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Improbable as it might seem, after all the talking points and speeches about Iraq and Afghanistan, domestic spying and torture, recession and mortgages and the rest, environmental policy might actually matter in the final stretch of this twisting marathon of an election.
Back in March 2008, when John McCain clinched the Republican nomination and gas was only $3 a gallon, the 2008 presidential campaign was still going to be all about the surge, Petraeus, and timetables. Climate change, energy, and the environment (as usual) failed to top the agenda. But six months later, in a nation traumatized by a summer of gas spiking over $4 a gallon, voters are confronting the reality that the energy future is now. And when energy matters, so does environmental leadership.
Heading into the final weeks of the campaign, McCain has staked his political fate on eluding the relentless accusations that he represents nothing more than a third Bush term. And here, his reputation as a stalwart, latter-day Teddy Roosevelt who can reconcile Republican values and environmental principles has been an invaluable weapon. It's the reason he can charge up the hill with the battle cry "Drill here! Drill now!" one moment and then in the next declare himself to be "a leader on the issue of global warming with the courage to call the nation to action on an issue we can no longer afford to ignore." McCain is running for president as that rare thing, a conservative with conservation cred, but the mercurial Arizona senator's true green identity is a blur of pluses, minuses, contradictions, posturing, and spinning black holes.
It's not difficult to make McCain's environmental résumé sound pretty dazzling. As a member of the House of Representatives from 1983 to 1987, and later as a junior senator, McCain helped to create 3.5 million acres of federally protected wilderness in Arizona. It was his mentor, Democrat Mo Udall, an environmental titan who served as an Arizona congressman from 1961 until 1991, who ushered McCain into a bipartisan coalition that passed the bills, but McCain deserves credit for being on the right team. As charter member of the Senate Wilderness and Public Lands Caucus, McCain worked to ban sightseeing flights over the Grand Canyon, and in recent years he bucked the GOP by opposing drilling in the Arctic National Wildlife Refuge (ANWR). Since 2001, he's been the leading conservative voice in raising the alarm over climate change, and he has led fact-finding trips to Antarctica and the Arctic Circle. In 2004, his stance on the issue earned McCain the endorsement of the League of Conservation Voters (LCV) in his bid for reelection; last fall he told automakers he'd push for higher auto mileage standards and made an earnest speech on climate change at a Danish-owned wind-turbine company in Portland, Oregon. He has declared that combating global warming will be one of the top three priorities of a McCain administration. The president of Republicans for Environmental Protection (a group whose membership includes Theodore Roosevelt IV) calls McCain "the greenest [GOP] nominee in decades."
To most environmentalists, however, that makes McCain merely "the best of the worst." His split with the White House over global warming is an exception; McCain's rule is a mixture of silent assent and loyal support for the cartoonishly malign environmental policies of the current administration.
In 1997 he opposed a chance to slice the Forest Service's budget for road-building. He voted against protecting lands in the California desert as wilderness and establishing Death Valley and Joshua Tree national parks. He wants to build 45 new nuclear power plants by 2030 but has little to say about the dangers and costs of storing nuclear waste (other than that he doesn't want it going through Arizona en route to a storage facility in Nevada).
He voted to confirm Gale Norton as secretary of the Interior in 2001; Norton, a protégé of James Watt, Ronald Reagan's antediluvian man in Interior, devoted the next five years to revering extraction and recoiling from science. Even on climate change, McCain's targets for reducing greenhouse gas are softer than what scientific near-consensus (and his own crisis rhetoric) demands, and his plan for how to get there lacks details. He helped defeat legislation that would have required U.S. automakers to meet a 40-mile-per-gallon standard by 2015. And he voted against the renewable electricity standards, which would have set a deadline for the U.S. to get 10 percent to 20 percent of its electricity from renewable sources, five times between 2002 and 2005, and he didn't bother voting on them when legislation introduced by Mo Udall's son arrived in the Senate in 2007. In fact, McCain hasn't shown up for a single significant energy policy vote in the last two years. McCain denounced President Bill Clinton's creation of the vast Grand Staircase–Escalante National Monument in Utah in 1996 and has vowed to reverse the move – as well as Clinton's ban on road development in 50 million acres of pristine wilderness – if he becomes president.
Southwestern activist David Hodges, policy director of the Tucson-based Sky Island Alliance, recalls McCain working behind the scenes in 1988 to craft a rider that exempted the construction of a University of Arizona telescope facility, in the middle of habitat for a critically endangered subspecies of red squirrel, from the Endangered Species Act. It was an unprecedented tactic, and soon anti-environmental riders were being attached to all kinds of legislation in Washington. "I don't know that he knew what he was unleashing," Hodges says, "but we certainly did."
Hodges has been watching and dealing with McCain for two decades. He says the candidate inspires puzzlement. "He's done things that we've been extremely disappointed in and done things we've been very happy with," he says. "It's hard to say, ideologically, that he has a clear vision of the environment, or what that might be."
You've probably heard the one about the grizzly bear DNA study. In almost every campaign stop and town hall meeting, McCain loves to enumerate ridiculous examples of wasteful federal spending, and perhaps his favorite is a $3 million grizzly bear DNA research project in Montana. "I don't know if that was a paternity issue or a criminal issue," he invariably jokes. (A McCain campaign commercial characterizes the research as an "unbelievable" rip-off.)
It's a reliable laugh line, but it's also a cynical lie that parrots the Bush administration's war on science, as McCain surely knows. After the candidate began to trash the study in question (the Northern Divide Grizzly Bear Project), the 'Washington Post,' 'Scientific American,' the 'New York Times,' and Factcheck.org all investigated and found the opposite of a frivolous, pork-barrel boondoggle. The project's clever, low-tech methodology – using barbed-wire snags to collect griz fur for DNA analysis – provides, for the first time, a large trove of accurate population and distribution data. It's an innovative, cost-effective effort findings of which will be vital to managing the species' recovery plan mandated by the Endangered Species Act. To McCain, it's "a waste of money." Teddy Roosevelt, who once said, "When I hear of the destruction of a species, I feel just as if all the works of some great writer had perished," would not approve. Oh, and McCain voted for the study before he bloviated against it. From his perspective, it doesn't matter if the best joke is dishonest, if he can score points in his jihad against congressional earmarks.
When you search McCain's biography, his books, and the torrent of interviews for the essence of his green politics, you find a lurching tone, omissions, and late-breaking plot developments that raise serious doubts about the wisdom of entrusting the environmental fate of the country to a McCain presidency.
The peripatetic and eventful first half of the senator's life left him rootless and untouched by any connection to place, much less an environmental sensibility. Settling in Arizona after marrying his second wife, Cindy, he learned to love the scenic grandeur of Arizona. He was taken under the wing of Mo Udall in Congress, and he took a crash course in land issues as an Interior Committee member in the 1980s. But the depth of this education in western states' environmental politics and of his collaboration with Udall in setting aside public land as wilderness shouldn't be exaggerated. He remained a reliable Reagan Revolution foot soldier and an aggressive pro-business conservative.
The true story of McCain's environmental record is that he's more committed to the appearance of conservation than to actually conserving anything. McCain urged the Gingrich-era GOP to tone down its virulent anti-environmental rhetoric while making it clear this was an issue of better packaging rather than better policies. "We Republicans," he declared in 1996, "are responsible for much of the negative perception of our environmental record." The significance of his 2000 presidential bid for green issues would have been negligible – except voters kept asking McCain about global warming, so he looked into it, and, observers say, used it to exact a bit of political payback from Bush, who had trashed him in the primary. He held hearings in the Commerce Committee during which he acknowledged the real threats posed by climate change but lacked the vision or conviction to take it any further.
Just as he has been otherwise silent about Bush's ignominious environmental record, his adoration of Ronald Reagan was never tempered by any acknowledgement that Reagan was, in the words of Stewart Udall (Mo's brother, and secretary of the Interior for JFK and LBJ), "the first overtly anti-conservation president of [the 20th] century." McCain never sees the bigger picture.
Even less diverting than the grizzly bear yukfest is McCain's opportunistic response to this year's soaring gasoline prices. In June, as part of his new "all of the above" energy policy, he announced a call to end the federal moratorium on offshore drilling in U.S. waters. Oil companies already have access to 34 billion barrels of offshore reserves; the areas McCain would open offer only an additional 8 billion barrels, and these reserves would not become available for many years.
"Anyone who tells you that this will bring down our gas prices immediately or anytime soon is blowing smoke," said California's Republican governor Arnold Schwarzenegger. Immediately following McCain's declaration, nearly $1 million materialized in his campaign coffers.
Then there's perhaps the saddest story of all: McCain's slow-motion retreat on drilling in ANWR. Like other McCain stands, this one has proven to be shallow and reversible. This summer, as the drumbeat for more domestic drilling became louder, along with false promises that doing so would lower gas prices, rumors flew that McCain would flip on ANWR. His staff was said to be studying the political calculus of pandering to credulous oil addicts. (In August, a poll in Arizona found that 55% of residents would rather reduce the price of oil and gas than protect the environment.) McCain himself floated cautious trial balloons, telling the 'Weekly Standard' he'd "continue to examine it" and call Alaska governor Sarah Palin, a strong proponent of drilling in ANWR, to discuss the issue. T. Boone Pickens reported that he had urged McCain to push for ANWR drilling and that McCain "said that he hadn't decided to do that . . . yet." On the eve of the Republican convention in Minneapolis, a provision promoting ANWR drilling in the GOP platform was grudgingly left out, but party officials expressed confidence that McCain, who has said his mind remains open "in light of this changed economic environment," would come around after the election – if not sooner.
Then McCain picked Palin to be his VP, another anti-environmental tell. Palin has dismissed the findings of Alaska's own wildlife scientists in the course of vehemently resisting the endangered-species designation of polar bears. The pick strongly suggests that the earlier gambit of having McCain swayed by Palin is definitely in play. To its proponents, the sacking of ANWR would deliver a political blow that far transcends the value of petroleum, and Palin speaks their atavistic language. "Drilling in Alaska is going to be a matter of life and death," she told CNBC in late August. "We're bursting with billions of barrels of oil." It will certainly be life or death to the Porcupine River caribou; the disputed "sliver" of coastal plain is the destination of the animals' 3,000-mile migration – the longest of any land mammal. Say goodbye to caribou calves and hello to a penny-a-gallon reduction in gas prices. In 2018.
Whether McCain surrenders on ANWR or just continues to wobble, this betrayal is personal. The refuge is a precious asset in Mo Udall's greatest achievement, the Alaska Lands Act of 1980, which also established 15 national parks, including Denali. Udall, who died in 1998, loved wilderness but knew politics, and words he once wrote should be ringing in McCain's ears today: "As America's finite resources and fossil fuels begin to run out, will ecologically aware legislators be able to resist the pressures . . . to exchange open space and free-flowing rivers, even the 'Crown Jewels' of Alaska, for jobs and highways and gasoline? I hope so, but it saddens me to say: I wouldn't bet on it."
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Male Breast Cancer Treatment (PDQ®)NCI PDQ Summaries for Patients
General Information about Male Breast Cancer
Stages of Male Breast Cancer
Inflammatory Male Breast Cancer
Recurrent Male Breast Cancer
Treatment Option Overview
Treatment Options for Male Breast Cancer
Treatment Options for Locally Recurrent Male Breast Cancer
To Learn More About Male Breast Cancer
About This PDQ Summary
General Information about Male Breast Cancer
