Wednesday, November 15, 2006

On My Own

Dick was at training again today. He said it was very interesting to learn some new things pertaining to Native Americans- there were 8 or 9 of them in attendance from 3 different counties. They have to deal with Elders who receive payments from some treaty settlement which are not regarded as income. The payments have an impact upon their applications for Medicaid.

Meanwhile, I began the day by going to have my teeth cleaned. This was another appointment that we had to cancel in September - that's why so many appointments have piled up in November. Dr. Kevin is from the U of M, so we talked about the upcoming game. He's worried. (Imagine that.) Then I found out that one of his patients showed up this week in an OSU sweatshirt. I said - Do you accept that kind of patient? He said - Yes, but I charge them double.

The next event was more pool therapy - it was pretty much a repetition of the first session. Today I found out that my therapist is allergic to the bromine in the water. She has hyper-sensitive skin, and being in the pool makes her itchy. She said she showers and scrubs for 15 minutes after her 3 hours in the pool. Such irony - to be allergic to your work environment. The pool was less crowded today. When I watch the other patients, I feel very lucky because I have no pain. It was obvious that some of the others are really suffering. My therapy is for weakness only. After the pool I went to the grocery store.

So today I feel like an effective, independent adult woman - I was out and about on my own from 9 a.m. to 3 p.m. Another first on the road to recovery.

Tuesday, November 14, 2006

F & P

Dick has more all day training today and tomorrow.

Don't laugh, but I got my gift wrapping station set up downstairs, and I actually wrapped six or seven gifts. I know it's early, but I want to do it gradually instead of having a last minute rush. Christmas will see four of us here (Dick&Nan, Jana, Mom), and four of us in Florida (Laurie&Chip, Dylan and Tom) - so we have a lot of shipping to prepare for.

After his meeting, Dick went geocaching and found Whitard's newest puzzle cache.

Dick brought in the mail when he got home, and we had a package from Frank and Peggy. Two stocking caps were inside - beautiful colors of the forest, with images of deer, and personalized with our names on the front. They are really spectacular. Such a pleasant surprise. Thank you Peggy!

Monday, November 13, 2006

Bones, Burritos, and Bikes

Dick worked at the Agency. I had another wonderful medical morning (hah), a bone density test closely followed by a mammogram. The density test is a breeze. You just lay on a special table fully clothed and stay still for a few minutes and that's it. The mamm. was not as bad as I remembered - not bad at all really. Maybe I'm just getting accustomed to it.

We met for lunch at La Senorita, and it was very nice. It was Senior Citizen Day so we got 25% off the total. Such a deal! Then we went to the library to do some more research on recumbent bikes, and then we went around the corner to McClain's and bought one! It's being delivered this afternoon at 4 o'clock. It's by Vision Fitness. I think it will be a big help. I tried it out and it was wonderful to have a back rest and a big seat. Hooray! It was $100 off, and the salesman cut the delivery and setup fee in half, so we got another good deal. I personally think that the cane creates sympathy...I could be wrong.

We drove home in a beautiful snowfall, with big fluffy flakes. Makes me think it' s about time to buy the Thanksgiving turkey.

Wow. All of the Maize and Blue Faithful are really looking forward to next Saturday's game with Ohio State, (a know-nothing party school). It's a major rivalry every single year. We used to sing their fight song with different words "Liquidate Ohio State and humble Woody Hayes." I don't have a song for Coach Tressel.

This year the game takes on national significance because it's between the number 1 and the number 2 teams in the country, and the winner will play in the National Championship game. I think our team is ready, and up for the challenge. OSU has many outstanding athletes, but they may not have the chemistry and team spirit that Michigan has. No matter what the outcome, it has been a great season for Lloyd and his team, and we're naturally wishing them all the best.


Sunday, November 12, 2006

Meijer Wipe Out

The last Concord Place newsletter asked that we make sure that our resident has hat, gloves and boots in case it becomes necessary to leave the building. I knew that Mom's winter coat was there, and I also knew that she didn't have any of the other things with her. So we went to Meijer to get those items and to do some grocery shopping. I found just the right hat and gloves, but they didn't have boots the right size for Mother. I got my big feet from her.

