Syphilis


Syphilis - a disease that is caught by having sexual relationship with an infected person. Also, it may be spread by blood. Despite that this disease is quite rare in western countries (effective treatment, early diagnostics), syphilis is still frequent in the tropics and subtropics.

Causes

Syphilis is caused by a bacteria called Treponema pallidum. This bacteria is caught by having sex with an infected person, also, by contact with blood and other liquids of an infected body (especially during the second stage, when syphilitic rash is present on the infected body). In addition, an infected pregnant woman may pass the infection to her baby through placenta.

Symptoms

The incubation period of syphilis averagely lasts 21 days (minimum 10 days - maximum - 3 months). After this period the first stage of syphilis (primary syphilis) begins. During the first stage, a small ulcer with tough edges appears on the spot which had a direct contact with the partner''s ulcer. It may be penis, vagina, cervix or even rectum and anus as well as other parts of the body. The ulcer is called chancre. It is not painful and very often the patients do not notice it. Syphilitic chancre is accompanied by enlarged lymph nodes, most often - in the groin. If not treated, these symptoms dissapear in a month.

Secondary syphilis (second stage) starts in 2 - 3 months after the infection (even if the chancre is still present). This stage starts with a sore throat, high fever, general weakness and other symptoms that remind of flu. Also, the whole body (especially mouth, soles, palms) covers with syphilitic rash. During this period the patient is extremely infectious. The infection might be passed by direct (not only sexual) contant with an infected person. Some patiens become bold, others suffer from renal disorders, gastritis, hepatitis, meningitis and other dysfunctions.

Sometimes syphilis causes no symptoms. This kind of the disease is called latent syphilis.

If not treated, syphilis develops into the third stage, o tertiary syphilis. The disease might affect any organ or part of the body: eyes, heart, nervous system, etc. The patient may suffer from mental and neurological problems. This stage may last up to several decades.

Neurosyphilis is an individual type of syphilis. Although extremely rare, it may start at the first stage of the infection. This form of syphilis damages the brain and causes mental disorders, paralysis, meningitis.

Another individual form of the infection is congenital syphilis. In that case, the infection is transmitted to a fetus through the placenta. This form of the disease may cause premature birth, death of the fetus, hydrocephalia. In a few years, the baby may start suffering from brain damage, haematological or hepatic diseases, hearing and vision abnormalities, bone damage etc.

Diagnostics

The most popular tests are:

* Microscopic or immunofuorescensic Treponema pallidum tests.
* Serological tests (TPHA, RPR, VDRL).
* All these patients might have HIV and other sexually transmitted diseases.

Treatment

The most effective syphilis treatment is penicilin. Especially penicilin G. The treatment usually lasts from 2 to 4 weeks.

Syphilis - a disease that is caught by having sexual relationship with an infected person. Also, it may be spread by blood. Despite that this disease is quite rare in western countries (effective treatment, early diagnostics), syphilis is still frequent in the tropics and subtropics.

Pharyngotonsillitis


Pharyngotonsillitis is an inflammation of the pharynx and the tonsils. Its main symptom is a sore throat. On rare occasions isolated inflammations of the pharynx (pharyngitis) or the tonsils (tonsillitis) occur. They share the same causes, progression and treatment with pharyngotonsillitis, and have a sore throat as their main symptom as well.

Causes

Viruses (rhinoviruses, coronaviruses, influenza, adeno, herpes, EBV and others) are the main cause of pharyngotonsillitis, present in 70-80 % cases. Bacterial pharyngotonsillitis is rather rare. Group A beta hemolytic streptococcus (s.pyogenes) is the main causative agent in those cases. In some rare cases the disease might be caused by staphylococcus or gonococcus (which causes gonorrhea).

Signs and symptoms

The main symptoms of pharyngotonsillitis are sore throat and difficulty when swallowing. The forms of pharyngotonsillitis are:

* Catarrhal (a reddish and painful pharynx, typical of viral infections)
* Follicular (abscesses can be seen, typical of s.pyogenes infections)
* Lacunar (white patches on tonsils, typical of streptococcal infections)
* Ulcerative (small ulcers seen in pharynx; common in viral infections)

Viral pharyngotonsillitis starts gradually. The first symptoms are those of a common cold. They are followed by a runny nose, cough, a hoarse voice, conjunctivitis (inflammation of the conjunctiva). If the disease is caused by a bacteria, it typically starts acutely, the whole body becomes intoxicated (especially in children) - nausea, vomiting, head aches, swollen lymph nodes in the neck are very common, as well as a fever. If the causative agent is streptococcus, the temperature raises and falls many times. A runny nose, cough and conjunctivitis are rather uncommon in bacterial infections.

Diagnostics

Pharyngotonsillitis is a very common disease. Detection of the specific causative agent is not required to diagnose pharyngotonsilitis. The disease is diagnosed based on its clinical symptoms and a throat exam. Signs of inflammations can be observed in a blood test, which is sometimes performed. It is important to differentiate between viral and bacterial infections, because the treatment is different.

Treatment

The treatment of pharyngotonsillitis is symptomatic if the causative agent is a virus. A bed regime and drinking lots of fluids is very important. Paracetamol (acetaminophen), nimesulide and other anti-inflammatory drugs are used in treating throat ache. In this case antibiotics are ineffective and may even be harmful.

Antibiotics are used to treat bacterial pharyngotonsillitis. Most widely used are ampicillin and amoxicillin. In addition, cephalosporins and macrolides can also be used. Two days after initiating antibacterial treatment, the symptoms should disappear (this proves that the infection was indeed bacterial). However, even if the symptoms persist, antibiotic treatment should be continued. The treatment of pharyngotonsillitis lasts 10 days.

Complications

The main complication of a viral pharyngotonsillitis is a bacterial infection. The complications of a bacterial pharyngotonsillitis are pneumonia, abscesses, endocarditis and rheumatic fever.

Gonorrhea

Gonorrhea is a sexually transmitted disease that is caused by bacteria Neisseria gonorrhoeae (gonococcus). Gonorrhea usually causes inflammation of the urinal tract. The prevalence of gonorrhea is not quite known, as it is often asymptotic. Also, patients having gonorrhea prefer to stay anonymous.

Causes


Gonorrhea is transmitted during sexual intercourse with an infected person. A mother might transmit the bacteria to her newborn during childbirth.

Signs and symptoms

Gonorrhea is often asymptotic in women. Sometimes, after the incubation period (it lasts from several days to several weeks), gonorrhea leads to cervical inflammation, vaginal discharge or painful urination.

Sometimes gonorrhea is transmitted during oral sex. This might cause gonococcal tonsillitis. In some cases gonococcus causes rectal inflammation.

Spreading upwards, the infection might cause inflammation of uterus, fallopian tubes and pelvis, which sometimes leads to infertility. If a mother transmits the disease to her newborn, he/she might develop extremely severe gonococcal conjunctivitis.

Gonorrhea is less often asymptotic in men (only about 10 percent). Men suffer from painful urination as well as discharge from penis. As the infection spreads upwards, it might cause inflammation of the prostate, seminal vesicles and testicles.

Diagnostics

Gonorrhea is diagnosed by taking swabs from the urethra, rectum, cervix or the throat. The taken material is examined under a microscope or cultured. If gonorrhea is diagnosed, the patient should be tested for other sexually transmitted diseases.

Treatment

Gonorrhea is treated using antibiotics. Depending on the patient’s age and the severity of the disease, cephalosporins, chinolones or tetracyclines are prescribed. Usually one large dose of antibiotics is enough.

Lung Cancer


Lung cancer is the most common cancer in men. It causes most deaths in Europe and America. Lung cancer morbidity is directly proportional to tobacco smoking. Due to asymptotic disease course, lung cancer is usually diagnosed too late, therefore, the treatment is extremely difficult and the prognosis is bad.

Causes

The main cause is tobacco smoking. The risk of lung cancer is highly related to the amount of cigarettes smoked during lifetime. Even passive smoking might double the risk. 95% of lung cancer cases are related to continuing smoking (including light cigarettes and pipes). Other cases are correlated to asbestos, chrome, genetic factors and air pollution.

