Dienstag, 28. August 2012

Why I decided to circumcise my sons


STORY HIGHLIGHTS
  • Heather Aimee O'Neill and her partner thoroughly researched circumcision
  • In the end, she says, the medical research helped her make the decision
  • They repeated their consideration with the birth of their second son
  • O'Neill believes circumcising their sons was the right decision
(Parenting.com) -- I was so anxious about the idea of circumcision that I actually hoped for a girl.
I didn't get a girl. I got two beautiful boys instead, and therefore had to make the decision twice.
Though our sons were born four years apart, my partner Abbie and I gave equal consideration to the question of whether of not to circumcise with each one.
With our first son, Tommy, I had nightmares that if we chose circumcision, the doctor would make a mistake. I knew the statistics were low, but that rarely soothes an anxious mom-to-be. I worried the procedure was obsolete. When I looked around the room at my friends' sons, many if not most were uncircumcised.
About a month before Abbie was due to give birth to Tommy, we visited my parents out on Long Island. At dinner, we talked about interviewing pediatricians in our Brooklyn neighborhood of Cobble Hill. We were looking for a doctor who struck a balance between holistic and traditional Western approaches to medicine and childcare.
Heather Aimee O\'Neill
Heather Aimee O'Neill
We had a few things down. Abbie planned to breastfeed -- or at least to try. We understood that antibiotics were at times necessary to treat ear infections. We believed in and felt adamant about vaccinating our child.
But the one place where we were both still unsure was on the topic of circumcision. Abbie and I didn't yet know the sex of our child, but admitting that we were even questioning whether or not to circumcise our son set off a slew of opinions at the table that evening.
"You have to circumcise him!" said my sister Melanie, an emergency room doctor who has seen her fair share of infected uncircumcised penises and urinary tract infections, and whom I trust immensely.
My other sister, Meredith, an amazing mother of three boys who were all circumcised, agreed. "It's unsanitary," she said. "I can barely get my kids to brush their teeth at night. And imagine him in the locker room when he's a teenager."
Our best friend and sperm donor, Tim, who is circumcised, was more aligned with Abbie and me. He questioned, like me, if the procedure was outdated and based more on social customs than medical necessity. And, like Abbie, he wondered whether the benefits outweighed the trauma.
Health! Melanie reinforced. Hygiene! Meredith repeated. Is it really necessary? Tim asked honestly.
All of the impassioned arguments and questions raised during this discussion gave us plenty to consider. To be honest, as lesbians, neither Abbie nor I had spent a tremendous amount of time thinking about circumcision in the first place. But it was clear that as soon-to-be parents, we had a lot to learn.
And so we began our research. Prior to this conversation, we'd been leaning toward not circumcising our child if he was a boy. We trusted that Tim could teach him how to be sanitary and avoid infections.
We didn't care about the aesthetics. As two women and a gay man raising children together, we did not feel particularly bound to social custom or tradition. We researched the varied perspectives and we considered the ethics and our child's individual rights over his body. We knew that this was a big decision -- one of many -- and we took our responsibility seriously.
We respected both sides of the argument, but the medical evidence supporting the use of circumcision to prevent STDs and penile cancer, and to reduce UTIs, compelled us.
We were finally persuaded when the World Health Organization and UNAIDS issued a joint statement in 2007 supporting the link between male circumcision and HIV prevention. Suddenly we felt that we were making a decision that could not only protect the health of our child, but could save his life. We spoke with the pediatrician we'd chosen and our OB/GYN, who would be performing the surgery, and both agreed with our position.
That said, when our OB/GYN first held up our newborn and announced that it was a boy, I soon returned to my earlier fear that something would go wrong during the circumcision procedure. I felt confident in our decision, but I was more terrified that our doctor would make a mistake during this operation than I was when she performed Abbie's C-section.
The next day, I decided to go with Tommy for the operation. I didn't want to send him alone. He was given anesthesia and I pressed my face to his and I held his hand. All in all, the procedure did not take more than five minutes and was a success.
Was it an easy decision to make? No. Do I think we made the right decision? Yes. Do I know that Abbie and I investigated, explored and considered all of our options and with the help of professionals and our own reflection decided on what was best for our child? Absolutely. Hearing that the American Academy of Pediatrics now also feels the benefits outweigh the risk only reinforces our decision.
Before our second son, Teo, was born, we continued to educate ourselves on the procedure. Both Abbie and I were open to the idea that the evidence may have changed. We did not just assume that we'd follow the same path with our second child to make sure he shared this trait with his older brother.
We approached the decision in much the same way and, again, in the end, we found the medical evidence to be the most persuasive factor.
Just as I had with Tommy, I stayed with Teo during his procedure. I pressed my face to his face. I held his hand. I knew I'd made this decision with care and thought and I felt, and still feel, that it is one that will benefit him.
I don't expect everyone to understand or agree with the choice that Abbie and I made for our sons. When Tommy and Teo are naked at the beach with friends, often they are in the minority because they are circumcised.
And that's okay. For us it was never about fitting in or following customs. We made our decision based on the information that we had and trusted, and our own expectations and fears and hopes for our children's future.
This story was originally published on Parenting.com