Somewhere around the cottage cheese section, I got very tired of walking (limping) around, and headed for the front. I should have known that would happen - Meijer is just too big for me at the moment. I always get over-tired there, even with a cart to lean on. Dick checked out while I sat on a bench with two really old gentlemen.

We visited Mother - she likes the hat and gloves very much. We had a nice visit, but a short one because I wanted to go home.




Saturday, November 11, 2006

Game Day/Veterans' Day

HAPPY VETERANS' DAY
Lest We Forget


November 11, 2006 Site: Bloomington, Ind. (Memorial Stadium)
Score: #2 Michigan 34, Indiana 3
Records: U-M (11-0, 7-0 Big Ten), Indiana (5-6, 3-4 Big Ten)
Next U-M Event: Saturday, Nov. 18 -- at Ohio State (Columbus, Ohio), 3:30 p.m.

Breaston Shines as Michigan Defeats Indiana

Event Recap | Boxscore | Player Participation | Postgame Notes | Photos

ANN ARBOR, Mich. -- Fifth-year senior Steve Breaston (North Braddock, Pa./Woodland Hills HS) broke loose with a pair of touchdowns as No. 2 Michigan defeated Indiana, 34-3, Saturday (Nov. 11) at Memorial Stadium. Breaston scored on a 62-yard passing play and added a career long 83-yard punt return for a touchdown as the Wolverines (11-0, 7-0 Big Ten) won for the 50th time against the Hoosiers (5-6, 3-4 Big Ten)


Michigan battles top-ranked Ohio State in the 103rd renewal of college football's greatest rivalry next Saturday (Nov. 18) at Ohio Stadium. The Wolverines and Buckeyes will wage battle in a nationally televised game by ABC at 3:30 p.m. EST

Friday, November 10, 2006

Cushy

Mother's new seat cushion arrived today, and this one wasn't defective. Dick was volunteering at the Visitor Center, so I had a solo outing to deliver the cushion. Mother liked it - her old seat pad was really unsatisfactory - so I'm hoping she'll be more comfortable now. The dining room there is decorated for Thanksgiving, and it looks spectacular!

Since I was out and about, doing errands and such, I stopped in at the Visitor Center and surprised Dick. I was the 4th visitor of the morning! It was such a slow day. Kathee said it was like the middle of winter during a blizzard.

Thursday, November 09, 2006

Geocaching Adventures

Dick spent the day geocaching in the Bellaire area. I think he found approximately seven for the day. His favorite was at the grocery store in Bellaire - the clue for the coordinates is a grocery list - it was very clever.

I'm still not ready to sit in the car that long. I went grocery shopping, did some walking, and the Sit and be Fit exercises. Soon I hope to be Dick's partner again intead of sitting home alone.

Wednesday, November 08, 2006

Dems Rule

The Democrats have control of the House of Representatives for the first time in 12 years! It looks like they will win control of the Senate also, depending on whether there will be a recount in Virginia, and on which caucus Joe Lieberman votes with. As an Independent, he could go either way.

Dick got a kick out of the news that the last two Republicans to concede were named Burns and Allen. (Conrad Burns and George Allen). Goodnight, Gracie.

Jennifer Granholm won re-election as our Governor, And Debbie Stabenow retains her Senate seat.

With the Democrats in charge, we're hoping to see movement on the minimum wage, Medicare reform, etc. As far as the war in Iraq goes I'm not sure how easy it will be to clean up the mess that the Bush Administration has made. Somebody should have told the candidates "Be careful what you wish for".

Whew!

This is the day I've been looking forward to. Not. First came the annual physical exam, which I passed with flying colors - hooray for me. My counts were the best they've been since 2000 and everything checked out well.

Next came the first session of aqua therapy. Now this was kind of a challenge for me, as I have never been a pool person, and I wasn't looking forward to limping around a fitness center in a bathing suit. But I am so brave (ha) that I did it anyway. That shows you how badly I want to improve my mobility.

The pool is long and narrow and very warm, thank goodness. It doesn't have a deep end. The deepest it gets is armpit high for me. I think that it's only used for therapy - at least today everyone was being "therapeutic". I may have been the oldest, but I was not the fattest, believe it or not. (Inside joke).

