text:
To explain just how rare it is that the Lakers have the seventh pick overall in Thursday's draft, I offer you general manager Mitch Kupchak's perplexed look when I asked him late last season who would represent the Lakers at the draft lottery.
"That's a good question. We haven't really thought about that," Kupchak finally said, almost as if it just dawned on him Lakers brass had to come up with an official dignitary for the event.
Point being, the Lakers aren't normally in position to pick as high as they will Thursday, mostly because the top of the draft typically is reserved for the worst teams in the NBA.
In fact, you have to go all the way back to 1982 to find the last time the Lakers picked as high.
That was only because they duped the Cleveland Cavaliers into handing over a future first-round pick for forward Don Ford two years earlier.
The Cavaliers stumbled to the NBA's worst record in 1982, enabling the Lakers to pick North Carolina All-American James Worthy first overall just a couple weeks after winning the NBA championship.
The Lakers never have drafted as high again.
In fact, in the 32 years since that draft, the Lakers have picked within the top 20 only five times: 1994 (10th), 2005 (10th). 1993 (12th), 1992 (15th) and 19th in 2007.
They have managed to pry key premium draft picks from others shortly after the draft.
In 1983, the Lakers sent veteran Norm Nixon to the San Diego Clippers for Byron Scott, the fourth pick that year. And in 1992, a contract dispute between Doug Christie and the Seattle Supersonics, who drafted the Pepperdine star with the 17th pick, enabled the Lakers to step in and acquire Christie for Sam Perkins.
And in 1996, the Lakers sent Vlade Divac to the Charlotte Hornets for the draft rights to high schooler Kobe Bryant, the 13th overall pick that summer.
So what do the Lakers do this week with an asset as valuable as their seventh pick?
It's difficult coming up with any sort of consensus on which direction they'll go. But at least two factors can be stated with certainty.
The Lakers historically have valued versatility and athletic ability — aside from big man Andrew Bynum in 2005.
And chances are, whoever they take won't be around when the championship banners are hoisted, although they will have played significant roles in the rebuilding process.
Aside from Bynum, a key piece in the Lakers' 2009 and 2010 NBA titles, the four other picks within the top 20 eventually were traded in deals that directly or indirectly landed the Lakers a key piece in a championship run.
Even Bynum was traded to get would-be building block Dwight Howard.
In other words, don't get too attached to the Lakers' newest addition Thursday.
Here is what the Lakers have done over the years with their five picks in the top 20.
1992: Antony Peeler, SG, Missouri, 15th pick
Could have had: Latrell Sprewell
The Lakers, still reeling from losing Magic Johnson to retirement in 1991, finished 1992 as the eighth seed in the Western Conference to earn the 15th pick overall. Peeler, a versatile guard who could play both backcourt positions, was considered a potential top 10 pick until an altercation with his ex-girlfriend just prior to the draft pushed him down the draft board.
Peeler, always a favorite of then-Lakers general manager Jerry West, had his moments over his four-year career in L.A., but his ultimate contribution was being sent to the Vancouver Grizzlies in a cost-cutting deal that enabled the Lakers to create enough salary space to add Shaquille O'Neal as a free agent in 1996.
Peeler averaged 9.7 points per game over a 15-year career.
That 1992 draft ended up having a dramatic impact for the Lakers, who eventually added first-rounders O'Neal, Christie, Robert Horry, Jon Barry and Tracy Murray to their rosters over the years.
1993: George Lynch, PF, North Carolina, 12th pick
Could have had: Sam Cassell
Nothing against Lynch, who was a serviceable role player over his 12-year career, but he shows just how important draft positioning can be.
Had the Lakers picked one slot before, they could have landed sharp-shooting Tennessee forward Allan Houston, who would have fit perfectly in Los Angeles. But the Detroit Pistons, holding the 11th pick, nabbed him.
Lynch played three years in Los Angeles. His best season was his rookie year, when he averaged 9.6 points and 5.8 rebounds before being sent to Vancouver along with Peeler in 1996 to create enough cap space to sign O'Neal.
1994: Eddie Jones, SF, Temple, 10th pick
Could have had: Jalen Rose
The Lakers weren't winning championships over this part of their history, but West was putting in remarkable work while assembling talent that eventually would help build championship teams.
After falling in love with the rangy 6-foot-7 Jones during the evaluation process, West used the 10th pick overall to grab him. He was convinced Jones was a future star.
Jones joined a team overflowing with young talent, including Peeler, Lynch, Christie, Divac, Elden Campbell and Nick Van Exel, who was acquired with a second-round pick in 1993.
Surprisingly, none of them won a championship in Los Angeles.
Jones never reached superstar status but was an excellent player over a 14-year career and a particular fan favorite in Los Angeles.
Unfortunately he wasn't around when the Lakers went on their three-peat run, having been dealt to the Charlotte Hornets in 1999 along with Campbell for All-Star shooting guard Glenn Rice.
The following offseason, Phil Jackson was hired and the Lakers won the 2000 championship. Rice played a role, but Lakers fans are left to wonder how much better they would have been teaming Jones and Kobe Bryant together in Jackson's triangle offense.
2005: Andrew Bynum, C, St. Joesph High School (N.J.)
Could have had: Danny Granger, David Lee
As legend has it Lakers vice president Jim Buss, who was coming into his own as the head of the Lakers basketball operations department, championed Bynum after scouting him and was the driving force in picking the raw 7-footer.
Bynum's Lakers career is summed up by a lengthy development process, injuries, quirkiness, Buss and Kupchak's unwillingness to trade him early in his career — despite Bryant's wishes — and playing a supporting role in two championships and three finals appearances.
He ultimately was the centerpiece in a trade to obtain Howard.
2007: Javaris Crittenton, PG, Georgia Tech, 19th pick
Could have had: Arron Afflalo, Tiago Splitter
Crittenton came with tremendous upside, and some in the Lakers organization were convinced he'd be a star. It never happened, of course, but that doesn't mean he didn't play a vital role in a Lakers championship run.
Crittenton was dealt along with Kwame Brown in 2008 for Pau Gasol, the catalyst in the Lakers' turnaround in the late 2000's that led to two championships.
The Lakers didn't just add a core piece in Gasol. They avoided disaster in Crittenton, who currently is awaiting trial on murder and drug charges.


text:
February 07, 2005
LOS ANGELES - Jeff Henley ('67), chairman of the Oracle board of directors, will address the UCLA Anderson graduating class of 2005 as this year's distinguished commencement speaker. Henley, who is a graduate of UCLA Anderson, ascended to the chairman's position in January 2004 after 13 years as the database giant's chief financial officer. In October of 2004, fellow UCLA Anderson alumni honored him with the John E. Anderson Distinguished Alumni Award.
Prior to joining Oracle in 1991, Henley served as executive vice president and chief financial officer at both Pacific Holding Company in Los Angeles and at Saga Corporation, a multi-billion dollar food service company. In the 1970s, he worked for Memorex Corporation and at Fairchild Camera and Instruments. His vast experience and knowledge make him eminently qualified to address the class of 2005. "Clearly the (MBA) experience is very valuable, to understand the world and learn new skills," said Henley. "The UCLA Anderson School continues to improve and I'm very impressed with the progress. The experience has always served me well and I'm honored to have the opportunity to address the latest class of my fellow alumni."
Mr. Henley holds a Bachelor's degree in economics from the University of California at Santa Barbara and a Master of Business Administration degree in Finance from UCLA.
About UCLA Anderson School of Management
UCLA Anderson School of Management is perennially ranked among the top-tier business schools in the world. Award-winning faculty renowned for their research and teaching, highly selective admissions, successful alumni and world-class facilities combine to provide an extraordinary learning environment. UCLA Anderson students are part of a culture that values individual vision, intellectual discipline and a sense of teamwork and collegiality.
Established in 1935, UCLA Anderson School of Management provides management education to more than 1,400 students enrolled in MBA and doctoral programs, and some 2,000 executives and managers enrolled annually in executive education programs. Recognizing that the school offers unparalleled expertise in management education, the world's business community turns to UCLA Anderson School of Management as a center of influence for the ideas, innovations, strategies and talent that will shape the future.

subset: commoncrawl


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Always "tired"
My partner is HIV+ (I am HIV-) and he takes 150/300mg Combivir 2c a day and Sustiva 600mg at bedtime. He has only been + for about three years. But he is always "tired". Is there anything that his doctor can give him that would help give him at least a little energy? Thanks!
Fatigue in the setting of HIV disease is extremely common and very annoying! The best thing to do is try to find the underlying cause of the fatigue and specifically treat that. It often turns out to be several factors often working in tandem to zap our zip. I'll post a question from the archives that addresses a situation similar to yours and which discusses some of the potential underlying conditions that could be contributing to your partner's energy drain.
In your case you might check to see if your partner's sleep is being disturbed by his Sustiva. That drug can cause bizarre dreams and restless sleep. In adequate sleep and rest can result in daytime fatigue. I'd also check to see if the AZT component of his Combivir might be causing anemia, which also is frequently associated with fatigue.
If, after a thorough evaluation, your partner is still left with HIV mystery fatigue, he might consider a trial of Provigil. I'll post a question from the archives below that discusses this drug as well.
Good luck to you both.
Dr. Bob
Fatigue without meds??
Sep 4, 2006
Hi.. firstly thanks for all your great info! this whole site is amazingly helpful and i particularly like the upbeat and sometimes light hearted spin on things that you and this whole site has! its nice to know that HIV isnt all doom gloom and death in the 21st century!
i have a serodiscordant rship (ptr is +ve and I am -Ve). he was diagnosed about 4 years ago, and has CD4 of about 380 now and while i cant remember his VL, i know his doctor said it is 'a little high'. but as yet he is not requiring meds. He is becomming increasingly fatigued and despite usually working a full week, on weekends its not uncommon for him to go to bed at 8:30 or 9pm and sleep until 11:30am the next day (15 hours straight!!) and then not do much during the time he is awake. some weeks he is so tired though that he can not work more than 3 days. his doctor seems to think that his fatigue is caused by depression. but i am now not so convinced that this is the whole story (although i think this could be part of the cause of the fatigue). the anti-depressants dont seem to make a difference and his attitude and outlook is so positive and upbeat. so now we're trying vitamin B12 injections. It frustrates the hell out of him to not have the energy to do what he wants to and i hate seeing him like that when he is otherwise more healthy than me (despite being the +ve partner)... we eat ok (not great but ok) and he takes vitamin pills and drinks soy milk for the B12 content (which we were told by his doctor is a good idea) ...anyways ... now that you know the back-story i guess what id really like to know is.. -is fatigue common amongst +ve people? even those not yet on meds? -what are the usual causes? (is it possible that its not HIV related?) -what can we do to improve his energy levels? -is this only going to get worse with time? -where can i get more info about HIV related fatigue? thanks heaps in advance for your answer.. and again for all the positive education uve provided this otherwise naieve guy from down under!
