Thursday, June 20, 2013

Are there exercises I can do to relieve my knee pain?

Posted June 01, 2013, 2:00 am bigstock-knee-injury-for-athlete-runner-35036597

I have pain in my kneecap, right in front of my knee. It hurts to walk down the stairs or even sit for too long. What can I do?

It sounds like you have what is called patellofemoral pain. That’s pain where your kneecap (patella) meets your thighbone (femur). It usually results from overdoing exercise. Fortunately, there’s a lot you can do to prevent and relieve this pain.

To understand this condition, here’s a brief anatomy lesson. Sit in a chair, and then lift up your foot (on either leg) and hold your leg straight out. How were you able to do this? A big muscle in the front of your thigh (your quadriceps, or “quads”) is attached to a tough tendon. The tendon is like a cord; it runs over the top of your knee and attaches to the biggest bone in your lower leg, the tibia. When your quadriceps muscle shortens and tugs on the tendon, it lifts up your lower leg and foot.

In the middle of the tendon, right over the knee, is a small bone: the patella, or kneecap. It protects the bones of the knee joint by putting a hard bone in front of them to take the hit if you fall on your knee.

Your patella glides within a groove in the thighbone. Anything that stresses that connection can cause patellofemoral pain.

Patellofemoral pain can occur with one-time overuse (such as several sets of tennis when you haven’t played regularly) or from chronic stress. It’s common in people who run a lot, especially on hills. It’s also common in people who play sports involving jumping, or frequent stops or direction changes. Doctors often see it in people who suddenly start to work out much harder and more often. Certain physical characteristics, such as flat feet, can also contribute.

Pain-free exercise is the cornerstone of treatment. A workout plan to relieve or prevent patellofemoral pain should focus on improving strength and flexibility in the tissues around the knee. (I’ve put a selection of appropriate exercises below.) Work with a physical therapist, who can design an individualized exercise program for you.

Isometric quadriceps exercise (not pictured): Sit on the floor and lean back on your elbows with one knee bent and the affected leg extended. Tighten the quadriceps muscles of the extended leg; hold for five seconds, and relax. Repeat 10 to 20 times, three times a day.W0510b-2Leg raises to strengthen the quadriceps (above): Sit on the floor and lean back on your elbows with the affected leg extended on the floor and the other knee bent. Tighten the quadriceps muscles of the extended leg, and lift the leg a foot off the floor; hold for five seconds, and slowly lower the leg. Do 10 to 20 repetitions, three times a day.W0510b-3Leg raises to strengthen the outer thigh muscle (above): Lie on your side with the affected leg on top, tighten the thigh muscles, and lift the leg straight up to a 45-degree angle; hold it for five seconds, and slowly lower it. Repeat 10 to 20 times, three times a day. As the muscles become stronger, gradually add up to 5 pounds of ankle weights.W0510b-4Leg raises to strengthen the inner thigh muscle (above): Lie on your side with the affected leg on the bottom and the top leg as shown. Tighten the thigh muscles of the bottom leg, lift it straight up, hold for five seconds, and slowly lower it. Repeat 10 to 20 times, three times a day. Gradually add up to 5 pounds of ankle weights.W0510b-5To stretch the iliotibial band and buttock muscles (above): Bend the knee of the leg you want to stretch and cross it over the other leg, as shown. Twist your trunk toward the bent knee, and press the opposite elbow against the outside of the bent knee. Hold for 10 to 20 seconds. Repeat five to 10 times.W0510b-6Hamstring curls to strengthen the hamstrings (above): Stand with your hands on something for balance; bend the affected knee, and slowly lift the foot behind you until the heel is about level with the standing knee; hold for a second and slowly lower the foot. Repeat 10 to 15 times, three times a day. Increase the intensity by adding ankle weights. You can also strengthen the hamstrings by slowly walking backward on a treadmill or by using the lying-down hamstring curl machine at the gym.

While you’re recovering, don’t do anything that causes pain. If you run, avoid hills, go for shorter distances or substitute other activities. Avoid high-impact exercises and squatting or kneeling. Don’t wear high heels or sit with your legs bent for too long.

Ice and nonsteroidal anti-inflammatory drugs such as ibuprofen (Motrin, others) or naproxen sodium (Aleve, others) can help ease immediate pain. If you have flat feet, you may need additional arch support.

If you’re still in pain after more than one year, you may have to consider surgery. Even then, surgery is recommended only if there is an obvious anatomical problem.

window.fbAsyncInit = function() { FB.init({appId: "199616670120169", status: true, cookie: true, xfbml: true});}; (function() { var e = document.createElement("script"); e.async = true; e.src = document.location.protocol + "//connect.facebook.net/en_US/all.js"; document.getElementById("fb-root").appendChild(e);}());Share

View the original article here

Play It Smart When It Comes to Lightning

Title: Play It Smart When It Comes to Lightning
Category: Health News
Created: 3/24/2013 10:35:00 AM
Last Editorial Review: 3/25/2013 12:00:00 AM

View the original article here

3 Cool New Ways to Find Classes

If you've spent any time in or around the New York City boutique fitness scene, you know that the options are endless -- and slightly overwhelming. It used to be that you went to class at your gym, or maybe that one local yoga studio; now, we've got cycling, boot camp, barre, CrossFit and countless other workout-specific studios that hone in on one particular niche. And now, the pay-per-class trend is catching on in cities all across the country, as well. But how do we keep track of what classes are offered when and where? Luckily, we've got options there now, too.

