#HOW have we not eliminated colonoscopies yet???
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nimblermortal ¡ 9 months ago
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The more sci fi I read the more pissed off I get about Bujold's uterine replicators. That stuff is not standard in every setting? You have people in Star Trek who are carrying babies to term inside their bodies? What sort of barbaric nonsense is this. It's non-optional? They're not just doing it as some sort of hippie nonsense? Do you have any idea how many health risks there are? What sort of complications? The lasting effect on the body? And you're just. Speculating. That in your highly advanced society. People choose to do this.
It just seems to me that in a reasonable world, uterine replicators would be interesting because of the way their impact on Barrayar is explored.
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chetan1234567890000000 ¡ 3 years ago
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Can hemorrhoids cause anemia
Weakness is a condition where your body needs more iron to make red platelets. These red platelets make hemoglobin that conveys oxygen to the tissues in various pieces of the body. Iron insufficiency is the essential driver of sickliness.
Can hemorrhoids cause anemia
Though heaps is an anorectal issue where the veins grow and excite in or around the butt-centric locale. Presently you should think how sickliness and heaps are connected? In this blog, we will examine the reasons for frailty and the association among hemorrhoids and iron deficiency.
Nourishing insufficiency, significantly iron, folate, nutrient B12 is one of the significant reasons for pallor. Different supplements like a portion of different nutrients, copper, and zinc additionally add to the condition.
Typical Iron levels are 40-150 ug/dL (female) and 50-160 ug/dL (male). Typical qualities may fluctuate for various symptomatic focuses.
Chapter by chapter list
News Update:
Ordinary side effects of Anemia
What Causes Anemia?
Hemorrhoids and Anemia
Indications of frailty during heaps
How to Treat Piles and Anemia at Home?
Home Remedies for Piles include:
Contextual investigation:
Remove
News Update:
Sickliness is potentially the single greatest public nourishing test in India. Around 53% of ladies in the age gathering of 15-49 years and 58.6% of youngsters in the age gathering of 6-59 months are iron deficient according to the most recent National Family Health Survey. In correlation, 22.7% of men in the age gathering of 15-49 years are weak, which is definitely not a modest number by the same token. To counter paleness and other nourishment insufficiency related illnesses, the Ministry of Health and Family Welfare with its visionary National Nutrition Strategy is working tirelessly to accomplish Kuposhan Mukt Bharat by 2022.
Ordinary indications of Anemia
Indications of Anemia
What Causes Anemia?
The reason for weakness is typically an inadequacy of iron in the body and the low degree of iron can be expected to:
Absence of iron in diet ordinarily in kids or pregnant ladies
Substantial feminine dying
Draining inside the body which can be because of ulcers, malignancy or through the gastrointestinal plot.
Your body can't assimilate iron well. This happens when a piece of your stomach or small digestive system is eliminated.
Perhaps the most widely recognized reasons for draining in the gastrointestinal lot can be heaps. This can be inside the rectum or even external it. Allow us to comprehend the life structures of pallor and heaps.
Hemorrhoids and Anemia
Medical issue like ulcers, polyps, or heaps can each cause iron inadequacy or weakness. The example of heaps making sickliness a serious state isn't normal, yet it occurs. Rectal draining because of heaps can prompt a lot of blood misfortune from the body.
In the event that you are concerned you have iron insufficiency frailty identified with heaps, contact a specialist right away. Iron insufficiency paleness must be analyzed by a blood test or a progression of blood tests. Your primary care physician will be taking a gander at the total blood check, or CBC, to see the degrees of hemoglobin in the body. They may likewise arrange auxiliary tests like a colonoscopy to preclude other potential reasons for sickliness.
Manifestations of weakness during heaps
You may feel drained and powerless because of loss of blood. It gets hard to perform day by day exercises.
There is blood in the stool which may signify that you are losing blood from your lower gastrointestinal plot.
There might be stomach cramps or extreme stomach torment.
Agony in the butt-centric or rectum locale while passing stool.
Alongside torment and tingling in the butt-centric area, you may drain effectively regardless of whether you strain.
Different reasons for draining in the gastrointestinal plot can be malignant growth of rectum or colon, crevice, the runs, incendiary entrail illness (IBD) or intestinal contamination.
How to Treat Piles and Anemia at Home?
Start treatment promptly for iron lack sickliness in light of the fact that delayed weakness can prompt genuine unexpected problems. The initial step is to build your iron admission. Numerous food sources are wealthy in iron, for example,
Eggs
Beans
Nuts and seeds
Red meats, fish, or tofu
Earthy colored rice
Raisins, prunes, and apricots
Your PCP may likewise endorse an iron enhancement to help the iron substance in the body. It is similarly as critical to treat the reason for the pallor – hemorrhoid. There are numerous approaches to treat hemorrhoids. Home solutions for heaps can treat the underlying stage heaps. A few specialists may endorse over-the-counter treatments and medication. In the case of nothing works, medical procedure is the final hotel.
Home Remedies for Piles include:
Increment your fiber admission. Fiber mollifies stool, so it tends to be passed without any problem. High fiber food varieties incorporate products of the soil, and entire grains. Another approach to get more fiber is through fiber supplements. These can be useful for the individuals who can't get sufficient fiber through their eating routine, or the individuals who keep on experiencing persistent blockage.
Stay hydrated. Drinking a lot of water can likewise assist with keeping your stool delicate.
Stay dynamic. Ordinary exercise keeps your body moving. This can help your stomach related framework stay customary.
Try not to hold the call to pee or poo. Going when you feel the inclination can keep the stool from getting harder.
Sitz shower. Absorbing a sitz shower can assist heaps with recuperating.
On the off chance that no treatment works for heaps and draining proceeds, go for heaps laser medical procedure. In this technique, the laser is presented (not certain if this is a right word here) inside the rectum and energy is utilized to annihilate heaps with incredible accuracy. The blood supply gets removed, they contract and the specialist seals them with the laser. This method is exceptionally useful in managing heaps that have not been relieved for quite a while. There is no scarring and no twisted in the medical procedure.
Contextual analysis:
An instance of serious iron insufficiency paleness because of draining brought about by inside hemorrhoid
A 44-year elderly person saw blood while pooing. It was something typical for him so he didn't look for any clinical treatment. In any case, there was dyspnea on effort and the growing of the lower appendages. At last, he experienced issues strolling so he visited the specialist. He was determined to have extreme sickliness and was conceded to the medical clinic.
Reports showed an astounding decline in serum iron and ferritin, with no irregularity by endoscopic assessment in the upper stomach related parcel just as the digestive organ other than interior hemorrhoids. Thusly, he was determined to have iron lack weakness brought about by persistent draining from inside hemorrhoids. The specialists said that the iron-lack frailty because of the draining from hemorrhoids isn't uncommon, however the degree of hemoglobin level of 1.7g/dl with this case is amazingly uncommon and vital.
Remove
On the off chance that you or somebody you know is experiencing heaps and weakness, it is ideal to counsel a doctor for the right treatment plan. At Pristyn Care, we work with our patients to decide the best treatment for heaps with frailty. You can likewise keep in touch with us and our clinical organizer will hit you up straightaway.
Reference: https://www.researchgate.net/distribution/295744036_A_case_of_severe_iron_deficiency_anemia_due_to_bleeding_caused_by_internal_hemorrhoid
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advanceayurveda24 ¡ 4 years ago
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Digestive Health for Women
How Serious Are Your Symptoms?
Stomach throbs, gas, acid reflux and other assimilation issues can be awkward, yet luckily, they ordinarily aren't cause for concern. Once in a while, however, these manifestations may flag a more genuine ailment. Talk with your primary care physician in the event that you figure you may have one of these regular stomach related issues.
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The stomach related framework begins from the mouth and finishes with the rectum. It capacities to assimilate fundamental supplements and eliminate squander from the body. Great absorption is fundamental for ideal wellbeing. Numerous regular stomach related issues in ladies, for example, swelling and stoppage are frequently overlooked.
Minor issues that are left untreated may now and then prompt more genuine issues. It is imperative to comprehend the basic stomach related issues and their manifestations so you can make the important moves to forestall future unexpected issues.
Swelling
Swelling in the stomach territory is awkward and can be because of numerous reasons. Numerous conditions that cause swelling are considerate and can be effectively treated, yet in specific cases, swelling might be brought about by genuine fundamental problems and even malignant growth.
We investigate the admonition signs and manifestations that may show something foreboding, just as the basic issues related with swelling.
Signs and Symptoms
Swelling in the stomach is a typical condition, particularly in ladies. In any case, swelling may demonstrate something more genuine. Here are the notice signs and manifestations going with swelling that may show more extreme ailments:
Weight reduction with no adjustment in eating routine or exercise routine
Extreme stomach torment
Queasiness or retching
Weight acquire or a quickly growing waistline
Jaundice
Blood in stool
Vaginal seeping in the middle of periods
Fever
In the event that you experience swelling along with any of the above indications, counsel your gastroenterologist right away. On occasion, the manifestations may show a more genuine disease like malignancy of the colon, ovary, uterus, stomach or liver. Early finding and customary screening is significant. Converse with your primary care physician to discover more.
Determination and Treatment
Your gastroenterologist will take a gander at your clinical history and play out an actual assessment. In the event that important, demonstrative tests or endoscopy might be recommended for a precise conclusion.
Treatment shifts relying upon determination, and your gastroenterologist may endorse medicine or prescribe way of life changes to treat stomach related issues. In more extreme cases, careful intercession might be required. Converse with your gastroenterologist to discover more.
Fractious Bowel Syndrome (IBS)
Peevish inside condition, or known as IBS, is a typical gut problem influencing twice as numerous ladies contrasted with men, regularly happening in individuals underneath age 45. IBS influences the digestive organ, disturbing defecation and bringing about inconvenience in the stomach region. In this part, we take a gander at the regular signs and indications of IBS, and the treatment alternatives accessible.
Signs and Symptoms
Bad tempered gut disorder indications change among people. The regular indications include:
Torment or distress that improves after a solid discharge
Swelling and tooting
Free stools
The runs
Stoppage
Changes in stool appearance
Sensation of deficient defecation
Individuals with IBS frequently experience the ill effects of other gastrointestinal issues, like gastroesophageal reflux illness, discouragement, persistent weariness disorder or tension. In the event that you experience any of the above indications, converse with your gastroenterologist to discover more. Standard screenings will assist with diagnosing your condition early and forestall further intricacies.
Conclusion and Treatment
Your gastroenterologist will analyze your clinical history, including sensitivities and way of life propensities. The accompanying tests might be directed:
Endoscopy
Colonoscopy
X-beam
Blood tests
Stool tests
Treatment changes across people contingent upon the seriousness of the condition. On occasion, way of life changes might be suggested, for example, bringing down feelings of anxiety and evading caffeine, smoking and liquor. Converse with your gastroenterologist to discover more.
Gastritis
Different legends and confusions encompass the issue of activity in people determined to have stomach related problems. For instance, numerous individuals determined to have crabby entrail disorder (IBS) are hesitant to participate in customary exercise inspired by a paranoid fear of exacerbating their indications. In any case, for this gathering of individuals, participating in a normal exercise system brings along numerous advantages. Exercise assists with improving intestinal development and low-force sports like energetic strolling or running assists with stoppage. Here are a few hints on exercise for people with gastrointestinal problems:
On the off chance that you experience swelling, the suggestion is maintain a strategic distance from exceptionally arduous activities that bring about hefty relaxing. Taking medicine endorsed for swelling preceding such activities is normally useful.
On the off chance that you experience the runs, it is ideal to try not to devour caffeine or strong food preceding activity. Likewise, earlier arranging is prescribed to have a course that incorporates latrine offices.
For people encountering gastroesophageal reflux, maintain a strategic distance from practices that cause abrupt or huge increment of intra-stomach pressing factor like stomach crunches, hefty weightlifting or physical games. Eating ought to be accomplished over 2 hours before work out, and the individual ought to dodge sleek/singed food sources, caffeine, liquor, huge dinners, peppermint and tomatoes.
Note: Check
Advance Ayurveda
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networkingdefinition ¡ 5 years ago
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Surveys Quotes
Official Website: Surveys Quotes
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• A good aim surveys the present state of experience of pupils, and forming a tentative plan of treatment, keeps the plan constantly in view and yet modifies it as conditions develop. The aim, in short, is experimental, and hence constantly growing as it is tested in action. – John Dewey • A man with deep far-sightedness will survey both the beginning and the end of a situation and continually consider its every facet as important. – Takeda Shingen • A man’s feet should be planted in his country, but his eyes should survey the world.- George Santayana • A new survey found that 12 percent of parents punish their kids by banning social networking sites. The other 88 percent punish their kids by joining social networking sites. – Jimmy Fallon • A new survey indicates that Obama supporters love iPhones. So if you have an iPhone, chances are you are going to be supporting President Obama. In a related story, if you support Governor Chris Christie from New Jersey, chances are you love IHOP. – David Letterman • A new survey out says 64 percent of Americans own a smartphone. Which is interesting because in a related survey, 100 percent of smart phones say they own an American. – Jimmy Fallon • A new survey reveals that women would rather give up sex than give up the remote control for the TV. Men, on the other hand, would be willing to have sex with the remote for the TV. – Conan O’Brien • A new survey shows that the American public is more conservative now than at any point since 1952. The bad news is that all the liberals that died since then are still voting. – Fred Thompson • A perfect Judge will read each work of Wit With the same spirit that its author writ: Survey the Whole, nor seek slight faults to find Where nature moves, and rapture warms the mind. – Alexander Pope • A recent Pew Hispanic survey found that more than 70 percent of illegal immigrants from Mexico are interested in a guest-worker program and then returning home. – John Shadegg • A recent survey or North American males found 42% were overweight, 34% were critically obese and 8% ate the survey. – Banksy • A recent survey stated that the average person’s greatest fear is having to give a speech in public. Somehow this ranked even higher than death which was third on the list. So, you’re telling me that at a funeral, most people would rather be the guy in the coffin than have to stand up and give a eulogy. – Jerry Seinfeld • A stunning survey of the latest evidence for intelligent life on Mars. Mac Tonnies brings a thoughtful, balanced and highly accessible approach to one of the most fascinating enigmas of our time. – Herbie Brennan • A survey asked married women when they most want to have sex. 84 per cent of them said right after their husband is finished. – Jay Leno • A survey carried out across the U.S. between 2004 and 2006 showed that frequent church- or synagogue-goers are more likely to give money to charity.- Jonathan Sacks • A survey has shown that the average man has had sex in a car 15 times. Something to keep in mind next time you’re looking for a used car. – Jay Leno • A survey released today found that men spend twice as much on their mistresses for Christmas as they do on their wives. On the other hand, men spend half their income on the wives when the wife finds out about the mistress. So it all balances out. – Jay Leno • A technical survey that systematize, digest, and appraise the mid century state of psychology. – Stanley Smith Stevens • A telephone survey says that 51 percent of college students drink until they pass out at least once a month. The other 49 percent didn’t answer the phone. – Craig Kilborn • Academics, who work for long periods in a self-directed fashion, may be especially prone to putting things off: surveys suggest that the vast majority of college students procrastinate, and articles in the literature of procrastination often allude to the author’s own problems with finishing the piece. – James Surowiecki • According to a new survey, 40 percent of adults in Mexico say they would move to the United States if they got a chance. The number would have been higher, but the other 60 percent already live here. – Conan O’Brien • According to a new survey, 90% of men say their lover is also their best friend. Which is really kind of disturbing when you consider man’s best friend is his dog. – Jay Leno • According to a new survey, almost half of the voters in Ohio, Florida, and Pennsylvania say that they do not trust Hillary Clinton. Republicans immediately got together and said, ‘OK, this is a huge opportunity for us. How are we going to screw it up?’ – Jimmy Fallon • According to a new survey, people who get divorced die early. People who stay married live longer. The difference is they just wish they were dead. – David Letterman • According to a new survey, women say they feel more comfortable undressing in front of men than they do undressing in front of other women. They say that women are too judgmental, where, of course, men are just grateful. – Robert De Niro • According to a Public Policy Polling survey, most Americans find lice and colonoscopies more appealing than Capitol Hill. – Ron Fournier • According to a recent survey, kids are receiving an average of 40 cents less from the tooth fairy. That’s right, the economy is so bad that even make-believe people are feeling the pinch. – Conan O’Brien • According to a recent survey, men say the first thing they notice about women is their eyes. And women say the first thing they notice about men is they’re a bunch of liars. – Jay Leno • According to a survey in this week’s Time magazine, 85% of Americans think global warming is happening. The other 15% work for the White House. – Jay Leno • According to one study by the United States Geological survey, 86 percent of oil reserves in the United States are the result not of what is estimated at the time of discovery but of the revisions and additions that come with further development. – Daniel Yergin • According to the National Crime Survey administered by the Bureau of the Census and the National Institute of Justice, it was found that only 12 percent of those who use a gun to resist assault are injured, as are 17 percent of those who use a gun to resist robbery. These percentages are 27 and 25 percent, respectively, if they passively comply with the felon’s demands. Three times as many were injured if they used other means of resistance. – Gary Kleck • Additional federal studies are under way to see if any contamination reaches taps or ground water used for drinking, but the program under which they are conducted, the toxic substances hydrology program of the geological survey, is slated to be eliminated under budget cuts proposed by the Bush administration, government officials said… estrogens and similar compounds are increasingly the focus of research by the Environmental Protection Agency and many scientists because of hints that they alter sexual characteristics in fish and other aquatic species. – Andrew Revkin • After all, a creature without passionate conviction doesn’t cling to extremes. He surveys the scenery and makes sure his outfit doesn’t clash. – Frank Bruni • After starting a blood feud with Fox News, something no Republican presidential candidate has dared to do before, [Donald] Trump seems to have successfully undermine the network in the eyes of its core audience with perception of the Fox News brand among Republican adults hitting its lowest point in three years according to a new YouGov survey. – Chris Hayes • All great expression, which on a superficial survey seems so easy as well as so simple, furnishes after a while, to the faithful observer, its own standard by which to appreciate it. – Margaret Fuller • All over the world there are enormous numbers of smart, even gifted, people who harbor a passion for science. But that passion is unrequited. Surveys suggest that some 95% of Americans are “scientifically illiterate.” That’s…the same fraction…of slaves who were illiterate before the Civil War. – Carl Sagan • Along the way, I’ve worked as a waitress, I’ve done phone surveys, and worked as a receptionist, and for the last twenty years I’ve taught. When I was an actor, the key was to find a job that kept your days free to audition. – Debra Dean • Although the traditional focus of Valentine’s Day is on women and the gifts they desire, this survey found that not only do men like to get gifts for Valentine’s Day, but they also like those gifts to be luxurious. Sixty-three percent of the people we surveyed agreed that this Valentine’s Day, Johnnie Walker Blue Label is a great gift for the men in their lives. – Christopher Parsons • And when midst fallen London, they survey The stone where Alexander’s ashes lay, Shall own with humbled pride the lesson must By Time’s slow finger written in the dust. – Anna Letitia Barbauld • Any survey of the free world’s defense structure cannot fail to impart a feeling of regret that so much of our effort and resources must be devoted to armaments. – Dwight D. Eisenhower • As a great man’s influence never ends, so also there is not definite finality, no end, to a great survey; it runs along for centuries, ever responsive to the strain of the increasing needs of a growing population and an enlarging domain. – Cleveland Abbe • As a Mark brand ambassador, I became extremely cognizant of the devastating statistics about dating abuse and partner violence via the mPowerment campaign and knew I wanted to help change those statistics. mPowerment by Mark and the Avon Foundation for Women funded the No More study, which explored dating abuse, partner violence, and sexual assault. I was honored to be part of it and report the results of the survey in a Capitol Hill briefing. – Ashley Greene • As a scholar who regularly surveys archival material, I think that, a century from now, cultural historians will find David Horowitz’s spiritual and political odyssey paradigmatic for our time. – Camille Paglia • As the most romantic day of the year approaches, and as a brand that is uniquely male, we wanted to find out how men really feel about Valentines Day, and how they want to celebrate it. The Johnnie Walker Blue Label Luxury Survey tells us what gifts men really want versus what gifts women think men want for Valentine’s Day – and the reality is that we’re not as far apart as we like to think. – Christopher Parsons • As we survey all the evidence, the thought insistently arises that some supernatural agency-or, rather, Agency-must be involved. Is it possible that suddenly, without intending to, we have stumbled upon scientific proof of the existence of a Supreme Being? Was it God who stepped in and so providentially crafted the cosmos for our benefit? – George Greenstein • As you may recall, Truman was extremely unpopular when he finally left Washington in 1953, thanks largely to the Korean War. Today, however, he is thought to have been a solidly good president, a ‘Near Great’ even, in the terminology of those surveys of historians they do every now and then. – Thomas Frank • Based on a detailed investigation of all the facts and supported by the testimony of the surviving Japanese leaders involved, it is the Survey’s opinion that certainly prior to 31 December 1945 and in all probability prior to 1 November 1945, Japan would have surrendered even if the atomic bombs had not been dropped, even if Russia had not entered the war, and even if no invasion had been planned or contemplated. – Paul Nitze • Based on current surveys of public opinion in the United States, it turns out that the majority of Americans think I’ve done a pretty good job. -Barack Obama • Biblical social scientists have an advantage because they know truths about human nature. Those who dismiss the Bible and create surveys that don’t measure crucial factors are the ones who have closed minds. Sometimes the Bible gives us clear answers and sometimes it doesn’t, but it always helps us to ask the right questions. – Marvin Olasky • But because we accept the sanctity of life, the responsibility that comes with freedom and the supreme sacrifice of Christ expressed so well in the hymn: ‘When I survey the wondrous cross on which the Prince of Glory died. My richest gain I count but loss and pour contempt on all my pride.’ – Margaret Thatcher • But honestly, if you do a rigorous survey of my work, I’ll bet you’ll find that biology is a theme far more often than physical science. – David Brin • By contrast with history, evolution is an unconscious process. Another, and perhaps a better way of putting it would be to say that evolution is a natural process, history a human one…. Insofar as we treat man as a part of nature–for instance in a biological survey of evolution–we are precisely not treating him as a historical being. As a historically developing being, he is set over against nature, both as a knower and as a doer. – Owen Barfield • Censure is willingly indulged, because it always implies some superiority: men please themselves with imagining that they have made a deeper search, or wider survey than others, and detected faults and follies which escape vulgar observation. – Samuel Johnson • Combining in our survey then, the whole range of deposits from the most recent to the most ancient group, how striking a succession do they present:- so various yet so uniform-so vast yet so connected. In thus tracing back to the most remote periods in the physical history of our continents, one system of operations, as the means by which many complex formations have been successively produced, the mind becomes impressed with the singleness of nature’s laws; and in this respect, at least, geology is hardly inferior in simplicity to astronomy. – Roderick Murchison • Completing a large or difficult survey can be a very satisfying thing, especially if there have been hurdles or setbacks along the way. In our work, we get to “tick” off jobs quite often, so the sense of completion can also be rewarding. – Mark Mason • Cultural tourism surveys consistently rate San Francisco’s art industry as a core reason for visiting – Gavin Newsom • Don’t wait till you get bigger to put in place key items, such as staff surveys, peer interviewing for hiring and clear standards of behavior [developed by staff]. – Quint Studer • Even when educators survey grade school texts and create new bibliographies to help teachers include Asians, Eskimos, and other Americans, females in and out of those groups may be down-played or forgotten. – Gloria Steinem • Everyone takes surveys. Whoever makes a statement about human behavior has engaged in a survey of some sort. – Andrew Greeley • Experiencing a massage therapy session is its own best advertisement for changing perceptions. A recent national consumer survey found Americans had overwhelmingly positive feelings about their massage experience. Ninety-four percent express favorable feelings. Fully 85 percent expressed very favorable feelings about their most recent massage, with 37 percent rating it a perfect ten-out-of-ten. What is striking is that there are very few detractors. Most of those who haven’t yet received a massage simply haven’t felt a need for it – Bob Benson • Faults are beauties, when survey’d by love. – Theocritus • Few men survey themselves with so much severity as not to admit prejudices in their own favor. – Samuel Johnson • Few men survey themselves with so much severity as not to admit prejudices in their own favour, which an artful flatterer may gradually strengthen, till wishes for a particular qualification are improved to hopes of attainment, and hopes of attainment to belief of possession. – Samuel Johnson • Financial literacy is not an end in itself, but a step-by-step process. It begins in childhood and continues throughout a person’s life all the way to retirement. Instilling the financial-literacy message in children is especially important, because they will carry it for the rest of their lives. The results of the survey are very encouraging, and we want to do our part to make sure all children develop and strengthen their financial-literacy skills. – George Karl • For Hades is mighty in calling men to account below the earth, and with a mind that records in tablets he surveys all things. – Aeschylus • Forget romantic fiction, a survey has found that most women would rather read a good book than go shopping, have sex, or sleep. – Janet Street-Porter • Forget socialism, capitalism, just-in-time deliveries, salary surveys, and the rest … concentrate on building organizations that accomplish that most difficult of all challenges: to make people look forward to coming to work in the morning. – Ricardo Semler • Global warming activists claim a serious public concern presently exists and the overwhelming majority of scientists agrees humans are creating a global warming crisis. The survey of AMS meteorologists, however, shows no such overwhelming majority exists. Indeed, to the extent we can assign a majority scientific opinion to whether all the necessary components of a global warming crisis exist, the AMS survey shows the majority does not agree humans are creating a global warming crisis. – James Taylor • God gave man an upright countenance to survey the heavens, and to look upward to the stars. – Ovid • He with a graceful pride, While his rider every hand survey’d, Sprung loose, and flew into an escapade; Not moving forward, yet with every bound Pressing, and seeming still to quit his ground. – John Dryden • History is the arbiter of controversy, the monarch of all she surveys. – Lord Acton • Hope is an explorer who surveys the country ahead. That is why we know so much about the Hereafter and so little about the Heretofore. – Ambrose Bierce • How sublime Upon a time-blanch’d cliff to muse, and, while The eagle glories in a sea of air, To mingle with the scene around! – Survey The sun-warm heaven. – Robert Montgomery • Human beings are compelled to adopt a belief system; some paradigm to provide meaning, purpose, and understanding to our lives. A quick survey of the world shows that pretty much any idea will do – it need not reflect reality or truth, merely function to fascinate, distract, and compel. We are designed for belief, not for truth. – Terry Rossio • Humor implies a sure conception of the beautiful, the majestic and he true, by whose light it surveys and shape s their opposites. It is a humane influence, softening with mirth the ragged inequities of existence, prompting tolerant views of life, bridging over the space which separates the lofty from the lowly, the great from the humble. – Edwin Percy Whipple • I actually did a quick survey of how caste plays out in contemporary India. The idea that democracy and development have in some ways eroded caste turned out not to be the case, that it has in fact been entrenched and modernised. – Arundhati Roy • I am somewhat influenced by the years that I’ve spent trying to actually get things done, whether it was reforming education in Arkansas or a survey and Legal Services Corporation board when President [Jimmy ]Carter appointed me and trying to get lawyers for poor people. I have worked in these areas. I know it’s more than just a hope. You’ve got to translate it into a policy that leads to action. – Hillary Clinton • I am the first person to go to Barnes & Noble and buy the new self-help book. I like to fill out the surveys, then I get my friends’ opinions on how I answered to see if I was being honest with myself or not. – Jessica Simpson • I automate some tasks and delegate many others. Doing research, job organization, data processing, field surveys, and plan preparation can be tedious, detailed work. – Mark Mason • I didn’t know what I wanted to do when I was a child. I did want to be a cartographer but that was partly because I liked Ordnance Survey maps and when I used to go to my grandparents’ house from Southampton Station one went past the headquarters of the Ordnance Survey. – Jonathan Meades • I don’t hire a lot of number-crunchers, and I don’t trust fancy marketing surveys. I do my own surveys and draw my own conclusions. – Donald Trump • I don’t know if [Barack Obama] saw the latest religion survey, but almost a quarter of the country are Nones. I don’t mean the ones who hit me on the knuckles with a ruler in Sunday School – I mean they put “None” for religion. – Bill Maher • I don’t need somebody behind a desk to tell me what a marketing survey says is funny. I got 3 million miles and 70,000 tickets sold, telling me that I know how to make people laugh. – D. L. Hughley • I don’t think it’s surprising we will have to look for them. I’m confident that when the Iraq Survey Group has done its work we will find what’s happened to those weapons because he had them. – Tony Blair • I feel pain everywhere. A lot of guys in chairs do feel their legs. But if you don’t, there’s a thing called disreflex, so you know if something happens, say, you can’t feel your foot or your leg and your body reacts. You know something’s not right and you survey what’s going on. – Mark Zupan • I had a survey done on my house. 8 out of 10 people said they really rather liked it – Jimmy Carr • I have a lack of fear, whereas in the past the fear of failure was a powerful motivator. Anyway, I have great expectations for the future, but I just don’t know if I’m the monarch of all I survey. – Sylvester Stallone • I maintain an ongoing survey of Internet Publishing and self publishing, so that it is now possible for any writer with a book to get it published at nominal cost or free, and to have it on sale at booksellers like Amazon.com. – Piers Anthony • I saw a survey and it is that NFL fans are fed up with listening to players talk about politics. – Rush Limbaugh • I sometimes think we ought to bring a bill before Congress changing our national symbol from the eagle to the buffalo, because we are more like the buffalo than the eagle. The eagle is a powerful bird. It flies alone. It rises up into the sky with authority. It is master of all it surveys. The eagle is an individualist and was selected from among the rest of the birds to be our symbol. But the buffalo was never alone. It always ran in a herd with other buffaloes. And, friends, I call your attention that the buffaloes are gone from the open range, but the eagles are still soaring. – Norman Vincent Peale • I speak as a private citizen and not as a representative of the Executive Branch of the United States government. The impression that people of faith are uniformly opposed to stem-cell research is not documented by surveys. In fact, many people of strong religious conviction think this can be a morally supportable approach. – Richard Dawkins • I think my great book is Born to Sing: An Interpretation and World Survey of Bird Song. – Charles Hartshorne • I think somebody ought to do a survey as to how many great, important men have quit to spend time with their families who spent any more time with their family. Probably less. – Walter Cronkite • I think that if anyone bothered to take a survey, they would find a sharp decline in atheism during the winters in Cleveland, Ohio. – Drew Carey • I was rather discouraged when I discovered that Paul and Hotch had no marketing survey, no business plan, no budget, no organized strategy for the introduction of the sauce. When asked about this lack of preparation, the haphazard nature of their business, Paul said, ‘Me in this business is just part of life’s great folly. Stay loose, men, keep ’em off balance.'” – Paul Newman • I’m always fascinated when people really fervently believe, because I have such a hard time believing anything. When people have real faith in something, it’s fascinating to me. And the fact that so many people, in surveys, so many people say they do. It kind of blows my mind. – Conor Oberst • If a man could mount to Heaven and survey the mighty universe, his admiration of its beauties would be much diminished unless he had someone to share in his pleasure. – Marcus Tullius Cicero • If I were to peruse a survey of label options, as they exist now, they either sound like a time bomb disorder or manic depression or Bipolar divide or mental illness. How can I find an identity in that? It certainly isn’t something I can bring up in conversation, without a reaction of judgement or even fear. – Paul Dalio • If we take a survey of the greatest actions…in the world…we shall find the authors of them all to have been persons whose Brains had been shaken out of their natural position. – John Adams • I’m required to do every job well enough that I’d use it as evidence in court – that doesn’t come cheaply! Property is a critical asset for individuals. Maintaining the cadastre (legal survey fabric) is an important job and a valuable service. – Mark Mason • I’m sure if you could survey the unborn they would prefer the chance for life over the options of solar power. – Greg Gutfeld • Immense deposits of kimmeridge clay, containing the oil-bearing bands or seams, stretch across England from Dorsetshire to Lincolnshire. [An early political recognition of the native resource. The Geological Survey had identified the inflammable oil shale in reports since at least 1888.] – Winston Churchill • In 1989, I started the National Association of Business Women. We incorporated microfinance and different job training for women. We did a survey, with USAID, that found women lacked training, credit and information. – Joyce Banda • In a bird’s eye view you tend to survey everything and decide on a particular point, then you swoop down and pick it up. In a worms eye view you don’t have that advantage of looking at everything. – Muhammad Yunus • In all our academies we attempt far too much. … In earlier times lectures were delivered upon chemistry and botany as branches of medicine, and the medical student learned enough of them. Now, however, chemistry and botany are become sciences of themselves, incapable of comprehension by a hasty survey, and each demanding the study of a whole life, yet we expect the medical student to understand them. He who is prudent, accordingly declines all distracting claims upon his time, and limits himself to a single branch and becomes expert in one thing. – Johann Wolfgang von Goethe • In my judgment, based on the work that has been done to this point of the Iraq Survey Group, and in fact, that I reported to you in October, Iraq was in clear violation of the terms of U.N.Resolution 1441. – David Kay • In my totally unscientific yet enthusiastic survey of Communal Experiments Throughout American History, I’ve discovered that the thing most likely to break up said experiments is: Sex, all that murky, dark, dirty gunk simmering beneath human relations. – Lauren Groff • In one survey, respondents listed Princeton as one of the country’s top ten law schools. The problem? Princeton doesn’t have a law school – Alexandra Robbins • In survey after survey, people report that the greatest dangers they face are, in this order: terrorist attack, plane crashes and nuclear accidents. This despite the fact that these three combined have killed fewer people in the past half-century than car accidents do in any given year. – Will Self • In survey after survey, the Iraqi people say, ‘We want to choose our leaders.’ – Scott McClellan • In this country, the health concerns and the environmental concerns are as deep as in Europe. All the surveys show that. But here, we didn’t have the cultural dimension. This is a fast-food culture. – Jeremy Rifkin • Interesting survey in the current Journal of Abnormal Psychology: New York City has a higher percentage of people you shouldn’t make any sudden moves around than any other city in the world. – David Letterman • Ironically, survey after survey shows that married men are happier and healthier than unmarried men. Oh, and they also have more sex. – Michael Kimmel • It is an inherent property of intelligence that it can jump out of a task which it is performing and survey what it has done. – Douglas Hofstadter • It is in the field of prayer that life’s critical battles are lost or won. We must conquer all our circumstances there. We must first of all bring them there. We must survey them there. We must master them there. In prayer we bring our spiritual enemies into the Presence of God and we fight them there. Have you tried that? Or have you been satisfied to meet and fight your foes in the open spaces of the world? – John Henry Jowett • It is one of the defects of modern higher education that it has become too much a training in the acquisition of certain kinds of skill, and too little an enlargement of the mind and heart by an impartial survey of the world. – Bertrand Russell • It is proved by surveys that happiness does not come from love, wealth, or power but the pursuit of attainable goals. – Helen Fielding • It is true that the path of human destiny cannot but appal him who surveys a section of it. But he will do well to keep his small personal commentarie to himself, as one does at the sight of the sea or of majestic mountains, unless he knows himself to be called and gifted to give them expression in artistic or prophetic form. In most other cases, the voluminous talk about intuition does nothing but conceal a lack of perspective toward the object, which merits the same judgement as a similar lack of perspective toward men. – Max Weber • It is vain and useless to survey everything that goes on in the world if our study does not help us mend our ways. – Madeleine de Souvre, marquise de Sable • It takes no compromising to give people their rights. It takes no money to respect the individual. It takes no survey to remove repressions. – Harvey Milk • It would be very interesting to make a survey around the world, from wealthy countries to the most advanced countries to see what influence Americans have had. IEmilio Pucci • It’s about average for us. Behavior always draws more than survey. We’re the sexy ones,’ Nate said with a grin. Amy snorted. ‘Oh, yeah, you guys are the Mae Wests of the nerd world.’ We’re action nerds,’ Nate said. ‘Adventure nerds. Nerds of romance. – Christopher Moore • It’s not possible to present an accurate picture of our culture without all the voices of the people in the culture. So at the emerging level, you can’t have a good survey art show without women and artists of color. – Frida Kahlo • I’ve done an informal, anecdotal survey about marriage, and I’ve found no evidence that it brings happiness. – Mary McCormack • I’ve said it before and I’ll say it again. The U.S. Geological Survey has told me that the proven potential for oil in Alaska alone is greater than the proven reserves in Saudi Arabia. – Ronald Reagan • Jocelyn Bell joined the project as a graduate student in 1965, helping as a member of the construction team and then analysing the paper charts of the sky survey. – Antony Hewish • Latest survey shows that 3 out of 4 people make up 75% of the world’s population. – Stephen Hawking • Laws, it is said, are for the protection of the people. It’s unfortunate that there are no statistics on the number of lives that are clobbered yearly as a result of laws: outmoded laws; laws that found their way onto the books as a result of ignorance, hysteria or political haymaking; antilife laws; biased laws; laws that pretend that reality is fixed and nature is definable; laws that deny people the right to refuse protection. A survey such as that could keep a dozen dull sociologists out of mischief for months. – Tom Robbins • Let observation with extensive view, Survey mankind from China to Peru; Remark each anxious toil, each eager strife, And watch the busy scenes of crowded life. – Samuel Johnson • Look back to 1948 when the British Medical Association denounced Aneurin Bevan as ‘a would-be Führer’ for wanting them to join a National Health Service. And Bevan himself described the BMA as ‘politically poisoned people’. A survey at the time showed only 10 per cent of doctors backed the plans … But where would we be today if my predecessors had caved in? – Andrew Lansley • Look. Survey. Inspect. My hair is ruined! I look like a pan of bacon and eggs! – Diana Wynne Jones • Luckily, a recent survey published in the American Sociological Review revealed that atheists are the least trusted group in America—less trusted, even, than homosexuals. It makes sense at least we trust the homosexuals with our hair. – Stephen Colbert • My colleagues and I have done a survey of 13,000 students on more than 17 campuses, and we found that while sex in college has always been a bit more casual, “hooking up” has pretty much replaced other traditional forms of dating.- Michael Kimmel • My father was a soil scientist with the Geological Survey. – Jim Fowler • My mind was once the true survey Of all these meadows fresh and gay; And in the greenness of the grass Did see its hopes as in a glass. – Andrew Marvell • My zest for exhibition has over a long career become increasingly a mania. The ecstasy I feel as I survey work I have done I want to share with the world – not the whole world which couldn’t care less, but my private world, which is my country, Canada. – Joseph Plaskett • No man can survey himself without forthwith turning his thoughts towards the God in whom he lives and moves; because it is perfectly obvious, that the endowments which we possess cannot possibly be from ourselves; nay, that our very being is nothing else than subsistence in God alone. – John Calvin • No one likes doing chores. In happiness surveys, housework is ranked down there with commuting as activities that people enjoy the least. Maybe that’s why figuring out who does which chores usually prompts, at best, tense discussion in a household and, at worst, outright fighting. – Emily Oster • Oh! that you could turn your eyes towards the napes of your necks, and make but an interior survey of your good selves. – William Shakespeare • Oh, sons of earth! attempt ye still to rise. By mountains pil’d on mountains to the skies? Heav’n still with laughter the vain toil surveys, And buries madmen in the heaps they raise. – Alexander Pope • One survey found that ten percent of Americans thought Joan of Arc was Noah’s wife. – Rita Mae Brown • One survey that I saw that was published I think in Variety or Electronic Media within the last three weeks says that now the average hour of radio in the United States has 18 minutes of commercials. – Robert Waterman McChesney • Only by being suspended aloft, by dangling my mind in the heavens and mingling my rare thought with the ethereal air, could I ever achieve strict scientific accuracy in my survey of the vast empyrean. Had I pursued my inquiries from down there on the ground, my data would be worthless. The earth, you see, pulls down the delicate essence of thought to its own gross level. – Aristophanes • Osama bin Laden’s organization has spun out from him and is now probably independent of him. There will be others who will appear and reappear. This is why we need a much more precise, a much more defined, a much more patiently constructed campaign, as well as one that surveys not just the terrorists’ presence but the root causes of terrorism, which are ascertainable. – Edward Said • Our objective is to begin a national conversation to better support individuals and families living with ASD in Canada. The Summit will review the recent National Needs Assessment Survey and provide leaders with a better understanding of ASD surveillance across the country. We are pleased that Minister Bergen will be part of this important discussion. – Cynthia Carroll • Perhaps, in retrospect, there would be little motivation even for malevolent extraterrestrials to attack the Earth; perhaps, after a preliminary survey, they might decide it is more expedient just to be patient for a little while and wait for us to self-destruct. – Carl Sagan • Personal weapons are what raised mankind out of the mud, and the rifle is the queen of personal weapons. The possession of a good rifle, as well as the skill to use it well, truly makes a man the monarch of all he surveys. It realizes the ancient dream of the Jovian thunderbolt, and as such it is the embodiment of personal power. For this reason it exercises a curious influence over the minds of most men, and in its best examples it constitutes an object of affection unmatched by any other inanimate object. – Jeff Cooper • Philosophy, most broadly viewed, is the critical survey of existence from the standpoint of value. – Sidney Hook • Physiology is the basis of all medical improvement and in precise proportion as our survey of it becomes more accurate and extended, it is rendered more solid. – John Gorrie • Piety practiced in solitude, like the flower that blooms in the desert, may give its fragrance to the winds of heaven, and delight those unbodied spirits that survey the works of God and the actions of men; but it bestows no assistance upon earthly beings, and however free from taints of impurity, yet wants the sacred splendor of beneficence. – Samuel Johnson • Readers, on the other hand, have at least 7.5 books going all the time. Actually, the number of books a reader takes on is usually directly related to the number of bathrooms he has in his home and office. I am working on a survey that will show that, over a lifetime, readers are in bathrooms seven years and three months longer than nonreaders. – Calvin Miller • Recent surveys of Church members have shown a serious erosion in the number of families who have a year’s supply of life’s necessities. Most members plan to do it. Too few have begun… It is our sacred duty to care for our families, including our extended families. – Thomas S. Monson • Recent surveys show 3 out of 10 men have a problem with premature ejaculation. The rest just didn’t really think it was a problem! – Frankie Boyle • Roberto Calasso’s survey of the renewed interest in myth demonstrates how decisive the gods’ influence was on modern literature. Calasso is not only immensely learned; he is one of the most original thinkers and writers we have today. – Charles Simic • San Francisco can start right now to become number one. We can set examples so that others will follow. We can start overnight. We don’t have to wait for budgets to be passed, surveys to be made, political wheelings and dealings … for it takes no money … It takes no compromising to give the people their rights. It takes no money to respect the individual. It takes no political deal to give people freedom. It takes no survey to remove repression. – Harvey Milk • School choice opponents are also dishonest when they speak of saving public schools. A Heritage Foundation survey found that 47 percent of House members and 51 percent of senators with school-age children enrolled them in private schools in 2001. Public school teachers enroll their children in private schools to a much greater extent than the general public, in some cities close to 50 percent. – Walter E. Williams • She couldn’t survey the wreck of the world with an air of casual unconcern. – Margaret Mitchell • So their combinations with themselves and with each other give rise to endless complexities, which anyone who is to give a likely account of reality must survey. – Plato • Suddenly, in the space of a moment, I realized what it was that I loved about Britain – which is to say, all of it. Every last bit of it, good and bad – old churches, country lanes, people saying ‘Mustn’t grumble,’ and ‘I’m terribly sorry but,’ people apologizing to ME when I conk them with a careless elbow, milk in bottles, beans on toast, haymaking in June, seaside piers, Ordnance Survey maps, tea and crumpets, summer showers and foggy winter evenings – every bit of it. – Bill Bryson • Survey 2001: Men who never married, never had a child, worked full time and were college educated earn only 85% of what women with the same criteria earn. – Warren Farrell • Survey and test a prospective action before undertaking it. Before you proceed, step back and look at the big picture, lest you act rashly on raw impulse. – Epictetus • Survey data suggest that war has become more unpopular. The majority of the American people now think it was a mistake, in a shift away from the 51 percent that endorsed it on Election Day. Admittedly this is only a small change in the population, from a majority to a minority. Nor do the changers earn grace for their new opinions. They still endorsed the war on Election Day and are still responsible for it. – Andrew Greeley • Survey says: one more for the bad guys. – Scott Hall • Surveys have shown going back as far as you and I can remember that people have perceived a leftward tilt in the basic coverage that they get on TV news. – Brit Hume • Surveys show that many talented and committed young people are reluctant to enter teaching for the long haul because they think the profession is low-paying and not prestigious enough. – Arne Duncan • Surveys show that more than 50 percent of people in the U.S. have prayed the sinner’s prayer and think they’re going to heaven because of it even though there is no detectable difference in their lifestyles from those outside of the church. On this issue- the most important issue on earth- we have to be absolutely clear. We need to preach salvation by repentance before God and faith in the finished work of Christ. – J. D. Greear • Surveys show that surveys never lie. – Natalie Angier • Surveys show that the #1 fear of Americans is public speaking. #2 is death. That means that at a funeral, the average American would rather be in the casket than doing the eulogy. – Jerry Seinfeld • Take the back door,” she said. “Claire, you and your strang friend-” “Eve,” they both said simultaneously, and Eve held out her fst for a bump. “Or, you could call me Eve the Great, Mistress of All She Surveys. Eve for short. – Rachel Caine • That I had never heard of such a bird did not surprise me…. But others more experienced also did not know of the Carolina Parakeet. The more I spoke of the bird, the more it seemed that, somehow, its existence had been a chimera. Admittedly, my survey was small and unscientific, but intelligent people who could reel off the names of various dinosaurs and identify sparrows at epic distances could not name the forgotten parakeet. I realized, forcefully, what I suppose I knew abstractly: Histories, like species, can go extinct. – Christopher Cokinos • The American people want to make sure that the rules of the game are fair. And what that means is that if you look at surveys around Americans’ attitudes on trade, the majority of the American people still support trade. But they’re concerned about whether or not trade is fair, and whether we get the same access to other countries’ markets that they have with us. Is there just a race to the bottom when it comes to wages, and so forth. – Barack Obama • The BBC did a survey of the top 50 things to do before we die. Not while we’re still alive, before we die.