Ok, well....my knees are thrashed. They're basically all chewed up
bone, no "joint" visible in the Xrays. But this much I knew already.
The surgeon said that, because my knees have contracted so much (I'm
unable to straighten them now) that this makes joint replacement
surgery more difficult. They (the Drs) need to "have enough room to
move around in there". Another option is to fuse them, which scares
me to death. Fusing basically means that they screw the bones
together. No more joint. I can't wrap my mind around how that would
work. He said they don't fuse them totally straight, but didn't
elaborate on this. He wants to consult with my Rheumatologist to see
how HE plans to treat me. And he said he wants to think about what is
the best course of action, AND whether to do one or both knees at the
same time. He's leaning toward one at a time though. He'll call me
early next week.
He can't get me on the surgical schedule for at least 6-8 weeks, which
complicates some after-surgery at home help I was trying to arrange
with my sister. But this won't work with her schedule for the summer.
:-/
SOoooo.....LOTS of things to consider, none terribly encouraging since
they've gotten SO bad. *sigh* :-(
Ok, there's nothing MAJOR going on here in good 'ole Seattle, but I do
have a bit of a kitty problem that I hope you can help me with.
Pooh, my "pleasingly plump" 17 lb. blimpo kitty SNORES! Not just loud
breathing. He snores loud enough to wake me up! His brother Tipper,
at about 13 lbs just has the faintest little "nose whistle" that's
actually kinda cute, especially when it comes from under the covers
where he's glued himself to me.
I was thinkin' about those "Breathe right" strips they advertise on
TV. But Pooh's nose is sooo much smaller than a hoomans. And then
what would happen? With the pressure released would he fly around the
room backwards until he deflated? Like a runaway untied balloon? It
would be amusing.....*slaps self* No of course I would never want
anything like that to happen to Pooh-the-feline-food-vacuum!
Btw...I mention their weights because "they" say that being overweight
and/or drinking can cause snoring. When I was overweight & drinking,
I snored. Pooh couldn't possibly be drinking, could he?? There's no
alcohol in the house! UnLESS he has a secret stash of those little
airplane-sized bottles!! *Pooh's Mommy begins to hyperventilate*
When your favorite TV shows seem to go off the deep end, don't you
just wanna say to the writers, "HUH???!!!"
The specific shows I'm talking about are soap opera "All My Children"
and the crowd favorite, "House".
AMC: What do you think about the new story lines - Adam going crazy?
Dixie "haunting" him? Zach sending Aiden (& maybe Ryan too!) off on a
dangerous mission-to save a character we haven't seen in a while- Jake
Martin. And of course Jake is being played by a new actor we never
saw before.
Do they REALLY think fans are just gonna buy this stuff?
House: I LOVE LOVE LOVE this show. Hugh Laurie (who is British in
real life, accent & all) playing the curmudgeonly Dr House is
BRILLIANT! But the way he played musical chairs with a bunch of new
Dr's....NO hospital would allow something like that! And now the
Oncologist, Dr. Wilson, now dating one of the dismissed Dr.
candidates? And House & lady Dr setting up a "shared custody"
schedule so each can spend time with Wilson? Granted, it IS amusing,
but... HUH??!!
Do you think these story lines are wacky, or is it just me? ;-)
Hey! I've been reading about all the tornados & other crazy weather,
especially for you in Missouri, Arkansas, & Oklahoma. Is everyone ok?
I is worried!!
Here on the West Coast, maybe nationwide, Pizza Hut is advertising
pasta. There's Chicken Alfredo or Meaty Marinara. So, totally in the
interest of consumer testing, I ordered the Chicken Alfredo this
evening, which comes with Parmesan bread sticks, for $11.99. Let me
tell you, it was delicious! And it comes in a foil pan like you'd get
catering in. So it's enough for 4 generous portions or 6 regular
portions. Which means I'll be eating it for the next 3 or 4
days....Lol! This is a great last minute solution to take to a
pot-luck or throw a spur of the moment get-together of your own!
I'm sure the kitties would enjoy it, but they'd just pick out the
chicken & leave the rest. I hate it when kids do that, don't you?
Anyway, try it! I bet you'll like it!
Why does a normally placid cat suddenly start running, jumping &
howling through the house, as if his tail was on fire?
Enquiring minds want to know!
I'm not sure if this is a good idea or a bad one. But here goes nuthinl!
Describe me in one word... just one word. Heres how to Play : 1. Put
my one word in the comments section of this post. Just one word that
you think best describes me. 2. Then copy and paste it into your blog
to have others do the same about you.
Sent from musicchick2@gmail.com's mobile device from http://www.cnn.com.
Prescription drugs found in drinking water across U.S.
