Category Archives: Health

JFK would be appalled at lack of fitness among today’s youth

I find it highly ironic that this story comes out of Dallas this week:

DALLAS — Today’s kids can’t keep up with their parents. An analysis of studies on millions of children around the world finds they don’t run as fast or as far as their parents did when they were young.ShapeofThingstoComejpg

On average, it takes children 90 seconds longer to run a mile than their parents did 30 years ago. Heart-related fitness has declined 5 percent per decade since 1975 for children ages 9 to 17.

The American Heart Association, whose conference featured the research on Tuesday, says it’s the first to show that children’s fitness has declined worldwide over the last three decades….

“Ironic” because I identify concern over the fitness of American youth with John F. Kennedy. He’s the one who made such a big deal about it in my own youth:

John F. Kennedy showed his commitment to improving the nation’s fitness even before he took the oath of office. After the election, he published “The Soft American” in Sports Illustrated. The article established four points as the basis of his proposed program, including a “White House Committee on Health and Fitness”; direct oversight by the Department of Health, Education, and Welfare; an annual Youth Fitness Congress to be attended by state governors; and the assertion that physical fitness was very much the business of the federal government…

We heard a lot about the President’s Council on Physical Fitness back in JFK’s day, and even years after his death. I always had a vague belief that JFK, for good or ill, was the reason I was dressing out every day for P.E. in school. I was doing my bit for a national strategic priority.Programfrontcoverjpg

I’ve also, my entire life, associated the word “vigor” with Kennedy — possibly because I first heard it used (or at least, first heard it used frequently) in reference to him, and to his ambitions for the country.

It’s not a word we associate with American youth today. Or with the rest of us, for that matter. I don’t know about you, but I haven’t worked out in weeks. And I’m the worse for it…

A big step forward in medical research in SC

We hear a lot about setbacks to the Affordable Care Act, a.k.a. Obamacare. So it’s nice to take note of actual progress in a cooperative effort intended to improve health outcomes here in South Carolina — one that puts SC out ahead of the rest of the nation:

Health Sciences South Carolina Launches Nation’s First Statewide Clinical Data

Warehouse Clemson University, the Medical University of South Carolina, the University of South Carolina and major SC health care systems collaborate to track 3.2 million patients, 25 million health records

COLUMBIA, S.C. – A revolutionary information technology project launched by Health Sciences South Carolina (HSSC) could lead to major breakthroughs in improving the health of South Carolinians and attract millions of dollars of investment to the state’s economy, including the recruitment of biomedical clinical trials and the development of next-generation pharmaceuticals and medical devices—right here to South Carolina.

HSSC’s Clinical Data Warehouse (CDW) links and matches de-identified (anonymous) electronic patient records from South Carolina’s largest health care systems to enable providers and researchers to follow patient conditions in real-time. It also allows biomedical researchers to conduct patient-centered outcomes research and comparative effectiveness studies across a much broader and aggregated patient population base. This is the first system of its kind to bring together three major research universities and several large health care systems.

Bioinformatics for the system came from the Medical University of South Carolina, while the University of South Carolina developed the operations software. Clemson University hosts and provides patient privacy and security for the CDW. And all participating HSSC member hospitals share their data.

The project is a reality in large part thanks to The Duke Endowment, which has made major contributions of over $32 million to HSSC to fund the CDW and other health care initiatives. The South Carolina General Assembly also provided critical support through the creation of the South CarolinaSmartState Program.

Mary Piepenbring, Vice President of The Duke Endowment, said the foundation is proud of its longstanding commitment to Health Sciences South Carolina. “The Endowment’s support of the Clinical Data Warehouse initiative falls squarely within our mission to promote health in both Carolinas. This innovative health care tool has the potential to inform and improve health care outcomes in South Carolina and to serve as a model for information sharing.”

Earlier this year, HSSC began populating the database with historical data from Greenville Hospital System, the Medical University of South Carolina and Palmetto Health. The database currently contains more than 3.2 million medical records. Data from Spartanburg Regional Health System will be added in 2014. The CDW will eventually have data from all HSSC member health systems.

This is an unprecedented achievement for South Carolina,” said Dr. Jay Moskowitz, HSSC president.

“While the United Health Foundation ranks South Carolina among the lowest states in overall health status, we can now say with confidence that we rank among the highest places in the world with this level of collaboration and this kind of access to knowledge that will improve health for all South Carolinians.”

Moskowitz said the CDW will be invaluable to researchers studying rare conditions that affect underrepresented populations. For example, less than one percent of the population is diagnosed with Sickle Cell disease, and using data from a single South Carolina health system yields a very small patient population from which to build a potential research patient cohort. However, with the Clinical Data Warehouse, a researcher can triple or quadruple previous sample sizes, expanding queries to include more than 3 million patients across the state. Researchers in South Carolina now have a better chance of determining the potential success of a given research project and easier ways to build patient cohorts. Moskowitz also pointed to the potential for groundbreaking research on obesity and hypertension, conditions which affect many South Carolinians.

University of South Carolina President Harris Pastides also noted this benefit of the CDW.

“Researchers need large pools of data to develop and test scientific theories. Until recently, they had no simple way to study broad patient populations and doing so in real-time was almost unthinkable,” Pastides said. “The CDW provides clinical researchers with an integrated learning tool where the statewide patient population can now be surveyed and tracked in real time.”