Male breast cancer is a disease in which malignant (cancer) cells form in the tissues of the breast.
Breast cancer may occur in men. Men at any age may develop breast cancer, but it is usually detected (found) in men between 60 and 70 years of age. Male breast cancer makes up less than 1% of all cases of breast cancer.
The following types of breast cancer are found in men:
- Infiltrating ductal carcinoma: Cancer that has spread beyond the cells lining ducts in the breast. Most men with breast cancer have this type of cancer.
- Ductal carcinoma in situ: Abnormal cells that are found in the lining of a duct; also called intraductal carcinoma.
- Inflammatory breast cancer: A type of cancer in which the breast looks red and swollen and feels warm.
- Paget disease of the nipple: A tumor that has grown from ducts beneath the nipple onto the surface of the nipple.
Lobular carcinoma in situ (abnormal cells found in one of the lobes or sections of the breast), which sometimes occurs in women, has not been seen in men.
Radiation exposure, high levels of estrogen, and a family history of breast cancer can increase a man's risk of breast cancer.
Anything that increases your risk of getting a disease is called a risk factor. Having a risk factor does not mean that you will get cancer; not having risk factors doesn't mean that you will not get cancer. Talk with your doctor if you think you may be at risk. Risk factors for breast cancer in men may include the following:
- Being exposed to radiation.
- Having a disease linked to high levels of estrogen in the body, such as cirrhosis (liver disease) or Klinefelter syndrome (a genetic disorder.)
- Having several female relatives who have had breast cancer, especially relatives who have an alteration of the BRCA2 gene.
Male breast cancer is sometimes caused by inherited gene mutations (changes).
The genes in cells carry the hereditary information that is received from a person's parents. Hereditary breast cancer makes up about 5% to 10% of all breast cancer. Some mutated genes related to breast cancer are more common in certain ethnic groups. Men who have a mutated gene related to breast cancer have an increased risk of this disease.
There are tests that can detect (find) mutated genes. These genetic tests are sometimes done for members of families with a high risk of cancer. See the following PDQ summaries for more information:
Men with breast cancer usually have lumps that can be felt.
Lumps and other signs may be caused by male breast cancer or by other conditions. Check with your doctor if you notice a change in your breasts.
Tests that examine the breasts are used to detect (find) and diagnose breast cancer in men.
The following tests and procedures may be used:
- Physical exam and history: An exam of the body to check general signs of health, including checking for signs of disease, such as lumps or anything else that seems unusual. A history of the patient's health habits and past illnesses and treatments will also be taken.
- Clinical breast exam (CBE): An exam of the breast by a doctor or other health professional. The doctor will carefully feel the breasts and under the arms for lumps or anything else that seems unusual.
- Ultrasound exam: A procedure in which high-energy sound waves (ultrasound) are bounced off internal tissues or organs and make echoes. The echoes form a picture of body tissues called a sonogram. The picture can be printed to be looked at later.
- MRI (magnetic resonance imaging): A procedure that uses a magnet, radio waves, and a computer to make a series of detailed pictures of areas inside the body. This procedure is also called nuclear magnetic resonance imaging (NMRI).
- Blood chemistry studies: A procedure in which a blood sample is checked to measure the amounts of certain substances released into the blood by organs and tissues in the body. An unusual (higher or lower than normal) amount of a substance can be a sign of disease.
Biopsy: The removal of cells or tissues so they can be viewed under a microscope by a pathologist to check for signs of cancer. The following are different types of biopsies:
- Fine-needle aspiration (FNA) biopsy: The removal of tissue or fluid using a thin needle.
- Core biopsy: The removal of tissue using a wide needle.
- Excisional biopsy: The removal of an entire lump of tissue.
If cancer is found, tests are done to study the cancer cells.
Decisions about the best treatment are based on the results of these tests. The tests give information about:
- How quickly the cancer may grow.
- How likely it is that the cancer will spread through the body.
- How well certain treatments might work.
- How likely the cancer is to recur (come back).
Tests include the following:
- Estrogen and progesterone receptor test: A test to measure the amount of estrogen and progesterone (hormones) receptors in cancer tissue. If cancer is found in the breast, tissue from the tumor is checked in the laboratory to find out whether estrogen and progesterone could affect the way cancer grows. The test results show whether hormone therapy may stop the cancer from growing.
- HER2 test: A test to measure the amount of HER2 in cancer tissue. HER2 is a growth factor protein that sends growth signals to cells. When cancer forms, the cells may make too much of the protein, causing more cancer cells to grow. If cancer is found in the breast, tissue from the tumor is checked in the laboratory to find out if there is too much HER2 in the cells. The test results show whether monoclonal antibody therapy may stop the cancer from growing.
Survival for men with breast cancer is similar to survival for women with breast cancer.
Survival for men with breast cancer is similar to that for women with breast cancer when their stage at diagnosis is the same. Breast cancer in men, however, is often diagnosed at a later stage. Cancer found at a later stage may be less likely to be cured.
Certain factors affect prognosis (chance of recovery) and treatment options.
The prognosis (chance of recovery) and treatment options depend on the following:
- The stage of the cancer (whether it is in the breast only or has spread to other places in the body).
- The type of breast cancer.
- Estrogen-receptor and progesterone-receptor levels in the tumor tissue.
- Whether the cancer is also found in the other breast.
- The patient's age and general health.
Stages of Male Breast Cancer
After breast cancer has been diagnosed, tests are done to find out if cancer cells have spread within the breast or to other parts of the body.
After breast cancer has been diagnosed, tests are done to find out if cancer cells have spread within the breast or to other parts of the body. This process is called staging. The information gathered from the staging process determines the stage of the disease. It is important to know the stage in order to plan treatment. Breast cancer in men is staged the same as it is in women. The spread of cancer from the breast to lymph nodes and other parts of the body appears to be similar in men and women.
The following tests and procedures may be used in the staging process:
- Sentinel lymph node biopsy: The removal of the sentinel lymph node during surgery. The sentinel lymph node is the first lymph node to receive lymphatic drainage from a tumor. It is the first lymph node the cancer is likely to spread to from the tumor. A radioactive substance and/or blue dye is injected near the tumor. The substance or dye flows through the lymph ducts to the lymph nodes. The first lymph node to receive the substance or dye is removed. A pathologist views the tissue under a microscope to look for cancer cells. If cancer cells are not found, it may not be necessary to remove more lymph nodes.
- Chest x-ray: An x-ray of the organs and bones inside the chest. An x-ray is a type of energy beam that can go through the body and onto film, making a picture of areas inside the body.
- CT scan (CAT scan): A procedure that makes a series of detailed pictures of areas inside the body, taken from different angles. The pictures are made by a computer linked to an x-ray machine. A dye may be injected into a vein or swallowed to help the organs or tissues show up more clearly. This procedure is also called computed tomography, computerized tomography, or computerized axial tomography.
- Bone scan: A procedure to check if there are rapidly dividing cells, such as cancer cells, in the bone. A very small amount of radioactive material is injected into a vein and travels through the bloodstream. The radioactive material collects in the bones and is detected by a scanner.
- PET scan (positron emission tomography scan): A procedure to find malignant tumor cells in the body. A small amount of radioactive glucose (sugar) is injected into a vein. The PET scanner rotates around the body and makes a picture of where glucose is being used in the body. Malignant tumor cells show up brighter in the picture because they are more active and take up more glucose than normal cells do.
There are three ways that cancer spreads in the body.
Cancer can spread through tissue, the lymph system, and the blood:
- Tissue. The cancer spreads from where it began by growing into nearby areas.
- Lymph system. The cancer spreads from where it began by getting into the lymph system. The cancer travels through the lymph vessels to other parts of the body.
- Blood. The cancer spreads from where it began by getting into the blood. The cancer travels through the blood vessels to other parts of the body.
Cancer may spread from where it began to other parts of the body.
When cancer spreads to another part of the body, it is called metastasis. Cancer cells break away from where they began (the primary tumor) and travel through the lymph system or blood.
- Lymph system. The cancer gets into the lymph system, travels through the lymph vessels, and forms a tumor (metastatic tumor) in another part of the body.
- Blood. The cancer gets into the blood, travels through the blood vessels, and forms a tumor (metastatic tumor) in another part of the body.
The metastatic tumor is the same type of cancer as the primary tumor. For example, if breast cancer spreads to the bone, the cancer cells in the bone are actually breast cancer cells. The disease is metastatic breast cancer, not bone cancer.
The following stages are used for male breast cancer:
This section describes the stages of breast cancer. The breast cancer stage is based on the results of testing that is done on the tumor and lymph nodes removed during surgery and other tests.
Stage 0 (carcinoma in situ)
There are 3 types of breast carcinoma in situ:
- Ductal carcinoma in situ (DCIS) is a noninvasive condition in which abnormal cells are found in the lining of a breast duct. The abnormal cells have not spread outside the duct to other tissues in the breast. In some cases, DCIS may become invasive cancer and spread to other tissues. At this time, there is no way to know which lesions could become invasive.
- Paget disease of the nipple is a condition in which abnormal cells are found in the nipple only.
- Lobular carcinoma in situ (LCIS) is a condition in which abnormal cells are found in the lobules of the breast. This condition has not been seen in men.
Stage I
In stage I, cancer has formed. Stage I is divided into stages IA and IB.
- In stage IA, the tumor is 2 centimeters or smaller. Cancer has not spread outside the breast.
- In stage IB, small clusters of breast cancer cells (larger than 0.2 millimeter but not larger than 2 millimeters) are found in the lymph nodes and either:
- no tumor is found in the breast; or
- the tumor is 2 centimeters or smaller.
Stage II
Stage II is divided into stages IIA and IIB.
- In stage IIA
- no tumor is found in the breast or the tumor is 2 centimeters or smaller. Cancer (larger than 2 millimeters) is found in 1 to 3 axillary lymph nodes or in the lymph nodes near the breastbone (found during a sentinel lymph node biopsy); or
- the tumor is larger than 2 centimeters but not larger than 5 centimeters. Cancer has not spread to the lymph nodes.
- In stage IIB, the tumor is:
- larger than 2 centimeters but not larger than 5 centimeters. Small clusters of breast cancer cells (larger than 0.2 millimeter but not larger than 2 millimeters) are found in the lymph nodes; or
- larger than 2 centimeters but not larger than 5 centimeters. Cancer has spread to 1 to 3 axillary lymph nodes or to the lymph nodes near the breastbone (found during a sentinel lymph node biopsy); or
- larger than 5 centimeters. Cancer has not spread to the lymph nodes.
Stage IIIA
In stage IIIA:
- no tumor is found in the breast or the tumor may be any size. Cancer is found in 4 to 9 axillary lymph nodes or in the lymph nodes near the breastbone (found during imaging tests or a physical exam); or
- the tumor is larger than 5 centimeters. Small clusters of breast cancer cells (larger than 0.2 millimeter but not larger than 2 millimeters) are found in the lymph nodes; or
- the tumor is larger than 5 centimeters. Cancer has spread to 1 to 3 axillary lymph nodes or to the lymph nodes near the breastbone (found during a sentinel lymph node biopsy).
Stage IIIB
In stage IIIB, the tumor may be any size and cancer has spread to the chest wall and/or to the skin of the breast and caused swelling or an ulcer. Also, cancer may have spread to :
- up to 9 axillary lymph nodes; or
- the lymph nodes near the breastbone.
Cancer that has spread to the skin of the breast may also be inflammatory breast cancer. See the section on Inflammatory Male Breast Cancer for more information.
Stage IIIC
In stage IIIC, no tumor is found in the breast or the tumor may be any size. Cancer may have spread to the skin of the breast and caused swelling or an ulcer and/or has spread to the chest wall. Also, cancer has spread to:
- 10 or more axillary lymph nodes; or
- lymph nodes above or below the collarbone; or
- axillary lymph nodes and lymph nodes near the breastbone.
Cancer that has spread to the skin of the breast may also be inflammatory breast cancer. See the section on Inflammatory Male Breast Cancer for more information.
