funds: Senator, Chris Dobb; Congressman, Barney Frank, or Secretary of Treasure, Timothy Geithner for not reading the terms of the bailout agreement? As I see it, it is unacceptable for AIG to use government funds for anything other than to ensure the company stays a float operationally.

10 Things To Improve Your Relationship

1. Act Out of Character. Couples develop a particular dynamic: the way they relate to each other that repeats itself over and over. If you break that pattern and act against type -- in a positive way -- you inject new life into the relationship. For example, if you always get angry at your guy when he doesn't follow through on some chore, try addressing him in a nicer, more friendly tone, then thank him when he does a good job. It works every time. -- Toni Coleman, psychotherapist and relationship coach in McLean, Virginia
2. Get in Touch a Lot. No doubt you hug and kiss each other. But simple acts like stroking his arm while you're watching TV and taking his hand when you're walking down the street are also ways to bond. Touching your partner throughout the day triggers your feel-good hormones, which reinforces your affection and makes you feel closer on an instinctive level. -- Psychotherapist Barton Goldsmith, PhD, author of "Emotional Fitness for Couples"
3. Take Turns Talking. To make sure you both get a chance to state what's on your mind during a disagreement -- and get your points across -- alternate playing reflective therapist, where one listens while the other talks. -- Psychologist Diana Kirschner, PhD, author of "Opening Love's Door"
4. Find the Intersection. When making decisions together, try to find common ground. You each should write down exactly what you want. Let's say you're angling for a vacay in San Francisco to see the sights and hit up the cool shops and restaurants, while he wants a tropical getaway where he can veg out by the pool and sip drinks with umbrellas in the glass. Now that your desires are clearly laid out on paper, you can pick a place that will satisfy both your needs. A cool city, a little sun... how about Miami? -- Paul Dobransky, MD, author of "The Secret Psychology of How We Fall in Love"
5. Be More Positive Than Negative. There's a more effective way to air grievances than to file an angry complaint. Sandwich your negative comment between two positives. If you want to complain about how he's always late, for example, try something like "You know, I love that you're so laid-back and easygoing, but it really bothers me when you show up so late. I'm sure you can still be the fun guy I adore and also be on time." -- Los Angeles psychologist Yvonne Thomas, PhD
6. Echo Each Other. When you and your man are having a serious relationship talk, it's easy to get so caught up in how you want to respond that you're not really listening to what's being said. That's why it's important for both of you to repeat each other: so you know you've been heard and you feel understood. -- Yvonne Thomas
7. Take a Time-Out. Neither of you is perfect, and the quirks you both have are here to stay. So rather than let those annoying traits work your last nerve, try to get in touch with the upside of those particular flaws, even if it's not immediately recognizable. Instead of getting annoyed when he starts screaming at the TV, for example, remind yourself how much you love his passion. Or if his shyness with new people bugs you, think about how refreshing it is to be with a chill, genuine guy rather than a blowhard who needs to chat with everyone in the room. -- Denver psychologist Jennifer Oikle, PhD, dating coach for Coupling Connection
8. Have His Back. You might not agree with your guy when he's had a riff with a friend or he thinks his boss is being unfair, but you should always be on his side... and vice versa. Otherwise, you'll both feel like you can't count on each other. That doesn't mean you have to take the "you're so right" route all the time. Just hear him out, and let him know that you'll support him no matter what. -- New York City psychotherapist JoAnn Magdoff, PhD
9. Spend a Little Money on Each Other. You don't have to wait for a special occasion to give small presents to show your love. In fact, gifts are more fun -- and meaningful -- when they're not expected. Try to get into the habit of exchanging sweet tokens of appreciation for no particular reason. Don't go and blow your paycheck though. It's not about being extravagant; it's just a way of showing that you really get -- and think about -- each other. Maybe you buy him a tee of his favorite band that you saw on sale or he gets you a pair of pajamas in your favorite color. -- Barton Goldsmith
10. Be a Good Date. Face it, no one can stay fascinating forever. After being together for a while, the initial excitement fades, and your guy can start to get kind of boring sometimes. Hey, don't think you're off the hook -- if you're feeling a little ho-hum about him, the feeling is likely mutual! To combat the blahs, take turns coming up with an interesting date idea every month. Keep the time and details to yourself, and try to think outside the box -- dinner and a movie is not exactly innovative. An awesome concert or a snowboarding lesson, for example, is a much less predictable treat. -- Jennifer Oikle

Madoff the Swindler Goes to Jail

ASSI – No one who knowingly profited from the swindling behaviors of Bernard Madoff should be exempt from possible prosecution. It is appropriate to me that Ruth Madoff forgo the lavish $7 million dollar penthouse and the $62 million dollars that she supposedly obtained through other sources. According to various articles, Ruth was the bookkeeper and board member who had insider information to the inner workings of Madoff’s security fraud scam, and did nothing to prevent Bernie from taking advantage of friends and investors who simply wanted a better return for their dollars. Supposedly when Ruth learned that the government was thinking of freezing all of their assets, she mailed jewelry to relatives, withdrew 15 and half million dollars when Madoff was indicted, and another 10 million the day before he plead guilty. Madoff faces up to 150 years in prison and will be sentenced in June. As the old saying goes “if it sounds too good to be true, it is probably not true.” Ruth and Bernard Madoff are heartless people who vacationed, dined, socialized, and took financial advantage of their friends. Who does this without guilt? The only reason that Bernie pleaded guilty was to avoid divulging information that would perhaps incriminate his wife and children. He also wants to prevent from disclosing all of his money laundering locations, which does not make any sense to me, he is seventy years old and is not going to be released from prison or live long enough to spend anymore of that money.