A vast array of pharmaceuticals -- including antibiotics, anti-convulsants, mood stabilizers and sex hormones -- have been found in the drinking water supplies of at least 41 million Americans, an Associated Press investigation shows.
To be sure, the concentrations of these pharmaceuticals are tiny, measured in quantities of parts per billion or trillion, far below the levels of a medical dose. Also, utilities insist their water is safe.
But the presence of so many prescription drugs -- and over-the-counter medicines like acetaminophen and ibuprofen -- in so much of our drinking water is heightening worries among scientists of long-term consequences to human health.
In the course of a five-month inquiry, the AP discovered that drugs have been detected in the drinking water supplies of 24 major metropolitan areas -- from Southern California to Northern New Jersey, from Detroit, Michigan, to Louisville, Kentucky. Map: See the cities where drugs were found in drinking water
Water providers rarely disclose results of pharmaceutical screenings, unless pressed, the AP found. For example, the head of a group representing major California suppliers said the public "doesn't know how to interpret the information" and might be unduly alarmed.
How do the drugs get into the water?
People take pills. Their bodies absorb some of the medication, but the rest of it passes through and is flushed down the toilet. The wastewater is treated before it is discharged into reservoirs, rivers or lakes. Then, some of the water is cleansed again at drinking water treatment plants and piped to consumers. But most treatments do not remove all drug residue.
And while researchers do not yet understand the exact risks from decades of persistent exposure to random combinations of low levels of pharmaceuticals, recent studies -- which have gone virtually unnoticed by the general public -- have found alarming effects on human cells and wildlife.
A 'growing concern'
"We recognize it is a growing concern and we're taking it very seriously," said Benjamin H. Grumbles, assistant administrator for water at the U.S. Environmental Protection Agency.
Members of the AP National Investigative Team reviewed hundreds of scientific reports, analyzed federal drinking water databases, visited environmental study sites and treatment plants and interviewed more than 230 officials, academics and scientists.
They also surveyed the nation's 50 largest cities and a dozen other major water providers, as well as smaller community water providers in all 50 states.
Here are some of the key test results obtained by the AP:
? Officials in Philadelphia, Pennsylvania, said testing there discovered 56 pharmaceuticals or byproducts in treated drinking water, including medicines for pain, infection, high cholesterol, asthma, epilepsy, mental illness and heart problems. Sixty-three pharmaceuticals or byproducts were found in the city's watersheds.
? Anti-epileptic and anti-anxiety medications were detected in a portion of the treated drinking water for 18.5 million people in Southern California.
? Researchers at the U.S. Geological Survey analyzed a Passaic Valley Water Commission drinking water treatment plant, which serves 850,000 people in Northern New Jersey, and found a metabolized angina medicine and the mood-stabilizing carbamazepine in drinking water.
? A sex hormone was detected in the drinking water of San Francisco, California.
? The drinking water for Washington, D.C., and surrounding areas tested positive for six pharmaceuticals.
The situation is undoubtedly worse than suggested by the positive test results in the major population centers documented by the AP.
Testing not required
The federal government doesn't require any testing and hasn't set safety limits for drugs in water.
Of the 62 major water providers contacted, the drinking water for only 28 was tested. Among the 34 that haven't: Houston, Texas; Chicago, Illinois; Miami, Florida; Baltimore, Maryland; Phoenix, Arizona; Boston, Massachusetts; and New York City's Department of Environmental Protection, which delivers water to 9 million people.
Some providers screen for only one or two pharmaceuticals, leaving open the possibility that others are present.
The AP's investigation also indicates that watersheds, the natural sources of most of the nation's water supply, also are contaminated. Tests were conducted in the watersheds of 35 of the 62 major providers surveyed by the AP, and pharmaceuticals were detected in 28.
Yet officials in six of those 28 metropolitan areas said they did not go on to test their drinking water -- Fairfax, Virginia; Montgomery County in Maryland; Omaha, Nebraska; Oklahoma City, Oklahoma; Santa Clara, California; and New York City.
The New York state health department and the USGS tested the source of the city's water, upstate. They found trace concentrations of heart medicine, infection fighters, estrogen, anti-convulsants, a mood stabilizer and a tranquilizer.
City water officials declined repeated requests for an interview. In a statement, they insisted that "New York City's drinking water continues to meet all federal and state regulations regarding drinking water quality in the watershed and the distribution system" -- regulations that do not address trace pharmaceuticals.
In several cases, officials at municipal or regional water providers told the AP that pharmaceuticals had not been detected, but the AP obtained the results of tests conducted by independent researchers that showed otherwise.
