Wednesday, December 2, 2015

Thanksgiving 2015





















We had a great couple of days.  Joe drove in from Pensacola for the night.  Wendy and Bubby joined us as well.

The boys shot guns for awhile while I got Jiggy With It in the kitchen.

22# Martha Stewart turkey.  (covered in cheesecloth, basted with wine and butter)

Pecan/cornbread/sausage/cranberry stuffing

Mashed potatoes and gravy

Balsamic carmelized pearl onions

Lima beans.

Wendy brought over a "cake sampler" from her bakery for dessert.

We had a very pleasant dinner, enjoyed a bonfire, then hit the sack.

Joe left in the early morning.  Wendy and Bubby stuck around into the afternoon.
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One very sad thing to mention..... Wendy's home burned down to the ground that morning.  She and Bubby live in his home nearby.  Ex husband Richard,  2 grown daughters and her grandchild lived in her house.  Thankfully, no one was home when the fire started.  We truly had a lot to be THANKFUL for!



Tuesday, December 1, 2015

Here's how 'bone marrow transplants' work

Ask the Expert: The type of cancer, patient's age, general health, availability of donors and other factors determine the type of transplant

Question: 

Is one person’s bone marrow literally transplanted into another during a bone marrow transplant?

Answer:  

Hematopoietic stem cell transplants (commonly referred to as bone marrow transplants) are typically used to treat blood cancers such as leukemia, lymphoma and multiple myeloma.

Hematopoietic stem cell transplant encompasses peripheral blood stem cell transplant, bone marrow transplant and alternative donor transplant as well. In the majority of cases, the source of the stem cell to complete the transplant is taken from the bloodstream of the patient or a donor (peripheral blood stem cell transplant).

In a smaller number of cases, the patient may receive stem cells from umbilical cord blood or stem cells from a donor’s actual bone marrow.

If the stem cells are taken from the patient, it is called an autologous transplant. If the stem cells are from a donor, it is an allogeneic transplant. Both types of transplants use hematopoietic stem cells that can have the capacity for self-renewal and the ability to form all types of blood cells including red blood cells, white blood cells and platelets.

The stem cells are transfused into the patient’s bloodstream, where they migrate to the bone marrow and grow into healthy new blood cells and therefore repopulate the bone marrow.

In autologous transplants, the dose of chemotherapy is what provides the benefit of disease control/cure. It is more commonly considered as a therapeutic modality for multiple myeloma, where it offers disease control and for recurrent Non-Hodgkin Lymphoma or Hodgkin’s disease where it has the potential for cure.

In allogeneic transplants, the dose of chemotherapy provide benefit but also the interaction between the donor and recipient cells allow a protective response called graft versus tumor effect. It should be noted that each type of transplant is associated with its own risks and benefits.

If an allogeneic transplant is to be performed, a donor search is initiated. Donors have to be closely genetically matched. The donor search usually begins with full blood siblings, who have about a 25 percent chance of being a match (matched-related donor).

For those individuals without a sibling match (70 percent of patients) the search is entered into a registry of donors through the National Marrow Donor Program, where a potential donor is identified (matched-unrelated donor). For those without a full match alternative donor transplants such as umbilical cord or haploidentical transplants (parent or children) may be considered.

The patient’s type of cancer, age, general health, availability of donors, and other factors determine whether an autologous or allogeneic transplant is performed.

The Cancer Transplant Institute at the Virginia G. Piper Cancer Center at HonorHealth has been recognized by the NMDP. It is also one of only 106 U.S. bone marrow transplant centers accredited by the Foundation for the Accreditation of Cellular Therapy for both autologous and allogeneic transplants.


Veena Fauble, MD, is a physician at the Cancer Transplant Institute at the Virginia G. Piper Cancer Center at HonorHealth. For more information about bone marrow transplants available at HonorHealth, please contact an oncology nurse navigator at 480-323-1339 or HonorHealth/cancer.

LINK

Wednesday, November 25, 2015

Panama City Beach shark feeding frenzy 11/22/2015



Personalized Drug Screening on Horizon for Multiple Myeloma Patients

A personalized method for testing the effectiveness of drugs that treat multiple myeloma may predict quickly and more accurately the best treatments for individual patients with the bone marrow cancer. The process, developed by scientists at Washington University School of Medicine in St. Louis, also may aid patients with leukemia or lymphoma.

The screening method suggests which commonly prescribed multiple myeloma drug, or combination of drugs, a physician should consider first for a particular patient. The test also suggests optimum dosage.

A study validating the new method will be published in the December issue of the journal Biomaterials and now is available online.

JUMP

Thursday, November 19, 2015

If the GMO salmon is as good as its maker says, why not label it?


