Friday, January 4, 2013

Updated tool now available to predict prostate cancer spread

Jan. 3, 2013 ? Prostate cancer experts at Johns Hopkins have developed an updated version of the Partin Tables, a tool to help men diagnosed with prostate cancer and their doctors to better assess their chance of a surgical cure. The updated tool, based on a study of more than 5,600 men treated at The Johns Hopkins Hospital from 2006 to 2011, is published in the Jan. 3 issue of the British Journal of Urology International.

"The first thing most men want to know when they learn they have prostate cancer is their prognosis -- ??whether it can be cured," says Alan W. Partin, M.D., Ph.D., professor and director of Urology at the Johns Hopkins University School of Medicine, and creator of the Partin Tables. "The Partin Tables are a statistical model to show the probability that the cancer is confined to the prostate and therefore is likely to be cured with surgery," he says.

The model is based on a patient's prostate specific antigen (PSA) level, Gleason Score (a number from 2 to 10 that estimates the aggressiveness of tumors removed during a biopsy based on their appearance under a microscope), and clinical stage -- the extent to which a tumor can be felt during a digital exam.

Treatment decisions for prostate cancer are very complex and depend on a variety of factors, including whether the cancer is confined to the prostate or whether it has spread to the edge of the gland, seminal vesicles, lymph nodes or elsewhere in the body. Data for the Partin Tables, first published in 1993, have been based on the outcomes for more than 20,000 men who underwent prostate removal (known as radical prostatectomy) at Johns Hopkins over the past three decades. This represents the third update of the data.

"Twenty years ago, before widespread adoption of PSA for early detection, many men were diagnosed with prostate cancer after their cancer had spread. Today, the vast majority of men are diagnosed when the cancer is still confined to the prostate, giving them a much better chance of a cure with a surgical removal of the prostate," says Partin.

John B. Eifler, M.D., the lead author of the article who worked with Partin on the revision, says the new Partin Tables show that certain categories of men who were previously not thought to have a good prognosis actually could be cured with surgery. "We now have a better understanding of intermediate risk and see that more men now fall into that category, instead of the higher risk group," says Eifler.

For example, men with a biopsy Gleason Score of 8 and above previously were not thought to be good candidates for surgery because of the likelihood that the cancer had spread. The new data show a higher probability of a cure with surgery even if a man's Gleason score is 8. Scores of 9 and 10 are still considered high risk, indicating that the cancer likely has spread.

The researchers also found that having a PSA level of 10 and above was a better cut-off for predicting the spread of disease compared to lower levels.

"The updated Partin Tables will significantly improve the ability of physicians to counsel patients on the extent of their disease and help them make treatment decisions, such as whether surgery is warranted and, if so, whether lymph nodes also should be removed during surgery," Partin says. "If there is a high probability that the cancer has spread, treatment options include radiation, chemotherapy and hormonal therapy."

To access the updated Partin Tables, go to http://urology.jhu.edu/prostate/partintables.php. By inputting the PSA, the Gleason Score and the clinical stage results, and clicking on "find results," an individual can see the percentage chance that the cancer is confined to the prostate, has migrated to the edge of the gland, has invaded the seminal vesicles or has spread to the lymph nodes.

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The above story is reprinted from materials provided by Johns Hopkins Medicine, via Newswise.

Note: Materials may be edited for content and length. For further information, please contact the source cited above.


Journal Reference:

  1. John B. Eifler, Zhaoyang Feng, Brian M. Lin, Michael T. Partin, Elizabeth B. Humphreys, Misop Han, Jonathan I. Epstein, Patrick C. Walsh, Bruce J. Trock, Alan W. Partin. An updated prostate cancer staging nomogram (Partin tables) based on cases from 2006 to 2011. BJU International, 2013; 111 (1): 22 DOI: 10.1111/j.1464-410X.2012.11324.x

Note: If no author is given, the source is cited instead.

Disclaimer: This article is not intended to provide medical advice, diagnosis or treatment. Views expressed here do not necessarily reflect those of ScienceDaily or its staff.