For treatment, stage IIIC breast cancer is divided into operable and inoperable stage IIIC.
Stage IV
In stage IV, cancer has spread to other organs of the body, most often the bones, lungs, liver, or brain.
Inflammatory Male Breast Cancer
In inflammatory breast cancer, cancer has spread to the skin of the breast and the breast looks red and swollen and feels warm. The redness and warmth occur because the cancer cells block the lymph vessels in the skin. The skin of the breast may also show the dimpled appearance called peau d'orange (like the skin of an orange). There may not be any lumps in the breast that can be felt. Inflammatory breast cancer may be stage IIIB, stage IIIC, or stage IV.
Recurrent Male Breast Cancer
Recurrent breast cancer is cancer that has recurred (come back) after it has been treated. The cancer may come back in the breast, in the chest wall, or in other parts of the body.
Treatment Option Overview
There are different types of treatment for men with breast cancer.
Different types of treatment are available for men with breast cancer. Some treatments are standard (the currently used treatment), and some are being tested in clinical trials. A treatment clinical trial is a research study meant to help improve current treatments or obtain information on new treatments for patients with cancer. When clinical trials show that a new treatment is better than the standard treatment, the new treatment may become the standard treatment.
For some patients, taking part in a clinical trial may be the best treatment choice. Many of today's standard treatments for cancer are based on earlier clinical trials. Patients who take part in a clinical trial may receive the standard treatment or be among the first to receive a new treatment.
Patients who take part in clinical trials also help improve the way cancer will be treated in the future. Even when clinical trials do not lead to effective new treatments, they often answer important questions and help move research forward.
Some clinical trials only include patients who have not yet received treatment. Other trials test treatments for patients whose cancer has not gotten better. There are also clinical trials that test new ways to stop cancer from recurring (coming back) or reduce the side effects of cancer treatment.
Clinical trials are taking place in many parts of the country. Information about clinical trials is available from the NCI website. Choosing the most appropriate cancer treatment is a decision that ideally involves the patient, family, and health care team.
Five types of standard treatment are used to treat men with breast cancer:
Surgery for men with breast cancer is usually a modified radical mastectomy (removal of the breast, many of the lymph nodes under the arm, the lining over the chest muscles, and sometimes part of the chest wall muscles).
Breast-conserving surgery, an operation to remove the cancer but not the breast itself, is also used for some men with breast cancer. A lumpectomy is done to remove the tumor (lump) and a small amount of normal tissue around it. Radiation therapy is given after surgery to kill any cancer cells that are left.
Chemotherapy is a cancer treatment that uses drugs to stop the growth of cancer cells, either by killing the cells or by stopping them from dividing. When chemotherapy is taken by mouth or injected into a vein or muscle, the drugs enter the bloodstream and can reach cancer cells throughout the body (systemic chemotherapy). When chemotherapy is placed directly into the cerebrospinal fluid, an organ, or a body cavity such as the abdomen, the drugs mainly affect cancer cells in those areas (regional chemotherapy). The way the chemotherapy is given depends on the type and stage of the cancer being treated.
See Drugs Approved for Breast Cancer for more information.
Hormone therapy
Hormone therapy is a cancer treatment that removes hormones or blocks their action and stops cancer cells from growing. Hormones are substances made by glands in the body and circulated in the bloodstream. Some hormones can cause certain cancers to grow. If tests show that the cancer cells have places where hormones can attach (receptors), drugs, surgery, or radiation therapy is used to reduce the production of hormones or block them from working.
See Drugs Approved for Breast Cancer for more information.
Radiation therapy
Radiation therapy is a cancer treatment that uses high-energy x-rays or other types of radiation to kill cancer cells or keep them from growing. There are two types of radiation therapy:
- External radiation therapy uses a machine outside the body to send radiation toward the cancer.
- Internal radiation therapy uses a radioactive substance sealed in needles, seeds, wires, or catheters that are placed directly into or near the cancer.
The way the radiation therapy is given depends on the type and stage of the cancer being treated. External radiation therapy is used to treat male breast cancer.
Targeted therapy
Targeted therapy is a type of treatment that uses drugs or other substances to identify and attack specific cancer cells without harming normal cells. Monoclonal antibody therapy is a type of targeted therapy used to treat men with breast cancer.
Monoclonal antibody therapy uses antibodies made in the laboratory from a single type of immune system cell. These antibodies can identify substances on cancer cells or normal substances that may help cancer cells grow. The antibodies attach to the substances and kill the cancer cells, block their growth, or keep them from spreading. Monoclonal antibodies are given by infusion. They may be used alone or to carry drugs, toxins, or radioactive material directly to cancer cells. Monoclonal antibodies are also used with chemotherapy as adjuvant therapy (treatment given after surgery to lower the risk that the cancer will come back).
Trastuzumab is a monoclonal antibody that blocks the effects of the growth factor protein HER2.
See Drugs Approved for Breast Cancer for more information.
Treatment Options for Male Breast Cancer
Breast cancer in men is treated the same as breast cancer in women. (See the PDQ summary on Breast Cancer Treatment for more information.)
Initial Surgery
Treatment for men diagnosed with breast cancer is usually modified radical mastectomy. Breast-conserving surgery with lumpectomy may be used for some men.
Adjuvant Therapy
Therapy given after an operation when cancer cells can no longer be seen is called adjuvant therapy. Even if the doctor removes all the cancer that can be seen at the time of the operation, the patient may be given radiation therapy, chemotherapy, hormone therapy, and/or targeted therapy after surgery, to try to kill any cancer cells that may be left.
- Node-negative: For men whose cancer is node-negative (cancer has not spread to the lymph nodes), adjuvant therapy should be considered on the same basis as for a woman with breast cancer because there is no evidence that response to therapy is different for men and women.
For men whose cancer is node-positive (cancer has spread to the lymph nodes),
adjuvant therapy may include the following:
- Chemotherapy plus tamoxifen (to block the effect of estrogen).
- Other hormone therapy.
- Targeted therapy with a monoclonal antibody (trastuzumab).
These treatments appear to increase survival in men as they do in women. The patient's response to hormone therapy depends on whether there are hormone receptors (proteins) in the tumor. Most breast cancers in men have these receptors. Hormone therapy is usually recommended for male breast cancer patients, but it can have many side effects, including hot flashes and impotence (the inability to have an erection adequate for sexual intercourse).
Distant Metastases
Treatment for men with distant metastases (cancer that has spread to other parts of the body) may be hormone therapy, chemotherapy, or both. Hormone therapy may include the following:
- Orchiectomy (the removal of the testicles to decrease the amount of hormone made).
- Luteinizing hormone-releasing hormone agonist with or without total androgen blockade (to decrease the the amount of sex hormones made).
- Tamoxifen for cancer that is estrogen-receptor positive.
- Progestin (a female hormone made in a laboratory).
- Aromatase inhibitors (to decrease the amount of estrogen made).
Hormone therapies may be used in sequence (one after the other). Standard chemotherapy regimens may be used if hormone therapy does not work. Men usually respond to therapy in the same way as women who have breast cancer.
Treatment Options for Locally Recurrent Male Breast Cancer
For men with locally recurrent disease (cancer that has come back in a limited area after treatment), treatment is usually either:
- Surgery combined with chemotherapy; or
- Radiation therapy combined with chemotherapy.
To Learn More About Male Breast Cancer
For more information from the National Cancer Institute about male breast cancer, see the following:
- Breast Cancer Home Page
- Drugs Approved for Breast Cancer
- Hormone Therapy for Breast Cancer
- Targeted Cancer Therapies
- Genetic Testing for Hereditary Cancer Syndromes
- BRCA1 and BRCA2: Cancer Risk and Genetic Testing
For general cancer information and other resources from the National Cancer Institute, see the following:
- Staging
- Chemotherapy and You: Support for People With Cancer
- Radiation Therapy and You: Support for People With Cancer
- Coping with Cancer
- Questions to Ask Your Doctor about Cancer
- For Survivors and Caregivers
About This PDQ Summary
About PDQ
Physician Data Query (PDQ) is the National Cancer Institute's (NCI's) comprehensive cancer information database. The PDQ database contains summaries of the latest published information on cancer prevention, detection, genetics, treatment, supportive care, and complementary and alternative medicine. Most summaries come in two versions. The health professional versions have detailed information written in technical language. The patient versions are written in easy-to-understand, nontechnical language. Both versions have cancer information that is accurate and up to date and most versions are also available in Spanish.
PDQ is a service of the NCI. The NCI is part of the National Institutes of Health (NIH). NIH is the federal government's center of biomedical research. The PDQ summaries are based on an independent review of the medical literature. They are not policy statements of the NCI or the NIH.
Purpose of This Summary
This PDQ cancer information summary has current information about the treatment of male breast cancer. It is meant to inform and help patients, families, and caregivers. It does not give formal guidelines or recommendations for making decisions about health care.
Reviewers and Updates
Editorial Boards write the PDQ cancer information summaries and keep them up to date. These Boards are made up of experts in cancer treatment and other specialties related to cancer. The summaries are reviewed regularly and changes are made when there is new information. The date on each summary ("Date Last Modified") is the date of the most recent change.
The information in this patient summary was taken from the health professional version, which is reviewed regularly and updated as needed, by the PDQ Adult Treatment Editorial Board.
Clinical Trial Information
A clinical trial is a study to answer a scientific question, such as whether one treatment is better than another. Trials are based on past studies and what has been learned in the laboratory. Each trial answers certain scientific questions in order to find new and better ways to help cancer patients. During treatment clinical trials, information is collected about the effects of a new treatment and how well it works. If a clinical trial shows that a new treatment is better than one currently being used, the new treatment may become "standard." Patients may want to think about taking part in a clinical trial. Some clinical trials are open only to patients who have not started treatment.
Clinical trials are listed in PDQ and can be found online at NCI's website. Many cancer doctors who take part in clinical trials are also listed in PDQ. For more information, call the Cancer Information Service 1-800-4-CANCER (1-800-422-6237).
Permission to Use This Summary
PDQ is a registered trademark. The content of PDQ documents can be used freely as text. It cannot be identified as an NCI PDQ cancer information summary unless the whole summary is shown and it is updated regularly. However, a user would be allowed to write a sentence such as "NCI's PDQ cancer information summary about breast cancer prevention states the risks in the following way: [include excerpt from the summary]."
The best way to cite this PDQ summary is:
PDQ® Adult Treatment Editorial Board. PDQ Male Breast Cancer Treatment. Bethesda, MD: National Cancer Institute. Updated <MM/DD/YYYY>. Available at: http://www.cancer.gov/types/breast/patient/male-breast-treatment-pdq. Accessed <MM/DD/YYYY>. [PMID: 26389417]
Images in this summary are used with permission of the author(s), artist, and/or publisher for use in the PDQ summaries only. If you want to use an image from a PDQ summary and you are not using the whole summary, you must get permission from the owner. It cannot be given by the National Cancer Institute. Information about using the images in this summary, along with many other images related to cancer can be found in Visuals Online. Visuals Online is a collection of more than 2,000 scientific images.
The information in these summaries should not be used to make decisions about insurance reimbursement. More information on insurance coverage is available on Cancer.gov on the Managing Cancer Care page.
Contact Us
More information about contacting us or receiving help with the Cancer.gov website can be found on our Contact Us for Help page. Questions can also be submitted to Cancer.gov through the website's E-mail Us.Date last modified: 2016-07-18