Similar to other cancers, lung cancer consists of uncontrolled cell growth as a result of long-term contact to carcinogens, mentioned above. Damaged genes of a lung cell start uncontrolled cell growth. These cells form a tumor, infiltrate surrounding tissues, reach blood and lymphatic vessels and start metastasizing. The tumor disrupts the metabolic balance and consumes nutrients in the organism.

Symptoms

During the first stages, lung cancer is asymptotic. Later the symptoms depend on the localization of the tumor. Lung cancer might cause shortage of breath, coughing chest pain (rarely), pleuritis (pleurisy). Symptoms also depend on the metastasizing of lung cancer. Metastasizing to the mediastinum might cause hoarse voice, facial edema. Metastasizing to the central nervous system usually causes neurological symptoms, metastasizing to the bones causes severe pain etc. Advanced lung cancer often causes paraneoplastic syndrome (skin rash, hypotension, weight loss, etc.).

Diagnostics

Lung cancer is often detected accidentally by performing chest radiography. Otherwise, this test might be false negative. CT is much more informative and precise. If the tumor is endobronchial, bronchoscopy is usually performed. The diagnosis is verified with a biopsy (endobronchial, transbronchial or transcutaneous).

According to the results of biopsy and other tests, the tumor is classified (Non-small Cell Lung Carcinoma and Small Cell Lung Carcinoma) and staged (from IA to IV).

Treatment

The method of treatment depend on cancer’s cell type and stage. During stage I to II (sometimes in stage III) the main method of treatment is surgery. During stage III – IV chemotherapy and radiotherapy are performed. Symptomatic treatment is also essential.

Prognosis

Prognosis of lung cancer depends on cancer’s type and how far it has spread. Non-small Cell Lung Carcinoma usually has a better prognosis than Small Cell Lung Carcinoma.

Syphilis Symptoms in Men


Syphilis symptoms in men develop with a gradual pace as the condition makes its progress through four stages. Know about the symptoms of each of the stage from this article.

One of the several diseases that have sexual contact as their mode of transmission from one person to the other, is what is known as the syphilis - a bacterial infection. Recent reports reveal the fact that since the year 2000, there has been a noticeable rise in the cases of this condition. Out of all the cases, it was found that about 2/3rd of men who had sexual relationships with other men, fell victim to this disease. The incidents of the infection has also been found to have risen in young women too. This disease tends to be more prevalent among the African-American. This bacterial condition is known to damage the heart and brain if left untreated. In some cases, even death may occur. The good news is, if detected early, it has good chances of being cured with the help of antibiotics. And to detect the disease at an early stage, knowing about the common syphilis symptoms in men, is a must.

Symptoms of Syphilis in Men

As mentioned earlier, the varying syphilis symptoms in men develop in four different stages. However, there are exceptions when the stages overlap and the symptoms do not occur in the typical manner.

First Stage of Syphilis

To begin with the symptoms of syphilis in men in the first stage (primary syphilis), one classic symptom is enlarged lymph node in the groin area. Accompanying this, there might occur a firm sore in areas such as that of the genitals, rectum, tongue and lips. The sore may be single or multiple, and is small in size, and does not cause any pain.

Second Stage of Syphilis

In the second stage of syphilis, syphilis in men may cause the occurrence of fever, soreness, sore throat, and sores which appear as warts on the mouth and areas of the genitals. A rough rash, red or reddish-brown in appearance may also occur in any part of the body. This is also known as the syphilis rash. It is also one of the classic syphilis symptoms in women and men, and so are swollen lymph glands, abnormal fatigue and discomfort for no apparent reason.

Third Stage of Syphilis

This stage is termed as 'latent syphilis'. The affected person steps in this stage if he has received no treatment for his condition. Here, there are no such syphilis symptoms in men at all, thus, this stage can be regarded to be an asymptomatic one. The significance of this stage is that it can last for many years and the signs and symptoms may never show.

Tertiary Stage of Syphilis

People who do not receive any treatment when they are still in the early stages of syphilis, tend to develop the symptoms of the late syphilis. The common syphilis symptoms in men in this case include gradual onset of blindness, numbness in the body, occurrence of paralysis, and dementia (a kind of mental deterioration). People who are in this stage also exhibit behaviors of uncoordinated muscle movements.

From Mother to the Child

Now the above mentioned were the syphilis symptoms in men, according to the different stages. There are cases when an affected mother can pass the disease to the unborn child. Most often, by the age of 3 months, the affected child start showing symptoms, which may include:

* Development of skin rashes
* Occurrence of skin sores
* Jaundice (yellowing of the skin and whites of the eyes)
* Fever
* Infection of the umbilical cord
* Anemia
* Swelling of the liver and swollen spleen

So these were the many types of syphilis symptoms in men, and in infants. It should be borne in mind that all the symptoms of this sexually transmitted disease may also occur in women, and may not be specific to a particular gender. The condition of syphilis, in case of early diagnosis and treatment, in the initial stage, is significantly easy to cure. In all stages the treatment plan involves the use of penicillin - an antibiotic that helps in eliminating the causal bacteria from the body. In case you were not aware, if the patient has been suffering from the condition for less than a year, then all he/she needs is a single shot of penicillin injection to curb the disease from progressing any further. Otherwise, additional doses are required, if the infection had been in progress for more than a year.

Medical Treatment of Bronchitis


Since most cases of bronchitis are caused by a viral infection, doctors will typically ask people to get some rest, drink fluids, and wait it out. Occasionally, if there is reason to suspect a bacterial infection, a physician will prescribe antibiotics. Bronchitis can cause more issues for the elderly, the young, and those with pre-existing respiratory issues, and in those cases other treatments may be necessary to prevent possibly deadly consequences.

Additionally, doctors may recommend an over-the-counter mild cough suppressant simply to help the patient sleep at night or to ease the irritation and pain that comes from continually coughing. Coughing is the body’s natural defense against foreign material or infection in the lungs and chest cavity. So, preventing coughing altogether is not good for you. You should allow the body to cough up whatever is necessary. If the coughing becomes a problem and prevents sleeping, then a cough suppressant may be needed.
Natural Treatment of Bronchitis

The first thing everyone should do that has bronchitis is avoid smoking or being exposed to smoke in the air. Drink plenty of water to help flush your body of any toxins or infection. Use a humidifier to help loosen the mucus in your airways. You may even benefit from adding a couple of drops of tea tree oil to the humidifier water, which helps fight infections.

Bronchitis occurs when the inner lining of the lungs become inflamed and infected. This viral infection usually happens after a respiratory illness like a cold. Just when you think you’re recovering from your cold or flu, beginning signs of bronchitis can appear.

Honeysuckle tea which includes honeysuckle, skullcap, and forsythia is an herbal remedy that has been shown to be effective in relieving thesymptoms of bronchitis including fever, cough, and chest congestion.

Cayenne pepper is also helpful in dealing with bronchitis naturally. It works to break up chest congestion quickly. Garlic, ginger, and an herb called creosote bush are all natural remedies for bronchitis. To speed up phlegm removal from your chest, you can make a tea from an herb called pleurisy root. If you are looking for a natural cough expectorant, mullein soothes the throat and relieves coughing.

As with any illness, strengthening the immune system is important to enable the body to fight off viruses and bacterial infections. To kick start your immune system, take extra vitamin c and a. Its best to get vitamins from its natural food source, but sometimes you simply can’t get enough of the necessary nutrients in the food you eat. A good quality supplement is helpful in these cases.

Who Should Get Dental Care

Dental care is important for your oral hygiene. It is important to promote good oral hygiene to prevent gum diseases and tooth decay.

It is important for everyone to practice good oral hygiene but it is also important for everyone to get dental care to prevent gum diseases and tooth decay. Small children are at great risk for having tooth decay. It is important for them to receive dental care to properly teach them good oral hygiene and to identify any possible problems related to their baby teeth or adult teeth coming in. The sooner a problem is identify the less drastic measures maybe use to treat any potential problems. Adults should also get dental care to prevent tooth decay andgum diseases. It is important to have regular teeth cleaning and x-rays to identify problem with oral health. This can also be an indicator to more dangerous illnesses.
Why is Dental Care Important

* Prevents Tooth Decay – Prevents damage to the tooth and loss of teeth.
* Prevents Gum Disease – Gum disease can damage tissue and bone that supports the teeth.
* Easier Continuing Care – Makes dental appointments easier and less time consuming.
* Saves Money – By preventing the need for filling and other dental treatments you will save money.