- Bill Bailey • The camera relieves us of the burden of memory. It surveys us like God, and it surveys for us. Yet no other god has been so cynical, for the camera records in order to forget. – John Berger • The distribution of wealth is even more unequal than that of income. …The wealthiest 5% of American households held 54% of all wealth reported in the 1989 survey. Their share rose to 61% in 2010 and reached 63% in 2013. By contrast, the rest of those in the top half of the wealth distribution —families that in 2013 had a net worth between $81,000 and $1.9 million —held 43% of wealth in 1989 and only 36% in 2013. – Janet Yellen • The drys seemingly are afraid of the truth. Why not take inventory and ascertain the true conditions. Let us not leave it to the charge of an antiprohibition organization, or to any other private association, let us have an official survey and let the American people know what is going on. A complete and honest and impartial survey would reveal incredible conditions. – Fiorello H. La Guardia • The earliest religious texts in the West ascribe to humankind both a prehistory and a destiny among the gods. M. David Litwa presents a striking survey of the varieties the latter of these beliefs has had, both within and outside the Christian tradition. Becoming Divine reconstructs an accessible and fascinating mosaic of this too-long neglected idea, utilizing figures as disparate as Orphic cultists, Augustine, and Nietzsche. – Terryl L. Givens • The fact disclosed by a survey of the past that majorities have been wrong must not blind us to the complementary fact that majorities have usually not been entirely wrong. – Herbert Spencer • The fact is that surveys which media people openly admit to show that fewer than twelve percent of their customers believe they’re doing a good job, while the average profit margin in television is in the neighborhood of eighty percent. – L. Neil Smith • The good news from the U.S. military survey of focus groups is that Iraqis do accept the Nuremberg principles. They understand that sectarian violence and the other postwar horrors are contained within the supreme international crime committed by the invaders. – Noam Chomsky • The hawk is aerial brother of the wave which he sails over and surveys, those his perfect air-inflated wings answering to the elemental unfledged pinions of the sea. – Henry David Thoreau • The Iraq Survey Group has already found massive evidence of a huge system of clandestine laboratories. – Tony Blair • The Italian historian Armando Petrucci has done more than anyone else to revive interest in public writing. His groundbreaking Public Lettering: Script, Power, and Culture surveys the forms and uses of epigraphic writing from classical antiquity to the twentieth century. – Geoffrey Nunberg • The leader is the one who climbs the tallest tree, surveys the entire situation, and yells, ‘Wrong jungle!’ … Busy, efficient producers and managers often respond … ‘Shut up! We’re making progress!’ – Stephen Covey • The main object of the work was to present such a survey of the advances already made in physical knowledge, and of the mode in which they have been made, as might serve as a real and firm basis for our speculations concerning the progress of human knowledge, and the processes by which sciences are formed. – William Whewell • The majority of surveys throughout this Nation show that the American people are advocating for a comprehensive and realistic approach to immigration reform. – Raul Grijalva • The media transforms the great silence of things into its opposite. Formerly constituting a secret, the real now talks constantly. News reports, information, statistics, and surveys are everywhere. – Michel de Certeau • The much-vaunted sex appeal of American women is drawn from films, reviews and pin-ups, and is in large print fictitious. A recent medical survey in the United States showed that 75% of young American women are without strong sexual feeling and instead of satisfying their libido they seek pleasure narcissistically in exhibitionism, vanity, and the cult of fitness and health in a sterile sense. – Julius Evola • The other three incoming calls were from his building superintendent, his pharmacy and a telephone survey company.” “Bastards. They always call during dinner.” Liv laughed as I slid the sliced steak onto a platter and topped it with sautéed vegetables. “Forget crime lords and corrupt politicians – telemarketers are the root of all evil.” “Now you’re getting it. – Rachel Vincent • The Place of Religion in Chicago is a clearly written account of a little-studied aspect of American landscape. Based on unique field surveys and supported by photographs, tables, and beautifully crafted maps, the book will form a lasting contribution to our understanding of an overlooked element of the American urban scene: the religious landscape of a major metropolis. – Peter Haggett • The Playtex Secrets survey truly uncovered some thought-provoking and provocative secrets of real American housewives. In fact, many of the findings would make great fodder for a storyline on the show! – Alfre Woodard • The pool of illegal immigrants is like a qualified bunch of people. You don’t have to do surveys. You don’t have to interview them. You know they are ready-made Democrat voters. Not only that, they are readymade Democrat constituents. – Rush Limbaugh • The public conviction that a railroad linking the West and the East was an absolute necessity became so pronounced after the gold discoveries of ’49 that Congress passed an act in 1853 providing for a survey of several lines from the Mississippi to the Pacific. – John Moody • The pursuit of science has often been compared to the scaling of mountains, high and not so high. But who amongst us can hope, even in imagination, to scale the Everest and reach its summit when the sky is blue and the air is still, and in the stillness of the air survey the entire Himalayan range in the dazzling white of the snow stretching to infinity? None of us can hope for a comparable vision of nature and of the universe around us. But there is nothing mean or lowly in standing in the valley below and awaiting the sun to rise over Kinchinjunga. – Subrahmanyan Chandrasekhar • The repeat run of Fawlty Towers (BBC2) drew bigger audiences than ever and deservedly so. Statistical surveys reveal that only the television critic of the Spectator is incapable of seeing the joke, which is that Basil Fawlty has the wrong temperament to be a hotel proprietor, just as some other people have the wrong temperament to be television critics. – Clive James • The spirit’s there and that’s not just my imagination. I think if you look at surveys and attitudes among young people, you see it. – Barack Obama • The survey findings reflect the growing trend toward incentive compensation programs as a way for employers to share the wealth with workers, … Roughly 80 percent of those surveyed offer bonus programs and 401(k) or profit-sharing plans . . . as they compete for the best and brightest workforce. – Jerry Jasinowski • The survey of more than 100 waterways downstream from treatment plants and animal feedlots in 30 states found minute amounts of dozens of antibiotics, hormones, pain relievers, cough suppressants, disinfectants and other products. It is not known whether they are harmful to plants, animals or people. The findings were released yesterday on the Web site of the United States Geological Survey, which conducted the research, and in an online journal, Environmental Science and Technology. – Andrew Revkin • The task of getting the Gospel in an adequate way to every ethnic person is tremedous. There is but one solution. I’m sure that it isn’t man, money, surveys, not talk. They all have their place, but if the basis of all of it isn’t fervent, believing prayer, they are in vain. And prayer should not only be the basis but it should permeate and vitalize the whole work. – William Cameron Townsend • The teachings or the information in the Venus project is not what Jacque Fresco dictates. It’s first doing a survey of the carrying capacity of a given environment and maintaining a population in accordance of the Earth’s resources, not Fresco’s opinion. – Jacque Fresco • The truth is that relative income is not directly related to happiness. Nonpartisan social-survey data clearly show that the big driver of happiness is earned success: a person’s belief that he has created value in his life or the life of others. – Arthur C. Brooks • The whole, though it be long, stands almost complete and finished in my mind so that I can survey it at a glance. Nor do I hear in my imagination the parts successively, but I hear them, as it were, all at once. What delight this is I cannot tell! – Wolfgang Amadeus Mozart • There are ancient and modern poems which breathe, in their entirety and in every detail, the divine breath of irony. In such poemsthere lives a real transcendental buffoonery. Their interior is permeated by the mood which surveys everything and rises infinitely above everything limited, even above the poet’s own art, virtue, and genius; and their exterior form by the histrionic style of an ordinary good Italian buffo. – Karl Wilhelm Friedrich Schlegel • There are arguments for atheism, and they do not depend, and never did depend, upon science. They are arguable enough, as far as they go, upon a general survey of life; only it happens to be a superficial survey of life. – Gilbert K. Chesterton • There are literally thousands of sites. As I was told in Iraq, information is coming in the entire time, but it is only now that the Iraq survey group has been put together that a dedicated team of people, which includes former UN inspectors, scientists and experts, will be able to go in and do the job properly. – Tony Blair • There is a kind, I might almost say, of artistic satisfaction, when we are able to survey the enormous wealth of Nature as a regularly ordered whole a kosmos, an image of the logical thought of our own mind. – Hermann von Helmholtz • There is a new survey out about the happiest professions. I think the whole premise is flawed. You’re supposed to find true happiness outside of work. From friends, family, and YouTube videos of old people falling down. – Craig Ferguson • There isn’t a clear goal in sight. Osama bin Laden’s organization has spun out from him and is now probably independent of him. There will be others who will appear and reappear. This is why we need a much more precise, a much more defined, a much more patiently constructed campaign, as well as one that surveys not just the terrorists’ presence but the root causes of terrorism, which are ascertainable. – Edward Said • There once was a demographic survey done to determine if money was connected to happiness and Ireland was the only place where this did not turn out to be true. – Fiona Shaw • There was a research I think team, which conducted a survey about what Indians think of Americans, and 71 percent I believe said, well, I think all the nice things about our working together with the United States. But there are people I think that are old mind-sets, who still I think remain mired in the Cold War ideology. – Manmohan Singh • There was a survey done a few years ago that affected me greatly. it was discovered that intelligent people either estimate their intelligence accurately or slightly underestimate themselves, but stupid people overestimate their intelligence and by huge margins. (And these were things like straight up math tests, not controversial IQ tests.) – Harvey Pekar • There`s plenty of other evidence Trump is in sync with the base, including a major survey released that found that 76 percent of Republicans think Islam is incompatible with the American way of life. – Donald Trump • They say the full potential of the human being is called enlightenment, which is infinite consciousness, infinite happiness, zero negativity, zero dying, complete freedom, total fulfillment, and being at one with everything. You can say it’s God realization, or you can say you sit at the feet of the Lord as master of all you survey. You could say it’s totality, total knowledge, and that you are that totality. This is every human being’s birthright: to one day enjoy supreme enlightenment, unity. It’s like the big graduation. – David Lynch • They took a survey: Why do men get up in the middle of the night? Ten percent get up to go to the bathroom and 90 percent get up to go home. – Rodney Dangerfield • This party will not take its position based on public opinion polls. We will not take a stand based on focus groups. We will not take a stand based on phone-in shows or householder surveys or any other vagaries of pubic opinion. – Stephen Harper • Though it is very easy to do valuations, eyeballs and brand prominence surveys, you should never allow any of them to influence the balance sheet. – Ashwin Sanghi • Though with those streams he no resemblance hold, Whose foam is amber and their gravel gold; His genuine and less guilty wealth t’ explore, Search not his bottom, but survey his shore. – John Denham • Time, that takes survey of all the world, Must have a stop. – William Shakespeare • To glorify the past and paint the future is easy, to survey the present and emerge with some light and understanding is difficult. – Lin Yutang • To strive with difficulties, and to conquer them, is the highest human felicity; the next is, to strive, and deserve to conquer: but he whose life has passed without a contest, and who can boast neither success nor merit, can survey himself only as a useless filler of existence; ad if he is content with his own character, must owe his satisfaction to insensibility. – Samuel Johnson • USA Today has come out with a new survey – apparently, three out of every four people make up 75% of the population. – David Letterman • Verse is the natural speech of men, as singing is of birds’The Week’s Survey, 18 June 1904 – Edward Thomas • Very strange bridges are used to make the passage from one state of things to another; we may lose sight of them in our surveys of general history, but their discovery is the glory of historical research. History is not the study of origins; rather it is the analysis of all the mediations by which the past was turned into our present. – Herbert Butterfield • We are here to celebrate the completion of the first survey of the entire human genome. Without a doubt, this is the most important, most wondrous map ever produced by human kind. – William J. Clinton • We constantly see surveys that reveal this ignorance, especially among our high school students,78 percent of whom, in a recent nationwide multiple-choice test, identified Abraham Lincoln as ‘a kind of lobster.’ That’s right: more than three quarters of our nation’s youth could not correctly identify the man who invented the telephone. – Dave Barry • We must, like a painter, take time to stand back from our work, to be still, and thus see what’s what. . . True repose is standing back to survey the activities that fill our days. – William McNamara • We of the third sphere are unable to look at Europe or at Asia as they may survey each other. Wherever we go, across Pacific or Atlantic, we meet, not similarity so much as ‘the bizarre.’ Things astonish us, when we travel, that surprise nobody else. – Mary Ritter Beard • Well for everyone to make a study of astrology for, as indicated, while many individuals have set about to prove the astrological aspects and astrological survey enable one to determine future as well as the past conditions, these are well to the point where the individual understands that these act upon individuals because of their sojourn or correlation of their associations with the environs through which these are shown – see? Rather than the star directing the life, the life of the individual directs the courses of the stars, see? – Edgar Cayce • Well, first of all the Dominion Bureau of Statistics made a survey in the spring of 1970, which showed that on balance the difference in the cost of living between Canadian cities and American cities was 5 % to the advantage, of course, to the Canadian cities. – Leonard Woodcock • What is true about (ex-Iraq Survey Group head) David Kay’s evidence, and this is something I have to accept, and is one of the reasons why I think we now need a new inquiry – it is true David Kay is saying we have not found large stockpiles of actual weapons. – Tony Blair • What we also know is we haven’t found them [weapons of mass destruction] in Iraq – now let the survey group complete its work and give us the report… They will not report that there was no threat from Saddam, I don’t believe. – Tony Blair • When a lion stalks a herd, he sneaks in close, lies down, and surveys them to choose his victim. He takes his time. The deer or buffalo have no idea he’s near. He finds his prey and then he explodes from his hiding place and grabs it. Even if another, perfectly serviceable animal ends up within his reach, he isn’t going to alter his course. He has chosen, and he would rather go hungry than change his mind.- Ilona Andrews • When all thy mercies, O my God, My rising soul surveys, Transported with the view I’m lost, in wonder, love and praise. – Joseph Addison • When Gordon the Brown, in London in 1997, commissioned a great inquisition or survey of his new realm, the result was the so-called national asset register (NAR), which was immediately dubbed by the boomers of the UK Treasury “the modern Domesday Book”. – James Buchan • When I see the blind and wretched state of men, when I survey the whole universe in its deadness, and man left to himself with no light, as though lost in this corner of the universe without knowing who put him there, what he has to do, or what will become of him when he dies, incapable of knowing anything, I am moved to terror, like a man transported in his sleep to some terrifying desert island, who wakes up quite lost, with no means of escape. Then I marvel that so wretched a state does not drive people to despair. – Blaise Pascal • When the United States invaded Iraq, a New York Times/CBS News survey estimated that 42 percent of the American public believed that Saddam Hussein was directly responsible for the September 11 attacks on the World Trade Center and the Pentagon. And an ABC news poll said that 55 percent of Americans believed that Saddam Hussein directly supported al-Qaeda. None of this opinion is based on evidence (because there isn’t any). – Arundhati Roy • When they take surveys of women in business, of the Fortune 500, the successful women, 80% of them, say they were in sports as a young woman. – Billie Jean King • When we mean to build, We first survey the plot, then draw the model; And when we see the figure of the house, Then must we rate the cost of the erection. – William Shakespeare • When we started NFL Films, there were no focus groups, there were no demographic studies, there were no surveys. Every decision that we made, we made with our hearts, not with our heads. And, in the very beginning, we really didn’t even have a business plan. – Steve Sabol • When we survey our lives, seeking to fulfil our creativity, we often see we had a dream that went glimmering because we believed, and those around us believed, that the dream was beyond our reach. – Julia Cameron • When we take a slight survey of the surface of our globe a thousand objects offer themselves which, though long known, yet still demand our curiosity. – Oliver Goldsmith • When William the Conqueror commissioned a great survey of his English realm at Gloucester in 1085, the result was a work so thorough, fair, dispassionate, and wide-ranging that it seemed to the succeeding generations to have come from another world. – James Buchan • With respect to trust, people tell me that it is essential for organizational functioning. Maybe, but most surveys of trust find that trust in leaders is low and nonetheless, organizations role along quite nicely.- Jeffrey Pfeffer • With Twitter and other social networking tools, you can get a lot of advice from great people. I learn more from Twitter than any survey or discussion with a big company.- Daniel Ek • Write, if you must; not otherwise. Do not write, if you can earn a fair living at teaching or dressmaking, at electricity or hod-carrying. Make shoes, weed cabbages, survey land, keep house, make ice-cream, sell cake, climb a telephone pole. Nay, be a lightning-rod peddler or a book agent, before you set your heart upon it that you shall write for a living…. Living? It is more likely to be dying by your pen; despairing by your pen; burying hope and heart and youth and courage in your ink-stand. – Elizabeth Stuart Phelps Ward • You know all the surveys say that evangelicals have the best sex life of any other group. – Ted Haggard • You may have read that I went to M.I.T. In 1982 I filled out a Who’s Who survey with joking responses, and they never bothered to check the facts. – Chevy Chase • You’d think experienced political professionals would know better than to place their trust in exit polls, notoriously inaccurate surveys that had John Kerry winning the 2004 election by five points when he actually lost by three. – John Podhoretz
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paleorecipecookbook ¡ 7 years ago
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New Hope that Alzheimer’s Can Be Prevented—and Even Cured
Dr. Bredesen is an internationally recognized expert on neurodegenerative disease. He held faculty positions at UCSF and UCLA and directed the Program on Aging at the Burnham Institute. He joined the Buck Institute in 1998 as its founding president and CEO. Two of his recently published papers include “Reversal of cognitive decline in Alzheimer’s disease” and “Inhalational Alzheimer’s disease: An unrecognized—and treatable—epidemic.” I interviewed Dr. Bredesen for a podcast a year ago, and I’m excited to bring you more information about his program and his new book. If you have a loved one with Alzheimer’s—or who is just starting to get forgetful—The End of Alzheimer's is a fantastic resource.
1. What’s wrong with the conventional approach to Alzheimer’s disease?
The conventional approach to Alzheimer’s disease does not address the actual cause—the contributors to this complex chronic illness, which may be dozens and vary from person to person—and attempts to improve symptoms with a monotherapy, a single drug. This is something like trying to patch 36 holes in your roof by putting a patch over one hole and finding that water is still coming through the other 35 holes. In addition, the conventional approach is a one-size-fits-all approach, when a personalized, precision approach is needed, based on the different critical targets for each person. Finally, the conventional approach is often backward—the surprise is that the very amyloid that is associated with Alzheimer’s disease is a protective response to insults such as microbes and toxins. Therefore, any attempt to remove the amyloid should be preceded by the removal of the insult(s) that are inducing this protective response.
Have a loved one with Alzheimer’s? Be sure to check out this new resource. #alzheimers
2. What led you to a functional/evolutionary perspective on AD?
This came directly from the test tube, from years of basic laboratory research—we had no idea when we started that we would end up with a functional medicine approach. We were studying the molecular biology of APP, the amyloid precursor protein that gives rise to the amyloid-beta that collects in the brains of patients with Alzheimer’s disease. Surprisingly, we found that APP functions like a molecular switch—when it is cleaved at the alpha site, two peptides are produced (sAPPalpha and alphaCTF) that support neurite outgrowth, neuronal survival, and synaptic maintenance—essentially, these support memory. Conversely, when APP is cleaved at the beta, gamma, and caspase sites, it yields four peptides (sAPPbeta, amyloid-beta, Jcasp, and C31) that mediate neurite retraction, synaptic reorganization, and ultimately, neuronal death—essentially, these support forgetting. In other words, the two supportive peptides are “synaptoblastic,” whereas the four retractive peptides are “synaptoclastic.” We then wanted to know what determines this critical balance—a plasticity balance—and it turned out that dozens of parameters affect this balance, many quite directly. For example, vitamin D, estradiol, testosterone, NF-kappa B (as part of the inflammatory response), BDNF (brain-derived neurotrophic factor, which increases with exercise), sleep (which helps to clear the amyloid-beta, among many other effects), and dozens of others, all affect this critical balance. Therefore, we realized that we needed to measure all of these parameters for each person in order to determine what is contributing to cognitive decline or risk for cognitive decline.  Then we need to address each contributor—to reduce the synaptoclastic signaling and increase the synaptoblastic signaling. This is a functional medicine approach, so we realized that the basic research had shown us that, for a complex chronic illness such as Alzheimer’s disease, a functional medicine approach makes mechanistic sense. This has been supported now by hundreds of patients who have shown positive responses to this approach to cognitive decline.