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text: Internet Special Prices are after all factory Rebates/Incentives, With approved credit. Plus tax, tag, 599.50 Administrative/Processing Fee, $60.50 electronic filing fee, NCI. Everyone may not qualify for all rebates. Not eligible with special financing. May not represent actual vehicle. (Options, colors, trim and body style may vary). See dealer for complete details.


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home burgers & sandwiches dinners drinks specials history find us
Welcome to the Glenwood Pines Restaurant, overlooking beautiful Cayuga Lake in Ithaca, New York. We work hard to earn our reputation for good food, good drinks, and good service . . . all served up at a reasonable price in a friendly and casual atmosphere. The Glenwood is known worldwide for our Pinesburger, Bloody Mary, and Fresh Haddock Fish Fry. Travelers on the Finger Lakes Wine Trail, professors, college students, and locals have made the Glenwood their first choice for casual dining.
Reservations are not required for normal dining. However, the Glenwood is a great place to host your party, business luncheon, fraternity/sorority gathering, holiday event, or team banquet. Your group can reserve our downstairs dining room, which seats up to fifty. Order from the menu, or let us put together a special package or limited menu for your group. And of course, we would be happy to serve that special dessert or birthday cake. Email us or call us at 607-273-3709 to discuss your group party needs.


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KIND Healthy Snacks is no longer a part of PeaceWorks. We are very proud that KIND has gone on to become the fastest growing brand in the energy bar category! Please visit www.kindsnacks.com to learn more.
Since its beginnings in 1994, PeaceWorks Holdings LLC has been a business that pursues both profit and peace. We pursue profit through our sales of healthful food products that are produced by neighbors on opposing sides of political or armed conflicts, whose cooperative business ventures we facilitate. PeaceWorks imports creative healthy foods that use only the freshest ingredients. The result is delicious, all-natural products
A minimum of five percent of our profits are used to support the PeaceWorks Foundation and the One Voice Movement, which aims to amplify the voice of moderate Israelis and Palestinians, and to help them build a human infrastructure and the political environment necessary to propel political representatives towards a two-state solution.
PeaceWorks also provides business consulting services to social enterprises, both in the US and internationally, including in the areas of venture development, communications, marketing, procurement, and promotion. PeaceWorks has advised several business leaders and successful enterprises, and has helped launch award-winning and highly celebrated business ventures. PeaceWorks also selectively provides these services on a pro-bono basis and as an investment partner.
Over its history, PeaceWorks has initiated business ventures among Israeli Jews, Palestinian citizens of Israel, Palestinians living in the West Bank and Gaza, Egyptians and Turks; Indonesians (including a women-owned cooperative with Muslims, Christians and Buddhists working together under the same roof); and Sri Lankans (involving members of the Sinhalese and Tamil communities).
KIND is no longer part of PeaceWorks. Learn more about The KIND Advantage Program