1. Classivity: This online directory contains class listings throughout your city (and currently covers eight major metro areas), for everything from photography and cooking to martial arts and yoga. The main draw, though, from Classivity, is it's signature "Passport" deal:  For $40, you can book 10 classes that normally retail for $20 to $30 a piece. Score!

2. FitMapped: A new app for iOS, FitMapped is currently available only in NYC and LA, with Boston and Chicago next on its agenda as the services continues to expand. FitMapped uses your phone's GPS to find gym and studio classes filtered by location, time, activity, price and membership type (i.e., whether you can just walk right in or not). You can even book right through the app, and rate and review the class afterward. No iPhone? No problem: You can also search for a class using the online neighborhood map.

3. Gravy: Available nationwide for iPhone or Android, Gravy is another app which also aggregates a variety of events focused around active lifestyles, music, brainy stuff, arts and crafts, and more, and includes cool features like estimated driving times and highlighted free events. Find a Spin class one day, a pottery lesson the next, and a lecture after that. How cultured of you.

Not sure which type of class is best for your fitness goals? Check out our handy cheat sheet!

How do you find cool workout classes near you? Tweet us at @amandaemac and @SELFmagazine.

RELATED LINKS:

Image Credit: Courtesy of Classivity



View the original article here

chinese menu. help

What is the best thing to order. Can't eat noodles. Have wheat intolerence. Should i just order appetiser

View the original article here

Isolation, Loneliness May Raise Death Risk for Elderly

Study found lack of social contact a bigger predictor of early death than just feeling aloneExperts say research in the next few years could

By Steven Reinberg

HealthDay Reporter

MONDAY, March 25 (HealthDay News) -- Elderly people who are socially isolated and lonely may be at greater risk of early death, British researchers report.

Lack of social contact might be an even bigger risk factor than loneliness, they added. Why, however, isolation is such a powerful predictor of death isn't clear.

"Social contact is a fundamental aspect of human existence. The scientific evidence is that being socially isolated is probably bad for your health, and may lead to the development of serious illness and a reduced life span," said lead researcher Andrew Steptoe, director of the Institute of Epidemiology and Health Care at University College London.

There is also research suggesting that loneliness has similar associations with poor health, he said.

"In many ways, social isolation and loneliness are two sides of the same coin. Social isolation indicates a lack of contact with friends, relatives and organizations, while loneliness is a subjective experience of lack of companionship and social contact," Steptoe said.

The investigators found that social isolation was a more consistent predictor of not surviving than was loneliness, and was related to greater risk of dying even after age and background health were taken into account, he said.

One expert said the findings were a little unexpected.

"You would think that loneliness would compound the risk for mortality, as opposed to just isolation -- it's a bit of a surprise," said Dr. Bryan Bruno, acting chair of psychiatry at Lenox Hill Hospital in New York City, who was not involved with the study.

However, Steptoe explained, "Knowing about how lonely participants felt did not add to our ability to predict future mortality. This is not to say that loneliness is unimportant, or that we should not strive to reduce loneliness in older men and women," he said.

"But, we need to keep an eye on the social connections of older people, since maintaining social contacts among seniors and reducing isolation may be particularly important for their future survival," Steptoe added.

Bruno agreed that isolation is a significant factor in both reduced quality of life and mortality. "It is a difficult, challenging problem," he said.

"For my elderly patients, I often do a lot of education about the risk associated with being isolated and encourage them to spend as much time with other people as possible, whether it be family, friends or joining groups, community organizations or doing volunteer work," Bruno noted.

The report was published March 25 in the online edition of the Proceedings of the National Academy of Sciences.

To look at the risks of loneliness and social isolation on dying, Steptoe's team collected data on 6,500 men and women aged 52 and older who took part in the English Longitudinal Study of Aging in 2004.

People who had limited contact with family or friends or community were classified as socially isolated. The researchers used a questionnaire to assess loneliness, which was described in background information in the study as a person's "dissatisfaction with the frequency and closeness of their social contacts, or the discrepancy between the relationships they have and the relationships they would like to have."

During nearly eight years of follow-up, 918 people died and social isolation and loneliness both predicted an early death.

Social isolation, however, increased the risk of dying regardless of one's health and other factors, while loneliness increased the risk of dying only among those with underlying mental or physical problems, the researchers found.


View the original article here

8 Tips for Picking a School for Your Child With ADHD

Reviewed by Patricia Quinn, MD

From kindergarten through to grade 12, the average U.S. student spends 2,340 days in school. For a child with ADHD, that's a lot of time with teachers; as a result his educational experience can be positive or negative, depending on the school he attends.