3. Can AD be prevented and even reversed?
Yes, contrary to the current dogma, Alzheimer’s disease can be prevented, and the cognitive decline associated with AD can be reversed, although in the late stages of the illness this becomes progressively more difficult and less common. However, there is a large window of opportunity—about a decade of SCI (subjective cognitive impairment), when people note cognitive changes yet still score normally on cognitive tests; then often several years of MCI (mild cognitive impairment), when cognitive testing shows abnormalities, yet people are still capable of doing ADLs (activities of daily living); then early in the course of full-blown Alzheimer’s disease.  Therefore, it is important to seek evaluation and treatment as early as possible.
4. You’ve proposed five different types of AD. What are they, and how are they distinct?
Type 1 is inflammatory (“hot”), and the inflammation may be due to pathogens or other inflammatory factors such as trans fats. Type 2 is atrophic (“cold”) and is associated with reductions in trophic support such as nerve growth factor, brain-derived neurotrophic factor, estradiol, vitamin D, and other trophic, hormonal, or nutritional support. Then there is a common combination of type 1 and type 2—type 1.5, or glycotoxic (“sweet”)—that combines the inflammation of high glucose (e.g., via AGEs, advanced glycation endproducts) with the trophic loss of insulin resistance. Type 3 is toxic (“vile”) and is associated with exposure to toxins such as mycotoxins (e.g., trichothecenes or ochratoxin A) or chemotoxins (e.g., mercury). Type 4 is vascular (“pale”) and is associated with reduced vascular support. Type 5 is traumatic (“dazed”) and is associated with previous head trauma.  The typical symptoms and signs of these types are described, and clinical cases are described, in the book. Not surprisingly, many people have combinations of these types, so we have developed a computer-based algorithm that calculates the percent contribution from each type. This then helps to develop the optimal therapeutic program for each person, and again we use an algorithm to generate an initial program.
5. Where have you seen the biggest impacts in terms of diet, lifestyle, and functional medicine treatment with AD?
The key is that the whole program works together, so there is a threshold effect, just as is seen with cardiovascular disease treatment. There seem to be major effects of reversing insulin resistance, optimizing sleep, exercising regularly, eliminating toxic exposures (especially for Type 3 AD), optimizing hormonal support (including bioidentical hormone replacement), optimizing nutrition (e.g., avoiding high homocysteine, low vitamin D, low vitamin B12, low magnesium, etc.), addressing pathogens (e.g., Borrelia), reducing inflammation (but most importantly, removing the cause(s) of the inflammation), optimizing brain training, and reducing stress.
6. What role does genetic testing play in the functional approach to AD?
Genetic testing plays an important role, and although there are hundreds of SNPs (single nucleotide polymorphisms) that are associated with AD, the most important genetic test for AD risk is ApoE: for those with zero copies of ApoE4 (e.g., those who are ApoE3/3), the lifetime risk of developing AD is about 9 percent; for the 75 million Americans with one copy (e.g., ApoE3/4), the lifetime risk is about 30 percent; and for the seven million Americans with two copies (ApoE4/4), the lifetime risk is well over 50 percent. This has led to a conventional approach of avoiding the determination of ApoE genotype, with the claim that there is “nothing” one can do about it. This is no longer the case, and therefore the goal is for everyone to know their ApoE status, to get on an active prevention program, and to make Alzheimer’s disease a rare disease. In addition, for those with a strong family history of AD, especially for early onset AD (before 65 years of age), it is important to determine whether there are familial Alzheimer’s disease-associated mutations in APP, presenilin-1, or presenilin-2.
7. What are the most important steps people can take to reduce their risk of AD?
The most important thing to do is to get a “cognoscopy”—in other words, just as everyone knows that he or she should have a colonoscopy when turning 50, it is a good idea for everyone over 45 to have an analysis of biochemistry (what is your homocysteine, fasting insulin, hs-CRP, etc.?), genetics (ApoE4 positive?), and function (how are you scoring on a quick, simple test that can be done online). These tests will tell you where you stand, and from there, you can address the very items that are placing you at risk, such as inflammation, insulin resistance, poor nutrition, suboptimal hormone levels, toxin exposure, etc.
8. Where can people find practitioners that have been trained in your approach?
We have now trained more than 450 practitioners from seven different countries and all over the United States, and there will be more than 1,000 by the end of this year. We are training practitioners in our protocol (ReCODE, which is for reversal of cognitive decline) in collaboration with the Institute for Functional Medicine. You can find these practitioners at the website mpicognition.com.
9. What are you most excited about in terms of future developments? What challenges are we facing?
It is important to emphasize that we are just at the very beginning of all of this—literally the dawn of treatable and preventable Alzheimer’s disease. This is the same thing that is occurring with the use of functional medicine for other complex chronic illnesses—unprecedented improvements are being seen in type 2 diabetes, hypertension, cardiovascular disease, multiple sclerosis, lupus, rheumatoid arthritis, and other illnesses. There is a tremendous amount of development remaining to do—how do we optimize outcomes? For those who improve but then plateau at less than their normal cognition, how do we enhance improvement? How do we achieve better results for those who are late in the course of Alzheimer’s disease? Can we achieve similar results for the one million Americans with Lewy body dementia? How do we address other neurodegenerative diseases, such as ALS (Lou Gehrig’s disease) and Parkinson’s disease, optimally? There are exciting developments that should help to address these questions: the analysis of neural exosomes by Prof. Ed Goetzl and his colleagues has offered the ability to evaluate brain chemistry with a blood sample. Prof. Milan Fiala has described the “phagocytosis index,” which also shows evidence of Alzheimer’s disease pathophysiology in a blood sample and offers real-time follow-up of metabolic improvement that associates with cognitive improvement. More sensitive tests for chronic pathogens, for biotoxins and chemotoxins, for barrier breaches (gut, blood-brain, etc.), and for optimal microbiomes (especially gut, oral, and rhinosinal) should all play important roles in the evolution of functional medicine approaches to neurodegeneration, as well as improved, precision medicine programs that include optimization of immune responses, stem cells, and neurotrophin delivery—not a silver bullet, but silver buckshot.
Source: http://chriskresser.com August 23, 2017 at 04:57AM
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equitiesstocks ¡ 5 years ago
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Surveys Quotes
Official Website: Surveys Quotes
• A good aim surveys the present state of experience of pupils, and forming a tentative plan of treatment, keeps the plan constantly in view and yet modifies it as conditions develop. The aim, in short, is experimental, and hence constantly growing as it is tested in action. – John Dewey • A man with deep far-sightedness will survey both the beginning and the end of a situation and continually consider its every facet as important. – Takeda Shingen • A man’s feet should be planted in his country, but his eyes should survey the world.- George Santayana • A new survey found that 12 percent of parents punish their kids by banning social networking sites. The other 88 percent punish their kids by joining social networking sites. – Jimmy Fallon • A new survey indicates that Obama supporters love iPhones. So if you have an iPhone, chances are you are going to be supporting President Obama. In a related story, if you support Governor Chris Christie from New Jersey, chances are you love IHOP. – David Letterman • A new survey out says 64 percent of Americans own a smartphone. Which is interesting because in a related survey, 100 percent of smart phones say they own an American. – Jimmy Fallon • A new survey reveals that women would rather give up sex than give up the remote control for the TV. Men, on the other hand, would be willing to have sex with the remote for the TV. – Conan O’Brien • A new survey shows that the American public is more conservative now than at any point since 1952. The bad news is that all the liberals that died since then are still voting. – Fred Thompson • A perfect Judge will read each work of Wit With the same spirit that its author writ: Survey the Whole, nor seek slight faults to find Where nature moves, and rapture warms the mind. – Alexander Pope • A recent Pew Hispanic survey found that more than 70 percent of illegal immigrants from Mexico are interested in a guest-worker program and then returning home. – John Shadegg • A recent survey or North American males found 42% were overweight, 34% were critically obese and 8% ate the survey. – Banksy • A recent survey stated that the average person’s greatest fear is having to give a speech in public. Somehow this ranked even higher than death which was third on the list. So, you’re telling me that at a funeral, most people would rather be the guy in the coffin than have to stand up and give a eulogy. – Jerry Seinfeld • A stunning survey of the latest evidence for intelligent life on Mars. Mac Tonnies brings a thoughtful, balanced and highly accessible approach to one of the most fascinating enigmas of our time. – Herbie Brennan • A survey asked married women when they most want to have sex. 84 per cent of them said right after their husband is finished. – Jay Leno • A survey carried out across the U.S. between 2004 and 2006 showed that frequent church- or synagogue-goers are more likely to give money to charity.- Jonathan Sacks • A survey has shown that the average man has had sex in a car 15 times. Something to keep in mind next time you’re looking for a used car. – Jay Leno • A survey released today found that men spend twice as much on their mistresses for Christmas as they do on their wives. On the other hand, men spend half their income on the wives when the wife finds out about the mistress. So it all balances out. – Jay Leno • A technical survey that systematize, digest, and appraise the mid century state of psychology. – Stanley Smith Stevens • A telephone survey says that 51 percent of college students drink until they pass out at least once a month. The other 49 percent didn’t answer the phone. – Craig Kilborn • Academics, who work for long periods in a self-directed fashion, may be especially prone to putting things off: surveys suggest that the vast majority of college students procrastinate, and articles in the literature of procrastination often allude to the author’s own problems with finishing the piece. – James Surowiecki • According to a new survey, 40 percent of adults in Mexico say they would move to the United States if they got a chance. The number would have been higher, but the other 60 percent already live here. – Conan O’Brien • According to a new survey, 90% of men say their lover is also their best friend. Which is really kind of disturbing when you consider man’s best friend is his dog. – Jay Leno • According to a new survey, almost half of the voters in Ohio, Florida, and Pennsylvania say that they do not trust Hillary Clinton. Republicans immediately got together and said, ‘OK, this is a huge opportunity for us. How are we going to screw it up?’ – Jimmy Fallon • According to a new survey, people who get divorced die early. People who stay married live longer. The difference is they just wish they were dead. – David Letterman • According to a new survey, women say they feel more comfortable undressing in front of men than they do undressing in front of other women. They say that women are too judgmental, where, of course, men are just grateful. – Robert De Niro • According to a Public Policy Polling survey, most Americans find lice and colonoscopies more appealing than Capitol Hill. – Ron Fournier • According to a recent survey, kids are receiving an average of 40 cents less from the tooth fairy. That’s right, the economy is so bad that even make-believe people are feeling the pinch. – Conan O’Brien • According to a recent survey, men say the first thing they notice about women is their eyes. And women say the first thing they notice about men is they’re a bunch of liars. – Jay Leno • According to a survey in this week’s Time magazine, 85% of Americans think global warming is happening. The other 15% work for the White House. – Jay Leno • According to one study by the United States Geological survey, 86 percent of oil reserves in the United States are the result not of what is estimated at the time of discovery but of the revisions and additions that come with further development. – Daniel Yergin • According to the National Crime Survey administered by the Bureau of the Census and the National Institute of Justice, it was found that only 12 percent of those who use a gun to resist assault are injured, as are 17 percent of those who use a gun to resist robbery. These percentages are 27 and 25 percent, respectively, if they passively comply with the felon’s demands. Three times as many were injured if they used other means of resistance. – Gary Kleck • Additional federal studies are under way to see if any contamination reaches taps or ground water used for drinking, but the program under which they are conducted, the toxic substances hydrology program of the geological survey, is slated to be eliminated under budget cuts proposed by the Bush administration, government officials said… estrogens and similar compounds are increasingly the focus of research by the Environmental Protection Agency and many scientists because of hints that they alter sexual characteristics in fish and other aquatic species. – Andrew Revkin • After all, a creature without passionate conviction doesn’t cling to extremes. He surveys the scenery and makes sure his outfit doesn’t clash. – Frank Bruni • After starting a blood feud with Fox News, something no Republican presidential candidate has dared to do before, [Donald] Trump seems to have successfully undermine the network in the eyes of its core audience with perception of the Fox News brand among Republican adults hitting its lowest point in three years according to a new YouGov survey. – Chris Hayes • All great expression, which on a superficial survey seems so easy as well as so simple, furnishes after a while, to the faithful observer, its own standard by which to appreciate it. – Margaret Fuller • All over the world there are enormous numbers of smart, even gifted, people who harbor a passion for science. But that passion is unrequited. Surveys suggest that some 95% of Americans are “scientifically illiterate.” That’s…the same fraction…of slaves who were illiterate before the Civil War. – Carl Sagan • Along the way, I’ve worked as a waitress, I’ve done phone surveys, and worked as a receptionist, and for the last twenty years I’ve taught. When I was an actor, the key was to find a job that kept your days free to audition. – Debra Dean • Although the traditional focus of Valentine’s Day is on women and the gifts they desire, this survey found that not only do men like to get gifts for Valentine’s Day, but they also like those gifts to be luxurious. Sixty-three percent of the people we surveyed agreed that this Valentine’s Day, Johnnie Walker Blue Label is a great gift for the men in their lives. – Christopher Parsons • And when midst fallen London, they survey The stone where Alexander’s ashes lay, Shall own with humbled pride the lesson must By Time’s slow finger written in the dust. – Anna Letitia Barbauld • Any survey of the free world’s defense structure cannot fail to impart a feeling of regret that so much of our effort and resources must be devoted to armaments. – Dwight D. Eisenhower • As a great man’s influence never ends, so also there is not definite finality, no end, to a great survey; it runs along for centuries, ever responsive to the strain of the increasing needs of a growing population and an enlarging domain. – Cleveland Abbe • As a Mark brand ambassador, I became extremely cognizant of the devastating statistics about dating abuse and partner violence via the mPowerment campaign and knew I wanted to help change those statistics. mPowerment by Mark and the Avon Foundation for Women funded the No More study, which explored dating abuse, partner violence, and sexual assault. I was honored to be part of it and report the results of the survey in a Capitol Hill briefing. – Ashley Greene • As a scholar who regularly surveys archival material, I think that, a century from now, cultural historians will find David Horowitz’s spiritual and political odyssey paradigmatic for our time. – Camille Paglia • As the most romantic day of the year approaches, and as a brand that is uniquely male, we wanted to find out how men really feel about Valentines Day, and how they want to celebrate it. The Johnnie Walker Blue Label Luxury Survey tells us what gifts men really want versus what gifts women think men want for Valentine’s Day – and the reality is that we’re not as far apart as we like to think. – Christopher Parsons • As we survey all the evidence, the thought insistently arises that some supernatural agency-or, rather, Agency-must be involved. Is it possible that suddenly, without intending to, we have stumbled upon scientific proof of the existence of a Supreme Being? Was it God who stepped in and so providentially crafted the cosmos for our benefit? – George Greenstein • As you may recall, Truman was extremely unpopular when he finally left Washington in 1953, thanks largely to the Korean War. Today, however, he is thought to have been a solidly good president, a ‘Near Great’ even, in the terminology of those surveys of historians they do every now and then. – Thomas Frank • Based on a detailed investigation of all the facts and supported by the testimony of the surviving Japanese leaders involved, it is the Survey’s opinion that certainly prior to 31 December 1945 and in all probability prior to 1 November 1945, Japan would have surrendered even if the atomic bombs had not been dropped, even if Russia had not entered the war, and even if no invasion had been planned or contemplated. – Paul Nitze • Based on current surveys of public opinion in the United States, it turns out that the majority of Americans think I’ve done a pretty good job. -Barack Obama • Biblical social scientists have an advantage because they know truths about human nature. Those who dismiss the Bible and create surveys that don’t measure crucial factors are the ones who have closed minds. Sometimes the Bible gives us clear answers and sometimes it doesn’t, but it always helps us to ask the right questions. – Marvin Olasky • But because we accept the sanctity of life, the responsibility that comes with freedom and the supreme sacrifice of Christ expressed so well in the hymn: ‘When I survey the wondrous cross on which the Prince of Glory died. My richest gain I count but loss and pour contempt on all my pride.’ – Margaret Thatcher • But honestly, if you do a rigorous survey of my work, I’ll bet you’ll find that biology is a theme far more often than physical science. – David Brin • By contrast with history, evolution is an unconscious process. Another, and perhaps a better way of putting it would be to say that evolution is a natural process, history a human one…. Insofar as we treat man as a part of nature–for instance in a biological survey of evolution–we are precisely not treating him as a historical being. As a historically developing being, he is set over against nature, both as a knower and as a doer. – Owen Barfield • Censure is willingly indulged, because it always implies some superiority: men please themselves with imagining that they have made a deeper search, or wider survey than others, and detected faults and follies which escape vulgar observation. – Samuel Johnson • Combining in our survey then, the whole range of deposits from the most recent to the most ancient group, how striking a succession do they present:- so various yet so uniform-so vast yet so connected. In thus tracing back to the most remote periods in the physical history of our continents, one system of operations, as the means by which many complex formations have been successively produced, the mind becomes impressed with the singleness of nature’s laws; and in this respect, at least, geology is hardly inferior in simplicity to astronomy. – Roderick Murchison • Completing a large or difficult survey can be a very satisfying thing, especially if there have been hurdles or setbacks along the way. In our work, we get to “tick” off jobs quite often, so the sense of completion can also be rewarding. – Mark Mason • Cultural tourism surveys consistently rate San Francisco’s art industry as a core reason for visiting – Gavin Newsom • Don’t wait till you get bigger to put in place key items, such as staff surveys, peer interviewing for hiring and clear standards of behavior [developed by staff]. – Quint Studer • Even when educators survey grade school texts and create new bibliographies to help teachers include Asians, Eskimos, and other Americans, females in and out of those groups may be down-played or forgotten. – Gloria Steinem • Everyone takes surveys. Whoever makes a statement about human behavior has engaged in a survey of some sort. – Andrew Greeley • Experiencing a massage therapy session is its own best advertisement for changing perceptions. A recent national consumer survey found Americans had overwhelmingly positive feelings about their massage experience. Ninety-four percent express favorable feelings. Fully 85 percent expressed very favorable feelings about their most recent massage, with 37 percent rating it a perfect ten-out-of-ten. What is striking is that there are very few detractors. Most of those who haven’t yet received a massage simply haven’t felt a need for it – Bob Benson • Faults are beauties, when survey’d by love. – Theocritus • Few men survey themselves with so much severity as not to admit prejudices in their own favor. – Samuel Johnson • Few men survey themselves with so much severity as not to admit prejudices in their own favour, which an artful flatterer may gradually strengthen, till wishes for a particular qualification are improved to hopes of attainment, and hopes of attainment to belief of possession. – Samuel Johnson • Financial literacy is not an end in itself, but a step-by-step process. It begins in childhood and continues throughout a person’s life all the way to retirement. Instilling the financial-literacy message in children is especially important, because they will carry it for the rest of their lives. The results of the survey are very encouraging, and we want to do our part to make sure all children develop and strengthen their financial-literacy skills. – George Karl • For Hades is mighty in calling men to account below the earth, and with a mind that records in tablets he surveys all things. – Aeschylus • Forget romantic fiction, a survey has found that most women would rather read a good book than go shopping, have sex, or sleep. – Janet Street-Porter • Forget socialism, capitalism, just-in-time deliveries, salary surveys, and the rest … concentrate on building organizations that accomplish that most difficult of all challenges: to make people look forward to coming to work in the morning. – Ricardo Semler • Global warming activists claim a serious public concern presently exists and the overwhelming majority of scientists agrees humans are creating a global warming crisis. The survey of AMS meteorologists, however, shows no such overwhelming majority exists. Indeed, to the extent we can assign a majority scientific opinion to whether all the necessary components of a global warming crisis exist, the AMS survey shows the majority does not agree humans are creating a global warming crisis. – James Taylor • God gave man an upright countenance to survey the heavens, and to look upward to the stars. – Ovid • He with a graceful pride, While his rider every hand survey’d, Sprung loose, and flew into an escapade; Not moving forward, yet with every bound Pressing, and seeming still to quit his ground. – John Dryden • History is the arbiter of controversy, the monarch of all she surveys. – Lord Acton • Hope is an explorer who surveys the country ahead. That is why we know so much about the Hereafter and so little about the Heretofore. – Ambrose Bierce • How sublime Upon a time-blanch’d cliff to muse, and, while The eagle glories in a sea of air, To mingle with the scene around! – Survey The sun-warm heaven. – Robert Montgomery • Human beings are compelled to adopt a belief system; some paradigm to provide meaning, purpose, and understanding to our lives. A quick survey of the world shows that pretty much any idea will do – it need not reflect reality or truth, merely function to fascinate, distract, and compel. We are designed for belief, not for truth. – Terry Rossio • Humor implies a sure conception of the beautiful, the majestic and he true, by whose light it surveys and shape s their opposites. It is a humane influence, softening with mirth the ragged inequities of existence, prompting tolerant views of life, bridging over the space which separates the lofty from the lowly, the great from the humble. – Edwin Percy Whipple • I actually did a quick survey of how caste plays out in contemporary India. The idea that democracy and development have in some ways eroded caste turned out not to be the case, that it has in fact been entrenched and modernised. – Arundhati Roy • I am somewhat influenced by the years that I’ve spent trying to actually get things done, whether it was reforming education in Arkansas or a survey and Legal Services Corporation board when President [Jimmy ]Carter appointed me and trying to get lawyers for poor people. I have worked in these areas. I know it’s more than just a hope. You’ve got to translate it into a policy that leads to action. – Hillary Clinton • I am the first person to go to Barnes & Noble and buy the new self-help book. I like to fill out the surveys, then I get my friends’ opinions on how I answered to see if I was being honest with myself or not. – Jessica Simpson • I automate some tasks and delegate many others. Doing research, job organization, data processing, field surveys, and plan preparation can be tedious, detailed work. – Mark Mason • I didn’t know what I wanted to do when I was a child. I did want to be a cartographer but that was partly because I liked Ordnance Survey maps and when I used to go to my grandparents’ house from Southampton Station one went past the headquarters of the Ordnance Survey. – Jonathan Meades • I don’t hire a lot of number-crunchers, and I don’t trust fancy marketing surveys. I do my own surveys and draw my own conclusions. – Donald Trump • I don’t know if [Barack Obama] saw the latest religion survey, but almost a quarter of the country are Nones. I don’t mean the ones who hit me on the knuckles with a ruler in Sunday School – I mean they put “None” for religion. – Bill Maher • I don’t need somebody behind a desk to tell me what a marketing survey says is funny. I got 3 million miles and 70,000 tickets sold, telling me that I know how to make people laugh. – D. L. Hughley • I don’t think it’s surprising we will have to look for them. I’m confident that when the Iraq Survey Group has done its work we will find what’s happened to those weapons because he had them. – Tony Blair • I feel pain everywhere. A lot of guys in chairs do feel their legs. But if you don’t, there’s a thing called disreflex, so you know if something happens, say, you can’t feel your foot or your leg and your body reacts. You know something’s not right and you survey what’s going on. – Mark Zupan • I had a survey done on my house. 