Therefore, he might as well reveal where the money is so that his trusted 4,800. investors can recoup some of their losses, but that would be too much like right and there seems to be absolutely nothing right about Madoff. I was listening to the news and overheard one of Bernie’s investors say “the Security Exchange Commission is just as guilty as Madoff because they were forewarned about the scheme and did nothing about it until it was too late.” As I see it, he made off with their funds and wants to keep it that way; he is one mad fellow who lacks compassion for anyone, so why should anyone care about what happens to him, his children, and wife. All of the Madoff’s assets should be liquidated nothing should be spared not a spoon, a rug, cuff-link, pair of pants, or minks.

Cerebral Palsy

The term “cerebral palsy” is slightly misleading in that it refers to a group of disorders, rather than a single disorder, caused by damage to the brain and marked by impaired movement and coordination. Approximately one to two of every 1,000 babies born in the United States each year is diagnosed with cerebral palsy, ranging from mild to severe in nature.
Doctors are still trying to understand how brain damage causes cerebral palsy, but they do know that damage sustained at any point during fetal development, during birth or within the first months of the baby’s life may result in this debilitating condition. Also, research has shed light on factors that may increase the risk of cerebral palsy and, in some cases, the condition may be preventable.

Types of Cerebral Palsy

The major types of cerebral palsy include:

• Spastic cerebral palsy—This is the most common type of cerebral palsy and is characterized by stiffening of the muscles. The stiffening, which may affect both legs, one side of the body, or all four limbs and the torso, makes movement difficult for the child. • Athetoid cerebral palsy—About 20 percent of people with cerebral palsy have this form of the condition. It’s characterized by slow, uncontrolled movements that affect the entire body. • Ataxic cerebral palsy—The least common type, ataxic cerebral palsy impairs balance and coordination.
Children who display signs and symptoms of two or more different types of cerebral palsy have what is called “mixed” cerebral palsy.

Cerebral Palsy Symptoms

The signs and symptoms of cerebral palsy vary according to the child and severity of the condition, but may include:
• Tremors • Lack of muscle coordination or difficulty with precise movement • Spasticity—that is, exaggerated reflexes and muscle stiffness • Excessively stiff or floppy muscles • Leg or foot dragging, uneven walking • Drooling or difficulty swallowing

In some cases, cerebral palsy is accompanied by mental retardation or other complications. Severe cases of the condition may require extensive treatment and the use of special equipment. On the other hand, those with mild cases of cerebral palsy may require minimal treatment or assistance.

Cerebral Palsy Causes and Risk Factors

Some of the known causes and risk factors for cerebral palsy include:
• Preterm birth and low birth weight • Maternal and/or fetal infections • Oxygen deprivation • Abnormalities in brain development • Severe jaundice • Injury during the birthing process

Not all cases of cerebral palsy are preventable. However, cerebral palsy that results from medical negligence or inadequate medical care is, in many instances, preventable when proper precautions are taken. If you think medical malpractice is a factor in your child’s cerebral palsy, contact us today to discuss your legal options.

Diagnosis and Treatment of Cerebral Palsy

Children who are experiencing signs and symptoms of cerebral palsy should undergo a medical evaluation to determine a diagnosis. Usually, a doctor will check muscle tone, reflexes and movement first, and then follow up with an MRI scan, a CT scan and/or other battery of tests.

Once a diagnosis of cerebral palsy has been determined, the child will typically be referred to a specialist to determine treatment options. Though cerebral palsy is not curable, various treatments can help manage the condition and improve a child’s quality of life.

Common cerebral palsy treatments include:

Physical, occupational and/or speech therapy, Surgery and Medications

Assistive technologies such as railings, wheelchairs, and communication devices can also help children in their daily tasks. Some children may experience enhanced functioning with the help of vision aids, hearing aids, braces, splints, and similar. And research into cerebral palsy treatments is ongoing, revealing promising options like dolphin therapy and spacesuit therapy.

AHSI....Ray Stevenson stars as Frank Castle AKA The Punisher the vigilante out for revenge on all the gangsters in New York. Dominic West plays Billy Russoti AKA Jigsaw the cocky, psychotic mob boss. Mr. West(McNolte from the Wire) both stars gave great performance as he sets out for vengeance under his alias. The "Punisher Task Force" is shadowing his trail and the FBI unable to take Jigsaw in, Frank must stand up to the formidable army that Jigsaw has recruited before more of his evil deeds go unpunished. AHSI gives this movie 4.5 eyeballs. Very graphic violence and special effects.

