and again… Edukator you haven’t read it… or understood – living up to your tag 😉

An example:

If a 55 year old bloke either has a) Prostate cancer diagnosed on his 55th Birthday by PSA with no symptoms and lives another 20 years, or b) has it diagnosed 6 months after his Birthday having developed symptoms, and lives another 19 years and 6 months… the outcome is basically the same – living to age 75 – and providing the surgery didn’t need to be more radical you may have given the patient 6 months more stress and also harmed lots of people being screened who did not have cancer. Yes – the diagnosis is earlier – but that doesn’t mean it is “a life saver”.

and the treatment your friend had is used increasingly here too…

Ok? 🙂

winter skiing and hotel experience only

Campitello – bit small
Arabba – the same – though great for skiing
Selva or Corvara are nice as is Canazei – and I’m off there again in March.

Edukator I didn’t say it was random. But it is not currently evidence based, and testing is potentially harmful. French Drs, by the way prescribe lots of stuff the rest of Europe stopped using 40 years ago. And if you read my post you’d understand that – yes – people may be getting earlier diagnosis – but if that doesn’t improve survival and gives more time when people know they have cancer and increases the risk of harm from pretty unpleasant investigations, it may not be as brilliant as people think. This is why policy is based on research, not anecdote.

Believe me – it would be a hell of a lot easier for those of us at the coal face if PSA based screening did give better outcomes when compared to proper management when symptoms present.

look at my edit – you simply don’t know if you might have developed symptoms 3 months later and had exactly the same outcome. That’s the question.

People with strong family history of close relatives with Prostate Ca when young probably do need testing regularly, but we just don’t know how often or whether it works.

Edukator What is done in France is often a good thing to avoid. totally weird medical practice compared with most other countries in Europe.

ononeorange Sorry. The plural of anecdote is not evidence. The big trials of whether having the test regularly increases lifespan or reduces prostate cancer deaths – which is the crucial thing after all – have been rather ambivalent. Having MRI rather than TRUSS Biopsies as the first line investigation of a raised PSA may change the balance, as investigation of symptomless raised PSA previously has been potentially harmful, painful and missed perhaps 25% of cases…
The main question here is – does diagnosing the cancer before symptoms develop offer any survival benefit.

No one is saying don’t treat prostate cancer in the under 70’s, the question is whether looking for it in the Well does more harm than good and uses resources which could be used for cancers where we know pre-symptom detection is worth it – eg Colon.

Good experiences with the one from the Ryobi one family, espescially with the Lithium battery. The strimmer isn’t bad either and you can use the batteries for all their other tools.

Don’t expect the power that you get with a mains one though.

Lucky bloke – blood in jizz is not that common a symptom for it. Seen it once with prostate cancer, and probably diagnosed 80. Most times blood in jizz is nothing, but get it checked.

Despite what you read in the press – the PSA is useful for investigating people with symptoms, but pretty useless at screening normal individuals with no symptoms. So it is not done routinely as a screening test in NHS Health Checks.

Tests which are useful for diagnosis ain’t always good for screening.
Some cancers have good screening tests for them, eg Cervix and Colon, some have less good tests eg Breast. And some (prostate, ovary and pancreas) have no useful screening test for those with no symptoms.

For people with prostate Cancer – very little evidence over the age of 70 that aggressive treatment alters the outcome, and probably 50% of men aged 90 have it.

I have 3 friends in their 50s with it – two Drs and one Dentist.

If you do develop symptoms – hesitancy, reduced flow, going at night, blood in your wee, etc etc, get to your GP pronto.

Multiparametric MRI has been a game changer too.

Awesome drummer – at his best playing in Brand X

And yes, seeing the Lamb done with original band would be good.

But he isn’t going to drum, he’s going to sing. Shame.

The pads/discs one, and the inflated charges vs quickfit and indie garages seems to be a highly prevalent rip off from main dealers. ex-wife had it recently from a Subaru main dealer.

With this scam being so common you would think it might be more common knowledge.