8 out of 10 people said they really rather liked it – Jimmy Carr • I have a lack of fear, whereas in the past the fear of failure was a powerful motivator. Anyway, I have great expectations for the future, but I just don’t know if I’m the monarch of all I survey. – Sylvester Stallone • I maintain an ongoing survey of Internet Publishing and self publishing, so that it is now possible for any writer with a book to get it published at nominal cost or free, and to have it on sale at booksellers like Amazon.com. – Piers Anthony • I saw a survey and it is that NFL fans are fed up with listening to players talk about politics. – Rush Limbaugh • I sometimes think we ought to bring a bill before Congress changing our national symbol from the eagle to the buffalo, because we are more like the buffalo than the eagle. The eagle is a powerful bird. It flies alone. It rises up into the sky with authority. It is master of all it surveys. The eagle is an individualist and was selected from among the rest of the birds to be our symbol. But the buffalo was never alone. It always ran in a herd with other buffaloes. And, friends, I call your attention that the buffaloes are gone from the open range, but the eagles are still soaring. – Norman Vincent Peale • I speak as a private citizen and not as a representative of the Executive Branch of the United States government. The impression that people of faith are uniformly opposed to stem-cell research is not documented by surveys. In fact, many people of strong religious conviction think this can be a morally supportable approach. – Richard Dawkins • I think my great book is Born to Sing: An Interpretation and World Survey of Bird Song. – Charles Hartshorne • I think somebody ought to do a survey as to how many great, important men have quit to spend time with their families who spent any more time with their family. Probably less. – Walter Cronkite • I think that if anyone bothered to take a survey, they would find a sharp decline in atheism during the winters in Cleveland, Ohio. – Drew Carey • I was rather discouraged when I discovered that Paul and Hotch had no marketing survey, no business plan, no budget, no organized strategy for the introduction of the sauce. When asked about this lack of preparation, the haphazard nature of their business, Paul said, ‘Me in this business is just part of life’s great folly. Stay loose, men, keep ’em off balance.'” – Paul Newman • I’m always fascinated when people really fervently believe, because I have such a hard time believing anything. When people have real faith in something, it’s fascinating to me. And the fact that so many people, in surveys, so many people say they do. It kind of blows my mind. – Conor Oberst • If a man could mount to Heaven and survey the mighty universe, his admiration of its beauties would be much diminished unless he had someone to share in his pleasure. – Marcus Tullius Cicero • If I were to peruse a survey of label options, as they exist now, they either sound like a time bomb disorder or manic depression or Bipolar divide or mental illness. How can I find an identity in that? It certainly isn’t something I can bring up in conversation, without a reaction of judgement or even fear. – Paul Dalio • If we take a survey of the greatest actions…in the world…we shall find the authors of them all to have been persons whose Brains had been shaken out of their natural position. – John Adams • I’m required to do every job well enough that I’d use it as evidence in court – that doesn’t come cheaply! Property is a critical asset for individuals. Maintaining the cadastre (legal survey fabric) is an important job and a valuable service. – Mark Mason • I’m sure if you could survey the unborn they would prefer the chance for life over the options of solar power. – Greg Gutfeld • Immense deposits of kimmeridge clay, containing the oil-bearing bands or seams, stretch across England from Dorsetshire to Lincolnshire. [An early political recognition of the native resource. The Geological Survey had identified the inflammable oil shale in reports since at least 1888.] – Winston Churchill • In 1989, I started the National Association of Business Women. We incorporated microfinance and different job training for women. We did a survey, with USAID, that found women lacked training, credit and information. – Joyce Banda • In a bird’s eye view you tend to survey everything and decide on a particular point, then you swoop down and pick it up. In a worms eye view you don’t have that advantage of looking at everything. – Muhammad Yunus • In all our academies we attempt far too much. … In earlier times lectures were delivered upon chemistry and botany as branches of medicine, and the medical student learned enough of them. Now, however, chemistry and botany are become sciences of themselves, incapable of comprehension by a hasty survey, and each demanding the study of a whole life, yet we expect the medical student to understand them. He who is prudent, accordingly declines all distracting claims upon his time, and limits himself to a single branch and becomes expert in one thing. – Johann Wolfgang von Goethe • In my judgment, based on the work that has been done to this point of the Iraq Survey Group, and in fact, that I reported to you in October, Iraq was in clear violation of the terms of U.N.Resolution 1441. – David Kay • In my totally unscientific yet enthusiastic survey of Communal Experiments Throughout American History, I’ve discovered that the thing most likely to break up said experiments is: Sex, all that murky, dark, dirty gunk simmering beneath human relations. – Lauren Groff • In one survey, respondents listed Princeton as one of the country’s top ten law schools. The problem? Princeton doesn’t have a law school – Alexandra Robbins • In survey after survey, people report that the greatest dangers they face are, in this order: terrorist attack, plane crashes and nuclear accidents. This despite the fact that these three combined have killed fewer people in the past half-century than car accidents do in any given year. – Will Self • In survey after survey, the Iraqi people say, ‘We want to choose our leaders.’ – Scott McClellan • In this country, the health concerns and the environmental concerns are as deep as in Europe. All the surveys show that. But here, we didn’t have the cultural dimension. This is a fast-food culture. – Jeremy Rifkin • Interesting survey in the current Journal of Abnormal Psychology: New York City has a higher percentage of people you shouldn’t make any sudden moves around than any other city in the world. – David Letterman • Ironically, survey after survey shows that married men are happier and healthier than unmarried men. Oh, and they also have more sex. – Michael Kimmel • It is an inherent property of intelligence that it can jump out of a task which it is performing and survey what it has done. – Douglas Hofstadter • It is in the field of prayer that life’s critical battles are lost or won. We must conquer all our circumstances there. We must first of all bring them there. We must survey them there. We must master them there. In prayer we bring our spiritual enemies into the Presence of God and we fight them there. Have you tried that? Or have you been satisfied to meet and fight your foes in the open spaces of the world? – John Henry Jowett • It is one of the defects of modern higher education that it has become too much a training in the acquisition of certain kinds of skill, and too little an enlargement of the mind and heart by an impartial survey of the world. – Bertrand Russell • It is proved by surveys that happiness does not come from love, wealth, or power but the pursuit of attainable goals. – Helen Fielding • It is true that the path of human destiny cannot but appal him who surveys a section of it. But he will do well to keep his small personal commentarie to himself, as one does at the sight of the sea or of majestic mountains, unless he knows himself to be called and gifted to give them expression in artistic or prophetic form. In most other cases, the voluminous talk about intuition does nothing but conceal a lack of perspective toward the object, which merits the same judgement as a similar lack of perspective toward men. – Max Weber • It is vain and useless to survey everything that goes on in the world if our study does not help us mend our ways. – Madeleine de Souvre, marquise de Sable • It takes no compromising to give people their rights. It takes no money to respect the individual. It takes no survey to remove repressions. – Harvey Milk • It would be very interesting to make a survey around the world, from wealthy countries to the most advanced countries to see what influence Americans have had. IEmilio Pucci • It’s about average for us. Behavior always draws more than survey. We’re the sexy ones,’ Nate said with a grin. Amy snorted. ‘Oh, yeah, you guys are the Mae Wests of the nerd world.’ We’re action nerds,’ Nate said. ‘Adventure nerds. Nerds of romance. – Christopher Moore • It’s not possible to present an accurate picture of our culture without all the voices of the people in the culture. So at the emerging level, you can’t have a good survey art show without women and artists of color. – Frida Kahlo • I’ve done an informal, anecdotal survey about marriage, and I’ve found no evidence that it brings happiness. – Mary McCormack • I’ve said it before and I’ll say it again. The U.S. Geological Survey has told me that the proven potential for oil in Alaska alone is greater than the proven reserves in Saudi Arabia. – Ronald Reagan • Jocelyn Bell joined the project as a graduate student in 1965, helping as a member of the construction team and then analysing the paper charts of the sky survey. – Antony Hewish • Latest survey shows that 3 out of 4 people make up 75% of the world’s population. – Stephen Hawking • Laws, it is said, are for the protection of the people. It’s unfortunate that there are no statistics on the number of lives that are clobbered yearly as a result of laws: outmoded laws; laws that found their way onto the books as a result of ignorance, hysteria or political haymaking; antilife laws; biased laws; laws that pretend that reality is fixed and nature is definable; laws that deny people the right to refuse protection. A survey such as that could keep a dozen dull sociologists out of mischief for months. – Tom Robbins • Let observation with extensive view, Survey mankind from China to Peru; Remark each anxious toil, each eager strife, And watch the busy scenes of crowded life. – Samuel Johnson • Look back to 1948 when the British Medical Association denounced Aneurin Bevan as ‘a would-be Führer’ for wanting them to join a National Health Service. And Bevan himself described the BMA as ‘politically poisoned people’. A survey at the time showed only 10 per cent of doctors backed the plans … But where would we be today if my predecessors had caved in? – Andrew Lansley • Look. Survey. Inspect. My hair is ruined! I look like a pan of bacon and eggs! – Diana Wynne Jones • Luckily, a recent survey published in the American Sociological Review revealed that atheists are the least trusted group in America—less trusted, even, than homosexuals. It makes sense at least we trust the homosexuals with our hair. – Stephen Colbert • My colleagues and I have done a survey of 13,000 students on more than 17 campuses, and we found that while sex in college has always been a bit more casual, “hooking up” has pretty much replaced other traditional forms of dating.- Michael Kimmel • My father was a soil scientist with the Geological Survey. – Jim Fowler • My mind was once the true survey Of all these meadows fresh and gay; And in the greenness of the grass Did see its hopes as in a glass. – Andrew Marvell • My zest for exhibition has over a long career become increasingly a mania. The ecstasy I feel as I survey work I have done I want to share with the world – not the whole world which couldn’t care less, but my private world, which is my country, Canada. – Joseph Plaskett • No man can survey himself without forthwith turning his thoughts towards the God in whom he lives and moves; because it is perfectly obvious, that the endowments which we possess cannot possibly be from ourselves; nay, that our very being is nothing else than subsistence in God alone. – John Calvin • No one likes doing chores. In happiness surveys, housework is ranked down there with commuting as activities that people enjoy the least. Maybe that’s why figuring out who does which chores usually prompts, at best, tense discussion in a household and, at worst, outright fighting. – Emily Oster • Oh! that you could turn your eyes towards the napes of your necks, and make but an interior survey of your good selves. – William Shakespeare • Oh, sons of earth! attempt ye still to rise. By mountains pil’d on mountains to the skies? Heav’n still with laughter the vain toil surveys, And buries madmen in the heaps they raise. – Alexander Pope • One survey found that ten percent of Americans thought Joan of Arc was Noah’s wife. – Rita Mae Brown • One survey that I saw that was published I think in Variety or Electronic Media within the last three weeks says that now the average hour of radio in the United States has 18 minutes of commercials. – Robert Waterman McChesney • Only by being suspended aloft, by dangling my mind in the heavens and mingling my rare thought with the ethereal air, could I ever achieve strict scientific accuracy in my survey of the vast empyrean. Had I pursued my inquiries from down there on the ground, my data would be worthless. The earth, you see, pulls down the delicate essence of thought to its own gross level. – Aristophanes • Osama bin Laden’s organization has spun out from him and is now probably independent of him. There will be others who will appear and reappear. This is why we need a much more precise, a much more defined, a much more patiently constructed campaign, as well as one that surveys not just the terrorists’ presence but the root causes of terrorism, which are ascertainable. – Edward Said • Our objective is to begin a national conversation to better support individuals and families living with ASD in Canada. The Summit will review the recent National Needs Assessment Survey and provide leaders with a better understanding of ASD surveillance across the country. We are pleased that Minister Bergen will be part of this important discussion. – Cynthia Carroll • Perhaps, in retrospect, there would be little motivation even for malevolent extraterrestrials to attack the Earth; perhaps, after a preliminary survey, they might decide it is more expedient just to be patient for a little while and wait for us to self-destruct. – Carl Sagan • Personal weapons are what raised mankind out of the mud, and the rifle is the queen of personal weapons. The possession of a good rifle, as well as the skill to use it well, truly makes a man the monarch of all he surveys. It realizes the ancient dream of the Jovian thunderbolt, and as such it is the embodiment of personal power. For this reason it exercises a curious influence over the minds of most men, and in its best examples it constitutes an object of affection unmatched by any other inanimate object. – Jeff Cooper • Philosophy, most broadly viewed, is the critical survey of existence from the standpoint of value. – Sidney Hook • Physiology is the basis of all medical improvement and in precise proportion as our survey of it becomes more accurate and extended, it is rendered more solid. – John Gorrie • Piety practiced in solitude, like the flower that blooms in the desert, may give its fragrance to the winds of heaven, and delight those unbodied spirits that survey the works of God and the actions of men; but it bestows no assistance upon earthly beings, and however free from taints of impurity, yet wants the sacred splendor of beneficence. – Samuel Johnson • Readers, on the other hand, have at least 7.5 books going all the time. Actually, the number of books a reader takes on is usually directly related to the number of bathrooms he has in his home and office. I am working on a survey that will show that, over a lifetime, readers are in bathrooms seven years and three months longer than nonreaders. – Calvin Miller • Recent surveys of Church members have shown a serious erosion in the number of families who have a year’s supply of life’s necessities. Most members plan to do it. Too few have begun… It is our sacred duty to care for our families, including our extended families. – Thomas S. Monson • Recent surveys show 3 out of 10 men have a problem with premature ejaculation. The rest just didn’t really think it was a problem! – Frankie Boyle • Roberto Calasso’s survey of the renewed interest in myth demonstrates how decisive the gods’ influence was on modern literature. Calasso is not only immensely learned; he is one of the most original thinkers and writers we have today. – Charles Simic • San Francisco can start right now to become number one. We can set examples so that others will follow. We can start overnight. We don’t have to wait for budgets to be passed, surveys to be made, political wheelings and dealings … for it takes no money … It takes no compromising to give the people their rights. It takes no money to respect the individual. It takes no political deal to give people freedom. It takes no survey to remove repression. – Harvey Milk • School choice opponents are also dishonest when they speak of saving public schools. A Heritage Foundation survey found that 47 percent of House members and 51 percent of senators with school-age children enrolled them in private schools in 2001. Public school teachers enroll their children in private schools to a much greater extent than the general public, in some cities close to 50 percent. – Walter E. Williams • She couldn’t survey the wreck of the world with an air of casual unconcern. – Margaret Mitchell • So their combinations with themselves and with each other give rise to endless complexities, which anyone who is to give a likely account of reality must survey. – Plato • Suddenly, in the space of a moment, I realized what it was that I loved about Britain – which is to say, all of it. Every last bit of it, good and bad – old churches, country lanes, people saying ‘Mustn’t grumble,’ and ‘I’m terribly sorry but,’ people apologizing to ME when I conk them with a careless elbow, milk in bottles, beans on toast, haymaking in June, seaside piers, Ordnance Survey maps, tea and crumpets, summer showers and foggy winter evenings – every bit of it. – Bill Bryson • Survey 2001: Men who never married, never had a child, worked full time and were college educated earn only 85% of what women with the same criteria earn. – Warren Farrell • Survey and test a prospective action before undertaking it. Before you proceed, step back and look at the big picture, lest you act rashly on raw impulse. – Epictetus • Survey data suggest that war has become more unpopular. The majority of the American people now think it was a mistake, in a shift away from the 51 percent that endorsed it on Election Day. Admittedly this is only a small change in the population, from a majority to a minority. Nor do the changers earn grace for their new opinions. They still endorsed the war on Election Day and are still responsible for it. – Andrew Greeley • Survey says: one more for the bad guys. – Scott Hall • Surveys have shown going back as far as you and I can remember that people have perceived a leftward tilt in the basic coverage that they get on TV news. – Brit Hume • Surveys show that many talented and committed young people are reluctant to enter teaching for the long haul because they think the profession is low-paying and not prestigious enough. – Arne Duncan • Surveys show that more than 50 percent of people in the U.S. have prayed the sinner’s prayer and think they’re going to heaven because of it even though there is no detectable difference in their lifestyles from those outside of the church. On this issue- the most important issue on earth- we have to be absolutely clear. We need to preach salvation by repentance before God and faith in the finished work of Christ. – J. D. Greear • Surveys show that surveys never lie. – Natalie Angier • Surveys show that the #1 fear of Americans is public speaking. #2 is death. That means that at a funeral, the average American would rather be in the casket than doing the eulogy. – Jerry Seinfeld • Take the back door,” she said. “Claire, you and your strang friend-” “Eve,” they both said simultaneously, and Eve held out her fst for a bump. “Or, you could call me Eve the Great, Mistress of All She Surveys. Eve for short. – Rachel Caine • That I had never heard of such a bird did not surprise me…. But others more experienced also did not know of the Carolina Parakeet. The more I spoke of the bird, the more it seemed that, somehow, its existence had been a chimera. Admittedly, my survey was small and unscientific, but intelligent people who could reel off the names of various dinosaurs and identify sparrows at epic distances could not name the forgotten parakeet. I realized, forcefully, what I suppose I knew abstractly: Histories, like species, can go extinct. – Christopher Cokinos • The American people want to make sure that the rules of the game are fair. And what that means is that if you look at surveys around Americans’ attitudes on trade, the majority of the American people still support trade. But they’re concerned about whether or not trade is fair, and whether we get the same access to other countries’ markets that they have with us. Is there just a race to the bottom when it comes to wages, and so forth. – Barack Obama • The BBC did a survey of the top 50 things to do before we die. Not while we’re still alive, before we die.- Bill Bailey • The camera relieves us of the burden of memory. It surveys us like God, and it surveys for us. Yet no other god has been so cynical, for the camera records in order to forget. – John Berger • The distribution of wealth is even more unequal than that of income. …The wealthiest 5% of American households held 54% of all wealth reported in the 1989 survey. Their share rose to 61% in 2010 and reached 63% in 2013. By contrast, the rest of those in the top half of the wealth distribution —families that in 2013 had a net worth between $81,000 and $1.9 million —held 43% of wealth in 1989 and only 36% in 2013. – Janet Yellen • The drys seemingly are afraid of the truth. Why not take inventory and ascertain the true conditions. Let us not leave it to the charge of an antiprohibition organization, or to any other private association, let us have an official survey and let the American people know what is going on. A complete and honest and impartial survey would reveal incredible conditions. – Fiorello H. La Guardia • The earliest religious texts in the West ascribe to humankind both a prehistory and a destiny among the gods. M. David Litwa presents a striking survey of the varieties the latter of these beliefs has had, both within and outside the Christian tradition. Becoming Divine reconstructs an accessible and fascinating mosaic of this too-long neglected idea, utilizing figures as disparate as Orphic cultists, Augustine, and Nietzsche. – Terryl L. Givens • The fact disclosed by a survey of the past that majorities have been wrong must not blind us to the complementary fact that majorities have usually not been entirely wrong. – Herbert Spencer • The fact is that surveys which media people openly admit to show that fewer than twelve percent of their customers believe they’re doing a good job, while the average profit margin in television is in the neighborhood of eighty percent. – L. Neil Smith • The good news from the U.S. military survey of focus groups is that Iraqis do accept the Nuremberg principles. They understand that sectarian violence and the other postwar horrors are contained within the supreme international crime committed by the invaders. – Noam Chomsky • The hawk is aerial brother of the wave which he sails over and surveys, those his perfect air-inflated wings answering to the elemental unfledged pinions of the sea. – Henry David Thoreau • The Iraq Survey Group has already found massive evidence of a huge system of clandestine laboratories. – Tony Blair • The Italian historian Armando Petrucci has done more than anyone else to revive interest in public writing. His groundbreaking Public Lettering: Script, Power, and Culture surveys the forms and uses of epigraphic writing from classical antiquity to the twentieth century. – Geoffrey Nunberg • The leader is the one who climbs the tallest tree, surveys the entire situation, and yells, ‘Wrong jungle!’ … Busy, efficient producers and managers often respond … ‘Shut up! We’re making progress!’ – Stephen Covey • The main object of the work was to present such a survey of the advances already made in physical knowledge, and of the mode in which they have been made, as might serve as a real and firm basis for our speculations concerning the progress of human knowledge, and the processes by which sciences are formed. – William Whewell • The majority of surveys throughout this Nation show that the American people are advocating for a comprehensive and realistic approach to immigration reform. – Raul Grijalva • The media transforms the great silence of things into its opposite. Formerly constituting a secret, the real now talks constantly. News reports, information, statistics, and surveys are everywhere. – Michel de Certeau • The much-vaunted sex appeal of American women is drawn from films, reviews and pin-ups, and is in large print fictitious. A recent medical survey in the United States showed that 75% of young American women are without strong sexual feeling and instead of satisfying their libido they seek pleasure narcissistically in exhibitionism, vanity, and the cult of fitness and health in a sterile sense. – Julius Evola • The other three incoming calls were from his building superintendent, his pharmacy and a telephone survey company.” “Bastards. They always call during dinner.” Liv laughed as I slid the sliced steak onto a platter and topped it with sautéed vegetables. “Forget crime lords and corrupt politicians – telemarketers are the root of all evil.” “Now you’re getting it. – Rachel Vincent • The Place of Religion in Chicago is a clearly written account of a little-studied aspect of American landscape. Based on unique field surveys and supported by photographs, tables, and beautifully crafted maps, the book will form a lasting contribution to our understanding of an overlooked element of the American urban scene: the religious landscape of a major metropolis. – Peter Haggett • The Playtex Secrets survey truly uncovered some thought-provoking and provocative secrets of real American housewives. In fact, many of the findings would make great fodder for a storyline on the show! – Alfre Woodard • The pool of illegal immigrants is like a qualified bunch of people. You don’t have to do surveys. You don’t have to interview them. You know they are ready-made Democrat voters. Not only that, they are readymade Democrat constituents. – Rush Limbaugh • The public conviction that a railroad linking the West and the East was an absolute necessity became so pronounced after the gold discoveries of ’49 that Congress passed an act in 1853 providing for a survey of several lines from the Mississippi to the Pacific. – John Moody • The pursuit of science has often been compared to the scaling of mountains, high and not so high. But who amongst us can hope, even in imagination, to scale the Everest and reach its summit when the sky is blue and the air is still, and in the stillness of the air survey the entire Himalayan range in the dazzling white of the snow stretching to infinity? None of us can hope for a comparable vision of nature and of the universe around us. But there is nothing mean or lowly in standing in the valley below and awaiting the sun to rise over Kinchinjunga. – Subrahmanyan Chandrasekhar • The repeat run of Fawlty Towers (BBC2) drew bigger audiences than ever and deservedly so. Statistical surveys reveal that only the television critic of the Spectator is incapable of seeing the joke, which is that Basil Fawlty has the wrong temperament to be a hotel proprietor, just as some other people have the wrong temperament to be television critics. – Clive James • The spirit’s there and that’s not just my imagination. I think if you look at surveys and attitudes among young people, you see it. – Barack Obama • The survey findings reflect the growing trend toward incentive compensation programs as a way for employers to share the wealth with workers, … Roughly 80 percent of those surveyed offer bonus programs and 401(k) or profit-sharing plans . . . as they compete for the best and brightest workforce. – Jerry Jasinowski • The survey of more than 100 waterways downstream from treatment plants and animal feedlots in 30 states found minute amounts of dozens of antibiotics, hormones, pain relievers, cough suppressants, disinfectants and other products. It is not known whether they are harmful to plants, animals or people. The findings were released yesterday on the Web site of the United States Geological Survey, which conducted the research, and in an online journal, Environmental Science and Technology. – Andrew Revkin • The task of getting the Gospel in an adequate way to every ethnic person is tremedous. There is but one solution. I’m sure that it isn’t man, money, surveys, not talk. They all have their place, but if the basis of all of it isn’t fervent, believing prayer, they are in vain. And prayer should not only be the basis but it should permeate and vitalize the whole work. – William Cameron Townsend • The teachings or the information in the Venus project is not what Jacque Fresco dictates. It’s first doing a survey of the carrying capacity of a given environment and maintaining a population in accordance of the Earth’s resources, not Fresco’s opinion. – Jacque Fresco • The truth is that relative income is not directly related to happiness. Nonpartisan social-survey data clearly show that the big driver of happiness is earned success: a person’s belief that he has created value in his life or the life of others. – Arthur C. Brooks • The whole, though it be long, stands almost complete and finished in my mind so that I can survey it at a glance. Nor do I hear in my imagination the parts successively, but I hear them, as it were, all at once. What delight this is I cannot tell! – Wolfgang Amadeus Mozart • There are ancient and modern poems which breathe, in their entirety and in every detail, the divine breath of irony. In such poemsthere lives a real transcendental buffoonery. Their interior is permeated by the mood which surveys everything and rises infinitely above everything limited, even above the poet’s own art, virtue, and genius; and their exterior form by the histrionic style of an ordinary good Italian buffo. – Karl Wilhelm Friedrich Schlegel • There are arguments for atheism, and they do not depend, and never did depend, upon science. They are arguable enough, as far as they go, upon a general survey of life; only it happens to be a superficial survey of life. – Gilbert K. Chesterton • There are literally thousands of sites. As I was told in Iraq, information is coming in the entire time, but it is only now that the Iraq survey group has been put together that a dedicated team of people, which includes former UN inspectors, scientists and experts, will be able to go in and do the job properly. – Tony Blair • There is a kind, I might almost say, of artistic satisfaction, when we are able to survey the enormous wealth of Nature as a regularly ordered whole a kosmos, an image of the logical thought of our own mind. – Hermann von Helmholtz • There is a new survey out about the happiest professions. I think the whole premise is flawed. You’re supposed to find true happiness outside of work. From friends, family, and YouTube videos of old people falling down. – Craig Ferguson • There isn’t a clear goal in sight. Osama bin Laden’s organization has spun out from him and is now probably independent of him. There will be others who will appear and reappear. This is why we need a much more precise, a much more defined, a much more patiently constructed campaign, as well as one that surveys not just the terrorists’ presence but the root causes of terrorism, which are ascertainable. – Edward Said • There once was a demographic survey done to determine if money was connected to happiness and Ireland was the only place where this did not turn out to be true. – Fiona Shaw • There was a research I think team, which conducted a survey about what Indians think of Americans, and 71 percent I believe said, well, I think all the nice things about our working together with the United States. But there are people I think that are old mind-sets, who still I think remain mired in the Cold War ideology. – Manmohan Singh • There was a survey done a few years ago that affected me greatly. it was discovered that intelligent people either estimate their intelligence accurately or slightly underestimate themselves, but stupid people overestimate their intelligence and by huge margins. (And these were things like straight up math tests, not controversial IQ tests.) – Harvey Pekar • There`s plenty of other evidence Trump is in sync with the base, including a major survey released that found that 76 percent of Republicans think Islam is incompatible with the American way of life. – Donald Trump • They say the full potential of the human being is called enlightenment, which is infinite consciousness, infinite happiness, zero negativity, zero dying, complete freedom, total fulfillment, and being at one with everything. You can say it’s God realization, or you can say you sit at the feet of the Lord as master of all you survey. You could say it’s totality, total knowledge, and that you are that totality. This is every human being’s birthright: to one day enjoy supreme enlightenment, unity. It’s like the big graduation. – David Lynch • They took a survey: Why do men get up in the middle of the night? Ten percent get up to go to the bathroom and 90 percent get up to go home. – Rodney Dangerfield • This party will not take its position based on public opinion polls. We will not take a stand based on focus groups. We will not take a stand based on phone-in shows or householder surveys or any other vagaries of pubic opinion. – Stephen Harper • Though it is very easy to do valuations, eyeballs and brand prominence surveys, you should never allow any of them to influence the balance sheet. – Ashwin Sanghi • Though with those streams he no resemblance hold, Whose foam is amber and their gravel gold; His genuine and less guilty wealth t’ explore, Search not his bottom, but survey his shore. – John Denham • Time, that takes survey of all the world, Must have a stop. – William Shakespeare • To glorify the past and paint the future is easy, to survey the present and emerge with some light and understanding is difficult. – Lin Yutang • To strive with difficulties, and to conquer them, is the highest human felicity; the next is, to strive, and deserve to conquer: but he whose life has passed without a contest, and who can boast neither success nor merit, can survey himself only as a useless filler of existence; ad if he is content with his own character, must owe his satisfaction to insensibility. – Samuel Johnson • USA Today has come out with a new survey – apparently, three out of every four people make up 75% of the population. – David Letterman • Verse is the natural speech of men, as singing is of birds’The Week’s Survey, 18 June 1904 – Edward Thomas • Very strange bridges are used to make the passage from one state of things to another; we may lose sight of them in our surveys of general history, but their discovery is the glory of historical research. History is not the study of origins; rather it is the analysis of all the mediations by which the past was turned into our present. – Herbert Butterfield • We are here to celebrate the completion of the first survey of the entire human genome. Without a doubt, this is the most important, most wondrous map ever produced by human kind. – William J. Clinton • We constantly see surveys that reveal this ignorance, especially among our high school students,78 percent of whom, in a recent nationwide multiple-choice test, identified Abraham Lincoln as ‘a kind of lobster.’ That’s right: more than three quarters of our nation’s youth could not correctly identify the man who invented the telephone. – Dave Barry • We must, like a painter, take time to stand back from our work, to be still, and thus see what’s what. . . True repose is standing back to survey the activities that fill our days. – William McNamara • We of the third sphere are unable to look at Europe or at Asia as they may survey each other. Wherever we go, across Pacific or Atlantic, we meet, not similarity so much as ‘the bizarre.’ Things astonish us, when we travel, that surprise nobody else. – Mary Ritter Beard • Well for everyone to make a study of astrology for, as indicated, while many individuals have set about to prove the astrological aspects and astrological survey enable one to determine future as well as the past conditions, these are well to the point where the individual understands that these act upon individuals because of their sojourn or correlation of their associations with the environs through which these are shown – see? Rather than the star directing the life, the life of the individual directs the courses of the stars, see? – Edgar Cayce • Well, first of all the Dominion Bureau of Statistics made a survey in the spring of 1970, which showed that on balance the difference in the cost of living between Canadian cities and American cities was 5 % to the advantage, of course, to the Canadian cities. – Leonard Woodcock • What is true about (ex-Iraq Survey Group head) David Kay’s evidence, and this is something I have to accept, and is one of the reasons why I think we now need a new inquiry – it is true David Kay is saying we have not found large stockpiles of actual weapons. – Tony Blair • What we also know is we haven’t found them [weapons of mass destruction] in Iraq – now let the survey group complete its work and give us the report… They will not report that there was no threat from Saddam, I don’t believe. – Tony Blair • When a lion stalks a herd, he sneaks in close, lies down, and surveys them to choose his victim. He takes his time. The deer or buffalo have no idea he’s near. He finds his prey and then he explodes from his hiding place and grabs it. Even if another, perfectly serviceable animal ends up within his reach, he isn’t going to alter his course. He has chosen, and he would rather go hungry than change his mind.- Ilona Andrews • When all thy mercies, O my God, My rising soul surveys, Transported with the view I’m lost, in wonder, love and praise. – Joseph Addison • When Gordon the Brown, in London in 1997, commissioned a great inquisition or survey of his new realm, the result was the so-called national asset register (NAR), which was immediately dubbed by the boomers of the UK Treasury “the modern Domesday Book”. – James Buchan • When I see the blind and wretched state of men, when I survey the whole universe in its deadness, and man left to himself with no light, as though lost in this corner of the universe without knowing who put him there, what he has to do, or what will become of him when he dies, incapable of knowing anything, I am moved to terror, like a man transported in his sleep to some terrifying desert island, who wakes up quite lost, with no means of escape. Then I marvel that so wretched a state does not drive people to despair. – Blaise Pascal • When the United States invaded Iraq, a New York Times/CBS News survey estimated that 42 percent of the American public believed that Saddam Hussein was directly responsible for the September 11 attacks on the World Trade Center and the Pentagon. And an ABC news poll said that 55 percent of Americans believed that Saddam Hussein directly supported al-Qaeda. None of this opinion is based on evidence (because there isn’t any). – Arundhati Roy • When they take surveys of women in business, of the Fortune 500, the successful women, 80% of them, say they were in sports as a young woman. – Billie Jean King • When we mean to build, We first survey the plot, then draw the model; And when we see the figure of the house, Then must we rate the cost of the erection. – William Shakespeare • When we started NFL Films, there were no focus groups, there were no demographic studies, there were no surveys. Every decision that we made, we made with our hearts, not with our heads. And, in the very beginning, we really didn’t even have a business plan. – Steve Sabol • When we survey our lives, seeking to fulfil our creativity, we often see we had a dream that went glimmering because we believed, and those around us believed, that the dream was beyond our reach. – Julia Cameron • When we take a slight survey of the surface of our globe a thousand objects offer themselves which, though long known, yet still demand our curiosity. – Oliver Goldsmith • When William the Conqueror commissioned a great survey of his English realm at Gloucester in 1085, the result was a work so thorough, fair, dispassionate, and wide-ranging that it seemed to the succeeding generations to have come from another world. – James Buchan • With respect to trust, people tell me that it is essential for organizational functioning. Maybe, but most surveys of trust find that trust in leaders is low and nonetheless, organizations role along quite nicely.- Jeffrey Pfeffer • With Twitter and other social networking tools, you can get a lot of advice from great people. I learn more from Twitter than any survey or discussion with a big company.- Daniel Ek • Write, if you must; not otherwise. Do not write, if you can earn a fair living at teaching or dressmaking, at electricity or hod-carrying. Make shoes, weed cabbages, survey land, keep house, make ice-cream, sell cake, climb a telephone pole. Nay, be a lightning-rod peddler or a book agent, before you set your heart upon it that you shall write for a living…. Living? It is more likely to be dying by your pen; despairing by your pen; burying hope and heart and youth and courage in your ink-stand. – Elizabeth Stuart Phelps Ward • You know all the surveys say that evangelicals have the best sex life of any other group. – Ted Haggard • You may have read that I went to M.I.T. In 1982 I filled out a Who’s Who survey with joking responses, and they never bothered to check the facts. – Chevy Chase • You’d think experienced political professionals would know better than to place their trust in exit polls, notoriously inaccurate surveys that had John Kerry winning the 2004 election by five points when he actually lost by three. – John Podhoretz
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rjhamster ¡ 5 years ago
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Colonoscopy  Journal: Dave Barry is a Pulitzer Prize-winning humor columnist for the Miami Herald.        I called my friend Andy  Sable, a gastroenterologist, to make an appointment for a colonoscopy.   A few days later, in his office, Andy showed me a color diagram of the colon, a lengthy organ that appears to go all over the place, at one point passing briefly through Minneapolis.   Then Andy explained the colonoscopy procedure to me in a thorough, reassuring and patient manner.    I nodded thoughtfully, but I didn't really hear anything he said, because my brain was shrieking, 'HE'S GOING TO STICK A TUBE 17,000 FEET UP YOUR BEHIND!'  I left Andy's office with some written instructions, and a prescription for a product called 'MoviPrep,' which comes in a box large enough to hold a microwave oven..  I will discuss MoviPrep in detail later; for now suffice it to say that we must never allow it to fall into the hands of America 's enemies.  I spent the next several days productively sitting around being nervous.  Then, on the day before my colonoscopy, I began my preparation.  In accordance with my instructions, I didn't eat any solid food that day; all I had was chicken broth, which is basically water, only with less flavor.  Then, in the evening, I took the MoviPrep. You mix two packets of powder together in a one-litre plastic jug, then you fill it with lukewarm water.  (For those unfamiliar with the metric system, a litre is about 32 gallons). Then you have to drink the whole jug.  This takes about an hour, because MoviPrep tastes - and here I am being kind - like a mixture of goat spit and urinal cleanser, with just a hint of lemon.  (Really not used anymore)  The instructions for MoviPrep, clearly written by somebody with a  great sense of humor, state that after you drink it, 'a loose, watery bowel movement may result.'  This is kind of like saying that after you jump off your roof, you may experience contact with the ground.  MoviPrep  is a nuclear laxative.  I don't want to be too graphic here, but have you ever seen a space-shuttle launch?  This is pretty much the MoviPrep experience, with you as the shuttle. There are times when you wish the commode had a seat belt.  You spend several hours pretty much confined to the bathroom, spurting violently.  You eliminate everything. And then, when you figure you must be totally empty, you have to drink another litre of MoviPrep, at which point, as far as I can tell, your bowels travel into the future and start eliminating food that you have not even eaten yet.  After an action-packed evening, I finally got to sleep.  The next morning my wife drove me to the clinic. I was very nervous.  Not only was I worried about the procedure, but I had been experiencing occasional return bouts of MoviPrep spurtage.  I was thinking, 'What if I spurt on Andy?’  How do you apologize to a friend for something like that?  Flowers would not be enough.  At the clinic I had to sign many forms acknowledging that I understood and totally agreed with whatever the heck the forms said. Then they led me to a room full of other colonoscopy people, where I went inside a little curtained space and took off my clothes and put on one of those hospital garments designed by sadist perverts, the kind that, when you put it on, makes you feel even more naked than when you are actually naked.  Then a nurse named Eddie put a little needle in a vein in my left hand.  Ordinarily I would have fainted, but Eddie was very good, and I was already lying down.  Eddie also told me that some people put vodka in their MoviPrep.  At first I was ticked off that I hadn't thought of this, but then I pondered what would happen if you got yourself too tipsy to make it to the bathroom, so you were staggering around in full Fire Hose Mode.  You would have no choice but to burn your house.  When everything was ready, Eddie wheeled me into the procedure room, where Andy was waiting with a nurse and an anesthesiologist.  I did not see the 17,000-foot tube, but I knew Andy had it hidden around there somewhere.  I was seriously nervous at this point.  Andy  had me roll over on my left side, and the anesthesiologist began hooking something up to the needle in my hand.  There was music playing in the room, and I realized that the song was 'Dancing Queen' by ABBA.  I remarked to Andy that, of all the songs that could be playing during this particular procedure, 'Dancing Queen' had to be the least appropriate.  'You want me to turn it up?' said Andy, from somewhere behind me...  'Ha ha,' I said.  And then it was time, the moment I had been dreading for more than a decade.  If you are squeamish, prepare yourself, because I am going to tell you, in explicit detail, exactly what it was like.  I have no idea.  Really.  I slept through it.  One moment, ABBA was yelling 'Dancing Queen, feel the beat of the tambourine,' and the next moment, I was back in the other room, waking up in a very mellow mood.  Andy  was looking down at me and asking me how I felt. I felt excellent.  I felt even more excellent when Andy told me that it was all over, and that my colon had passed with flying colors. I have never been prouder of an internal organ.    On the subject of Colonoscopies....Colonoscopies are no joke, but these comments during the exam were quite humorous.  A physician claimed that thefollowing are actual comments made by his patients (predominately male) while he was performing their colonoscopies:   1.       Take it easy Doc.  You’re boldly going where no man has gone before. 2.       'Find Amelia Earhart yet?' 3.       'Can you hear me NOW?' 4.       'Are we there yet?  Are we there yet? Are we there yet?' 5.       'You know, in Arkansas, we're now legally married."6.       'Any sign of the trapped miners, Chief?' 7.       'You put your left hand in, you take your left hand out...'8.       'Hey! Now I know how a Muppet feels!' 9.       'If your hand doesn't fit, you must quit!' 10.     'Hey Doc, let me know if you find my dignity.'  11. 'You used to be an executive at Enron, didn't you?'      And the best one of all:   12.  'Could you write a note for my wife saying that my head is not up there?'
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isaacscrawford ¡ 7 years ago
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Consider This Speculative Amazon Scenario
By TORY WOLF
Amazon has many puzzled about its plans for healthcare. Arguably, Amazon is just as puzzled, but is – in effect — running a massive Delphi process to sort out the plan. Amazon is, after all, the Breaker of Industries, Destroyer of Margins. Allow rumors to float, hire some people, have meetings, seek a few regulatory approvals, start a vaguely missioned non-profit with other business titans. Fear and greed do the rest.
Stock prices gyrate as investors bet and counter bet on who is vulnerable, incumbent CEOs promise cooperation or competitive hostility, analysts speculate, “old hands” pontificate, and consultants send megabytes of unsolicited slide decks to South Lake Union. All that information gets exposed without any material commitment.
Disrupting the roadblocks to healthcare innovation
Proper strategic planning requires consideration of a few disruptive (if less likely) scenarios. Amazon getting into hospital supply or creating yet another benefits buying group is easy to imagine but conservative in scope. And we know Bezos thinks long-term and that profits are secondary to platform building.
  We also know that the biggest target for disruption–complex, opaque, and inefficient care delivery – remains largely undisturbed despite wave after wave of innovations: ACO and bundle payment models, transparency initiatives (e.g., Castlight), private exchanges, direct contracting models, telemedicine, alternative primary care models (concierge, medical home) – all have all fallen short of their promise.
Why is that? Healthcare is a goldmine of textbook market failures thriving on (1) incentive misalignment (2) information asymmetry and (3) a system frozen by byzantine contracting and regulatory structures, highly scaled incumbents operating highly scalable processes and local market entry barriers which ensure that share shifts are glacial. Innovation is kept comfortably on the margins.
How could Amazon fix this?
Starting point: Amazon’s progressive iteration strategy and partner set
First, keep in mind how Amazon worked in the past: it started a pure commodity (books where copies are completely interchangeable), added in products with lots of different versions to choose from (like toothbrushes or shirts and used versions of books) and different suppliers to choose from (Amazon Marketplace) and finally opened the platform infrastructure to be used by other companies (Amazon Web Services). It has failures along the way but kept experimenting until it figured out what worked.
Also, keep this new joint venture in mind. Besides over 1M employees as a test bed and lure for collaborators, the three organizations are outsiders with “creative destruction” mindsets and capabilities well suited to stimulating markets in risk-ridden domains: Amazon is good at creating highly liquid consumer markets supported with efficient, transparent logistics (rapidly working towards near real-time); Berkshire-Hathaway (BH) is a huge reinsurer which, by allowing players to offload risk they cannot manage, enables value delivery on the portion they can; JPMorgan (JPM) has experience using highly liquid markets to innovate entirely new contract classes and target risk allocations by splitting up and reassembling risks in ways that attract more customers (financial engineering).