* Prevents bad breath
* Makes teeth stronger and able to last a lifetime
* Improves health in general

Home Dental Treatments

Good dental care begins at home. By brushing your teeth and flossing at least twice a day can help prevent tooth decay and gum diseases. You should also consider using mouth wash along with brush and flossing. To take care of stains on the teeth discuss teething whiting systems with your dentist.

Dental Care

Fluoride is an important tool in promoting healthy, strong teeth. Children should drink water that contains fluoride. Fluoride can help children form health teeth. I can be toxic in large doses so products containing fluoride such as mouthwash and tooth paste should be kept out of children’s reach.

Dental care should begin when children are infants or at least by the time the have their first tooth come in. The earlier dental care begins the better their dental care outlook will be. Children must learn how to take care of their teeth at an early age.
When is Professional Dental Care Required

A Dentist should be seen for regular cleanings and if there is any tooth pain. A Dentist should also be consulted for foul smelling breath and bleeding gums. This could be a sign ofgum disease.
Medical Dental Treatments

There are many medical treatments for dental care. These treatments include:

* Tooth Extractions
* Root Canals
* Fillings
* Braces
* Gum Disease Treatments
* Crowns
* Dentures
* Oral Surgery
* Cleanings
* Tooth Whitening

Some of these treatments are considered cosmetic while others are required for dental health and prevention of other diseases.

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Healthy Eating While Dining Out

Sticking to your healthy eating regimen when eating out at a restaurant can be difficult. You can’t look at nutritional information labels and quite often the tasty looking pictures of unhealthy foods can be tempting. Sometimes you may choose to just avoid going to a restaurant altogether, but depriving yourself of these events could mean you’re missing out on exciting social gatherings. With a few tips and a little willpower, dining out doesn’t need to be a stressful experience.

Substitute What You Can

Choose a salad over fries or add another vegetable side in lieu of the mashed potatoes. A lot of restaurants will have a healthy eating section of their menu that makes these choices for you. Instead of having a burger, get your patty lettuce wrapped instead. In some cases, you may want to omit instead of substitute. If your salad comes with garlic bread, ask that they leave the bread off your order entirely. By omitting the items you tell yourself you just won’t eat, you won’t be tempted at the end of the meal when they’re still on your plate.

Limit Sauces and Dressings

You may feel that ordering an entree salad is a healthy eating choice, but sometimes restaurants drench their salads in high calorie dressings. Ordering your dressing on the side allows you to choose how much you’re going to use. This can apply to any sauces that may come on your meats or vegetables as well. Using a limited amount still gives you the delicious flavour while reducing the amount of calories you’re consuming.

Portion Control

By ordering a half order of your favourite meals, you’re cutting the calories in half. When you feel full, stop eating and ask your server to take your plate away to prevent you from picking at it while everyone else finishes their meal. If you really feel that you just can’t waste what’s left, take it to go and eat it for lunch the next day.

Choose the Right Location

When deciding where to dine, research what is available on the menus of a few restaurant choices in advance. It can be a good idea to be aware of a few local restaurants that have a healthy eating menu available. Some restaurants really promote healthy eating so find a few good ones in your area and make those your regular dining spots whenever you eat out.

Tips To Help You Stick to Your Healthy Eating Goals

Most people slip up or cheat at some point when trying to eat healthier but it’s important to not let these instances discourage you and to focus on the things that will help you stick to your goals. Be proud of what you do accomplish and don’t allow yourself to be wracked with guilt over what you can’t. That doesn’t mean, of course, that you shouldn’t learn to be strict with your eating habits.

Be Honest and Realistic With Yourself

Decide what your healthy eating goals are and be realistic with yourself about what you hope to achieve. Making goals that are too easy will prevent you from pushing yourself while making impossible goals will just discourage you and could cause you to give up. When you accomplish your goals, reward yourself and set new ones, but avoid rewarding yourself with junk food as that will only undo all of your hard work.

Don’t Give Up Everything You Love

You don’t have to swear off snack foods entirely, just make healthy eating choices when you can and start your efforts off slowly. Rather than watching TV with a bag of potato chips, snack on a small bowl of plain popcorn. Plan your snack alternatives in advance and have a choice ready for every different taste you crave. Trade sweets and candy in for fresh fruit or eat a smaller piece of dark chocolate in lieu of a sugar loaded candy bar.

Don’t Starve Yourself

Feeling full throughout the day will prevent you from giving in to the urge to snack on something full of sugar or fat. Be sure to drink plenty of water and have healthier snacks during the day rather than saving your hunger up and going crazy on the cheese puffs in the evening. Try eating multiple smaller meals a day rather than three larger ones if this helps you to feel satisfied and less hungry.

Clear Out Your Junk Cupboard

If it’s there, you’re far more likely to grab that convenient bag of cookies sitting at the back of your cupboard when you don’t feel like taking the time to prepare a healthy snack. Throw out all the junk food you have and when you really can’t fight the urge make sure you only buy smaller packages of your favourite treats so you don’t have leftovers sitting in your kitchen to tempt you.

Your healthy eating habits should be a lifelong journey rather than a crash diet, so don’t get too down on yourself when you eat a little more than you should have or just can’t resist that delicious looking pastry. Rather than thinking all hope is lost, throwing your goals out the window, and finishing off the whole pizza because you’ve had one piece, just start over then and there and stay positive about your goals.

Little Changes Can Make a Big Difference for Healthy Eating

If you want to start leading a healthier lifestyle, you don’t need to do an overhaul on your whole life to see results. Even if you do plan on making drastic changes, these changes should be done slowly to give yourself time to adjust and improve your chances at long-term success. A little exercise along with some healthy eating habits can help you feel slimmer and more fit in no time.

Choose the Healthier Alternative

In the grocery store, go for the plain popcorn instead of the super drenched movie theatre butter flavour. At a restaurant, substitute your fries for a salad or change your carb loaded potatoes to a lighter vegetable. For breads and pastas, give the whole wheat types a try. Even when you just have to have your chocolate fix, try one of the darker types of chocolate that contain less sugar. Whatever you’re choosing to eat, take a moment to consider what a healthier option would be.

Portion Control

Limiting how much you eat is one of the most important tips for healthy eating. Some people can’t bear to give up their favourite foods, but cutting your portions in half still allows you to enjoy what you love with half the guilt. Getting the “100 calorie” packages of the chips and chocolates you can’t live with out will remind you how much you’re consuming so you know to stop when the package is empty.

Alcohol and Those Extra Calories

When you’re going to a social event and you want to have a few drinks with your friends, you don’t need to throw your healthy eating plan out the window. Switching to a lighter beer or drinking spirits with a low calorie mixer can reduce the amount of calories you’ll be consuming. To cut that number in half again, alternate your alcoholic beverages with a glass of water or another non-alcoholic, low calorie beverage.

Break Your Bad Habits

Pay attention to your eating habits over the course of a few days and pinpoint the times you snack the most. If you tend to blow through a bag of chips while sitting in front of the TV, stop snacking in your living room or switch your snacks to veggies and fat free dip. If you tend to binge eat after a stressful day at work, reflect on the things that have upset you and find other ways to deal with your stress.

Healthy eating habits can be learned little by little until they’ve become second nature to you. The more you learn, the less you’ll need to struggle with your eating habits. As it becomes easier you’ll be able to make more and more changes to reach your healthy eating goals.

Healthy Eating Strategies to Teach Your Kids

Teaching your kids the importance of healthy eating while they’re young will not only ensure they’re getting the proper nutrition they need to grow, it will help establish good habits for when they’re older and start making their own food choices. By sticking to healthy eating rules, your children will become accustomed to making better choices and will hopefully carry these lessons with them through life.