Charles Beaman, president and CEO of Palmetto Health, said the CDW is an example of a new sense of collaboration among universities and health care providers.

“We are sharing data in ways we never have before, because we all realize that we share the same goals and the same mission: to serve the people of South Carolina and help them improve their lives through better health,” Beaman said.

If you would like to learn more about HSSC, CDW and other research endeavors, visit www.healthsciencessc.org.

About Health Sciences South Carolina Health Sciences South Carolina (HSSC) was established in 2004 as the nation’s first statewide biomedical research collaborative. Today its members include six of the state’s largest health systems—Greenville Hospital System University Medical Center, Palmetto Health, Spartanburg Regional Healthcare System, McLeod Health, AnMed Health, and Self Regional Healthcare—and the state’s largest research-intensive universities—Clemson University, the Medical University of South Carolina, and the University of South Carolina. The collaborative was formed with the vision of transforming the state’s public health and economic wellbeing through research. It also is committed to educating and training the health care workforce.

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Jay Moskowitz told me yesterday, at the data warehouse’s unveiling at the State House, that he expects that 3.2 million number (the number of medical records) to grow as other health systems contribute their data. At the same time, the database will be compared to death records to cull out patients who are no longer among us, eventually providing an up-to-date picture of virtually the entire state population.

For more see the front-page story in The State yesterday.

Yo! I wanna tap me some a that Bro-surance!

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Just what President Obama and Sec. Sebelius needed to overcome their PR disaster…

Here’s what some folks in Colorado have come up with to try to help Obamacare along:

The ads, which all live on the DoYouGotInsurance.com website, are a collaboration between Colorado Consumer Health Initiative and ProgressNow Colorado Education, and reference the famous “Got Milk?” ads.

In one ad — called “Let’s Get Physical” — characters named “Susie” and “Nate” are described as “hot to trot.” Susie gives a thumbs up while holding a back of birth control pills.

“OMG, he’s hot!” the ad reads. “Let’s hope he’s as easy to get as this birth control. My health insurance covers the pill, which means all I have to worry about is getting him between the covers. I got insurance.”

Somebody was Rocky Mountain high when they came up with this. And while they carried it out, too.

You know, if Wayne and Garth from “Wayne’s World” (“Party on, Garth!”) had come up with this, even they would have been doing it ironically. (And yeah, I know they’re trying to use irony here, but very, very badly.)

Set aside how offensive this is to constituencies who don’t much like Obamacare to begin with. If were a member of the target audience, I would be especially offended. Because even when I was a college student attending actual keggers, I was more rational, and more articulate, than this:

Not sure how I ended up here perched on top of this keg. I could totally fall, but that’s OK. My budget will stay balanced even if I don’t, because I got insurance.

The language reads like some old fogy’s notion of the way tweens think and speak. (Are kids really saying “gnarly” again?)

My personal nomination for the worst bit in the whole campaign — the text in the “keg stand” ad that says:

“Don’t tap into your beer money to cover those medical bills.”

Oh, no. Wouldn’t want to do that. Heaven forfend.

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Good news, bad news, good news, good news, bad news, bad news, good news, bad news about Obamacare

headlines

Peruse the above image of the lockscreen of my iPad at 3:48 p.m. today. Here’s what I thought I understood from those headlines, which all came in within an eight-minute period, while I was in a meeting and couldn’t stop to read further:

  • More than 100,000 used healthcare.gov to pick a plan in October — way more than previously reported!
  • No, only about 26,000 signed up.
  •  No, it was 106,000!
  • … but that was way fewer than hoped.
  • No, wait; it’s just 26,000. That’s according to Sebelius.
  • No, according to Sebelius, it’s 106,000!

When you go beyond the headlines, you see that the 106,000 includes people who signed up through state exchanges (which SC does not have), and only 26k through the federal exchange. And the 106,000 number is way, way fewer than the Obama administration had hoped for and projected.

But, according to Sebelius, about a million people have gone far enough through the process to determine that they are eligible to enroll in a plan.

And off we go again…

Oh, and you’ll notice at the top of that stack of headlines that one had just come in on a story with far easier-to-understand, but more horrific, numbers

Shell Suber on things we should know about prostate cancer

Last month, we did what we could to fight breast cancer. Now, we tackle another nemesis.

I’ve known Shell Suber since he was the Richland County chairman for the Republican Party several years back. Some of you may know him, too. Good guy.

Whether you know him or not, those of you of the male persuasion should listen up to what he has learned, the hard way, about prostate cancer. This being Movember, the message is timely. Actually, it’s always timely. This is from his blog:

I have prostate cancer

By Shell Suber

NOTE: This was originally published as a small series of posts on Facebook on November 6, 2013. Published here in its entirety with minimal edits.

130916-103539I have prostate cancer. I found out a few months ago and I haven’t told many people. I didn’t see the point. After some surgery next week I won’t have it any more so why make a federal case of it? I had my gallbladder out last year. How is this any different?

But it is different. Read on to see what I mean.

First, I need to assure everyone I feel fine. No symptoms at all. In fact, I might have gone years without even knowing I had prostate cancer if not for a lucky break. More on that later.

Second, and this is important, PLEASE DON’T SAY ANYTHING TO MY KIDS. They are 9 and 5 and we decided to just tell them Dad is going to have another thing taken out, like that gallbladder last year. No sense bringing up the “C” word when it’s not going to be an issue after next week. Sadly, Abby and Walt have ample reason to associate hospitals/cancer with funerals and we don’t want them to be scared that this is anything like that, because it isn’t. Thanks.