Source: http://feeds.sciencedaily.com/~r/sciencedaily/most_popular/~3/pvgDStE-lII/130103073050.htm

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Nokia?s Lumia 920 remains as expensive as Apple?s iPhone 5

Actors Bradley Cooper and Zoe Saldana have split up for a second time, apparently. Page Six says that the pair, who broke up last March only to get back together this fall, were supposed to spend New Year's Eve in Paris with Cooper's family, but Cooper ended up going it alone, while Saldana spent her evening in Miami with friends. Supposedly the couple couldn't make it work because of their busy schedules, with Cooper doing awards-blitz stuff for Silver Linings Playbook, and shooting a commercial of some sort in Prague, and Saldana doing Star Trek and a movie with Mila Kunis. ...

Source: http://news.yahoo.com/nokia-lumia-920-remains-expensive-apple-iphone-5-191011942.html

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Confessions of a Traffic Cop

January 2, 2013 6:30 AM Text Size: A . A . A Thirty-five years ago, middle school-age Mike Brucks realized he wanted to be a police officer. After graduating from high school he joined the army and became a military traffic cop on the million-acre Fort Bliss in western Texas and New Mexico. "It was a small-scale community, with slow speeds, and we would investigate accidents on- and off-post, in Colorado, New Mexico, and as far as Corpus Christi, anywhere a serviceman was injured or killed," Brucks says. After six years in the Army he joined the El Paso Police Department as a traffic cop. He retired last May after 22 years and almost 40,000 tickets, by his estimation, most of which he issued while riding Kawasaki and Harley-Davidson big-motor touring bikes. Here are some of his stories from the road and tips for motorists looking to avoid a ticket. Q

Besides speeding, which is the reason for most tickets, what's most likely to get a traffic cop's attention?

ASeatbelts, cell phones, red lights, and stop signs. I concentrate on all the things that can cause an accident. There are some cops who write tickets for expired plates, for having no insurance or registration, but you're not going to crash because of any of that. I focused on safety issues?that's what I like to do. Q

Motorcycle or car?which is better for catching speeders?

AMotorcycles accelerate so much faster and can maneuver around traffic better. When I'm in a car, it's harder to get it turned around. I grew up riding dirt bikes as a kid. I've always been riding. I teach riding with the Motorcycle Safety Foundation; I have a BMW RT1150 as a personal bike. Q

Do traffic cops think it's cheating to hide behind billboards?

ANo. You've got a radar detector; you know where we hide. If you are thinking we are hiding somewhere, it's because you're speeding. Q

Do you have favorite hiding places?

AI stay on the freeway mostly. That's where there are more speeders. I'll park under overpasses, on bridges. I need to be able to start the bike and accelerate to go after someone. If there are a lot of exits, I can miss [a speeder] who can maybe get off at an exit, and then it's too late to catch him. Q

How much leeway do you give someone before writing them a speeding ticket?

AThe speed limit in Texas used to be 60 mph, [and] well, out on the clear road where there's a lot of visibility I give people leeway. I wouldn't write tickets until they got to 80 mph. I've never worked an area where the speed limit drops a lot without warning, what I call a trap. If there's a new speed limit that's lower, it [takes] time for people to get used to it and I don't write tickets there. Q

What can a driver say to get out of a ticket?

AWhen someone tells me that a family member has just been sent to the hospital and they're on their way, how can I ticket them for that? I tell them that they're not being safe, that they need to slow down and stay safe. That's about it.

I think now it's much more of a rat-race world than it was 30 years ago. The workforce has generated that. People have to be at work on time or risk getting fired, kids have to be picked up and taken places?it's just citizens in a hurry. Ninety-eight percent of the people I stop are law-abiding good citizens, and they say they have no reason to speed. That's an easy ticket. They're not happy, but I could go months without any problems, without anyone cussing me out. I wrote a lot of warnings, too, but it all depends on the situation, if they were being safe.

Q

What different kinds of speeders do you find?

AMonday through Friday, they're all trying to get to work; they go 70 to 75 mph in a 60 mph zone. On Saturdays and Sundays, there is less traffic, no rush hour, and they go 85 to 90 mph. On the [Woodrow Bean] Transmountain Road, there is a "100 Miles per Hour" club, and a lot of motorcyclists run it on the weekends. When I first started, I worked night shifts, and there are a lot of bad people out there at night. So I liked days, and I would try to work as early as possible before it got hot, because I was on a motorcycle. Q

Are speed limits too low?