The therapy is one on one, and that is a very good thing. My therapist (Kari) is very friendly and pleasant. She explained why we were doing every exercise, and how it would help me. She was very encouraging and helpful. We did a lot of walking - then she told me exactly what I had to change to walk correctly. It's easy to move in the water, but I still was having balance problems - sometimes it felt like I was going to float away. In addition to the walking, I did shoulder exercises, balancing exercises, weight shifting exercises, and such like that. The session lasted for 40-45 minutes, and Kari thinks I'll need more appointments than I have scheduled. She's going to call me if there are cancellations. She thinks that my hips are weak also, as well as my left leg, most likely from having been immobilized for a month.

The locker room is lovely, with great benches and nice carpeting. I was able to change out of my soggy suit with no embarrassment because there were only a couple of others in there and they were ignoring me anyway. The main reason I changed is that a wet bathing suit is not very comfortable, and it was dripping all over the carpet. My original plan was to slip into sweats and change at home, but I think that would have been most uncomfortable.

We went out to lunch at the Big Eazy, which was close, convenient, and yummy. Dick had etoufee and I had a quesadilla. It was so good. It was listed on the menu as an appetizer, but I brought home half of it.

Talked to Dylan twice today - before school and after school - so we are the luckiest ones!

Yesterday was mid-term Election Day, and most of the Good Guys won. It was a spectacular election. Now we get to see how power corrupts Democrats. Power did quite a job on the Republicans. We still have two more years of W. Oh well.
In Michigan, we kept Jenny and Debbie, and that's a Very Good Thing. In the House, the Democrats became the majority and in the Senate the Virginia seat is still up for grabs. If the Democrat wins, they'll have a majority in the Senate, too. The Democrat, James H. (Jim) Webb's name wouldn't fit on the voting machine - it just said James H. (Jim). I'm wondering if in California the voting machine said Arnold Swartz.

W. fired Rumsfeld today. What an impeccable sense of timing. Last week he said that Rumsfeld was doing a fantastic job. If Rumsfeld had been fired last week, maybe the election would have had a different outcome. Interesting.

Tuesday, November 07, 2006

Election Day

Dick had more MMAP all-day training today. I went to the drug store and got some Aleve for Mother and went in for a short visit. She has no interest in elections anymore, but she definitely leans Republican. She hasn't really kept up with what's going on in the outside world as far as pre-emptive war, imprisonment, removal of basic rights, and torture. I believe she's more of a Milliken Republican - the kind we had 50 years ago.

Dick left his meeting a little bit early so that we could go vote before the after-work crowd. We went to the fire house first, and then realized that voting must be at the township hall. We finally got to the right place, and it was not the least bit crowded, and there were only a couple of people ahead of us.

The early returns from around the country were very encouraging. The Democratic candidates are winning from coast to coast. We went to bed early but happy.

Thursday, November 02, 2006

Rejoining the Human Race

I'm feeling human again. I haven't used the cane for 2 days, although I'm still slow and a little limpy. I keep finding bills that haven't been paid, and one that was paid twice!! So that kind of evens out. I found an appointment reminder for September that got lost in the shuffle - but it was just the annual dermatology checkup, so not exactly vital. I'm doing that tomorrow.
I've driven twice, once by myself. Today I went to the beautiful shop (inside joke) for the first time since June! That's the main reason that I feel human again. After that, Dick took me out to lunch (Red Lobster) for the first time since July! Now there's an odd reason for feeling proud of yourself!

The news is full of John Kerry's botched joke. The reporters seem to have forgotten about Bush's Botched War, which is not a joke. http://images.ucomics.com/comics/ta/2006/ta061101.gif

Last Sunday we went to the Concord Place Halloween party! I'll bet you're jealous. After that kissing game last summer that Laurie and Chip played along with us and some other couples, Dick swore that he would never again play a game at a Concord party. Ahem! This time he was shamed into doing the ghost walk...and he didn't even win anything! I think that Mother had a good time (and that's what it's all about) - she waved at all of her fellow residents, ate a lot for lunch, and stayed for an hour and a half. A real party animal!