This is a good place to share a few quick facts about prostate cancer. If you don’t have time to read all this, just read the capitalized part at the beginning of each paragraph.

CANCER IS ALWAYS BAD, BUT SOME IS WORSE. It depends on size, speed, and location. Prostate cancer, if it is caught early like mine, is on the “not as bad” side of the cancer spectrum. To be sure, prostate cancer can be serious, but most men diagnosed with prostate cancer do not die from it. In fact, more than 2.5 million men in the US have been diagnosed at some point and are still alive today, like me. This is because it’s usually a slow moving cancer and it’s in an organ that doesn’t have a lot of high-level involvement with your blood (like your liver, lungs, and pancreas do.)

IT’S RATHER COMMON. Only skin cancer is more common. About 1 man in 6 will be diagnosed with prostate cancer. The older you get, the more likely the diagnosis. About 6 in 10 cases are guys 65 and older. It’s rare before 40. At 47, I’m on the “fairly young but not unheard of” side.

ONLY MEN GET IT. If you didn’t know that already, you aren’t quite sure what a prostate is, are you? I wasn’t either, to tell you the truth. Anyway, I won’t go into what role it plays. You can look it up. Just know that any man can get it. And it’s also worth noting that black men get it at a noticeably higher rate for some reason. And, as far as they know, there aren’t really any behaviors that “cause” it (like smoking/lung cancer).

IT’S EASY TO FIND. Prostate Cancer is, as cancer goes, an easy catch. There is a simple blood test called a PSA test that gives the doc a fairly good indication that all is good or, if not, more testing is needed. If you want to read more about the PSA test and your PSA “number,” there are a million articles out there. All you really need to know is that it’s a blood test like all the others you have ever had – one needle in the arm and you are done. The OTHER way to check is… well… do you remember the Moon River scene in “Fletch?” [ Moon River ] Anyway, Dr. Babar was checking to see if Irwin’s prostate was the size and shape it should be. If it’s not, you may be in for more testing. In my case, that meant a biopsy. It’s an outpatient procedure that takes no time at all and they even give you a Valium afterwards if you want. Sort of like getting a really great lolly-pop.

IT’S NOT NECESSARILY HEREDITARY. There are some cancers that are very hereditary. Breast cancer, for instance. But prostate cancer doesn’t work quite that way. So don’t go thinking you are in the clear because nobody in your family has ever had it. You aren’t. I wasn’t. Nobody in my family has ever been diagnosed as far as I know. Some of you may know cancer took my mom five years ago and her father last year. Both of those were unrelated to mine and to each other. Oh, and when I say “nobody in my family has had it,” that’s probably not true. Read on.

IT’S USUALLY TREATED IN ONE OF THREE WAYS. Because it’s such a slow cancer, sometimes when they find it in an older fellow, they just watch it to see if it’s growing so slow it won’t cause a problem. I mean, why bother if it’s not going to kill you before you’re 110, right? Other times they just try to slow it down with radiation. Again, so it won’t get you before something else does. Then there’s me. I’m only 47. They can’t slow it down THAT much. Besides, the risk is always there that it could “get out” of the prostate and that would be, um, bad. So for me, it’s removal of the prostate, a treatment you avoid if you can (because of the side effects) but it’s a virtual cure (as long as the cancer is all in the prostate.)

If you just read all that, you now know a lot more about prostate cancer than I did.

HOW I FOUND OUT I HAVE PROSTATE CANCER. As I said before, I might have never found out – for years maybe – but for a lucky break. Last year my wife and I decided, after much talk and, I feel, a sufficient period of procrastination on my part, that I should have a vasectomy. So I went to see my lifelong friend Tom Edmunds. Tom and I have known each other our whole lives and played a little football back in the day. He’s a urologist now and the man to see if you are going to get snipped. Blood work was done pre and post and my follow up PSA numbers gave him reason to be suspicious. [A note about PSA numbers: High is bad. Low is good. But CHANGE is what gets their attention. If your PSA number is the same this year as last, that’s good. If it’s higher, well, you may be in for more tests.] Anyway, had I not “manned up,” as Tom is fond of saying, who knows? We might not have known until it was too late.

LATE EDIT – After my original post, Tom, my urologist, shared this about PSA numbers…

Get a baseline PSA at age 40. 0.7 is the mean. If your baseline is above 1.5 at age 40, it needs to be watched yearly. Also, a rise of 0.4 in 1 years’ time is a reason to be checked out. Make sure your doc does an EXAM. Many don’t. African American men have twice the incidence. If your insurance company won’t pay for a PSA, get it anyway! What is your life worth? – Dr. Tom Edmunds

If you need more information (or a good urologist), contact Dr. Tom Edmunds at Capitol Urology, vasectomycolumbia.com, (803) 251-6602, [email protected]

SIDE EFFECTS. Next week I am going to have my prostate removed. Simple as that. They take it out and I don’t have cancer any more. Besides, after you are done making babies, you don’t really NEED it any more. So what’s the catch? (You just knew there must be one, right?) Well, there are two rather unpleasant possible side effects. Without getting too graphic, the prostate is right down there near a handful of nerves that we men are VERY fond of – the nerves that make it possible for our buddy down there do all his jobs. Removing the prostate damages these nerves. Most of the time the impact is temporary. But sometimes it’s not and that sucks, which is why they avoid taking it out if they can help it. But being dead is worse, so…

WHY AM I WRITING THIS? At first I was going just keep this quiet. I didn’t want to be “that guy with cancer.” People sort of treat you differently – you know what I mean – and I didn’t want that. Besides, after my surgery next week, it will be gone for good, along with my prostate, so why tell the world? Here’s why. Because this is one of those things that if more guys get tested, there will be more old guys for me beat in golf in 30 years. More PSA Tests = Less Funerals. Simple math. I’m too busy for funerals. So there you are.