ANo, the traffic engineers, at least in Texas, are pretty good. It's not that some parts of the highway are safer for speeding, it's that drivers aren't always paying attention. People die on lonely deserted stretches of road too. There are a lot of times drivers aren't concentrating. They need to understand you're going 100 feet per second on the highway. Above 75 mph things just happen so fast, [whether it's] a flat tire, a coyote, wind, dirt, or rocks. It's not that much better now that cars are safer; reaction times are still the same. Q

What's the toughest ticket you've had to write?

AI clocked a woman coming down from New Mexico on Highway 54 at 111 mph. She had just been stopped for going 90 mph 15 minutes [earlier] in New Mexico. Everybody has a reason, and I want to know it. I always ask why someone was speeding, and that's just to open things up. I want to know what they're thinking, if they need my help for something. She had been crying, and the tears didn't just start?they'd been going on a long time, you can tell. She was on her way to a motel in El Paso to catch her husband who was shacked up with another woman there, cheating. How do you write a ticket for that? Q

Who's the craziest speeder you've seen?

AI stopped a guy going 136 mph. I caught him mostly because he thought he lost me. I came up beside him and blocked his front wheel on the curb. The hardest part after that was now I have to be courteous and respectful, although he could have killed someone, and that makes me angry. It's really too bad, he was a good kid, never been in trouble, but now he had to go to jail for felonious evading, and that's really going to wreck his life. Q

When do you not chase a speeder?

AI clocked a guy on a crotch-rocket bike doing 189 mph. Just let him go. Since police departments began to get sued for chasing speeders, around 1995, there's a fine line. You have to determine if you can catch him, if chasing him will cause an accident for him, for you, for the public. There's no way to catch anyone like that.

Source: http://www.popularmechanics.com/cars/news/vintage-speed/confessions-of-a-traffic-cop-14912173?src=rss

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Obama, NY and NJ lawmakers press for Sandy aid

Rep. Peter King, R-N.Y., left, joined by other New York area-lawmakers affected by Superstorm Sandy, express their anger and disappointment after learning the House Republican leadership decided to allow the current term of Congress to end without holding a vote on aid for the storm's victims, at the Capitol in Washington, early Wednesday, Jan. 2, 2013. (AP Photo/J. Scott Applewhite)

Rep. Peter King, R-N.Y., left, joined by other New York area-lawmakers affected by Superstorm Sandy, express their anger and disappointment after learning the House Republican leadership decided to allow the current term of Congress to end without holding a vote on aid for the storm's victims, at the Capitol in Washington, early Wednesday, Jan. 2, 2013. (AP Photo/J. Scott Applewhite)

WASHINGTON (AP) ? Republicans and Democrats from New York and New Jersey lashed out at House Speaker John Boehner on Wednesday for pulling legislation on Hurricane Sandy aid, demanding that he reverse course and allow a vote as their constituents continue to struggle with the aftermath of the devastating storm. President Barack Obama called for an immediate House vote, and governors of the two states called House inaction a "dereliction of duty."

Just hours after he put off a vote, Boehner was scheduled to meet privately with Republican lawmakers from the two states. The speaker was caught between conservative lawmakers who want to offset any increase in spending and Northeast and Mid-Atlantic lawmakers determined to help their states recover more than two months after the storm hit.

The criticism of Boehner on the House floor was personal at times, and reflected in part the frustration among rank-and-file over the decision to press ahead with a vote on the fiscal cliff deal engineered by the White House and Senate GOP Leader Mitch McConnell. Boehner had been struggling with conservatives who complained that the economic package didn't include enough spending cuts.

The move to pull the Sandy bill by Boehner even came as a surprise to the No. 2 Republican in the House, a Republican official said.

A House Republican leadership aide, who spoke on condition of anonymity because the aide was not authorized to discuss the matter publicly, said House Majority Leader Eric Cantor was ready to have the House vote on the bill and was surprised when the speaker made the decision late Tuesday to let it die for this session of Congress, which ends Thursday.

Obama, meanwhile, called for House Republicans to vote Wednesday on the Sandy aid "without delay for our fellow Americans." The president said in a written statement that many people in New York, New Jersey and Connecticut are trying to recover from the storm and need "immediate support with the bulk of winter still in front of us."

New Jersey Gov. Chris Christie and New York Gov. Andrew Cuomo issued a joint statement, saying, "The fact that days continue to go by while people suffer, families are out of their homes, and men and women remain jobless and struggling during these harsh winter months is a dereliction of duty."

