A Newer, Safer Permanent Contraceptive Option for WomenBy- Dr. Joan Marie PellegriniWhen a woman is certain that she no longer wants the option to get pregnant, she has a choice of continuing on with her current contraceptive method or considering a surgical option. The most common choice for permanent sterilization is a tubal ligation (getting her tubes tied). A tubal ligation offers the benefit of being highly successful, relatively safe, and permanent. It is immediately effective and allows for a woman to discontinue her â€œpillsâ€. The pill is hormonal based and there are many women who are at risk of complications if they take hormones. These complications include blood clots, stroke, and increased risk of certain cancers. Because a womanâ€™s fallopian tubes are inside her pelvis, tubal ligation would require anesthesia, at least one incision in the belly, and must to be done in the operating room. The recovery time is several hours in the procedure center and then 1-3 days at home. Some women are not candidates for this procedure because of anesthetic or surgical risks.In 2002, the FDA approved a new procedure called Essure. This procedure is done in the doctorâ€™s office and requires no anesthesia. The doctor inserts coils into the fallopian tubes and these coils cause scarring and blockage of the tubes. The woman can drive herself home or to work after the procedure and there is minimal discomfort. Some other form of contraception (pregnancy prevention) must be used for 3 months after the procedure until a hysterogram (an xray using dye of the uterus) is done to confirm that the tubes are blocked. Many experts feel this procedure is safer than tubal ligation and has a similar failure rate. Neither of these procedures is 100% effective however, the failure rate is extremely low and better than that with hormonal manipulation (the pill).A quick look at the Essure webpage reveals that there are at least 6 gynecologists in the Bangor region that perform this procedure. Clearly, this procedure is becoming well-endorsed by the gynecologic community. There is one another hysteroscopic method that is FDA-approved. It is likely that in the future there will be even more options available and your gynecologist will advise you on which one is best for you.Permanent sterilization procedures should be considered irreversible. Studies show that 3-25% of women eventually regret having a sterilization performed. For more information:www.essure.com This site is supported by the company that makes the coils.http://www.uptodate.com/contents/patient-information-permanent-sterilization-procedures-for-women This site is not industry-sponsored and is an excellent source for non-biased information on sterilization procedures. There are also other excellent resources listed.http://www.americanpregnancy.org/preventingpregnancy/birthcontrolfailure.htmlThis site offers information on all of the methods used to prevent pregnancy. This site is not industry-sponsored.
Dealing with debt is an important topic for the folks and how to tackle it is a frequently asked question. So, I’ve got a blog and a get out of debt calculator to show viewers today.Blog
Drugs 51% (191 votes) Economy 41% (151 votes) People are getting away with it 6% (22 votes) Other 2% (7 votes)
If you have an idea for our next Take This Job & Love It, email Chelsey at email@example.com————“In this edition of Take This Job and Love It Chelsey Anderson got down and dirty worming in Down East Maine.”Chelsey- “That’s right, and I’ll tell you what, I’ve taken on a lot of difficult jobs doing this feature, but nothing was as difficult or humiliating as this one… And that was just walking.”————Vinnie McLean- “You’re going to need these because its going to be really soft where we are going.” Chelsey- “Okay.” Vinnie- “And the hardest part is going to be walking in the mud.”Remember that line. Now that I was suited up Vinnie and Daniel loaded the boat in and away we went. It didn’t take us long to get to the area we were going to rake but the tide wasn’t out quite enough so we needed to walk it in.Chelsey- “I’m being a really big help right now.”Chelsey- “So how do you walk in this?”Vinnie- “Just pull that one there out. Take a step. Then pull that one out. There you go.”Chelsey- “It’s like slow motion. Come on!” Vinnie- “It’s different isn’t it?” Chelsey- “Yeah.”Vinnie- “That’s good enough.” (laughter)Vinnie reached down and introduced me to what I was going after today, sand worms.Chelsey- “Oh my gosh! This is so gross.” Vinnie- “That’s a small one actually.”It was time to rake. The limit was 500 today, but I’d be happy with anything. I did my best to walk in the mud, but I wear a size 5 shoe, these were a men’s 10.Chelsey- “Ugh! I’m out of my boot right now.”Vinnie- “Maybe if we can get right about here that would be good.” Chelsey- “Whoa!”And my boots were tied to my pants, so there were problems.Chelsey- “My pants are falling off.”Chelsey- “I’m going to have to undo these clips.”Chelsey- “Ok. So show me how to start a hole.”Vinnie- “Ok. If I can get you in that hole.” Chelsey- “I’m going. I’m trying.” Vinnie- “Try to just keep moving. It’s done again.” (laughter)Vinnie- “See why you need them a certain size.”Vinnie- So 3 digs across. Yep.Chelsey- “Just dig it in?”Vinnie- “Just, and pull it.” Chelsey- “It didn’t go deep enough, huh? Oh look! I got one! I got two!” Vinnie- “That’s a tape worm.” Chelsey- “Ah!”Vinnie- “Now go again. Go about right there.”Vinnie- “Yep, just try to roll it. It’s about how you angle the hoe.”Chelsey- “Ok. So nothing in that one.”I kept trying to walk, and trying to work.Chelsey- “Oh Lots of them!” Vinnie- “And there. It’s official! She did it! You’re legal!” Chelsey- “Thanks!” Vinnie- “You’re a worm digger!”On that note it was time for me to call it quits and let these guys work. I attempted to get back to the boat, but my boots caused problems… Again.Chelsey- “This is why I can’t walk, just one of the reasons. Besides