‘We’re No. 9! We’re No. 9!’ bradwarthen.com Walk for Life team ends up in Top Ten

That's me, Kathryn, Bryan and Doug.

That’s me, Kathryn, Bryan and Doug.

A month later, with (presumably) all contributions counted, our Walk for Life team met the goal of making the Top Ten, which follows:

  1. Pink Posse $10,050
  2. Richland One – AC Flora High School Team Haddon… $9,292.14
  3. Richland One- Satchel Ford $8,231.40
  4. EDENS $6,370
  5. Spirit Communications $6,096
  6. Team Winkie $6,001
  7. Richland Two-Ridge View High School… $4,527.41
  8. Gowns and Crowns $4,431.50
  9. bradwarthen.com $3,651.44
  10. TeamRichlandone student nutrition services…$3,564.57

See all the teams on this page.

Of course, now we’ll be going for Top Five next year, which as you can see is going to mean at least $6,100. We’ll get an early start, think positive thoughts, adopt a clean and healthy lifestyle, give up fatty foods, and do opposition research on the other teams. OK, just kidding on the last two.

But we can do this!

For this year’s achievement, I want to thank our actual walkers, Kathryn Fenner, Bryan Caskey and Doug Ross (pictured above). Bryan and Doug were also our two biggest fundraisers ($1,715 and $1,191.44, respectively), while Kathryn made a generous personal donation.

Let’s also thank Diane Chinnes, Jeff Miller, Maria Medrano, Mike Fitts, Phillip Bush, Rick Shackelford, Kathy Moreland, Hunter Brumfield, Lisa Marie Field, my Dad, and a bunch of anonymous givers, every one of whom played a critical role in this year’s achievement.

The awful Social Security and Medicare rollouts

FDR signs the Social Security Act in 1935.

FDR signs the Social Security Act in 1935.

This morning, Celeste Headlee Tweeted:

Headlee

She was referring to this Reuters story about what a mess Social Security and Medicare were at first:

Social Security, that now beloved centerpiece of the nation’s social safety net, offers a case in point. Created in 1935, the program took 40 years just to include all working Americans in its basic coverage. When the old-age insurance program launched in 1937, barely more than half the labor force participated….

Social Security’s first baby steps proved especially uncertain. Of course, opponents denounced the pension plan as the leading wedge of a socialist revolution….

But it was not just dissident conservatives who issued ideological censure. Even friendly critics disparaged the program for its incompetent personnel, confusing procedures and widespread abuses. One watchdog group particularly disapproved the rapid hiring of thousands of untrained, ill-qualified workers to staff the program….

Similar uncertainty marred the introduction of Medicare. When the health insurance program went on the books in 1965, the federal government already possessed a Social Security administration to run it with three decades of experience in the business of social insurance.

Still, the complexity of the new program made its rollout a lengthy, contentious process. Federal officials had to negotiate with a wide variety of providers (nursing homes, hospitals, insurance companies), deal with a largely uncooperative American Medical Association, and coordinate with 50 state governments….

And so forth. Yet somehow, the nation survived it all…

Your bradwarthen.com Walk for Life Team, in uniform

Brad, Kathryn, Bryan, Doug

Brad, Kathryn, Bryan, Doug

Well, we did it — we walked, and a pleasant stroll it was.

The first order of business was to get a picture of Doug Ross with his hat on — the hat that was a condition of one the contributions he brought in as part of a more than $1,200 total.give now

We ran into Samuel Tenenbaum, president of Palmetto Health Foundation, before we started out, so I had occasion to brag on Doug to him, as well as to introduce him to Bryan Caskey and tell about his $1,715 haul. And about our more than $3,600 total.

And Kathryn Fenner was there, having donated generously herself. I was the deadbeat on the team, having contributed mostly by making a lot of noise and nagging people. It’s what I do.

We gathered for coffee afterwards, and the general consensus (no formal votes) was that we would get an earlier start and make that $5,000 goal next year!

Not that we couldn’t, technically, make it this year. Palmetto Health is still counting contributions toward teams’ totals for another couple of weeks. Just go here, click on “Give Now,” and follow the directions…

Walk Samuel

NYT: In SC, Obamacare fails to help the poorest, thanks to Haley, Legislature

Meant to share this sad piece from The New York Times earlier in the week:

A sweeping national effort to extend health coverage to millions of Americans will leave out two-thirds of the poor blacks and single mothers and more than half of the low-wage workers who do not have insurance, the very kinds of people that the program was intended to help, according to an analysis of census data by The New York Times.

Because they live in states largely controlled by Republicans that have declined to participate in a vast expansion of Medicaid, the medical insurance program for the poor, they are among the eight million Americans who are impoverished, uninsured and ineligible for help. The federal government will pay for the expansion through 2016 and no less than 90 percent of costs in later years.