As parents, picking the right school for your child with ADHD can be a major factor in his long-term success. Looking for the following eight things will help you choose a school that provides a positive learning environment for your child, and help you work with the school that may be your only option.

One of the first things you should do when choosing a school for your child with ADHD is to talk with its leaders and educators -- the principal, vice-principal, and the teachers -- to better understand how they approach the learning process.

"Get an idea of who they are and what their learning philosophy is," says Terry Dickson, MD, director of the Behavioral Medicine Clinic of NW Michigan, and an ADHD coach.

Specifically, find out how they approach kids with ADHD.

"What do they offer?" Dickson says. "How do they position these kids for success and help them thrive? Is there flexibility in the learning program to adjust to a student's needs? How do they model good behavior? These are some of the questions you should be asking."

When it comes to kids with ADHD, structure in school is a really good thing, notes Patricia Collins, PhD, director of the Psychoeducational Clinic at North Carolina State University.

Schools that are suited to a child with ADHD focus on structure and consistency as core foundations for learning, with clear timelines, processes, and expectations, and they take a step-by-step approach to learning and homework.

Teachers can be excellent role models for all kids, but this is especially true for kids with ADHD, notes Dickson, who is a parent to two children with ADHD.

A teacher who is impatient and judgmental will make most kids resist learning, but those children might get by. For a child with ADHD, it could derail his entire school year.

A school that encourages a values-based learning process and prides itself on teachers who are excellent role models will most likely be a better fit if your child has ADHD. You'll want your child to be taught by people who are firm but offer integrity and who create a safe and comfortable learning environment.

Children with ADHD do much better using a hands-on approach to learning, Collins says. 

To ask a child with ADHD to sit and listen for hours will probably not work. So instead, look for a school in which kids are actively engaged in learning by experience.


View the original article here

Happy International Waffle Day, We Guess?!

Today, we bow our heads, maple syrup in hand, and celebrate the beauty that is the waffle. Whether you're a chicken 'n gravy on waffles person or prefer to smother 'em in a hearty coating of Mrs. Butterworth's, waffles hold a special place in the hearts of Americans, despite their roots in Ancient Greece.

Athenians cooked the waffle between two metal plates over a fire and the savory cakes were seasoned with spices and cheese. The patterns came later, when Catholics in the Middle Ages began printing communion wafers with religious symbols. Bakeries and street vendors adapted the style with interlocking crosses (the waffle design we know and love,) and served them up as sweet treats. The waffle trend spread throughout Northwestern Europe, but it was the Dutch who brought it to America in 1620, and for that we epically thank them.

Waffle House and IHOP may be calling your names, and while we heart them at 3am on any given weekend, today calls for a homemade ode to the fluffy, cratered breakfast staple we hold so dear.

Whole Grain Waffles with Strawberries and Almonds: Packed with filling fiber from oats, whole-wheat flour and flaxseed, these griddlecakes will become your new standby for indulgent Sunday brunches. Feeling salty? Nix the strawberries, almonds, and yogurt and top with an egg!Chocolate Cornmeal Waffles: Topped with nonfat vanilla frozen yogurt, these make a super-amazing dessert, but we won't tell if you want to have them for breakfast. Permission to top with chocolate (dark, of course!) granted.

RELATED LINKS:

Image Credit: Jim Scherer Photography/Stockfood


View the original article here

Need help getting motivated again

Hey cc!

I always enjoy reading the forums and all of your helpful advice AND now I need help.

I whole year ago I was really committed to counting calories and not going over my cc burn (1700 calories). I exercised often and felt great. However, lately I have been sabotaging my healthy eating efforts. It's almost as if my willpower has disappeared. I have been overeating, snacking at night, and indulging in treats. Or on days that I seem to eat healthy, I have been snacking out night because I see friends and family snacking. Everyday I seem to have an excess of calories and I am slowly putting on weight.Frown I want to nip this in the bud before it gets worse.

Have any of you temporarily fallen off of the wagon? How did you find the inner strength to get back on track? Any advice or tips?


View the original article here

Eva Mendes wants paparazzi protection for her and Ryan Gosling’s dog


Eva Mendes apparently wants protection against the paparazzi for snapping her and Ryan Gosling’s dog.

Continue reading...

View the original article here

Diabetics

I'm a new type 2 diabetic, and I have to count everything it sucks. So I don't see a forum for diabetics. Is this calorie count good for people with diabetes? I need to calculate, carbs, all fats, saturated, unsaturated, transfats, calories. Will this site automatically count them if I type in the foods I'm eating?


View the original article here

Stress During Pregnancy May Raise Heart Defect Risk for Baby

Large Danish study looked at women who had lost a close relative while expecting

By Randy Dotinga

HealthDay Reporter

MONDAY, March 25 (HealthDay News) -- Stress in mothers before and during pregnancy may boost the risk of congenital heart defects in their children, more new evidence suggests. But the findings aren't conclusive, and the effect -- if it exists -- appears to be small.