Response from Dr. Frascino
Hello Down Under Guy,
Let's proceed directly to your specific questions:
Is fatigue common among HIVers? Yep, it's one of the most common things we virally enhanced folks complain about. Yes, even pozitoids who are not on meds yet.
Usual causes? There are many common and loads of not-so-common causes to consider. (See the posts from the archives below.) Is it possible it's not HIV related? Sure. Dubya got re-elected so I guess anything is possible, right?
Will this get worse with time? Not necessarily. In fact, it can get much, much better if you identify all the potential problems that are draining your partner's battery and specifically treat each underlying cause effectively. Batteries can be recharged!!!
Where can you get more info on HIV-related fatigue? Well, right here, silly boy! Just check the archives. I've copied a few posts, but there are gazillions of others for you and your stud muffin to peruse. Once you've read about the about the potential causes of HIV-related fatigue and their specific treatments, make a list of these and bring it in to discuss with your HIV specialist.
Things can and will get better, OK? I'm here if you need me.
Dr. Bob
Fatigue??? Help!
Dec 5, 2000
My lover is trying to overcome fatigue. His CD4 is over 600, his viral load is undetectable, and his other labs are normal. It seems that he eats pretty healthy, and he has been tested for anemia. I would like any information anyone has regarding other possible causes of his fatigue. Thanks in advance.
Response from Dr. Frascino
Dear :)
Overcoming fatigue in the setting of HIV disease can be quite a challenge. Fatigue generally speaking is a subjective experience of low energy, weakness, and/or sleepiness that may affect daily activities. It's incredibly common in those of us with HIV disease. In fact, clinical trials have revealed it's our most common complaint. Discussing fatigue with your physician can also often be challenging especially when, as in your case, things appear to be going so well -- non-detectable viral load and good CD4 counts. Physicians are often so pressed for time these days they may seem a bit reluctant to evaluate you're a problem which to them does not appear to be all that significant. So don't be shy on insisting that the issue be discussed!
That said, what are some of the potential causes that you should consider? Well as it turns out the potential causes are indeed numerous and often it may be a combination of those causes that is ultimately responsible.
Rest, diet and exercise can play a significant role. Many of us who are HIV positive (as well as many who are not HIV positive) fail to get adequate amounts of rest and/or exercise and we often do not eat properly. With busy schedules it's often quite difficult to find time for exercise, eating well-balanced meals or even getting adequate amounts of sleep. This, of course, explains the astounding success of Starbucks. You mention that your partner eats pretty healthy. However, nutritional requirements often change due to a chronic infection like HIV. Consulting with an HIV knowledgeable nutritionist may be very enlightening and helpful! Anxiety/depression is frequently associated with fatigue. Virtually all of us who are HIV positive have periods of feeling upset, worried, anxious or depressed. Psychological causes of fatigue in HIV-infected individuals are very treatable with counseling and/or medications.
Infections are often associated with fatigue -- for example cytomegalovirus, human herpes virus-6, MAC, TB, fungal infections, PCP and others. Fatigued individuals should pay close attention to any concurrent symptoms such as fever, cough, headaches etc. Of course, with your partners' high CD4 counts an opportunistic infection would be highly unlikely. So this would be pretty far down on the list of likely possibilities.
Hormonal imbalances can cause significant fatigue. Adrenal insufficiency results in inadequate production of adrenal hormones and can be caused by certain anti-HIV drugs, HIV infection itself, or by opportunistic infections such as CMV. Decreased testosterone levels are a very common occurrence in HIV positive men and can be associated with fatigue, decreased libido and other symptoms. Causes for decreased testosterone include drug side effects -- megace, ketoconazole ganciclovir and others. Other factors could include increased levels of cortisol an adrenal hormone that is produced in abundance during chronic infections as a normal body defense against stress. Low levels of thyroid hormone can also be associated with fatigue.
Medications whether HIV related or not can often have fatigue as a potential side effect.
Anemia, a decrease in red blood cells is one of the most common causes for fatigue in HIV infection. You were wise to have this checked out as a first line possibility. The causes of anemia include nutritional deficiencies -- iron, certain vitamins; anti-HIV drug induced -- particularly AZT; HIV related opportunistic infection -- MAC, parvovirus and others; and HIV itself -- this is termed anemia of chronic disease. All of us with HIV need to keep an eye on our hemoglobin levels.
So in your case what possible causes should be investigated first. You (as well as the rest of us) should take a critical look at your basic human requirements -- rest, diet and exercise. Lifestyle changes can be remarkably effective! Secondly, if you are male and haven't had your testosterone level checked that should also be done as part of an initial evaluation of fatigue. Thirdly, is there any chance anxiety or depression may be contributing? Fourthly, did the fatigue develop shortly after your partner began a new medication? Finally, even non-HIV related causes should be considered -- such as low thyroid.
Hope this gives you some direction. Write back if your still having trouble.
Happy (and hopefully peppy) Holidays,
HIV anemia tiredness vs. exhaustion
Aug 30, 2002
Hello, Could you tell me the difference between HIV anemia tiredness and HIV anemia exhaustion? Thank-you....you're the best. You always make me smile.
Response from Dr. Frascino
Hello Smiley,
Can I tell you the difference between being tired and being exhausted? Hmmmmm - is this a trick question? Well, let's see. There is an old proverb that might help: "Man who runs in front of car gets TIRED while man who runs behind car gets EXHAUSTED." Does that help?
OK, seriously, tiredness or exhaustion is just a measure of severity of fatigue. Anemia can be mild and cause only mild exercise intolerance or moderate, causing chronic tiredness, or more severe, leading to complete exhaustion. It can also cause lots of other symptoms as well, such as shortness of breath, paleness, headaches, decreased sex drive, and inability to concentrate. The important thing is to find out if your fatigue (tiredness or exhaustion) is related to anemia. If so, it's then equally important to determine what is the cause of the anemia. If it's HIV-related anemia of chronic disease or AZT-induced anemia, then the treatment of choice would be Procrit. Procrit stimulates the production of new red blood cells. More red blood cells mean more energy. It has a proven safety track record and has been shown in clinical trials to improve not only energy levels, but also quality of life.
Hope that helps.
Maybe you'll find that old proverb in a fortune cookie one of these days.
Good luck.
Dr. Bob
Jun 29, 2001
Dr Bob, I really like the way you answer questions. Your responses often make me laugh out loud. OK here's my question ... I feel tired but I'm not sure I'm fatigued enough to mention it to my doctor who is not like you at all. Sometimes I can't think as clearly or as quickly as I used too. I do get more easily winded on the rare occassions I exercise. My testosterone level is OK according to my Dr. He wouldn't tell me the exact number. Are there diferent types of fatigue for we positive folks or is it all the same? Where can I get a copy of that magazine you are on the cover of that everyone is commenting about? tired Poz-guy
Response from Dr. Frascino
Hey tired Poz-guy,
Thanks for your thanks and thanks for your question! Fatigue is a general term used to describe feelings of exhaustion, sleepiness, and/or lack of energy. It is not a disease, but rather a symptom. Fatigue can be multidimensional with physical, psychological, and emotional components.
Physical fatigue is muscle weakness and is associated with activity. Think of Barbara Hershey in the movie, Beaches (with Bette Midler). Poor Barbara had that heart condition and just kept getting weaker and weaker. Physical fatigue is most often related to a specific physical malfunction affecting a body organ or system, such as the heart, lungs, endocrine system, or nervous system. You can also think of Strom Thurmond in The Senate. He has all of the above! Emotional fatigue involves a decrease in motivation and a lack of interest in usual pleasurable activities. This is also called "anhedonia." It can be associated with feelings of frustration and irritability. Examples of lack of interest in pleasurable activities: Think Republicans. For frustration and irritability: Think Jesse Helms.
Psychological fatigue is associated with difficulty concentrating, calculating, or remembering things. These symptoms can be easily confused with the early stages of HIV dementia. Examples of difficulty concentrating, calculating and remembering: Think of Dubya. (He's replaced Clinton's "Don't ask, don't tell" with "Can't speak, can't spell.")
OK, so are you fatigued enough to discuss it with your doctor? Absolutely. You should be able to discuss anything with him/her. Sounds like you've got components of physical and psychological fatigue (getting winded with exercise and having difficulty concentrating). Since you still laugh at my jokes, you probably don't have a significant emotional component. Your testosterone level is "OK," so what could it be? First of all, what's this about your Dr. not telling you your exact numbers? They are your numbers! It's your health. You can demand to see your chart and should keep your own file of your lab results! But let's assume your testosterone is "OK" for now. Other possibilities could include anemia. Anemia can cause physical, emotional, and psychological fatigue. The first symptom is usually exercise intolerance. So, check your hemoglobin level. Demand to see the lab value. The normal range for men is 14-18 gm/dL. Check some older lab slips as well, and see if your hemoglobin has been drifting down. Other possibilities include depression/anxiety; hormonal imbalances (adrenal hormones, thyroid, testosterone); inadequate diet; inadequate or poor-quality sleep; lack of physical exercise; medication side effects; or an unrecognized infection. So why are you only exercising on rare occasions? Time to turn the computer off, put on those trendy running shoes, and hit the gym. Even if you have to start very slowly, get some exercise every day. Then, increase as your tolerance and stamina improve. If you have exercise intolerance, remember to check that hemoglobin level, because anemia would be the most common cause. As for that magazine article, it's Lifetimes2 published by CVS Procare. At least the photography in the article is a bit better than the funny little photo of me on this web site. I look like a cross between a munchkin and a Shar Pei!