the fact that its extremely difficult and I admire these men.” Vinnie- “The boots was a little too big.”I was so embarrassed I had to have Vinnie and Daniel help me get back to the boat.Chelsey- “This is terrible!” Vinnie- “No it ain’t.”Chelsey- “I’m so close!” Vinnie- “5 feet.” Chelsey- “Whoa! No!” Vinnie- “You’re alright. At least you weren’t on your back.” Chelsey- “Now I can’t get up. Oh dear God! Ok. Dear me. Let’s go up. Ugh! Thanks guys.”Chelsey- “Ugh! That was rough!”Once everyone finished up we headed in to Moosebeck Bait shop, where it turns out somehow I got 85 worms. Vinnie insists I did it all on my own.Gay Crowley, Owner Moosebeck Bait Shop- “It’s official. There’s your first check.” Chelsey- “Thanks. There it is. And I’m proud of this.”All $10.20.So after everything today, would I be hired.Vinnie- “I would hire for one more tide. That would be with a headlight tonight at dark.” (laughter)Vinnie- “I would take you again, yes.” Chelsey- “Thank you. I appreciate it.” (laughter)————Chelsey- “I won’t be cashing in that check. I’m framing it. That was the hardest $10 I’ve ever earned.”
By- Dr. David PrescottProgress Has Been Made on Suicide Awareness: Thanks to efforts of many groups such as the American Foundation for Suicide Prevention and, more locally, the Maine Youth Suicide Prevention Program, public awareness about suicide and suicide risk factors has improved. However, suicide continues to be a leading cause of death in the United States, and helping people cope with suicide continues to be a significant public health issue. Who is Most at Risk for Suicide? Suicide is the 4th leading cause of death in America for people between the ages of 18 and 65, and the 11th leading cause of death overall. Older adults (75 plus) and adolescents/young adults (15-24) continue to have high rates relative to other causes of death. However, the latest statistics available (through 2007) show a recent increase in overall suicide rates. Most people, about 90%, who commit suicide have a diagnosable psychiatric disorder. Most common are the mood disorders like major depression or bipolar disorder. People who have substance abuse disorders (alcohol or drug abuse and dependence) are also at high risk. What are Warning Signs for Suicide? One of the more common myths about suicide is that people who try to commit suicide do not tell anyone of their thoughts and plans. To the contrary, most people who attempt suicide have talked about it. Any talk about a suicide plan should be taken seriously and the person with the plan should be seen by a mental health professional or call a mental health crisis line. Common warning signs of signs of suicide include: Â· Observable signs of depression such as unrelenting low mood, hopelessness, and social isolation. Â· Increased alcohol or illicit drug use. Â· Recent impulsiveness or unnecessary risk takingÂ· Expressing a strong wish to die Â· Making a suicide plan or giving away important possessionsWhat to Do if You Know Someone Who is Considering SuicideIt is important to realize that no one thing that a person does, or fails to do, makes the final determination about a suicide attempt. Try your best to help, but remember that there are many factors involved in a suicide attempt. Good first steps include: Listen Attentively: Just listening to someone can provide important support and begin to help them feel better. Tell them you are concerned, and find out if they see a mental health professional. Encourage Professional Help: If the person is not seeing a mental health professional, encourage them to do so. Types of mental health professionals include psychologists, psychiatrists, social workers, and licensed professional counselors. You may be able to help them follow through on making a call or keeping an appointment. Mental Health Crisis Lines: Maine like most states has crisis phone lines to help people who are considering suicide. You can call 2-1-1 or 1-888-568-1112. Coping with a Completed Suicide: If someone you know has completed suicide, it is important to talk about it. There are support groups available where you will meet other people struggling with the same issue. It is common to immediately feel shock or numb. This is often followed by feeling sad and depressed, guilty, and angry. For More Information: American Society for Suicide Prevention: www.asfp.org Acadia Hospital: www.acadiahospital.org
The Credit DowngradeWhat is it- S & P – a credit rating agency- has said we are a higher riskthan the triple A rating which was called ‘no risk.” Why- We spend more than we make and our recent ‘fiscal consolidation planfalls short’ of really solving long term debt and repayment. The ‘debtceiling plan isn’t cutting enough planned spending.What does it mean for the US- practically it will mean what it would mean atyour house if your credit rating went down: higher interest rates = moreexpensive to borrow money. What does it mean for me- higher interest rates across the board, on creditcards, mortgages, etc.What happens next? – S & P will re-evaluate in 6- 24 months for a potentialADDITIONAL downgrade. How do we turn this around?- Cut our expenses.becomemore efficient. In an interview, an S & P managing Director gave thechances for ANOTHER downgrade at a 1 in 3 chance. If the Deficit Committeesrecommendations are accepted S & P says we may stabilize at the New PresentAA+ rating.Marion R. Syversen, MBA – PresidentNorumbegaFinancial207.862.2952Marion@NorumbegaFinancial.comCheck out our website that includes weekly streaming videosWWW.NorumbegaFinancial.com Vote Norumbega Financial for Bangor’s Best Financial Planning Firm at Market Surveys of America Disclosure:Only securities and advisory services offered through Wall Street FinancialGroup, Inc. Registered Investment Advisor. Member FINRA/SIPC. Wall StreetFinancial Group, Inc., Norumbega Financial and all other entities listedherein are separate entities, independently owned and operated.
