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Norman gives his second talk on the Sandokai to the 2013 Loon Lake Sesshin. this is the third talk of the sesshin.
Sandokai Talk 2 – Loon Lake Sesshin
By Zoketsu Norman Fischer | Nov 13, 2013
Transcribed and edited by Barbara Byrum and Cynthia Schrager
The next line of the Sankokai:
People's faculties may be keen or dull,
but in the path there are no Southern or Northern ancestors.
These lines are actually quite practical. People differ in their capacities, in their talents, in the way they approach things, and in how they understand things. Therefore, the teaching and the practice is different for different people. Pretty obvious, right?
But I think that there is more to it than that. The Sandokai is not saying that there is a teaching or a practice, which is then explained in different ways to suit different people – people who are keen or dull. When you read that, it sounds like, Well, the really serious teaching is for the keen people, but they figure out something to give us to keep us happy too. No, I don't think it means that. Remember that do, the absolute, the oneness, can only appear as san, multiplicity, individuality. There is no oneness, floating out there in space somewhere, as much as we keep thinking this way.
So it is not that the teaching is presented differently to different people: serious teaching for the serious people, and then they water it down for the rest of us. The teaching actually is different according to the different styles of different people. We can distinguish: This one is smart; this one is not so smart. This one has a great understanding of the teaching; this one doesn't. This one is a very good meditator; that one is a terrible meditator. But none of these things actually touch the buddha way, the actual path, which is fully and uniquely realized in each practitioner.
This is really an amazing idea. It means that the only place you could find the absolute truth of buddha dharma is in the practice of the individual practitioner – in my practice and yours. It is the only place you could find it. It is not in the sky. It could only appear as your practice and as my practice. The do of the dharma doesn't exist anywhere else but in the san of each person's practice.
I think that is what Shitou is saying here. There are various ways to practice,in fact, infinite ways, just as many as there are sentient beings, and each way is the only way. Each way is the true way and includes all the others.
The spiritual source shines clearly in the light.
The branching streams flow in the darkness.
Now Shitou is making a broad philosophical and metaphysical statement. To do it he is using this complicated, double metaphor. He's got light and darkness going as one metaphor, and then he has an image of a stream for another metaphor – a stream, which has a source, and then from that source, many streams branch out
In this metaphor, darkness stands for do, or unity, oneness, emptiness, aloneness. (The words don't matter; we get the idea.) Light stands for diversity, difference, individuality, form, multiplicity. The metaphor, more or less, makes sense, right? In emptiness and unity and oneness, there is no distinction or discrimination; there are no differences. There is no this and that. There is one. In the dark everything is equally dark. There is no distinguishing this from that in the dark. So dark stands for do. The only way you distinguish things from each other is when there is light, so light is san, the myriad things of the world.
In the stream/source metaphor, the source is union, emptiness, the absolute – like the source that feeds many streams. In the metaphor, you can't see the source, because it is either deep underground, or maybe the source is at the top of the topmost peak, where no-one can ever go. So the source is deep or lofty. Anyway, it is mysterious and unknowable. But, of course, you can see the stream. It bubbles up and goes down the mountainside. In response to various obstacles and contours in the landscape, the stream takes shape and eventually branches into many streams.
The metaphor doesn't mention it explicitly, but, of course, when you think of the metaphor, all streams flow, in the end, to the ocean, where they converge and return back to the ultimate source. Later on the Sandokai does mention that all things return to the source, to darkness, to union. Of course they do. What other possibility would there be?
It says, "The spiritual source shines clearly in the light." Wait a minute. Wouldn't it be the opposite of that? The source is hidden; it's in the darkness. Why does he say that it shines clearly in the light? Yes, the source is the darkness, and it is hidden, invisible, but Shitou is saying here that you can see it everywhere, in each thing. Then he says, "The branching streams flow in the darkness." But, wait, the branching streams are supposed to flow in the light. It's the opposite. You can see a stream in the light, and all the meandering branches, but here Shitou is saying that you cannot see them, because they are not streams at all. They are actually the darkness.
Do – truth, unity, emptiness – is darkness. The deep, hidden truth of this darkness is right here in plain sight, and all the things we see and hear and taste: in the light, in our own thoughts, in the sensations of the body, and in every breath, and in every person that we meet. Everything is gently and constantly going beyond itself to the heart of things. Everything is gently teaching us, speaking to us, teaching us, guiding us to wisdom. That is actually going on all the time. But we are so profoundly stuck on our narrow viewpoint, that we can't hear the music.
In Zen there is a wonderful saying, "Looking at the sky through a pipe." The sky is there. No one is hiding the sky. There is no mask over the sky; it is there. All you have to do is open up your eyes and see it. But if you decide to look at the sky through a long, narrow pipe, you become convinced that the sky is quite small. It has only got a diameter of three inches. Painfully, painfully small. It's true, and maybe once in awhile in sesshin you feel it, and it is one of the pleasures of sesshin. You feel that everything is speaking to you. You feel that things really are alive. You feel that things really are unlimited. You don't need an extra, special, hidden, mystical truth. Just feel your body walking in space and time, on the earth. What bigger miracle do you want?
Next Shitou goes from this metaphysical statement about the source and light and dark to something about our mind, our psychology – applying that truth to our experience and our psychology: how we live, how we see the world. He says, Here is how we create that narrow pipe. Here is how we make the world small:
Grasping things is basically delusion.
So, that is pretty clear. We know that pretty well. Wanting things is okay; it is normal and natural. When you are thirsty, you want water, and that is as it should be. That's a good thing. So wanting is okay, but grasping is pain. Expecting that things are going to be as you want them and holding tight to that expectation, or, maybe, even as we so often do, holding tight to what you don't want by desperately hating it and wanting to get rid of it – which is also a kind of grasping. Wanting something to come or go, and becoming terribly upset when it doesn't come and doesn't go, are both grasping.
So wanting is fine, but then, in the middle of wanting, you have to let go. So, you get what you want. Sometimes you do! I expected it, I wanted it, I got it. Good, let go. I expected it, I got it, I didn't want it. Good, let go. So when your wanting has the ease of letting go right in the middle of it, then you can appreciate wanting and see what it is. It's such a wonderful thing. Life always is wanting. Wanting is big and happy and wonderful, and you feel grateful for everything. But grasping reduces the wide world to your small needs and desires, and then the sky is three inches wide.
This is what he is saying here, and it's not too surprising. It's basically what we all understand in dharma. We understand it, but living it is hard, of course. But the next line is kind of surprising. Shitou is talking about the opposite of that, what we usually think of as enlightenment, what we all think that we are trying to get from our practice. As you can already sense in the poem – it is written like a lot of Chinese poetry in parallel – each line balancing the other, usually in the opposite way. So one line is about grasping, and the next line is the opposite. It is about the letting go into enlightenment, which Shitou, in this translation, calls "merging with principle." He is using a traditional, Chinese, philosophical term that means "hidden pattern," just like patterned lines that run through a piece of jade. So merging with principle is the opposite of grasping: letting go of our smallness and merging with the deep fabric in the pattern in things.
Enlightenment sounds like what we are after, right? We hope for that. That's what we want. Get me out of this miserable situation! But here Shitou is saying, "Merging with principle is still not enlightenment," meaning not true enlightenment, or the idea of enlightenment that Shitou is advancing in the Sandokai, which would appear to be something else.
So, remember: San-do-kai: an agreement of merging of multiplicity and union, or in this context, an agreement or a merging of delusion, grasping, and enlightenment. So this is about how we practice, how we understand. It's about us; it's about our experience. What Shitou is saying – which might seem a little startling at first – is, I am not advocating enlightenment, which is the opposite of grasping and suffering. He's saying, I'm not advocating enlightenment. I am certainly not advocating delusion either. I am advocating san-do-kai: the unity, the oneness, the merging of both of those. Delusion and enlightenment shaking hands, being in agreement, making a contract, a pact – together.
When I was thinking of this today, I remembered Katagiri Roshi, many years ago, saying that this is all expressed when we make gassho. He was such a charming and wonderful person. I remember very vividly Katagiri Roshi putting his palms together, carefully and meticulously, in gassho, and saying, "This hand is delusion. This hand is enlightenment. This is our practice. Putting the two together in one gesture."
So when you put your hands together in the zendo and bow to your seat, or when you are walking by someone, and you bow to that person in passing, think of this practice of san-do-kai. You are saying, Yes, I know that this is a cushion that somebody manufactured and paid for and transported to this place, but it is also the sacred Bodhi mandala. This is literally the place where the Buddha sat. When you bow to another person, you are saying, Yes, here is another poor soul just like me, who is Buddha. In this way, we can be very realistic about one another and about ourselves, but at the same time, accord ourselves and one another the ultimate respect. Sandokai.
Actually, light and darkness is more than a metaphor, or rather, it is more of a metaphor, more of a metaphor than you think. It is literally, physically, actually the case – not just metaphorically – that the world of san, which don't forget is also do, is the world of light. Without light, there would be no physical world at all, and there would be no consciousness. In most spiritual traditions, consciousness is referred to as light – illumination. That's why the saints have haloes around their heads.
I am reading a book about light. I will read some short passages, to show what the theoretical people think about light. [Norman reads passages from a book, and ends with the sentence: "Our mindful awareness of the world is already implicated in the world's reality."]
So this brings us back to Aristotle's living universe: the world is alive with us. It exists because we're alive. It's alive, because we're alive. It brings us back to the profound Mahayana Buddhist teachings that underlie our practice. We and the universe are co-creating each other on every occasion. This does not mean that the world does not exist outside my mind. It means that we can't tease apart, ever, at any point, my mind and this world that I inhabit. There is literally no such thing as being isolated and alone, however powerful our habit of thinking that way may be.
Each sense and every field
Interact and do not interact;
When interacting, they also merge –
Otherwise, they remain in their own states.
Forms are basically different in material and appearance,
Sounds are fundamentally different in pleasant or harsh quality.
So these lines are about this most beautiful of all relationships – the relationship between ourself and the world we live in. We interact with this world, and also, we don't, because our whole body and mind already is the whole world. You and I are literally unique and beautiful expressions of the earth, of life. The earth has something she needs to say, and she goes ahead and says it in the shape of you and me. A complete, full expression. No interaction needed. This life is an eternal and fully complete gift at every point.
At the same time, there is constant interaction, which is more than interaction. It is complete merging, as the poem says. On every perception, on every thought, we disappear. We disappear into a tree. We disappear into one another. Our lives literally disappear into each other. There is no "my life," or "your life," apart from my perception, thought, and consciousness, which always has an object on each moment. The world of do, or oneness, is so various and magnificent in its many appearances. It is not that we absorb ourself in oneness, and then we don't need to worry about the details. It is just the opposite. Every detail becomes dear and precious. There is a saying in the Talmud: "Every single blade of grass has its own private angel."