Heart Attack

A heart attack occurs when blood flow to a section of heart muscle becomes blocked. If the flow of blood isn’t restored quickly, the section of heart muscle becomes damaged from lack of oxygen and begins to die.

Heart attack is a leading killer of both men and women in the United States. But fortunately, today there are excellent treatments for heart attack that can save lives and prevent disabilities. Treatment is most effective when started within 1 hour of the beginning of symptoms. If you think you or someone you’re with is having a heart attack, call 9–1–1 right away.

Heart attacks occur most often as a result of a condition called coronary artery disease (CAD). In CAD, a fatty material called plaque (plak) builds up over many years on the inside walls of the coronary arteries (the arteries that supply blood and oxygen to your heart). Eventually, an area of plaque can rupture, causing a blood clot to form on the surface of the plaque. If the clot becomes large enough, it can mostly or completely block the flow of oxygen-rich blood to the part of the heart muscle fed by the artery.

During a heart attack, if the blockage in the coronary artery isn’t treated quickly, the heart muscle will begin to die and be replaced by scar tissue. This heart damage may not be obvious, or it may cause severe or long-lasting problems.
Severe problems linked to heart attack can include heart failure and life-threatening arrhythmias (irregular heartbeats). Heart failure is a condition in which the heart can’t pump enough blood throughout the body. Ventricular fibrillation is a serious arrhythmia that can cause death if not treated quickly.

Acting fast at the first sign of heart attack symptoms can save your life and limit damage to your heart.

Treatment is most effective when started within 1 hour of the beginning of symptoms.
The most common heart attack signs and symptoms are:

Chest discomfort or pain—uncomfortable pressure, squeezing, fullness, or pain in the center of the chest that can be mild or strong. This discomfort or pain lasts more than a few minutes or goes away and comes back.
Upper body discomfort in one or both arms, the back, neck, jaw, or stomach.
Shortness of breath may occur with or before chest discomfort.
Other signs include nausea (feeling sick to your stomach), vomiting, lightheadedness or fainting, or breaking out in a cold sweat.

Each year, about 1.1 million people in the United States have heart attacks, and almost half of them die. CAD, which often results in a heart attack, is the leading killer of both men and women in the United States.
Many more people could recover from heart attacks if they got help faster. Of the people who die from heart attacks, about half die within an hour of the first symptoms and before they reach the hospital.

High Blood Pressure

Blood pressure is the force in the arteries when the heart beats (systolic pressure) and when the heart is at rest (diastolic pressure). It's measured in millimeters of mercury (mm Hg). High blood pressure (or -->hypertension -->) is defined in an adult as a blood pressure greater than or equal to 140 mm Hg systolic pressure or greater than or equal to 90 mm Hg diastolic pressure.

High blood pressure directly increases the risk of coronary heart disease (which leads to heart attack) and stroke, especially when it's present with other risk factors.
High blood pressure can occur in children or adults, but it's more common among people over age 35. It's particularly prevalent in African Americans, middle-aged and elderly people, obese people, heavy drinkers and women taking birth control pills. It may run in families, but many people with a strong family history of high blood pressure never have it. People with diabetes mellitus, gout or kidney disease are more likely to have high blood pressure, too.

American Heart Association recommended blood pressure levels
Blood Pressure Category
Systolic(mm Hg)
Diastolic(mm Hg)
Normal
less than 120
and
less than 80

Prehypertension
120–139
or
80–89

High
Stage 1
140–159
or
90–99
Stage 2
160 or higher
or
100 or higher

*Your doctor should evaluate unusually low readings.

Sickle Cell Anemia

Sickle cell anemia (uh-NEE-me-uh) is a serious disease in which the body makes sickle-shaped red blood cells. “Sickle-shaped” means that the red blood cells are shaped like a "C."

Normal red blood cells are disc-shaped and look like doughnuts without holes in the center. They move easily through your blood vessels. Red blood cells contain the protein hemoglobin (HEE-muh-glow-bin). This iron-rich protein gives blood its red color and carries oxygen from the lungs to the rest of the body.

Sickle cells contain abnormal hemoglobin that causes the cells to have a sickle shape. Sickle-shaped cells don’t move easily through your blood vessels. They’re stiff and sticky and tend to form clumps and get stuck in the blood vessels. (Other cells also may play a role in this clumping process.)

The clumps of sickle cells block blood flow in the blood vessels that lead to the limbs and organs. Blocked blood vessels can cause pain, serious infections, and organ damage.

Sickle cell anemia is one type of anemia. Anemia is a condition in which your blood has a lower than normal number of red blood cells. This condition also can occur if your red blood cells don’t have enough hemoglobin.