Those excluded will be stranded without insurance, stuck between people with slightly higher incomes who will qualify for federal subsidies on the new health exchanges that went live this week, and those who are poor enough to qualify for Medicaid in its current form, which has income ceilings as low as $11 a day in some states….

Yep, they’re talking about us, as one of the states who have refused Medicaid expansion.

Doug will point out we’re one of the slight majority of states (26) that have insanely refused to participate.

But even if we were one of 49 states, we’d still be profoundly wrong.

Walk for Life: One more thing I’d like y’all to try…

Well, I figure that most of y’all who are going to give before the event Saturday morning have already given.

And I thank you for your generosity. We’re now at $3,556, which is very good. Of course, I went wild a couple of days ago and raised the goal to $5,000, but as someone said on Twitter this morning, “If people aren’t laughing at your goals, your goals aren’t big enough.”

Before we give up on that, I’d like y’all to do one more thing for me — how about reaching out to some of your friends and family (as Doug and Bryan have already done so very successfully), and see if they’d like to give as well.

I did that night before last, and got a gratifying response. I even heard from our Tokyo correspondent, Hunter Brumfield, who contributed, and then wrote on our team page:

My wife Eiko also went through this so I know what you and Juanita have faced, Brad. We are in remission also, fortunately, after 5 years post-treatment. Early detection is SO important!

I’m so glad Eiko is doing well. Hunter, too, apparently. I also heard from Jeff Miller in Washington, who gave in memory of his mother-in-law, Stella Schwartz. And others. Very gratifying.

Anyway, what I did was send to Hunter and lots of other friends the following email. Feel free to borrow from it, and ask your friends and relatives to chip in to the bradwarthen.com team:

Dear Friend,

First, the bad news: As you can tell from that greeting, this is a form letter that I’m sending to lots of friends in addition to you.

Now, the good news: This is a form letter that I’m sending to lots of friends in addition to you. Which means I’m not just picking on you personally, and trying to put you on the spot.

I’ve organized a team through my blog to walk in Palmetto Health Foundation’s Walk for Life this coming Saturday. We’ve set (OK, I’ve set) an ambitious goal for the team. We’re trying to raise $5,000 to fight breast cancer. We’ve already raised $3,256. I’m asking you to help put us over the top.

All you have to do is go to this page, and click on the pink “Give Now” button over on the right-hand side, and follow the instructions. It’s easy, and relatively painless.

Some of my blog readers have had great success with personal campaigns among their contacts. Doug Ross has raised more than $1,100 for our team by offering to do such things as wear a funny hat. Bryan Caskey has raised more than $1,600 by sending a clever email to his friends.

I may resort to those tactics myself. But first, I thought I’d get serious and tell you why I support the Walk for Life, and look forward to it each year.

Twelve years ago, my wife, Juanita, was diagnosed with breast cancer. It had already spread to her liver when it was found. We found this out in a quick series of shocks: First the lump, then the exploratory surgery that found that the nodes were involved, then the biopsy that found multiple tumors in her liver. Stage four cancer. It is a brutal understatement to say that her survival chances weren’t good.

We lived the next few months in a fog of anxiety mixed with urgent determination to do whatever we could. There were the biopsies, and one bad report after another. Then a massive round of chemo. Then the surgery. Then a brief period of recovery, followed by another devastating round of chemo. Followed, after another brief time for recovery, by radiation. Then, the beginning a routine of milder chemo treatments every three weeks for the next eight years.

One night, early in the process, I was watching television, and for a moment, had stopped thinking about this horrible thing. My wife, who had been on the Internet where she spent so much of her time during that period, walked in and said she had good news — she had found a site that said she might live for five years if everything went right. That, she said, was easily the most optimistic assessment she had found. I was devastated. That might, in fact, have been my low point. I had not actually internalized, in a quantitative sense, how bad things were until that moment. And my shock was exacerbated by guilt, for having for a moment forgotten about this thing hanging over us. Watching stupid television.

We got through this time through the prayers and concern of many, through determination, through the skillful guidance of the folks at S.C. Oncology Associates, with the helping hands of friends (all sorts of folks brought us dinners during that period, including Samuel Tenenbaum, the head of the Palmetto Health Foundation, so I owe him).

Since that diagnosis, a lot has happened to us in our personal lives. Our children, three of whom still lived at home in 2001, have gone through all sorts of passages — graduations, and weddings for two of them. Most wonderfully, four more grandchildren have come into our lives.

Juanita was first told she was definitely in remission early in 2002. In 2010, our oncologist said he thought it safe to take her off chemo altogether.

For the past five years, she has spent most of her waking hours taking care of our youngest grandchildren. She is their Nonni, and it would be impossible to overestimate how much she means to them. She is an irreplaceable part of their world, as she is of mine, and our children’s.

We owe so much to all the dedicated people fighting cancer every day, in research labs and on the front lines with patients.

So help me pay a little of it back. Again, all you have to do is go to this page, and click on the pink “Give Now” button over on the right-hand side, and follow the instructions.

Thanks so much.

— Brad

No half measures for Walk for Life: We’re going for $5,000!

Might as well be bold, right?

Last week, we went from exceeding our initial $1,000 goal to topping the $3,000 mark in just two days. Yes, we had some extraordinary help. After Doug Ross had singlehandedly put us over the thousand mark, Bryan Caskey came in and raised almost half of our current total of $3,231.

But I don’t think the well is dry yet. So I just did another Col. Cathcart, and raised our team goal to $5,000.