Blueberry and Bing Cherry Jubilee1 cup blueberries, preferably wild Maine1 cup Bing cherries (15), pitted and halved2 Tbsp. granulated sugarPinch of saltPinch of nutmeg1 1/2 Tbsp. Kirsch2 tsp. cornstarch1 Tbsp. water1 tsp. lemon juiceVanilla ice creamIn a small saucepan combine blueberries, cherries, sugar, salt and nutmeg. Place over medium heat and cook until fruit is softened and sugar is dissolved, about 2 minutes.Add Kirsch and flambÃ©.In a small ramekin, combine cornstarch and water until smooth.Add cornstarch slurry to saucepan and cook over low heat until slightly thickened.Remove from heat stir in the lemon juice and serve warm over ice cream.
Panko Crusted Pan-fried Haddock with SautÃ©ed SpinachHaddock:4 – 8 oz Fresh Haddock filletsKosher salt1 cup flour2 eggs, beaten1 Tbsp. chopped Italian parsley2 Tbsp. freshly grated parmesan cheese 3/4 cup Panko breadcrumbs3/4 tsp. dried tarragonOlive oilHeat 1/4â€ of olive oil over medium-high heat in a large sautÃ© pan until shimmering. Place flour in a pie plate. Beat eggs with parsley and parmesan in another pie plate. Combine Panko breadcrumbs with tarragon in a third pie plate.Season fillets with kosher salt, dredge in flour, then egg mixture and finally seasoned Panko.Fry fish in oil until golden on both sides, turning halfway through cooking time, about 3 – 4 minutes, depending on thickness of fillets. When fish is done it should be opaque and flake easily with a fork. Remove from oil with a slotted spoon and drain on paper towels.Spinach:1 package baby spinach, washed1 Tbsp. olive oil1 clove garlic, peeled and sliced into quarters1/8 tsp. red pepper flakesKosher saltExtra-virgin Olive OilIn another large skillet preheat 1 Tbsp. olive oil over medium heat with garlic until garlic is golden and oil is shimmering. Remove garlic and discard.Add pepper flakes and immediately add all of the washed spinach. Make sure to leave the spinach wet â€“ the moisture will help to steam the spinach.Cover and cook until spinach is wilted, about 2 minutes. Drain spinach, season with kosher salt and drizzle with extra virgin olive oil. Serve with Haddock.
Scalloped Potatoes1 large clove garlic, peeled and smashed1/2 tablespoon unsalted butter, softened2 pounds Golden Yukon potatoes (about 5 large), peeled and sliced 1/8-inch thick or less1 1/4 cups milk1 cup heavy cream 1 1/2 teaspoons kosher salt1/8 teaspoon ground white pepper Pinch fresh grated nutmeg Pinch cayenne pepper1/2 cup Panko breadcrumbs1 Tbsp. unsalted butter, melted1/2 cup shredded Swiss cheeseAdjust oven rack to center position and heat oven to 350Â°Rub the bottom and sides of 1 1/2 quart casserole dish with garlic. Mince remaining garlic and set aside.Spread the dish with softened butter.In a 3-quart stockpot bring potatoes, milk, heavy cream, salt, white pepper, nutmeg, cayenne, and reserved garlic to a boil over medium-high heat, stirring occasionally. Reduce heat and simmer until liquid thickens, about 3 minutes.Pour potato mixture into the prepared dish distributing the potatoes evenly.Gently press down potatoes until submerged in liquid.Bake until top starts to turn golden brown and potatoes are tender, about 45 minutes.Combine breadcrumbs with melted butter. Sprinkle over top of potatoes along with shredded Swiss cheese. Bake for an additional 10-15 minutes until topping is golden brown.Let rest 5 minutes. Serve.