Red blood cells are made in the spongy marrow inside the large bones of the body. Bone marrow is always making new red blood cells to replace old ones. Normal red blood cells last about 120 days in the bloodstream and then die. They carry oxygen and remove carbon dioxide (a waste product) from your body.

In sickle cell anemia, a lower-than-normal number of red blood cells occurs because sickle cells don’t last very long. Sickle cells usually die after only about 10 to 20 days. The bone marrow can’t make new red blood cells fast enough to replace the dying ones.

Sickle cell anemia is an inherited, lifelong disease. People who have the disease are born with it. They inherit two copies of the sickle cell gene—one from each parent.

People who inherit a sickle cell gene from one parent and a normal gene from the other parent have a condition called sickle cell trait. Sickle cell trait is different from sickle cell anemia. People who have sickle cell trait don’t have the disease, but they have one of the genes that cause it. Like people who have sickle cell anemia, people who have sickle cell trait can pass the gene to their children.

Sickle cell anemia affects millions of people worldwide. The disease has no widely available cure. However, there are treatments for the symptoms and complications of the disease. Bone marrow transplants may offer a cure in a small number of cases.

Over the past 30 years, doctors have learned a great deal about sickle cell anemia. They know its causes, how it affects the body, and how to treat many of its complications.

Sickle cell anemia varies from person to person. Some people who have the disease have chronic (long-term) pain or fatigue (tiredness). However, with proper care and treatment, many people who have the disease can have improved quality of life and reasonable health much of the time.

Due to improved treatment and care, people who have sickle cell anemia are now living into their forties or fifties, or longer.

Diabetes

Type 1 diabetes is caused by an autoimmune disorder-a problem with the body's immune system. In a healthy body, specialized cells (called beta cells) in the pancreas make insulin. Insulin is a hormone that allows the body to use energy from food. In type 1 diabetes, the immune system mistakes beta cells for invaders and attacks them. When enough beta cells are destroyed, symptoms of diabetes appear.

In type 2 diabetes, the beta cells still produce insulin. However, either the cells do not respond properly to the insulin or the insulin produced naturally is not enough to meet the needs of the body. So insulin is usually still present in a person with type 2 diabetes, but it does not work as well as it should. Some people with type 2 can keep it under control by losing weight, changing their diet, and increasing their exercise. Others take one or more medications, including insulin.

A diabetes myth - diabetes is not caused by eating too much sugar. This myth probably began when people with diabetes were absolutely forbidden from consuming sugar. Researchers no longer believe this. Your child can still have all of her favorite sweets as long as they are scheduled in her eating plan.

Diabetes often goes undiagnosed because many of its symptoms seem so harmless. Recent studies indicate that the early detection of diabetes symptoms and treatment can decrease the chance of developing the complications of diabetes.

Some diabetes symptoms include:

Frequent urination
Excessive thirst
Extreme hunger
Unusual weight loss
Increased fatigue
Irritability
Blurry vision

Multiple Sclerosis

Multiple Sclerosis (MS) is an inflammatory disease of the Central Nervous System (CNS) - that's the brain and spinal cord. Predominantly, it is a disease of the "white matter" tissue. The white matter is made up of nerve fibres which are responsible for transmitting communication signals both internally within the

CNS and between the CNS and the nerves supplying rest of the body.
In people affected by MS, patches of damage called plaques or lesions appear in seemingly random areas of the CNS white matter. At the site of a lesion, a nerve insulating material, called myelin, is lost. I shall explain this process in more detail later. Clinically, MS is a hard condition to characterise because it is very unpredictable and variable. Depending on which areas of the CNS are affected and how badly they are damaged, the type and severity of symptoms can vary greatly.

No two people get MS in exactly the same way and the expression of each individual's disease is as unique as their fingerprints. However, the different courses of the disease, both within an individual and within the whole population, principally differ in their timing, location and severity. Underneath similar processes (including demyelination and sometimes other forms of nerve degeneration) are going on.

Although recent research indicates that the biochemical make-up of lesions may vary between different forms of the disease, this is not the reason why people with MS (PwMS) have such widely differing symptoms - it's because nerve damage to one site usually causes completely different symptoms than damage to another.

In general, people with MS can experience partial or complete loss of any function that is controlled by, or passes through, the brain or spinal cord.

Benign MS: This is a sub-group of relapsing/remitting. It is used to describe the disease in people who have had MS for fifteen or more years without picking up any serious and enduring disability. One of the neurologists that I saw put it at ten years. It's a bit of a false label really and people with benign MS are often reclassified as Secondary Progressive after a number of years

Malignant MS: Also known as Marburg's Variant and Acute Multiple Sclerosis. This is a label given to forms of MS where the disease progresses very rapidly from onset leading to severe disability within a relatively short period of time. Fortunately, this form of MS is extremely rare.

Chronic Progressive MS: Primary Progressive and Secondary Progressive used to be lumped together as Chronic Progressive (CPMS) but this term is no longer officially recognised although you will still see it referred to now and then.