"Darkness" is a word for merging upper and lower:
"Light" is an expression for distinguishing pure and defiled.
The four gross elements return to their own natures
Like a baby taking to its mother;
Fire heats, wind moves,
Water wets, earth is solid.
Eye and form, ear and sound;
Nose and smell, tongue and taste –
Thus in all things
The leaves spread from the root;
The whole process must return to the source.
This part of the poem is telling us: don't get hung up on the words that we are using. It is so easy to do. San and do, darkness and light, source, stream – they are just expressions and words. We need words and expressions, because we think and we speak. Words and expressions help us to shape our world, shape our view, shape our conduct, but let's not forget that expressions are expressions. Let's not get confused and end up demonizing one another and ourselves for not conforming or living up to these words and expressions that we have just set up to help us.
Here he is saying not to worry about the expressions. But remember that whatever expression you use or don't use, the whole basis of this world that we live in is always held in love, just like a baby, which naturally returns to its mother. The whole of the physical world, in all its variety, is exactly as it appears now, returning to the source, returning to the root. Every moment is always a moment of returning home. Everything you see is going home. In every act of perception and imagination, we are returning to the source, to the darkness, which is right there, as the next lines say, in the light.


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UFC Store
Check out the seven defining moments of UFC 133 headliner Rashad Evans' career...
From his emergence in 2005 as the winner of The Ultimate Fighter's second season and his title-winning effort over Forrest Griffin in December of 2008, to his losing of the crown to Lyoto Machida and subsequent comeback wins over Thiago Silva and Quinton "Rampage" Jackson, Rashad Evans has certainly had an interesting UFC career thus far.
On August 6th, he will meet unbeaten rising star Phil Davis in the main event of UFC 133, and to get ready for that bout in Philadelphia, it's time to look at Evans' seven defining moments.
Brad Imes – November 5, 2005 – The Ultimate Fighter 2 Finale
Result – Evans W3
A natural 205-pounder, Evans bulked up to heavyweight for season two of The Ultimate Fighter, and proceeded to roll through Tom Murphy, Mike Whitehead, and Keith Jardine on the way to the finale against Brad Imes. Yes, 6 foot 7 Brad Imes. Despite Evans success on the show against the big boys, asking him to chop down Imes seemed a bit much to ask. But Evans pulled it off, and he didn't do it with a conservative strategy – he went at Imes, took his lumps, and gave plenty of 'em back. It was a rousing three round war punctuated by a late knockdown by Evans that secured his split decision win. More importantly, it gave an early glimpse of the New York native's championship heart.
Sean Salmon – January 25, 2007 – UFC Fight Night
Result – Evans KO2
With three straight decision wins (Imes, Sam Hoger, Stephan Bonnar), Evans was starting to get criticism for not finishing fights. A lot of that talk died down after he knocked out solid 205-pounder Jason Lambert in two rounds at UFC 63 in September of 2006, but it wasn't until his fight with Sean Salmon four months later that Evans put those criticisms to rest, and he did it in an unforgettable fashion. After a slow first round in which Salmon appeared to have the upper hand much of the way through, Evans re-adjusted in round two, and landed with a crushing right kick to the head that sent Salmon down and out. That kick will be in UFC highlight reels forever, and sent a message to the rest of the light heavyweight division that Evans didn't need to take you down to take you out. WATCH FIGHT REPLAY
Tito Ortiz – July 7, 2007 – UFC 73
Result – Draw 3
This was Evans' true coming out party, as he faced one of the sport's superstars as a featured fighter on a UFC pay-per-view card, and finally, people got to see a little more of Evans' affable personality. It was a media blitz that Evans handled like a pro.
"Before I kinda felt out of place," admitted Evans. "I was a shy guy and I played that role a lot. But now, I'm used to it, and this is every day for me. I've got to do a lot of interviews, a lot of people ask me questions, and want to take pictures or have me sign something, so I kinda got used to it, but at the same time, I don't let my head get big about it."
Yet while Evans got through the pre-fight buildup unscathed, once in the Octagon with the former light heavyweight champ, the enormity of the situation started to sink in on him and he allowed Ortiz to get out to an early lead. By the end of the fight though, it was Evans in total control, with many believing that if it had been a championship fight of five rounds, Evans would have scored the stoppage. But after three rounds, the judges ruled the fight a draw, with a point deduction from Ortiz for grabbing the fence costing the 'Huntington Beach Bad Boy' the victory. It was a blemish on Evans' record, but also a valuable lesson about performing on the big stage.
Chuck Liddell – September 6, 2008 – UFC 88
Result – Evans KO2
A month after Evans' November 2007 win over Michael Bisping in the main event of UFC 78, Chuck Liddell broke a two fight losing streak with a big victory over longtime nemesis Wanderlei Silva. The victory re-established Liddell in the 205-pound pecking order, while Evans was still seen as the upstart who was about to be sent back down the ladder by "The Iceman" when the two stepped into the Octagon at UFC 88. But Evans, now showing his fight-ending power combined with his world-class fighting IQ, frustrated Liddell throughout the first round with his movement and rapid-fire flurries, and when Liddell got over aggressive in round two, Evans closed the show with a single punch.
"My intention when I threw the punch was to throw it as fast as I can," he recalled. "And I threw it, it went through, and I was gonna follow up with the left hook, but he was already going down. And after the left hook went by, I was like 'oh no, he fell down. I've gotta hurry up and finish him.' But it seemed like it took forever for me to come out of that left hook to turn around and get on him."
Referee Herb Dean stopped the fight. The crowd at Philips Arena in Atlanta was stunned.
"It was so quiet in there, I could hear a pin drop," said Evans. "The fight was over, Herb Dean had stopped it, and I was in shock because everybody was so quiet." WATCH FIGHT REPLAY
Forrest Griffin – December 27, 2008 – UFC 92
Result – Evans TKO 3
Rashad Evans wasn't going to sneak up on anybody anymore. When he took on Forrest Griffin for the UFC light heavyweight crown at UFC 92, everyone knew just how dangerous, just how good, the former Michigan State Spartan was.
And being prepared for him still didn't matter. After a slow two rounds as he looked to find his way inside Griffin's reach, Evans erupted in the third. Grounding the soon to be ex-champion and pounding away until the fight was over. Rashad Evans was a world champion. WATCH FIGHT REPLAY
Lyoto Machida – May 23, 2009 – UFC 98
Result – Machida KO2
In this sport, odds are that you won't get out with a perfect record, and on May 23, 2009, Evans found that out the hard way against Lyoto Machida, who implemented a perfect fight plan en route to a second round knockout win. It was not only Evans' first loss, but it was really the first time anyone had seen him rocked and hurt. How would he respond to that first defeat? WATCH FIGHT REPLAY
Quinton "Rampage" Jackson – May 29, 2010 – UFC 114
Result – Evans W3
The answer to the above question came in January of 2010 when Evans survived some late fight fireworks to decision Brazilian power-puncher Thiago Silva, and while it wasn't an easy one, it was precisely the one he needed as he went back to his roots and rediscovered his wrestling game. He carried the momentum from that victory into his bout against heated rival and fellow Ultimate Fighter 10 coach Quinton "Rampage" Jackson, and again he had to shake off some thunder to score another big decision win and put himself right in line for a shot at the 205-pound title. But he won't get one without a win over Davis next month, a pressure-laden task that he thrives on, making this UFC 133 bout a must see.
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subset: commoncrawl


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Nonsteroidal anti-inflammatory drugs (NSAIDs) are used to treat pain, fever, and inflammation. Traditional NSAIDs block COX-1 and COX-2 enzymes that the body uses to manufacture substances called prostaglandins. Since COX-1 prostaglandins are stomach-protective, blocking this enzyme is associated with gastrointestinal toxicity, a known side effect of these drugs. Newer NSAIDs (called COX-2 inhibitors) block primarily COX-2 prostaglandins associated with pain, fever, and inflammation, and might be less risky to the stomach. However, this is not proven, and some COX-2s have been taken off the market due to excess risk of heart attacks attributable to their use. Drugs in this family include:
- Aspirin, alternatively called acetylsalicylic acid or ASA (Adprin-B, Anacin, Arthritis Foundation Aspirin, Ascriptin, Aspergum, Asprimox, Bayer, BC, Bufferin, Buffex, Cama, Cope, Easprin, Ecotrin, Empirin, Equagesic, Fiorinal, Fiorital, Halfprin, Heartline, Genprin, Lanorinal, Magnaprin, Measurin, Micrainin, Momentum, Norwich, St. Joseph, Zorprin)
- Celecoxib (Celebrex)
- Choline salicylate (Arthropan)
- Choline salicylate/magnesium salicylate (Tricosal, Trilisate)
- Diclofenac potassium (Cataflam, Voltaren Rapide)
- Diclofenac sodium (Arthrotec, Voltaren, Voltaren SR, Voltaren-XR)
- Diclofenac sodium/misoprostol (Arthrotec)
- Diflunisal (Dolobid)
- Etodolac (Lodine, Lodine XL)
- Fenoprofen calcium (Nalfon)
- Flurbiprofen (Ansaid)
- Ibuprofen (Advil, Arthritis Foundation Ibuprofen, Bayer Select Ibuprofen, Dynafed IB, Genpril, Haltran, IBU, Ibuprin, Ibuprohm, Menadol, Midol IB, Motrin, Nuprin, Saleto)
- Indomethacin (Indochron E-R, Indocin, Indocin SR, Indomethacin, Indomethacin SR, Novo-Methacin)
- Ketoprofen (Actron, Orudis, Orudis KT, Oruvail)
- Ketorolac tromethamine (Toradol)
- Magnesium salicylate (Doan's, Magan, Mobidin, Backache Maximum Strength Relief, Bayer Select Maximum Strength Backache, Momentum Muscular Backache Formula, Nuprin Backache, Mobigesic, Magsal)
- Meclofenamate sodium (Mecolfen, Meclomen)
- Mefenamic acid (Ponstan, Ponstel)
- Nabumetone (Relafen)
- Naproxen (EC-Naprosyn, Napron X, Naprosyn)
- Naproxen sodium (Aleve, Anaprox, Anaprox DS, Naprelan)
- Oxaprozin (Daypro)
- Piroxicam (Feldene)
- Salsalate or salicylic acid (Amigesic, Argesic-SA, Arthra-G, Disalcid, Marthritic, Mono-Gesic, Salflex, Salgesic, Salsitab)
- Sodium salicylate (Pabalate)
- Sodium thiosalicylate (Rexolate)
- Sulfasalazine (Azulfidine EN-tabs, Salazopyrin, SAS-500)
- Sulindac (Clinoril)
- Tolmetin sodium (Tolectin, Tolectin DS)
- and others
Note : Besides reducing pain and inflammation, aspirin and, to a lesser extent, other NSAIDs interfere with cells in the blood called platelets, which facilitate clotting.