So, Poz-guy, write back and let me know if your fatigue is still a problem after getting evaluated for the things I mentioned above. And don't forget: The gym is waiting for you and check your hemoglobin level!
Hopefully, when you write back you'll be "tired-no-more Poz-guy gym bunny." Good luck.
Dr. Bob
Sep 27, 2001
HIV+ since 89. Have done every drug combo possible. Have been off hiv drugs for one year because of resistance and lipodystrophy. Tcell at 300 and vl 20m. Have always been tired since azt but now exhuastion is overwhelming. Several times a day I just have to lay down and sleep. No anemia. am taking prozac. everytime i mention this to my doctor they say i am depressed. they have been telling me this for 7 years. is there anything i should try
Response from Dr. Frascino
There are many causes of HIV-related fatigue, and often more than one cause may be contributing. Fatigue can be caused by inappropriate attention to basic human requirements such as rest, sleep, diet, and exercise. Anxiety, stress, and depression are frequently associated with fatigue. Opportunistic infections can present with fatigue prior to other symptoms. Hormonal imbalances are another common cause. Filling out the list would be medication side effects and anemia. So what should you do? Check out these common causes first. Some you can evaluate yourself; others will require your doctor's help to order blood tests and examine you for signs and symptoms.
- Rest, sleep, diet exercise. Getting adequate amounts of sleep and exercise, and eating a well-balanced diet can be difficult whether someone is HIV-positive or not. It's often a contributing factor to HIV-related fatigue syndromes. If you have access to an HIV-knowledgeable nutritionist, an evaluation of your diet and activity level could be quite beneficial.
Psychological causes - anxiety, stress, and depression Virtually all of us living with HIV have periods of feeling upset, worried, anxious, and/or depressed. These conditions are frequently associated with fatigue. The recent tragedies associated with the terrorists' attack have resulted in anxiety and depression for many Americans. Fatigue associated with these conditions is well recognized and being discussed on the nightly news. You are on Prozac. Perhaps your dose needs to be adjusted or a different medication tried. Counseling might also be very worthwhile to address any psychological component to your overwhelming fatigue. 3. Infections Many infections associated with HIV disease - viral, bacterial, parasitic, and fungal - can be associated with fatigue. Do you have any related symptoms - cough, fever, headache, diarrhea, etc.? You need a thorough evaluation for possible opportunistic infections.
Endocrine abnormalities If you are male, you should be evaluated for hypogonadism (low testosterone), a very common and easily treated condition often associated with significant fatigue. Other hormonal imbalances related to fatigue include adrenal insufficiency and low thyroid hormone production. These conditions can be diagnosed with simple blood tests.
Medication side effects You mention that you are not on antiretrovirals at this moment. What about other medications? Prozac can be associated with fatigue. Allergy medications contain antihistamines, which are also a common cause. Check all your medications, prescription and over-the-counter drugs and supplements, for possible drug side effects.
- Anemia You mention that you are not anemic. Good! Keep an eye on your hemoglobin with every blood draw as this is a very common and often overlooked and under treated problem.
Finally, are you seeing an HIV/AIDS specialist? You've been off meds for a year with a very high viral load. Have you had a recent resistance test performed? Taking a break off meds when you've developed resistance to many of them may allow your virus to revert back to "wild type," thereby reinstating some sensitivity to drugs that you may have been resistant to in the past. There are also new drugs soon to be approved that are available via expanded access programs or clinical trials, such as Tenofovir and T-20, which might work quite well for you. You might want to collect up all your recent data and present your case to our Treatment Forum for their comments and recommendations. I think there is a very strong possibility that you could be feeling significantly better in the near future. You most likely have options for effective treatment of your HIV disease as well as your HIV-related fatigue . Discuss them with your HIV specialist soon.
Best of luck.
Dr. Bob
Loss of Energy & vitality
Jan 11, 2003
Dear Dr.
I love the site...it is really a powerful infomative site...thanks, I have Lack of energy and lack of vitality are my concerns and in most cases suffer from fatigue...espcially in the morning when I wake up. It's horrible...or do the anti retroviral cause that...I have started going to the gym with the hope to improve the situation. WHAT ARE THE SUPPLEMENTS which I can take to help me improve my situation.
PLEASE NOTE ALSO: I am currently on Fortovase & Novir (started the treatment 2 weeks ago). Previously was on 3TC,Viramune,Zerit and stop because first and second test increased, first one VIRAL LOAD was 50 000 and next one 1350000 and my doctor suggested a resitence...CD4 dropped from 600-460-390. I am staying in South Africa, THE supplements should be available in South Africa as I have notice some are not.
Kindly assist , I will be happy to have the vitality and energy boost...AS MY WORK REQUIRES ME TO BE ACTIVE AT THE OFFICE ALL DAY!!!!
Response from Dr. Frascino
Hey Matthew,
As I read your question, guess what was playing on the radio? Joni Mitchell singing "Don't it always seem to go, you don't know what you've got 'till it's gone?" Boy did that strike home! Did you know that being tired as hell is the most common symptom those of us living with HIV (shall we call ourselves "virally enhanced?") have to cope with? Often, the exact cause of our "blahs" is difficult to sort out, because multiple causes are often contributing simultaneously. Physicians, even HIV specialists, often are too focused on our CD4 cell counts, viral loads, resistance tests, and battling with our insurance companies for payment, to focus on tracking down all the potential causes of our fatigue. That's where this web site can come in quite handy. Rather than reaching for a supplement to pep you up, it's much more important to search for the cause(s) of the problem. So let's start there. Even though there are many potential causes, I suggest focusing on the most common offenders first. I'll review these top "fatiguers" in this post. If these don't turn out to be your problem, write back and I'll discuss some of the other causes that can be trickier to diagnose, OK?
First off, check for anemia. About 25% of us have anemia as our primary "energy-buster!" Anemia means your red blood cells or hemoglobin (the protein in red blood cells that carries oxygen from the lungs to the body) are low. Symptoms of anemia include fatigue, shortness of breath, rapid heartbeat, headache, difficulty concentrating, and decreased libido, among others. Anemia can be caused by a variety of conditions from HIV itself (anemia of chronic disease) to nutritional deficiencies (B-12, folic acid, or iron) to opportunistic infections (MAC, TB, parvovirus) to medication side effects (AZT, etc.). The diagnosis is made with a simple blood test - a CBC (complete blood count). The hemoglobin level is part of this test. If you are below the normal range of 14-18 g/dL for men (12-16 g/dL for women), you are anemic! POZ-folks should check their CBC every 3-6 months! Treatment depends on the cause. For instance, if you're iron-deficient, then iron supplements would help. If you have anemia of chronic disease (HIV-induced), then Procrit works like a charm. It ups red blood cells with a simple once-a-week self-administered injection given just under the skin. Second, psychological factors. Many clinical studies have shown we "virally enhanced" folks are more than twice as likely to be depressed and stressed out as neggies! I bet that comes as a big surprise, right? NOT!! All of us go through periods of feeling upset, worried, anxious, or depressed. Depression and other psychological factors can zap our energy, appetite, sex drive, ability to concentrate, as well as disturb our sleep. What causes depression? Well, lots of folks like to blame their parents or their genetics, but scientifically, depression and related symptoms are often caused by low levels of certain crucial brain chemicals. Depression can be diagnosed by an HIV-savvy doc or a psychologist/psychiatrist. It can be treated with a wide range of antidepressants or psychotherapy (counseling). By the way, beware of herbal remedies containing St. John's Wort, because they can interact with protease inhibitors! Third, hormonal factors, including low output of thyroid hormone, adrenal insufficiency, -- and by far the most common, low testosterone. Hormones are potent chemical messengers produced by certain glands that travel through the blood stream to control many bodily functions - growth, sex drive, energy level, etc. No doubt if our hormones are out of whack, we'll feel wacky! Hypogonadism (low testosterone) is incredibly common in HIVers and can occur in both men and women! Symptoms of low testosterone include fatigue, decreased appetite, weight loss, decreased muscle mass, and decreased libido. Statistics show that between 25 and 45 percent of male HIVers have low testosterone. The diagnosis is made with a simple blood test. Normal testosterone for guys is in the range of 300-1100 nanograms per deciliter. (If you're Italian like me, multiply by a factor of 10 . . . . kidding). Gals should be in the 50-100-nanogram range. Treatment is quite simple with topical gel replacement (AndroGel) or a transdermal patch or cream. Other common fatigue-inducers - medications! One study actually found more fatigue in treated HIVers than untreated! But don't stop your meds. Search for all potential causes of fatigue and treat as many as you can. Opportunistic infections, liver problems, substance abuse, inadequate rest, sleep, exercise and/or nutrition must all be considered. You mentioned you are most tired in the morning. Are you getting adequate rest at night! Do your meds have you running to the john several times a night?
As for your specific question about "supplements," I'd recommend checking out the above possibilities first. Also check www.aidsnutritoin.org and/or Mary Romeyn MD's book "Nutrition and HIV."
Keep up those gym workouts. If nothing else, you'll look better naked!
Let me know if you have additional questions or if the above doesn't put the zip back into your "zippity do dah."
Good luck.
Dr. Bob
I need more energy
Aug 5, 2003
Hello Dr Bob I was diagnosed 2.5 years ago and was chronically fatigued. Have been chronically fatigued ever since and Doc has done all the tests under the sun and I am not anaemic etc etc. On the couple of drug holidays I have had I tend feel a bit better so I think meds have something to do with the decrease of energy. I have been put on three different types of anti-depressants despite the fact I have insisted that I am fed up because I am tired and not tired because I am depressed but no-one listened. Anyway after ditching the three different anti-depressants I felt no different before during or after taking these meds.- yes I took them all for a period of at least 6 months. My question is - given that I have been tested for all the things you commonly discuss in this forum - and given the fact that I have ruled out depression can you please advise me on any supplements that will significantly enhance my energy level as I need to get back to work and at the mo I am asleep half the day and all night. By the way my cd4 is 300 and my vl is undetectable (finally) Thanks - and you do a great job and your good humor is much appreciated!!
