Monday, November 23, 2009
They're Coming Home!
Wednesday, November 18, 2009
Newzapalooza
Then this week the government bureaucracy told American women to hold off on having mammograms until we have reached the age of 50.
The American Cancer Society is stunned by the news, of course. However, the Susan G. Komen for the Cure , and Susan G. Komen herself a cancer survivor who lost a sister to breast cancer, is now taking a similar position as the government, which is adding to the confusion and noise of this Information Age:
Other highlights of the new USPSTF recommendations include the following:
•For women between the ages of 50 and 74 years, the USPSTF recommends mammography every two years (rather than every year).
•The USPSTF notes that there is insufficient evidence to assess the benefit and harms of screening in women over the age of 74.
•The USPSTF recommends against teaching breast self-exam.
Although the USPSTF’s position on breast self exams may also be perceived as controversial, there has never been clear evidence that breast self-exams reduce breast cancer mortality.
It should be noted that the recent discussion regarding mammography recommendations is focused on women at average risk of breast cancer. Women at increased risk as a result of family or personal history may need to begin screening at a younger age, and may benefit from screening with breast magnetic resonance imaging (MRI) in addition to mammography. Women who have questions about the screening schedule and approach that’s right for them are advised to talk with their physician.
Unbelievable. We women have been told for decades that breast exams are important! Women in their 30's and 40's are getting breast cancer at increasing rates! Cancer is spreading like wildfire!
A couple weeks ago when I had my first consultation with my doctor, he asked me what I thought was the biggest killer of women. "It's cancer, of course," I replied. The doctor told me, no, it's actually atherosclerosis. Simply put, it's heart disease. But that's not the message pounded into us women constantly: do monthly self breast exams and have regular mammograms beginning when you're 40.
So then I met my nurse practioner yesterday for an annual physical and she was just as perplexed. She said she still advocates that women, who are in their 40's, continue to get mammograms every two years. She also told me that the majority of her patients who are currently undergoing breast cancer treatment are in their 40's. Now how does this jive with the government message?
What timing for this bit of healthcare news.
The independent government panel of doctors and scientists has insisted that the cost of such preventive testing was not a factor in its assessment of breast cancer screening.
"These recommendations have nothing to do with any kind of analysis that addressed cost effectiveness," Dr. Diana Petitti, vice chairwoman of the panel, told CBS News in an interview Tuesday.
"Cost effectiveness was not a part of the discussion. Cost was not uttered in the room," she said. But costs were referenced at least three times in the panel's report when assessing common types of breast cancer screenings, including clinical breast examinations, film and digital mammographies, and magnetic resonance imaging -- or MRIs.
"Digital mammography is more expensive than film mammography," the guidelines note, while MRIs are "much more expensive" than either film or digital mammography
Cancer screening does involve radiation, and it has been said that increased radiation exposure could increase the risk for breast cancer. MRI's are costlier and also involve radiation. But with the messages we hear constantly from our doctors, media, government, and advocacy groups, it can get downright confusing when they suddenly decide that what was once so important - vital! - to a woman's health is now not really important because of, uh, fewer lives really being saved in the age 40 group vs. the age 50 and older group. And it's maddening.
Until there is some clear evidence -- and not anything having to do with cost analysis by a government bureaucracy -- I cannot be convinced that mammograms are not needed at a younger age. Especially after years of hearing the opposite.
Monday, November 16, 2009
Just Say Yes to Broccoli!
I was wondering how this topic has been handled by his teacher. When I explained to Christian why he will be wearing his colorful shirt, he told me that Mrs. B has been telling them that sometimes kids take too much medicine. That's good, I thought. What a great way to get kindergarteners familiarized with the purpose of this rally. How can a parent possibly discuss an abstract concept of drugs with a child other than by making a comparison to medicine?
So on Saturday I took Christian to a birthday party that one of his classmates was having and I visited with the father of one of his friends who, by the way, has a very good dry sense of humor. The subject of the upcoming rally was brought up and he said, "They're kindergarteners, for gosh sakes! Why are we having them participate in an 'Say No to Drugs' rally when we haven't even gotten to that point yet? They're not going to understand. Why not have a 'Say Yes to Vegetables' rally or a 'Say Yes to Milk' rally?" He made a good point.
And than I began to think about it further and wondered if Christian will refuse medicine next time he's sick after having participated in this anti-drug rally. Nah; he's too much of a drama king to avoid it. Besides, we've had plenty of teachable moments around here about the dangers of drinking medicine without Mommy or Daddy first administering it. We'll move on to bigger topics when the kids are at the right age.