Arginine is an amino acid found in many foods, including dairy products, meat, poultry, and fish. Supplemental arginine has been proposed as a treatment for various conditions, including heart problems.
Arginine has been found to stimulate the body's production of gastrin, a hormone that increases stomach acid. 1 Because excessive acid can irritate the stomach, there are concerns that arginine could be harmful for individuals taking drugs that are also hard on the stomach (such as NSAIDs).
It may be best not to mix arginine with NSAIDs unless approved by your doctor.
The herb feverfew (Tanacetum parthenium) is primarily used for the prevention and treatment of migraine headaches.
NSAIDs are also used for migraines, so there is a chance that some individuals might use both the herb and drug at once, a combination that may present risks.
The biggest concern with NSAIDs is that they can cause stomach ulcers, which may progress to bleeding or perforation without pain or other warning symptoms. This stomach damage is due to drug interference with the body's protective prostaglandins. Newer NSAIDs called COX-2 inhibitors may be less likely to produce this side effect.
Feverfew also affects prostaglandins. 2,3,4 Thus, combining it with an NSAID might increase the risk of stomach problems.
The herb garlic (Allium sativum) is taken to lower cholesterol, among many other proposed uses.
One of the possible side effects of garlic is a decreased ability of the blood to clot, leading to an increased bleeding tendency. 5,6 Therefore, you should not combine garlic and aspirin or other NSAIDs except under medical supervision.
The herb ginkgo is used to treat Alzheimer's disease and ordinary age-related memory loss, among many other uses. Some evidence suggests that ginkgo might also decrease the ability of the blood to clot, probably through effects on platelets. 39-48 However, one double-blind study found that ginkgo does not increase the anticoagulant effects of aspirin; 49 another found that while it did not interact with the antiplatelet drug clopidogrel . But, the herb did interact slightly with the related drug cilostazol. 50 Taken together, this evidence still suggests that one should not take ginkgo while using aspirin or other NSAIDs except under medical supervision.
A sugarcane-derived form of the supplement policosanol is used to reduce cholesterol levels. It also interferes with platelet clumping, creating potential benefit as well as a risk of interactions with blood-thinning drugs.
For example, a 30-day, double-blind, placebo-controlled trial of 27 individuals with high cholesterol levels found that policosanol at 10 mg daily markedly reduced the ability of blood platelets to clump together. 9 Another double-blind, placebo-controlled study of 37 healthy volunteers found evidence that the blood-thinning effect of policosanol increased as the dose was increased—the larger the policosanol dose, the greater the effect. 10 Yet another double-blind placebo-controlled study of 43 healthy volunteers compared the effects of policosanol (20 mg daily), aspirin (100 mg daily), and policosanol and aspirin combined at these same doses. 11 The results again showed that policosanol substantially reduced the ability of blood platelets to stick together, and that the combined therapy exhibited additive effects.
Based on these findings, it would be advisable to avoid combining aspirin or other NSAIDs with sugarcane policosanol except under medical supervision. Note : Beeswax policosanol is substantially different from sugarcane policosanol, and is described separately below .
PC-SPES is an herbal combination that has shown promise for the treatment of prostate cancer. One case report suggests that PC-SPES might increase risk of bleeding complications if combined with blood-thinning medications. 32 Subsequent evidence has indicated that PC-SPES contains the strong prescription blood thinner warfarin, making this interaction inevitable. 36
Potassium citrate and other forms of citrate (for example, calcium citrate, magnesium citrate) may be used to prevent kidney stones. These agents work by making the urine less acidic.
This effect on the urine may lead to decreased blood levels and therapeutic effects of several drugs, including aspirin and other salicylates (choline salicylate, magnesium salicylate, salsalate, sodium salicylate, sodium thiosalicylate). 12
It may be advisable to avoid these citrate compounds during therapy with aspirin or salicylates except under medical supervision.
One study suggests that reishi impairs platelet clumping. 33 This creates the potential for an interaction with any blood-thinning medication.
St. John's wort (Hypericum perforatum) is primarily used to treat mild to moderate depression.
The herb dong quai (Angelica sinensis) is often recommended for menstrual disorders such as dysmenorrhea, PMS, and irregular menstruation.
Certain NSAIDs, including most notably piroxicam, can cause increased sensitivity to the sun, amplifying the risk of sunburn or skin rash. Because St. John's wort and dong quai may also cause this problem, taking these herbal supplements during NSAID therapy might add to this risk.
It may be a good idea to wear a sunscreen or protective clothing during sun exposure if you take one of these herbs while using an NSAID.
The substance vinpocetine is sold as a dietary supplement for the treatment of age-related memory loss and impaired mental function.
Vinpocetine is thought to inhibit blood platelets from forming clots. 34 For this reason, it should not be combined with medications or natural substances that impair the blood's ability to clot normally, as this may lead to excessive bleeding. One study found only a minimal interaction between the blood-thinning drug warfarin (Coumadin) and vinpocetine, but prudence dictates caution anyway. 35
Vitamin E appears to add to aspirin's blood-thinning effects. One study suggests that the combination of aspirin and even relatively small amounts of vitamin E (50 mg daily) may lead to a significantly increased risk of bleeding. 13 In another study of 28,519 men, vitamin E supplementation at a low dose of about 50 IU (international units) daily was associated with an increase in fatal hemorrhagic strokes, the kind of stroke caused by bleeding within the brain. 14 However, there was a reduced risk of the more common ischemic stroke, caused by obstruction of a blood vessel in the brain, and the two effects were found essentially to cancel each other out.
Weak evidence from one animal study hints that vitamin E might reduce stomach inflammation caused by NSAIDs. 50
The bottom line: Seek medical advice before combining vitamin E and aspirin.
The herb white willow (Salix alba) , also known as willow bark, is used to treat pain and fever.
White willow contains a substance that is converted by the body into a salicylate similar to aspirin. It is therefore possible that taking NSAIDs and white willow could lead to increased risk of side effects, just as would occur if you combined NSAIDs with aspirin.
Based on their known effects or constituents, the herbs dong quai(Angelica sinensis) , garlic(Allium sativum) , ginger(Zingiber officinale) , horse chestnut(Aesculus hippocastanum) , and red clover(Trifolium pratense) , and the substances fish oil , mesoglycan , and OPCs (oligomeric proanthocyanidins) might conceivably present an increased risk of bleeding if combined with aspirin.
Potassium citrate, sodium citrate, and potassium-magnesium citrate are sometimes used to prevent kidney stones . These supplements reduce urinary acidity and can, therefore, lead to decreased blood levels and effectiveness of NSAIDs. 38
Cayenne ( Capsicum annuum or C. frutescens ) and other hot peppers used in chili and various dishes contain as their "hot" ingredient capsaicin, a substance that is thought to be stomach-protective.
For years, people have believed that spicy foods were a cause of stomach ulcers. However, preliminary evidence suggests that cayenne peppers might actually help protect the stomach against ulcers caused by aspirin and possibly other NSAIDs. 15,16,17
In a study involving 18 healthy human volunteers, one group received chili powder, water, and aspirin; the control group received only water and aspirin. 18 Chili powder was found to significantly protect the stomach against damage from aspirin, a known stomach irritant. It was suggested that this protective effect might result from capsaicin-induced stimulation of blood flow in the lining of the stomach.
Further support for this theory comes from a study in rats, which found that capsaicin protected the stomach against damage caused by aspirin, ethanol (drinking alcohol), and acid. 19 Increasing the dose of capsaicin brought even greater benefit, as did increasing the time between giving capsaicin and the other agents. An earlier study in rats found that capsaicin exerted similar protection against aspirin damage. 20
Some researchers have used this data to advocate chili or capsaicin as treatment for peptic ulcer disease, 21 but check with your doctor before trying to self-treat this serious condition.
Colostrum is the fluid that new mothers' breasts produce during the first day or two after birth. It gives newborns a rich mixture of antibodies and growth factors that help them get a good start.
According to one study involving rats, taking colostrum from cows (bovine colostrum) as a supplement might help protect against the ulcers caused by NSAIDs. 22
Folate (also known as folic acid) is a B vitamin that plays an important role in many vital aspects of health, including preventing neural tube birth defects and possibly reducing the risk of heart disease. Because inadequate intake of folate is widespread, if you are taking any medication that depletes or impairs folate even slightly, you may need supplementation.
There is some evidence that NSAIDs might produce this effect. In test tube studies, many NSAIDs have been found to interfere with folate activity. 23,24,25 In addition, a study of 25 people with arthritis receiving the drug sulfasalazine found evidence of folate deficiency. 26 In another report, a woman taking 650 mg of aspirin every 4 hours for 3 days experienced a significant fall in blood levels of folate. 27
Based on this preliminary evidence, folate supplementation may be warranted if you are taking drugs in the NSAID family.
Licorice root ( Glycyrrhiza glabra or G. uralensis ), a member of the pea family, has been used since ancient times as both food and medicine.
Preliminary evidence suggests that a specific form of licorice called DGL (deglycyrrhizinated licorice) might help protect the stomach against damage caused by the use of aspirin and possibly other NSAIDs. (DGL is a modified version of licorice that is safer to use.)
In a double-blind study of 9 healthy human volunteers, participants were given aspirin alone (325 mg) or aspirin (325 mg) plus DGL (175 mg). 28 Stomach damage (as measured by blood loss) was found to be about 20% less when DGL was given with aspirin. As part of the same study, DGL was also found to reduce stomach damage caused by aspirin in rats, though the benefit was small. It is possible that larger doses of DGL might provide greater protection.
Test tube studies suggest that aspirin promotes the loss of vitamin C through the urine, 29,30 which could lead to tissue depletion of the vitamin. In addition, low vitamin C levels have been noted in individuals with rheumatoid arthritis, and this has been attributed to aspirin therapy taken for this condition. 31
If you take aspirin regularly, vitamin C supplementation may be advisable.
The supplement policosanol is a mixture of numerous related substances, and its exact composition varies with its source. Policosanol made from sugar cane appears to reduce cholesterol levels. Policosanol from beeswax may help protect the stomach from damage caused by NSAIDs. However, it is not clear whether beeswax policosanol might amplify the "blood thinning" effect of anti-inflammatory drugs in the same manner as sugarcane policosanol, as described above .