Involve Them When Deciding Meals

By giving your kids a choice of which vegetable to have with dinner or what type of healthy snack to have between lunch and dinner, they will feel more invested in what they’re eating and less like they’re being forced to eat something they don’t want. If they really hate one type of vegetable, give them the option of something they prefer and you’ll have far fewer battles at dinner time every night.

Make Healthy Food Fun

By cutting food into interesting shapes or making pictures out of the food on their plate, eating becomes a game that they’re now interested in participating in. Letting them help you prepare their food can also get them more excited for meal time because they may feel like they’re playing a bigger role and have made some of the decision regarding what they’ll be eating.

Lead By Example

Telling your children they aren’t allowed to eat ice cream while you’re sitting there with a big bowl of it probably won’t go over very well. When your kids see you eating the same things as them and having veggies as a snack instead of a bag of chips, they won’t question why they’re eating healthy food instead of anything else. If junk food just isn’t an option in your cupboards, your kids won’t be asking for the bag of chocolate chip cookies instead of the bowl of grapes.

Substitute for Healthy Alternatives

Giving them carbonated flavoured water instead of pop will still seem like a treat. Watering down their sugary juice will reduce the amount of sugar they’re consuming. Changing the white bread for whole grains will add some extra nutrition to their diet. By making small changes to the ingredients of all their meals, you’ll be sneaking healthy food in and they won’t even notice most of these changes. The more they become used to healthier alternatives, the easier it will be to establish healthy eating habits.

From Hope to Hardball


Though it was obvious to almost no one at the time, Thursday, April 5, may have certified a momentous change in contemporary politics. It was that day when Republican National Committee (RNC) Chairman Reince Priebus was quoted saying that the Republican “war on women,” a favorite liberal talking point, was a creation of Democrats and the media—no more reality-based than a Republican “war on caterpillars.” It probably wasn’t the most outlandish comment a GOP operative uttered that hour. Yet, by lunchtime, Obama Deputy Campaign Manager Stephanie Cutter had denounced Priebus for ruggesting that reproductive-health issues had all the cosmic significance of larva. Soon Cutter’s aggrieved response was all over the Internet and cable television. When I spoke with one strategist close to the White House the next day, he was utterly disbelieving: “The-war-on-caterpillars thing, I’m shocked it’s getting any legs.”

Welcome to the Obama campaign, version 2.0. If, as Mario Cuomo once said, you campaign in poetry and govern in prose, then running for reelection may be something akin to grunting at regular intervals. In 2008, Obamaland prided itself on rejecting such brass-knuckle politicking, much of it perfected by Bill Clinton. “We don’t do war rooms,” was a Team Obama mantra, as one veteran of the campaign and the administration recalls. These days, by contrast, there are dozens of operatives raring to pounce on the slightest Republican misstep.

The outsized war-room capabilities are hardly the only Clintonite technique the Obama apparatus has adopted. President Obama has rewarded his mega-donors with frequent trips to the White House. And, just as Clinton did in 1995 and 1996, Team Obama has lashed a moderate GOP front-runner to right-wingers in Congress and portrayed him as a mortal threat to the welfare state.

Far from a badge of dishonor, though, the new ruthlessness is actually a sign of maturity. “It’s not like Bill Clinton created a war room because he had the personality for a war room,” says the Obama administration veteran. “He did it because that’s what you have to do today to respond to the crazy shit that comes your way.” What Obama and his team have accepted is that, while there’s a lot to be said for changing politics and elevating the discourse, your most important job as president is to defend your priorities. And the way to do that is to win.



BECAUSE OF Clinton’s reputation as the father of the permanent campaign and Obamaland’s disavowals of his techniques, it’s tempting to regard the two most recent Democratic presidents as diametric opposites. In many ways, however, Obama’s presidency has followed a remarkably Clintonian trajectory. Clinton also came into office hoping to bridge Washington’s partisan divide. As Bob Woodward reported in his book The Choice, Clinton was stunned when Republicans told him they would vote en masse against his deficit plan only hours into his presidency. “I didn’t run for president to be a bare-fanged partisan,” he told Woodward, before confessing that Republicans had turned him into one.

Both men initially responded to their respective midterm routs in similar ways. Clinton, as Obama subsequently did, blamed the defeat on the overly legislative focus of his first two years in office (“I was a prime minister, not a president,” he told Woodward) and on his troubles marketing his health care plan. (Of course, Obama’s plan actually passed.)

The major difference between the two after the midterms was their posture toward Republicans. Clinton went for the jugular early. By August of 1995, he had launched a major ad campaign attacking the Republican Congress for its designs on Medicare and vowing to defend the program from $270 billion in cuts. Almost daily beginning in late 1995, Clinton and his surrogates repeated their mantra of protecting “Medicare, Medicaid, education, and the environment”—that is, the programs Republicans threatened to decimate. The White House even had a nickname for the refrain: “M2E2.” “It wasn’t elegant—I wouldn’t etch it in marble. But people fucking knew what was at stake,” recalls Paul Begala, a former Clinton strategist. When Bob Dole emerged as the Republican presidential nominee the following spring, he had little hope of separating himself from his party’s government-slashing ethos.

Obama, on the other hand, spent more of his third year striking conciliatory notes as he negotiated with the GOP over the deficit. With the exception of a tough, high-profile speech that April, his White House consciously avoided flaying Republicans over their proposed cuts to Medicaid and Medicare. He didn’t dwell on their anti-government nihilism until a speech in December, and even then he did so in broad strokes.

The relative civility came to a clear end this month, however, when Obama turned up at an Associated Press luncheon and proceeded to lacerate the GOP over the handiwork of Representative Paul Ryan, whose budget proposal the House had recently passed. Obama talked, Clinton-style, about how the Ryan budget would squeeze seniors who depend on Medicare and bump as many as 19 million poor and disabled Americans off Medicaid. He argued that Ryan’s plan would cut 200,000 children from Head Start, roll back financial aid to ten million college students, and make it harder to “protect the air we breathe, the water we drink, or the food that we eat.” It was “M2E2” all over again. For good measure, Obama held Mitt Romney responsible for every letter of the Ryan plan, gleefully noting that the presumptive nominee had pronounced it to be “marvelous.”



ONE CAN OVERSTATE the degree to which Obama has changed, of course. By the summer of 2008, his campaign had a well-oiled rapid-response effort, which included current press secretary Ben LaBolt, among others. They just didn’t call it a “war room” or practice their dark arts as publicly or zealously. The recent trend is more “an evolution, not a shift,” says one campaign official from those days. Still, this person concedes, the campaign’s Chicago headquarters is “ready to be more forceful early on” this time around. “The press is more absurd,” explains a White House official. “In part because of Twitter, things have the potential to explode faster than they did before.”

Within Team Obama, the change is not without anxiety. Mention the comparison to Clinton, and those involved in the Obama reelection effort will instinctively flinch. As one longtime Democratic operative sympathetic to the new approach puts it: “They have their own legacies to protect, I get that, too. I don’t think [David Axelrod] ever wants to see his name in the same sentence as [Clinton guru] Dick Morris.”

Some of the anxiety centers around Cutter, who oversees the daily combat operation in Chicago and is legendary in Democratic circles for her Dresden-esque tactics. Whereas the communications apparatus for the Romney campaign, like Obama’s in 2008, must simultaneously sell policies, craft speeches, and win each news cycle, Cutter has the advantage of commanding a deep bench of operatives whose only focus is the latter. “The point is, that’s all they’re doing,” says the strategist close to the White House, noting that the West Wing shoulders the rest of the workload. This creates a major resource asymmetry, which Cutter has exploited with brutal efficiency. Chicago’s preferred formulations—on everything from the “Ryan-Romney budget” to Romney’s penchant for “hiding” the truth—reliably find their way into leading news outlets.*

While such tactics can be highly effective in any given moment, the risk is that they ultimately taint the Obama brand. (In 2008, the campaign considered it undignified to spar with the RNC, as it did during the great caterpillar controversy.) Still, a spokesman says the Obama organization is very pleased with Cutter’s work. And it’s almost certainly the case that the aggressive stance is here to stay. Arguably the chief legacy of the extended GOP primary is that Romney found himself forced to embrace the Ryan budget. “I thought the most important date of the primary was the date that Romney used the Ryan budget to attack [Newt] Gingrich,” says the Obama administration veteran. “He had been dancing around the Ryan budget for the longest time.” But, having tied himself to Ryan, there’s no going back. It would be political malpractice not to seize on this.

