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BillsFanM.D.

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Everything posted by BillsFanM.D.

  1. From the article: http://mmqb.si.com/2014/03/26/ralph-wilson-buffalo-bills-dies/?eref=sihp "I asked him what made him keep the franchise in western New York. This was a man not from Buffalo, and watched during his ownership of the Bills as Buffalo dropped from the 18th-largest market in America to 49th, and resisted feelers and offers to sell the team for a monstrous profit or to move the franchise to a lucrative market—Los Angeles, for instance. “I couldn’t bear to do that to the people of Buffalo,’’ he said. “They’re such good people, and they love that team. They need that team.” Thanks for posting.
  2. It's all speculation as we've alluded. I am sure he received standard care/options per NCCN guidelines which provide the 'cookbook' for treating all cancers of all stages. Unfortunately, sometimes early 'micro' spread is not detected; or other factors could contribute to a false sense of security. On the flipside, giving chemo and xrt that are not 'needed' can be very dangerous/life altering as well. It's a balance and that's why most folks follow the well studied, accepted guidelines. Treatments need to have proven benefit based on the person's staging and type.
  3. The whole thing is becoming more than embarrassing. Forget mandates and extensions. Looking only at the site itself and the data it's supposedly generated: We still have no idea who's signed up or paid?? Seriously? http://www.foxnews.c...till-not-fixed/ Rep. Lloyd Doggett, D-Texas, raised concerns over it at a recent hearing with Kathleen Sebelius, the Secretary of Health and Human Services. “The number that's really important," Doggett said, "is not how many people have enrolled, but how many people have paid their premiums that are actually getting in exchange-base coverage. A number," he said pointedly, "we've never been given."
  4. This is a very true statement. As you alluded, some cancers are 'treatable' yet cannot be eradicated. There are many people, like yourself, who are successfully 'treated' yet not cured. The cancer is 'kept at bay' and people are able to live very productive lives. I'm glad to hear you're doing so well. Keep plugging away and I'm sure I don't need to tell you to appreciate every day. Life is precious and we all need to appreciate each day. A few caveats for the general audience. Don't forget cancer is not a 'single' disease. It is many, many types of diseases and the clinical course/progression of disease/response to treatment(s) all depend on the stage at the time of diagnosis; and the timeliness of treatments. In addition, factors such as overall health at time of diagnosis, compliance, diet, exercise, tolerance of treatments etc. are all critical. With respect to Mr. Kelly's news, and acknowledging we have limited facts, I'd have to say surgery being cancelled is not 'good news.' If his squamous cell carcinoma was completely resectable, they would do the surgery...unless he had other health problems/limitations that prevented the operation. At this point, the treatments he is getting still have curable potential (per the doc's statement). Radiation and chemo can be used as definitive treatments in many cases, and it seems that is their outlined plan at this point. From the outside looking in and with very limited knowledge of Mr. Kelly's specifics.... I'll say this....I'd feel better if this cancer could be resected as the 'definitive' treatment and the chemo and radiation would be used as 'adjunctive' treatments. It is what it is, however, and now they need to work the plan they've developed. The will to live is a hard to define phenomenon as well. I strongly suspect Mr. Kelly's is powerful. Godspeed to him, his family and his docs/care team.
  5. I can see how these guys travel a ton and are obviously under stress. They need to decompress a bit. But...passed out in the hallway? Prostitutes in the other 'event?' It's like a college fraternity with these guys.
  6. http://msn.foxsports.com/detroit/story/the-tale-of-princess-lacey-and-her-superman-transcends-march-madness-032514 Another sad cancer tale... but a greater story of friendship.
  7. Our government has already done that...sort of: They are a 'child in utero' in cases of violent crime but a 'fetus' during abortions: http://en.wikipedia....of_Violence_Act Per this law: The Unborn Victims of Violence Act of 2004 (Public Law 108-212) is a United States law which recognizes a child in utero as a legal victim, if he or she is injured or killed during the commission of any of over 60 listed federal crimes of violence. The law defines "child in utero" as "a member of the species Homo sapiens, at any stage of development, who is carried in the womb".[1] The legislation was both hailed and vilified by various legal observers who interpreted the measure as a step toward granting legal personhood to human fetuses, even though the bill explicitly contained a provision exceptingabortion, stating that the bill would not "be construed to permit the prosecution" "of any person for conduct relating to an abortion for which the consent of the pregnant woman, or a person authorized by law to act on her behalf", "of any person for any medical treatment of the pregnant woman or her unborn child" or "of any woman with respect to her unborn child." Who gets a dignified burial here? A. "Fetus" delivered/aborted by dilation and extraction (google for the 'procedure' if you're not familiar. It's not for the faint of heart.) at 24 weeks. Everyone is pleased with this successfully completed medical procedure. B. "Baby" delivered down the hall from above case. Born prematurely at 24 weeks and in incubator in ICU. 'Crazy' estranged dad delivers blunt trauma to child's skull etc. and society declares him public enemy number one....likely heading for a death sentence. The above two 'children' are the same gestational age, terminated by similar blunt trauma (one a procedure and the other a crime), in the same building just hours apart. One is 'perfectly acceptable' and the other is 'horrific?' I get that one is a consented procedure and the other is clearly criminal. I'm talking about the children's perspective. How are they different? Does a few hours really mean life or death? There is the dichotomy that I can never reconcile. It is the question of when the 'fetus' magically becomes a child? I have my answer and am very comfortable with it. Everything I've ever learned about science and medicine tell me that a conceived child, followed by a healthy pregnancy, will grow to what we call a 'human.' (possible health/maternal issues noted). It is growing from day one. So, I'm just curious...what's your definition? You can't just say 'taking it back to conception is wrong' without justifying why, or more importantly, when you define life. I ( actually smarter folks than me) can trace (forwards or backwards) the development of a human to a single cell. It's observational science. How can you arbitrarily define developmental 'non-life' followed by life? Tangentially, it has a spontaneous generation 'feel' to it. There has to be a magic moment in there. Please explain.