Just Say Yes to Longer Sleep Hours
Thursday, November 12, 2009
Peace and (Almost) Too Much Quiet
A Smashing Good Time
Tuesday, November 3, 2009
My Kind of Marathon
Source (The Anchoress)
Boo!
Monday, October 19, 2009
Brrrrreeezing!
A couple weeks ago we stayed at the cabins in Cascade, which are rented by Aunt Tonie's Sisters of Charity order, located in the mountains near Colorado Springs. It was such a good getaway, even though I spent much time alone while my parents, Mike and the boys went on a couple day trips; I had a particularly tedious assignment to work on and relished the time alone. It was freezing and did not go above 30 degrees...brrrr!!
Meanwhile, as the clouds hung over Cascade and the mist turned to ice on the branches, the temperature on the other side of the mountains was in the 60's! They visited Aspen, Maroon Bells, and Breckenridge, places I'd like to visit when we return. Mike has a passion for photography and took these photos. He was disappointed that there was some wind at Maroon Bells and was therefore unable to get a good photo with the lake's reflection of the mountains.
The boys at Maroon Bells
Aspen
Life is going well, all things considered. Mike and I are working on some projects around the house and I'm taking advantage of having him here. I also get some extra study time at the library during the day when I need it.
Being close to nature is refreshing and helps clear the head. While Mike works hard to find another job, he's also taking some much needed time for himself. Mike took Gaby and Jojo to Ouray, CO this week and they spent one night visiting the beautiful area. He's also getting ready for his trip to TN next month and will be taking Gaby and Jojo with him. Luckily, all three kids are great travelers...they had no choice! Mike hasn't been back home in two years and he's looking forward to seeing his friends and family. And I'll have time to study for the exasperating GRE test and some alone time with Christian.
Through all this craziness of his losing his job, we are doing well. Mike takes care of us all and is taking care of himself. He's running and exercising, has lost some weight, has a lot more energy and is optimistic about his future. And are marriage is stronger for that.
I hope the health kick bug finds me soon, well maybe after the GRE or after this semester ends ... or maybe by next summer. Oh, nevermind.
Thursday, October 1, 2009
No Shame
We actually feel upbeat right now. I don't know why with all that has happened recently. I used to say if you have a job -- any job -- that you're lucky. Now I say if you have faith and good health, you're pretty blessed. Friends and family rank right up there, too. Maybe it's because I live near my parents and my old friends that I feel better. My spiritual life still needs some work, but I'm trying.
I have a medical issue that I want to check before too long, and today Mike discussed it with his doctor when he had his physical. He also told her about our health coverage concerns and explained that he wants to continue having her as his doctor if possible. This wonderful doctor spent her usual hour and a half with him. Yes, that entire time was spent with the doctor and not in a waiting room or in an actual room alone. She is Indian, believes in meditatation, and was knocked off her stool when Mike's labwork came back. Mike has been removed from his cholesterol and high blood pressure medication, and she is the first doctor who has ever been proactive with regards to his health. You would think that his blood pressure would be through the roof with the stress of losing a job, worrying about the family, etc. She was keenly interested in what he has done lately. For the past month, Mike has made some important changes: better diet, exercise, and eating smaller portions. Within that timeframe, he also is communicating so well that for the first time in our marriage I don't recognize who he is. We've had some major overhauls in our marriage recently. His doctor went over some breathing exercises and they did it together for 15 minutes this afternoon. She does not believe in eating meat, says to eat fish no more than three times a week, and eat lots of beans, rice, fruits and vegetables. This carnivore does not eat fish, but maybe this will encourage him (Mike doesn't know what he's missing). And now this caring doctor is having someone in her office contact Mike tomorrow to let him know how to continue the same health coverage so that I can go in as soon as possible. God bless her.
Mike has had a lot of support from his former employees, some of whom have called him since this happened last Tuesday. Mike had refused to write up three of his employees for an incident that was not their fault and that was perhaps viewed as insubordination in his employer's eyes and was the final straw for them. Sometimes doing the right thing is difficult. And that seems to be what life is all about. It's not meant to be an easy or a straight path. We're all here for a reason.
Tonight my brother Sergio asked me if I am going to continue with school. Honestly, I was ready to drop out a few nights ago, but then I realized that I need to keep working at it because if I don't do it now it may never get done. Our conversation and his insights cheered me considerably.
So if you are reading this, know that you are important and dear to me my brothers, family, near and far friends, and friends from the past.