Many of Obama’s political aides have understood this for years. In fact, when Ryan proposed (and the House approved) a similar budget last spring, they had readied a p.r. assault on Republicans over the document. But they holstered their press releases when members of Obama’s economic team protested that this would blow up the deficit and debt-ceiling negotiations with Republicans.

These days, however, some of Obama’s most enthusiastic advocates of bipartisan civility—such as former Chief of Staff Bill Daley—have been exiled, and many of those who remain have come full circle. For example, Daley’s replacement, Jack Lew, was an enthusiastic participant in last year’s deficit talks while serving as Obama’s budget director. But the experience was eye-opening. Lew would reach an understanding with the House leadership and then notice that positions had changed when negotiating with their aides. He concluded that there could be no accommodation prior to the election. (A longtime Democratic wonk who is far more liberal than Daley, Lew also grasps the potential devastation of the Ryan cuts on a more visceral level.)

Perhaps the best way to measure the staying power of the new toughness is to observe how Team Obama responds these days to critics of the approach. During their first few years in office, senior aides would often fret when the paragons of respectable centrism derided Obama’s rhetoric as too harsh or his proposals as too liberal. This time around, as the likes of David Brooks were knuckle-rapping Obama over budgetary hyperbole in his AP speech, the White House doubled-down. Office of Management and Budget staffers mounted a furious behind-the-scenes response, ultimately fighting to a draw with a “half true” rating from the fact-checking site Politifact. Around the West Wing, much was made over this triumph. Hope and change it was not. But sometimes you have to be willing to settle for a small victory instead.

A Further Response to Critics on the Founding Fathers and Insurance Mandates


Since I wrote last week about the remarkable eighteenth-century precedents for a health insurance mandate, several supporters of the challenge to Obamacare have attempted to downplay the relevance of those early mandates for today’s case. The latest is Professor Phillip Hamburger, who argues that those early statutes imposing health insurance mandates on private commercial shipowners and seamen didn’t arise under the Commerce Clause; instead, he claims, they were justified under the power to provide for the Navy because such health mandates helped ensure “a large supply of healthy seamen” for the Navy to draft in the event of war.

This argument is certainly creative, but the connection between regulating private commercial activities and the Navy power is unconvincing. By that logic, one could equally say that the Obamacare mandate is justified because it helps ensure a large supply of healthy people to draft into the Army in the event of war. Nor does his Navy clause argument seem to fit the eighteenth-century statutes, which were replete with provisions requiring written labor contracts on key terms, regulating when wages had to be paid, and providing hospital care for disabled seamen even if they were no longer able to serve—none of which were relevant to ensuring a supply of healthy seamen to draft for war.

In any event, Hamburger’s claim conflicts with Supreme Court case law, which as I have shown, does indeed hold that federal statutes regulating the duties of shipowners and seamen arose under the Commerce Clause. In contrast, I am unable to find any case holding that Congress’ power to impose duties on private commercial shipowners and seamen arose under the Navy Clause.

Remember the context: The challengers are trying to infer a constitutional ban from purported silence because their theory lacks any affirmative support in the text, history, or case law. The constitutional text does not support the challengers’ argument because, as conservative Judge Silberman held, 1780s dictionary definitions of “regulate” indicate that the plain meaning of the text giving Congress the power to “regulate commerce” does include a power to mandate purchases. Nor did any framer state that they thought the Constitution prohibited purchase mandates or any prior case so hold.

Bereft of such support, the challenge to Obamacare rests on the claim that the unprecedented nature of purchase mandates shows they were so wholly alien to the framers that they obviously would have wanted to ban them. Trying to infer a constitutional ban from a lack of precedent is dubious to begin with, since the Constitution has no anti-innovation clause, and the law presumes Congressional Acts are constitutional. But, if one is going to use that dubious method, one cannot exclude analogous precedents based on strained or technical distinctions.

Even if you do believe that these early mandates were justified under clauses other than the Commerce Clause, they demonstrate that the framers clearly thought purchase mandates were a “proper” means of executing constitutional powers. That’s enough to show that the framers would hardly have been horrified at the notion of mandating purchases—and enough to validate the Obamacare mandate under the Necessary and Proper Clause.

Øivind Ambrosiusen (aka Eddie Ambrose)







My paternal grandfather was also an Edwin, but people called him Eddie. He was born on August 26, 1899, in Horten, Norway, as Øivind Ambrosiusen, son of Martinius Ambrosiusen and Hilda Hansen. When my grandfather moved to the States, he Anglicized his name to Ambrose. 

Eddie served one compulsory year in the Norwegian Navy, then completed a two-year program at Horten Technical Institute, where he learned to be a draftsman. Since there were no employment opportunities in Norway, Eddie sailed to Montreal in 1923. 

Border Crossing documents show that he arrived in Rouses Point, NY on June 28 and Buffalo on July 18. My father said he then traveled to Massena, NY, where he heard there was work in Syracuse. Eddie found a job in Syracuse as a draftsman, and was employed all during the depression. He worked most of this time for the Solvay Process Company, a division of Allied Chemical Corporation, in Syracuse, NY. 

 The Solvay Process Company was established in 1880 in Syracuse and was a pioneer chemical industry of the U.S. in the manufacture of soda ash and a major employer in central New York. The company was the origin of the village of Solvay and it grew around the plant. The Erie Canal passed through the Solvay Process plant, as did the New York Central Railroad. The phone directory I found from 1931 shows how important Solvay was to the city of Syracuse. Solvay, the company, went out of business in 1985. 

 The Ambrose family lived in Syracuse until 1940 when my grandfather was promoted and transferred to the Solvay factory in Delray, Michigan. Eddie retired from the company after 35 years of service. He lived to be 89, nine years longer than my father did, dying on September 13, 1988.

A Career with American Brake Shoe



Here is an excerpt from one of my father's memoirs; this one is titled Edwin Ambrose: My Life, written Sept. 7, 2003. Upon graduation, I was recruited by the American Brakeblok Division of the American Brake Shoe Company, located in Detroit. 

They manufactured asbestos/rubber brake lining. One reason I chose Brake Shoe was that I would spend the first year in Detroit, where Nancy, my fiancé now, was living with her parents. I was hired as an apprentice salesman, with a twelve-month training program scheduled. [Can you imagine this now? A 12-month training program?

 I was four months into the program, at our proving grounds in New Jersey and Pennsylvania, when a senior man from Brake Shoe’s Research Center in Mahwah, NJ visited our Detroit office looking for a sales apprentice to help promote a new material, sintered metal friction materials, which were non-asbestos. The Company had limited experience with metallic friction materials but was fearful that someday, maybe, metallic materials would replace asbestos-base materials, which was the major part of its business. Our research people had developed some new materials, set up pilot plant production nearby, and had its first and only customer, the Caterpillar Tractor Company, which had given us a standing order for metallic steering clutch discs. The two other apprentices in the Detroit office declined the opportunity, but when I got back from Pennsylvania and heard about the matter I immediately volunteered. I moved to Mahwah and began traveling to the Midwest to call on Caterpillar, Allis-Chalmers, International Harvester, Goodyear Aircraft, Ford Motor Company, and others. I had a rental car with New York license plates which never saw the state of New York. I would fly to Chicago’s O’Hare airport, pick up the car and drive to customers in Wisconsin and Illinois, ending up at the Indianapolis airport, where I would park the car, and fly home. Ten days later I would fly back, pick up the car and drive to customers in Indiana, Ohio, and Michigan, ending up at O’Hare airport, where I left the car for another ten days. 

I did this for one-year – the only problem being that when I arrived at the parking lot at Indianapolis or O’Hare airports, it would take me a while to remember where I had parked the car! After one year the Company was confident about the future of sintered metal and bought the Metallic Friction Company in Cleveland, Ohio. Two salesmen came with the acquisition, I would be the third, and we hired a fourth. I was transferred back to Michigan with my new bride, Nancy, and covered Michigan and Indiana. After three years our new Sintermet Division was merged with American Brakeblok Division, and I was right back where I started from! After four years, during which our three children were born in University Hospital in Ann Arbor, I asked to be transferred into our New York International department. 