A spokesman for Boehner, Michael Steel on Wednesday would not say whether Boehner would reconsider his decision on Sandy aid, responding with the same statement he issued on Tuesday night: "The speaker is committed to getting this bill passed this month."

Reps. Michael Grimm, a Republican, and Jerrold Nadler, a Democrat, said in angry House floor remarks that while they did not agree on much, Boehner's decision amounted to a crushing blow to states battered by the late October storm.

"There was a betrayal," said Grimm.

The Senate approved a $60.4 billion measure Friday to help with recovery from the storm that devastated parts of New York, New Jersey and nearby states. The House Appropriations Committee has drafted a smaller, $27 billion measure, and a vote had been expected before Congress' term ends Thursday at noon. An amendment for $33 billion in additional aid, partly to protect against future storms, was also being considered but was seen as having less chance of passage.

Grimm and Nadler were among several New York and New Jersey lawmakers who took to the House floor to complain about Boehner's move. The lawmakers said Boehner pulled the bill without talking to them.

"It's the most disgraceful action I've seen in this House," said Nadler. "It is a betrayal by the speaker personally of the members of this House," Nadler said.

Rep. Peter King, R-N.Y., called it a "cruel knife in the back" to New and New Jersey. He said some Republicans have a double standard when it comes to providing aid to New York and New Jersey compared with other regions of the country suffering disasters. Somehow, he said, money going to New York and New Jersey is seen as "corrupt."

He said those same Republicans have no trouble coming to New York and New Jersey to raise millions of dollars. King urged donors from the two states not to give money to Republicans who are ignoring their needs on Sandy.

King said Congress approved $60 billion for Hurricane Katrina in 2005 within 10 days, but hasn't appropriated any money for Sandy in over two months.

Rep. Frank Pallone Jr., D-N.J., blamed tea party lawmakers and conservatives who were reluctant to approve new spending soon after the debate over the "fiscal cliff" budget issues for the sudden move by GOP leaders. He said the move was "deplorable."

New York and New Jersey lawmakers said they believed they had support for both measures.

"I am convinced it would have passed," said Rep. Frank LoBiiondo, R-N.J., who represents Atlantic City which was hard hit

LoBiondo said New York and New Jersey lawmakers have backed past disaster aid bills for other states.

"Now when it comes to us, we have a lot of hemming and hawing," LoBiondo said.

The lawmakers had erupted in anger late Tuesday night after learning the House Republican leadership decided to allow the current term of Congress to end without holding a vote on aid for victims of Hurricane Sandy.

King said Tuesday night he was told by the office of Cantor of Virginia that Boehner had decided to abandon a vote this session.

Cantor, who sets the House schedule, did not immediately comment.

House Democratic Whip Steny Hoyer of Maryland told reporters that just before Tuesday evening's vote on "fiscal cliff" legislation, Cantor told him that he was "99.9 percent confident that this bill would be on the floor, and that's what he wanted."

More than $2 billion in federal funds has been spent so far on relief efforts for 11 states and the District of Columbia struck by the storm, one of the worst ever to hit the Northeast. The Federal Emergency Management Agency's disaster relief fund still has about $4.3 billion, enough to pay for recovery efforts into early spring, according to officials. The unspent FEMA money can only be used for emergency services, said Pallone.

New York, New Jersey, Connecticut, District of Columbia, West Virginia, Virginia, Maryland, New Hampshire, Delaware, Rhode Island, Pennsylvania and Massachusetts are receiving federal aid.

Sandy was blamed for at least 120 deaths and battered coastline areas from North Carolina to Maine. New York, New Jersey and Connecticut were the hardest hit states and suffered high winds, flooding and storm surges. The storm damaged or destroyed more than 72,000 homes and businesses in New Jersey. In New York, 305,000 housing units were damaged or destroyed and more than 265,000 businesses were affected.

__

Associated Press writer Donna Cassata contributed to this story.

Associated Press

Source: http://hosted2.ap.org/APDEFAULT/3d281c11a96b4ad082fe88aa0db04305/Article_2013-01-02-Superstorm%20Aid/id-0566f912d0c9450f8a1a5f250c23bde8

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Wednesday, January 2, 2013

Israel orders Bedouins to leave West Bank area

KHIRBET AL-MEITEH, West Bank (AP) ? Israel's army has ordered dozens of Palestinian Bedouins to leave their communities in a remote West Bank area while it conducts military exercises there.