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easyJet's cheapo astroturfing campaign downs charity servers
Apology landed, donation en route, marbles lost in a spam storm
easyJet has quickly apologised to a charity that makes it easier for people to contact their MP, after the airline overloaded servers by ignoring anti-spam guidelines.
The budget airline fired off an email to subscribers to its newsletter, which normally provides details of special offers and new flight rules, at about 8.30am today.
easyJet CEO Andy Harrison asked them to use the charity site WriteToThem.com, part of the mySociety project, to copy and paste a pre-written corporate lobbying letter to their local Member of Parliament.
In the email, Harrison pushes easyJet's agenda on climate change taxation, which it reckons should put the burden on CO2 emissions, as opposed to the current Air Passenger Duty regime.
His budget approach to parliamentary lobbying caused traffic on the donation-funded site to spike by an order of magnitude, mySociety said. The site normally gets about 25,000 hits in a whole day, and quickly exceeded its bandwidth allocation even though all spammy campaigns are automatically blocked.
The FAQ warns: "If you are not a constituent, or you send a "copied and pasted" form letter, your message will go straight into the bin."
WriteToThem.com is very clear about mass campaigns in its guidelines too. They state: "If you're going to mention WriteToThem.com in a campaign which reaches tens of thousands of people at once, please let us know first! If our servers can't cope, it breaks your campaign."
Developer Francis Irving explained: "It's to make the whole service more valuable. We're about the little guy making himself heard. There are services where you can pay for online lobbying as a corporation."
easyJet spokeswoman Samantha Day told El Reg the call to spam had been a "misunderstanding" and pledged to cough up a contribution to WriteToThem.com forthwith. She said details of the donation have not been finalised and will remain secret.
Irving said: "I can see how they made the mistake. Donations are always welcome." ®
Sponsored: Quit your addiction to storage


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Seth and his girlfriend
Sigh. He does not disappoint in person. Except for the fact that he has a girlfriend. Who is very pretty, and seems very sweet, and eats food, and doesn't have thick ankles. Bitch.
Seth Meyers came to Vancouver with Lorne Michaels for the Opening Ceremony and also to attend Roots Founder Michael Budman's birthday party. He is SO CUTE. But they go to the bathroom together. Like when she pees, he pees. I'm just saying that's not the Seth I know in my imagination.
The Seth I know in my imagination is the one chair dancing during Jean K Jean's Weekend Update visits. Zut alors!
This is Seth for my friend Michelle, who I miss so much, out and about yesterday in New York. Good style, right?
Photos from Tom Meinelt/Splashnewsonline.com


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My test results suggested a career in farming and agriculture was best for me. (Oddly, so did my Dad's tests in the 1950's. And he's a lawyer now).
In October I put a resume up on a medical site, looking for research work in addition to my regular practice.
Today I got an email from the site's "job assistant", saying that I'm qualified for an exciting career as a Certified Nursing Assistant, and should register for classes NOW.


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|This little guy turned out kind of cute, I thought :)
His body is stuffed with polyester stuffing, and his tail is flat.
|My kids just borrowed a book from the library called 'Jolly Olly Octopus' I think
that is where the inspiration for this came from.
These clouds are just flat, stitched around the edge, with a white side and a blue side.
|This little fishy turned out a bit weird
but I like his shape.
Hope you are all having a great day (or night!)


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Ultrasonic Bird Control Devices: Peer reviewed studies show they do not workFriday, April 27th, 2012
From The UC Davis Website:
"Peer-reviewed research is the gold standard of mainstream science. A peer-reviewed article has been critically read and reviewed by trained scientists. Peers are given the opportunity to anonymously comment on the adequacy of the experimental design and the validity of the conclusions that are drawn from the scientific work under review. The publication of research in a peer-reviewed journal means that the article has passed the scrutiny of fellow scientists. Studies that have not been through peer-review are not necessarily flawed, but peers have not been given the opportunity to judge the scientific merit of the results that are derived from such studies. "
Recently we published an article about the ineffectiveness of Ultrasonic Bird Deterrents, written by our well qualified in house Ornithologist and based on peer reviewed studies from the USDA, Universities and other qualified sources. This article has been criticized based on one scientists un-reviewed findings. We decided to list our resources to show the studies that support our assertion that ultrasonic bird deterrents are ineffective at deterring birds: (more…)


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I've since left. Everything is better now. The remainder of this post was written from my couch at home.
Last night I didn't ride Kirby. The ride itself wasn't super memorable, hence my lack of super memories, which are like regular memories, but in them everyone is wearing a cape. I had left work earlier than usual because I had to get home to take care of the dog (EtP) prior to heading back out again to spend the evening with my wife and a former UN Secretary General (SPOILER ALERT: Not Javier Perez de Cuellar). Traffic seemed lighter than usual and I rode through Dupont Circle to 19th Street, a street that I'm really coming to love. Sure it's full of buses and drivers who aren't looking for bicyclists and pedestrians who see bicyclists but ignore them anyway, but it seems like a pretty direct and fast way to get from north to south (carpetbagging?) if you're willing to mostly mix it up with traffic for a couple of blocks, namely between L and Penn.
I'm thinking that maybe we should just add "unless you think you're special" to the bottom of each traffic sign. No turn on red unless you think you're special. Yield unless you think you're special. Stop unless you think you're special. That way, we can at least make evident who thinks that he's special and judge them overtly.
Down Penn and past the White House and then down 15th and on Penn again across town to the Capitol. For as 'bad' as the Pennsylvania cycle track is, I sure love it. I don't know if that's Stockholm syndrome, the soft bigotry of low expectations or if I've got a real deal Petrarch-Laura situation going on. I don't know if I like riding in the bike lane in spite of its flaws or because of its flaws or whether it has nothing to do with it's flaws (or flossing) and everything to do with the fact that I get to ride past fancy and important buildings while looking at other fancy and important buildings, all within the relative safety of a somewhat separated bike lane. Look at me, all waxing and stuff.
I rode up Capitol Hill (fun fact: somewhat hilly) and down East Capitol. Little doing. I then took Bikeshare back to the thing (thing being the word I use to describe the thing I went to with the Official Wife) and then we rode home together on Bikeshare. We rode past Union Station, which was (and is still) in the process of being striped after being paved. There will be bike lanes! And this is fantastic! And I will add one more sentence just to use one more exclamation point! Though, I've got to admit that I'm going to miss (sort of) the wonderful and terrifying affair that was riding through the bumpy, ruddy, complicated mess of lanes that was the old Columbus Circle. But my missing it is nothing in comparison to the vast utility of bike lanes, and maybe even some bollards.
Here's a picture of the soon-to-be bike lane. I saw it this morning:
|So stripy.
I'm ready for both of these lanes to be striped because even tonight, with the spray paint on the ground, drivers felt no compunction to not drive in them. Perhaps thicker white paint will do the trick. Or those painted bicycle people.
I took New Jersey Avenue again because if something is worth doing once, it's worth doing twice or something like that. Today was less crowded than yesterday and I didn't mind it nearly as much. R Street was also less crowded and at the time I think I recall seeing some stuff that might have been worth blogging about, but apparently not. I guess I could make something up. Um, I remember feeling like I was riding pretty quickly, so that definitely seems like a kind of fabrication. Most of my ride, I was consumed by the clickety click clicking on what turned out to be Kirby's right pedal. Clicking is one of the more annoying sounds one's bike can make, along with squeaking, squealing, gnashing, thudding scraping, scratching,
How did the people at 10th and R NW get that stop light put in? It's a T-intersection and I have no idea why there's a stop light at all. They must have some serious political pull. Overall, I think there are two many stop lights in general and there's not nearly enough creativity when it comes out our traffic control solutions. There should just be a stop sign on 10th and no light on R. Otherwise, it's just a waste. I demand a redress of these grievances!
It's been interesting trying to learn how to ride the Brompton, with its two gears and tiny wheels. I've been "spinning" a lower gear, turning the pedals over at a much higher rate. I think I pedal about three times as much as I normally would on the other bike. It's just different and it'll take some getting used to and I don't necessarily mind it, but it's probably the most marked difference between riding the two different bikes.
And now, on to the ride home. I left work late (oh yeah, sorry about not writing up these posts at lunch. It's still add/drop and I'm unpleasantly busy for too much of the day. Please address you angry letters to the university president. Or maybe, don't write those letters because, you know, remaining employed and such), taking the usual route down Massachusetts. A rode next to an out-of-service bus. Why is any bus out-of-service during evening rush hour? I don't understand. I turned left at Garfield, detouring through [neighborhood between Wisconsin Avenue and Connecticut Avenue] and then through Adams Morgan, across Euclid Street to 7th, the part of 7th called Georgia Avenue, parallel to Howard University. There's no bike lane on Georgia Avenue, at least until south of Florida Ave. I don't especially like that. South of Florida, it's pretty breezy and I didn't mind the breeze-itude, which is not a real thing. I am, however, beginning to get mildly upset about the idea of wind once again hampering my commute. It's gusted a few times in the past couple of days and I simply don't care for it. I rode to Bicycle Space where they, after some time, replaced my busted right pedal (For those of you reading from the bottom, please see the middle paragraph and then the first paragraph. Also, please prepare for a question).
After the bike was fixed, I rode down 7th to Mass, Mass to 6th, and 6th to E, which I took back over to and around Columbus Circle, down Massachusetts and basically to home, after stopping briefly as a market by Lincoln Park, which stocks, amongst other things, fancy cheeses. I've long been seeking a local corner store replete with fancy cheeses and I'm grateful I've finally found one. There's no point in living not near a place that sells fancy cheeses.
I shall leave you now. Thanks for reading.


