BillsFanM.D.

"Mr. Jacobs would certainly be a strong supporter of any effort to keep the Bills in Western New York and is a big fan of the franchise and its leadership.”

Yes...and he may have very well laid out a handshake deal (obviously not guaranteed) with a buyer who is certain to be accepted by the NFL. We have no idea. He has to keep it quiet to play the tax game. Does anyone honestly think Ralph never discussed this with Goodell? I'm not saying that's a guarantee but, rather, suggesting everyone wait and see it play out. Ralph owes us nothing. That's life. We'd like to think he would be 'loyal' to us but it certainly is his right to sell to the highest bidder. I, for one, think he had a plan and we are required to see it play out. I'll gladly eat my words later if necessary but that's just my 2 pennies. Come on. It's not chump change. You can guarantee the financial freedom of your family for eternity. An extra 200million or 500million is still that.....HUNDREDS of MILLIONS of dollars. You'd just give it away because your family 'wouldn't want it?????' As for your bolded comment, "Glad to see you care more for strangers who engage your business than your own immediate family." Sounds pretty dumb in the converse right? Please put away the pitchfork until we see what happens.

That was great.

Very sad. She was an inspiration in her short life. As far as the 'sudden' nature of her death, it's hard to say. Cancer patients, and folks with other chronic illness, can compensate in amazing ways. They can 'seem' very normal in their day to day life for extended periods of time....but may actually be struggling to maintain that normalcy. The will to live and maintain autonomy are strong motivators. The compensation, however, can sometimes reach a 'tipping point' and they can go downhill very fast. In addition, cancer patients often succumb to other diagnoses as a result of their cancer. I.e. not 'directly' as a result of the cancer. For example, cancer makes a person more prone to clot formation. Many folks in this situation suffer sudden demise due to pulmonary emboli (blood clots to the lungs). Other causes include infections either from the tumor obstructing something (pneumonia in the lung) or from a person's immune system being suppressed by treatments (chemo). Others die from bleeding related to tumor size or location. Others develop cardiac problems from certain chemo treatments etc. Point is there are many things that could have contributed...and we certainly cannot speculate too much as to how 'well' or 'sick' she was as recently as a few days ago. We'll only really know if the family tells the story and that's obviously their decision to make. I pray her family finds some peace.

I'll play. I 'knew' (not really a friend but someone I recognized on campus) a guy in college during the super bowl era. He wore tons of Bills gear and Atlanta Braves gear all the time. Not sure how he got that combo... Regardless, after the third super bowl loss, I saw this guy walking across the campus. My good friend leaned over and whispered as he went by....'you think he roots for the Trail Blazers too?' You have to know the history/teams at the time but I laughed pretty good at that comment.

You really should match your gloves with your bow tie.

No argument there.

...and gives Langston Walker a fist bump.

That buffet bit is hilarious. Good stuff.

The Beast!

Couldn't agree more. I still say it and my boys have no idea what I'm talking about. We're just showing our age...

Enjoy your trip. Advice? Ask the chef.

You can't even get the name right. Very conflicted, indeed.

fixed. That's good dogma. Know what you know, know what you don't...and know when to ask for help.

This thread stinks.

Well, that all worked out just fine. No worries.

wonderlic?

Pure speculation here.......I saw in Peter King's article some comments about him getting 'antibiotics' etc. I suspect JK has some form of infection that they are trying to eradicate pre-chemo. Given the sinus involvement with his tumor, perhaps he has a sinus blockage/infection. Again...pure speculation. Depending on the type of chemo he gets, there can be near (or even complete) eradication of the white cells which aid in fighting infections. Suffice it to say, you don't start chemo when someone has an infection unless you absolutely have to. In those scenarios, you weigh the risk/benefits and proceed if delay is not an option. Other possible causes of fever include: drug fever (?other meds he has received...who knows), tumor lysis (though I doubt that here), blood clots (no mention of this anywhere), and lots of other uncommon causes.

I concur and it's hard to imagine another Bush or Clinton in office. However, these are individuals following a process to be elected. It's not as if the 'first' Bush or Clinton ran on a familial ticket with the understanding that their offspring/spouses would then be elected in their shadow. Denying a 'second' generation or a spouse the opportunity to run would be very un-American in my mind. This falls squarely on the voters. If we opt to 'do something' ....we need to do so in the booth. Sadly, we left being a government of the people and by the people a long time ago. Presidential candidates are far from being citizens in the median of society. I'm not suggesting we elect those who are not 'excellent.' Rather, of those who might be excellent candidates, our current system seemingly selects those of great wealth and heritage for nomination.

Wow. Hero indeed. RIP.

I did for about five years. I've spent the bulk of my career in private practice. Really enjoyed the time in the VA. I worked with great docs/providers affiliated with a great university. Like most places, I loved 95% of the patients and the other 5% were a challenge. Great stories and great people. I left because of a change in my wife's career and not necessarily because I wanted to. To the point, I had no qualms with the basic functioning of the EMR in the VA. In fact, I got quite proficient in its use. I did, however, object to the component of the 'clinical reminders.' This 'meaningful use' smells of the same ilk. These were templated forms that would be triggered by a time factor, age factor or a nurse intake question etc. They seemed to be quickly moving from a true 'reminder' (which were often overkill anyway) to a clear cut research tool. Again...I, and EVERY other provider I worked with, loathed these things. Way too time consuming; and they were multiplying like rabbits when I left about four years ago. Every time a new one was added, the collective groan could be heard for miles.

"To make matters worse, Washington forces doctors to demonstrate ‘meaningful use’ of EMR or risk not being fully paid for the help we give." Don't lose sight of this little gem in the letter. "Meaningful use" is another layer of nonsense that physicians are now required to document. Apparently, we don't have enough rules about documentation and coding the visit. Now we have to check off that we've done it; set some 'goal' that is already laid out in the note and 'prove' that we are using the EMR in a (cough) meaningful way. This is certain to improve efficiency and patient care. Patients will gladly trade their time with the doc....so the doc can prove that he/she is using the computer the way they are supposed to. You know, the government way. Redundant, slow to respond, irrelevant to most of what is going on/and almost certainly already being done. It provides a free way for the government to mine data that is input by docs. I'm sorry to say I've worked for the federal government in healthcare and the 'clinical reminder' system was much the same. It has little to do with quality of care and moreso to do with acquiring less than pure data to measure 'improvement' standards. If you want to know what's going on in my emr....read it. I'm all about self governance and I didn't go to med school to have a computer tell me what a meaningful interaction/plan with a patient is. I also fail to see how checking a few boxes on a boilerplate emr page provides the fullness of that information anyway. This isn't about arrogance. It's about time. Docs don't have enough time for all this other stuff and the patients suffer as a result. I couldn't agree more with the letter in the article.

I couldn't help but look at this picture and think of 1989. For you youngsters, that was the 'bickering Bills' year in which the locker room was a bit testy. It peaked when Thurman answered (paraphrase) this question: "what do you think is the weakest link on the team?" His reply: quarterback. It wasn't meant as a joke either. Hard to believe now but they are 'like brothers' I guess. Fights were gonna happen. This is a photo of true friendship in a rough time. Hate the circumstances, but this is good to see.

I agree. Why not? We're talking about a signature. Probably an online one. "Sign" me up. Well done good sir. Well done.

Somebody died...it 'has' to be somebody's fault.