Transitional/Progressive MS: Another form of the disease which is sometimes referred to but not widely used, is Transitional/Progressive (TPMS). This is characterised by a progressive course beginning many years after an isolated bout.

Devic's Disease: Also known as Neuromyelitis Optica, Devic's disease is a related condition to multiple sclerosis that is characterised by an attack of Optic Neuritis in both eyes followed by severe inflammation of the spinal cord (Transverse Myelopathy).

Balo's concentric sclerosis: This is another very rare disease that resembles multiple sclerosis. Clinically, it is very hard to distinguish Balo's concentric sclerosis from MS but MRI scans show the lesions in Balo's to be concentric rings of intact myelin and demyelinated zones. It is more common in China and the Philippines than elsewhere.

Gout

A gout "flare" (attack) usually strikes suddenly, at night, in one location (usually the large joint in the big toe). During the attack, the area becomes hot, red, swollen, and extremely tender. A fever may also be present. The pain, which can be excruciating, usually peaks within 24 hours.

The primary risk factor for gout is hyperuricemia—high levels of uric acid in the blood. People who have this condition are at risk of having an attack of gout. This risk appears to increase with higher uric acid levels. No one can predict when an attack might occur for someone with hyperuricemia. It may be triggered by alcohol, certain medicines, the presence of another illness, stressful events, or some other factor. Many times it may be difficult to say what triggered a specific attack. Having your healthcare provider measure your uric acid levels may help predict your chances of having a future attack.

With or without treatment, the symptoms usually go away within 3 to 10 days, and the next attack may not occur for months or even years, if at all. However, over time attacks can become more severe, last longer, and occur more often.

Although 90% of people with gout have an attack in their big toe, other joints affected may be the instep, ankle, knee, wrist, and fingers. The symptoms usually come without warning, but some people have minor pain in the ankle, soreness in the heel, or twinges of pain in the big toe before the attack.
There's more to gout than the pain of attacks. Hyperuricemia—the primary risk factor for gout—may affect your joints even when you aren't having a painful flare.

People over 60 years of age may experience different symptoms of gout. For example, joints in the upper part of their body are more likely to be affected, and more than one joint may have symptoms at the same time. Older people may also have an increased risk of developing “tophi”—crystal deposits made up of uric acid found around tissues of joints affected by gout.

Periodontal Disease

Plaque is the primary cause of periodontal disease. However, other factors can contribute to gum disease. These include:

Hormonal changes - such as those occurring during pregnancy, puberty, menopause, and monthly menstruation-make gums more sensitive, which makes it easier for gingivitis to develop.

Illnesses may affect the condition of your gums. This includes diseases such as:

cancer or HIV that interfere with the immune system. Because diabetes affects the body's ability to use blood sugar, patients with this disease are at higher risk of developing infections, including periodontal disease.

Medications can affect oral health because some lessen the flow of saliva, which has a protective effect on teeth and gums. Some drugs, such as the anticonvulsant medication Dilantin and the anti-angina drug Procardia and Adalat, can cause abnormal growth of gum tissue.

Bad habits such as smoking, make it harder for gum tissue to repair itself.
Poor oral hygiene habits such as not brushing and flossing on a daily basis, make it easier for gingivitis to develop.

Family history of dental disease can be a contributing factor for the development of gingivitis.

Periodontal disease may progress painlessly, producing few obvious signs, even in the late stages of the disease. Although the symptoms of periodontal disease often are subtle, the condition is not entirely without warning signs. Certain symptoms may point to some form of the disease. They include:

Gums that bleed during and after tooth brushing
Red, swollen, or tender gums
Persistent bad breath or bad taste in the mouth
Receding gums
Formation of deep pockets between teeth and gums
Loose or shifting teeth
Changes in the way teeth fit together upon biting down, or in the fit of partial dentures.

During a periodontal exam, your dentist or periodontist typically checks for these things:

Gum bleeding, swelling, firmness, and pockets (the space between the gum and tooth; the larger and deeper the pocket, the more severe the disease)

Teeth movement and sensitivity and proper teeth alignment

Your jawbone to help detect the breakdown of bone surrounding your teeth

Nonsurgical treatments of gum disease include:

Professional dental cleaning. During a typical checkup your dentist or dental hygienist will remove the plaque and tartar (plaque that builds up and hardens on the tooth surface and can only be removed with professional cleaning) from above and below the gum line of all your teeth. If you have some signs of gum disease, your dentist may recommend more than twice-a-year cleanings.

Scaling and root planing. This is a deep-cleaning, nonsurgical procedure, done under a local anesthetic, whereby plaque and tartar from above and below the gum line are scraped away (scaling) and rough spots on the tooth root are made smooth (planing). Smoothing the rough spots removes bacteria and provides a clean surface for the gums to reattach to the teeth. Scaling and root planing is done if your dentist or periodontist determines that you have plaque and calculus (hardened plaque, also called tartar) under the gums that needs to be removed.