Our scenario starts with using Amazon getting started in a way much like it did with books (commodity care), then using its initial critical mass of customers to expose more complicated slices of healthcare to its markets, and then layers in BH and JPM capabilities to support product and risk model innovation which will allow share to shift faster to top performing providers. It will take many years – a decade at least – but could upend the system.
Step 1: Start with the healthcare equivalent of books with an Orbitz for minor acute
Bookshop owners wax poetic about the feel, smell and sound of cracking open a new book. Bezos recognized that this romanticism is not shared by buyers seeking bargains and convenience. Hippocratic sentimentality aside, there are several classes of healthcare that many patients are ready to shop for (and payers have been trying to get them to shop for): minor acute care (sniffles and coughs to simple fractures), basic diagnostic services (labs and imaging) and some preventative care (e.g. flu vaccines).
Amazon could start there: Focus on some specific metro regions (ones where Amazon, BH and JPM have employees), target PPO (which allow for more self-direction vs. HMO) and ASO (to avoid state regulatory frictions) and require plan administrators to create interfaces to pump network and benefit information to an Amazon Health website; cut deals with telehealth, retail and urgent care clinics, primary care and free-standing imaging centers; require them to build interfaces with their scheduling systems. And finally, employees save their benefit information into this “Orbitz” for healthcare.
“Alexa, I have a sore throat…” Options inside the Venn diagram of benefit design, network and convenient availability populate: one clinic is nearby, affiliated with the member’s primary care but no slots until tomorrow; one urgent care center is on the way to work and has immediately availability but Tier 2 so a higher co-pay. TDOC has Dr. Jones ready for a call in fifteen minutes. There’s also the ED downtown with Harvard trained doctors but that’s a $200 co-pay and current wait time is 4 hours. Once a choice is made, patient intake forms pre-populate and co-pays are collected in advance.
Market share – made fluid as lower search and transaction costs melt the constraints of habit – will shift faster in response to better value. New ideas are innovated, tested, copied: hours and capacities adjusted; more telemedicine options; experienced physicians offered as alternatives to extenders. Providers who initially opted out will revise their decision. With additional market depth, new navigation tools can be added: Customers ratings become more credible thanks to the compelling power of “n = a lot”; Amazon links with claims clearinghouses and CMS to get data on provider experience (“This provider has treated sore throats 500 times in the last 2 years”).
Step 2: Grow the market and expand care domains (Orbitz for specialty consults)
Big ASO groups – always looking for the latest gadgetry – will push plan administrators to incorporate Amazon Health into benefit designs. Indeed, those plans may not need to be pushed given medical cost improvement as members respond more fully to co-pays differentials designed to lure them to more appropriate sites of care.
Game theory’s iron logic will induce providers to expand their offer on the Amazon marketplace to care where their brands will be more compelling: primary care, more complicated procedures (e.g., colonoscopies) and, the biggest step, specialist consults[1].
Specialist consults are the front door to expensive arcs of care, often involving highly profitable procedures. The economic stakes if this kind of share becomes more fluid are much higher than minor acute care. High quality providers whose differentiated performance is not reflected in copays and availability will protest. And payers will agree. Copays will have become too crude a tool to support decision-making where clinical quality can have a much bigger impact on outcomes and costs.
Step 3: Innovate the product (from appointments to episodes)
Markets are great engines for figuring out new pricing mechanisms. High performing providers will develop bundles which show their value and payers will relax benefit designs to test uptake. Have a new chronic disease? This specialist will take care of you and all your disease-related needs for one annual co-pay. Need some fairly complex cardiac procedure? A local community/tertiary provider uses Mayo Clinic protocols and guarantees recovery in half the time or your co-pays back. Not all combinations will work, not all ideas will be allowed by plans (though Amazon’s IT support will help ensure that clunky claims and contracting systems are not the roadblock) but bad ideas will fail quickly and winning ideas copied and enhanced.
This is the point where BH will be a critical enabler: Some providers may be cautious about taking on the risk of consumer-appealing bundles (especially when these are being iterated much faster than the lengthy cycles of CMS). But the prospect of not only gaining on the risk (by managing care costs better) but also on market share will be hard to pass up. What will be needed is a partner who can help slice up the risk of any bundle, and take those risks which are beyond the providers’ control off their hands – the sort of thing a reinsurer should be great at doing.
With share shift and volume concentration among able specialty care providers, there will emerge more opportunities to specialize operating models (Herzlinger’s “focused factories”). Less capable providers – particularly those whose economics depend on complicated webs of cross-subsidization – will struggle.
Step 4: A parallel B2B market in episodes emerges – An Alibaba for Episodes
Today, big provider systems generally “make” rather than “buy” service lines. Referring care out of system is limited to very specialized, high-end care (e.g. specialty pediatrics, complicated cancer, transplant) where there was not much prospect for acquiring the physicians and equipment needed. Provider systems insource for a wide variety of reasons: better coordination on clinical strategy, less risk of losing the patient, ambiguity about cost and outcomes, cross subsidization opportunities (who gives up “knees”?)
A liquid market for specialty episodes could eliminate some of these reasons: the market-driven definition of bundles will make a more modular approach to care collaboration easier; provider systems will a lot more visibility into their relative performance; and, the incentives for focused factories to hand back the patient at the end of the episode (vs. stealing them for other care needs) will be very strong.
Thus, a B2B market for specialty care could emerge among providers operating HMOs (in parallel to the B2C market for PPO). Population health managers (HMOs or other models) negotiate with focused factories for portions of care where they have stronger performance. The PCP would refer patients to recommended specialists as usual, but instead of generally guiding the patient towards in-system specialists, might refer more to third party providers and thereby benefiting from better value delivered.
At this point in the scenario, JPM can become a critical enabler: Risk tracking would get complicated as an accountable provider is taking risk at the population level, then handing out targeted portions of that risk to focused factory providers. JPM’s know-how in building markets around complicated derivatives deals could become important to making this aspect of the B2B market work. Derivative contracts set up complicated chains of financial flows across multiple parties in response to highly customized event triggers all of which are settled via true-ups across parties at specified periods of time. The process could look very similar for healthcare providers.
Step 5: Private exchanges become real benefit design innovation engines
As accountable providers – whether they are today’s integrated delivery systems or clinically integrated networks or emerging national ambulatory systems (like a matured OptumCare) – revise service portfolios and operating models to take advantage of focused factories, they will have more options to vary the value proposition they offer patients: different combinations of focused factories for specific conditions, a primary care panel weighted with expertise in certain conditions, concierge features, etc.
There’s no reason prospective patients shouldn’t participate in the cost of those features through private exchanges (where members are offered a defined contribution towards selecting among various benefit structures). When a member first signs up for HMO coverage, they could be offered choices: a standard model and then extra features and pricing for specific accountable providers. Want care provided exclusively by the academic medical center and medical school team? Willing to have your health and care managed by the local OptumCare team but with access to Cleveland Clinic for cardiac care? You will see the impact on your premiums and co-pay structures.
And with that, the Amazon will have gone full circle from market making in commodity acute care to exposing more and more slices of delivery system operating models and cost structures to market forces, thereby tearing them down and supporting their reassembly into more efficient models winning on more liquid markets, to changing the way healthcare coverage is itself purchased.
Fully integrated provider systems as today’s department stores
You may not find this scenario particularly feasible. We are not fully convinced either and continue to puzzle about how it might work. But many objections seem to depend on differing assumptions about patients (e.g. “patients do not want to shop for healthcare”) or Amazon (e.g. “they won’t wait x years to make money”) or providers (“branded systems won’t play”) each of which can be challenged (for example, patients are already being asked to shop via high deductible plans but lack the tools and don’t see the value to doing so, Amazon can make money with a lot of supporting transactions – their recent deal to sell Amazon’s brand of OTC medications made by Perrigo will complement any foray into scheduling minor acute visits).
One assumption which is not challenged – that there is a lot of waste in healthcare delivery driven by lack of clarity on what the market really wants (which needs a real market with real pricing for everyone to figure out) and by lack of opportunity to capture share if you deliver it – is what defines the size of the opportunity.
An Amazon model could start small but will become a powerful engine fed by adding clinical adjacencies. Shifting share and more focused factories will expose operating models and cost structures–layered with complicated cross-subsidies – to market forces. As those cross-subsidies are removed, the value for the Amazon enabled shopper will be attractive. And entrepreneurial energy and capital will be attracted by the opportunity to gain share. The adoption curves on new technologies and processes will be faster, raising the ROI on many ideas.
I suspect many imagine some version of this scenario happening at some point — just well beyond any reasonable planning horizon. Amazon is moving up the timeline. A lot of questions which might have seemed academic and deferrable a year or so ago should be put back in the front of the queue: what value are we creating? Where are we differentiated? What do we really need to own? How can we become both leaner and more nimble and innovative? How can we win in a more transparent, fluid, value-seeking market?
Many book store owners, department store executives, consumer electronics retailers wish they had good answers to those questions a few decades ago.
  Article source:The Health Care Blog
0 notes
yogaadvise ¡ 7 years ago
Text
Having Cancer While Pregnant Taught Me How to Be Truly Present
There's never ever a great time to discover that you have cancer cells, particularly when you're seven months pregnant with your very first child. I was 31 years of ages and also had no family members history of cancer cells. I was healthy and balanced, delighted, and delighted to start a new family with my spouse, Steve. I was additionally when launching my own precious jewelry business, Sally Jane, a longtime imagine mine, which was ultimately underway after months of planning. The idea for the collection was developed around a signature silver or gold , endured a pendant or arm band, designed to remind people to 'just ' present in the moment. But at that existing moment, the gorgeous life that I had actually produced had unexpectedly dropped apart.
It occurred about two-and-half years earlier in October 2013 when severe abdominal pain led my physicians to uncover exactly what they believed may be a cyst or twisted ovary. Due to the fact that I was seven months expecting, they initially suggested bed remainder. Yet the pain transformed into so unbearable that I began having contractions, forcing my body right into early labor. Doctors determined we could not wait, the cyst had to visit quickly. Cancer cells, at that factor, could not be even more from our minds.
After about 5 hours of laparoscopic surgical treatment, I awakened, the good news is, still expectant, and was consulted with optimism as well as confidence that I must go home and also rest up while we await lab results from pathology. A week later, while I was writing 'thank you' keeps in mind to my conscientious medical professionals, I got the most awful call of my life. It was cancer. The official diagnosis revealed itself over the next 24 hrs. I had stage IV colon cancer cells and it had infected my ovaries. My only alternative was radiation treatment and I was given 2 years to live.
Everything inside me dropped. I entered into shock and also maintained repeating, This can't be real. After that it struck me, the child! Instantly all my hopes as well as dreams for our family members remained in jeopardy. Would I be there to raise our son? I couldn't comprehend exactly how this had actually occurred. I was past frightened about exactly what it implied for my unborn kid and also exactly what it meant to pass away. This is such a nightmare, I thought. How have I become this tragedy?
After crying for some time with my partner and immediate family members, who had actually hurried over the minute we returned from the physician's office, all of us concurred, this is not it. We were not giving up. We needed to locate the best physicians for colon cancer cells and were eager to travel or move anywhere for clinical care-though, as it ended up, we really did not need to. We were advised oncologist David Ryan, M.D., that concentrates on intestinal cancers cells at Massachusetts General Health center in Boston, just a 15-minute drive from our home in Newton, Massachusetts. Shaking, Steve explored my eyes as well as guaranteed me that we were going to obtain as a result of this. Hearing him state this meant the world to me.
Upon conference Dr. Ryan, we understood today we remained in excellent hands. He was the first medical professional to ask us exactly how we fulfilled as a couple, makinged me break down in splits. The humankind of it was so touching. He believed there was a possibility that I could be cured. We functioned with each other, in addition to some amazing obstetricians, to create a safe labor strategy to bring Sam, our boy, right into the world at 36 weeks in November. Also though I knew just what was waiting on me outside the hospital room, I couldn't assist but assume, This is the most incredible encounter of my life. I enjoyed having him. I've constantly wished to be a mommy and also he was such a joy.
I was enabled one week in the house to bond with Sam before I needed to begin treatment, including obtaining a portacath (a small medical device dental implanted just beneath the skin that connections to a blood vessel) and a colonoscopy. Chemotherapy began right after that. I remember having an amusing stroll down the corridor to my medical professional's workplace because I hadn't completely recouped from offering birth. It was a really psychological time, but I was so steadfast on the goal. As soon as I chose that I was mosting likely to be there for Sam because he needed me, it was my emphasis. I entered into treatment with a game-face on. I'm here and I'm ready.
After six rounds of chemotherapy, 2 extreme surgeries to eliminate cancer, and also five more rounds of chemo, I was beginning to feel better-though I was completely beat. As a new mom, fatigue was expected, but this was next-level. Still I was thrilled to invest every possibility I might with Sam, who was such a good, patient infant. He ate well and also rested through the night as if he understood that Mommy required him to be on his finest habits right now. He has been a significant incentive for me.
Everything was working out for some time till I required another surgery in August 2015 to resolve an area of cancer on my liver. That fall, I surpassed my two-year death penalty, however not with a total tidy bill of health and wellness. Presently, my medical professionals are keeping an eye on a reappearance in my stomach muscular tissue that they believe may have been a negative effects of my treatments. With even more chemotherapy, radiation, and also surgical procedure, they believe that by this summer season I need to make a full healing. Nothing else has returned in 2 years, which is exceptionally favorable. I'm too nervous to claim that I beat the chances right now, but I'm feeling excellent concerning it as well as ready to get where I left off.
Returning to my Sally Jane precious jewelry company, the idea to 'bee present' had handled an entire new definition for me. I had assured myself, if I made it through this, I would be the very best mom I can be to Sam which I would not waste my life. I would certainly utilize my abilities as well as seek my dreams. When these things take place to a person, you could become so frightened to have a go at anything brand-new. I didn't yearn for that for myself or my household. I desired Sam to see that I can endure this as well as still go out and live my life.
With this in mind, the fashion jewelry brand name evolved from 'just ' to even more inspiring messages, consisting of ' solid,' ' brave,' ' vibrant,' as well as 'bee a survivor.' I'm not just referring to cancer cells clients when I claim 'survivor.' We all go with hard times, however if we persevere, we could survive it as well as, for me, the bee is a symbol of that. have little wings that could barely bring their very own bodyweight, but when they flap fast sufficient (concerning 230 times each second!), they're airborne and also on the relocation. That's toughness and perseverance.
The inaugural Sally Jane collection, which debuted in August, consists of 12 pieces, all of which include a, either the figure or the word. As the line broadens to 16 items this summer season, I wish to include even more symbols, like a blossom with the sentiment of this message: 'We require each other to blossom through life.' It a pointer that we're not alone. Your family members, pals, as well as area are all below to sustain you, if you let them. Now, my neighbors, as an example, are doing a dish chain to make dinner for us on the weeks that I have chemotherapy. It's so vital to surround on your own with good individuals, including your doctors. The most effective oncologists know you are not just a fact, yet that you are a human being with your personal experiences. It is very important to seek those individuals who could acknowledge and appreciate that concept in order to help you obtain through whatever life throws your way.
Sally Jane Waite shared her story with writer Cristina Goyanes, that authored this piece.
0 notes
shapesnnsizes ¡ 7 years ago
Text
New Hope that Alzheimer’s Can Be Prevented—and Even Cured
Dr. Bredesen is an internationally recognized expert on neurodegenerative disease. He held faculty positions at UCSF and UCLA and directed the Program on Aging at the Burnham Institute. He joined the Buck Institute in 1998 as its founding president and CEO. Two of his recently published papers include “Reversal of cognitive decline in Alzheimer’s disease” and “Inhalational Alzheimer’s disease: An unrecognized—and treatable—epidemic.” I interviewed Dr. Bredesen for a podcast a year ago, and I’m excited to bring you more information about his program and his new book. If you have a loved one with Alzheimer’s—or who is just starting to get forgetful—The End of Alzheimer's is a fantastic resource.
1. What’s wrong with the conventional approach to Alzheimer’s disease?
The conventional approach to Alzheimer’s disease does not address the actual cause—the contributors to this complex chronic illness, which may be dozens and vary from person to person—and attempts to improve symptoms with a monotherapy, a single drug. This is something like trying to patch 36 holes in your roof by putting a patch over one hole and finding that water is still coming through the other 35 holes. In addition, the conventional approach is a one-size-fits-all approach, when a personalized, precision approach is needed, based on the different critical targets for each person. Finally, the conventional approach is often backward—the surprise is that the very amyloid that is associated with Alzheimer’s disease is a protective response to insults such as microbes and toxins. Therefore, any attempt to remove the amyloid should be preceded by the removal of the insult(s) that are inducing this protective response.
Have a loved one with Alzheimer’s? Be sure to check out this new resource. #alzheimers
2. What led you to a functional/evolutionary perspective on AD?
This came directly from the test tube, from years of basic laboratory research—we had no idea when we started that we would end up with a functional medicine approach. We were studying the molecular biology of APP, the amyloid precursor protein that gives rise to the amyloid-beta that collects in the brains of patients with Alzheimer’s disease. Surprisingly, we found that APP functions like a molecular switch—when it is cleaved at the alpha site, two peptides are produced (sAPPalpha and alphaCTF) that support neurite outgrowth, neuronal survival, and synaptic maintenance—essentially, these support memory. Conversely, when APP is cleaved at the beta, gamma, and caspase sites, it yields four peptides (sAPPbeta, amyloid-beta, Jcasp, and C31) that mediate neurite retraction, synaptic reorganization, and ultimately, neuronal death—essentially, these support forgetting. In other words, the two supportive peptides are “synaptoblastic,” whereas the four retractive peptides are “synaptoclastic.” We then wanted to know what determines this critical balance—a plasticity balance—and it turned out that dozens of parameters affect this balance, many quite directly. For example, vitamin D, estradiol, testosterone, NF-kappa B (as part of the inflammatory response), BDNF (brain-derived neurotrophic factor, which increases with exercise), sleep (which helps to clear the amyloid-beta, among many other effects), and dozens of others, all affect this critical balance. Therefore, we realized that we needed to measure all of these parameters for each person in order to determine what is contributing to cognitive decline or risk for cognitive decline.  Then we need to address each contributor—to reduce the synaptoclastic signaling and increase the synaptoblastic signaling. This is a functional medicine approach, so we realized that the basic research had shown us that, for a complex chronic illness such as Alzheimer’s disease, a functional medicine approach makes mechanistic sense. This has been supported now by hundreds of patients who have shown positive responses to this approach to cognitive decline.
3. Can AD be prevented and even reversed?
Yes, contrary to the current dogma, Alzheimer’s disease can be prevented, and the cognitive decline associated with AD can be reversed, although in the late stages of the illness this becomes progressively more difficult and less common. However, there is a large window of opportunity—about a decade of SCI (subjective cognitive impairment), when people note cognitive changes yet still score normally on cognitive tests; then often several years of MCI (mild cognitive impairment), when cognitive testing shows abnormalities, yet people are still capable of doing ADLs (activities of daily living); then early in the course of full-blown Alzheimer’s disease.  Therefore, it is important to seek evaluation and treatment as early as possible.
4. You’ve proposed five different types of AD. What are they, and how are they distinct?
Type 1 is inflammatory (“hot”), and the inflammation may be due to pathogens or other inflammatory factors such as trans fats. Type 2 is atrophic (“cold”) and is associated with reductions in trophic support such as nerve growth factor, brain-derived neurotrophic factor, estradiol, vitamin D, and other trophic, hormonal, or nutritional support. Then there is a common combination of type 1 and type 2—type 1.5, or glycotoxic (“sweet”)—that combines the inflammation of high glucose (e.g., via AGEs, advanced glycation endproducts) with the trophic loss of insulin resistance. Type 3 is toxic (“vile”) and is associated with exposure to toxins such as mycotoxins (e.g., trichothecenes or ochratoxin A) or chemotoxins (e.g., mercury). Type 4 is vascular (“pale”) and is associated with reduced vascular support. Type 5 is traumatic (“dazed”) and is associated with previous head trauma.  The typical symptoms and signs of these types are described, and clinical cases are described, in the book. Not surprisingly, many people have combinations of these types, so we have developed a computer-based algorithm that calculates the percent contribution from each type. This then helps to develop the optimal therapeutic program for each person, and again we use an algorithm to generate an initial program.
5. Where have you seen the biggest impacts in terms of diet, lifestyle, and functional medicine treatment with AD?
The key is that the whole program works together, so there is a threshold effect, just as is seen with cardiovascular disease treatment. There seem to be major effects of reversing insulin resistance, optimizing sleep, exercising regularly, eliminating toxic exposures (especially for Type 3 AD), optimizing hormonal support (including bioidentical hormone replacement), optimizing nutrition (e.g., avoiding high homocysteine, low vitamin D, low vitamin B12, low magnesium, etc.), addressing pathogens (e.g., Borrelia), reducing inflammation (but most importantly, removing the cause(s) of the inflammation), optimizing brain training, and reducing stress.
6. What role does genetic testing play in the functional approach to AD?
Genetic testing plays an important role, and although there are hundreds of SNPs (single nucleotide polymorphisms) that are associated with AD, the most important genetic test for AD risk is ApoE: for those with zero copies of ApoE4 (e.g., those who are ApoE3/3), the lifetime risk of developing AD is about 9 percent; for the 75 million Americans with one copy (e.g., ApoE3/4), the lifetime risk is about 30 percent; and for the seven million Americans with two copies (ApoE4/4), the lifetime risk is well over 50 percent. This has led to a conventional approach of avoiding the determination of ApoE genotype, with the claim that there is “nothing” one can do about it. This is no longer the case, and therefore the goal is for everyone to know their ApoE status, to get on an active prevention program, and to make Alzheimer’s disease a rare disease. In addition, for those with a strong family history of AD, especially for early onset AD (before 65 years of age), it is important to determine whether there are familial Alzheimer’s disease-associated mutations in APP, presenilin-1, or presenilin-2.