I also had a Lexus maindealer charge me for a non-existent top-up bottle of expensive oil, and they missed a brake light which was out on their safety check.

On the whole, I’ve much more trust in estate agents and politicians than main dealer service departments.

I didn’t put the bins out on Tuesday 😳

Been a doc for 30 years… Never took the Hippocratic oath, it isn’t universal and much of it is out dated rubbish.

The double effect doctrine means effective palliative care may lead to people dying sooner.

Sorting out euthanasia to work properly and safely would be difficult, but things worth doing often are.

The right to choose to die should be respected. The religious and their imaginary friends should butt out.

Get below 85kg

Get my partner to learn to ski and want to go again.
Believe it, that may be challenge enough 😉

(and possible persuade her to marry me…)

Hadn’t thought of Arcachon, CFH, nice idea.
We’d been looking at Cala d’or paulosoxo, have you been there before? What did you think?

Did Copenhagen and Northern Spain in the last year or so.

But some great ideas. Please keep em coming…

I lust after their cheap fibre optic boroscopes.

Just be glad you don’t live in East Sussex. We really love our fireworks.

I like dogs, a lot. But I don’t get the annual whinges of those who decide to enslave one in a rather unnatural town environment and then feel the dogs should be protected from noise. Or the cat owners whose pets kill tons of small birds and rodents yet need protection from loud bangs… Really? I mean Really are you serious?

OP I’m guessing it is because the percentage of MTBrs who are female is less than 20%, and the percentage of those who think that a forum is a normal mode of communication is even lower. Seen the same on ski forums, even though probably a higher percentage of skiers than MTBrs are female.

Thing is OP. You are now looking a twit. You are steamed up about something very small and exhibiting very little sense of proportion, and now you are moving on to argue about other gripes with even less justification.

I’m not a mod, don’t know any of them,and wouldn’t do their job if you paid me. But I’d suggest you walk away from the keyboard and think about something which actually matters. 🙂

Another fan of the Eastpak Transverz S.

Waited too many times for bags… Had then delayed for days at ORD twice and Heathrow once.

Check bags when I ski or Sail. Otherwise carry-on and stroll away.

Interesting to see the usual lines of argument here.

Some teachers, Many without kids and some who don’t want to take their kids on holiday saying it is bad, and always bad.

Some saying – “they are my kids, so I get the final say in everything” [they aren’t and you don’t]

And some in between.

As an adult and parent and an adult learner one learns just how good some teachers are, and how bad others are, and how badly schools deal with the bad ones. Also how much end-of-term class time is wasted until year 9 or 10.

The idea that a teacher, by losing 3% of their year’s lessons with any given child, is going to be given a huge mountain to climb to “catch-up” the child is laughable.

The whole issue, IMHO, requires some common sense.

Children who are performing well, motivated and able to self-task to work in the school holiday, and who are going on a holiday which is either educational, or stretches them in terms of sport, physical skills or self-sufficiency, should be allowed to go.
Those who aren’t perhaps shouldn’t – except for once in a lifetime opportunities.

This requires a sensitive and intelligent approach, something which Governments seem less inclined to allow teachers. And sometimes there seems a dogmatic jobsworth attitude of some Heads who are often failing children in much more harmful ways, by tolerating mediocrity in their staff.

🙂

I love croquet – not sure it is a sport though.

And why is Ice Dance a sport and Ballet not?

For me – any game involving a ball where the ball isn’t moving already when at least some of the players interact with it – is a hobby or pastime.

Ruling out golf, pool, snooker, billiards and bowls in one fell swoop…

opinions? 😉

+1 for Brindisa, forgot that

Comptoir Libannais at South Kenn. A few other places around the station there

Mum and dad both 83, but apart. Both starting to get memory issues I think.

Mum getting more awkward, less likeable and less tolerant. Difficult to be around.

Dad more humble and less up himself. And just found out he gets called on to do segments on a local radio show. Can’t be that demented yet…

I wish I had a positive tale of parents handing life changing knowledge or experiences onto me, to tell here. I’m not sure I do. Feel I’m missing out there. Some moving stories here.