Tuesday, September 15, 2009
"But When Am I Going to Grow Up, Mom?"
The issue of holding a child back a year is a delicate one, I know. But in our case, it was the best thing we could have done for Christian. You see, it was due to his maturity that he was held back, and it would have been detrimental to him to make him struggle through the rest of the year. He knew his ABCs and 123s, but for him kindergarten was overwhelming compared to preschool. And the struggling could have continued for the next twelve years after that -- for all of us.
I, too, have a late summer birthday and was not ready for school when I started at the age of six. I did not have the opportunity to attend kindergarten and was thrown into first grade and struggled throughout the rest of primary, secondary and college years. I wanted for Christian to enjoy school and therefore enjoy learning. I realize many kids are ready when they're ready and it's up to each family to decide when to start kindergarten.
We are proud of Christian and the progress he has made. He rides the bus to school and knows not to get off unless one of us is there. He has the same teachers as last year and that makes all the difference.
So, this year Christian has achieved many milestones: kindergarten, learning to swim like a fish, two missing teeth, and riding a bicycle without training wheels. I hope our son will continue to enjoy school and that his intrepid curiousity never diminishes.
Tuesday, September 8, 2009
I Yike the Way He Yaks
The other day my parents took the kids to McDonald's to play while Mike and I went out. We were in serious potty training mode for Gaby last week so that he could begin preschool this week. Unfortunately, I had to pull him out of his class because he is not "fully potty trained" as required . I'll live.
Anyway, while at McDonald's Gabriel told Grampa that he needs to go to the bathroom. When they entered, Gaby pointed outside the stall and told Grampa to wait there.
Grampa heard the toilet flush about three times and wondered what was happening. He asked him, "Is everything ok?"
No response. So Grampa cracked the door open and peeked inside.
Gaby was sitting on the commode with his eyes shut tightly and hands covering his ears. Apparently, each time he tried to move, the automatic flusher would go off.
Gaby told Grampa, "I don't yike it. It's too yowd!"
Keep Those Stamps Coming
Christian: "But if we don't do good in school that means we can't get a job?"
Me: "If you don't do well in school, you will not be able to become a veterinarian or whatever you want to do later on."
Christian: "But we'll still get stamps, won't we?"
I tried to explain that good behavior stamps come to end when we grow up. That's what good evaluations and pats on the back -- if our employers are decent -- are for.
Here are two guys who hand out nice compliments for free every week on the campus of Purdue University.
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What a world we'd live in if we took the initiative to hand out those stamps.
Sunday, September 6, 2009
Wedded Blessedness
year to year, prayer to prayer...
as described by kids
1. HOW DO YOU DECIDE WHO TO MARRY?
-You got to find somebody who likes the same stuff.. Like, if you like sports, she should like it that you like sports, and she should keep the chips and dip coming.
-- Alan, age 10
-No person really decides before they grow up who they're going to marry. God decides it all way before, and you get to find out later who you're stuck with.
-- Kristen, age 10
2. WHAT IS THE RIGHT AGE TO GET MARRIED?
Twenty-three is the best age because you know the person FOREVER by then.
-- Camille, age 10
3. HOW CAN A STRANGER TELL IF 2 PEOPLE ARE MARRIED?
You might have to guess, based on whether they seem to be yelling at the same kids.
-- Derrick, age 8
4. WHAT DO YOU THINK YOUR MOM AND DAD HAVE IN COMMON?
Both don't want any more kids.
-- Lori, age 8
5. WHAT DO MOST PEOPLE DO ON A DATE?
-Dates are for having fun, and people should use them to get to know each other. Even boys have something to say if you listen long enough.
-- Lynnette, age 8 (isn't she a treasure)
-On the first date, they just tell each other lies and that usually gets them interested enough to go for a second date.
-- Martin, age 10
6. WHEN IS IT OKAY TO KISS SOMEONE?
-- Pam, age 7
The law says you have to be eighteen, so I wouldn't want to mess with that.
- - Curt, age 7
The rule goes like this: If you kiss someone, then you should marry them and have kids with them. It's the right thing to do.
- - Howard, age 8
7. IS IT BETTER TO BE SINGLE OR MARRIED?
It's better for girls to be single but not for boys. Boys need someone to clean up after them.
8. HOW WOULD THE WORLD BE DIFFERENT IF PEOPLE DIDN'T GET MARRIED?
There sure would be a lot of kids to explain, wouldn't there?