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Founded as a utopia for life-long learning, fulfillment and happiness, Shangri-La has not strayed far from its roots since its creation in 1963.
As a 501(c)(3) non-profit organization and equal opportunity employer, Shangri-La provides human services at nearly 100 locations throughout the mid-Willamette Valley and central Oregon coast. Our programs serve over 2,000 people annually.
Whether you are seeking services for yourself or a loved one, thinking about volunteering with us, or wanting to learn more about our mission, we thank you for visiting our website and look forward to meeting you.
You can always contact us directly by calling our Salem, Eugene, Newport, or Florence offices.
Thanks for visiting.


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Harvard University Press, 1 ene. 1982 - 184 páginas
This is the little book that started a revolution. First published almost twenty years ago, it made women's voices heard, in their own right and with their own integrity, for virtually the first time in social scientific theorizing about women. Its impact was immediate and continues to this day, in the academic world and beyond. Translated into sixteen languages, with more than three-quarters of a million copies sold around the world. In a Different Voice has inspired new research, new educational initiatives, and political debate-and helped many women and men to see themselves and each other in a different light. Carol Gilligan believes that psychology has persistently and systematically misunderstood women--their motives, their moral commitments, the course of their psychological growth, and their special view of what is important in life. Here she sets out to correct psychology's misperceptions and refocus its view of female personality. The result is truly a tour de force, which may well reshape much of what psychology now has to say about female experience.
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Every MAN should be requires to read this, And regardless of how fountains on the tragic circumstances of abortion and or Roe v. Wade , read this while you search your consciences. When unread this, I ... Leer reseńa completa
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I wasn't sure I'd find much enjoyment in some scholarly non-fiction discussing psychological theory but I found this book extremely thought-provoking, particularly the first half. Gilligan's premise ... Leer reseńa completa
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abortion decision achievement adolescence adulthood aggression appear attachment baby becomes Betty Carol Gilligan cern child cial Claire concern confrontation connection considered construction context contrast crisis David McClelland defined describe developmental equation Erikson ethic ethic of care experience failure feel female feminine Freud gender identity George Eliot girls going Heinz human hurt identity imagery interpretation interview intimacy issue Jake Jean Baker Miller justice Kohlberg Lawrence Kohlberg lemma lives logic male ment Michael Murphy mode moral development moral dilemmas moral judgment Moral nihilism moral problem mother Persephone person perspective pregnancy psychological psychology question reality realization recognition rela relationships resolution rience Sarah self-sacrifice selfishness and responsibility sense separation sex differences shift situation social sort sponsibility steal the drug story survival things thought tion tionships transition trapeze truth trying tween understanding violence voice wife woman women women's development women's moral wrong
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Communities of Practice: Learning, Meaning, and Identity
Etienne Wenger
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Catherine Marshall,Gretchen B. Rossman
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Have you always wanted to learn to sew? Dreamed of how wonderful it would be to be able to make clothing that is exactly how you want it to be — down to the design, color and fabric? One of the goals of Interweave is to provide you with the sewing books, magazines, tutorials, patterns, and most importantly, the inspiration that will help your dreams of being your own designer a reality. Browse our sewing selection for patterns, kits, books, magazines, DVDs and videos, tools and supplies and more. All of our tutorials, skills and techniques are communicated clearly, in an easy-to-understand format by some of the most respected experts in the field.
If you are a beginner who has never threaded a sewing machine, our collection of informative books, DVDs and videos provide you with the basics to set you on the path to the world of sewing. Soon you will be able to build your sewing skills with beginner projects including home décor and simple garments and accessories. For our intermediate sewers and beyond who want to enhance their skills, our advanced books and videos provide in-depth, detailed information on machine embroidery, techniques such as embellishments, how to print fabric, using a serger machine and plenty more. You will be able to create endless garments and accessories to add to your wardrobe as well as sew purses, dolls, aprons, table runners and home décor that make great gifts for friends and family.
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Looking for the latest in sewing news, project ideas, tips and tricks, advice from industry experts and so much more? Browse our selection of magazines available in print or digital editions.
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OCD Kitchen Organization
I'm not clinically OCD, but I do exhibit many obsessive compulsive disorders, especially in my kitchen. I disclosed this in my pantry post (My Corner Market: Tips for an Organized Pantry) and since it has been pinned over 47,000 times on Pinterest as of today, I figured there was something about my crazy organization skills my followers liked. Today I am sharing a few of my favorite organization tricks from the rest of my kitchen (to see the open house of my Midnight Beach Kitchen, click HERE).
To start off, I like to keep everything in a handy place for where I might use it. For example, my KitchenAid mixer sits in a corner with the flour close by. In the drawer just below I have all of my measuring cups, spoons etc. In the cupboard above are my baking supplies like salt, nuts, baking powder etc. For my "wrap" drawer, I like everything contained to one drawer. I LOVE Costco's plastic food wrap and keep it to the front so I can pull, cut and lay it on the bar to wrap up individual servings of stuff (like to freeze individual tilapia portions). I am a huge Ziploc bag fan, and always buy them when they are on sale at Costco. Cooking utensils go right next to the cook top for obvious reasons, and I try to limit my selections to pieces that can go in the dishwasher. If I haven't used it in a year (not even Thanksgiving), I throw it out, or donate it. Knives, oh how I love my knife block. Silly right? I used to have my knives sloshing around in a drawer, but once I invested in this baby, I could never go back. Not having to open a drawer and dig around when you need a knife is a great thing. The last picture below is of an empty drawer with organizers in it…I don't know what to put in there! Everything already has a place so for now, I enjoy knowing that I have space available (part of that OCD ya think?).
It's no surprise that I organize my spices. I've even taken the bullion out of the packs and labeled it with a C for chicken or B for beef so I don't have to look at the ugly yellow packaging.
I am in the process of converting all of my spices over to Target's Archer Farms, aren't they adorable? I keep them out by my cook top for now, sweet spices on one side, savory on the other.
The best tip I have for organizing your cutlery is to have 2 matching sets and only keep one style in your drawer. Once I got rid of the mismatched, onsey twosies everything came together for me. Another tip? Measure your drawer and find the largest organizer you can fit, this one is from Ikea.
About six years ago I bought these white dishes at Mervyn's for $20! That was service for 12 mugs, mug plate, salad plate, regular plate, and wide bowl I couldn't pass it up so I bought two. It isn't my favorite design of all time (fruit) but it is so basic and perfect for having a large family party. I keep miscellaneous dishes up where I can't reach and rarely even see. In the next cupboard I keep my glasses, all clear and same shape from Ikea. Both of these cabinets are the closest to the table for easy setting.
Bar Mops…these rocked my world when my husband brought them home. Sam's club carries them in their Baker's and Chef's line. 24 towels for $12.88. They fit perfectly inside the drawer next to the sink. No folding or fancy stuff here, just line them up and in they go. Oh, did I mention they can be bleached? What is grosser than a nasty old towel and not knowing if it is clean or not? These are cheap enough that you can stock up. Then after a few uses, throw it in the wash and grab another. As for the towel bar on the end of the island? Well, that was the genius of my neighbor Brittany. After I saw hers, I put up a small towel bar there two and have loved it ever since. The towels on the bar aren't usually folded, but are used by everyone and not seen since they are tucked on the side of the island.
I am a lover of glass cookware, mostly because it can be washed in the dishwasher, and who isn't for easy clean up. Instead of stacking them or nesting them, I found these really inexpensive brackets at Ikea that screw into the bottom of the cupboard. Space them how you want and slide in your bake ware (of course this could be used for any type of bake ware, metal, ceramic etc). You can see the metal bake ware and disposable above the glass is nested, that's because I rarely use it.
In my pantry post I mentioned that I didn't keep cans or bottles in there. That confounded a few people. You see, I can't stand to see all of those miss matched labels so I chose to keep them in a cupboard behind a door that is rarely opened (I told you this was an OCD post). Instead I have purchased three 18″ non-skid turntables and placed them in the awkward corner cabinet. The lazy susans hold most of the cooking supplies that are canned, jarred or bottled. If I have a multiple of an item like Prego sauce, I stand them up in a soldier row on the side since I know what is behind the first. The top shelf (I'm short so I need a chair to reach it) holds my pitchers and other glass vases and such.
Here you can see how I maximize one lazy susan with a lot of variety of cans.
There are a few products I can not live with out in my kitchen. Disinfecting wipes for those messy moments. I use denatured alcohol to clean stubborn grease and stains nothing else will touch. Goo gone for all of those labels that won't come off (I love to Recycle Bulk Packaging). For the dishwasher I love the tabs by Finish and my all time favorite counter top and glass cleaner is Sprayaway. It works great on glass and my black Corian counter top (and not much else does). For the MOST important and useful tool in the kitchen I look to the….razor blade! I can't live with out it. I mostly use it to scrape stuff off the counter top, works great with Corian, tile or granite.
And for my last tip, this one is especially for the kids, sort your silverware before you wash it. I know it seems simple but it makes a HUGE difference. My dishwasher has five sections so I have divided them out in to five categories: Knives & Scissors, Small Spoons, Large Spoons, All forks, Serving and Other. This takes a little more time putting it in the dishwasher, but when it comes time to put them away it's a breeze (especially when you make your kids empty the dishwasher like I do). I have become so converted to this method, I usually refuse help loading my dishwasher since most people aren't willing to participate in my methods, ahhhem husband, ahhem. Please try this, "it's the besssstttt" (a little Nacho).
Thanks for joining me in the quest for an organized kitchen! If you are one of the few that hasn't seen my Pantry post, check out what you've been missing, ha ha.
Linked Up: Tatertots & Jello, Funky Junk Interiors