Review of admission avoidance care plan – no changed factors

Started really watching when I lived in rural Canada. I then used to watch most of the games shown on Sky when I cam home, and was a launch day customer for Sky Digital many years ago because I loved it, but lost the love about 7 years ago and now no longer watch it. But I still think it’s a great game.

The good things

1) Strategy
2) Sheer athletic achievements of QBs, WRs, CBs and RBs
3) The Draft and various parity systems mean that there is less of the tedious domination of the whole leag by 3-4 teams that there is in the premiership.
4) The US comentators often very good.

I’m not. I’m looking older 🙁

Partner has new Garmin Nuvi – prefers to tomtom and I like the interface. Worked reasonably well in Spain too. Lifetime upgrades and all Europe.

I’d say Garmin

My car ( a scooby legacy) has it built in. Really got used to that.
I do use Google Maps for live traffic though on an iphone

I’ve heard of a few blokes like this, but way more women who do this stuff.

The women I contacted via the Guardian and Times sites seemed nice and relatively normal, and now I am with someone who is just brilliant.

Is it because we are a bit older (50+) and all the crazy has gone, or are people just more mental these days

err… remind me who in this scenario is not ready for a mature long-lasting relationship…. 😉

But I understand…

GP here. Telephone consultation with your GP tomorrow if they have already seen you once. Let them, not a bunch of strangers here decide.

This…

sounds like she’s grooming wysiwyg to be the next fwiw… 😀

Tried Mitchum?

wordnumb I used to think that, but I believe you are wrong. Evidence going back 100s of years for both usages.

I admire your attitude, none the fewer… 😉

Nice to see the usual apologists for the US gun culture creep out of the slime again, even though most Americans would support tighter controls…

Go and look in a mirror at yourselves, today of all days, look at what you are…

As Obama said after Charleston, looking tired and sick of this shit,

” “At some point, we as a country will have to reckon with the fact that this type of mass violence does not happen in other advanced countries.”

it is in our power to do something about it. I say that recognizing the politics in this town foreclose a lot of those avenues right now. But it would be wrong for us not to acknowledge it. And at some point it’s going to be important for the American people to come to grips with it, and for us to be able to shift how we think about the issue of gun violence collectively.”

Birth, love, uncertainty, joy, exploration, parenthood, aches, ageing, memories, death

Actually TC:HDL levels or non-HDL cholesterols if no vascular disease, and that is what JBS3 works on.

TC and LDL and Trigs if you have it already, but very little evdidence that any drugs actually alter outcomes by reducing trigs or increasing HDL. It may be that TC and LDL are substitute endpoints and that Statins work via otherways as well, but work they do…

Simvastatin used to be what we gave first line, Atorvastatin is stronger and usually better tolerated and is now reallly cheap and what most of us use first-line. 90% of people seem fine on them.

Most of your cholsterol is not from eating, but made by your liver and is dependent on your genetics, but really a big well-done on the weight.

If in doubt, get your numbers and run them through the JBS3 Heart Risk calculator – available as an app.

As a random example; my vows included a promise never to give her up, let her down, or run around and desert her.

I’m hoping to nick that… 🙂 ta.

The wedding is not just about the bride and groom, and it isn’t just their day. That’s part of the narcissistic self-mythologising selfie culture of today. If it was, they would just be in a registry office with two witnesses.

It is about their relationship with their friends and relatives and society. This isn’t just a dinner party after a hard week where you want to avoid the sprogs. It’s a celebration of their future and their place as a couple in the guests lives.
But yes, they can be as selfish as they want, but should know the harm they’ve done and hurt they’ve caused

Carhartt?

Awful. Just awful. Sounds like you were left in an impossible dilemma with no time to deal with it.

Yes there is the place for a quiet few-friends-at-the-beach thing, certainly if I get hitched again that’s an option, but a family wedding without the kids, and effectively excluding his sister in law? Don’t get that at all.