Of the 28 major metropolitan areas where tests were performed on drinking water supplies, only Albuquerque, New Mexico; Austin, Texas; and Virginia Beach, Virginia, said tests were negative. The drinking water in Dallas, Texas, has been tested, but officials are awaiting results. Arlington, Texas, acknowledged that traces of a pharmaceutical were detected in its drinking water but cited post-9/11 security concerns in refusing to identify the drug.
The AP also contacted 52 small water providers -- one in each state, and two each in Missouri and Texas -- that serve communities with populations around 25,000. All but one said their drinking water had not been screened for pharmaceuticals; officials in Emporia, Kansas, refused to answer AP's questions, also citing post-9/11 issues.
Rural, bottled water also unchecked
Rural consumers who draw water from their own wells aren't in the clear either, experts say.
Even users of bottled water and home filtration systems don't necessarily avoid exposure. Bottlers, some of which simply repackage tap water, do not typically treat or test for pharmaceuticals, according to the industry's main trade group. The same goes for the makers of home filtration systems.
Contamination is not confined to the United States. More than 100 different pharmaceuticals have been detected in lakes, rivers, reservoirs and streams throughout the world. Studies have detected pharmaceuticals in waters throughout Asia, Australia, Canada and Europe -- even in Swiss lakes and the North Sea.
In the United States, the problem isn't confined to surface waters. Pharmaceuticals also permeate aquifers deep underground, the source of 40 percent of the nation's water supply. Federal scientists who drew water in 24 states from aquifers near contaminant sources such as landfills and animal feed lots found minuscule levels of hormones, antibiotics and other drugs.
Perhaps it's because Americans have been taking drugs -- and flushing them unmetabolized or unused -- in growing amounts. Over the past five years, the number of U.S. drug prescriptions rose 12 percent to a record 3.7 billion, while nonprescription drug purchases held steady around 3.3 billion, according to IMS Health and The Nielsen Co.
Medications not all absorbed
"People think that if they take a medication, their body absorbs it and it disappears, but of course that's not the case," said EPA scientist Christian Daughton, one of the first to draw attention to the issue of pharmaceuticals in water in the United States.
Some drugs, including widely used cholesterol fighters, tranquilizers and anti-epileptic medications, resist modern drinking water and wastewater treatment processes. Plus, the EPA says there are no sewage treatment systems specifically engineered to remove pharmaceuticals.
Veterinary drugs also play a role. Pets are now treated for a wide range of ailments -- sometimes with the same drugs as humans. The inflation-adjusted value of veterinary drugs rose by 8 percent, to $5.2 billion, over the past five years, according to an analysis of data from the Animal Health Institute.
Ask the pharmaceutical industry whether the contamination of water supplies is a problem, and officials will tell you no.
"Based on what we now know, I would say we find there's little or no risk from pharmaceuticals in the environment to human health," said microbiologist Thomas White, a consultant for the Pharmaceutical Research and Manufacturers of America.
But at a conference last summer, Mary Buzby -- director of environmental technology for drug maker Merck & Co. Inc. -- said: "There's no doubt about it, pharmaceuticals are being detected in the environment and there is genuine concern that these compounds, in the small concentrations that they're at, could be causing impacts to human health or to aquatic organisms."
Recent laboratory research has found that small amounts of medication have affected human embryonic kidney cells, human blood cells and human breast cancer cells. The cancer cells proliferated too quickly; the kidney cells grew too slowly; and the blood cells showed biological activity associated with inflammation.
Also, pharmaceuticals in waterways are damaging wildlife across the nation and around the globe, research shows. Notably, male fish are being feminized, creating egg yolk proteins, a process usually restricted to females. Pharmaceuticals also are affecting sentinel species at the foundation of the pyramid of life -- such as earthworms in the wild and zooplankton in the laboratory, studies show.
Wildlife problems troubling
Some scientists stress that the research is extremely limited, and there are too many unknowns. They say, though, that the documented health problems in wildlife are disconcerting.
To the degree that the EPA is focused on the issue, it appears to be looking at detection. Grumbles acknowledged that just late last year the agency developed three new methods to "detect and quantify pharmaceuticals" in wastewater.
"We realize that we have a limited amount of data on the concentrations," he said. "We're going to be able to learn a lot more."
So much is unknown. Many independent scientists are skeptical that trace concentrations will ultimately prove to be harmful to humans. There's growing concern in the scientific community, though, that certain drugs -- or combinations of drugs -- may harm humans over decades because water, unlike most specific foods, is consumed in sizable amounts every day.
Our bodies may shrug off a relatively big one-time dose, yet suffer from a smaller amount delivered continuously over a half century, perhaps subtly stirring allergies or nerve damage. Pregnant women, the elderly and the very ill might be more sensitive.
"We know we are being exposed to other people's drugs through our drinking water, and that can't be good," says Dr. David Carpenter, who directs the Institute for Health and the Environment of the State University of New York at Albany.
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