Legionnaires' disease outbreak kills 2 at Chicago hotel


STORY HIGHLIGHTS
  • Health officials find 8 cases of the disease, including the two deaths
  • The disease affected people who stayed at the JW Marriott Chicago
  • Legionnaires' disease is a respiratory bacterial infection
(CNN) -- A Chicago hotel has closed and drained its pool, hot tub and fountain in response to the deaths of two people who contracted the flu-like Legionnaires' disease, authorities said Monday.
Since August 14, health officials have recorded eight confirmed cases of Legionnaires' disease, including the two deaths, among guests who visited the JW Marriott Chicago hotel in downtown Chicago.
"We believe that there is no ongoing health threat at the hotel. Individuals who stayed at the hotel during this time period who are experiencing flu-like symptoms are encouraged to get in touch with a healthcare provider because it is important that all potential cases are diagnosed and treated as soon as possible," said Kathleen Ritger, a doctor at the Chicago Department of Public Health.
Legionnaires' disease is a respiratory bacterial infection usually spread through mist that comes from a water source, such as cooling towers, air conditioning or showers. It is not transmitted person to person. Symptoms of the disease include fever, chills and a cough. Most people recover, but between 5% to 30% of those who get the disease die, according to the U.S. Centers for Disease Control.
Each year an estimated 8,000 to 18,000 hospitalized cases occur in the United States.
An outbreak of the disease in Philadelphia in 1976, largely among people attending a convention of the American Legion, led to its name.
Along with draining a pool, fountain and hot tub, the hotel is working to alert guests who stayed there from July 16 through August 15, a Marriott spokeswoman said.