-- Kelvin, age 8
And the #1 Favorite is (and my personal favorite)
HOW WOULD YOU MAKE A MARRIAGE WORK?
Tell your wife that she looks pretty, even if she looks like a dump truck ..
Monday, August 31, 2009
Friday, August 28, 2009
Bad Things Happen in ....Fives????
First, my mother broke her arm when she went to answer the phone late in the evening the night of our return from Spain. The airline had lost two pieces of luggage and had called around midnight to arrange to deliver them to their house. My mother was still half asleep and in a jetlagged state when she got out of bed to answer the phone quickly knowing that it was the airline calling. She does not know what she tripped over, but she ended up with a fractured wrist and some painful bruising on her face. Her cast is finally going to be removed next week.
A few weeks ago my cousin Alberto called to say that Tio Alberto had tripped at La Torre and fractured his femur close to the hip. They had to rush him from northern Spain to the hospital he works at in Madrid for surgery. Had he not had the position he has at the hospital, he would've had to wait at least three months for surgery (I'm not a heartless person; I'm absolutely against socialized medicine for that very reason among many others). He ended up having a pin put into his leg and was in severe pain probably because he has Paget's Disease, a secret he had withheld from the family for several years and for which he is now receiving treatment. Paget's is not curable, but treatment can prevent progression. It is hereditary as my grandmother had it, and a few years ago my brother and I observed that he walked with a limp like Abuela used to.
A couple weeks ago my mother-in-law came to visit and the day she arrived we took the boys to a park nearby. She started to complain about a sharp pain on her left side and thought it might be her diverticulitis acting up. But as we were driving home the pain was so severe that Mike took her to the ER that evening. She was misdiagnosed with diverticulitis and urinary tract infection, but as the weekend wore on (we celebrated Christian's birthday that weekend) she still did not feel better and by Sunday she was in agony, so back to the ER she went with John. The next morning John called to tell us she was going to be rushed to another hospital because they had found a 6-cm. (2.4 in.) mass on her left kidney, which turned out to be a benign kidney tumor (angiomyolipoma) that had to be embolized in order to starve and subsequently shrink it. Brenda needed to stay in the hospital for a few nights and recuperated for another week here in Albuquerque. She returned yesterday to Tennessee. We are so grateful that she is doing better, and they will see a urologist in the next month to see if the tumor has shrunk.
While she was here recuperating, last Friday morning I awoke at 5:30 to sharp pains in my abdomen and ended up in the ER myself because of a kidney stone that passed. Out of desperation I called my next door neighbor at 6:45 begging her to take me to the hospital because I knew I could not drive myself. Let me tell you, having a kidney stone is the worst pain I have experienced. I would rather repeat the petocin-induced labor, back labor pain and the too-late epidural that I had with Gaby than go through another kidney stone again. I was alone vomitting in the waiting room and a "helpful" person stuck her head out to tell me, "There's a bathroom down the hall," and then handed me a tub. I remember being in such miserable pain moaning, "Someone please help me." I had visions of being left alone to die in the ER waiting room as what happened to the poor lady in New York last summer as I myself was writhing in pain on the floor, vomitting into my pretty pink bucket as a hospital worker passed me by with nary a sympathetic glance in my direction. Finally, I was able to walk/crawl to the bathroom and finish my business. And suddenly I was able to walk upright back into the waiting room. I felt so foolish thinking I had had gas or some stomach bug, but I was told told my symptoms were those of passing a kidney stone. Here I was in the hospital while my mother-in-law, who went through something much worse, was waiting at home with the boys. She was a real trooper.
And the final bit of news is that my sister-in-law's parents were hit head-on by a drunk driver in Pittsburgh last night. It's miraculous that they survived as many victims rarely make it through such a crash. It happened right in front of the cemetery where their son was buried some 13 years ago. Jeanne's parents are doing well, although her mother received the brunt of the force on the passenger side and will be recovering for the next couple of weeks in the hospital. They both had to endure surgery for broken limbs and gashes. Jeanne and two of her sisters live in Dallas, and last night was a particularly ominous evening with dark clouds covering most of the city. Jeanne noticed something as she was driving home. "Look, Daniela. There's a pink shine coming from those clouds. That means Uncle Daniel is in heaven watching over us." It happened at the time when her parents were involved in the crash in Pittsburgh.
Even though this has been such a weird summer with all these happenings, I feel so lucky because things could have turned out so much worse for each of us. We have our lives, our families, friends, and love. Above all, God is good.
There is a reason for everything and someday it will be clear.