Still, "there are several studies now that show an association," said Dr. Edward McCabe, senior vice president and medical director of the March of Dimes, who is familiar with the results of the large new study. "It suggests there needs to be continued investigation of this."

McCabe said he's not aware of any other research linking stress in mothers to a specific kind of birth defect.

Congenital heart defects, among the most common kinds of birth defect, include conditions such as holes in the heart and other kinds of problems. Most cases aren't fatal, McCabe said, and physicians can repair some kinds of problems with surgery. In other cases, the defects don't need to be fixed.

The new study follows up on previous research linking stress to this form of birth defect.

The researchers looked at nearly 1.8 million children born in Denmark from 1978 to 2008 and tried to find out if congenital heart defects were more common in kids born to a specific group of about 45,000 women. These were women who had lost a parent, sibling, child or partner between the approximate time of conception and delivery.

Women in that group were slightly more likely than the other women to give birth to a child with a congenital birth defect, researchers found. Study co-author Dr. Jorn Olsen, professor and chairman of the department of epidemiology at the School of Public Health at the University of California, Los Angeles, said the findings take into account the possibility that congenital heart defects may run in families and have killed some of the relatives who died.

Why might stress in a mother cause birth defects? Animal studies have shown that stress during the development of a fetus could affect heart development, Olsen said.

It's also possible, he said, that stress could lead women to do things that are risky to their unborn children, such as changing to a less healthy diet. McCabe said another possibility is that stress alters the DNA of the child in the womb.

In the big picture, Olsen said, "this and other studies tell us to take care of pregnant women who experience severe stressful events shortly before or while they're pregnant."

For his part, McCabe said it's important for pregnant women under stress to talk to their physicians about quitting smoking, which they may increase because they're anxious. "We can't modify whether stress is going to happen in our lives," he said, "but we can modify certain effects of that stress."

The study appeared online March 25 and in the April print issue of the journal Pediatrics. Although it showed an association between maternal stress and risk of congenital heart defects, it did not establish a cause-and-effect relationship.


View the original article here

The Alchemy of Writing — More Tips from a Pro


Ernest Hemingway used to leave his final sentence of each day half finished. It gave him an easy starting point for the next morning.

This interview on the creative process is part II in an interview with award-winning author Fred Waitzkin. Part I can be found here.

Reading time:
- Bolded points (teaser) – 3 minutes
- All – 15 minutes

TF: But what about “inspiration”? Does it exist for you?

For me, inspiration is primarily energy. If I feel energy for a paragraph or a description I can almost always get to the essence of it. If I feel dead to myself, I don’t have a chance. I am always looking for energy. Where can I find it? What or who can give it to me? How can I amp up what I have?

A story can help us here. An older friend of mine was once depressed about his advancing years. He lacked zest or motivation for his regular gym workouts. He couldn’t concentrate on his career. One evening this man found himself in an elevator with a woman, a housekeeper who had worked for him in the past. But she was wearing outside clothes, a tight fitting sweater. She was young and beautiful. They talked a little. There was chemistry. She got off the elevator at his floor. They chatted in the hall. She said that she found him attractive. But he could feel this even before she said the words. She embraced him. And that was it. Nothing more happened between them. He was married and not looking for an affair. But he felt a big surge of life. He felt renewed, deeply so. There was a bounce to his step. He returned to the gym feeling ten years younger… There are many ways to experience the girl in the elevator.

If I’m beginning an important new project I try to get away for a few days to feel a different spirit–islands work for me. My mother was a great painter. She spent much of her life on Martha’s Vineyard because the tree line outside her house felt ominous and that spurred her work along with the sound and smell of the ocean.

I look for energy all over the place. Often just riding my bike along the river for three miles from my house to the office heightens my mood. Then I make a cup of green tea and look at my work from the previous evening. I always read back several pages before I try to write anything new. Moving back through interesting material seems to give me momentum to push ahead…

But what if there is no energy? I read the paper. I switch on sports talk radio. I look at my watch. I pace. I am eyeing the lunch hour. It’s getting closer to lunch. One hour before I meet my friend Jeff for turkey burgers. Forty-five minutes. Now I’m getting nervous. Thirty-five minutes before I have to leave my office! Suddenly I feel an urgency. I CAN’T leave for lunch without writing one good paragraph. I’m sweating, feeling the time pressure… and the words pour out. Sometimes a writer can do more in a fervent half hour than in a dreary eight-hour day. I’ve often played this game with myself.

There are many energy tricks. Sometimes in the afternoon when I’m groggy I wander over to Starbuck’s for a coffee. But it’s not just caffeine. I know all the women who work there. They know me. We chat. I love these talks–okay, innocent flirtations. Sometimes I even get a free latte. When I get back to my office I usually feel fired up.