1 more dead after contracting hantavirus at Yosemite National Park


STORY HIGHLIGHTS
  • Yosemite says a June visitor to its park died after contracting hantavirus
  • The national park says officials have also identified "a probable fourth case"
  • Earlier, officials said 2 vacationers got hantavirus after visiting Yosemite
  • All those infected stayed in the park's popular Curry Village in June
(CNN) -- More than a week after announcing two vacationers had contracted hantavirus -- one of them fatally -- Yosemite National Park said Monday that authorities have determined another person died after contracting the disease while visiting the park.
In addition to this fatality, Yosemite said in a news release that officials had identified "a probable fourth case of hantavirus."
All four cases involve people who stayed at the park's popular Curry Village in mid-June. The park said its officials are trying to reach those who vacationed in these "tent cabins" from June through this month, when the accommodations were thoroughly cleaned, and urge them to get medical help if they show any symptoms of hantavirus.
Hantavirus cardiopulmonary syndrome is a rare but often fatal lung disease that kills about a third of those who get infected. Don Neubacher, Yosemite's superintendent, noted that people typically don't fall ill with hantavirus until between one and six weeks after they are exposed.
"The health of our visitors is our paramount concern, and we are making every effort to notify and inform our visitors of any potential illness," Neubacher said.
In the United States, the carriers of hantavirus are deer mice, cotton rats, rice rats and white-footed mice, according to the U.S. Centers for Disease Control and Prevention. The virus can be present in the rodents' urine, droppings and saliva, and is spread to people when they breathe in air contaminated with the virus, the CDC says.
The virus is not communicable from person to person.
Earlier this month, the California Department of Public Health said two state residents who came down with the disease may have been exposed to mice droppings or urine that contained hantavirus while staying at the park.
An unidentified 37-year-old man from the San Francisco Bay area died in late July, said Dr. Vicki Kramer, chief of the department's vector-borne disease section.
A Southern California woman in her 40s survived and is recovering, Kramer told CNN.
The two stayed in separate locations at the village, which contains about 400 canvas tent and wooden cabins. Yosemite ranger and spokesman Scott Gediman described the cabins as "very sparse but comfortable."
Park officials have not given details about the one new confirmed case or the "probable" one.
Officials have focused on deer mice, common in the high-elevation eastern Sierra Nevada region. The mice are gray or brown on top, with white bellies. Their ears have no fur.
"Rodents can infest a whole range of these structures," Kramer said. "Deer mice can get in a hole one-quarter inch in diameter."
In addition to cleaning the 400 camp structures, park officials have said they've increased routine measures to reduce the hantavirus risk.
"You cannot eliminate all the mice," Kramer said. "There are a lot of people and snacks that people bring into their tents or cabins."
Prior to this year, Yosemite National Park saw one hantavirus case each in 2000 and 2010.
There is no specific treatment for a hantavirus infection, according to the CDC, but the earlier a patient is brought to intensive care, the better.
Diagnosis is difficult, because early symptoms of fever, muscle aches and fatigue often are confused with the flu.
"However, if the individual is experiencing fever and fatigue, and has a history of potential rural rodent exposure, together with shortness of breath, (that) would be strongly suggestive of HPS," the CDC says.