Jana says she's feeling much better, and is back at work. She sounded great on the phone. Tom sent a picture of his latest mountain biking incident - a lacerated arm (no, not that arm, the other arm.) Evidently his biking buddies are making sure that someone has a camera to record whatever happens, because they're sure that something will. For Christmas, Tom is getting a lifetime supply of Neosporin, a biker's first aid kit, and a new sling,

Dylan hasn't called for two mornings in row, so we don't have a report on trick or treating or on the field trip to the Environmental Study Center. We don't even know what the spelling words are for this week. (Heavy sigh)

This week I was a widow for two days in a row. Tuesday I was a geocaching widow, and Wednesday I was a Medicare volunteer training widow. I was lucky, though, because when Jana was here in September, she left a couple of good books!

We had an inch of snow this morning at Basswood Bend. We drove into town, and there was nary a flake to be seen. More snow is predicted for the next two days.

Saturday, October 28, 2006

Blustery Game Day

What's your pleasure? Rain, sleet, snow, high winds, sunshine - we had all of those this afternoon while we watched Michigan win:

Football: #2 Michigan 17, Northwestern 3
Football Earns Homecoming Victory Over Northwestern

The No. 2-ranked Michigan foootball team forced five Northwestern turnovers and held the Wildcats to -13 yards rushing for a 17-3 victory on a rainy, blustery Saturday afternoon, Oct. 28, at Michigan Stadium. David Harris led the Wolverines defense with six tackles, while LaMarr Woodley stopped Northwestern's initial drive by forcing and recovering a fumble, and Leon Hall added an interception and a fumble recovery. Mike Hart rushed for 95 yards and a touchdown, while Chad Henne threw for 116 yards and one TD.

MSU did not fare as well:

10/28/06
Spartans Fall Short In Bloomington
Kellen Lewis threw five touchdown passes, including a school-record four to James Hardy, and ran for another score in leading Indiana past Michigan State 46-21 on Saturday. Michigan State (4-5, 1-4 Big Ten), a week removed from pulling off the biggest comeback in Division I-A history, grabbed the lead with a touchdown on the opening drive of the game.

We couldn't believe that Indiana scored 46 points! MSU is really on a roller coaster this season!

Thursday, October 26, 2006

Happy Birthday Tom!

Hello San Diego, and Happy Birthday!! You helped me pass out candy to trick or treaters when you were 5 days old! All of the neighborhood kids met you right away.

I'm doing well. I'm trying to walk more and more without the cane. I do tire easily, but expect improvement day by day. The aqua therapy starts Nov. 8. The prescription is for 1 to 3 times a week for 4 weeks to strengthen the left leg.

After that's done, depending on how things go, Dick and I could both re-up at the fitness place, or do the Senior Citizen thing in the pool at the Civic Center. We're also shopping for a recumbent stationary bike which was recommended by one of the Drs.

I have a sad feeling that we won't be going to the Michigan games any more this season. Dick is staying home with me again this coming weekend. There are only 2 home games left - Northwestern this coming Saturday, and Ball State the weekend after that. To be honest, I don't think I'll be ready to sit on bleachers for the Ball State game either. . Of course I'm very touched that he stays with me and I really appreciate it, but I feel bad, too, because these games are important to him and I hate to see him miss the opportunity. Makes me sorry to be the cause of it all, but I'm not depressed or anything because I'm happy to be making good progress.

I have been able to go grocery shopping a couple of times, visiting Mother, shopping for the bike, and cleaning my bedroom closet - so I'm not entirely useless. I've even fixed a couple of suppers. Dick is still driving me everywhere.

Dick is busy getting the yard ready for winter, doing some geocaching, plus he's still doing most of the cooking. Generally speaking all is well here.

Tuesday, October 24, 2006

Recumbent Bikes, Bedrooms, & Burqas

We're shopping for a recumbent stationary bike for both of us. It was recommended by one of the Doctors because it's easier on the back. We think we want the Schwinn, but I think we'll have to have the bike shop order one because nobody seems to have one in stock. We don't want to buy on the internet because of service, instruction, etc. Today we went to 3 different bike/fitness shops, and we've been to a couple of others previously. We're closing in on decision time.

Today I cleaned my room, which in some cases means taking things from a pile in my room and putting them in a pile in a different place (heavy sigh). Anyway, now I have cleaned out one half of my closet of dark despair plus my room. Next I'll sort out the other half of the closet of d.d., and after that I'll probably have to clean my room again! (The never-ending battle with clutter continues.) Then I'll start on drawers, which is easier because you can do drawers one at a time.