Here is a story about deep mining for inspiration. Early on in the composition of The Dream Merchant I had an impression of the woman whom I wanted to be the great love of my central character’s life. She would be something like the girlfriend of Eddie the pool hustler, played by Paul Newman, in the great movie, The Hustler. She would be beautiful but a little worn from love and tough living. But her accessibility made her all the more desirable. The actress who played that part, by the way, was Piper Laurie although when I thought about what my character looked like, she was more voluptuous like Marilyn Monroe. This character would be hugely important in my book. She would have to be Jim’s match—she would love Jim and ruin him. Only problem was, I had never known someone like this.

I talked about the problem with Josh [his son, the subject of Searching for Bobby Fischer] and one day he proposed an idea. “There is someone I want you to meet,” he said. He arranged lunch for me with a young actress, Maya, a girlfriend of a friend of his. We met in a restaurant. Maya was sensual, the right body type, and gorgeous. I spent more than an hour describing the character I wanted to write—her name was Ava. Maya listened but said virtually nothing. She was a sweet girl—NOT Ava. This great idea was beginning to feel like a failure. But then when we were leaving the restaurant she turned to me and her entire being had darkened, she had become sultry and damaged. It was thrilling. She was becoming Ava. She was Ava. It gave me chills.

For the next year we would meet in my office about once a month. I would send Ava, no Maya, a long email describing what I needed from Ava in the next chapter of my novel. Then during the course of an hour or two together we would imagine the scenes or she would act them out. When Maya left me at the end of a session I was shot out of a gun to write the new material into the novel. As time went on, I did less talking and Maya held court. After a year of this she had truly become Ava. I put her in dangerous situations and she embodied Ava’s responses, her muted passion, her madness, a reckless impulse to bolt to the edge of the cliff. Would she fall? I think it was deep fascinating work for both of us…Just to say, I’ve never tried to create a character in this manner before or since. But I could never have written Ava without Maya.

TF: Do you have any friends you rely on to help breakthrough deadlock? If so, why do you find them helpful?

I have a couple of friends that I rely upon. They are very perceptive about the human heart. I’ll talk quite specifically about what isn’t working in a section of my book. I listen closely to what they think. I’ve done this many times. My wife Bonnie has helped me many times like this.

Here is the curious thing. Often her advice or the idea of a friend isn’t what I end up doing. But listening to the ideas engenders a new idea. The whole point is that you have to get moving. Movement begets movement. You need to get unstuck.

TF: There are many people with brilliant ideas, fascinating lives, and a good feel for language–but who have never seriously taken on the art of writing. What is some specific advice you would give to up and coming writers?

If a young person is not passionately motivated, talent aside, I would never encourage him to try to become a professional writer.

Even if you love writing, and it possesses you with missionary zeal, it is such a hard thing to do. First you need to learn the art, and the path is littered with generations of talented writers that couldn’t sit alone in a room and apply themselves for thousands of hours to become really good. Then there are legions of devoted writers who did good work but couldn’t crack the profession, they couldn’t get published or if they did they couldn’t make a living. It is a very tough field.

But whenever I happen to meet someone who is talented and possessed by writing, and particularly a youngster, it is a great pleasure to have a chat. However, the conversation needs to be personal to have any real meaning. I need to know my “new friend” somewhat deeply, to feel the play of his mind and what turns him on before I would presume to offer advice. There are many different ways to be a writer.

For a teenager who is dreamy, who makes uncanny associations like a poet, it can be ruinous to force onto him a rigorously academic approach to writing, even with a good teacher. Teaching him to compose organized mannered essays, like all the other smart boys in class, can make him inhibited and ultimately edit the imagination from this unusual fellow. For another classmate who plans to be a lawyer, proper carefully constructed essays are perfect.

A writer has a core, a sensibility to draw from like pulling gold from his own acre of earth. What you have to say on the page will be different than what I would say. Good writers have their own voice. A paragraph by Philip Roth sounds like Roth. His sensibility and prose rhythms are all through his pages. Same for Hemingway or Thomas Mann. A young writer can deepen his voice and make it richer. But a writer is on perilous ground when he moves away from his core into an area he doesn’t know, when he “lies” or when he cheapens himself with compromises.

Let me give you an example. I have a young friend who is gifted with words and sentences. The scenes he writes are emotional. And he feels impelled to write. He’s got the right stuff. This young man has led a difficult life. He is an orphan. As a teen he became an addict and alcoholic. He suffered greatly getting clean. He’s known a lot of women and hurt some badly. Okay, in shorthand, that’s his base. It is very rich with pain and dark-side-of-the-moon adventures. But whenever he writes more than a paragraph he feels the need to say that in his new life he is redeemed and he is so grateful. He proselytizes. The embarrassment about his past life is thwarting this writer who has such an interesting story to tell. It makes it hard for him to dig deeply. It is difficult to get over such habits like a quarterback who has an awkward throwing motion. But he can do it if he wants it badly enough.