TM San Francisco
Response from Dr. Frascino
Hello TM,
OK, so you've been checked out for the usual stuff anemia, low testosterone, depression, hidden infections and your butt's still draggin'? Welcome to the wild world of HIV Mystery Fatigue. You mention you were chronically fatigued at the time you were diagnosed 2.5 years ago. Since that was obviously before you started any treatment, one possibility has to be HIV itself. After all, HIV is a virus, and like many, many viruses, it can cause fatigue. Just think of the flu, mumps, measles, and the common cold. The viruses responsible for these all cause us to feel wiped out. Right? Well, HIV can do the same thing. The only difference is that, unfortunately, unlike the other viruses, HIV doesn't go away. Some folks feel better once they are on treatment and the virus is brought under control. Others are not so lucky and may even feel worse on treatment, due to drug side effects. You indicate you felt a "bit" better during your drug holidays. So, your meds might be a contributing factor, although certainly not the only culprit. What about other causes? How's your liver (liver function tests), stress level, diet, exercise program, etc.? I wouldn't give up on searching for the causes of your fatigue, even if the first go around of tests didn't turn much up. When considering testosterone levels, for instance, did you check "free" testosterone (the active component), as well as total testosterone? When considering other hormonal problems, what about adrenal insufficiency or low production of thyroid hormone? Continue to work closely with your HIV specialist even consider getting a second opinion to evaluate this one problem. Since you live in San Francisco, there is considerable HIV expertise available to you. It would be nice if a supplement could really enhance energy. Unfortunately, most often, they don't. A good diet plus a multivitamin should provide the nutrients you need. What about drugs? Ritalin, cylert, adderall, and Dexedrine are all stimulants that either contain amphetamines or act in a speed-like way on the central nervous system. They are potentially addictive and therefore not all that useful for "chronic fatigue." They can also interact with HIV meds (Norvir increases their blood level, for instance) and some can be hard on your liver (cylert). Provigil (modafinil) is sometimes tried. Unlike most pick-me-up pills, this one is not an amphetamine (speed). It's used primarily for the treatment of narcolepsy. A big concern with this product is that it is processed in your liver by the same enzymes used by many HIV meds, and therefore can lead to undesirable drug interactions. So what to do? Continue to search for the cause (or causes) of your fatigue, rather than a supplement or drug to cover up this ongoing symptom. Re-look at all those original test results and even consider a second opinion from another AIDS expert in your area. Even though you feel you have "ruled out" depression, this may still be part of the problem. Rather than antidepressants, consider some counseling to help you cope with feeling wiped out. Reevaluate all your HIV and non-HIV medications to look for side effects and drug interactions. Exercise, even if you feel too tired to lace up your Nikes. Review your diet with an HIV-knowledgeable nutritionist. If you're still having trouble, write back and I'll give you the address of my favorite coffee shop in S.F. Good luck.
Dr. Bob
Tired of HIV, but also just tired
Jul 18, 2006
I have looked at a few of your earlier responses to the question of whether or not Provigil is a good drug for HIV fatigue, and you seemed at the time to really not be a fan. Time has passed and it looks like a few studies have shown its effectiveness. What are your thoughts now? I am a 31 year old woman with HIV/AIDS for 14 years. I work full time, take my meds (Truvada and Lexiva), and have done pretty well considering everything. I currently have low level virus and a Tcell count in the 400 range, but I am tired. Not just a little bit, but falling asleep at my desk tired. The fatigue didn't come on suddenly, but has progressed over the last few years. It isn't constant, but is really starting to affect my life. My doctor has ruled out other causes such as hypothyroid, anemia, etc. He suggested medication for 'HIV related fatigue" and offered ritalin type drugs or Provigil. It seems to me like Provigil has fewer side effects and is generally a better tolerated medication than true stimulants. What are your thoughts? Do you still have reservations about the drug? Should I explore other options besides drugs? Thanks for your time.
Response from Dr. Frascino
Hello Tired,
Fatigue in the setting of HIV disease is common and the underlying cause or causes can be difficult to diagnose. I would certainly continue to work closely with your HIV specialist to try to identify any underlying problems that might be contributing to feelings of fatigue, including psychological causes, such as depression; occult unrecognized infections; hormonal imbalances; inadequate sleep, rest, diet or exercise; drug side effects, toxicities or interactions; etc. Review the archives of this forum for additional details about the common, as well as host of not-so-common, causes of HIV related fatigue and discuss these with your HIV specialist. Regarding Provigil, yes, we do have more experience with this agent and yes, some folks have found it helpful. My biggest concern remains its metabolic pathway (the cytochrome P-450 enzyme system), because many HIV drugs also use these same enzymes. A competent and experienced HIV specialist should be able to make any necessary dose adjustments, if Provigil is tried. In general I, too, would prefer the non-amphetamine drugs, like Provigil, over the amphetamine-type agents, such as Ritalin. I'll post a few questions form the archives that address the use of Provigil for HIV-associated fatigue. Good luck! If you do try it, let us know if it works for you!
Dr. Bob
What about Provigil (energy booster)-is it addictive? Jul 5, 2004 two different specialists recommended Provigil to me because i get extremely tired very early. The FDA approves of it for narcolepsy, which i don't think i have. Any how, a month after starting it, I found a flyer at GMHC i think about being a part of a study using Provigil for HIV people. The drug works so well for me and so consistently well, meaning I don't get used to it and so i don't have to increase3 the dosage of 200 mg. (Sometimes, rarely) i take 300 mg. I was worried because i'm in 12-Step programs and thought it was an addictive substance since i felt good and energetic with it (i have insomnia as well). But i researched the heck online about it and could not find anything saying it was addictive. In fact, it is not a triplet prescription (very controlled substance), though it is slightly controlled (but so is everything you need a prescription for). It does not work the same for everyone and most likely you'll need prior approval -- it's $193.00 a month without approval with my HMO and not covered by adap. But $5 after it's approved. It is an amazing drug and was recommended as i said above by both my specialist pain doctor and my psychiatrist. My question is, since it is a relatively new drug, is it addictive. I know that if I stop abruptly, i will be very tired for a few days but that seems to be the only withdrawal effect it has. But i am concerned. Thanks.
Response from Dr. Frascino
You mention two different specialists a pain specialist and a psychiatrist recommended Provigil. Have you discussed this with your HIV specialist as well? Since this is an HIV information website and you found the flyer at GMHC, I'm assuming you are HIV positive, correct?
Is Provigil addictive? I have seen some clinical studies that indicate it could be. We know it is "reinforcing," as evidenced by its self-administration in monkeys previously trained to self-administer cocaine. Consequently, misuse and/or abuse of Provigil can potentially occur. However, if you are being monitored closely by your specialists, hopefully that won't be a problem for you. I'll post two questions from the archives that discuss Provigil and again remind everyone that Provigil can interact with some HIV meds.
Dr. Bob
Provigil: Posted: Jun 24, 2002
Hi Dr. Frascino,
Thanks for all of the information you provide. Quick question. What are you thoughts about using Provigil to treat fatigue?? Response:
Hi, Provigil? To tell you the truth, I have never used this medication to treat fatigue in HIV-positive folks. And to the best of my knowledge, its effects in people with the virus or on anti-HIV meds have not been studied. Provigil is approved for use in narcolepsy to improve wakefulness and excessive daytime sleepiness. My biggest concern with this medication is that it is metabolized in the liver by an enzyme system (cytochrome P-450) which many HIV drugs also use. This means that if Provigil is added to someone's regimen, the dose of certain HIV drugs may well need to be modified. Provigil also produces psychoactive and euphoric effects as well as alterations in mood, perception, thinking, and feelings. In other words, it can be a bit like reliving the 60's, which may not be entirely a bad thing, mind you. Personally, I would be quite cautious with this agent, especially if you're on antivirals. Of course, if you're into Austin Powers movies, it could be rather "shag-a-delic." Hope that helps.
Dr. Bob
Provigil and fatigue: Posted: Jun 16, 2003
Dar Dr. Bob,
I am an addiction psychiatrist in New York City, and I work with many patients with HIV. I read your comment about the use of Provigil with great interest. Generally, Provigil is a great advancement in "stimulant" medications because it doesn't directly work on dopamine, the neurotransmitter that is responsible for the euphoria or the "hard-wired" repetitive behavior that we see in addiction. For that reason, it's been extremely helpful for many of my addiction patients who suffer from fatigue. However, I do share your concern about using it with patients with HIV. In particular, it is an INDUCER of P450 3A4, which a major pathway of metabolism for medications such as Kaletra. Theoretically, this could lower Kaletra levels and cause sub therapeutic levels of antiretrovirals. These patients may improve fatigue, but they also may worsen their HIV. Unfortunately, there's no published data to support this yet. As far as "psychodelic effects," none of my patients yet have reported this, though some have reported some anxiety, notably much less than with dopaminergic stimulants, such as Ritalin or Dexedrine. But my HIV patients generally require much smaller doses. As with all psychotropics, because HIV affects the CNS in profound and unpredictable ways, we should always use them with some caution. I appreciate your column and look forward to reading more!
Hello Steve,
Thanks for writing! I totally agree! The P450 3AY enzyme pathway can be a problem. Improving fatigue at the cost of worsening HIV is generally not a good option. Subtherapeutic drug levels can lead to drug resistance, which then allows HIV to flare while concurrently decreasing potential options for effective future therapies. Fatigue in the setting of HIV is often multifactorial. Certainly psychological causes rank high in the differential diagnosis. I've found that the best approach is to evaluate all potential causes and treat aggressively those most amenable to therapy (anemia, hypothyroidism, depression, infections, etc.). With this approach plus the occasional Starbucks, I haven't needed to use stimulants. Thanks for your insight!