This request was accepted, and we were transferred. We moved into a small house in Darien, Connecticut with three kids under the age of four. My new boss was soon transferred to a new office in Geneva, Switzerland, to cover new investments in Europe and I was left to cover the rest of the world. My first overseas trip was to South Africa, in December, 1961. 

I traveled extensively from then on, and have covered these trips in a separate file entitled ‘Twenty Trips Around the World’. During these travels, which covered 22 years, I visited India and Australia ten times each and Japan 35 times. During this time I looked after a hydraulics joint venture with Mitsubishi Heavy Industries, which included visits to Russia and China. I retired from Brake Shoe, now called Abex Corporation, in 1983, after 31 years of service.

Nash and Dodge



My grandpa, Carl Ericke, kept some of his old auto registrations from 1922 and 1926. In 1922, my grandfather was 28 years old. I also found several photos of my grandfather and even his mother proudly posing with his cars. Perhaps he bought these cars new, right off the assembly line; the Dodge would have been bought soon after he returned from WWI and the Nash was registered almost a week before his 32nd birthday on May 16. Perhaps a birthday present to himself? he first two photos are of my proud grandfather standing and sitting in his very first car, the Dodge Coupe.

Founded by two machinist brothers as the Dodge Brothers Company in Detroit, Michigan in 1900 (to supply parts and assemblies for Detroit's growing auto industry), Dodge began making its own complete vehicles in 1914 as the Dodge Brothers Motor Car Company. 

The Dodge reputation for quality was so widespread that 13,000 dealers asked to become Dodge agents before anyone saw the new car. The Dodge brothers decided to produce a high-quality car that would sell for about $800 and thus not compete directly with the cheaper Model T. In 1915, Dodge offered a two-passenger roadster which sold for $785 and the plant went into full production. Dodge's greatest contribution of this time span, however, was the industry's first all-steel coupe body introduced in June, 1922. The Dodge brothers both died in 1920, leaving the company to their widows and children, but the brand was eventually sold to Chrysler Corporation in 1928. 

The next few photos are of my grandfather's 1926 Nash Coupe, a slightly bigger and well-appointed automobile than the Dodge. I believe this was the car he drove from Cleveland to Pitssburgh on weekends to visit his girlfriend and then fiancé, my grandmother, Sally Louise Ericke. How proud he must have been to show up at her doorstep with this shiny new car. 

My great-grandmother, Emma Winterberg Ericke, is also seen posing with the car in the last two photos. Nash Motors was founded in 1916 by former General Motors president Charles W. Nash, who acquired the Thomas B. Jeffery Company, based in Wisconsin. Nash's slogan from the late 1920s and 1930s was Give The Customer More Than He Has Paid For. Nash enjoyed decades of success by marketing mid-priced cars for middle class buyers. Similar to the Dodge, the Nash was such a success among consumers that for a few years all the cars that could be produced were sold before they left the factory floor. The price for a new Nash Coupe in 1926 cost around $1,500. Today you can buy a restored Nash Coupe for ten times that amount.

Life in Botswana: Another Lion Tale...



Here's a story my mother wrote just for me, with the added handwritten note at the top: Finally, your very own (is it worth it?) Six of us went north over Easter weekend to see birds and animals. 

On Friday morning we drove to Nata, and after lunch went out to the Sua Pan. To get there we drove 8 km south of the Nata Lodge turnoff, to a Nata Lodge sign, went through the gate there and proceeded about 3 km, through and around some small pans, before reaching Sua Pan. It had water, and we were fortunate to see several groups of lesser flamingos, totaling about 150, and over 500 white pelicans. The sunset was fantastic! The next morning we traveled to Kudiakam Pan to see the Baines baobabs. No water, but even so the trees were splendid. Everyone took prize-winning photos. Then on to Nxai Pan National Park, seeing three giraffe en route. After setting up camp we drove to Kgama Kgama Pan and back to Nxai Pan ("the Pan").

We saw a group of six gemsbok and a group of about 300 springbok. Back at camp, a tawny eagle lazed overhead. And the Southern Cross was bright and clear until the full moon rose. The next day we hit the Pan about 6 o'clock. Our first experience driving on the road with tall grass alongside, at 30 kph, we were astounded to see a large gemsbok dash out of the grass not ten feet from the front of our truck and dash into the grass on the other side! He couldn't see us and we couldn't see him. We thought about what might have happened and drove slower. Soon after we saw about 30 more gemsbok, in small groups. We then found ourselves in the middle of about 1,000 springbok, on both sides and in front. After many photos, seeing how peaceful the scene was, two women from our group left our trucks and began walking on the road in front, toward the springbok. They were about 200 yards ahead, when they bolted toward the trucks at a speed of 9 seconds for 100 meters, motioning for the trucks to come to them! 

They made it, and said that they had seen two lion, male and female, walking about 200 yards away, between two groups of springbok. The reason for the dash was that the lions had spotted them, and stopped! After the two sprinters had recovered, we turned around to go ahead of the lions, and then curved around so that they would pass nearby. After we rounded a clump of trees we saw the lioness, first standing, then lying down. No sign of the male. We drove to about 75 feet from the lioness, parked at an angle with the lioness to our left, and turned off engines. We adjusted our cameras and were busily taking photos when suddenly the male lion exploded out of a clump of grass to our right and in two bounds, in one-tenth of a second, covered 60 feet and rose up, flailing the air with his paws and roaring loudly. He stopped just short of our truck and dropped into a crouch. We were all so busy rolling up windows that we couldn't take a picture! After checking for local heart failure we started engines and slowly backed away. The lion watched us until he was sure we were leaving. 

On the way back to camp for breakfast, we saw a number of zebra, two black-backed jackal, and an enormous secretary bird. After breakfast we drove all around the Pan and saw close to 2,000 zebra grazing and strolling, with some in file formation going somewhere. 

They were everywhere inside the road which encircled the Pan. We saw also two kudu, another jackal, two more secretary birds, two kori bustards, and a flock of circling vultures. Many other birds, too, and small stuff – mongoose, spring hares, and one turtle. And then back to Nata and home with our experiences and, we hope, some good photos.

It's Almost May Day



I don't know about you, but I don't keep a lot of personal papers anymore: cards, letters, newspaper clippings, even bills, are tossed out with the bi-weekly recycling. I pay all my bills online and I've opted out of most paper invoices. It's not necessarily that I'm trying to be environmentally correct, though I am, but I've never really had a good filing system at home. Though I have an office with a desk at home, I don't have file cabinets, nor would I be that interested in creating folders at work that resemble the folders in the office. All my important papers are collected in empty shoe boxes. I fill one up, toss it on the top of the pile of boxes in my clothes closet, and grab the next box. I should mark them on the outside, but what would the fun be in that? It is particularly challenging when I want or need to find something specific. But nevertheless, I have to say, I always do. And sometimes even more important things I didn't even know I was looking for. This managed chaos works for me. 

It is the antithesis of the way my parent's handled their home organization. Maybe it is because they stayed in one place longer than I, or had bigger homes, but they each had their own file cabinets filled with folders that were meticulously titled, containing elements that, not surprisingly, matched their titles. It is one of the reasons I will have plenty to write about for months to come. There's a lot of good things in those files. I mentioned earlier that my mother kept her calendars and date books from college. She also kept them during certain periods of her life. I found some of these calendars yesterday and thought they told an interesting story. Since it's almost May, I pulled two calendars from her archives for the month of May, in 1953 and 1966. (You need to click on it to enlarge it.) May is a busy month for our family. 

Both my older brothers were born in May, as was one of my sisters-in-law, and my maternal grandfather. My parents got married on May 16, on my grandfather's birthday. I am sure my mother had more activities than this calendar above shows, but I thought it was interesting in that it captured the big events: luncheons, parties, showers, rehearsal, wedding. It's fun to see this calendar for the first time and to picture her as a young woman writing them down. Fast forward 13 years, three children, three states, three houses, two dogs, three cats later... This calendar doesn't look much different than the calendars my brother and sister-in-law had when their children were the ages my brothers and I were in 1966. 