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btw, we play 4th edition, some of the guys are pretty new, and to be honest, this is my first time running a campaign, but it should be lots of fun, like i said, let me know if you are interested
I've got a group going on in La Vista on Sundays. Let me know if you are interested
Welcome...I am not far from u..I haven't played 4th yet but have played 2nd Ed for over 20yrs...I am also looking for a group or people to play.
Welcome to da boards mon!
The 300 (+7)


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Just curious to how people feel about the pre and if we have any bb users that converted or even saw the phone.
Well il admit I am one of them that saw the phone and here are my initial views on it. I had the device for roughly a day and I must say I like it better than my storm. Il leave my favorite feature for last. lol. Firstly it has less lag especially with the 1.02 update. Dont get me wrong its not lag free, but its lag is minimal. The phone itself I dont honestly like how it feels when using the keyboard. The keyboard is bad at first but honestly with some frequent use I got comfortable with it. It is not like typing on a curve now but after a couple hours I got used to it. Me i personally can used to a any phone quickly. Only took me an hour to get used to the storm surepress so I am not sure how a new rookie user would handle the keyboard. The pre bottom has an edge on it that for the life of me I cant explain why they did this. The phones itself gets dirt and fingerprints everywhere and I do mean everywhere lol. The screen is beautiful simply beautiful. The size of the phone is sooooo sooooo small. It acutally shocked me. If you wear baggy jeans you could easily lose it in yourn pocket. The synergy feature in which it takes all your information from your synced accounts and links them together I thought was great at first. Here is the major flaw I saw in it. Maybe somebody knows how to change this but when I linked my facebook my contacts got filled with all friends with specified info from facebook. I do mean everyone. People I dont really even know were in my contacts. I couldnt find a way to select who i want to sync and who i didnt want to. This could become kinda troublesome because the last thing you want is your facebook friends mixed with your business clients lol. The browser is light years ahead of the storms. Renders faster is more responsive everything. Also html emails is better on the pre. The one thing about my storm I dont like is that when you get an email filled with html you have to get images. I dont like that. I thought there would have been and automatic download option for html graphics. Well its integrated within the pre. Next true threaded messaging and I do mean true threaded messaging just like on the iphone but better in the aspect that if you are talking to someone on aim and he signs off but you want to continue convo you can just choose to send a text message and it shows in the same threaded messaging session.Also Wifi very great plus. The battery life honestly was good for me. It wasnt spectacular but I survived 10 hours with heavy use. Universal search is beautiful and works flawlessly save you ever having to honestly opening the contacts application or ever going to google website. Only thing I wished it was integrated into every application but it is only integreated in a few.The acceleromator is fast very fast actually fastest i have ever seen. But here is the dumb part it only works in web browswer and cards and maybe some other application. This is silly just integrate it into all programs.There is also no on screen keyboard some people may not like this but i aint mind it at all. Ok now to my favorite part of the phone the part in which it has me tempted to get the phone multitasking. It is beautiful. Multitasking is the one feature I been asking from my smartphone since I first got mine. And I mean true multitasking. You can open an email be have way in typing email and go oh where was the meeting place again run gps find a location, then go oh wait I wonder if John would like to join us and check and see if join is logged on aim or google then go back to your email at the same exact just like you left it not a draft the actually program. I had 15 programs opened at once and yes I did experience some lag but it was beautiful I almost shed a tear lol. Butthats basically my little review on the pre. I could go further but its already an essay dont want to make it my doctorate now lol. Will I be going to a palm pre honestly dont see it. I use bb messenger way too much and like i said I work for Verizon and I get my company phone free. Now for my personal line I am not going to lie I am real tempted. But only time will see. Whats other opinion on the Pre? Me mine is a LIKE.


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Course Description
RE 261 Leadership and Pedagogy in Leisure Services 3 cr. (2-0-2)
- Offered: Fall, Winter
- Prerequisite: RE 110 and RE 250.
Fundamentals and techniques of recreation and educational leadership in leisure services. Focus is on leadership theory, development of basic leadership and programming skills, teaching approaches and strategies and related legal issues. Provides hands-on leadership and teaching experiences.


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A Sandwich a Day: Cheesy Italian at Ground Control
Reviews of Chicago sandwiches.
The Cheesy Italian ($9.50) is Ground Control's play on an Italian beef—that meaty, messy, Chicago original, which I have a serious weakness for. But since this Logan Square establishment is meat-free, the beef is replaced with strips of seitan. Though moderately juicy, the wheat product simply can't quite compete with slow roasted beef that is sliced thinly and bathed in gravy. Luckily, Ground Control seems to recognize that it's not a fair fight and blankets each sandwich in a layer of salty provolone for a little more heft. The restaurant also adds housemade giardiniera, which is a nice touch.
Still, unlike the strange alchemy Chicago Diner conjures up in its kitchen to create the Radical Reuben, this sandwich never manages to escape the shadow of its meaty namesake. But the result is a gooey, cheesy mess, which happened to be what I was craving at that exact moment. I was actually more impressed with the garlic smashed potato with mushroom gravy, which should be a mandatory side for every meal here. Oh, and don't forget to start with Buffalo Style Tofu 'Wings'.
Ground Control
3315 West Armitage Avenue, Chicago, IL 60647 (map)
All products linked here have been independently selected by our editors. We may earn a commission on purchases, as described in our affiliate policy.


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Bleach has become somewhat of a pop culture phenomenon with anime/manga fans including myself. Now because I love a good portion of the characters from Bleach, I have been trying to draw all of Aizen's army which consists of ten soldiers, but they are ranked between zero to nine. Zero is the strongest rank and then number nine is the weakest. For this tutorial I will be showing you "how to draw chibi Ichimaru step by step". Gin Ichimaru just so happens to be another one of my favorite characters because he is so...funny. It's not that he tries to be comedic, he just has a certain persona to his character that makes watching him entertaining. One of the more popular recognizable traits about Ichimaru is his squinty looking eyes, and his incredibly annoying laugh and or sound of speech. His face and sound of speech reminds me of a rat because rats are sneaky, squeaky, and annoying. Don't get me wrong his character design is pretty freaking cool, which is why he is so tolerable. I do have a lesson that actually shows you how to draw Ichimaru in his regular form. As for this tutorial you will have a load of laughs when you follow the steps and instructions that will aid you to draw chibi Ichimaru. I love the way he came out and I think that I convey his silliness to a tee. I remember I did a parody with one of my old friends that consisted of Ichimaru and Rukia. It was episode 53 that we created a parody from and I have to tell you, it was probably one of the funniest parodies I have ever made. Anyways, this tutorial is going to be very simple because drawing chibi Ichimaru is really not that complex at all. The size and style of this chibi character will be easy to replicate because it is less detailed which means less lines to draw. Well that does it for me guys, I will be back later. Have fun teaching yourself "how to draw chibi Bleach characters" like Ichimaru. Adios me amigos, and happy drawing!
DragoArt members upload artwork and drawing tutorials! They are also allowed to leave comments on tutorials, profiles, etc. Many more features, as well; it's way better than just being a boring guest! Register Now!