Dick found a great article in the Washington Post by Anne Applebaum. She writes about how disconcerting it is for the Western world to accept veiled Muslim women in the workplace and in schools. She points out that it's not discrimination, it's just our custom to "look each other in the eye" and take notice of peoples' facial expressions. I think she did a superb job of articulating how people should behave in a country that has established rules of behavior and communication. I loved the article. See it at the link above (click on the title). Here is a short excerpt:

"And yet, at a much simpler level, surely it is also true that the full-faced veil -- the niqab, burqa or chador -- causes such deep reactions in the West not so much because of its political or religious symbolism but because it is extremely impolite. Just as it is considered rude to enter a Balinese temple wearing shorts, so, too, is it considered rude, in a Western country, to hide one's face. We wear masks when we want to frighten, when we are in mourning or when we want to conceal our identities. To a Western child -- or even an adult -- a woman clad from head to toe in black looks like a ghost. Thieves and actors hide their faces in the West; honest people look you straight in the eye."

Monday, October 23, 2006

Your Name

This is fun to play with, but it's not perfect. It tells me that there are 14 Nancy Steigers in the US but I have a feeling that there are more than that. Also, it says that there are 0 people named Kanitz, which is obviously bogus. But as I said, it's fun.


HowManyOfMe.com
LogoThere are:
14
people with my name
in the U.S.A.

How many have your name?

Saturday, October 21, 2006

Offense vs. Defense

Today has been a most interesting sports day in Big Ten football. The 2 games that we watched today really demonstrated a defensive donnybrook by Michigan, and an offensive onslaught by Michigan State.

Michigan and Iowa had super defenses, and it was a very hard-played, hard-hitting game. Iowa was held to 2 fieldgoals for their total of 6 points. State and Northwestern scored a combination of 79 points - wow, that's a lot of offense.

Starting with our favorite, the U of M, they beat Iowa 20-6 - it wasn't easy, but they did it. My Dad, the football coach, always used to quote the old adage "The best offense is a good defense." Michigan is still undefeated and still #2 in the country. This from mgoblue:

************
Football Remains Undefeated With Win Over Hawkeyes
Mike Hart rushed for 126 yards and two touchdowns to lead the No. 2-ranked Michigan football team to a hard-fought 20-6 win over Iowa on Saturday, Oct. 21, at Michigan Stadium. After Iowa tied the game 3-3 in the third quarter, Steve Breaston returned the ensuing kickoff 64 yards to set up the go-ahead drive, with Hart punching it in from nine yards for a 10-3 lead. Hart, who surpassed 1,000 rushing yards for the season, clinched the win with a 10-yard TD run with 3:59 left in the game, and Garrett Rivas booted two field goals.
************

Earlier, Michigan State set an NCAA record for the biggest comeback win of all time. Nothwestern had the game won 38 to 3 in the middle of the third quarter. Who could have predicted that State would go on to score 38 points from then on and win the game 41-38. What a performance. This from USA Today:
************

Trailing 38-3 with 9:54 left in the third quarter against Northwestern, Michigan State scored the next 38 points, the greatest comeback in NCAA Division I-A history.
Sometimes a comeback results in more than just a win. Sometimes it even saves a season. With the 41-38 victory, Michigan State (4-4, 1-3 Big Ten) ended its four-game losing streak.

Thursday, October 19, 2006

Aqua Therapy? Por Moi?

Dick has gone geocaching in the Walton-Manton-Cadillac area. He called in to report that he was First to Find on two of Treeplanter's new hides. Dick was having a really good time until he got caught in a downpour and got soaking wet. He says that the car heater has him all dried off now. He's off to do some more looking.

Today I called and made appointments for aqua therapy through the Munson Community Health Center. They use the pool at Premier Fitness on Garfield.

I'm quaking in my boots because I'm so afraid of re-injury. The neurosurgeon gave me a prescription for aqua therapy 1-3 times a week for 4 weeks. I trust him to recommend the correct treatment, but..... this won't be starting until the first week of November and I'm already worried. I'm afraid I'll throw my back out climbing that ladder up out the pool.

Also, I had that bad experience at MCHC physical therapy when I was re-injured by the pelvic traction. That episode set me back for six weeks so far. So I think I have good reason to be cautious.