Sure, it’s a stretch. But we’re well on our way toward the $4,000 mark without any additional effort the last few days on my part. Now, I’m going to take a page from Doug and Bryan and send an appeal out to a lot of my contacts — emphasizing people who may not be regular blog readers — and thereby give a broader audience a chance to chip in.

Basically, I’m going to do what I haven’t really done with y’all yet — get serious, and talk about the real reason I’m a supporter of Walk for Life.

And no, it’s not because my good friend Samuel Tenenbaum nags me about it weekly. It’s because of my wife’s experience as a cancer survivor, as I wrote about back here.

Of course, even if you don’t receive one of these emails, you’re still welcome to give (or give more, or ask your friends to give more). In fact, you’re encouraged to do so.

Just go to this page, and click on “Give Now.” It’s the button over on the right.

There’s no question: GOP will be to blame for shutdown

This morning on the radio, I heard reports that some Republicans in Congress are hoping they can shift blame for the likely government shutdown to the president and Senate Democrats.

Wow. Talk about your fantasies.

As you know, I love to blame both parties for everything (which drives Bud crazy).

But in this case, there is simply no question: The Republicans made this happen all by themselves. Some of the older, wiser heads in the party know this — they remember the Gingrich shutdown — and have a bad, bad feeling about now.

But the young innocents of the Tea Party charge blithely on — partly because on a certain level they really don’t care whether the government shuts down (their extreme ideology makes them feel, deep down, that that’s a consummation devoutly to be wished), but also because, in case it does turn out to be something less than a lark, it will be blamed on Democrats.

But no one whose thinking is not distorted by ideology can miss what has happened here.

First, there is the Tea partisans’ insistence on making every single raising of the debt limit some kind of showdown at the OK Corral, which meant we were doing to have a crisis this month anyway.

Then, there is this bizarre fixation on not funding a perfectly legitimate law that has stood up to every legitimate thing they could throw at it. It survived legal challenges. When they tried to run against it in an election, they lost. They have demonstrated 42 times that it is not in their power to repeal it. So now they want to defund it, or delay it — which would be patently illegitimate on its own — and have brought about an imminent shutdown of the whole government in their bid to stop the law from taking effect.

On the issue of Obamacare, they are an utterly defeated army that has turned guerrilla and has nothing left to fall back on but acts of sabotage.

What they have done is so obvious, and so obviously outrageously irresponsible, that there’s little chance that anyone outside of the more fervent parts of their base could dream of blaming anyone but them.

I just figured I might as well go ahead and say that, before the shutdown occurs…

Walk for Life: We’ve surpassed our goal, again! So… what should the NEW goal be?

3000

Well, we did it! We surpassed the new goal, only a couple of days after setting it!

Our Walk for Life team has now raised more than $3,000 — to be precise, $3,076 as I type this.

There have been a number contributions to the General Team Donation category (including one from my good friend and colleague Mike Fitts). But the big story remains the highly successful efforts of those shakedown aces, Bryan Caskey and Doug Ross. Remember when I told you that Bryan was in the Top Five individual fund-raisers among all Walk for Life participant? Well, he’s moved up from No. 5 to No. 4, as you can see on the right-hand side of this page. Way to go, Bryan! And you know Doug’s gotta be in the Top Ten, which is tremendous.

But all of you who have contributed need to form a circle, all turn to your right, and pat the person in front of you on the back. You all deserve it.

Now, that said, down to business. Of course, now that we’ve reached the goal, Col. Cathcart will set a new, higher number. You know how he is.

So I’m asking y’all’s advice. What should it be? $4,000? $5,000? I want it to be a stretch, but achievable. Thoughts?

Colonel Cathcart raises our ‘Walk for Life’ goal

danby

Col. Cathcart, Lt. Col. Korn, and Major Danby.

You remember Col. Cathcart, don’t you — from Catch-22? (And if you haven’t read Catch-22, you should.)

Here’s a reminder of who he is:

description

His main function in the plot of the book is to keep raising the number of missions that the men in his bomb group must fly before they can rotate stateside. He does this to curry favor with his superiors. He lives for “feathers in his cap” and lives in horror of “black eyes.”

This repeated raising of the number of missions is a key driver in Yossarian’s constant, growing anxiety, especially since the colonel always raises the number just before Yossarian reaches it:

cathcart

Well, it seems that Col. Cathcart has slipped out of the pages of the novel and somehow gained access to our Walk for Life team profile, and raised our goal — much as Yossarian slipped out of his tent one night and moved the bomb line on the map to above Bologna.

And I’m happy to report that I — I mean, Col. Cathcart — ran into Samuel Tenenbaum this morning, who is sort of the General Dreedle of Palmetto Health Foundation, and told him that our goal has been raised from $1,000 to $3,000. He was most pleased. I think this is quite a feather in my, I mean Col. Cathcart’s, cap.

And I’m sure, men (like Lt. Scheisskopf, I enjoy addressing you as “men” in a clipped, military voice), that you’ll be happy to keep flying missions until we exceed the new goal. Failure to do so would result in a black eye for me, your colonel, and I’m sure none of you men want that.

Walk for Life: Let’s shoot for the Top Ten!

walk2012

This blog’s Walk for Life team exceeded its fundraising goal days ago, thanks to the unwavering efforts of the stalwart Doug Ross, who raised more than the $1,000 benchmark all by himself.

So now, let’s get competitive about this.