Surgical treatments of gum disease include:

Flap surgery/pocket reduction surgery. Involves lifting back the gums and removing the tartar. In some cases, irregular surfaces of the damaged bone are smoothed to limit areas where disease-causing bacteria can hide. The gums are then placed so that the tissue fits snugly around the tooth. This method reduces the size of the space between the gum and tooth, thereby decreasing the areas where harmful bacteria grow and decreasing the chance of serious health problems associated with periodontal disease.

Bone grafts. Involves using fragments of your own bone, synthetic bone, or donated bone to replace bone destroyed by periodontal disease. The grafts serve as a platform for the regrowth of bone, which restores stability to teeth. New technology, called tissue engineering, encourages your own body to regenerate bone and tissue at an accelerated rate.

Soft tissue grafts. Reinforces thin gums or fills in places where gums have receded. Grafted tissue, most often taken from the roof of the mouth, is stitched in place, adding tissue to the affected area.

Guided tissue regeneration. Performed when the bone supporting your teeth has been destroyed, this procedure stimulates bone and gum tissue growth. Done in combination with flap surgery, a small piece of mesh-like fabric is inserted between the bone and gum tissue. This keeps the gum tissue from growing into the area where the bone should be, allowing the bone and connective tissue to regrow to better support the teeth.

Bone surgery. Smoothes shallow craters in the bone due to moderate and advanced bone loss. Following flap surgery, the bone around the tooth is reshaped to decrease the craters. This makes it harder for bacteria to collect and grow.

Octuplet Mom Fills Void

ASSI – The octuplet mom Nadya Suleman seems to have finally filled the void that six children and possible the eight are unable to fill. Cameras, Lights, and Hollywood appear to be the void that was missing in her life. She mentioned to Ann Curry of the NBC today show that she started having children to fill an empty space in her life, a void that her father, Ed Doud does not understand, he told Oprah that he and her mother made sure she was loved, cared for and received lots of affection.

As an only child, I understand the desire to have more than one child because I know what’s like to grow up without siblings. Some only children vow to have more than one child to prevent their child from having similar life experiences, but 14 is excessive. The children seem to be a pawn in her covets to have the public spotlight shine on her, hungry for more than 15 minutes of fame, the now infamous Suleman welcomed cameras into her newly purchased $564,900.00, 2,583 Square foot home in LaHabra a suburb outside of LA, which she should close on this week.

It has been reported that her father purchased the home but he was on Oprah declaring that he has only $100.00 to his name from the $9,000.00 that he brought with him from Iraq where he is currently working as a translator. According to Nadya, she is purchasing the home with money received from the sell of the babies’ photos and interview appearances, the money is in an escrow account, and will also go into a trust fund account for all 14 children. According to Dr. Phil McGraw who has been counseling Suleman, stated that she will receive assistance with the children from the nonprofit nursing group Angels in Waiting, and I am hopeful that Suleman will receive some additional counseling from Dr. Phil.

As I see it, the doctors transferred eight eggs into her uterus in an attempt for her to conceive one more child through in vitro fertilization; therefore, they (her and the doctors) knew it was plausible that all eight embryos could take, but she was unprepared mentally, emotionally, and financially to care for 14 children. I also believed that once it was determined that she was carrying eight fetuses measures were taken to ensure Suleman and her children would have the proper assistance needed for their care. Someone or corporation would provide the financial support, formula, diapers, and etc. I see a reality show in their future. I give it a year.

Rihanna and Chris: Young Love Gone Wrong

ASSI – First let me begin by saying I do not condone violence of any kind, I believe when a relationship becomes physical it is a dead-deal-breaker, and the relationship should not continue under any circumstances. Everyone seems to have an opinion regarding the Rihanna and Chris Brown saga from Tom Joyner to Oprah Winfrey, but it seems that folks are bias and taking sides which seem rather unfair, we should avoid passing judgment on either one of them.

We were not there and as we all know there are three sides to a situation, her side, his side, and the actual truth; however, in this case of young love gone wrong it seems that Chris and Rihanna are willing to put the incident behind them and forge ahead for whatever reasons. The rumor mill has gone rampant with what transpired on that day, the police reports reveals circumstances that are inconceivable to me, and the fact that Rihanna’s Attorney Donald Etra whispered to Mark Geragos who is Chris’s Attorney on March 5, 2009 while in court that “Rihanna wants this over” speaks volumes to how Rihanna feels about Chris rather under duress or not she wants this nightmare to end.

If Chris Brown lost control due to Rihanna reading a text message that he received from his 39 year old, Manager Tina Davis who he supposedly had a sexual relationship with, if Rihanna was reading his text messages without his permission they are both wrong. She crossed the line and so did he, one does not justify the other, but the lack of respect displayed by both demonstrates that there are other issues in this relationship that are not being addressed.

I heard that Tom Joyner and other radio personalities are going to stop playing Chris’s music, but these same folks continued to play R. Kelly’s music when he was charged with having sex with an under age minor and there is a video tape of his sinister act, and his music was played and still is being played on the radio. Help me with this one! Wrong is wrong be it sexual abuse or physical abuse…abuse is abuse and should not be tolerated in any form.