Even though we were living during a time where life was safer and you didn't have to worry about playing outside without supervision, it's obvious by looking at this calendar that we often relied on my mother to organize and drive us to all these many activities. Hey, and since this blog is all about ME, I noticed the 1966 calendar referenced my ballet recital. My mom kept the advertisement for it, which I posted below
I wish I could ask her for a little clarification as it proudly announced that it was "starring Janet Tuccinardi & Bill Bath with Sarah Ambrose, Jody Page and many others," yet....I'm not in the photo. I don't even remember seeing a picture of myself in that costume, but then again, I have many more folders to go through so there's still hope. I didn't want you to be disappointed about not seeing me in a leotard, so here's a photo of me from another recital where I'm wearing a lobster costume. Doesn't it scream lobster? Now that's a costume I remember!

Fingerprints and Family



This is a great gift idea. I found a store on Etsy called Lovli Day, where artist Jessie Steury creates posters with a bare tree trunk and branches and then customizes it with your name. She then sends it to you with a couple of ink pads for stamping family fingerprints. 

She even makes a version for celebrating events such as weddings, reunions, or birthdays, so you can capture the fingerprints of those who attend your special event. So, unless you're friends and family are in the mob or witness protection, this is a pretty cool idea. At your next holiday gathering, think about passing the stuffing and the ink pads and create your own handmade family tree. 

 This fingerprint tree made me think about the history of fingerprinting. Presently, most children are fingerprinted for security reasons, with their prints held at their local police station. But do you think it was common practice that a family in the 1930's would be fingerprinted? I haven't been able to find references to that fact in my research, for it was mostly being used for criminals or the military back then. I don't think I've ever been fingerprinted. Footprints at birth, but not fingers, right? 

 In March, 1932, the Lindbergh baby was kidnapped from his home in New Jersey. In 1935, nine-year old George Weyerhaeuser (of paper company fame) was kidnapped in Washington state. Was America becoming obsessed with the possibility of kidnapping that people rushed out to fingerprint their families and children? In 1936, my grandfather had his whole family fingerprinted, as you can see below. Finding these prints made me wonder...why?

The Wheel of Grief



Some days are just sad. And today is one of those days. It has nothing to do with work or family. Or in my case, the weather, which usually has a huge impact on my mood; it's a beautiful day in New England today. I can still be productive, engaging, and responsive. But silently, often surprising me, the tears will collect in the corners of my eyes, tempting gravity. 

Was it the contentious meeting yesterday that prompted this unsettling feeling? Was it the thought of talking to my insurance company again in order to resolve a year-long billing problem that has suddenly dragged me down? Or was it driving home through Concord Center last night, stopping at the crosswalk while a mature woman and her elderly mother were crossing the street? Yes, that might have been it. I was so envious of the two of them. I imagined they were just walking back to the car from dinner out at Helen's, a diner-type restaurant in the center of town. I went there with my mother too, what seems like a million years ago. And I'll never be able to do that again, with my mom. So yes, I was envious. And angry. And it surprised me. 

It made me think about the stages of grief, and wonder, just where the heck am I now in those stages, more than a year later? So I looked through all the handouts I obtained from my support groups (yes, all 3 of them), and all the books I ordered online. I decided the 5 stages of grief don't really fit me anymore. The first 4 are bad (#4 is especially bad, and long, the big D – depression) and the last step, #5, is: OK, deal with it and move on. I think I've been at this stage for a little while now. It doesn't seem logical, to me, to step backwards from step 5 to step 4 (although my grief counselor said people experience grief differently), so I decided to look for another definition of grief. On a side note, we haven't sold the house on Martha's Vineyard yet, and the article in the Wall Street Journal the other week actually confirmed my mood. Take a look at the image from the article and tell me you don't see the irony: 

WSJ: The other market is still very much in crash mode. In places like Miami, Fla. and even Martha's Vineyard, Mass., prices have continued to drop as foreclosed properties flood the market. But bargains abound as sellers cut their asking prices or accept less to unload properties. So, back to grief. Online, I found a grief wheel. To me, that even sounds funny since it reminds me of Wheel of Fortune. I can just imagine Vanna standing up on stage in her sequined gown and long tresses pointing out the depressing categories on the Wheel of Mis-Fortune. These, too, can occur at any time, in any order (isn't that comforting?). But somehow, in my opinion, it seems more organic to show them in a circle. Shock. Emotional release. Depression, loneliness and a sense of isolation. Physical symptoms of distress. Feelings of panic. A sense of guilt. Anger or rage. Inability to return to usual activities. 

The gradual regaining of hope. Acceptance as we adjust our lives to reality. Now this is a visual I can relate to. I still remember my favorite class in elementary school when we were allowed to make our own color wheel out of acrylic paints. And then again, in college studying graphic design, we had to make a color wheel out of Pantone sheets. Oh, the days when you could accomplish something so simple and so beautiful – so easily. Maybe this weekend I should make another color wheel, using my mother's watercolors, and then write these stages on it. 

Then I could spin it daily, and spend ten minutes meditating on wherever it points. That would be a very rational and systematic way to think about grief. Force myself to go through all the stages completely. Would that accelerate me through the grief wheel faster? I doubt it. Writing this blog helps, as do the kind and hysterically funny words today of my friends, Adam and Frank. So things are looking up. And I'm hopeful – no I'm certain – that I'll be a different color tomorrow.

Farewell Martha's Vineyard


  

  This weekend I said goodbye to the Vineyard home and garden. The house holds a lot of memories, but it's the garden that holds my heart. Scattered with rocks and shells my mother has collected over the years, and plants and shrubs we bought together on our many trips to the island nurseries, it's hard to survey the yard without thinking of of my mother. 

   Each time I would visit, my mother would be anxious to take me outside to walk the grounds and tell me what she just planted or moved to the right spot. Since it's still early spring on the Vineyard, the photos don't show the full beauty of the perennials – June is the best month for this garden! A few years ago my mother planted a camellia plant in the backyard next to the porch/patio. 

   Because it's sheltered from the wind, there would often be blooms nine months of the year. Though deer have stripped most of the flowers on the bottom half, this 8 ft. plant was in full bloom as early as March. I woke Sunday to find a large buck grazing outside the porch, just finishing his camellia breakfast. I also wanted to plant something at the gravestone, but seeing as we're in a drought, and today was 90º, I was afraid to plant something without being there to water it. 

  There's something sad about plantings that die in a cemetery. Already the soil is struggling with the bulbs I planted last year – you can see some daffodils just about to bloom. But then, I had another idea...

Norwegian Cookie Recipes


   

  These recipes have been passed down many generations from my Norwegian grandmother's family, the Stangeland family from Stavanger, Norway.

     Cream butter, sugar, and extract. Add egg. Add flour a little at a time. Add nuts. Chill, then form in molds. Bake 375 for 6-8 minutes on cookie sheet. Cool and tap to release in 5 minutes. 

     My mother, having married a man who was of Norwegian descent, learned to make certain cookies, breads and cakes for Christmas. Sandkake (sand cakes) are my favorite, as is anything with almonds really. After you make the dough, you chill it and then quickly (and carefully) press them into these sandkake tins. It can't be too thin or too thick or it won't cook right. It's an art one develops over the years. For Christmas a couple of years ago my mother bought us kids our own sandkake tins. I have yet to use mine, but maybe this year? The next recipe is for Krumkake (crumb cakes). For this recipe you need a couple of tools to mold the cookie – the press for cooking and then the wooden cone for shaping. You can find antique irons on eBay or newer ones online just about everywhere. You heat the iron on the stove, pour in the batter, flip it so both sides are browned, and when it's still soft enough, wrap it around the cone. You can also put them in a small dish to harden into a cup-like shape. 