Dr. Bob
Extreme fatique - HIV or depression? Jun 20, 2006
I'm currently taking Reyataz, Zerit, andViread for HIV, and Lexapro and Trazadone for depression. I have been infected for about 20 years. When I was first diagnosed, by CD4 was 8 (eight.) My vral load is currently undetectable, and my CD4 is around 60. I have been fortunate enough to have avoided many of the symptoms, but I have constant fatigue. I constantly feel like I'm walking in molasses. It's very frustrating because I don't know if the fatique is caused by the depression, the HIV, or the meds, but I suspect it to be a combination of the three which are all related. My questions are: How common is this fatigue, and what can be done about it? Response from Dr. Frascino
Fatigue is one of the most common and annoying symptoms associated with HIV disease. Its cause often turns out to be multifactorial, i.e. multiple underlying causes all working in tandem, just as you surmised. So could your fatigue be related to your depression, medications and HIV itself? Yes. Not only that, but there are many other potential contributing factors as well, including anemia; inadequate sleep, rest, exercise or diet; occult infections; hormonal imbalances; etc.; etc.; etc.
What can be done about it? The first thing is to identify as many of the underlying problems as possible and then to treat each of these conditions aggressively. To do that, I would suggest you begin by reading the archives of this forum and familiarize yourself with the common and not-so-common causes of HIV-associated fatigue. Make a list of these and then bring it to your HIV specialist and develop a plan to evaluate and treat your specific underlying problems. This process may well take some collaborative detective work to isolate the problems. But it's worth the effort, because HIV-associated fatigue can often be significantly improved if appropriate attention is given to this very important quality-of-life problem! Once all the underlying causes have been attended to, if you remain exhausted, you could try Provigil (modafinil). It's a non-amphetamine, pick-me-up-type pill that was initially approved to treat narcolepsy, but which is being increasingly used for fatigue. However, because Provigil is processed in your liver by an enzyme system also used by many HIV medications, there is some risk of drug interactions, especially with Norvir and Fortovase, so discuss this with your HIV specialist as well.
Good luck!
Dr. Bob


text: Brand MarketingAdweek, YouTube Partner on Super Bowl Ad HubCompanies to collaborate on Ad Blitz gallery, fan voting following big game SundayBy Mike Shields|January 30, 2013 ShareBy Mike Shields|January 30, 2013 Share Adweek and YouTube are co-hosting a Super Bowl party—one that will last for a week. As part of YouTube's fifth-annual Ad Blitz program, fans will be able to watch all of the high-profile ads broadcast during the Super Bowl on Feb. 3 on both Adweek and YouTube, and they'll also be able to vote for their favorite spots through Feb. 11. At that time, the two partners will announce the most popular ad from this year's Super Bowl, which is being broadcast by CBS. "Ad Blitz is a celebration of the most creative, engaging and powerful Super Bowl ads of the year, providing viewers with a place to watch, learn and chat about their favorite ads," said Suzie Reider, head of industry development, YouTube. The Ad Blitz hub will also feature Super Bowl marketing trivia, along with a "Call the Coach" feature, where users can access tips on how marketers create top ads as provided by the Adweek staff. During the Super Bowl itself, fans will be able to weigh in on their favorite ads via various social media networks baked into the hub, including Google+, Twitter and Facebook. The hub will also house a "Paper Football" game and a touchdown dance GIF generator. "YouTube has completely transformed the way consumers and brands engage, and YouTube Ad Blitz has changed the game for advertisers and the world's single biggest sporting event," said Adweek executive editor James Cooper. "Every day, Adweek is at the center of the conversation about digital media and marketing, and we couldn't be happier to team up with YouTube to help advance that conversation—and have some fun." That fun will include an Ad Blitz Google+ On-Air Hangout on Feb. 16, during which Cooper and Adweek senior editor of creative Tim Nudd will host a live discussion breaking down the best and worst of Super Bowl ads this year, as well as the fan voting. Sharehttp://adweek.it/2kSPlJG copy Adweek Adweek


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- pH neutral formulation – is safer to use and kinder for the environment than traditional acid based rust removers.
- Works at room temperature – there is no heating equipment required, saving on cost and energy.
- Concentrated - Dilutes 1:10 – for economical derusting and convenient storage
- Prevents flash rusting – The patented formulation of X-Rust 7, including its pH neutral properties inhibit flash rusting.
Typical application areas
- Agriculture – used to de-rust and extend the life of farming tools, specialist equipment, and machinery parts.
- Automotive industry – used to de-rust parts during vehicle restoration or parts that have developed rust during storage. Also used to de-rust tools.
- Rail – used as part of a maintenance program to de-rust trackside components and shims, also used in rail workshops.
- Yellow metals –use X-Rust 7 to remove tarnish and brighten yellow metals such as brass, copper, and bronze – ensure uncontaminated fresh dilution is used.
- Construction companies - used as part of a lifting gear inspection regime to ensure structural integrity of rusted chains. X-Rust 7 is also used to de-rust equipment and tools as well as cleaning rust stains from concrete surfaces.
- Marine & shipyards - The high salt content in the marine environment leads to accelerated corrosion of parts and equipment; X-Rust 7 can be used to manage this corrosion. X-Rust 7 is very effective at removing white rust from zinc surfaces, a particular issue in coastal regions.
- Manufacturing Workshops – used to de-rust nuts, bolts, tools and machine parts.
- 1. Remove any loose soils, oil, and grease.
- 2. Dilute 1:10 with water.
- 3. Fully immerse the part in the rust removal solution. Soak until rust is removed.
Soak time may vary:
- Light surface rust: 15 minutes
- Heavy rust: a few hours
- Severe rust: up to 24 hours
After soaking, rinse with water and dry thoroughly. If placing into storage, a protective coating may be required.
NOTE: Parts which are in contact with the solution for a long time may experience some darkening of the metal; this is not detrimental to the metal.
Learn more about NCH Asia's rust removal solutions today.


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Egypt polarised two years after Mubarak's fall
Date created : Latest update :
Two years after the beginning of protests that toppled Hosni Mubarak, Egypt remains a deeply divided country. Demonstrators recently attacked the headquarters of Mohamed Morsi's Muslim Brotherhood party. Meanwhile, the president compared the country's current challenges to the difficulties faced by the Prophet Mohammed when he founded the city Medina in the seventh century.


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Eighteen receivers made NFL Network's "The Top 100: Players of 2011" list, which comes to about half the teams in the league being represented at the position.
'The Top 100: Players of 2011'
The 10-week countdown of the list is complete with Tom Brady taking the No. 1 spot as voted on by the players. Relive the series from start to finish.
» Explore 'The Top 100' in depth
As when I ranked the best quarterbacks and running backs over the last few weeks, the wideouts will be grouped into categories of five and put in alphabetical order. For example, Group A is my top five receivers in alphabetical order, meaning I don't necessarily believe the fifth player named is the fifth best receiver.
Each of the 50 receivers listed either has an (^) for guys on the rise, (>) for players maintaining their status and (v) for those on the decline.
I considered the last two seasons for the majority of the stats below to get a better picture of consistent production.
Group A
1. Larry Fitzgerald, Cardinals (>): In the past two years, he posted 187 receptions and 19 touchdowns. He had 90 catches this year without Kurt Warner as his quarterback or Anquan Boldin to take pressure off of him.
2. Andre Johnson, Texans (>): He has 187 receptions and 17 touchdowns the last two seasons.
3. Calvin Johnson, Lions (>): He put up 144 receptions and 17 touchdowns with three different quarterbacks between 2009 and 2010.
4. Reggie Wayne, Colts (>): He has the most receptions over our sample size (211) to go with 16 touchdowns. He also has 892 yards after the catch.
5. Roddy White, Falcons (^): Has 200 receptions and 21 touchdowns.
Group B
1. Miles Austin, Cowboys (^): A major scoring threat and one of only two receivers (Wes Welker) to total 1,000-plus yards after the catch over the past two years.
2. Dwayne Bowe, Chiefs (^): He has 19 TD receptions in his last 27 games.
3. DeSean Jackson, Eagles (>): He's a big play waiting to happen and one of only two receivers with a 20-yard average the past two seasons. He has 20 total touchdowns over that time.
4. Vincent Jackson, Chargers (>): The holdout hurt his numbers, but he was franchised by the Chargers for a reason.
5. Greg Jennings, Packers (^): He has 144 receptions and 16 touchdowns and is on the verge of exploding now that Aaron Rodgers has become an elite QB.
Group C
1. Marques Colston, Saints (>): He's a matchup nightmare in the perfect offense. He has 154 receptions and 15 touchdowns. He works an inside seam route that can't be stopped.
2. Santonio Holmes, Jets (>): He has the speed to be a threat on every play, but the Steelers let him go for off-the-field issues. He has 131 receptions and 11 touchdowns to go with an average of 15 yards per reception.
More ...
» Top 100: Brandon Marshall
» Top 100: Santonio Holmes
» Top 100: Marques Colston
» Top 100: Brandon Lloyd
3. Brandon Marshall, Dolphins (>): While he's produced 187 receptions and 13 touchdowns, his YAC dropped from 527 yards in 2009 to 238 in 2010.
4. Hakeem Nicks, Giants (^): The sky is the limit for this kid after posting 126 receptions and 17 TDs in his first two seasons.
5. Mike Wallace, Steelers (^): Speed kills, and this guy has plenty of it. His 20.3 yards per catch during our two-season sample size is the best in the NFL.
Group D
1. Anquan Boldin, Ravens (v): Still a tough yards-after-the-catch guy. He has 148 receptions and 11 touchdowns for two different teams the past two seasons.
2. Brandon Lloyd, Broncos (v): Was 2010 a sign of things to come, or is he the guy who caught two touchdowns in the previous four years combined?
3. Steve Smith, Panthers (v): One of the most intense, tough receivers in the game. Staying healthy has been his issue. Probably not in Carolina in 2011 but will help a team like the Raiders or Bears.
4. Wes Welker, Patriots (v): A machine in the slot but drops a few passes on occasion. He still has the second-most receptions over the past two seasons (209) and has 432 catches since 2007.
5. Mike Williams, Bucs (^): He found the end zone 11 times as a rookie. Another year like that, and he would have more receiving touchdowns over two years than any receiver on this list.
Group E
1. Donald Driver, Packers (v): Is just 42 yards away from becoming the all-time receiving yardage leader for the Packers and still has gas in the tank. He finds a way to make a big play when Green Bay needs it most.