Skinny Bitch: A Vegetarian's Guide to Healthy Living

ASSI - During one of my feeding breaks at work, I shared with a coworker my desire to stop eating chicken and turkey, but thought it might be difficult due to the amount of chicken that I consume in a week. According to one of my coworkers, the book "Skinny Bitch" was the wake up call she needed, and thought it would be a good book for me to read as well. At first I was a little taken-a-back due to the style of writing it is harsh and in your face with enough shocking information to get your attention. The profanity was enough to make me cringe but I continued to read, relax, and receive the factual information provided. Rory and Kim are the authors of Skinny Bitch, a New York Times Bestseller that will definitely influence your decision to become a vegetarian. The condition and treatment of the animals will raise your eyebrows and discuss you to the point of thinking twice before eating meat or dairy; however, the affirmations, menus, and alternative foods provided gives you hope that you can eat healthy without tasteless compromises. As I see it, if you are contemplating becoming a vegan or vegetarian you must read Skinny Bitch it will enlighten you and expose the FDA, USDA, and food manufactures of their unsafe practices. I give Skinny Bitch 4.5 blinks

Madea Should Stay In Jail

ASSI - Based on the trailers and the fact that I believe Tyler Perry has formula movies that are cut from the same premise, mellow drama. I was content on waiting for the DVD release. Madea Goes to Jail has funny moments but is not a funny movie...the story line was contrived to make a film, although not far featched. You can see the artistic/creative license used at-its-best. Extreme measures were taken for a laugh. There are pockets of the film that lacks the realism needed for me to care about the characters or the situations. The acting was mediocre, there were no standout scenes, and Keisha Knight Pullium who plays Candy a prostitute is a small stretch for the onetime child actresss, according to Perry this is her break out role. We will see, I am unsure that her portrayl was the best; however, Perry plays three parts: Madea, her brother Joe, and his son Brian, the attorney. He also wrote, produced, and directed the film. The movie also stars Dereck Lucas from Antwane Fisher and N.O.T.O.R.I.U.S. BIG and to round out the cast. As I see it, if you simply want to see Madea Goes to Jail to support Perry make it matinee otherwise wait for it to come out on Blue Ray or DVD. It was entertaining but not a film that I highly recommend or a must see on the big screen. I give Madea Goes to Jail 3 blinks.

Racially Charged Cartoon

Yesterday, the day after President Obama signed the stimulus bill, his first major piece of legislation, the New York Post ran a cartoon depicting the bill's author as a dead monkey, covered in blood after being shot by police.

In the face of intense criticism, The Post's editor is standing by the cartoon, claiming it has no racial undertones, that it's not about Obama, and that it was simply referencing an incident earlier this week when police shot a pet chimpanzee (an argument that pundits and analysts simply aren't buying).1

It's impossible to believe that any newspaper editor could be ignorant enough to not understand how this cartoon evokes a history of racist symbolism, or how frightening this image feels at a time when death threats against President Obama have been on the rise.

Please join us in demanding that The Post apologize publicly and fire the editor who allowed this cartoon to go to print:

http://colorofchange.org/nypost/?id=2076-776892

The Post would have us believe that the cartoon is not about Obama. But on the page just before the cartoon appears, there's a big picture of Obama signing the stimulus bill.2 A reader paging through The Post would see Obama putting pen to paper, then turn the page to see this violent cartoon. The imagery is chilling.

There is a clear history in our country of racist symbolism that depicts Black people as apes or monkeys, and it came up multiple times during the presidential campaign.3

We're also in a time of increased race-based violence. In the months following President Obama's election there has been a nationwide surge in hate crimes ranging from vandalism to assaults to arson on Black churches.4,5 There has been an unprecedented number of threats against President Obama since he was elected,6 with hate-based groups fantasizing about the killing of the president. Just a week ago, a man drove from Louisiana to the Capitol with a rifle, telling the police who stopped him that he had a "delivery" for the president.7

There is no excuse for The Post to have allowed this cartoon to be printed, and even less for Editor Col Allan's outright dismissal of Black concerns.

But let's be clear about who's behind The Post: Rupert Murdoch. Murdoch, the Post's owner, is the man behind FOX News Channel. FOX has continually attacked and denigrated Black people, politicians, and institutions at every opportunity, and we've run several campaigns to make clear how FOX poisons public debate.8

We don't expect much from Murdoch. However, with enough public pressure we can set the stage for advertisers and subscribers to think long and hard before patronizing outlets like the Post that refuse to be held accountable.