     My father used to like apricot pudding stuffed in the cones, topped with whipped cream. Yum! Beat eggs. Add sugar and beat. Then add butter. Add flour and water and cream alternately. Cook in mold until golden yellow. Heat iron slightly below the midpoint between medium and medium high on large burner. Cook approx. 30 seconds on each side (or 45 seconds at med. sometimes, depending on how it looks). Quickly roll onto cone form and let cool and harden.

My Mother's Vineyard


 

My brothers and I have been cleaning out my parent's house in Edgartown the last few weeks and I came across this letter that my mother wrote to "Sean", a student, as part of a local MV school project. I think it's a nice way to show you how much my mother loved Martha's Vineyard, and gives you a little history of the island as well. Photos courtesy of mvol.com. 

  Dear Sean, My husband Ed and I live on Martha's Vineyard, the largest island in New England, which lies seven miles off the mainland coast. The island was formed by glacial action 10,000 years ago. It is 9 miles wide and 23 miles long and there are 124.6 miles of tidal shoreline. Captain Bartholomew Gosnold landed his British ship here in 1602 and named the island after his daughter Martha and the many grapevines he saw ashore.

     Ed and I retired here in 1992. Our house is in Edgartown, established in 1642 by English settlers only 22 years after the Pilgrims landed in Plymouth. Our town is the seat of Dukes County in the state of Massachusetts.  
The settlers found the Wampanoag tribe here when they arrived and established friendly relations with them. The Wampanoags are the same tribe as the one which celebrated the first Thanksgiving with the Pilgrims. Native American camps have been discovered on the Vineyard that are carbon dated to about 2270 B.C. More than 300 Wampanoag still live on our island and some continue the fishing and agricultural traditions of the tribe. Aquinnah is where most of the Wampanoag live on the island. The Wampanoags taught the early settlers how to capture whales, bring them ashore and boil out whale oil. Later, with larger vessels, captains of ships from Edgartown caught whales in the North Atlantic. In 1778, during the Revolutionary War, the British came to the Vineyard and burned many of these ships. 

    Whaling did not recover until the early 1820's. Whaling brought prosperity to Edgartown and many of the houses, especially the large ones along the waterfront, were built by wealthy ship captains. The first African American whaling captain, Captain William A. Martin, was born in Edgartown in 1830. The Civil War nearly brought an end to whaling from the Vineyard. Ships were sunk or confined to port so no money could be made. After the war some Vineyarders still fished for whales but their ships sailed from other ports and whaling was mostly in the Pacific Ocean. The major source of income to the Vineyard today is tourism, though fishing and agriculture still play a part. The year-round population is about 15,000, about 3500 of which are in Edgartown. The summer population swells to 75,000 and even reaches 100,000 on the Fourth of July. The tourist season is mainly from May through September. Our favorite times of the year are the quieter ones. All of our immediate neighbors are summer residents so we feel the Island belongs to us then. We are aware, however, that many of the nice things we enjoy – movie theaters, well-supplied grocery stores, good restaurants, and even our hospital and other services – might not exist but for our summer visitors. 

     The first reason many people come to the Vineyard is to swim, surf, or fish on our many beautiful beaches. Other water sports are popular, especially sailing, paragliding, kayaking, and motor-boating. Bike riding is popular on our many miles of on road and off road bike trails. Forty-nine designated conservation areas contain trails for hiking, picnicking, and enjoying nature. Our island is a primary flyway for migratory birds so birdwatchers are frequent visitors. We have many songbirds, shorebirds, and seabirds. Several kinds of hawks and herons can be seen. We look forward to the arrival of ospreys each spring. It is a huge bird, once endangered, it is still a rarity. Wild turkeys and guinea fowl roam the island and occasionally traffic must stop to let them pass. I enjoy gardening so I am especially interested in the many wild plants here. The trees are mainly pitch pine and oak. We have wild strawberries, blueberries, raspberries (black and red), cranberries, and grapes. Bayberry, winter berry, and American holly grow wild all over the island. Where I live, less than 1/2 mile from the water, the soil is mostly sand. The weather is milder in winter and cooler in summer than the mainland because we are surrounded by water. 

    My favorites of the hundreds of wildflowers here are the Mayflower (trailing arbutus) which is our state flower and the pink lady slipper. Some of the other wildlife we see are deer, skunks, rabbits, squirrels, and in the winter, seals. Occasionally, a dead whale washes ashore, usually because a passing ship has killed it or a fish net has tangled it – very sad. Approximately 20% of the island's population is involved with horses: boarding them, teaching riding, or owning them for their own use. There is one large shdep farm and several smaller ones. Some cattle are raised here also. We travel to the mainland on a car ferry like this one about every other month to visit our children and grandchildren who live in the suburbs of Boston, the capital of Massachusetts. The ferry is the main transportation to the island. We are always happy to come home again to our beautiful island.

Take off winter jackets in car seats



Today I'm bringing you a little safety bulletin for winter car safety when you're driving with little ones.

 Heavy winter coats don't belong on kids in carseats.

 Oh, I know, I'm sitting here in my ivory tower, aka 40-something-degree weather, telling you you have to disrobe your babies before placing them in your freezing car.

 But, the thing is, you cannot always get a car seat's straps tight enough to be safe over a bulky winter jacket or snowsuit, or even a heavy sweater.

 In a collision, the jacket's padding will compress under the high forces presented and your precious cargo will be subject to being flung around instead of safely contained. For a child in a booster seat, this could even mean coming out of the seatbelt entirely.

So what can you do to keep your tots toasty and safe?

Here's a trick I learned on my own but now see endorsed by car safety technician Jen from Car-Seat.org, so I feel better passing it along to you.

  1. Put your child into the seat without the jacket. Tighten the harness so that it's safely snug. 
  2. Now leave it at that tightness for when you put your child in with a jacket on.
  3.  Pull the jacket off the child's shoulders a little and unzip it down the front; then push the harness to the inside of the jacket so that most or all of the straps contact with the child's regular shirt instead of the jacket. 
  4. Does the harness still buckle at the same tightness of the child with just a shirt? Then it's tight enough even with your child's jacket on. 
  5. To keep your child warm, you can now zip or otherwise fasten (Velcro, snap) the front closed over the harness and straps.

 If your child's jacket failed the fit test or you were unable to push it out of the way of the straps, take it off entirely and use a different method of keeping your child warm:

  1. Put the jacket on backwards after fastening the harness, or just lay it over your child's lap and tuck it in on the sides to stay put. 
  2. Keep a warm blanket in the back seat to lay over your little one. If the blanket would be too cold after having been in the car, carry it in your diaper bag instead. For young babies, make sure you tuck the blanket in well at waist level so it can't ride up and be a suffocation hazard. 
  3. For infant car seats, there are specialty covers you can buy or sew to keep out the drafts. 
  4. Start the car before putting your baby in to get the heat going (only if this is safe in your neighborhood or you have a remote starter!). 
  5. Take the bus. :P

 (I use this trick on myself, too! If I don't want to take off my coat entirely, I make sure to slip my seatbelt underneath it so it's holding me and not my jacket.)

 [ETA, since a commenter mentioned there are no studies showing that winter jacket use in car seats is unsafe: I couldn't find specific studies showing winter jackets leading to injuries, but there is plenty of evidence that loose harnesses, the danger behind bulky winter jackets, lead to injury risk. For instance, here's a PDF of several motor vehicle accidents involving children that lists the causes for the injuries and fatalities, and the causes include many mentions of loose harnesses contributing to injuries, particularly neck and head injuries. Despite the dry tone of this report, I will warn you in advance that it is heartbreaking to read. Here's another report stating that a significant cause of car seat misuse is loose harnesses.]

 Know how to keep your kids extra safe?
I can't resist, in any car-seat safety article, not putting in a bonus plug for extended rear-facing. The current recommendations in the U.S. from the National Highway Traffic Safety Administration are at least a year and twenty pounds, but going longer than both is best for your baby's spine, as [ETA, thanks to commenters] the American Academy of Pediatrics and car safety advocates recommend.

 The pressures on forward-facing children are much more dangerous toward their immature spines. It's best to leave your toddler rear facing for as long as your car seat's weight and height limits will allow. Some of the newer models go up to 40 pounds, which is excellent and should serve you for at least a few years of safe rear facing.