2. Santana Moss, Redskins (v): An underrated, shorter receiver who never promotes himself like others do. He had 93 receptions last year and led all receivers in YAC with 505 yards.
3. Terrell Owens, Bengals (v): Say what you want about T.O. and how he has bounced around the league, but he still produces if you can put up with his antics. Between stops in Buffalo and Cincinnati, he has 127 receptions and 14 touchdowns. He can still help a team.
4. Sidney Rice, Vikings (^): If four-year players turn out to be free agents when we have a new CBA, he will be one of the most in demand. He has Randy Moss qualities. In his last 22 games, he has 100 receptions, 10 touchdowns and just under 16 yards a catch.
5. Hines Ward, Steelers (v): He's like Donald Driver: A tough, reliable vet who gets the job done whenever asked. In the last two seasons, he has 154 receptions and 11 touchdowns. When will Father Time catch up with him? After watching "Dancing with the Stars" ... not yet!
» NFL's best running backs
Group F
1. Percy Harvin, Vikings (^): His production could slip with the quarterback situation in Minnesota. If Rice leaves, things could get worse. Between his 131 receptions and 15 total touchdowns, he's dangerous like DeSean Jackson.
2. Jeremy Maclin, Eagles (^): Even though he plays in the shadows of DeSean Jackson, his numbers are comparable. He has two more receptions and just one fewer touchdown than his star teammate since 2009.
3. Randy Moss, Titans (v): It might be all over for the guy who played for three teams a year ago. He finished with a career-low 28 receptions. I will give him the benefit of the doubt that he can get it going one more time because of his Hall of Fame career.
4. Jordy Nelson, Packers (^): Just re-watch the Super Bowl (nine receptions), and you know he's on the rise. I expect him to have a big year in 2011 after 21 postseason grabs.
5. Chad Ochocinco, Bengals (v): He is not the receiver he once was and comes with more issues than almost any player in the league. His three-year average of 64 receptions and 5.6 touchdowns might not be worth the grief to most teams.
Group G
1. Michael Crabtree, 49ers (^): A talented receiver who needs an attitude adjustment to realize his potential. Better QB play would also help. He has 103 receptions and eight touchdowns since coming into the league in 2009, but is capable of a lot more.
2. Braylon Edwards, Jets (>): In Cleveland, he was known as a great athlete who dropped way too many passes. He's eliminated the drops in New York and has 88 grabs and 11 scores in 28 games since joining the Jets.
3. Lee Evans, Bills (v): Still the vertical threat for the Bills. He has seen more quarterbacks come and go than almost any other receiver but now has stability with Ryan Fitzpatrick. If Evans stays healthy, he could be back for a solid season and average close to 16 yards a catch. If not, he falls right off this list next year.
4. A.J. Green, Bengals (^): Although he hasn't played a down in the NFL, the talent is obvious. It all depends on who the QB is in Cincinnati.
5. Julio Jones, Falcons (^): He's going into the perfect situation: a tremendous quarterback and Roddy White on the opposite side. Jones will see single coverage all year long and should put up some impressive numbers as a rookie.
Group H
1. Danny Amendola, Rams (>): Some would say he doesn't belong this high. However, when you consider he had 85 receptions with a rookie quarterback and no featured wide receiver or tight end last year, it says something about him. Put him in a situation like New England, and he could have 100 receptions in the slot. In fact, St. Louis might plan to get him in the slot.
2. Stevie Johnson, Bills (^): Exploded with 82 receptions and 10 touchdowns last year. He is a hungry guy who had to fight his way into the NFL. Expect another very solid year. Duplicating his 2010 numbers would keep him on the rise.
3. Derrick Mason, Ravens (v): A solid veteran with 134 receptions and 14 touchdowns since 2009. He has 14 seasons under his belt.
4. Steve Smith, Giants (>): Even though he has to recover from injury, he has consistently produced when on the field. He's best in the slot but has played everywhere. In his last 25 games, he has 155 receptions and 10 touchdowns.
5. Mike Williams, Seahawks (>): Reinvented himself when he realized his career was over. He dropped weight and developed a work ethic. He only caught 44 passes from 2005-2007, was out of football for two seasons, and then returned to grab 65 balls last season. He will easily repeat that performance in 2011.
Group I
1. Steve Breaston , Cardinals (>): When asked to replace an injured Anquan Boldin a couple of years ago, the Cardinals didn't miss a beat. Even though he's a threat after the catch, his recent numbers have not been as impressive.
2. Nate Burleson, Lions (v): A solid complement to Calvin Johnson.
3. Jerricho Cotchery, Jets (>): A polished receiver who always knows how to get a first down.
4. Pierre Garcon, Colts (^): A rising star who has 114 receptions and 10 touchdowns over the last two years.
5. Roy Williams, Cowboys (v): He never lived up to the billing, and the Cowboys overpaid to get him from Detroit. In his two full seasons with the Cowboys, he's averaged 15 yards a catch with 12 touchdowns.
Group J
1. Davone Bess, Dolphins (>): A solid slot receiver with big numbers (155 receptions and seven touchdowns in the last two years).
2. Dez Bryant, Cowboys (^): Lots of talent but needs to work on it from the neck up.
3. Austin Collie, Colts (^): A product of a great system or an emerging talent?
4. Johnny Knox, Bears (^): He will be moving up and out of this group by the end of 2011 in Mike Martz's offense. He has 96 receptions at 15.5 yards per catch and 10 touchdowns in his first two seasons.
5. Lance Moore, Saints (>): Coaches know how good this guy is. He could get some solid offers in free agency if he hits the market. Throw out 2009, when he was injured, and look at 2008 and 2010. He had 145 receptions and 18 touchdowns over those two seasons.


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Michaels to play charity concert
POISON star BRET MICHAELS is set to stage an intimate show in Chicago, Illinois next month (Mar12) to raise money for a local performing arts charity.
The rocker will take to the stage at the Metropolis Performing Arts Centre in Arlington Heights as part of a fundraiser for the venue's Metropolis School of the Performing Arts, which provides classes and performance opportunities for local youngsters.
Proceeds from the Rock for Kids concert will go to help the organisation and organisers will also auction off meet-and-greet sessions with the star.
A statement posted on the venue's website reads, "He's had chart-topping hit songs, won Celebrity Apprentice, starred in Rock of Love, and now he comes to Metropolis! Bret Michaels is set to rock our intimate venue for one night only.
"Plus, we'll be auctioning off an exclusive pre-show meet and greet... Proceeds from the auction and this inaugural Rock for Kids concert will benefit Metropolis School of the Performing Arts."
The gig will take place on 13 March (12).


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Dear Pharmacist,
I have allergies and I'm not sure which medication to buy. Can you help?
-M.T., Gainesville, Florida
Dear M.T.,
The most common allergy triggers include pollen, pet dander, dust mites, mold spores, cockroaches or foods (like mangos). Protein in food (such as gluten in wheat or casein in dairy) is another allergen that is extremely important because the "allergy" doesn't manifest in a typical allergic sneezing fit. The allergy may be an underlying cause of lifelong disorders such as asthma, diabetes, Rheumatoid, MS and others.
Your body has to defend itself against an allergen. It utilizes military cells from your immune system which reside primarily in your gut. That's why I recommend taking digestive enzymes and probiotics and avoiding sugar. As your body struggles to remove the perceived invader, it creates chemicals that happen to trigger sneezing, itchy throat, irritated eyes, and runny nose. To relieve the misery of "allergic rhinitis," doctors prescribe antihistamines, which dry you up. Makes sense, right? However, many medications can cause dry mouth, dry eyes or constipation.
Here's a breakdown of common allergy medications and the possible side effects.
Diphenhydramine: Sold over-the-counter (OTC) as Benadryl, it causes extreme sedation, which makes it perfect for nighttime use if you also have insomnia. But if you take this medication, stay off the road!
Hydroxyzine: Known as Vistaril or Atarax, doctors use it to treat allergies as well as anxiety, insomnia and skin rashes. It's fallen out of favor in recent years.
Cetirizine: Known as Zyrtec, this is the child, or metabolite, of hydroxyzine. It works well and can cause drowsiness, especially in older people. There's debate on this point, but I'd avoid citrus/grapefruit juice while taking this drug.
Levocetirizine: A relatively new drug called Xyzal is the child of Zyrtec. Do you see a pattern with drug companies yet? They lose money when their drug goes generic, so they patent a metabolite from the first drug. It's brilliant from a business standpoint, but you can save money if you just buy the low-cost generic that goes OTC, and let your body do the converting.
Loratadine: Commonly known as Claritin or Alavert, one pill works all day and it doesn't make you drowsy. Avoid grapefruit juice with this drug.
Desloratadine: Sold as Clarinex, it's the child of Claritin sold OTC. It works just as well, and with similar side effects, but it's prescription only and more expensive.
Nasonex: It's a nose spray that doesn't knock you out or keep you up. Squirt once daily for 24-hour coverage.
Singulair: This drug squashes leukotrienes, not histamine. Some doctors prescribe it along with traditional antihistamines. Accolate is another drug in this class.
Pseudoephedrine: This is a decongestant used for a stuffy nose or sinus headache known as Sudafed.
Did You Know?
You can buy eye cups and soothing eye washes at any pharmacy to relieve red, puffy, itchy eyes.
Want to know more? Get your own copy of The 24-Hour Pharmacist and Drug Muggers: How To Keep Your Medicine From Stealing the Life Out of You! Plus, meet Dr. Suzy Cohen.
The information contained on www.lifescript.com (the "Site") is provided for informational purposes only and is not meant to substitute for advice from your doctor or healthcare professional. This information should not be used for diagnosing or treating a health problem or disease, or prescribing any medication. Always seek the advice of a qualified healthcare professional regarding any medical condition. Information and statements provided by the site about dietary supplements have not been evaluated by the Food and Drug Administration and are not intended to diagnose, treat, cure, or prevent any disease. Lifescript does not recommend or endorse any specific tests, physicians, third-party products, procedures, opinions, or other information mentioned on the Site. Reliance on any information provided by Lifescript is solely at your own risk.