Based on chondroitin's chemical similarity to the anticoagulant drug heparin, it has been suggested that chondroitin might have anticoagulant effects as well. There are no case reports of any problems relating to this, and studies suggest that chondroitin has at most a mild anticoagulant effect. 37 Nonetheless, prudence suggests that chondroitin should not be combined with NSAIDs except under physician supervision.
REF1 AHFS Drug Information. Bethesda, MD: American Society of Health-System Pharmacists; 2000:2306-2307.
REF2 Collier HO, Butt NM, McDonald-Gibson WJ, et al. Extract of feverfew inhibits prostaglandin biosynthesis. Lancet. 1980;2:922-923.
REF3 Sumner H, Salan U, Knight DW, et al. Inhibition of 5-lipoxygenase and cyclo-oxygenase in leukocytes by feverfew. Involvement of sesquiterpene lactones and other components. Biochem Pharmacol. 1992;43:2313-2320.
REF4 Williams CA, Hoult JR, Harborne JB, et al. A biologically active lipophilic flavonol from Tanacetum parthenium.Phytochemistry. 1995;38:267-270.
REF5 Gadkari JV, Joshi VD. Effect of ingestion of raw garlic on serum cholesterol level, clotting time and fibrinolytic activity in normal subjects. J Postgrad Med. 1991;37:128-131.
REF6 Burnham BE. Garlic as a possible risk for postoperative bleeding. Plast Reconstr Surg. 1995;95:213.
REF7 Rosenblatt M, Mindel J. Spontaneous hyphema associated with ingestion of Ginkgo biloba extract [letter]. N Engl J Med. 1997;336:1108.
REF8 Arruzazabala ML, Mas R, Molina V, et al. Effect of policosanol on platelet aggregation in type II hypercholesterolemic patients. Int J Tissue React. 1998;20:119-124.
REF9 Arruzazabala ML, Mas R, Molina V, et al. Effect of policosanol on platelet aggregation in type II hypercholesterolemic patients. Int J Tissue React. 1998;20:119-124.
REF10 Arruzazabala ML, Valdes S, Mas R, et al. Effect of policosanol successive dose increases on platelet aggregation in healthy volunteers. Pharmacol Res. 1996;34:181-185.
REF11 Arruzazabala ML, Valdes S, Mas R, et al. Comparative study of policosanol, aspirin and the combination therapy policosanol-aspirin on platelet aggregation in healthy volunteers. Pharmacol Res. 1997;36:293-297.
REF12 A to Z Drug Facts [book on CD-ROM]. 2nd ed. St. Louis, MO: Facts and Comparisons; 2000.
REF13 Liede KE, Haukka JK, Saxen LM, et al. Increased tendency towards gingival bleeding caused by joint effect of alpha-tocopherol supplementation and acetylsalicylic acid. Ann Med. 1998;30:542-546.
REF14 Leppala JM, Virtamo J, Fogelholm R, et al. Controlled trial of alpha-tocopherol and beta-carotene supplements on stroke incidence and mortality in male smokers. Arterioscler Thromb Vasc Biol. 2000;20:230-235.
REF15 Abdel Salam OM, Moszik G, Szolcsanyi J. Studies on the effect of intragastric capsaicin on gastric ulcer and on the prostacyclin-induced cytoprotection in rats. Pharmacol Res. 1995;32:209-215.
REF16 Holzer P, Pabst MA, Lippe IT. Intragastric capsaicin protects against aspirin-induced lesion formation and bleeding in the rat gastric mucosa. Gastroenterology. 1989;96:1425-1433.
REF17 Yeoh KG, Kang JY, Yap I, et al. Chili protects against aspirin-induced gastroduodenal mucosal injury in humans. Dig Dis Sci. 1995;40:580-583.
REF18 Yeoh KG, Kang JY, Yap I, et al. Chili protects against aspirin-induced gastroduodenal mucosal injury in humans. Dig Dis Sci. 1995;40:580-583.
REF19 Abdel Salam OM, Moszik G, Szolcsanyi J. Studies on the effect of intragastric capsaicin on gastric ulcer and on the prostacyclin-induced cytoprotection in rats. Pharmacol Res. 1995;32:209-215.
REF20 Holzer P, Pabst MA, Lippe IT. Intragastric capsaicin protects against aspirin-induced lesion formation and bleeding in the rat gastric mucosa. Gastroenterology. 1989;96:1425-1433.
REF21 Yeoh KG, Kang JY, Yap I, et al. Chili protects against aspirin-induced gastroduodenal mucosal injury in humans. Dig Dis Sci. 1995;40:580-583.
REF22 Playford RJ, Floyd DN, Macdonald CE, et al. Bovine colostrum is a health food supplement which prevents NSAID induced gut damage. Gut. 1999;44:653-658.
REF23 Baggott JE, Morgan SL, Ha T, et al. Inhibition of folate-dependent enzymes by non-steroidal anti-inflammatory drugs. Biochem J. 1992;282:197-202.
REF24 Baum CL, Selhub J, Rosenberg IH. Antifolate actions of sulfasalazine on intact lymphocytes. J Lab Clin Med. 1981;97:779-784.
REF25 Selhub J, Dhar GJ, Rosenberg IH. Inhibition of folate enzymes by sulfasalazine. J Clin Invest. 1979;61:221-224.
REF26 Krogh Jensen M, Ekelund S, Svendsen L. Folate and homocysteine status and haemolysis in patients treated with sulfasalazine for arthritis. Scand J Clin Lab Invest. 1996;56:421-429.
REF27 Lawrence VA, Loewenstein JE, Eichner ER. Aspirin and folate binding: in vivo and in vitro studies of serum binding and urinary excretion of endogenous folate. J Lab Clin Med. 1984;103:944-948.
REF28 Rees WD, Rhodes J, Wright JE, et al. Effect of deglycyrrhizinated liquorice on gastric mucosal damage by aspirin. Scand J Gastroenterol. 1979;14:605-607.
REF29 Das N, Nebioglu S. Vitamin C aspirin interactions in laboratory animals. J Clin Pharm Ther. 1992;17:343-346.
REF30 Molloy TP, Wilson CW. Protein-binding of ascorbic acid 2. Interaction with acetylsalicylic acid. Int J Vitam Nutr Res. 1980;50:387-392.
REF31 Sahud MA, Cohen RJ. Effect of aspirin ingestion on ascorbic-acid levels in rheumatoid arthritis. Lancet. 1971;1:937-938.
REF32 Weinrobe MC, Montgomery B. Acquired bleeding diathesis in a patient taking PC-SPES [letter]. N Engl J Med. 2001;345:1213-1214.
REF33 Su C, Shiao M, Wang C. Potentiation of ganodermic acid S on prostaglandin E(1)-induced cyclic AMP elevation in human platelets. Thromb Res. 2000;99:135-145.
REF34 Kiss B, Karpati E. Mechanism of action of vinpocetine [in Hungarian; English abstract]. Acta Pharm Hung. 1996;66:213-214.
REF35 Hitzenberger G, Sommer W, Grandt R. Influence of vinpocetine on warfarin-induced inhibition of coagulation. Int J Clin Pharmacol Ther Toxicol. 1990;28:323-328.
REF36 Sovak M, Seligson AL, Konas M, et al. PC-SPES in prostate cancer: an herbal mixture currently containing warfarin and previously diethylstilbestrol and indomethacin. Presented at: 93rd Annual Meeting of the American Association for Cancer Research; April 6-10, 2002; San Francisco, CA.
REF37 AbdelFattah W, Hammad T. Chondroitin sulfate and glucosamine: A review of their safety profile. JANA. 2001;3:16-23.
REF38 Tatro D, ed. Drug Interaction Facts. St. Louis, MO: Facts and Comparisons; 1999.
REF39 Kudolo GB, Wang W, Barrientos J, et al. The Ingestion of Gingko Biloba Extract (EGb 761) Inhibits Arachidonic Acid-Mediated Platelet Aggregation and Thromboxane B 2 Production in Healthy Volunteers. J Herb Pharmacother. 2005;4:13-26.
REF40 Chung KF, Dent G, McCusker M, et al. Effect of a ginkgolide mixture (BN 52063) in antagonising skin and platelet responses to platelet activating factor in man. Lancet . 1987;1:248-251.
REF41 Fong KC, Kinnear PE. Retrobulbar haemorrhage associated with chronic Gingko biloba ingestion. Postgrad Med J. 2003;79:531-532.
REF42 Hauser D, Gayowski T, Singh N. Bleeding complications precipitated by unrecognized Gingko biloba use after liver transplantation. Transpl Int . 2002;15:377-379. Epub 2002 Jun 19.
REF43 Rosenblatt M, Mindel J. Spontaneous hyphema associated with ingestion of Ginkgo biloba extract. N Engl J Med . 1997;336:1108.
REF44 Rowin J, Lewis SL. Spontaneous bilateral subdural hematomas associated with chronic Ginkgo biloba ingestion. Neurology. 1996;46:1775-1776.
REF45 Fessenden JM, Wittenborn W, Clarke L. Gingko biloba : a case report of herbal medicine and bleeding postoperatively from a laparoscopic cholecystectomy. Am Surg. 2001;67:33-35.
REF46 Matthews MK. Association of Ginkgo biloba with intracerebral hemorrhage. Neurology. 1998;50:1933-1934.
REF47 Gilbert GJ. Ginkgo biloba.Neurology. 1997;48:1137.
REF48 Miller LG, Freeman B. Possible subdural hematoma association with Ginkgo biloba . J Herb Pharmacother. 2002;2:57-63.
REF49 Wolf HR. Does ginkgo biloba special extract EGb 761® provide additional effects on coagulation and bleeding when added to acetylsalicylic acid 500mg daily? Drugs RD. 2006;7 :163-172
REF50 Jaarin K, Gapor MT, Fauzee AM. Vitamin E and its effect on aspirin induce gastric lesion in rats. Asia Pac J Clin Nutr. 2004;13(Suppl):S170.
REF51 Aruna D, Naidu MU. Pharmacodynamic interaction studies of ginkgo biloba with cilostazol and clopidogrel in healthy human subjects. Br J Clin Pharmacol . 2006 Sep 29 [Epub ahead of print]


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And so it begins. When Senator Saxby Chambliss announced last week that he no longer considered himself bound by a no-new-taxes pledge he signed two decades ago, the Georgia Republican made an important break with a GOP article of faith — an early sign that compromise could yet be possible in the coming weeks and months.
(MORE: Meacham: Make A Deal Now, Obama)
And maybe years. Endorsed by Senator Lindsey Graham of South Carolina and by Representative Peter King of New York, the Chambliss decision — one that put him on the other side of Grover Norquist and the conservative base — is reminiscent of what began happening among Democrats in the aftermath of the 1984 Reagan landslide. Old allegiances to traditional Democratic constituencies were re-examined; the Democratic Leadership Council (DLC) urged office holders and candidates to adopt centrist rhetoric and a promarket orientation.