I don’t know how much other teams have raised for the Oct. 5 event to fight breast cancer, but if the pattern is anything like two years ago, we’re probably in the Top 20 already. In 2011, we came in 18th despite only having raised $982.

The amount we’ve raised so far this year, $1,309, would have put us in 12th place two years ago. So it seems reasonable to assume that the Top Ten is within our reach. (Again, I don’t know where we stand this time, but back then, anything over $1,620 would have put us there.)

Thanks to Kathryn Fenner, Bryan Caskey, my Dad, and one regular from the blog who gave anonymously, for joining Doug in bringing us this far.

Now I’m hoping to hear from some of y’all who haven’t acted yet. Join us, and Top Ten status can be ours…

Consensus starts to emerge: House GOP is loony

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Even Paul Krugman — who is such a bitter, contemptuous partisan that I avoided running his columns at the newspaper — thought maybe he was going overboard a bit by calling the GOP’s maneuvers on funding Obamacare and the rest of government “crazy:”

In recent months, the G.O.P. seems to have transitioned from being the stupid party to being the crazy party.

I know, I’m being shrill. But as it grows increasingly hard to see how, in the face of Republican hysteria over health reform, we can avoid a government shutdown — and maybe the even more frightening prospect of a debt default — the time for euphemism is past…

But aside from the typically Krugmanesque assertion that the GOP was stupid before it was crazy (everyone who disagrees with Krugman is stupid — just ask him; he’ll tell you), the economist really wasn’t going out on much of a limb in this instance.

He was simply stating something that seems to be emerging as a consensus across the political spectrum. Among people who have clue, that is.

While his language is milder, Gerald Seib, writing in that wild-eyed liberal publication The Wall Street Journal, is similarly dismissive of the sanity of GOP House members’ actions:

The list of conservatives who didn’t want the House to do what it did late last week—that is, pass a bill trying to defund Obamacare, at the risk of shutting down the government—is long and distinguished: Karl Rove, Rep. Pete King, Sen. John McCain, the editorial page of this newspaper, even the House’s own Republican leadership.

But House Republicans went ahead anyway, passing a bill tying the financing of government operations starting Oct. 1 with the removal of money for implementing the new health law. The bill won’t pass the Senate, and it won’t be signed by the president, but it may lead to a partial closure of the government that many believe would be politically disastrous for the Republican Party.

Which raises again the question that animates much of the conversation in the capital: Why do House Republicans do the things they do?..

He goes on to answer himself with a primer on what most of us already understand about House Republicans. Basically, that these people’s experience of government doesn’t precede the existence of the Tea Party, and that they are elected from districts that are so safe for a Republican that a GOP member need only fear a primary challenge. Stuff, as I said, we knew already. Although he reminded me of a fact I had forgotten if I knew it: That these districts are SO grossly gerrymandered that Republican candidates in the aggregate “lost the popular vote for the House in 2012 by more than a million votes nationally, yet kept control of the House by 33 seats.” (Although I see this writer disagrees that redistricting was the culprit.)

Then there is Judd Gregg, a Republican and former senator from New Hampshire, who writes for The Hill:

Most Americans these days are simply ignoring Republicans. And they should.

The self-promotional babble of a few has become the mainstream of Republican political thought. It has marginalized the influence of the party to an appalling degree.

An approach to the debt ceiling that says one will not vote for its extension unless ObamaCare is defunded is the political equivalent of playing Russian roulette with all the chambers of the gun loaded. It is the ultimate no-win strategy….

… which almost makes Krugman sound temperate. Gregg continues:

You cannot in politics take a hostage you cannot shoot. That is what the debt ceiling is. At some point, the debt ceiling will have to be increased not because it is a good idea but because it is the only idea.

Defaulting on the nation’s obligations, which is the alternative to not increasing the debt ceiling, is not an option either substantively or politically…

He goes on to write about the destruction that defaulting on our debt would wreak on the world’s economy — something about which the babbling infants in the House (half of the GOP members have been there less than three years) and their fellow loony in the Senate, Ted Cruz, care not at all.

The people who elected them, and who will vote for someone crazier in a GOP primary if these individuals don’t act with gross irresponsibility, don’t know or care what sort of harm their actions could bring about, so they don’t know or care, either. This is apparently regarded, by at least one writer at RedState, as a good thing.

Here’s how James Taranto, whose standard tone in his Best of the Web Today column at the WSJ is every bit as dismissive of the left as Krugman is of the right, characterizes Ted Cruz’s effort to support the House GOP effort to defund Obamacare. After noting the commonsense fact that there is “no realistic prospect of enacting the House resolution,” he writes:

Instead of playing possum, a group of Senate Republicans led by Texas freshman Ted Cruz propose to play Otter: “I think we have to go all out. I think that this situation absolutely requires a really futile and stupid gesture be done on somebody’s part!“…

Taranto then casts Sarah Palin in the role of Bluto, given her op-ed at Breitbart.com in which she essentially said, “We’re just the guys to do it.”

OK, so from the left and the right, we’re seeing such modifiers as “crazy,” “futile,” stupid,” and “appalling.”

To all of those qualities, let us add disingenuousness. Here is the entire text of a release that Joe Wilson, my congressman, sent out on Friday:

Wilson: Senate and President Must Act

 

(Washington, DC) – Congressman Joe Wilson (SC-02) released the following statement after the House passed the Continuing Resolution which funds the government through December 15, 2013.