Living with multiple sclerosis means struggles and triumphs


STORY HIGHLIGHTS
  • iReporters share their experiences with multiple sclerosis
  • MS affects about 400,000 Americans and 2 million people worldwide
  • The disease makes it difficult to control muscular activity
(CNN) -- It started in May of last year for Beth Ulibarri, as she would go on the occasional long run.
"I would experience a tingling sensation throughout my lower legs. I described it as feeling like something was tickling my legs from the inside and just figured it was my muscles firing away from the exertion of the run."
Less than a year and many medical tests later, the Albuquerque, New Mexico, resident was diagnosed with multiple sclerosis, or MS.
"My biggest struggle has been dealing with the unknown -- questions that do not have answers," she said. "Concern for my children -- will they get this disease as well? Concern for my future. Will I end up in a wheelchair? Concern for how my husband will handle everything to come."
Multiple sclerosis affects about 400,000 Americans and 2 million people worldwide, according to the National Multiple Sclerosis Society. It can damage the protective outer lining of nerve cells, making it difficult to control muscular activity.
Ann Romney, scheduled to speak on Tuesday night at the Republican National Convention, has spoken often about her experiences with the disease during the presidential campaign.
Jack Osbourne's recent diagnosis has received a lot of attention as well.
Ulibarri is one of many who shared their stories of struggle and triumph with the iReport community.
She confessed that she worried that the disease would affect her ability to take part in athletic activity.
"One of the first things I did was research athletes who have MS," she said. "I was relieved to find many runners and triathletes who have MS who continue to train and even do amazing things like run marathons and do Ironmans."
Dr. Timothy Vollmer, the director of Neurology Clinical Research at the University of Colorado-Denver, even says that such activity can be beneficial.
"We encourage patients to really think about lifestyle issues, to maximize their activity and exercise, and also to maximize healthy diet, because we now know those things do impact the amount of residual disability people have."
Since she was diagnosed, Ulibarri has completed one marathon and has qualified for the Boston marathon.
"I know that eventually this disease may prevent me from doing things like running marathons, and I will have to accept that as it comes," she said. "For now, I am incredibly grateful for each day I can get out of bed and head out the door."
As CNN's iReporters showed, no two people afflicted with MS have exactly the same symptoms, and no two people will react to it the same way. While Ulibarri lives her life publicly with MS, others have felt the need to hide their disease.
One such person is an Ohio man who wanted to go by the name ofMichael Taylor for this story.
"All I want is to build a career (and) a family, work out and golf. Pretty normal for an active and ambitious 25-year-old," he said. "But I find myself attempting to plan for the future and ask questions. I find myself injecting my leg with medication I know little of, and asking questions on a daily basis."
Taylor has had MS for years but only found out about it earlier this month. So far, he has hidden his MS, over worries that it could hurt his career.
"The fact is that most adult Americans know someone with MS, they just don't know they have MS because they keep it quiet," Vollmer said.
"The fear is that they will have relapses, they won't be able to work, they're not reliable. That's actually not true for the majority of them."
As for Taylor, he says he has been able to get by with the occasional bout of numbness or loss of strength. "I just recently completed a rigorous ropes course that many healthy non-MSers could not."
Helen Solinski found herself in the same boat as Taylor in 2003.
"The first few years, I tried to hide my disease and pushed myself as hard as I could, but there was a point when I simply let go," said the Saratoga, California, resident. "I realized I couldn't bear to stand on the sidelines, hoping for better MS drugs."
Solinski left her job in Silicon Valley to work with the Myelin Repair Foundation, an organization searching for a cure for MS.
"My goal is to prevent future generations from having to make important life decisions around a chronic disease -- it's not what I want for my son," she said.
Christina Lamb Sidell of Williston, Vermont, wasn't sure she would be able to have a son.
"I had similar symptoms as Jack Osbourne, but was lucky that my doctor figured out within just a few days of my seeing him that I had MS."
At 35, she was told she could either wait a minimum of two years to have children or have children right away.
"During pregnancy, there is a decrease in having an attack of MS," Vollmer said. "But there's a rebound effect after delivery. There's an increased risk in having a relapse three to six months after delivery.
"If you look at populations with more pregnancies or less pregnancies, the women with less pregnancies actually have more disability. We do not recommend that women delay pregnancy because of MS."
A year and a half later, Sidell's son was born. She and her husband call him their "free gift with disease." And yes, "he is perfect."
Carol Sadrozinske was told she might not be able to raise her son when she was diagnosed while pregnant in 1987, at the age of 23 (many people with MS are diagnosed quite early in life, with the peak of the disease coming at 29 or 30, according to Vollmer).
"I was encouraged to put the child up for adoption, since at the time stress from childbearing and child rearing were thought to be detrimental to the health of a woman with a diagnosis of multiple sclerosis," she explained.
She ignored the advice, and by 1996 was a mother of three boys.
She has had her ups and downs with the disease, included a devastating fall earlier this year that left her bruised with a broken arm.
"The worst part of the disease is not knowing what each day will bring," she said. "Will I be able to see? Will I be able to walk? Am I making any sense when I speak?"
Even so, her three sons -- now 24, 21 and 19 -- have brought her tremendous joy.
"Their joys, triumphs and struggles make my life worthwhile. Not to mention that their love alone gives me the courage to survive. I believe that the best thing I have done is ignore the advice to not have children!"
On the flip side, Beth McCann's daughter, Molly, just had to share how proud she is of her mother, who has suffered the debilitating effects of MS for 17 years.
"The worst form of MS is primary progressive, and my mother is one away from the worst. You can do the math. She lost her beautiful singing voice and her memory is declining to the point where she is forgetting even my cousins' names."
Now 20, McCann, of Eagan, Minnesota, said that she has had to grow up quickly and gained a sense of independence.
"It's the hardest thing in the world watching the person you love and admire the most in this world slowly, slowly decline to more and more disability and losses in her life. It is like a death sentence of my mother, but in slow motion to me."
Even so, she has always admired how her mother handled it.
"Throughout her progression, she is so positive, never complains, is always joking and refuses to let this disease get the best of her."
Like so many who spoke to CNN, McCann has found that little things can help conquer the disease at the worst moments.
"This is all I've known of my mother. I love her regardless of this disease. Despite being sick, she still loves life; and sees the beauty in all of its challenges. She is the best mother a girl could ask for."