Here is one generalization that might be useful: A good writer needs to become intimately involved with “fictive truth.” Bullshitting never works in writing—a good reader can always tell when a writer knows what he is talking about. If you write about the ocean, you must know the movement of the ocean, the smell and taste. Don’t try to invent it. It will smell like a fake. When you are trying to create a character he or she must be “true.” Fiction is not making up stuff out of whole cloth. It is always linked to a writer’s experience. Fiction is a wonderful tango between the writer’s experience and his imagination.

When I write a scene I always put it to a personal test: does it relate to something that has happened in my own life either directly or by analogy? Perhaps something similar happened to my father or a close friend. If I can feel it deeply, and if I know my craft, then chances are you will feel it. If I am guessing, chances are I will fall on my face. Even if you are writing fiction, research isn’t cheating. If you are writing about the ocean, go out on a boat when it’s rough, feel queasy in a breaking sea, smell the salt water. Then read Conrad’s great passages on the ocean for inspiration, or Jack London’s. In The Dream Merchant it was part of my plan that the last third of the book would take place in the dense rain forest of Brazil. I didn’t dare write that section of the book until I travelled there and spent a month in the jungle.

TF: What inspired you to write The Dream Merchant? Tell us a story or two that will help us understand the process behind the book. How did you draw from real life characters when writing fiction?

The inspiration for The Dream Merchant came from many people. Certainly the earliest influence was my father who was a lighting fixture salesman–a great one. I have often referred to him as the Beethoven of fluorescents. During his best years in the fifties, my dad sold the commercial lighting for nearly every new skyscraper in NYC: The Seagram building, the Saucony building, the United Nations building–his jobs sounded to me like poetry. As a boy I would look out at the magnificent night skyline of Manhattan as though it were my father’s work. Like Jim in the novel, my father did some terrible things—he destroyed men who got in his way—but it did not dampen my love for him. I knew that I wanted to explore this undiscriminating father adoration in my book. That was a key connection between Jim and the narrator, insofar as the narrator loves Jim despite his profligacy and shocking moral drift. By the same token, Jim idolizes his own father who has a considerable history of sins.

Without my father there could never have been Jim. But Jim is not a portrait of Abe Waitzkin—not by a long shot. They were both larger than life salesmen. Neither was impeded by conscience or restraint. Abe was perhaps more ruthless. Jim was much more lusty. My dad didn’t care much about women. Jim was a physical powerhouse. Abe was a dominant personality but he was sickly.

The great comedian, Lenny Bruce, has a small but important role in my novel. To write him I felt that I had to know this one-of–a-kind-personality inside and out. If I didn’t get into his skin the scenes would be fake and would ruin the book. I read books about him and his wife and I listened to performance tapes. I learned his dark slicing humor until I could write it myself. I did write it. After a half year I felt like I was Lenny Bruce. Then Lenny moved through the scenes naturally—he fit right in. It was a pleasure writing in his voice. I’ve already talked about Maya who became my Ava, Jim’s wife. Lenny Bruce and Ava become lovers. They go to very dangerous places together. For a while it was hard for me to stop being Lenny Bruce.

Here is an interesting story about inspiration. More than twenty-five years ago, when I was writing feature magazine pieces, I happened to read a short article in Time Magazine about illegal gold mining in the jungles of Brazil. The piece described secluded enclaves deep within the rain forest called garimpos where men slaved in deep muddy pits trying to collect gold to feed their impoverished families living in the cities. Their employers hideously exploited these scrawny little men, lured them into the camps by offering beautiful women. These poor men spent their hard earned gold on a single night of desire. Then they had to go back to the mudpits to work for another month before they could return home. It was an endless cycle. The workers were sometimes murdered by marauders or they died of disease or animal attacks. Many never made it home. This whole jungle scene was so exotic, violent, sensual and unlikely that I felt I had to write about it. I signed a contract to do a long piece for Harper’s magazine and was preparing to leave for Brazil when I received a contract from Random House to write Searching for Bobby Fischer. I abandoned the Brazil trip to write about Josh and the chess world, which greatly irritated the editors at Harper’s–they didn’t return my calls after this. Anyhow, the scene in Brazil haunted me for years and once I began my novel I decided that my character would ultimately save himself or perhaps perish in the Brazilian rain forest. I wrote the earlier sections of the novel aiming for Brazil.

TF: Tell us about the Amazon trip. What were you researching? What did you learn? Why was it so important to go there?

Oh man, what a trip. Josh wouldn’t let me go by myself. He was determined to protect his old man in the jungle. By then Josh was already one of the top martial artists in the world–he had won the Tai Chi Push Hands World Championships in Taiwan a year before, and now he was training Brazilian Jiu Jitsu [Tim note: Josh later became the first black belt under the legendary Marcelo Garcia, the Michael Jordan of BJJ]. I was thrilled for him to come but not so much for protection as camaraderie—so that we’d see it all together. By then I’d already written the first half of The Dream Merchant and as I’ve already said, I’d been pointing toward Brazil. I’d been writing about a great salesman who takes ethical short cuts to make it big and then loses everything. The deep jungle was the perfect pallet for the changes I wanted in Jim who by now was ready to cross any line to win big again—and he did. I wanted the last third of the novel to switch gears and come on like a firestorm—this was my homerun idea. But to work, as I’ve already said, the Brazilian scene would have to be truly rendered, all the smells, the violence, the animals, the decadence, the disease, the astonishing beauty.