I've been doing some research on Google, and I found this excerpt encouraging:

****************

Experts agree that rehabilitation exercises in the water may improve and accelerate healing time and reduce the potential for re-injury.
Flexibility and stretching exercises are performed more easily in the water than on land, where gravity is a limitation
During all exercise, the resistance of the water matches the applied muscle force. This dramatically reduced the likelihood of re-injury caused by exceeding tissue tolerance levels.
Rhythmic movements in the water (both swimming and walking/running) provide a gentle and non-impact environment for improving cardiovascular fitness.
Aqua therapy is especially suited to the rehabilitation of neck and back injuries and recovery from orthopedic surgery.
Aquatic therapy provides an exceptional and unique environment for promoting normal movement patterns and building strength, usually with pain reduction and reduced the risk of further injury. Aquatic therapy in many cases is the only alternative for rehabilitation when land-based programs have not provided adequate results.
****************

Wednesday, October 18, 2006

Januvia

Evidently lots of research is being done for people with diabetes type 2. Januvia sounds like an ideal medication. The following article describes it, and also mentions several other new medications on the horizon.

I'm putting the article in the blog just because I want to keep it and maybe discuss it with my Doctor, except my last HbA1C test was so normal that I probably don't need it anyway. I don't think it has much interest for anyone else but me.

Januvia targets the pancreas but I didn't see any reference in the article to pancreatic side effects.

***************

The Food and Drug Administration yesterday approved a novel once-a-day pill to treat Type 2 diabetes that lowers blood sugar levels without causing weight gain. The FDA said the drug, called Januvia, is ``important" because 70 percent of diabetes patients cannot adequately control their blood sugar using existing treatments.

Januvia is expected to become a billion-dollar blockbuster treatment for its maker, Merck & Co., and will be priced at $4.86 per tablet. Newly diagnosed patients can use the drug on its own, along with diet and exercise, to control blood sugar levels. And because it doesn't cause severe side effects when used in combination with popular diabetes drugs already on the market, Januvia also can be used by those whose disease is more advanced and requires more medicines.

The drug leverages the body's natural ability to control blood sugar by producing more insulin and lowering glucose. Controlling blood sugar can help stave off the need for patients to take insulin.

Diabetes affects about 21 million Americans and occurs when the body builds resistance to insulin needed to break down food, causing blood sugar levels to spike.

About 95 percent of adults with diabetes have the Type 2 form. They either do not produce enough insulin or their bodies fail to use what is produced. Those with Type 1 diabetes must take insulin daily because their bodies do not produce any insulin.

Unchecked diabetes can cause blindness , kidney failure , and heart ailments and can lead to amputations . The number of people with it is rising because of expanding waistlines and sedentary lifestyles, according to the National Institutes of Health.

In clinical trials, Januvia did not have the side effects typical of older treatments, such as weight gain, and dangerous drops in blood sugar. The most commonly reported side effects in trials have been minor: runny noses, coughs, colds, sore throats, diarrhea and nausea. But some in the medical community fear that could change when millions begin to use the new drug.

Analysts and physicians said Januvia offers a ``modest" reduction in a key measurement to gauge how well a patient's blood sugar level is being controlled. Elevated values increase the risk for eye , kidney , nerve, and heart damage.

A Boston man with Type 2 diabetes who has responded well to metformin, a generic treatment for diabetes, said he would use Januvia even if it only slightly improved his blood sugar value.

``I look at it as almost like a scale," said Marc Onigman , 56 . ``If the drug can help me keep that number dead-even, bring on the drug. As long as it doesn't have side effects that lay me out for a week."

Januvia boosts insulin levels when blood sugar levels are high, but cuts off the supply ``when the blood sugar goes down to normal," said Dr. Edward Horton , director of clinical research at the Joslin Diabetes Center in Boston . ``It's taking advantage of the body's own mechanism to respond to a meal."

Because Januvia helps the body better manage insulin levels, he said, it is much less likely to cause hypoglycemia -- dangerously low blood sugar levels -- than older treatments.

Horton, a Harvard Medical School professor of medicine , is a paid Merck consultant. The company has made him available for interviews about Januvia and has sponsored diabetes treatment sessions for doctors featuring him as a speaker.