The Nets’ new $1 billion Barclays Center is already completely covered in rust, by design


When Brooklyn Nets part-owner Jay-Z opens up the new Barclays Center with a series of hippin' and the hoppin' concerts in late September, those attendees who haven't walked by the new Nets arena might be surprised at the building's rustic exterior look. Or "rusty" exterior look. Because, seriously,there's rust all over the outside of the place. On purpose.
The New York Times is reporting that the building has been covered in 12,000 pieces of something called "weathering steel," which appears to be a needlessly long way of describing "rusted metal." The impetus behind the use of the product is apparently a mix of function and fashion, and popular in some parts of New York City. Though some, according to the Times' piece, have yet to be swayed.
Weathering steel — often known by its old brand name, Cor-Ten — develops a fine layer of rust, which then acts as a protective coating against moisture, slowing its own corrosion process almost to a stop. While it can look suspiciously unfinished to the casual observer, it has many fans in the world of art and architecture.
This industrial, raw-looking material can be seen on a smattering of homes in and around New York City, and though they may be vastly different in design, scale and method of construction, they all have one thing in common: a fiery apron of orange on patches of the pavement below. That is because especially in its early life, weathering steel drips.
Though the "weathering steel" phenomenon is catching on in parts of NYC, the Times admits that "residential examples are not plentiful." Worse, as anyone who grew up with a Datsun station wagon in the family's driveway will tell you, when hit by rain rust tends to bleed. Even if it doesn't sleep.
It seeps, actually, right down to the pavement below where it stains the sidewalks and stoops. Worse, it discolors windows; some of which might belong to neighboring residents or business owners that didn't quite get on board with the idea behind pre-stained metal as something to be admired as a party piece.
Worse, to me, is the fact that the pre-rusted steel was "put through more than a dozen wet-and-dry cycles a day" at a treatment center in Indianapolis before it was sent Brooklyn's way. I'm not exactly chaining myself to trees or trading in that Datsun for a Prius, but that seems like a ridiculous waste of a finite necessity just for mostly aesthetic uses.
This is nothing new, of course. For years blue jeans have come pre-worn, and even Fender introduceda series of "road worn" guitars a decade ago in order to give musicians the feeling that comes from playing an instrument that has been knocked around for a while. The building, if we're honest, doesn't look all that bad.
It's 2012, though, and trends tend to be trendy and impermanent; much more so than a pair of blue jeans or Fender Stratocaster. The fashion behind a rusted-out exterior could fade long before the stained sidewalks ever do. Which could be another shot to the bow of Brooklyn residents, already wary of the Nets muscling into their block.

Another death in the family for Sylvester Stallone


Sylvester Stallone has suffered the loss of another loved one.
Six weeks after his 36-year-old son, Sage, died unexpectedly, the actor has lost his only sister. Toni Ann Filiti, the 48-year-old half-sister of “The Expendables 2” star, succumbed to lung cancer on Sunday. She died at their mother Jackie Stallone’s Santa Monica home after choosing to leave UCLA hospital.
“I was holding her in my arms,” Jackie, 90, told the New York Daily News. “I had just washed [her] face and told her how pretty she looked, and she just fell asleep. … She’s too young to go, but she wasn’t feeling any pain.”
Jackie, an astrologer and psychic, personally broke the news of Toni’s death to her famous son. “He said he can’t take any more pain,” she told the newspaper. “He said he’ll always be there for her son. ... What a terrible month – first Sage and now Toni. It’s hard. At least they’re together now in heaven.”
On July 13, the actor’s son Sage Moonblood Stallone was found dead in his Studio City, California, apartment. Authorities said there were no signs of foul play, but there were reportedly numerous pill bottles nearby. Sasha Czack, Sage’s mother and Sly’s first wife, said Sage was in pain after dental surgery. A toxicology report is pending.
Toni Ann Filiti and Jackie Stallone (Getty Images)After Sage’s death, Sly took an extended family vacation, traveling to Europe with his third wife, Jennifer Flavin, and their three daughters. He later joined his “Expendables 2” cast mates, including Arnold Schwarzenegger, Jean-Claude Van Damme, and Jason Statham to promote the action flick, which has been tops at the box office the past two weekends.
"It's tough. It's very tough," the 66-year-old told "Good Morning America" about the loss of his son. "It's a horrible situation, but time hopefully will heal and you try to get through it. It's just something that's a reality of life."
Unfortunately, it’s a reality he’s experienced a lot lately.