7. What are the most important steps people can take to reduce their risk of AD?
The most important thing to do is to get a “cognoscopy”—in other words, just as everyone knows that he or she should have a colonoscopy when turning 50, it is a good idea for everyone over 45 to have an analysis of biochemistry (what is your homocysteine, fasting insulin, hs-CRP, etc.?), genetics (ApoE4 positive?), and function (how are you scoring on a quick, simple test that can be done online). These tests will tell you where you stand, and from there, you can address the very items that are placing you at risk, such as inflammation, insulin resistance, poor nutrition, suboptimal hormone levels, toxin exposure, etc.
8. Where can people find practitioners that have been trained in your approach?
We have now trained more than 450 practitioners from seven different countries and all over the United States, and there will be more than 1,000 by the end of this year. We are training practitioners in our protocol (ReCODE, which is for reversal of cognitive decline) in collaboration with the Institute for Functional Medicine. You can find these practitioners at the website mpicognition.com.
9. What are you most excited about in terms of future developments? What challenges are we facing?
It is important to emphasize that we are just at the very beginning of all of this—literally the dawn of treatable and preventable Alzheimer’s disease. This is the same thing that is occurring with the use of functional medicine for other complex chronic illnesses—unprecedented improvements are being seen in type 2 diabetes, hypertension, cardiovascular disease, multiple sclerosis, lupus, rheumatoid arthritis, and other illnesses. There is a tremendous amount of development remaining to do—how do we optimize outcomes? For those who improve but then plateau at less than their normal cognition, how do we enhance improvement? How do we achieve better results for those who are late in the course of Alzheimer’s disease? Can we achieve similar results for the one million Americans with Lewy body dementia? How do we address other neurodegenerative diseases, such as ALS (Lou Gehrig’s disease) and Parkinson’s disease, optimally? There are exciting developments that should help to address these questions: the analysis of neural exosomes by Prof. Ed Goetzl and his colleagues has offered the ability to evaluate brain chemistry with a blood sample. Prof. Milan Fiala has described the “phagocytosis index,” which also shows evidence of Alzheimer’s disease pathophysiology in a blood sample and offers real-time follow-up of metabolic improvement that associates with cognitive improvement. More sensitive tests for chronic pathogens, for biotoxins and chemotoxins, for barrier breaches (gut, blood-brain, etc.), and for optimal microbiomes (especially gut, oral, and rhinosinal) should all play important roles in the evolution of functional medicine approaches to neurodegeneration, as well as improved, precision medicine programs that include optimization of immune responses, stem cells, and neurotrophin delivery—not a silver bullet, but silver buckshot.
0 notes
denisalvney ¡ 7 years ago
Text
New Hope that Alzheimer’s Can Be Prevented—and Even Cured
Dr. Bredesen is an internationally recognized expert on neurodegenerative disease. He held faculty positions at UCSF and UCLA and directed the Program on Aging at the Burnham Institute. He joined the Buck Institute in 1998 as its founding president and CEO. Two of his recently published papers include “Reversal of cognitive decline in Alzheimer’s disease” and “Inhalational Alzheimer’s disease: An unrecognized—and treatable—epidemic.” I interviewed Dr. Bredesen for a podcast a year ago, and I’m excited to bring you more information about his program and his new book. If you have a loved one with Alzheimer’s—or who is just starting to get forgetful—The End of Alzheimer's is a fantastic resource.
1. What’s wrong with the conventional approach to Alzheimer’s disease?
The conventional approach to Alzheimer’s disease does not address the actual cause—the contributors to this complex chronic illness, which may be dozens and vary from person to person—and attempts to improve symptoms with a monotherapy, a single drug. This is something like trying to patch 36 holes in your roof by putting a patch over one hole and finding that water is still coming through the other 35 holes. In addition, the conventional approach is a one-size-fits-all approach, when a personalized, precision approach is needed, based on the different critical targets for each person. Finally, the conventional approach is often backward—the surprise is that the very amyloid that is associated with Alzheimer’s disease is a protective response to insults such as microbes and toxins. Therefore, any attempt to remove the amyloid should be preceded by the removal of the insult(s) that are inducing this protective response.
Have a loved one with Alzheimer’s? Be sure to check out this new resource. #alzheimers
2. What led you to a functional/evolutionary perspective on AD?
This came directly from the test tube, from years of basic laboratory research—we had no idea when we started that we would end up with a functional medicine approach. We were studying the molecular biology of APP, the amyloid precursor protein that gives rise to the amyloid-beta that collects in the brains of patients with Alzheimer’s disease. Surprisingly, we found that APP functions like a molecular switch—when it is cleaved at the alpha site, two peptides are produced (sAPPalpha and alphaCTF) that support neurite outgrowth, neuronal survival, and synaptic maintenance—essentially, these support memory. Conversely, when APP is cleaved at the beta, gamma, and caspase sites, it yields four peptides (sAPPbeta, amyloid-beta, Jcasp, and C31) that mediate neurite retraction, synaptic reorganization, and ultimately, neuronal death—essentially, these support forgetting. In other words, the two supportive peptides are “synaptoblastic,” whereas the four retractive peptides are “synaptoclastic.” We then wanted to know what determines this critical balance—a plasticity balance—and it turned out that dozens of parameters affect this balance, many quite directly. For example, vitamin D, estradiol, testosterone, NF-kappa B (as part of the inflammatory response), BDNF (brain-derived neurotrophic factor, which increases with exercise), sleep (which helps to clear the amyloid-beta, among many other effects), and dozens of others, all affect this critical balance. Therefore, we realized that we needed to measure all of these parameters for each person in order to determine what is contributing to cognitive decline or risk for cognitive decline.  Then we need to address each contributor—to reduce the synaptoclastic signaling and increase the synaptoblastic signaling. This is a functional medicine approach, so we realized that the basic research had shown us that, for a complex chronic illness such as Alzheimer’s disease, a functional medicine approach makes mechanistic sense. This has been supported now by hundreds of patients who have shown positive responses to this approach to cognitive decline.
3. Can AD be prevented and even reversed?
Yes, contrary to the current dogma, Alzheimer’s disease can be prevented, and the cognitive decline associated with AD can be reversed, although in the late stages of the illness this becomes progressively more difficult and less common. However, there is a large window of opportunity—about a decade of SCI (subjective cognitive impairment), when people note cognitive changes yet still score normally on cognitive tests; then often several years of MCI (mild cognitive impairment), when cognitive testing shows abnormalities, yet people are still capable of doing ADLs (activities of daily living); then early in the course of full-blown Alzheimer’s disease.  Therefore, it is important to seek evaluation and treatment as early as possible.
4. You’ve proposed five different types of AD. What are they, and how are they distinct?
Type 1 is inflammatory (“hot”), and the inflammation may be due to pathogens or other inflammatory factors such as trans fats. Type 2 is atrophic (“cold”) and is associated with reductions in trophic support such as nerve growth factor, brain-derived neurotrophic factor, estradiol, vitamin D, and other trophic, hormonal, or nutritional support. Then there is a common combination of type 1 and type 2—type 1.5, or glycotoxic (“sweet”)—that combines the inflammation of high glucose (e.g., via AGEs, advanced glycation endproducts) with the trophic loss of insulin resistance. Type 3 is toxic (“vile”) and is associated with exposure to toxins such as mycotoxins (e.g., trichothecenes or ochratoxin A) or chemotoxins (e.g., mercury). Type 4 is vascular (“pale”) and is associated with reduced vascular support. Type 5 is traumatic (“dazed”) and is associated with previous head trauma.  The typical symptoms and signs of these types are described, and clinical cases are described, in the book. Not surprisingly, many people have combinations of these types, so we have developed a computer-based algorithm that calculates the percent contribution from each type. This then helps to develop the optimal therapeutic program for each person, and again we use an algorithm to generate an initial program.
5. Where have you seen the biggest impacts in terms of diet, lifestyle, and functional medicine treatment with AD?
The key is that the whole program works together, so there is a threshold effect, just as is seen with cardiovascular disease treatment. There seem to be major effects of reversing insulin resistance, optimizing sleep, exercising regularly, eliminating toxic exposures (especially for Type 3 AD), optimizing hormonal support (including bioidentical hormone replacement), optimizing nutrition (e.g., avoiding high homocysteine, low vitamin D, low vitamin B12, low magnesium, etc.), addressing pathogens (e.g., Borrelia), reducing inflammation (but most importantly, removing the cause(s) of the inflammation), optimizing brain training, and reducing stress.
6. What role does genetic testing play in the functional approach to AD?
Genetic testing plays an important role, and although there are hundreds of SNPs (single nucleotide polymorphisms) that are associated with AD, the most important genetic test for AD risk is ApoE: for those with zero copies of ApoE4 (e.g., those who are ApoE3/3), the lifetime risk of developing AD is about 9 percent; for the 75 million Americans with one copy (e.g., ApoE3/4), the lifetime risk is about 30 percent; and for the seven million Americans with two copies (ApoE4/4), the lifetime risk is well over 50 percent. This has led to a conventional approach of avoiding the determination of ApoE genotype, with the claim that there is “nothing” one can do about it. This is no longer the case, and therefore the goal is for everyone to know their ApoE status, to get on an active prevention program, and to make Alzheimer’s disease a rare disease. In addition, for those with a strong family history of AD, especially for early onset AD (before 65 years of age), it is important to determine whether there are familial Alzheimer’s disease-associated mutations in APP, presenilin-1, or presenilin-2.
7. What are the most important steps people can take to reduce their risk of AD?
The most important thing to do is to get a “cognoscopy”—in other words, just as everyone knows that he or she should have a colonoscopy when turning 50, it is a good idea for everyone over 45 to have an analysis of biochemistry (what is your homocysteine, fasting insulin, hs-CRP, etc.?), genetics (ApoE4 positive?), and function (how are you scoring on a quick, simple test that can be done online). These tests will tell you where you stand, and from there, you can address the very items that are placing you at risk, such as inflammation, insulin resistance, poor nutrition, suboptimal hormone levels, toxin exposure, etc.
8. Where can people find practitioners that have been trained in your approach?
We have now trained more than 450 practitioners from seven different countries and all over the United States, and there will be more than 1,000 by the end of this year. We are training practitioners in our protocol (ReCODE, which is for reversal of cognitive decline) in collaboration with the Institute for Functional Medicine. You can find these practitioners at the website mpicognition.com.
9. What are you most excited about in terms of future developments? What challenges are we facing?
It is important to emphasize that we are just at the very beginning of all of this—literally the dawn of treatable and preventable Alzheimer’s disease. This is the same thing that is occurring with the use of functional medicine for other complex chronic illnesses—unprecedented improvements are being seen in type 2 diabetes, hypertension, cardiovascular disease, multiple sclerosis, lupus, rheumatoid arthritis, and other illnesses. There is a tremendous amount of development remaining to do—how do we optimize outcomes? For those who improve but then plateau at less than their normal cognition, how do we enhance improvement? How do we achieve better results for those who are late in the course of Alzheimer’s disease? Can we achieve similar results for the one million Americans with Lewy body dementia? How do we address other neurodegenerative diseases, such as ALS (Lou Gehrig’s disease) and Parkinson’s disease, optimally? There are exciting developments that should help to address these questions: the analysis of neural exosomes by Prof. Ed Goetzl and his colleagues has offered the ability to evaluate brain chemistry with a blood sample. Prof. Milan Fiala has described the “phagocytosis index,” which also shows evidence of Alzheimer’s disease pathophysiology in a blood sample and offers real-time follow-up of metabolic improvement that associates with cognitive improvement. More sensitive tests for chronic pathogens, for biotoxins and chemotoxins, for barrier breaches (gut, blood-brain, etc.), and for optimal microbiomes (especially gut, oral, and rhinosinal) should all play important roles in the evolution of functional medicine approaches to neurodegeneration, as well as improved, precision medicine programs that include optimization of immune responses, stem cells, and neurotrophin delivery—not a silver bullet, but silver buckshot. New Hope that Alzheimer’s Can Be Prevented—and Even Cured published first on https://chriskresser.com
0 notes
bestleakygutcure-blog ¡ 7 years ago
Text
LEAKY GUT -- WHAT IS IT AND WHAT CAN YOU DO ABOUT IT?
Leaky Gut, otherwise called intestinal permeability, is a leading underlying reason for many health problems such as IBS, headaches, weight reduction, Hashimoto's thyroiditis, stress, depression, autoimmune conditions, and allergies. So, why is it so frequently not addressed or identified? Let us get to the bottom of the and help you realize how Leaky Gut is pertinent to your health. Once it seems like it'd imply your gut was filled with holes which allow liquid to escape, Leaky Gut really occurs at such a microscopic amount that you can not see anything whatsoever. Allow me to explain how it functions.
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Leaky Gut takes place in the small intestine, the part of the digestive system which lies in the gut (the first stop on the food's transit throughout our own bodies; this is the place where the food that we eat is broken down, or digested, to some shape our bodies can utilize) and large intestine (the last leg of our food's travel before anything the body can not use is removed as blossom).
If it arrives in the small gut, your meals should be thoroughly broken down so that just the nutrients can create their way through the walls of the gut and into your bloodstream where they're circulated to where they're wanted in the remainder of the physique.
So if you're under emotional stress or in case your digestive tract is under pressure--from exposure to drugs, antibiotics, alcohol, or caffeine to mention only a couple of cases--then the cells making up the intestinal walls aren't as healthy as they should be and also the distances between the cells is much more receptive than is best.
It's the spaces between tissues which may allow food which isn't completely pumped to "flow" through the intestinal wall and to the space under where your immune system is really on guard for anything which shouldn't be there, such as bacteria and viruses. If your immune system finds partially hydrogenated food and proteins, it mounts an immune reaction--an assault--to eliminate these foreign chemicals which are threatening your health. This attack results in an inflammatory reaction which generates yet more pressure in your system leading to additional damage to the intestinal wall.
So that you see, the further leaky your digestive wall, the more leakier it will end up. It is a vicious cycle at which what begins in many people as a little number of leaky gut can get quite a serious supply of inflammation during your entire body which makes you feel horrible.
But, You May Also Begin to suspect Leaky Gut if you have some of the next unresolving symptoms:
Infection Achiness and soreness, like joint or head pain alleviate pain Unexplained headaches allergies or allergies reactions in your skin Stress, depression PMS Weight problems -- weight reduction or even you find it tough to get weight A autoimmune illness, such as lupus, rheumatoid arthritis, or M.S. Why Is It Frequently Missed or Misdiagnosed? Though there's been research about Leaky Gut about for many decades, it isn't well recognized by conventional medical physicians or gastroenterologists and thus don't be shocked if they do not mention it at all if you speak to them about your symptoms.
Neither an endoscopy nor a colonoscopy will reveal Leaky Gut, therefore it will not be reported that there either.
There are quite simple tests now being designed to help spot Leaky Gut however, at this stage in time, among the greatest ways (that I find) to recognize Leaky Gut is a food sensitivity board. This may also give additional details regarding ways to cure it. I will be talking more about the sorts of testing for Leaky Gut from the NEXT ARTICLE inside this sequence.
That's the best news! While I understand many of you have been advised by many health professionals that your health problems won't ever cure, this isn't true with Leaky Gut--Leaky Gut can cure! Due to this, Leaky Gut is the best example of a state where a very different approach to wellbeing is advantageous.
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As we mentioned at the peak of this guide, that the cells of the intestinal wall renew themselves each 72 hours, it stands to reason that all we will need to do in order to let Leaky Gut to cure is eliminate, or cease, what's causing damage to the intestines. After we've completed that, we could then add in herbs and nutrients that help and encourage the procedure, thereby speeding up the recovery procedure.
So yes, the great thing is that Leaky Gut can cure. As it does this, you're very likely to feel much better and better over many months or even years.
To assist you find out more about Leaky Gut, I composed an entire blog show about the study about which causes it, looking at how to check for this, and above all, the way to cure it. You will learn about the health problems that are connected with Leaky Gut, and the way recovery Leaky Gut can undo even those conditions which are regarded as unresolvable.
0 notes
yes-dal456 ¡ 8 years ago
Text
Obamacare May Have Helped More Poor People Get Breast Cancer Screenings
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One of the great benefits of the Affordable Care Act is that it eliminated out-of-pocket costs for screening procedures like mammograms and colonoscopies for many Americans. It also let health care researchers test a theory on why people get ― or don’t get ― such screenings.
“We know that as a whole, if you’re less affluent, you’re less likely to get most preventive care,” said Dr. Gregory Cooper, the gastroenterology program director at University Hospitals’ Cleveland Medical Center.
You’d think that one reason for this gap in preventive care is how much patients have to pay for the procedures themselves. But according to the authors of a new study, led by Cooper, there has been “little empirical evidence to support this contention.”
Their study, published in the journal Cancer in January, looked at how the ACA affected mammography and colonoscopy rates among Medicare beneficiaries. They found that mammography rates improved after the law went into effect, although colonoscopy rates didn’t. 
Older women had more mammograms after Obamacare.
The study analyzed Medicare claims from patients who were 70 or older. The researchers compared claims from 2009 and 2010, before the ACA was implemented, with claims from 2011 and 2012, once the procedures were covered.
None of the female patients in each study period had had a mammogram in the two years prior. All the male and female patients were at increased risk for colorectal cancer, and none of them had had a colonoscopy in the prior five years.
Among women due for a mammogram, the screening rate increased from 5 percent to 7 percent per month. 
In addition, Cooper said, “The gap actually narrowed. [The rates] went up in all groups. The differences between the wealthiest and the poorest narrowed after the ACA.” 
The results were less encouraging for colonoscopy rates, which remained flat, at about 4 percent per month.  
The researchers suggested one possible explanation: Unlike mammograms, colonoscopies require bowel prep and sedation, which could deter patients from getting the procedure.
ACA repeal could mean fewer get screened for cancer.
Chronic diseases ― including breast and colon cancer ― account for 7 out of 10 deaths in the United States and 75 percent of the country’s heath spending, according to the Centers for Disease Control and Prevention.
Yet many Americans skip preventive services that could catch such diseases early. In 2013, 1 in 5 women reported not being up-to-date with cervical cancer screenings, 1 in 4 women weren’t up-to-date with breast cancer screenings, and 2 in 5 adults weren’t up-to-date with colorectal cancer screenings, the CDC says.
So a health benefit that encourages more people to get screened seems valuable. But with President-elect Donald Trump and congressional Republicans vowing to repeal the ACA and replace it at lower cost, researchers and doctors worry that free preventive services might be on the chopping block. 
“I don’t know what’s going to get salvaged,” Cooper said. “I haven’t heard anything about preventive care.”
One possibility is that patients may be required to share some of the costs for preventive services such as mammograms.
“That’s a disincentive,” Cooper warned.
This reporting is brought to you by HuffPost’s health and science platform, The Scope. Like us on Facebook and Twitter and tell us your story: [email protected]. 
-- This feed and its contents are the property of The Huffington Post, and use is subject to our terms. It may be used for personal consumption, but may not be distributed on a website.
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Text
Obamacare May Have Helped More Poor People Get Breast Cancer Screenings
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One of the great benefits of the Affordable Care Act is that it eliminated out-of-pocket costs for screening procedures like mammograms and colonoscopies for many Americans. It also let health care researchers test a theory on why people get ― or don’t get ― such screenings.
“We know that as a whole, if you’re less affluent, you’re less likely to get most preventive care,” said Dr. Gregory Cooper, the gastroenterology program director at University Hospitals’ Cleveland Medical Center.
You’d think that one reason for this gap in preventive care is how much patients have to pay for the procedures themselves. But according to the authors of a new study, led by Cooper, there has been “little empirical evidence to support this contention.”
Their study, published in the journal Cancer in January, looked at how the ACA affected mammography and colonoscopy rates among Medicare beneficiaries. They found that mammography rates improved after the law went into effect, although colonoscopy rates didn’t. 
Older women had more mammograms after Obamacare.
The study analyzed Medicare claims from patients who were 70 or older. The researchers compared claims from 2009 and 2010, before the ACA was implemented, with claims from 2011 and 2012, once the procedures were covered.
None of the female patients in each study period had had a mammogram in the two years prior. All the male and female patients were at increased risk for colorectal cancer, and none of them had had a colonoscopy in the prior five years.
Among women due for a mammogram, the screening rate increased from 5 percent to 7 percent per month. 
In addition, Cooper said, “The gap actually narrowed. [The rates] went up in all groups. The differences between the wealthiest and the poorest narrowed after the ACA.” 
The results were less encouraging for colonoscopy rates, which remained flat, at about 4 percent per month.  
The researchers suggested one possible explanation: Unlike mammograms, colonoscopies require bowel prep and sedation, which could deter patients from getting the procedure.
ACA repeal could mean fewer get screened for cancer.
Chronic diseases ― including breast and colon cancer ― account for 7 out of 10 deaths in the United States and 75 percent of the country’s heath spending, according to the Centers for Disease Control and Prevention.
Yet many Americans skip preventive services that could catch such diseases early. In 2013, 1 in 5 women reported not being up-to-date with cervical cancer screenings, 1 in 4 women weren’t up-to-date with breast cancer screenings, and 2 in 5 adults weren’t up-to-date with colorectal cancer screenings, the CDC says.
So a health benefit that encourages more people to get screened seems valuable. But with President-elect Donald Trump and congressional Republicans vowing to repeal the ACA and replace it at lower cost, researchers and doctors worry that free preventive services might be on the chopping block. 
“I don’t know what’s going to get salvaged,” Cooper said. “I haven’t heard anything about preventive care.”
One possibility is that patients may be required to share some of the costs for preventive services such as mammograms.
“That’s a disincentive,” Cooper warned.
This reporting is brought to you by HuffPost’s health and science platform, The Scope. Like us on Facebook and Twitter and tell us your story: [email protected]. 
-- This feed and its contents are the property of The Huffington Post, and use is subject to our terms. It may be used for personal consumption, but may not be distributed on a website.
from Healthy Living - The Huffington Post http://huff.to/2j5zYgp
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