It worked. In the 1990s Bill Clinton became the first two-term Democratic president since FDR, and Al Gore — another early DLCer — won the popular vote in 2000. The climatic moment of the New Democrat ascendancy came in 1996, when Clinton declared that "the era of big government" was over.
(MORE: Meacham: Why Obama's Second Term Isn't Doomed)
Republicans are overdue for their own rethinking. After the exhaustion of the first decade of the new century, it's understandable that such self-examination has been slow in coming, but it apparently has finally come. Whether the GOP is to be pragmatic in the mold of George H.W. Bush or more ideological in the mode of his son is a live question. The Chambliss-Graham-King moment suggests the debate is very much on.
In the short and medium term, President Obama may be able to take advantage of the fluid opinion within the GOP to get a lasting fiscal deal. In the long term, the kind of party the Republicans choose to be will help define our politics as surely as the rise of the New Democrats did.


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Saving up a lot of tubes on short notice might not have worked work out for all of you. If you'd like to make a calendar anyway, you can easily fabricate a t.p. tube from a brown paper bag or craft paper. Cut out a rectangle that measures 4 1/2 x 6 inches . Form a tube by overlapping the width ends and stapling them. It will not be as sturdy, but will work just the same.
8-24 tubes, depending on your celebration
mod p0dge or white glue for fabric
glue stick for paper
1-2 yards of twine or ribbon
rubber stamps with numerals
decorative elements: fabric, scrapbook paper, ribbons, glitter, stickers, etc.
scissors: regular and fancy edged
hole puncher
1. Cut four one-inch slits around the bottom of a tube. Cut an equal distance from each one.
2. You will have four sides to fold over, one after the other. Tape down after final fold. Scotch tape works, but duct tape (in clear) is the strongest. I will be going over all of my Scotch tape with duct tape!
3. Prepare all of your tubes this way.
4. Decorate each tube to your heart's content. We opted for simple. Our choice was a combination of aesthetic and the reality of decorating 24 tubes. We glued our strips of vintage and modern fabric to the center of each tube.
5. Flare out the top with little snips. Make up your own teqhniques and see what you like. My children love this part.
6. Arrange your decorated tubes in the order that you will hang them. We like to create a pattern.
7. Stamp your numbers on the front (the seam of the paper or fabric is the back side). You can also print out your numbers from the computer, use stickers, or write them on with a sharpie... you choose.
8. Punch holes on the top right and left side of each tube.
9. String your countdown calendar into a lovely garland. We used this luxurious baker's string. So far it's the only thing we've bought for our holidays!
Start with the last number first. Hang in a place of honor.
We will fill ours with treats and a new tradition. This year we will slip a "Time Ticket" into each tube, with some awareness of whose turn it will be to open on each night. I'm making a little chart that I will keep handy for everyone. What is a Time Ticket? A little coupon for special one-0n 0ne time with a parent, a sibling, or partner. Our time and love is our greatest gift. By giving in "present" form, we are showing how much we value it. I'm even going to have the children surprise one another with a few tickets to eachother. Haven't photographed those yet, but they should be sweet.
Each coundtdown calendar has the potential to be as unique as the family that creates it. I'd love to see yours if you make one!


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Cushion cut, baguette and round diamond cluster ring
Cushion cut diamond = 1.75ct
Baguette diamonds = 0.30ct
Diamonds = 0.20ct
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I try to be as flexible as possible when dealing with requests and welcome enquiries of any nature. I also keep a large stock of rings, earrings and pendants which provides a variety of options to match your budget.
My aspiration is to make selecting or designing a piece of jewellery a relaxed and enjoyable experience and to ensure that your selection is beautifully crafted, presented and delivered as expected.


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To diagnose digestive and liver problems, your child's doctor will do a thorough medical history and physical exam to help assess the problem more completely.
Some children may need to undergo a more extensive diagnostic evaluation, which may include lab tests, imaging tests, or endoscopic procedures. These tests may include any, or all, of the following:
Albumin level. Albumin is a protein made by the liver. It is found in the bloodstream and is associated with may chronic liver disorders. For this test, a sample of blood is taken from your child's vein.
Bilirubin level. Bilirubin is produced by the liver and is excreted in the bile. Elevated levels of bilirubin may indicate an obstruction of bile flow or a defect in the processing of bile by the liver. For this test, a sample of blood is taken from your child's vein.
Complete blood count (CBC). A sample of blood is taken from your child's finger or vein, and the different types of cells in the bloodstream are examined. White blood cells multiply when infection is present. Red blood cells will be present in smaller amounts than normal if blood has been lost, if the diet has been inadequate, or with certain diseases.
Electrolyte tests. A sample of blood is taken from your child's vein, and the amounts of minerals known as electrolytes are measured. This includes sodium, potassium, calcium, and glucose. These minerals are important for the body to function properly. Children who have lost large amounts of fluid due to vomiting or diarrhea often lose large amounts of the various electrolytes as well. Your child's doctor uses electrolyte tests to help determine when your child might need extra fluids given intravenously or other medications to help with dehydration and mineral loss.
Fecal fat test. With this test, you child is asked to eat a high-fat diet for several days. You collect small samples of stool in sealed containers for 3 days. Your child's doctor will send them to a lab. The amount of fat contained in your child's stool is measured. If the digestive tract is working properly, only small amounts of fat will be present in the stool. The rest of the fat that was in the diet will have been digested and reabsorbed by the body. If your child has a condition known as malabsorption, then the intestinal tract cannot digest fats as well as it should, and elevated amounts of fat will pass through into the stool.
Fecal occult blood test. A fecal occult blood test checks for hidden (occult) blood in the stool. It involves placing a very small amount of stool on a special card, which is then tested in the doctor's office or sent to a lab.
Hydrogen breath test. This test measures the amount of hydrogen in the breath, and helps diagnose several digestive problems. These include carbohydrate intolerance, bacterial overgrowth of the small intestine, and rapid transit of food through the small intestine. Normally, digestive enzymes in the stomach and upper small intestine digest carbohydrates in the food we eat.
Bacteria in the lower small intestine digest the rest of the carbohydrates, and produce hydrogen gas in the process. If carbohydrates are largely undigested by the time they reach the small intestine, bacteria will complete the digestive process; however, hydrogen gas being produced will cause cramps and bloating. This can happen if the carbohydrates are not digested properly, if food moves through the digestive system quickly, or if there are large numbers of bacteria present. The amount of hydrogen in the breath is greater than usual when bacteria in the intestines digest carbohydrates instead of digestion being done by the normal digestive enzymes.
The child is told to fast overnight, and then breath samples are obtained by having the child blow into a balloon periodically. He or she will be given samples of a carbohydrate (such as lactose or sorbitol) to drink. The amount of hydrogen produced in the breath will be measured at the start of the test, and at intervals after carbohydrates are given.
Lactose tolerance test. This test helps determine if a child has trouble digesting lactose properly. Your child is given a liquid containing lactose to drink. Several blood samples are taken over a two-hour period to measure the amount of glucose (sugar) present in the bloodstream. If lactose is digested normally, blood glucose rises. If lactose is not digested as it should be, then the blood glucose level does not change throughout the test.
Liver enzymes. A sample of blood is taken from your child's vein, and the amounts of enzymes that the liver normally makes are measured. Elevated levels of liver enzymes can alert doctors to liver damage or injury, since the enzymes leak from the liver into the bloodstream under these circumstances.
Prothrombin time (PT) test. This test measures the time it takes for blood to clot. Blood clotting requires vitamin K and a protein made by the liver. Liver cell damage and bile flow obstruction can both interfere with the regulation of blood clotting.
Stool culture. A stool culture checks for the presence of abnormal bacteria in the digestive tract that may cause diarrhea and other problems. A small sample of stool is collected and sent to a lab by your doctor's office. In 2 to 3 days, the test will show whether abnormal bacteria are present.
Urea breath test. This test helps diagnose the presence of Helicobacter pylori (H. pylori) in the digestive tract. Your child swallows a capsule containing urea. If H. pylori is present in the stomach, then the urea will be converted into nitrogen and carbon. The carbon changes to carbon dioxide and moves into the bloodstream, and then into the lungs where it is exhaled. Your child breathes into a balloon, and the amount of carbon in the breath is measured. A positive test, meaning carbon is present, indicates the presence of H. pylori. A negative test, meaning no carbon is detected, indicates no H. pylori is present.
Computed tomography scan (CT or CAT scan). A diagnostic imaging procedure that uses a combination of X-rays and computer technology to produce horizontal, or axial, images (often called slices) of the body. A CT scan shows detailed images of any part of the body, including the bones, muscles, fat, and organs. CT scans are more detailed than general X-rays. Your child will lie on a bed that moves into a doughnut shaped machine that takes many pictures of different areas of the body. Because the machine is noisy, and because your child may need to lie still for awhile with his or her arms over the head, a sedative might be given to help your child remain still during the procedure.
Lower GI (gastrointestinal) series (also called barium enema). A procedure that examines the rectum, the large intestine, and the lower part of the small intestine. A fluid called barium (a metallic, chemical, chalky, liquid used to coat the inside of organs so that they will show up on an X-ray) is given into the rectum as an enema. An X-ray of the abdomen shows strictures (narrowed areas), obstructions (blockages), and other problems.
Magnetic resonance imaging (MRI). A diagnostic procedure that uses a combination of large magnets, radiofrequencies, and a computer to produce detailed images of organs and structures within the body. Your child lies on a bed that moves into the cylindrical MRI scanner. The machine takes a series of pictures of the inside of the body using a magnetic field and radio waves. The computer enhances the pictures produced. The test is painless, and does not involve exposure to radiation. Because the MRI scanner is like a tunnel, some children are claustrophobic or unable to hold still during the test, and may be given medication to help them relax or sleep. Metal objects cannot be present in the MRI room, so children with pacemakers or metal clips or rods inside the body cannot have this test done. All jewelry must be removed before the procedure.
Oropharyngeal motility (swallowing) study. Your child is given small amounts of a liquid containing barium to drink with a bottle, spoon, or cup. Barium shows up well on X-ray. A series of X-rays are taken to evaluate what happens as your child swallows the liquid. This procedure is also called a modified barium swallow.
Ultrasound. An imaging technique that uses high-frequency sound waves and a computer to create images of blood vessels, tissues, and organs. Ultrasounds are used to view internal organs as they function, and to assess blood flow through various vessels. Gel is applied to the area of the body being studied, such as the abdomen, and a wand called a transducer is placed on the skin. The transducer sends sound waves into the body that bounce off organs and return to the ultrasound machine, producing an image on the monitor. A picture or video tape of the test is also made so it can be reviewed in the future.