  8. That was a solid reference. As you, myself and 3rd have alluded...this can be circular and challenging as a topic. To borrow your movie.....I'm gonna get some zzzz's....but "I'll be back."
  9. Very true and I understand your sentiment. To use the same framework for thought....I've basically been forced to be in an operating room setting during several abortions. Forced is a strong word but not too many 3rd year med students are going to tell an attending doc 'what you're doing is wrong.' I eventually spoke my mind and I'm glad I did but not before I saw 'too much.' I'll spare the details but my experiences, if not life/philosophy changing, certainly reinforced my own personal views. As I said above, I'm not 'pretending' my views are universal. I was merely pointing out the true crux of this issue. As an aside, I've almost all but given up ever considering 'moral' issues in voting. It's all red meat for both parties and nothing ever changes. I'll enact support in situations where I can but I, like you, recognize the laws aren't changing anytime soon. I'll disagree. On the converse....does a father have no rights? Does the fetus have a voice? Is the mother 'terminated?' Endless debate indeed. I appreciate your views but I don't share them. It's trite to say it but for me the issue isn't 'pro-choice.' It's life or death. I don't get involved in too much of the 'debates' here but I like a lot of your posts jboyst. Hopefully no offense taken. we just view it differently.
  10. With respect to your statements... #1 Lots of help obviously. The paradox here is that we readily care for the elderly demented folks who need 'lots of help' as well. In addition, my nephews could have been snuffed out at that point, in many scenarios, with no 'repercussions.' It's hard for me to reconcile that as not being 'alive' when I see them running around ten years later. #2 I agree with your statement. I, however, disagree with that chosen belief. #3 Show me a full term child that is 'self sustaining' outside the womb. #4 I don't have to 'qualify' it as anything. Nor do you. It's what I believe...and what you believe. #5 I disagree. They have no voice, but they need one. Abortion rights/ Life rights is an endless debate and I don't want to hijack this thread down a dead end street. I just meant to point out that the concept of what a 'fetus' is remains the core of this issue...and I recognize that my views are not universal. You may be right. But those two statements don't exactly scream of certainty. Regardless, I'm truly sorry to hear you sister had to go through that.
  11. This is wrong on so many levels in my opinion. The perpetual crux of the matter remains...what is a fetus? I think it's life. Hospitals don't consider deceased adults medical waste or, worse yet, fuel. Hence, I find this nauseating. I have 10 yr old nephews born at 24 weeks who could have been discarded as 'fetuses.' I offer them as proof of life.
  12. I hope he's joking. Xrt and chemo are frequently used in the adjuvant setting....and also in definitive treatment plans...and also in the neo-adjuvant setting. Too many variables/disease types to say which and when here. But, that 'hint' is non-factual.
  13. I had no clue until my 7th grader told me. Then, i accused him of being full of baloney as 'there is no way the regular season has already started.'
  14. 2014 - The season before the 25th anniversary season of the 1990 Bills. Can you feel it.....still?
  15. This is going to be a difficult process for all of you involved. Nothing wrong with the bolded advice.
  16. http://www.nbcnews.com/storyline/missing-jet/mh370-search-australian-satellite-spots-possible-plane-debris-n57296
  17. I use etrade and like it. No complaints but I can't compare/contrast as I've never used the others.
  18. And here's one of those posters now. You provided a ton of material in that old Lost thread. I was certainly not a contributor on any big scale, but I read it religiously. I also agree with your final take. It did make sense in the end...and the latter portion of the finale, culminating with the shot of Jack's eye literally put a bookend on the entire thing. Great stuff.
  19. Great show. I remember the posts on here were fantastic in terms of speculation/explanation.
  20. Very sad. I literally just got back from a morning run and this kind of took my breath away. Prayers for her family, your daughter and everyone involved.
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