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The exciting wallpaper is other parts of First Time Veggie Garden—Where to Start? piece of writing which is grouped within Tomato, Support, Gardening and made public at April 12, 2017 12:02:56 pm by rchadmin
First Time Veggie Garden—Where to Start?: Tomato Plant Support
- Start slow; start small. If you try and create a farm overnight, neither you nor the farm are going to be happy with the results. Start by building a couple of raised beds the first season and add a few new ones every year. Which brings us to:
- Build raised beds! You get better yields, prevent weed woes and only feed and water the important plants when you create a physical barrier between your crops and the rest of your landscape. Raised beds can be any length, but never wider than four feet, so that you can reach into the center without stepping into them. That loose, uncompressed soil is your ticket to a lot of food with a minimum of work.
- Be creative. Kim should try and use the rocks she is so blessed with to make her raised bed frames. They're free, won't have to be removed from the area, and will heat up in the sun, warming the beds in the evening, an essential bit of assistance in her chilly clime. Dick could use local stone, any kind of naturally rot-resistant wood, or pretty much anything except toxic railroad ties or pressure treated timbers. Here's a Previous Question of the Week with lots more raised bed info.)
- Play to your region. With Kim's short season in New England, she should grow everything in that full sun area by the side of the house. Dick's plants, however, would greatly benefit from some afternoon shade when his hot and humid summers really crank up the old scorch-o-meter.
- Build the beds now, so you can hit the ground running first thing next Spring. If the garden-to-be is currently a lawn, remove the grass with a sod-cutting machine, or use a sharp knife to cut strips a foot wide and roll them up. Or do the old standby instead: Till the area up, rake out as much of the green stuff as possible and then use a barrier against weeds.
- Use a barrier against weeds! After you remove whatever is there, lay sections of cardboard down to prevent whatever it was—and all the buried weed seed you uncovered—from growing back. Lay the cardboard at ground level and build the beds up on top of the cardboard. You can use sheets of newspaper instead, but cardboard is a better barrier.
- Enrich the soil now. Find a good source of bulk compost or aged mushroom soil and use it to fill your beds. Aim for a 50/50 mix of compost or aged mushroom soil and your native soil, unless your native soil is 100% nasty clay, which is better pitched into the woods.
- Protect your investment with mulch. Shred up every fall leaf you can find and cover your beds with two inches of this excellent weed-suppressing, soil-improving mulch. Save many more bags of shredded—NOT whole—leaves for summer mulching and to begin your own compost making initiative.
- Don't start your own plants from seed the first year. You'll have MORE than enough other stuff to do. To grow salad greens, pull back the mulch completely, sow the seeds thickly and harvest with scissors "cut and come again" style when the plants are four or more inches tall. They'll grow back for several cuttings. Same with other direct-sown crops like string beans; pull back the mulch and plant the seeds. But for the serious plants of summer—tomatoes, peppers, cukes, melons and such—buy started plants, pull back just enough mulch to install them, and then leave the rest of the mulch in place to prevent weeds. You can start your own plants from seed after you get good at not killing the ones professionals have grown for you.
- Have fun. Please don't do this if you have no appetite for learning, failure or having many more reasons to laugh at yourself then you did the previous year. Yes, you'll get good things to eat, lots of fresh air and exercise, and you'll save money—especially in the long run. But you'll also learn more than you perhaps desired about the tenacity of weeds, the vagarieties of weather and the formidable abilities of wildlife that take a fancy to your plantings. Remember to breathe; remember to laugh—especially at yourself—and you'll see why people like me can't wait to return to this challenge year after year.
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Peer-Reviewed Publications
Found 33 resultsTitle
Filters: Author is Joel A Fein [Clear All Filters]
Is Household Composition Associated With Repeat Fight Injuries in Adolescents Living in Urban Neighborhoods?" J Interpers Violence. 2019."
Trauma-Informed Care for Violently Injured Patients in the Emergency Department." Ann Emerg Med. 2019;73(2):193-202."
Adult Connection in Assault Injury Prevention among Male Youth in Low-Resource Urban Environments." J Urban Health. 2018;95(3):361-371."
Application of a Framework to Implement Trauma-Informed Care Throughout a Pediatric Health Care Network." J Contin Educ Health Prof. 2017;37(1):55-60."
Developing a Community-Wide Initiative to Address Childhood Adversity and Toxic Stress: A Case Study of The Philadelphia ACE Task Force." Academic Pediatrics. 2017;17(7):S130-S135."
The Psychosocial Needs of Adolescent Males Following Interpersonal Assault." Journal of Adolescent Health. 2017."
Examining the Role of Supportive Family Connection in Violence Exposure Among Male Youth in Urban Environments." Journal of Interpersonal Violence. 2016."
Modifiable Neighborhood Features Associated With Adolescent Homicide." JAMA Pediatrics. 2016."
Adverse Childhood Experiences: Expanding the Concept of Adversity." Am J Prev Med. 2015;49(3):354-61."
Examining the Role of Supportive Adults in Violence Exposure Among Urban Male Youth." Journal of Adolescent Health. 2015;56(2):S82-S83."
Household and community-level Adverse Childhood Experiences and adult health outcomes in a diverse urban population." Child Abuse Negl. 2015."
Traumatic Stress, Depression, and Recovery: Child and Parent Responses After Emergency Medical Care for Unintentional Injury." Pediatr Emerg Care. 2015;31(11):737-42."
The Knockout Game: Recreational Assault and Traumatic Brain Injury." The Lancet. 2014;383(9916):513-514."
The Assault-Injured Youth and the Emergency Medical System: What Can We Do?" Clinical Pediatric Emergency Medicine. 2013;14(1):47-55."
Childhood Traumatic Stress and the Emergency Department Visit." Clinical Pediatric Emergency Medicine. 2013;14(1):41-46."
The assault-injured youth: what we know, how we use it." J Adolesc Health. 2012;50(3):213-4."
Pediatric and adolescent mental health emergencies in the emergency medical services system." Pediatrics. 2011;127(5):e1356-66."
Self-reported violence-related outcomes for adolescents within eight weeks of emergency department treatment for assault injury." J Adolesc Health. 2011;49(4):440-2."
Development, validation, and utility of internet-based, behavioral health screen for adolescents." Pediatrics. 2010;126(1):e163-70."
Feasibility and effects of a Web-based adolescent psychiatric assessment administered by clinical staff in the pediatric emergency department." Arch Pediatr Adolesc Med. 2010;164(12):1112-7."
Using community-based participatory research to develop the PARTNERS youth violence prevention program." Prog Community Health Partnersh. 2010;4(3):207-16."
Before and after the trauma bay: the prevention of violent injury among youth." Ann Emerg Med. 2009;53(4):490-500."
Feasibility of an interactive voice response tool for adolescent assault victims." Acad Emerg Med. 2009;16(10):956-62."
Translating community-specified indicators of program success into measurable outcomes." J Public Health Manag Pract. 2009;15(6):E22-30."


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1) Please tell us about your novel.
At CIA headquarters, a young officer discovers that terrorists may have commandeered their computer systems to launch an unauthorized mission. Elsewhere, conspirators abduct nine people to manipulate the rules of their game. Two disparate ambitions — Clint Masters becomes the reluctant link in the chain of danger.
Ever since Clint's almost ex-wife dumped him, he bobs along the Massachusetts coast in a sailboat with his black lab for company. He avoids all forms of technology, a counterintuitive effort for the burned-out founder of CatSat Laboratories. Tired of clutching the brass ring, he needed to untether, step off the corporate treadmill, and smell a flower. Fortunately, he met one, a beautiful, unspoiled woman who doesn't treat him like a commodity. His relationship with Beth offers more promise than his marriage ever did, even if she is on dialysis for her recovering kidneys, until she disappears.
In spite of the evidence, her family refuses to admit she's in danger. Without routine dialysis, she won't survive. As Clint realizes that he loves Beth, damn-near ex-wife Paige sashays back into his life with disturbing news.
While the CIA young gun tracks his quarry, Clint enlists the help of two men to find Beth, a blithe Brit named Merlin, and Todd, his playboy partner-in-tech. But Clint must find Beth before her kidneys fail. And before someone unloads a bullet in his head.
2) What was your inspiration for this novel?
We live with a level of convenience and comfort unimaginable in prior centuries. My husband and son visited Abraham Lincoln's Springfield, IL home, and the man had a three-hole outhouse. Yet, all our technology and connectedness create tethers that generate a constant level of tension. For some it's a comfortable companion, but for others it can form another set of chains. I know it's unrealistic to think that life was idyllic at any point or place in history, but I occasionally pine for more simplicity. However, I am immensely grateful for the strides of modern medicine, as is my character Beth.
3) In this book, you have a character kidnapped who requires dialysis. This element added an unusual tension to the search for the character. What made you decide to include this as a character aspect?
We all meet someone with chronic illness, eventually. How we treat them reveals our character. And while they may be down, we must never count them out for good. A friend of mine has a condition that could lead to reduced kidney function. In studying this, I made some discoveries that altered my assumptions about the dialysis process. The first successful dialysis treatment occurred in 1945, and while the basic process remains the same, the equipment has vastly improved. Research always sparks my story lines.
4) Given the way the book ends, I can easily see a sequel featuring some of the characters introduced in 3 Lies. Are you working or do you plan to work on a sequel?
Currently, I'm final-editing DEEP POOL, and it does contain one of the characters from 3 LIES in a minor role. So far all my stories exist within the same timeline, consequently, my characters have opportunity to meet. I've given thought to a sequel, but Maggie and Travis Fender, from DEEP POOL, were anxious for me to tell their story next. Travis is fresh from jail for hacking, but maintains that he was framed. His step-sister, Maggie, a struggling waitress, is legal guardian to Travis and their father who has Alzheimer's. After billions of hedge fund investment dollars go missing, investigators and mobsters decide that the Fenders merit watching.
5) There are some fairly obscure aspects of technology involved in several key scenes in the book. Were these informed by your background or research?
Background, research, and imagination. The premise presented, regarding satellite technology, is not entirely factual, to my knowledge. It is a science fiction element that is theoretically plausible. I've worked in technology fields my entire professional career, so it spills over into my writing. Marrying a bigger geek than myself offers another brain for mining. That said, since the book came out, I've encountered some articles on the web that indicate the techno ideas may actually be in operation. However, I'm still waiting for my replicator . . .