This undated 2010 handout photo provided by AquaBounty Technologies shows two same-age salmon: a genetically modified salmon, rear, and a non-genetically modified salmon, foreground. (AquaBounty Technologies/Associated Press)

By now, you’ve probably heard that the Food and Drug Administration has approved the first-ever genetically engineered animal for human consumption. It’s an Atlantic salmon modified for fast growth with genes from two other edible fish, and it has been — and will undoubtedly continue to be — a lightning rod for all the issues associated with genetically modified foods. There’s safety, there’s escape into the environment and there’s labeling: a trifecta of discord. The fish’s lengthy approval process — the salmon’s developer, AquaBounty Technologies, first approached the FDA 20 years ago — indicates just how intense that discord has been.

So, safety first. Groups such as Consumers Union and Food and Water Watch have expressed concern about both safety and allergenicity, with Consumers Union citing small sample sizes and “inadequate analysis.” It’s unlikely that the FDA assessment will put their minds at ease, since the final decision is largely consistent with preliminary findings from 2010, when the agency determined that food from the GE salmon is as safe as, and no more allergenic than, food from any other Atlantic salmon, and concluded there is “reasonable certainty of no harm.” (Although “genetically engineered” is the term the FDA uses, this salmon is commonly referred to as a genetically modified organism, or GMO.)

The larger issue is the possibility of escape, important because escapees could outcompete or interbreed with native fish. AquaBounty says it has several layers of safeguards to prevent that: The fish are raised on land, in tanks, and the fish grown for food (as opposed to breeding) are all females, and sterile. The FDA calls the possibility of the salmon’s escape “highly unlikely,” and the possibility of their breeding in the wild commensurately unlikely. Environmental conditions around the company’s Canadian and Panamanian facilities, the agency found, make it unlikely that any escapees could thrive and establish a viable population. (The FDA approval is for only those two facilities. Any new installations will require a new environmental assessment and separate approval.)

Consumers Union, again responding to preliminary FDA findings that today’s announcement confirmed, says the agency’s determination that escape is a remote possibility was built on “inadequate science and unfounded assumptions” and expresses concern that the sterilization process isn’t 100 percent successful. (That’s true; the FDA requires that the rate be at least 95 percent, and AquaBounty chief executive Ron Stotish says that rates, in practice, are generally over 99 percent.)

A Canadian governmental risk assessment issued in 2013 also looked at both safety and escapes and described the risk to human health as “low” and the risk to the Canadian environment as “negligible.”

On both of those issues, there will always be some doubt. Safety can’t be proved (we can only infer it from absence of harm so far), and any containment system can fail. So the questions aren’t “Is it safe?” and “Could they escape?” The question is whether the risk in those two areas is outweighed by the benefits.

So let’s talk about the benefits. According to AquaBounty, the advantages are that the fish reaches market weight in about half the time taken by conventional salmon and requires 25 percent less feed to get there. If that’s true (and there’s no reason to suppose it isn’t), what we have here, finally, is a GMO that can benefit people and planet — unlike the other genetically engineered foods approved for use in the United States, which chiefly benefit farmers. Growing healthful fish in less time, with less feed, is a win for humans (in the form of more affordable salmon) and environment (in the form of reduced feed requirements and less pressure on forage fish stocks).

I do have one concern about whether those benefits will play out, but it’s related to neither safety nor the potential for escape. It’s about raising fish in tanks. Although tanks eliminate the potential for ocean pollution and the spread of disease to wild fish, and virtually eliminate the problem of escapees, they require both water and energy. Does that increase in resources counterbalance the decrease that comes from faster growth and better feed conversion? AquaBounty’s Stotish says that energy requirements vary widely by location and that the Panamanian location is very resource-efficient, as the water is gravity-fed and doesn’t need cooling. Although he hasn’t done the calculation in greenhouse gases, he has done it in money, a reasonable proxy. “We have a lower cost per kilo than net pen production,” he says.

That leaves the third issue: labeling. The United States, unlike many other countries, has no requirement that genetically modified food be labeled as such, and the salmon is no exception. When the fish is introduced, Stotish says, it probably will not be identified as genetically engineered — a decision I think is unfortunate. “When you’re the first and only, labeling is a dangerous decision,” he says. “We’d like to label it as a premium product, but we’ll probably introduce it as ‘Atlantic salmon.’ ”

Because there is so much fear and so many misconceptions about genetically engineered food, I feel his pain. But I’d ask him to suck it up and put the label on it. One of the reasons GMOs became such a brouhaha is that consumers feel the technology was foisted, in secret, on an unsuspecting public.

The company has a limited capacity to grow fish, so consumers won’t be seeing the salmon on store shelves right away. Stotish estimates that it’ll be two years before production levels are high enough to get a regular supply to market, and I think that gives AquaBounty plenty of time to change its mind about labeling. If the fish has all the advantages the company claims it does, say it loud. And let everyone — pro and con — vote with their wallets.

LINK