Januvia targets an enzyme that is involved in activating many of the body's hormones, which worries some doctors because studies of how it affects patients have been limited. FDA approval was based on studies involving 2,719 patients. Roughly 440 of them had taken Januvia longer than one year and only 160 had taken the drug for two years.

``The concern always has been that the regulation of some of those hormones may be very important in subsets of patients that we don't yet understand," said Dr. John Buse , director of the Diabetes Care Center at the University of North Carolina-Chapel Hill and president-elect of the American Diabetes Association . Because Januvia is the first drug approved in its class, it is not surprising that some people will approach it with caution, Buse said.

``There are many patients and, maybe, even more doctors who are relatively reluctant to use a new drug in the first six months or year after it's released," he said.

Merck said it will conduct additional tests of Januvia in combination with insulin and another class of diabetes drugs.

``Type 2 diabetics use a variety of medications to control their condition," said Dr. Mary Parks , the director of the FDA's division of metabolism and endocrine products . ``We want as much information" on the effectiveness and safety of Januvia taken in combination with other products, Parks said.

Some 400 different treatments for diabetes are in development. Recent innovations include inhaled insulin, which eliminates the need for injections.

Deutsche Bank research analyst Barbara Ryan , in a note to investors, called diabetes treatments ``hot, hot, hot" with a market size capable of supporting ``multiple new blockbuster opportunities."

Novartis AG is hot on the heels of Januvia with its own new-generation diabetes pill, Galvus , expected to receive FDA approval next month .

By shipping Januvia quickly, Merck aims to take advantage of ``a short window before Galvus gets the green light," Morgan Stanley analyst Jami Rubin wrote in a research note. Rubin forecasts $350 million in Januvia sales worldwide in 2007 with $1.6 billion in sales by 2010 , a conservative estimate.

A Reuters survey of 60 physicians found ``the vast majority" intend to prescribe Januvia and Galvus immediately.

Sunday, October 15, 2006

Unsettling Visit

This has been a beautiful, blue skied, sunshiny day. Couldn't ask for anything better. The fall colors are past their peak, but still gorgeous in certain areas.

It's been a very quiet day here at home - a Sunday papers kind of day.

We made our regular Sunday visit to see Mother, and it was most unsatisfactory. This is the letter I sent to Betsy, the Director of Concord Place:

**************************
Dear Betsy,
We visited Mom today (Sunday, Oct. 15) and we wonder if you would check out a couple of things for us.

First of all, her telephone line is so full of static that she can't hear me when I call her. If you just pick up her receiver, you can hear the static along with the dial tone - check it out. We brought in a new phone because we thought maybe her phone was broken, but the static was on the new phone also. There's definitely something wrong with her phone line. I'm in the habit of calling her every day, and it's frustrating that for the past week she hasn't been able to hear me over the static.

Second, we don't know what happened to the pink box that her new Sylvania TV came in. The manual for the TV is in the box, and we'd like to have it.

Also, the box elder bugs are infesting her window again. Somehow, they are able to get inside - today they were on the windowsill and on the heater. While we were there one landed on Mother's hand, and it was quite unsettling. She told me that they have been on her bed as well. I would have thought that the freezing temps we've had would have killed the bugs, but no such luck. What do you think about using a can of Raid on the outside of the window? We'll be glad to pay for the Raid if that's a problem.

Thanks in advance,

Nancy and Dick Steiger
**********************

Let's hope this letter will achieve a positive result!

Saturday, October 14, 2006

Fall Fun Day

Dick spent most of the day at the MiGo Fall Fun Day out at the Boy Scout Camp. I guess it was well attended in spite of the lousy weather, and it sounds like a good time was had. I know Dick and Tim&Susie had a good time.

Michigan beat Penn State tonight but it was close. It was an exciting game to watch, and a little scary too. This from mgoblue.com.

Football Sacks Penn State Behind Swarming Defense

The fourth-ranked Michigan football team sacked Penn State's quarterback seven times en route to a 17-10 victory Saturday, Oct. 14, in State College, Pa. U-M scored on back-to-back possessions in the second quarter to lead 10-3 at halftime, with Chad Henne throwing a 25-yard touchdown pass to Adrian Arrington and Garrett Rivas booting a 23-yard field goal. Mike Hart, who rushed for 112 yards, added a third-quarter TD run, while Rondell Biggs and LaMarr Woodley led the strong defensive effort with two sacks each.