Upper GI (gastrointestinal) series. A test that examines the organs of the upper part of the digestive system: the esophagus, stomach, and duodenum (the first section of the small intestine). A fluid called barium (a metallic, chemical, chalky, liquid used to coat the inside of organs so that they will show up on an X-ray) is swallowed. X-rays are then taken to evaluate the digestive organs.
Colonoscopy. Colonoscopy is a procedure that allows the doctor to view the entire length of the large intestine (colon). It can help identify abnormal growths, inflamed tissue, ulcers, and bleeding. It involves inserting a colonoscope, a long, flexible lighted tube, in through the rectum up into the colon. The colonoscope allows the doctor to see the lining of the colon, remove tissue for further examination, and possibly treat some problems that are discovered.
Endoscopic retrograde cholangiopancreatography (ERCP). ERCP is a procedure that allows the doctor to diagnose and treat problems in the liver, gallbladder, bile ducts, and pancreas. The procedure combines X-ray and the use of an endoscope, which is a long, flexible, lighted tube. The scope is guided through the mouth and throat, then through the esophagus, stomach, and duodenum (the first part of the small intestine). The doctor can examine the inside of these organs and detect any abnormalities. A tube is then passed through the scope, and a dye is injected which will allow the internal organs to appear on X-ray.
Esophagogastroduodenoscopy (EGD) (also called upper endoscopy). EGD (upper endoscopy) is a procedure that allows the doctor to look at the inside of the esophagus, stomach, and duodenum. A thin, flexible, lighted tube called an endoscope is guided into the mouth and throat, then into the esophagus, stomach, and duodenum. The endoscope allows the doctor to view the inside of this area of the body, as well as to insert instruments through a scope for the removal of a sample of tissue for biopsy (if necessary).
Anorectal manometry. This test helps determine the strength of the muscles in the rectum and anus. These muscles normally tighten to hold in a bowel movement and relax when a bowel movement is passed. Anorectal manometry is helpful in evaluating anorectal malformations and Hirschsprung's disease, among other problems. A small tube is placed into the rectum, and the pressures inside the anus and rectum are measured.
Esophageal manometry. This test helps determine the strength of the muscles in the esophagus. It is useful in evaluating gastroesophageal reflux and swallowing abnormalities. A small tube is guided into the nostril, then passed into the throat and finally into the esophagus. The pressure the esophageal muscles produce at rest is then measured.
Esophageal pH monitoring. An esophageal pH monitor measures the acidity inside of the esophagus. It is helpful in evaluating gastroesophageal reflux disease (GERD). A thin plastic tube is placed into a nostril, guided down the throat and then into the esophagus. The tube stops just above the lower esophageal sphincter, which is at the connection between the esophagus and the stomach. At the end of the tube inside the esophagus is a sensor that measures pH, or acidity. The other end of the tube outside the body is connected to a monitor that records the pH levels for a 24 to 48 hour period. Normal activity is encouraged during the study, and a diary is kept of symptoms experienced or activity that might be suspicious for reflux, such as gagging or coughing. It is also recommended to keep a record of the time, type, and amount of food eaten. The pH readings are evaluated and compared to the child's activity for that time period.
Magnetic resonance cholangiopancreatography (MRCP). This uses magnetic resonance imaging (MRI) to take pictures of the bile ducts. The machine uses radio waves and magnets to scan internal organs and tissues.
Capsule endoscopy. A capsule endoscopy helps doctors examine the small intestine, because traditional procedures, such as an upper endoscopy or colonoscopy, cannot reach this part of the bowel. This procedure is helpful in identifying causes of bleeding, detecting polyps, inflammatory bowel disease, ulcers, and tumors of the small intestine. A sensor device is placed on a patient's abdomen and a pillcam (capsule endoscope) is swallowed. The pillcam passes naturally through the digestive tract while transmitting video images to a data recorder. The data recorder is secured to a patient's waist by a belt for eight hours. Images of the small bowel are downloaded on a computer from the data recorder. The images are reviewed by a doctor on a computer screen. Normally, the pillcam passes through the colon and is eliminated in the stool within 24 hours.
Liver biopsy. A liver biopsy helps diagnose liver diseases. A small sample of liver tissue is taken with a special biopsy needle and examined for abnormalities. Children are sometimes given medication to minimize their anxiety during the procedure. A small area of skin over the liver is numbed with a local anesthetic. The anesthetic is then injected deeper under the skin to numb the area that the biopsy needle will pass through and reduce the discomfort of the test. The biopsy needle is quickly inserted through the skin and into the liver, and then withdrawn. Sometimes, an ultrasound of the liver is done at the same time to help the doctor know exactly where to take the tissue samples. After a liver biopsy, a health care professional will observe the child for bleeding problems for a few hours. Pain medications will be given, if needed.


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We make economics decisions every day: what to buy, whether to work or play, what to study. We respond to markets all the time: prices influence our decisions, markets signal where to put effort, they direct firms to produce certain goods over others. Economics is all around us.
This course is an introduction to the microeconomic theory of markets: why we have them, how they work, what they accomplish. We will start with the concept of scarcity and how specialization according to comparative advantage helps us achieve more than we could alone. Next we model a marked using the tools of Supply and Demand and learn what well working markets accomplish and what their limit are. We end by exploring the impact of government intervention on perfect markets. Examples are taken from everyday life, from goods and services that we all purchase and use. We will apply the theory to current events and policy debates through weekly exercises. These will empower you to be an educated, critical thinker who can understand, analyze and evaluate market outcomes.


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During the agony Savita Halappanavar endured before her death, she made her husband promise not to reveal to her family that she was ill. The mass-market English-language paper, the Times of India reported that her parents, Andanappa and Akkamahadevi Yalagi, received the shattering news a few days after she died. Halappanavar's father described his daughter as a "bold and intelligent woman with big dreams."
(MORE: Ireland Abortion Scandal: Death of a Pregnant Woman Prompts Soul-Searching)
While the hashtag Savita continues to trend across Twitter, protestors in Dublin are preparing for a candle-lit vigil to be held in the city centre on Nov. 17. Organizers predict that they will be joined by thousands holding vigils across Ireland, the U.K. and Belgium. A protest is planned in New York on Monday. Demonstrators took to the streets of New Delhi and Bangalore on Nov. 16.
(MORE: Ireland's Abortion Debate Heats Up)
Two inquiries into the death are being carried out by the hospital and by the HSE, the Irish Health Service Executive. Meanwhile, an expert report on recommendations for Irish abortion legislation has been presented to the Irish parliament. A spokesman for the Taoiseach, Enda Kenny, told TIME that "the Government has established a comprehensive investigation into the circumstances surrounding [Savita's] death. The findings of that investigation will be made known to Government as soon as it is completed."
Rapid responses have not been a feature of Ireland's long abortion debate. For 20 years Irish governments have delayed legislation that would have clarified abortion law. Savita Halappanavar's case may prove a turning point.
That is a hope that remains for her family. Her mother told the Times of India she believes her daughter will only attain "moksha" [the end of death and rebirth cycle in Hinduism] after the Irish authorities clarify existing legislation on abortion. "Everybody should force the Ireland government to amend its laws," she said. Savita's widower told journalists that although he has decided not to pursue legal action, he intends to lobby the Irish government to permit abortions if a mother's life is at risk.
MORE: The Irish Answer
MORE: Irish Austerity: Can the Government Last the Course?


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Google chairman Schmidt arrives in North Korea on humanitarian trip
| Pyongyang, North Korea
Google's chairman wants a first-hand look at North Korea's economy and social media during his private visit Monday to the communist nation, his delegation said, despite misgivings in Washington over the timing of the trip.
Eric Schmidt, executive chairman of one of the world's biggest Internet companies, is the highest-profile U.S. executive to visit North Korea — a country with notoriously restrictive online policies — since young leader Kim Jong Un took power a year ago. His visit has drawn criticism from the U.S. State Department because it comes only weeks after a controversial North Korean rocket launch; it has also prompted speculation about what the businessman hopes to accomplish.
Schmidt arrived on a commercial Air China flight with former New Mexico Gov. Bill Richardson, who has traveled more than a half-dozen times to North Korea over the past 20 years.
Richardson, speaking ahead of the flight from Beijing, called the trip a private, humanitarian mission.
"This is not a Google trip, but I'm sure he's interested in some of the economic issues there, the social media aspect. So this is why we are teamed up on this," Richardson said without elaborating on what he meant by the "social media aspect."
"We'll meet with North Korean political leaders. We'll meet with North Korean economic leaders, military. We'll visit some universities. We don't control the visit. They will let us know what the schedule is when we get there," he said.
U.S. officials have criticized the four-day trip. North Korea on Dec. 12 fired a satellite into space using a long-range rocket. Washington condemned the launch, which it considers a test of ballistic missile technology, as a violation of U.N. Security Council resolutions barring Pyongyang from developing its nuclear and missile programs. The Security Council is deliberating whether to take further action.
"We don't think the timing of the visit is helpful, and they are well aware of our views," State Department spokeswoman Victoria Nuland told reporters last week.
The trip was planned well before North Korea announced its plans to send a satellite into space, two people with knowledge of the delegation's plans told The Associated Press. AP first reported the group's plans last Thursday.
Schmidt, a staunch proponent of Internet connectivity and openness, is expected to make a donation during the visit, while Richardson will try to discuss the detainment of a U.S. citizen jailed in Pyongyang, members of the delegation told AP. They asked not to be named, saying the trip was a private visit.
"We're going to try to inquire the status, see if we can see him, possibly lay the groundwork for him coming home," Richardson said of the U.S. citizen. "I heard from his son who lives in Washington state, who asked me to bring him back. I doubt we can do it on this trip."
The visit comes just days after Kim, who took power following the Dec. 17, 2011, death of his father, Kim Jong Il, laid out a series of policy goals for North Korea in a lengthy New Year's speech. He cited expanding science and technology as a means to improving the country's economy as a key goal for 2013.
North Korea's economy has languished for decades, particularly after the collapse of the Soviet Union, which since the mid-1940s had provided the country with an economic safety net. North Korea, which has very little arable land, has relied on outside help to feed its people since a famine in the 1990s.
In recent years, North Korea has aimed to modernize its farms and digitize its factories. Farmers told the AP that management policies were revamped to encourage production by providing workers with incentives.
Computer and cellphone use is gaining ground in North Korea's larger cities.
However, most North Koreans only have access to a domestic Intranet system, not the World Wide Web. For North Koreans, Internet use is still strictly regulated and allowed only with approval.