You can help by making it clear that the Post's behavior is unacceptable, and by asking your friends and family to do the same. It only takes a minute:

http://colorofchange.org/nypost/?id=2076-776892

-- James, Gabriel, Clarissa, William, Dani and the rest of the ColorOfChange.org team
February 19th, 2009

References:

1. "NY Post Defends Cartoon, Slams Al Sharpton," Huffington Post, 2-18-2009
http://tinyurl.com/cdmhmm

2. "Obama Photo Preceded Cartoon Of Gunned Down Chimp," Huffington Post, 2-18-2009
http://tinyurl.com/d4jf3m

3. "'Curious George' Obama Shirt Causes Uproar," CBS News, 5-15-2008
http://tinyurl.com/d3ym5w

4. "Post-Racial USA? Not So Fast." Associated Press, 11-15-2008
http://tinyurl.com/b6nw6u

5. "Arson seen in post-election fire at black church in Springfield," Boston Globe, 11-8-2008
http://tinyurl.com/689k4k

6. "Obama never worries about his security despite record number of threats," Daily Mail, 11-27-2008
http://tinyurl.com/bwpr2b

7. "Winnfield man with rifle said he had 'delivery' for Obama," The Advocate, 2-11-2009
http://www.2theadvocate.com/news/39429842.html

8. ColorOfChange.org campaign -- "Dancing with the Devil"
http://colorofchange.org/cbci_debates/

Cassava What a Chip

ASSI - I grabbed a bag of chips off the shelf while shopping at my local Wholes Food Market and what I discovered was a bag full of tasteful surprise. According to Arico a Natural Foods Company, the packaging of Cassava Chips is enough to entice any crunch monger. The following information is on the bag: 30% less fat than potato chips, twice the fiber of potato chips, trans fat free, gluten free, dairy free, cholesterol free, free of artificial flavor or color, and it also states that Cassava grows much like potato and originated from the ancient South American civilization thousand of years ago. Its cultivation spread to other parts of Latin America, Asia, and Africa. today cassava is consumed by millions around the world and is relatively unknown in North America. When prepared as a snack chip has a delightfully satisfying flavor and a light, crispy addictive crunch and are lightly cooked without the use of trans fat and gently seasoned in an array of tantalizing flavors. Cassava chips are good for you and good for the earth. As I see it that says it all; however, I tried the original that exceeded my expectations. The texture, taste, and satisfy my crunch fix. If you are watching your weight but want to still enjoy a guilt free snack you must try Cassava Chips. The other flavors available are Barbeque Bliss, Ginger on Fire, and Sea Salt Mist. I give Original Cassava Chips 4.5 blinks.

All men over the age of 35 need to get checked for Prostate Cancer

AHSI.....Prostate has now become a major concern for all men over the age of 35. The prostate is a gland in the male reproductive system. The prostate makes and stores a component of semen and is located in the pelvis, under the bladder and in front of the rectum. The prostate surrounds part of the urethra, the tube that empties urine from the bladder. A healthy prostate is about the size of a walnut. The flow of urine can be slowed or stopped if the size of the prostate increases. Prostate cancer occurs when the cells of the prostate begin to grow uncontrollably. If caught early, and treatment is administered, prostate cancer has a cure rate of over 90% .

Physicians commonly use two methods for detecting prostate cancer:
Digital rectal examination (DRE) has been used for years as a screening test, but its ability to detect prostate cancer is limited. Tumors often form in areas of the prostate that cannot be reached by a DRE. Clinicians also can have difficulty distinguishing between benign abnormalities and prostate cancer.
The prostate-specific antigen (PSA) measurement is a blood test used by many doctors use. PSA is an enzyme measured in the blood that can rise naturally as men age or if prostate abnormalities are present. However, the PSA test cannot distinguish prostate cancer from benign growth or other conditions, such as prostatitis (inflammation of the prostate). PSA testing also fails to detect some prostate cancers.

Their are many tools to help you fight prostate cancer on all fronts. A powerful combination of traditional and new, innovative therapies are provided by cancer experts who work with you to determine the appropriate combination of therapies, which may include:
High Dose Rate (HDR) Brachytherapy for internal radiotherapy. This method of precisely delivering radiation from the inside out spares surrounding healthy tissue and organs and may reduce the need for surgery.
Intensity Modulated Radiation Therapy (IMRT) for the most advanced form of conformal radiotherapy. IMRT employs a powerful, advanced computer program that plans a precise dose of radiation in three dimensions based on individual tumor size, shape and location. IMRT allows for higher radiation doses than traditional radiotherapy methods, while sparing more of the surrounding healthy tissue.
Fractionated Dose Chemotherapy divides a powerful dose of drugs into smaller doses, given over several days. This approach exposes cancer cells to the drugs for a longer period of time, while also seeking to reduce the unpleasant side effects often experienced with larger doses.

The symptoms of prostate cancer can go undetected for many years and the signs are: pain or burning during urination; urine flow that starts and stops; not being able to urinate; frequent pain in the lower back; hips or upper thighs; blood in the urine and semen; weak flow of urine; and needing to urinate often, especially at night.

49er Fans from East to West and North to South would like to Congratulate the Pittsburgh Steelers on Winning their 6th NFL Superbowl

ESPN Analysts discuss Superbowl Sunday / Best D--Sports Show Interview with Willie Parker