The military says the order is temporary, and that the Palestinians are living illegally in closed military zones.

The Bedouins say they have lived there for decades, making a living by herding animals. They say Israeli officials are pressuring them to leave.

While the army has issued temporary evacuation orders in the past, Bedouins say they have increased in frequency. They say it is distressing for their children and livestock to move, and that many of them have nowhere else to go.

Source: http://news.yahoo.com/israel-orders-bedouins-leave-west-bank-area-133307241.html

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assertTrue( ): How I Fell in Love with a Schizophrenic

I had a much different post planned for today, a great post (if I do say so myself) about how three groups of scientists, 60 years ago this year, wrote three papers on the same subject in the same issue of Nature. One of the three papers was only 843 words long; half the length of the others, and much better-written. It resulted in a Nobel Prize.

I am going to have to push that one off to tomorrow.

Yesterday, my true love, Sally, had a psychotic break and went into the (mental) hospital, where she'll probably be for the next two weeks. Today, I'm writing as a means of therapy. Therapy for me.

I knew going into this relationship that it would entail ups and downs, and hard work.

I've never been as "all-in" as in this relationship. I'll stick by Sally for as long as she'll have me. I'll stick by her no matter what.

Our meeting was the fluke of the century. I happened to be scrounging around on Craigslist one day looking for a furniture item. Sally happened to be on Craigslist looking for pet supplies. On a lark, I posted a personals ad, something I'd never done (on Craigslist). It was a short ad, maybe three or four sentences total. The heading was something goofy like "Intelligent guy looking for sharp gal."

Sally happened to see the ad, and responded to it. She was the only legit response I got. Altogether, I got 10 replies, 9 of them from come-on artists trying to get me to visit this or that website and enter a credit card number "for verification purposes."

I was skeptical of Sally's response, as honest and heartfelt as it sounded. For those of you reading this who live outside the U.S. and may not know what Craigslist.org is, it's a free-for-all of want ads ("classified ads" online) for anything and everything. But it's also a dangerous cesspool of scammers and criminal activity (everything from prostitution to sale of stolen goods) with a reputation to match. Want to buy a new refrigerator cheap? Craigslist. Expect to pay cash, ask no questions, and not know where the fridge came from. Want to buy a dog? Plenty for sale. Many kidnapped. Want to buy a boa constrictor or other illegal pet? Craigslist. Want to buy a white mouse to feed your boa? Craigslist. Always Craigslist.

The best way to sum up Craigslist is this: Think of it as an Internet version of Mos Eisley Spaceport. Remember Obi-Wan's famous line from Star Wars? "You will never find a more wretched hive of scum and villainy. We must be cautious."

Sally and I met via Craigslist, the first time either of us had met anyone that way (or wanted to). We'd each been the OKCupid route, the Plenty of Fish route, and other routes. To no meaningful avail.

We laugh now when we tell friends how we met. It's with great pride that I tell people, in complete seriousness, that I met, and fell in love with, a schizophrenic on Craigslist.

As I was saying a second ago, I was skeptical of Sally's response to my ad (because one is justifiably skeptical of anything that comes into one's life via Craiglist). We corresponded briefly. Very briefly. I asked her in the first e-mail to send a phone number so I could talk to her immediately (my way of verifying that I wasn't dealing with a convincing scammer).

We spoke on July 1, 2011 for about ten minutes. The call ended with a promise of trying a longer phone call the next day.

The July 2 phone call turned out to be a revelation.

Sally told me straight out that she was on disability. I expected her to say she was in a wheelchair. Instead she said she had been deemed incurably schizophrenic by the Social Security Administration fifteen years earlier.

I listened as Sally explained that her particular variety of schizophrenia is actually called schizo-affective disorder, which is schizophrenia with an added twist. People with schizo-affective disorder show all the classical signs of schizophrenia (delusions, hallucinations, confused or irrational thoughts, a greater or lesser degree of paranoia, lack of interest in the world and other people, inability to act spontaneously, occasionally varying degrees of catatonia; and quite often, indifference to grooming or bathing), but instead of exhibiting the emotional "flatness" (lack of affect) that most schizophrenics evince, people with schizo-affective disorder have an accompanying mood disorder, most commonly bipolar disorder, or, as in Sally's case, major depression.