Schmidt, who oversaw Google's expansion into a global Internet giant, speaks frequently about the importance of providing people around the world with Internet access and technology.
Google now has offices in more than 40 countries, including all three of North Korea's neighbors: Russia, South Korea and China, another country criticized for systematic Internet censorship.
Accompanying Schmidt is Jared Cohen, a former U.S. State Department policy and planning adviser who heads Google's New York-based think tank. The two collaborated on a book about the Internet's role in shaping society called "The New Digital Age" that comes out in April.
Also leading the delegation is Kun "Tony" Namkung, a Korea expert who has made frequent trips to North Korea over the past 25 years and has worked as a consultant for The Associated Press.


text: Often reserved for special occasions or important outings, China dinnerware has easily made the transition to become an everyday eatery mainstay. In a marketplace where other materials are moving in quickly, China dinnerware has held its own and continues to be a must-have when looking for a certain style or aesthetic. Adding a few fashionable China bowls, plates, platters, and cups to your kitchen kit is nowhere near as expensive as it used to be, and outfitting your establishment with an entire collection of China dinnerware won't cost you an arm and a leg.


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Monday, August 30, 2010
Lime Marmalade - Blue Monday
From the kitchen of One Perfect Bite...We are going green this week and will be featuring recipes that are environmentally friendly or use ingredients that are green in color. This has been a difficult growing season for small farmers and gardeners in the Pacific Northwest. A late spring delayed planting. Heavy and persistent rain, accompanied by hail and high winds, damaged crops once they were in the ground. As a result berries, fruits and vegetables were late to market and their quality is poor. I normally do a lot of preserving at this time of year. Truth be told, there's not much worth putting by this season. The flavor of the blueberries is marginal and blackberries are not sweet enough for my purposes. Local corn and tomatoes are just now starting to come to market and colder nights have pretty much assured that my tomato plants are going to have gorgeous foliage but set no fruit. All of that means I have time to play and experiment in the kitchen. Today's recipe is a playful experiment that turned out well. The original recipe came from the Los Angeles Times nearly two decades ago. I held on to it because it seemed easy and required so few ingredients. As it turns out, it's a great recipe and I recommend it to those of you who like marmalade. Limes, thanks to our local warehouse stores, are abundant and inexpensive, and, for that reason, I decided to use them in this recipe. You can of course use lemons or grapefruit, as long as they can be very thinly sliced. Since no pectin is added to this recipe, a candy thermometer would be most helpful in determining if the fruit has cooked long enough to set. Even then, it is best to use your "eye" to conduct a sheeting test before pouring the mixture into sterilized jars.
This diagram might help. Sheeting syrup looks like this when it drops off a spoon.
I hope you'll give this recipe a try. The lime marmalade is wonderful with crumpets, muffins and scones. It can also be use to make a great marinade and sauce for chicken. Here's the recipe.
Lime Marmalade...from the kitchen of One Perfect Bite courtesy of the Los Angeles Times 1992
3 cups thinly-sliced unpeeled limes
1 cup thinly-sliced lemons, unpeeled, seeded
3 quarts water
9 cups granulated sugar
1) Combine lime and lemon slices and water in large kettle. Bring to boil and boil 20 minutes, or until peels are tender.
2) Drain, reserving liquid. Measure liquid, adding enough water to make three quarts. Return liquid to kettle with fruit and sugar. Bring to boil and cook rapidly until mixture sheets off spoon or to 221 degrees F on a candy thermometer. Pour boiling hot into hot sterilized jars and seal. Yield: 6 to 8 half-pints.
You might also enjoy these recipes:
Orange Fennel Marmalade - My Man's Belly
Golden Marmalade - Drick's Rambling Cafe
Rhubarb, Tangelo and Cardamom Marmellata - Luna Cafe
Kumquat Marmalade - Recipe Girl
Fig Marmalade - Gourmet Recipes
Seville Orange Marmalade - David Lebovitz
Meyer Lemon Marmalade - Simply Recipes
Balsamic Onion Marmalade - One Perfect Bite
This post is being linked to:
Smiling Sally - Blue Monday
69 comments :
- Angie's Recipes said...
I love homemade jam. They taste so much fresher!
The only problem I have with the homemade jam is that I just can't finish them before they are due. Our neighbours are mostly seniors, so they are so alert to sugar consumption. - August 30, 2010 at 1:43 AM
- penny aka jeroxie said...
Great idea and it is always good to remember about the environment and the footprints that we are leaving behind.
- August 30, 2010 at 2:04 AM
- Pie said...
That looks delicious. Thanks for the recipe. :)
My Blue Monday. - August 30, 2010 at 2:25 AM
- Priya Suresh said...
Fabulous looking marmalade..yumm..
- August 30, 2010 at 2:59 AM
- Junneth said...
This must be tried! Thanks for sharing!
- August 30, 2010 at 4:36 AM
- Jeannie said...
Wow, really impressive marmalade, they look so professionally done...thanks for sharing:D
- August 30, 2010 at 5:20 AM
- Jayanthy Kumaran said...
This one is gorgeous recipe..sure a keeper...bookmarked..!
- August 30, 2010 at 7:03 AM
- Auntie E said...
I love marmalade's. This looks good.
Happy Blue Monday, the Kind of Blue that I like! My Blue Monday Link for you - August 30, 2010 at 7:05 AM
- From the Kitchen said...
We really enjoy marmalade. I also make it each Christmas for friends and family. I think we'll all be happy to have a lime marmalade to add to the orange this year. Thanks so much!
Bonnie - August 30, 2010 at 7:22 AM
- Joanne said...
That really is terrible about the crops this season. But at least it allows for more craziness in the kitchen (glass half full. Always.). I love anything that has anything to do with limes! This marmalade sounds fantastic.
- August 30, 2010 at 7:28 AM
- Katerina said...
My husband loves marmalades and eats them for breakfast almost everyday. I will keep this recipe in my pile. Thanks Mary!
- August 30, 2010 at 7:32 AM
- Becky K. said...
I love citrus fruits. This sounds like it would be delightful on scones!!!
Happy Monday!!
Becky K.
Hospitality Lane - August 30, 2010 at 7:34 AM
- Martha said...
I've had other citrus marmalades but never lime -- this looks like a winner! And you are right -- those big bags of limes are cheap!
- August 30, 2010 at 7:36 AM
- Unknown said...
It's ashame Mother Nature hasn't been so kind this summer. I love your posts Mary, you are an expert at this - I learn something every time I visit your blog, it's just so well done. Thanks!
- August 30, 2010 at 7:47 AM
- Alicia Foodycat said...
Heavenly, heavenly marmalade! One of my earliest food memories is Roses Lime Marmalade on white toast. I would have been about 3. This looks much better.
- August 30, 2010 at 9:04 AM
- Unknown said...
I've never had a lime marmalade before, but I do love limes and I bet this would be wonderful!
- August 30, 2010 at 9:05 AM
- SmilingSally said...
I've never heard of lime marmalade, but since I love orange, I'm sure I'd like it.
That spoon illustration is a nice touch of blue.
Happy Blue Monday, Mary! Check out my book giveaway. - August 30, 2010 at 9:05 AM
- Nammi said...
Hello:) thank you for stopping by at my humble blog:) , I am not really a big fan of marmalade but husband loves it. Looks lovely :) have a nice day
- August 30, 2010 at 9:14 AM
- PeggyR said...
Oh that would be great on toast!
- August 30, 2010 at 9:19 AM
- ann said...
I love marmalades mixed into sauces or over goat cheese! Yum.
- August 30, 2010 at 9:31 AM
Oh Mary, another lime recipe - my favorite! I'll have to search for some cheap limes. They're 2/$1 at the grocery store. Thanks
Martha in KS - August 30, 2010 at 9:37 AM
- Cathy said...
Oh, I love marmalade, and this recipe looks wonderful.
- August 30, 2010 at 9:42 AM
- Claudia said...
That photo just sings of summer. Our produce has been outstanding - go figure. I love marmalades in the winter when they herald you back to summer.
- August 30, 2010 at 9:47 AM
- Valerie Harrison (bellini) said...
This marmalade sounds especially delicious. Wish I had some for my toast this morning.
- August 30, 2010 at 9:49 AM
- Kim @ Two Good Cookies said...
This looks divine. I'm not a fan of orange marmalade, but my Gent likes it so I'm looking forward to a compromise. Ahh, the things we do for love...
- August 30, 2010 at 9:49 AM
- Unknown said...
I hear you on the cruddy crops. I have beautiful leafy plants and ONE tomato!!! We're an hour north of Seattle...
Have a wonderful day! Be sure to visit my blog for a great giveaway!
***Visit my blog for a GIVEAWAY and new linking party!***
http://bloggingwhilewaiting.blogspot.com/2010/08/new-wednesday-party-link-up-giveway-too.html - August 30, 2010 at 10:03 AM
- Sushma Mallya said...
It looks so yummy mary, never done this before, thanks for sharing...
- August 30, 2010 at 10:09 AM
- Susi's Kochen und Backen said...
Looks great, I love orange marmalade but have never tried the lime version! I have a couple of lime trees in my backyard that are full of fruit starting to ripen so I'll have to bookmark this recipe :o)
- August 30, 2010 at 10:30 AM
- Jess @ Sugar High said...
I adore orange marmalade but lime sounds fantastic. I've been dying to try some preserving to hand out as gifts to family and friends. I will definitely be using this recipe. I think I'll try it with some lemon scones. :)
- August 30, 2010 at 10:48 AM
- Kelly said...
This sounds gorgeous although I am sorry to hear that the growing season there has been less than optimal. I wonder if the Pacific Northwest grapes for wine have also been suffering. :-/
That said, I am glad you were still able to find something to make. I've become recently addicted to canning and this looks like a lovely recipe. - August 30, 2010 at 11:15 AM
- T.W. Barritt at Culinary Types said...
Sounds tart and delicious! Looking forward to more green items this week!
- August 30, 2010 at 11:28 AM
- Tina said...
I haven't had the courage to try homemade jam...but I sure love marmalade, so this one is going on my short list!
- August 30, 2010 at 11:33 AM
- Leslie said...
Canning is one of few things in the kitchen that I am apprehensive about. This marmalade looks so good!
- August 30, 2010 at 11:33 AM
- LV said...
I have not been to the store lately, so I am having lunch with you. As always, you suggest the best sounding recipes. Trust you are well.
- August 30, 2010 at 12:00 PM
- Chele said...
Great idea. I love limes so I'm keen to try this recipe out.
- August 30, 2010 at 12:02 PM
- My Little Space said...
Ooo... this is truly mouthwatering! Just as good as the lemon marmalade. Thank you for sharing & enjoy your day.