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Thin Line Offroad
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Saturday, July 24, 2010
Bay Hey! Finally! Mets win 6-1
This is the way it was supposed to be!
Dodgers just couldn't deal with Santana and his slidin', divin' and hittin' Mets!
4 comments:
I was really hoping Bay was injured on that... he deserves pain.ReplyDelete
hahahahahahaha my favorite part is the Braves loss hahahahahaha <3ReplyDelete
GREAT representation of yesterday's action-packed W! Keep em comin, Joe!ReplyDelete
Best game yet!ReplyDelete
Best page yet!
This is the turning point mah brudda!
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The Heatherville invites you to our peaceful and relaxing home. Arrive to a warm welcome.This lovely Victorian villa has in recent years been restored to a very high standard giving a feeling of luxury and elegance without loosing the charm of a large country house.
Come and share our wonderful stunning views, secluded and elevated, we are beautifully positioned, south facing over Lynmouth. We are in a quiet location, overlooking the River Lyn and surrounding woodland and yet only four minutes walk from the heart of Lynmouth.
With our own private parking adjacent, we are a cosy six bedroom hotel, here to provide you with a warm and friendly service. With your comfort in mind, our hotel is a non-smoking residence. We aim to retain a personal, caring touch to ensure your stay is a memorable one.


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Churchville, MD
Corn Mazes around Churchville, MD
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A G A Farms
1333 Elephant Road
Dublin, PA
About Us: Founded in 1980, AGA Farms has all your family needs for the fall and winter holidays. The farm is family owned and operated, usin...
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A. Casola Farms
178 Highway 34 and Schank Road
Holmdel, NJ
About: Antonio Casola Farms a true family farm run by the husband and wife team of Antonio and Kim Weigand Casola, whose ancestors farmed in Holmd...
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Abby's Pumpkins
2471 Little Rd
Perkiomenville, PA
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Adkins Farm Market
31493 Mt Hermon Road
Salisbury, MD
About Us Adkins Farm Market is a family run business that is fun for the whole family! Adkins Farm Market is owned by Gaylon & Tammy Adkins. ...
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Alstede Farms
1 Alstede Farms Lane
Chester, NJ
Mission Statement Alstede Farms is focused on being the best farm in the northeast. We are dedicated to providing high-quality homegrown local fru...
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Amazement Corn Maze
25788 Lambs Meadow Rd
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Apple Ridge Orchards
101 Jessup Road
Warwick, NY
About Us:Welcome to Apple Ridge Orchards the most scenic and rustic Pick Your Own apple orchard, pumpkin patch, and peach orchard throughout the Wa...
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Ard's Farm
4803 Old Turnpike Road
Lewisburg, PA
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Area 51 Farm
2117B Lacey Road
Forked River, NJ
About Us:We are a family owned, old fashioned pumpkin patch. We never charge an admission fee. Simply pick your own and pay by the pound. Hay bales...
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1250 Lacey Road
Forked River, NJ
About Us: Argos Farm was purchased by George & Aphrodite Mackres in 1985 as a hobby farm. It was George's escape from his busy life as an entr...
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204 Barnyard Boulevard
Lewistown, PA
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2915 Willow Run Road
Harrisonburg, VA
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1341 Nicktown Hill Road
Nicktown, PA
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6433 Mt. Vista Road
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Bible Software for Impatient People
Yesterday I was talking with a friend of mine, and he was contrasting his experience of using Accordance with various other programs. He observed that with these other programs, he will perform an action and then experience a second or two lag before anything happens. He then contrasted that with Accordance by saying, "In Accordance, everything is instantaneous." He speculated that he might not mind the lag in these other programs so much if he hadn't already experienced the responsiveness of Accordance, but he was spoiled by the ability to get the information he wanted without delays. I then joked with him that perhaps our new marketing slogan should be "Bible Software for Impatient People."
I remember the days when our lead programmer (then our only programmer) was first developing the Accordance Bible Atlas. Getting a late-nineties Mac to process all that map and altitude data to produce 3D maps was a remarkable feat of engineering. Even more remarkable was the fact that these images could be manipulated in real time, without any significant lag.
These days, computers are orders of magnitude faster, yet the responsiveness Accordance conitnues to show is the exception rather than the rule. I'm not sure why that is, but I suspect that many software developers no longer see it as important to optimize their software because newer hardware will eventually alleviate the lag. This is a far cry from the days when Steve Jobs challenged Larry Kenyon to shave ten seconds off the boot time of the original Mac by showing that those wasted seconds multiplied by millions of days and users amounted to lifetimes of needless waiting.
Here at Accordance, we have no patience for spinning color wheels and needless delays. It can be hard enough to focus on studying the Bible without such interruptions, so we're determined to eliminate them as far as possible. If you're an "impatient person" who could go the rest of your life without seeing another color wheel, you know the value of that kind of responsiveness.
Archived Comments
I completely agree. But not only speed is an issue, but annoying bugs. I know no software package is perfect, but at what point are you expecting users to debug your software so that you can rush out new features? This approach just seems so incongruent to the whole ethos of the Apple Mac platform in the first place.
All this said, I urge Accordance to stay the course on their standards. It is one of the things that makes Accordance stand out of the pack!
I'm a recent Mac convert who just switched over from BibleWorks to Accordance...I have to say I ENJOY USING Accordance over against BibleWorks due to its speed, ease of use, & elegant layout.
However, my only complaint is that it doesn't look like a real modern-Mac app (21st century), i.e., the UI has a very plain 2D face; whereas, other apps that I'm using are far more 3D looking animated face- very pleasant to use & look at. Example: Accordance's graphs (including the Construct Window); interface icons (though the icons in the Resource Palette are modernly pleasant to look at, but not A.'s actual interface icons); & even Timeline uses a 2D construct to show distances of time.
P.S. Though I have to admit: Bibleworks is a great program for what it does & for what it offers, but now using a Mac, its Windows UI pales in comparison to Accordance's - I'm glad I switched; just would like to see the same interface but updated with a 3D flowing, animated face.
Helen Brown
Jeremy, we agree, and are actively working on a UI update which I think you are going to really appreciate. Please be patient as these things take time.
I'll gladly waiting to see what you-all have come up with for the need that I have for visual stimulation.


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Don't be ashamed say it loud and proud: SEASONS GREETINGS GRIEF!Read More...
Get Updates:Subscribe to our email newsletter to receive updates about the newest articles and features at Hello Grief.
Our Authors:
Bill Cushnie, M.Div., & retired president & owner of Strategic Solutions, a group dynamics/adult education consulting firm.
Patti Cox, Bereavement counselor and children, teen and adult grief support group facilitator.
Jill Fitzgerald, LCSW, private grief therapist and founding board member for Comfort Zone Camp.
Alisha Krukowski, Online Community Manager for HelloGrief.org.
Pete Shrock, National Program Director for Comfort Zone Camp, specializes in children with life traumas.
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Author: Melissa Wandall
Saving Lives with Red Light Cameras
In our own time of great sorrow solace is found in the opportunity to fill other hearts with hope.Read More...


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Locally stored files on Emerson-owned desktop computers (including staff/faculty office machines and lab machines) are only backed up in specially requested circumstances. Outside of these circumstances, it should be assumed that local desktop data, or local data saved to items such as vendable iPads and laptops, is unprotected and not backed up. Staff and Faculty are instructed to save their data to Emerson's secure, shared file server "Cabinet" to ensure that their files are backed up and protected. Students are instructed to save to the student file server, "Pages", for the same benefits.
As of Spring 2014, to aid in preventing compromised data from lost or stolen devices, all Emerson-owned laptops and desktops are encrypted by IT, unlockable only by the user and IT administrators. Sensitive data must never be stored on personally owned devices, such as phones, laptops, tablets, or computers. Examples of sensitive data include: FERPA protected student data, confidential medical information, or personnel information concerning any employee or student, such as social security numbers or credit card numbers. For more on mobile and pocket devices, please see the Mobile Device Security Policy.
Data stored on Emerson College servers that are managed by Information Technology are backed up nightly. This includes but is not limited to files on Cabinet and Pages, Banner databases, e-mail, and web content. Backups are sent to an off-site data center weekly and retained for 180 days.
Journalism, VMA, extracurricular, and other high-end media users store files, video, and media on the Isilon storage system. Data that exists on the Isilon is exempt from offsite backup because of the large file sizes.
Cabinet, Pages, and Isilon retain previous versions of files for several days in the event of accidental loss or deletion and can be recovered. Note that this does not protect data if these servers are physically harmed or destroyed.
File server data is locked to the appropriate department or user with security permissions managed by IT. Operational changes to these security permissions, such as allowing a new employee access to a locked directory, can be requested by supervisors at the director level or higher. Under the instruction of the Emerson College Police Department, General Counsel, and/or two Vice Presidents, IT may retrieve college-owned data for legal investigations or other business use. Emerson College respects the privacy of its users' data.
Emerson College community members may use their assigned e-mail, Cabinet, Pages, and workstation for incidental or personal use with this knowledge, provided it does not interfere with college business. For training guides and documentation on accessing and using Cabinet, Pages, e-mail, Isilon, encrypted devices, and mobile applications, please visit it.emerson.edu.


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John Martini
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