On top of that, Sally told me about having PTSD from a traumatic experience earlier in her life (details of which are not important here). She was still having intrusive thoughts as a result of the PTSD.

We had no trouble conversing on the phone. It seemed I was talking to a cogent enough individual. I asked what her medicines were and how she'd been doing of late. She listed the meds and told me that her major symptoms (delusions, hallucinations, confused thoughts) were under control but that she still had residual paranoia, intrusive thoughts, and depression. SSRIs like Zoloft and Prozac (which help only a minority of depression sufferers) had done little or no good for her.

I was exceedingly impressed with Sally's candor. After an hour on the phone I suggested we meet for coffee at 10:00 the next morning (July 3). She agreed.

We met face-to-face at Starbucks and had a delightful 45-minute talk. She looked just like her pictures. She sounded just like she did on the phone. She was charming and forthright; cheerful; well-dressed; a delight to behold, in every way. By the end of the conversation, we were asking each other about 4th-of-July plans. Neither of us had any. "Why don't we go out to dinner?" I suggested. And with that, we agreed on our first "real" date.

Our first date was lengthy and delightful. After Mexican food and an hour-long walk on the beach, I offered to take Sally home, if she wanted. She shocked the wits out of me by saying: "Why don't we go shoot a few rounds of pool?"

We went to Pete's (a ratty but convivial beach bar in Jacksonville) and played billiards while everyone else went outside to view the fireworks at the pier. Sally preferred to avoid the flashing pyrotechnics and loud noises, as I did; we stayed inside and took turns beating each other at 8-ball, in an otherwise empty bar. We smoked Salems. We drank Blue Moons. We talked of alien visitations and suicide attempts.

I think most guys, on a first date, upon hearing a young lady talk seriously about being visited by aliens, would probably find some reason to cut the evening short. I merely listened. Sally "knew" the alien visitation wasn't real. But it felt real enough to her when it happened. So I asked her to tell me about it in detail. And I listened, without passing judgment. She ultimately laughed the whole thing off, but I knew it was an important part of her reality. It had stayed with her. It was still real to her. Who was I to question her reality?

Sally told me what it had been like to discover that she was schizophrenic at age 22. It was a gradual process. She didn't know that the radios she was hearing weren't real, or that the songs she was listening to on the (real) radio weren't actually written specifically for her, with encoded messages in them. She didn't know that when both her parents happened to wear orange windbreakers on the same day, it didn't mean she would soon be going to jail. She didn't know that when a yellow car pulled in front of her on the road, it didn't mean there was danger ahead. She didn't know that numbers don't have "assigned colors" to them. She didn't know that when she was eating in a crowded restaurant, people weren't talking about her, or that passing helicopters weren't really spying on her.

One day, Sally's mother found her sitting on the edge of the bed, catatonic, unresponsive. Her mom wisely rushed her to the doctor. Sally was referred to a mental-rehab center (the closest thing we have these days to a "mental hospital"), where she was diagnosed as schizophrenic and put on strong medications, medications that (after several days) began to dissolve away Sally's most florid symptoms, which included the constant sound of doors slamming and the whop-whop-whop of helicopters overhead with Homeland Security agents spying on her.

She tells of waking up one morning in her hospital bed, astonished to find the room pin-drop quiet. No loud radios, no slamming doors, no helicopters, no voices of people "talking about her." Just silence.

For the first time in however many months (she doesn't recall how many), she actually heard the world as it is.

Her doctor told her the silence was the meds finally working. She asked what condition she was being medicated for (and asked for verification that she was, indeed, in a hospital of some kind). For days, she had been wondering where she was, and who all the strange people around her were. The doctor explained to her that she had schizophrenia.

A few weeks later, out of the hospital, her major symptoms under control, Sally (under her mother's guidance) applied to the U.S. government for disability. The Social Security Administration put her through a psychological exam. There was no doubt at all that she was schizo-affective, with residual symptoms of paranoia, intrusive thoughts, and major depression. The Social Security Administration put her on a disability pension.

As a disabled person (who can't work a normal job, because of the severity of her residual symptoms), Sally gets a monthly check for $661. That's it. That's all. No more. Here you go: $661 a month, now go take care of yourself.

Need I say, no one can live on $661 a month in the United States. That's the average monthly per-capita income in Gabon, and people have trouble living on that kind of money in Gabon.?