Josh and I flew to Manaus, which is an island city surrounded by rivers and jungle. It’s a haunting place, sultry from the heat and danger of the jungle all around. My character Jim would own a big estate in Manaus, where he would sell his gold to buyers, and then after several days he would travel back to jungle—the jungle became Jim’s greatest passion. But first, to set up his operation he needed to hire an army of gunmen to protect his garimpo from marauders in the rain forest, to guard the gold. Josh and I travelled to gun dealers to learn the business of small private armies. We met with gunmen, talked about their malevolent work. We visited steak restaurants where Jim would dine with his top men. We visited poor shacks on the fetid riverbanks where he recruited hundreds of miners and we went to huge ornate brothels that catered to miners, where Jim hired gorgeous sad-eyed girls to work on their backs for him in the remote camp. Really, Jim constructed a little jungle empire that mirrored his runaway ambition.

There were many ways to maim oneself or to die in Jim’s jungle world but also it was a captivating place. Josh and I spent several weeks in the deep jungle, with its dense foliage a crazy tangle of living sculpture. We hiked for miles learning to softly push the vegetation aside like swimming. It was the dry season and watermarks on towering ancient trees were ten feet above our heads. In six months, four hundred pound fish would be swimming where we were walking. We swam in the rivers terrified about piranhas, and tiny fish called a candiru that swim up a man’s penis and with sharp spikes become lodged in the urethra. We played with pink porpoises that swam through our legs. We visited abandoned gold mining operations and met with garimpeiros who explained the work of searching mud pits hoping to find gold and pull themselves out of poverty but rarely did. These men were addicted to this difficult work—I suppose they were addicted to hope.

We spent nights in hammocks suspended between acai trees listening to an infernal racquet of insects and the bleating of hunting creatures. We worried incessantly about being attacked by jaguars. Every night we heard them hunting nearby. Travelers in the jungle worried about jaguars. Every native we ran into carried a rifle. We were told that a man by himself in the rain forest was a dead man walking but parties of two or three men were more likely to be left alone by jaguars. There were little cats, the size of house cats called jaguatiricas. They attacked howling like babies in packs of five or six. They ran up a man’s legs and ripped him apart. The little ones scared the hell out of me.

I could go on and on about the Brazilian Amazon: the beauty of the women, the unforgettable people we met. The jungle has a deep intoxicating call–really it is a siren’s call. It was hard for me to leave and return to the states. My character Jim couldn’t bear to leave even though staying would likely cost him his life.

TF: Last but not least: what are your top ten favorite books?

FW: This is a risky question to answer. For one thing, I have loved so many. How can I narrow it to ten? And to further complicate the process, I’ve noticed that books are always changing for me. Some books that I admired at thirty feel dead to me today. I know that I never got more excited reading any novel than Jack Kerouac’s masterpiece, On the Road. But would I revere it as much today, forty years later? Last week I read This Is How You Lose Her by Junot Diaz. I was so taken by the painful truths in these stories and the amorous Latin rhythms of his prose. Before reading Diaz I was telling all of my friends about Jennifer Egan’s A Visit from the Goon Squad. These are my recent infatuations. But did I love these books as much or more than The Sun Also Rises? I just don’t know. Last time I read Hemingway’s classic it was a hard push for me…but ten years before it thrilled me.

Here goes:

1. Love in the Time of Cholera — Gabriel Marquez
2. Heart of Darkness — Joseph Conrad
3. The Great Gatsby –F. Scott Fitzgerald
4. Lolita — Vladimir Nabokov

5.
a. For Whom the Bell Tolls — Ernest Hemingway
b. The Old Man and the Sea — Ernest Hemingway
c. The Sun also Rises — Ernest Hemingway

6. On the Road -- Jack Kerouac
7. Death in Venice — Thomas Mann
8. The Sheltering Sky — Paul Bowles
9. Invisible Cities — Italo Calvino

10.
a. The Train — Georges Simenon
b. American Pastoral — Philip Roth
c. The Spy Who Came in from the Cold – John le Carre

###

Read more about Fred Waitzkin and The Dream Merchant here.

Posted on March 25th, 2013


View the original article here

Experimental Drugs Show Promise Against Prostate Cancer

Tumor growth suppressed in lab tests; human trials still needed, study authors sayTumor growth suppressed in lab tests; human

By Mary Elizabeth Dallas

HealthDay Reporter

FRIDAY, May 31 (HealthDay News) -- Researchers have identified a new class of drugs that show promise for treating advanced prostate cancer. The drugs, known as peptidomimetics, interfere with the signaling necessary for prostate cancer cells to grow, according to a new study.

Prostate cancer depends upon the actions of androgens, such as the hormone testosterone. Androgens activate androgen receptors, resulting in a signal that causes prostate cancer cells to grow.