6) Are there any authors who have influenced you?
If you read, you're influenced, whether pro or con or positively or negatively. As a writer, every book you read binds another protein to your DNA, though some you may wish to excise. My gratitude to other writers started with Dr. Seuss, who gave me a love for silly and a delight for the rhythm of words, and progressed to John le Carré, who gave us George Smiley and a glimpse into the dreary world of spies.
7) Tell us a little about your writing process?
I start with a basic premise and the main character, and then I create a timeline of events. As I research, I add points along the timeline and list ideas for consideration. My plan is more of a list of possibilities rather than a specific outline. I need details for a few chapters out from wherever I am, then I write it and see what happened. I liken the process to taking a road trip from New York to Los Angeles; I know where I'm going, but I'll decide which attractions to visit after I'm driving. Maybe I'll want to check out an albino squirrel or eat the world's biggest turnip. Too much planning and you lose your own sense of adventure.
8) If you had one piece of advice for an aspiring author, what would it be?
Read books on writing until the information oozes onto your page. Find other writers who will come alongside you and tell you what works and what doesn't. You want people to help you strengthen your voice and corral your excesses. Sorry, I guess that's really two.
Thanks, Helen.
For those who are interested in a great thriller, you can purchase 3 Lies at a variety of vendors:


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Keilani Ricketts Named Top Female Collegiate Athlete
"I would like to thank Honda for sponsoring and for the CWSA to appreciate us as collegiate athletes," Ricketts said. "We really do feel appreciated. I've had a blast so far. Congratulations to all of the recipients because all of them have had amazing seasons. It's awesome to be able to experience this with them.
"My teammates helped me stay determined. Winning the Honda Cup has been great to represent my school and my state. I wouldn't be here without the people of Oklahoma. They have motivated me to be prideful to use softball to represent them well."
The two-time winner of the Honda Sports Award for Softball, Ricketts beat out the other 11 Honda Sports Award winners, including fellow finalists Elena Delle Donne, women's basketball player from Delaware, and Kimberlyn Duncan, track and field athlete from LSU.
Ricketts becomes the first student-athlete in Oklahoma history to win the Honda Cup and is just the third softball player to take home the honor, joining UCLA's Natasha Watley (2003) and Lisa Fernandez (1993).
"Keilani is a great person to represent collegiate women's sports, and softball in particular as it looks to re-enter the Olympic programme," Jean Lenti Ponsetto, CWSA Chairwoman of the Board and
Athletics Director at DePaul University, said. "When we showcase the nation's best of the best in collegiate athletics live on ESPNU, we are delighted to honor an athlete like Keilani. She is a special athlete, and one who is very deserving of the 2013 Honda Cup."
The two-time USA Softball Collegiate Player of the Year, Ricketts helped lead the Oklahoma softball team to the 2013 National Championship, the second in program history. In the title-clinching win, she drove in all four runs in a 4-0 victory over Tennessee, including a three-run home run.
Ricketts was 35-1 this season with a 1.23 earned run average and 350 strikeouts in 238.1 innings pitched. She posted the second most shutouts in the nation this year with 16 and ranked third in wins (35), fifth in hits allowed per seven innings (3.61), sixth in total strikeouts (350) and eighth in both ERA (1.23) and strikeouts per seven innings (10.3).
Additionally, Ricketts hit .379 at the plate with 15 home runs and 60 runs batted in. She slugged .725, got on base at a .534 clip and was a perfect 9-9 on stolen bases.
The CWSA presents the Honda Sports Award annually to top women athletes in 12 NCAA-sanctioned sports. Ricketts was chosen for the Honda Sports Award by a vote of the National Fastpitch Coaches Association.
A member of the 2013 USA Softball Women's National Team, Ricketts will compete next from July 11-14 at the World Cup of Softball in Oklahoma City.
/// SoonerSports PR


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Astros rally for 3-2 win over Rockies
HOUSTON — The Houston Astros know they can't get too excited about winning two of their first three games.
Still, after the starts they've had the last couple of seasons, they can't help but feel good about it.
Brian Bogusevic drove in the go-ahead run after Jose Altuve scored on Jordan Pacheco's throwing error to tie it in the eighth inning and the Astros beat the Colorado Rockies 3-2 Sunday to win their opening series.
The Astros lost their first five games last season and dropped eight in a row to start the 2010 season. They have a winning record for the first time since they were 51-50 after games on July 29, 2009.
"We want to instill winning in all of us," Houston starter Bud Norris said. "When you come to the ballpark, you expect to win and we're trying to build something. We've got the talent to do it."
Houston manager Brad Mills is happy about the start, but he certainly wasn't getting ahead of himself.
"We're talking about three games — winning two of them (but) moving forward, I think they know and we know that they can do it," Mills said.
Altuve singled with two outs in the eighth inning before J.D. Martinez hit a sharp ground ball that bounced off the glove of reliever Rex Brothers (0-1) for another single.
Pacheco's bad throw to first base from third allowed Carlos Lee to reach and Altuve to score. Bogusevic's grounder to right field put Houston ahead and chased Brothers.
Brothers' breakdown spoiled a solid effort by Juan Nicasio in his return from a broken neck. He allowed five hits and one run in seven innings in his first start since breaking his neck when he fell after being hit in the head by a line drive on August 5.
"I wasn't nervous, I was feeling good," Nicasio said. "Thank you God, because I wanted to have the opportunity to get to the mound, I want to go to compete. Just get it out of the way. It's time."
Former staff ace Brett Myers pitched a scoreless ninth for the save in his first appearance as Houston's closer.
The Rockies led for most of the game after Wilin Rosario gave Colorado a 2-0 lead with his two-run homer to left-center in the fourth inning.
"Because of our inability to do anything offensively than the one swing Wilin Rosario took, we put ourselves in a position where any little mistake that gets made is going to get magnified, and potentially cost us the game," Colorado manager Jim Tracy said. "And that's exactly what happened."
Norris yielded four hits and two runs and struck out eight in seven innings. Wilton Lopez (1-0) got the last two outs of the eighth for the win.
Nicasio, who was 4-4 in 13 starts as a rookie last season, looked strong in his return from the terrifying injury. He was hurt when Washington's Ian Desmond hit him with a line drive and sent him to the ground. He had to undergo surgery to have two pins inserted into his cracked C-1 vertebra and also had a small metal plate attached to the back of his neck.
He went 2-0 with a 3.90 ERA in six games this spring to prepare for his comeback.
Altuve tripled in the fourth inning and scored on a double by Lee to cut Colorado's lead to 2-1. Nicasio retired the next six batters before walking Altuve with one out in the sixth.
Martinez hit a long flyball to center field after that, but Tyler Colvin chased it down and snagged it with an over-the-shoulder catch. Nicasio allowed a single in a scoreless seventh before being replaced by Brothers for the eighth.
Troy Tulowitzki, who was hit by a pitch in the left elbow by ex-teammate Ubaldo Jimenez of Cleveland a week ago, was plunked on the hip in the sixth inning. He was OK, though, trotting to first base after being hit.
Norris then walked Jason Giambi for the third time, but Michael Cuddyer grounded into a force out leaving runners at the corners. Norris escaped the jam by striking out Rosario to end the inning.
NOTES: The Astros claimed OF Justin Maxwell off waivers from the New York Yankees on Sunday. The Astros will make a corresponding roster move when he reports on Monday. ... Giambi is tied with Mark McGwire for 38th in major league history with 1,317 walks after three on Sunday.


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Rep. John Carter warned Customs and Border Protection officials that as immigration policies come to a head in Congress, the agency will likely be involved in the first steps of implementing any new policy.
"We just had released last night the Senate's view of the future of immigration policy. The House is working on immigration policy and I assure you everythings going to start with the definition of a secure border," said Carter, chair of the House Appropriations Subcommittee on Homeland Security during a hearing Wednesday.
The Republican from Round Rock is one of eight members of a bipartisan House group hoping to reach agreement on a comprehensive immigration measure — following the lead of Senate negotiators.
During the hearing, Carter and other members of the subcommittee also asked officials to define what they thought was a secure border and how they assess it maintains secure.
Michael Fisher, chief of border patrol for Customs and Border Protection, said their objectives include the ability to preempt and identify potential attacks or threats and providing security to communities they serve a long the border. Officials were wishy washy on the metric system they relied on, saying it's a complicated system but one method uses the number of border crossing, analyzing the number of apprehensions and for the reasons they were arrested or brought back to Mexico.
In fiscal year 2012, 364,768 apprehensions occurred in the United States, 356,873 of them along the Southwest border, according to Customs and Border Patrol statistics.
Rep. Henry Cuellar called for the subcommittee to sit down with agency officials to reach a mutual agreement on measuring performance and its mission.
"I think it'll be healthy for all of us to sit down and actually point out some performance measures," he said, adding it will be more clear cut for when Congress sits down and decides the budget.
Officials also told Congress the fiscal year 2014 request would sufficiently fund personnel levels. Customs and Border Protection would receive a $221 million and 1,600 officers would be added along the border to increase efficiency in travel and trade, despite a 1.5 percent dip in Homeland Security funds outlined in President Obama's 2014 fiscal year proposal.
McAleenan, acting deputy commissioner for Customs and Border Protection said the agency's top priorities for the coming fiscal year are strengthening resources at the U.S.'s ports of entry to increase efficiency in travel and trade as well as improving technology and targeting systems for better awareness along the border.
The United States has 329 ports of entry, 29 located in Texas, according to the Customs and Border Protection website.
McAleenan said there is a 6 percent increase in truck cargo levels in Texas and a growth in pedestrian traffic through airports. He said the majority of trade and travel comes through land ports and there is an increasing need for more officers along these ports to speed up the process.
Carter, a member of the House's not-so-secret bipartisan group developing its own immigration policies, said if officials have ideas on improving immigration and border security, they should come speak now.
"[Americans] want an effective immigration system that begins with a secure border…that puts you in the hot seat," he said to officials.