“Today, House Republicans have acted responsibly by passing a solution to keep the government’s doors open.  Because of our efforts, American families are protected from the unworkable, unaffordable healthcare law and hardworking taxpayers can rest assured that our nation will stop spending beyond its means.

 

“It’s time for the Senate and the President to act.   Time is ticking. We have ten short days until the federal government’s funding will expire. Senate Democrats should follow our lead and join us in protecting the American people, rather than placing politics over policy and threatening a government shutdown,” Congressman Joe Wilson said.

Note that only a passing reference is made to the actual point of the resolution for House Republicans: “…American families are protected from the unworkable, unaffordable healthcare law…” What an odd choice of words: “protected from.” He avoids saying what the measure does, which is deny funding to a program that is set in place by law — a law which he and his allies have demonstrated, an amazing number of times, that they are utterly incapable of repealing.

Then there is the really, truly cheesy dodge of making like it’s all on the president and the Senate whether the government is funded or not. Who are the children that Joe and the other Republicans who voted for this think will be fooled by that? Who will think, if the government shuts down, that anything other than the GOP obsession with Obamacare is to blame?

These guys are far gone. And everyone, on left and right, except them, seems to know it.

Walk for Life: Don’t leave Doug hanging out there, folks!

Walk2011

I think maybe we should rename the bradwarthen.com Walk for Life team the Doug Ross team, because he has raised/contributed an amount that by itself exceeds the goal I set for the team.

The goal was $1,000. Doug, alone, has chipped in $1,014. Here’s where you can see the contributions to the team.

I hope this doesn’t make everyone else think, “Good. I don’t have to give now.” I hope it makes everyone think, “If we all get together, maybe the rest of us can match Doug, and reach double the goal.”

I hope. I hope. Because I’m going to be embarrassed to see Doug on Walk day (Oct. 5) if no one else has risen to the challenge.

Hey, believe me, I know what it’s like to be strapped for cash. But if you can give, please do. And if you can’t, pester your friends the way I’m doing now. Do it on social media; do it in person. Shake ’em down. Be a pain about it.

Lets be a team. Let’s not leave Doug hanging out there.

We’ve raised more than we did two years ago — almost entirely thanks to Doug. But last time around, we had contributions from Kathryn Fenner, David Knobeloch, Pat Dixon, Nick Nielsen, Buddy Johnson and Mark Stewart. Exceeding the dollar amount is great, but it would be even better if we could widen participation this time.

Come on, jump in. You’ll be glad you did. I will, anyway…

Boy, I sure can pick cities to live in, can’t I?

Kathryn brought this to my attention. It’s a list, from the Asthma and Allergy Foundation of America, of the top 100 cities that are “the most challenging places to live with allergies this fall in the United States.”

As she noted, “We are up there, but better than Charleston or Augusta!” Columbia came in 33rd on the list; Charleston was 26th, and Augusta was 27th.

But then I looked at the list, and discovered something more startling — I have lived in three of the top 11 cities, including No. 1 Wichita. (The other two were No. 5 Memphis and No. 11 New Orleans.) I also lived in Charleston as a kid.

Lower down on the list, I’ve lived in Philadelphia, No. 42; and Washington, No. 83. OK, technically I lived in Woodbury, N.J., and Kensington, Md., but each was close.

So, given that I’m a hyperallergic kind of guy, I can really pick ’em, can’t I?

At least I made a relatively smart move coming here from Wichita…

 

I’m giving blood today. Anyone want to go with me?

I'm going to look just like this later today. I'm even wearing a yellow shirt...

I’m going to look just like this later today. I’m even wearing a yellow shirt…

Yesterday, I got a call from the Red Cross saying the requisite 16 weeks have passed since I last donated double red cells (after giving whole blood, you only have to wait 8 weeks), so it’s time to give again.

As usual, they were eager for my blood. When the lady on the phone suggested Wednesday, and I said neither Wednesday nor Thursday was good, and they didn’t have any slots that fit my schedule on Friday, so how about next week… she jumped in with “How about tomorrow?”

So I’ll be down at the Red Cross HQ on Bull Street at 5:30 today, preparing to donate through the Alyx process.

Before we got off the phone, though, the lady asked if I had any friends or family who could also come along with me and give.

They’ve asked me that before. It’s always sounded sort of odd. It makes recruiting someone to give blood sound as casual as, “Hey, wanna grab a beer after work?”

But it must work sometimes, or else they wouldn’t keep doing it. So I’ll try it.

Anybody want to go down to the Red Cross with me this evening and give blood? My treat…

Fielding Mellish was ahead of his time

I had to laugh at this story on the front page of The State today:

By SAM HANANEL — Associated Press

WASHINGTON — Glued to your desk at work? Cross that off the list of reasons not to exercise.

A growing number of Americans are standing, walking and even cycling their way through the workday at treadmill desks, standup desks or other moving workstations. Others are forgoing chairs in favor of giant exercise balls to stay fit.

Walking on a treadmill while making phone calls and sorting through emails means “being productive on two fronts,” said Andrew Lockerbie, senior vice president of benefits at Brown & Brown, a global insurance consulting firm….

 Once, the Execu-ciser existed only as an expression of Woody Allen’s sense of the absurd. Now, it’s real. Such are the times we live in.

Can the Orgasmatron be far behind?

The actual TR800-DT5 Treadmill Desk from LifeSpan.

The actual TR800-DT5 Treadmill Desk from LifeSpan.