Cheers, kristy - August 30, 2010 at 12:11 PM
- Maria said...
We love lime so I can't wait to try this recipe!
- August 30, 2010 at 12:25 PM
- Unknown said...
Thanks for the recipe and you are really resourseful
- August 30, 2010 at 12:28 PM
- Pam said...
I've never had lime marmalade... I bet it's so delicious.
- August 30, 2010 at 12:35 PM
- wendy @ ABCs and Garden Peas said...
My husband is a lime fanatic. He'd love this! I'm seeing it on homemade biscuits...
You're doing a great job for not having such a great harvest! - August 30, 2010 at 12:47 PM
- Jo said...
Hello ~ I'm thrilled you found me so that in turn I can now enjoy your delights. I'll be following along and looking forward to all the goodies!
This sounds wonderful. I'll have to give it a try.
Jo - August 30, 2010 at 12:48 PM
- Suman Singh said...
I have never tried making jam at home and that looks heavenly!
thanks for the recipe..have a nice day! - August 30, 2010 at 12:56 PM
This looks so fabulous. I've only recently tried my hand at tomato jam (w/o pectin) for the first time- this lime marmalade looks similar. Can't wait to try it out!
- August 30, 2010 at 1:57 PM
- Ginny Hartzler said...
This is a lovely vision! I just read in the paper today that more people are putting up food and preserving because of so many food poisoning scares in the news recently.
- August 30, 2010 at 2:38 PM
- Cristie said...
It's so true what you said about the produce being slow and not as good this season here in the west. I keep praying that the days will warm up enough to ripen my tomatoes and squash. I've not made lime marmalade, but it sounds very inviting, so glad you held on to that recipe for so long.
- August 30, 2010 at 2:45 PM
- RamblingTart said...
I know what you mean about the lack of produce this year, Mary! The only things that seem to be flourishing are kale and mint. Ah well. :-) Your lime marmalade is wonderful!! I love lime curd on my scones so I know this would be splendid too. :-)
- August 30, 2010 at 3:18 PM
- Self Sagacity said...
Sounds delicious. I would love to give your recipe a try one day.
- August 30, 2010 at 3:46 PM
- Rachana said...
This marmalade recipe sounds delicious. Thanks for sharing.
- August 30, 2010 at 4:42 PM
- Victoria said...
I love homemade jam but this is the first time I see the lime marmalade! I like orange marmalade, then I guess that a jam recipe with others agrumes, it's wonderful!
- August 30, 2010 at 4:54 PM
- Nina said...
OH...YUM!! I am definitely going to give this recipe a try!! Thank you for sharing.
:) - August 30, 2010 at 5:06 PM
- Allie and Pattie said...
Mary, someone gave me this recipe when I was in LA years ago on business. I didn't make any last year, but absolutely will this season. So sorry to hear of your tomatoes- it was brutally hot here, but we lost many to the deer :(
xoxo Pattie - August 30, 2010 at 5:14 PM
- Lisa McDonald said...
Sounds delicious Mary!
- August 30, 2010 at 5:15 PM
- Faith said...
There is just something about doing your own preserving that is so fulfilling. This marmalade sounds delicious! I can't wait to see more of your green features!
- August 30, 2010 at 5:27 PM
- The Blonde Duck said...
I've never had lime marmalade!
- August 30, 2010 at 5:54 PM
- We Are Not Martha said...
I love your green theme! This looks so pretty- like the perfect gift! :)
Sues - August 30, 2010 at 5:55 PM
- Larissa said...
So beautiful, and such a lovely thought. I love lime and love marmalade, and cannot wait to combine my two love!
- August 30, 2010 at 7:11 PM
- Tanna said...
Mary, I thank you so much for stopping by today so that I could find my way here to your blog. The recipes look devine and your photographs are gorgeous. My most favorite thing is your "about me". I love everything you said! A big amen! Blessings to you! Tanna
- August 30, 2010 at 7:31 PM
- Juliana said...
Wow Mary, I still have to try to make any marmalade...the lime one sure sounds and looks fabulous :-) Have a great week ahead!
- August 30, 2010 at 8:26 PM
- Ren- Lady Of The Arts said...
Great post- I will gather some more limes and try my hand at this!
- August 30, 2010 at 8:27 PM
- joyh82 said...
The marmalade looks very tasty. When we go apple picking in the fall we always pick up several varities of preserves. Happy Blue Monday.
- August 30, 2010 at 8:48 PM
- Cheah said...
Such sweet looking jam! So kind of you to share!
- August 30, 2010 at 10:06 PM
- Deborah said...
I'm in Utah, and the growing season has been a lot the same. I'm just barely getting tomatoes turning red! This marmalade looks delicious - I've never seen lime marmalade before.
- August 30, 2010 at 10:54 PM
- sweetlife said...
love lime marmalade and great that you placed the pic of spoon, that step always scared me hen first cooking
sweetlife - August 31, 2010 at 12:20 AM
- GLENDA CHILDERS said...
How did I miss it, Mary, that you were from the Pacific Northwest? Such a beautiful area. We are in a suburb of Seattle.
Glenda - August 31, 2010 at 12:27 AM
- My Man's Belly said...
Hi Mary,
Thanks for linking to my orange fennel marmalade.
I love your recipe for lime marmalade. I've got a lime tree that's definitely going to be my source for limes. That is, if I can keep some from my husband and his margarita making. ;) - September 4, 2010 at 5:22 PM
- Andrew_S_Hatton said...
I came to this Website looking for a use for Lime Marmalade, having acquired a jar of Wilkins of Tiptree's, Lime Marmalade in a discount box of 12 varied jars for us locals, I live half a mile from Wilkin's factory.
Having spread a thick covering on my Ryvitta crispbread, for a first effort and finding it, sharper than our usuaul Wilkin's Tawney (orange) I wondered about alternative uses.
I see the following here "It can also be use to make a great marinade and sauce for chicken."
I now seek advice/experience(s) of using it as a marinade or sauce and does it go with anything apart from chicken?
I like a lot of fish and we often have a white parsley sauce with that, maybe I'll try splodging a spoon of lime marmalade in that sauce, what do you think? - December 6, 2011 at 3:35 AM
- Andrew_S_Hatton said...
Whoops, I missed ticking the please email box, but have done now.
- December 6, 2011 at 3:36 AM
- Mary Bergfeld said...
Tolkny, I have used it as a glaze for chicken, and in salad dressing. It obviously is a great toast topper. Marmalade can vary in bitterness so I would be very careful about using it as a glaze for fish.I hope this helps. Have a great day. Blessings...Mary
- December 6, 2011 at 7:52 AM
- Andrew_S_Hatton said...
Uhmm. 'Glaze is too sophisticated a technique for me as far as food, that is what one does with windows!
However, wife having gotten some frozen chicken breasts out for lunch, I chose to prepare them.
Left overs from tin of tomatoes and juice in bottom of casserole dish, followed by lentils (2 desert spoonfuls), half chopped onion, chopped carrot, small portion of chopped swede, chopped celery (Three thinnish chops across a head) small sprinkle of curry powder and mixed herbs and chicken stock cube, the chicken breasts, spread with lime marmalade, added water enogh for gravy about half a pint.
Just under two hours, in pre heated oven, gas mark 6. Checked very carefully chicken cooked right through. Served with boiled cabbage, and left over reheated small portion of each of mashed potato and two boiled potatoes.
Tasted very good but I do not recommend cooking chicken portions from frozen! - December 6, 2011 at 9:10 AM


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Dana Eveland (2-2, 3.75) vs. Daniel Hudson (16-11, 3.43).
Now that Clayton Kershaw has concluded one of the best pitching seasons in Dodger history, our eyes turn to Matt Kemp's quest to carve out his niche in baseball history. (Wow, did I just sound like Bob Costas there?) The 2011 NL West champion Diamondbacks have won four straight, including a three-game sweep/shellacking of the Giants. (Tim Lincecum's final record? 13-14.) Kemp needs a 3-for-4 or 4-for-4 day to make ground in the batting average race. And we need to send someone to the Brewers' clubhouse to slip some Ex-Lax in Ryan Braun's Gatorade.
photo by Kent C. Horner/Getty Images


text:
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Read Shakespeare's 'Is this a dagger which I see before me' soliloquy from Macbeth below with modern English translation and analysis, plus a video performance.
'Is This A Dagger Which I See Before Me' Spoken by Macbeth, Act 2 Scene 1
Is this a dagger which I see before me,
The handle toward my hand? Come, let me clutch thee.
I have thee not, and yet I see thee still.
Art thou not, fatal vision, sensible
To feeling as to sight? or art thou but
A dagger of the mind, a false creation,
Proceeding from the heat-oppressed brain?
I see thee yet, in form as palpable
As this which now I draw.
Thou marshall'st me the way that I was going;
And such an instrument I was to use.
Mine eyes are made the fools o' the other senses,
Or else worth all the rest; I see thee still,
And on thy blade and dudgeon gouts of blood,
Which was not so before. There's no such thing:
It is the bloody business which informs
Thus to mine eyes. Now o'er the one halfworld
Nature seems dead, and wicked dreams abuse
The curtain'd sleep; witchcraft celebrates
Pale Hecate's offerings, and wither'd murder,
Alarum'd by his sentinel, the wolf,
Whose howl's his watch, thus with his stealthy pace.
With Tarquin's ravishing strides, towards his design
Moves like a ghost. Thou sure and firm-set earth,
Hear not my steps, which way they walk, for fear
Thy very stones prate of my whereabout,
And take the present horror from the time,
Which now suits with it. Whiles I threat, he lives:
Words to the heat of deeds too cold breath gives.
'Is This A Dagger Which I See Before Me' Soliloquy Translation
It was totally silent. And pitch black. It was now or never. Macbeth stared into the darkness. And as he looked it seemed that a dagger hung there. He closed his eyes and opened them again. It was still there. He peered. It didn't waver. Was it really a dagger? Its handle towards his hand?
He tried to clutch it. His hand went right through it: it was still there and yet he couldn't feel it. Was it only a dagger of the mind, a false creation of a fevered brain?
He could still see it as he drew his own, real, dagger: it was pointing the way to Duncan's room. He knew he was seeing things and yet it was so real. And now there was blood on it, which hadn't been there before.
It was ridiculous. There was no such thing. He knew it was the violence in his mind that was coming out in the form of a bloody dagger.
His mind was filled with images of fear and horror and he stood there, overwhelmed by them, until a bell rang and brought him back to the business in hand.
'I go, and it is done: the bell invites me.' He began walking. 'Don't hear it, Duncan; for it's a knell that summons you to heaven or to hell.'