It's an outrage that a disabled person is expected to live independently on $661 a month.

It's the kind of thing that makes me ashamed of my own country.

As it happens, Sally got married in her early twenties. Her husband, an alcoholic musician, proved unable to take care of himself, let alone a wife. In an attempt to straighten himself out, her husband enlisted in the U.S. Army. After a year, he washed out. A couple years after that, he and Sally divorced.

Two abortions later, Sally had herself sterilized.

Then came the boyfriend who would take care of her (more successfully than the ex-husband) for six years. The boyfriend was a career Navy guy who was often at sea for months at a time. When he came home, he spent his time playing World of Warcraft. All of his time went to WoW. All of it. Even when Sally attempted suicide by taking a full bottle of Seroquil, he played WoW. In fact, he stepped over her dying body in the hallway in order to get back to WoW. Sally grabbed a cell phone just before passing out and dialed 911. The boyfriend spent the rest of the night explaining his negligence to the police.

When she recovered from the suicide attempt, Sally left Mr. World of Warcraft.

Three more suicide attempts would follow, in a space of four years.

Sally finally moved in with her aging (but healthy) father.

Nine months later, she and I met.

It's been over a year and a half now of seeing each other. On December 1, 2012, we rented a house in Jacksonville and moved in together. But after three weeks, Sally fell into a deep depression. Antidepressants (a wide variety of them) simply have not worked for her. Her depression isn't just biochemical. It's situational. She wants to be able to hold a job, but can't. She wants to be able to be independent, live on her own if she wants to, but can't. As much as she adores me, she's depressed to know she can never move out and live on her own, not even in theory. She can only move to her father's house again. But she doesn't want that.

I stay with her not only because I understand her problems and want to be there for her, but because I'm totally taken by her (a polite way of saying I'm madly in love with her) and have been since the day we met. She's truly a beautiful person inside and out. Guileless, straightforward, self-aware, good-hearted, open-minded, always truthful, always kind; the type of woman I've always wanted to meet and fall in love with. I could never say anything bad about her. (How could I? There's nothing bad to say.) I could never do anything but love her, and want to take care of her. And I want what we have to last forever.

I've told Sally many times, I never want to go on a first date ever again. I'll never be interested in another woman. I'll throw myself in front of a bus for her if she wants it. I'll run naked through the streets if she says to. (I pray she never becomes that crazy, of course.) There isn't anything I wouldn't do for Sally.

When I look at Sally, sometimes I feel sad. Sad for the thousands of schizophrenics alive in the U.S. today who have not gotten treatment; who sit homeless and disheveled on street corners in every major city in America, talking to themselves or raving at no one in particular, waiting for a caring passer-by to offer a few dollars to buy them the lunch the government won't buy them. Sad for the countless thousands of schizophrenics who were subjected to cold-water baths, spinning chairs, and other quack therapies in lunatic asylums a century ago. Sad for the thousands burned as witches in the middle ages.

I look at Sally with happiness, too. Happiness that she has gotten treatment. Happiness that, thanks to powerful new medicines, she has gotten a good part of her life back. Happiness that she has chosen to be with me.

I hope, when Sally comes out of the hospital in a week or two, she'll be a lot like the old Sally I met that fateful July day in 2011. And I hope we can laugh about aliens, and go back to fixing up the house, and maybe even shoot a round of pool or two now and then (minus the Blue Moons; we stopped drinking as of last September 19). We'll keep trying to find an antidepressant that works, and a work-at-home job that Sally can do to make extra money, so she can feel more independent. Fate willing, we'll build a life together.

No doubt there's a lot of hard work ahead, for both of us. But you know what? I never saw anything in this life that was worth a damn that didn't involve hard work. The idea is not to shun the hard work but to embrace it. Embrace it with both arms, squeeze it hard, and accept it, not with fateful resignation but with the sure knowledge that if you do embrace it, good things will come, eventually. The alternative, giving up, is unthinkable.

I'll never give up on Sally, as long as I breathe.

Source: http://asserttrue.blogspot.com/2013/01/how-i-fell-in-love-with-schizophrenic.html

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twist evocation: Shopping And Product Reviews - antoinehoover6 ...

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Source: http://manhaya581.blogspot.com/2013/01/twist-evocation-shopping-and-product.html

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