To stop tumor growth, men with prostate cancer have been treated with drugs to block the production of androgens or block the receptor where androgens bind. However, tumors can grow despite this treatment because of mutations in androgens or receptors.

In the latest study, published online May 28 in Nature Communications, a team of researchers led by Dr. Ganesh Raj, associate professor of urology at UT Southwestern Medical Center at Dallas, found the nontoxic peptidomimetic agents could disrupt androgen-receptor signaling and prevent tumor growth.

When tested in mouse and human tissue models, the drugs blocked the activity of androgens by attacking the protein in a different spot from where the androgen binds, the researchers explained. As a result, prostate cancer cells do not receive the signal to grow -- even when the androgen receptor is activated.

"We are hopeful that this novel class of drugs will shut down androgen-receptor signaling and lead to added options and increased longevity for men with advanced prostate cancer," Raj, the study's senior author, noted in a university news release.

One expert was optimistic about the new findings.

"The study represents a significant step forward in the development of a new molecular targeted therapy for advanced prostate cancer," said Dr. Manish Vira, director of the Fellowship Program in Urologic Oncology at North Shore-LIJ's Arthur Smith Institute for Urology in Lake Success, N.Y.

He said the new drug works at "preventing the [cell] receptor from promoting cancer cell growth signaling," and added that "the study is proof in principle that rationale design of peptidomimetics can lead to the development of a new class of anti-cancer therapy."

The researchers noted more testing is needed before the drugs could progress to clinical trials involving humans. Results obtained in laboratory experiments are not always replicated in humans.

"Most drugs now available to treat advanced prostate cancer improve survival rates by three or four months," Raj added. "Our new agents may offer hope for men who fail with the current drugs."


View the original article here

Rosario Dawson Interview


The actress talks about being hypnotised, Danny Boyle and her new movie, Trance.

Continue reading...

View the original article here

Am I anorexic? Please help me..

Hello everyone.. I've been reading the posts in the forums for quite a while now and finally decided that i should really write a post about my problem.

So.. To start off I'm 5 ft (154 cm ??) tall, weigh 88 lbs, Asian, and i have a small-medium frame. My waist is 21-22 inches, hips are 26 i think.

It was the end of January when i started to diet. Back then, I weighed around 97-99 lbs, which was normal for my height and frame. I went on a 1200-calories per day diet while eating healthfully. However, some weeks I would be around 1100-1200 calories average. I didnt do much exercise, but i think i walked around 10-30 minutes each day. In a week, i would eat 800-900 calories on around 2 or 3 days so i can eat more on other days. I started to lose weight, and by March, I weighed 90 lbs. So, it took me 2 months to lose around 8 lbs. But.. It wasn't enough. I restricted my calorie intake to 1150 cals per day, with the normal 2 days of 800 calories. That month, I noticed that my period didn't come despite being very regular for 2 years. I was a bit worried but wasnt really concerned, thinking that it would return soon. In April, I ate 1200 calories per day on average and continued losing to 88 lbs, which is what I weigh now. I was quite happy and decided to "maintain" my weight after seeing that number. My mom noticed my thinness and became worried, saying that im skin and bones. But i dont see that. Yes, i can see my spine clearly, my ribcage (not that prominent), my hip bones, and my chest bones. But, i think im not that skinny. I like my figure, and i even think i should lose more. I bumped up my calorie intake to 1350 calories becuase when entered my stats on a daily requirement calculator, it said 1375 to maintain my 88 lb weight (i think im sedentary - i sit the majority of the day). Being scared to gain more weight, i added exercise in May. One hour on the elliptical, 5-6 times a week, low intensity and low speed.

Oh, i forgot to mention.. My period didnt come in April as well. With 2 months of my missing period, i searched about it a little and ate a little more (never passing 1400 cals average). I thought that would do the trick, but no it didnt. My period wasn't present in May. And that concludes as 3 months of missed period.. Amenorrhea. I became extremely worried for the past week and did a ton of research. During my research, i found out about my possibility of being anorexic, but i dont know.

Onto my eating habits.. I like eating alone. It feels secure, like i can eat anything i want without anyone questioning me why i eat like that. When i have to go out somewhere, i would plan my meals and eat very few calories for breakfast and lunch so that i can indulge in dinner and show people that im eating like a normal person.

This is why i posted on this forum. I want to know if im anorexic or not because from what i read, most anorexics dont realize their problems due to their minds and distorted body image.. Im also very scared of my lost period. I want it back. I really really want it back. Ive added more fats (60-70 grams now) to my diet but i wasnt low fat at the first place. Maybe when i was dieting 2 months ago when i would have no more than 25 grams of fat per day..?

I dont want to go to the doctor just yet because my mom would be super stressed and i dont wanna take pills as well..

Please, please help me.. I really want to get my period back :(

Will i need to gain alot of weight? I dont want to be fatter at all.. But im okay with filling my bony spaces.

Im sorry that this is a long post, but i really hope that someone would help me :(


View the original article here