Isaac hits hurricane strength as it nears New Orleans


A powerful storm bearing down on the Gulf Coast and New Orleans is now a hurricane, US forecasters say.
Hurricane Isaac boasting winds of at least 75mph (120km/h), is likely to make landfall by Tuesday night.
The storm is expected to hit New Orleans seven years after the much stronger Hurricane Katrina.
US President Barack Obama has warned residents in the path of the storm they should not "tempt fate" and should heed evacuation warnings.
In an update, the the storm was 135 miles (220km) south-east of New Orleans, moving north-west at 10mph (17km/h).
Mr Obama has declared an emergency in Louisiana, allowing federal funds to be released to local authorities.
"As we prepare for Isaac to hit, I want to encourage all residents of the Gulf Coast to listen to your local officials and follow their directions - including if they tell you to evacuate," Mr Obama said on Tuesday.
Speaking from the White House, he added: "Now is not the time to tempt fate. Now is not the time to dismiss official warnings. You need to take this seriously."
'Great wall' of New Orleans
Shortly after Isaac reached hurricane status, Louisiana Governor Bobby Jindal called for the Federal Emergency Management Agency (Fema) to make a full emergency declaration for the state.

“Start Quote

We will not have a Katrina-like event”
Mitch LandrieuNew Orleans mayor
He told reporters that a declaration made on Monday did not allow for the reimbursement for state's expenses from the storm.
"We have learned from past experiences that you cannot wait and you have to push the federal bureaucracy," Mr Jindal, who cancelled an appearance at the Republican National Convention because of the storm, said.
New Orleans Mayor Mitch Landrieu said his city was "officially in the fight" on Tuesday, as he confirmed its airport was closed and would not serve as a shelter.
Mr Landrieu said that a 26ft (8m) high levee gate that now protects the areas of the city that were badly flooded in 2005 - which he dubbed "the great wall of New Orleans" - was closed on Tuesday morning.
"We will not have a Katrina-like event," he said, adding there will still be parts of the city that will likely be flooded.
"Do not let this storm lull you into complacency," he said. "People may be getting bored. It's better to be bored than to get hurt."

“Start Quote

Behind Tropical Storm Isaac lurks the ghost of Hurricane Katrina, raising shades of awful memory”
Officials have not ordered any evacuations, telling residents to reinforce their homes and stock up on supplies instead.
The bowl-shaped city of New Orleans is particularly vulnerable to storms, with the centre of the city the furthest below sea-level.
Residents are hoping that billions of dollars spent on reinforcing flood defences that failed catastrophically in 2005 will hold this time.
Robert Washington, a New Orleans resident, told the Associated Press he does not trust the levees.
Mr Washington lives in the Lower Ninth Ward, which saw some of the greatest damage after levees broke during Katrina. He planned to evacuate with his family
"I don't want to take that chance. I saw how it looked after Katrina back here."
In low-lying Plaquemines Parish, much of which lies outside the New Orleans levee system, a local official told Reuters news agency he was "really worried about the storm surge" - adding that a few more years were needed before flood protections were fully completed.
'Storm surge'
Isaac has killed at least 24 people in Haiti and the Dominican Republic, and caused significant flooding and damage in the Caribbean.
It largely bypassed the Republican convention in Tampa, Florida, but prompted a day-long delay to proceedings there.
The National Hurricane Center warned that a possible combined "storm surge" and high tide would cause flooding in coastal areas along the Gulf Coast.
Water would potentially reach 6-12ft (1.8-3.7m) above ground in south-west Louisiana and Mississippi, 4-8ft in Alabama and 3-6ft in south-central Louisiana.
Isaac is also threatening heavy rainfall of as much as 20in (51cm) in isolated spots, and could spark possible tornadoes along the northern Gulf Coast.
Map of New Orleans levees