Sunday, July 19, 2009
Spain, Part III
I have often wondered who this jauntily dressed man is outside the wall of the yard and the girl leaning over from the gazebo on the other side.
Great-great grandfather Ventura
Although the house, which sits on a hill, is known La Torre, it was actually named Villa Belinda.
The first version of the Black Legend is the story of how the previous owner of La Torre had to sell the house quickly and he committed suicide in the dining room because he was distraught over the sale.
Tata, who cooked for us this summer, had a few incidents: she cut her finger one time when using a pruner in her yard; she would not watch the kids without her husband the night of the Maria's wedding; she had to see a doctor about a pain in her side; and then she lost her voice one day. Out of exasperation she exclaimed, "It's this house!"
La Torre constantly drifts in my mind and in my dreams and is a place filled with rich memories of my past and of my family's past.
Thursday, July 16, 2009
On Aging Rockers
Christian asked: "Does he make balloons? Does he like kids?"
I guess Dee Snider does look rather like a clown than a drag queen.
Tuesday, July 14, 2009
Spain, Part II
a bicycle race...
or into a herd of cattle.
Oh my, it took us at least fifteen minutes to drive around these 20 or so cows. There were at least three times that many up ahead. Mom tried to speed up the process by yelling, 'marcha!' at the cows. Gaby enjoyed the view. He rolled down his window to holler a friendly 'ayo!' at the animals while Mike snapped some photos.
My mom and I began to wonder if we should've turned right instead of left from the restaurant in Cosio. Oh, but we were laughing so hard the tears were pouring down our faces. Jaime pulled up beside us, "Are you sure we're going the right way?" We weren't sure.
The farmer (cow herder?) confirmed our fears. We were indeed going the opposite direction from Puentenansa. We had to turn around on the narrow road between these animals. In the meantime, Jaime, Dad, and Jeanne were behind us. I knew Jaime would not be amused. Mr. Zippy Dallas Driver, Outta-My-Way, Drive like the Spaniards, Horn Honking, Tailgating, Haven't Got Time for a Relaxing Country Drive with the Damn Cows brother. That's his car.
"We'll meet you in Covadonga!" he yelled at us as we turned around between cows. He got trapped by this cow and could not turn around as quickly.
This tickled me even more. Why do I take such pleasure at his grouchiness?
Monday, July 6, 2009
Spanish Dreams
My parents took all of us to help celebrate their upcoming 40th wedding anniversary, and we had a great reunion with my brothers, sisters-in-law, and nieces. The only one who was left behind was my nephew Anthony, who stayed with Jeanne's parents in Dallas. We also planned our trip around my cousin Maria's wedding to Javi on June 13th, which was the highlight of our visit. So much to share, and I hope you enjoy the photos and some of the stories.
Gaby strikes a pose in front of the hydrangeas in the yard.
Maria had every last detail down. She arranged for several buses to transport us from La Torre to the convent and later to the reception in a different village, and others were used to pick up friends and family from various hotels. This was quite a well planned production with friends and family who came from everywhere.
The beautiful bride descends the stairs.
My cousin Alberto, me, and his godson Joseph Sebastian (Jojo).
La familia
Tio Alberto, Maria, Tia MaAngeles, and Alberto.
Towards the convent...
Daniela carried the arras for the wedding ceremony.
Where Javi awaited his bride...
The church acoustics were perfect for the 24-voice chorus, Voces de Toranzo. Sarito's son, Jose, is part of group (Toranzo is the valley in which the village of Soto-Iruz is located). The church was decorated with hydrangeas, which are abundant throughout the northern part of Spain. Maria, who resides in Madrid, wanted to celebrate her wedding in Cantabria; it was always a secret wish of my mother's to marry in El Convento.
And then we went to the reception in a nearby village called Villacarriedo at the Palacio de Sonanes.
We left the three little ones, Gaby, Simone, and Jojo, with Tata before heading off to the reception. There was a language barrier between Gaby and Tata, and I made the mistake of not having Gaby's favorite blue blanket on his bed. Tata later told us that Gaby cried much of the night and she described him telling her, "ka ta, ka ta, ka ta..." and then crying when she did not understand what he wanted. He never did warm up to poor Tata.
Then my brothers and I took my parents to El Oso restaurant a few days later in the beautiful mountains (Picos de Europa) near the town of Potes.
The hotel across from El Oso.
Some friendly Brits who travel annually through the mountains let Gaby check out their ride.
There is more to share, and since it is becoming harder to edit and paste photos onto this particular entry, I'll continue soon.