Sunday, April 25, 2010

Stories that matter -- Pulitzer prizes

2010

Pulitzer prizes announced

http://www.mefeedia.com/news/30510987

http://www.pulitzer.org/citation/2010-Feature-Photography

http://mediadecoder.blogs.nytimes.com/2010/04/12/washington-post-wins-four-pulitzers-new-york-times-gets-three/

The prize for public service went to the tiny Bristol Herald Courier of southwestern Virginia, circulation 29,000, for revealing that many energy companies failed to pay required royalties on natural gas drilling, and that the royalties that were paid were not reaching the local people who deserved them.

http://www2.tricities.com/tri/special_sections/mineral_rights/

http://www.propublica.org/feature/the-deadly-choices-at-memorial-826

http://www.nytimes.com/2009/08/30/magazine/30doctors.html


2009 and earlier


http://info.vassar.edu/news/2009-2010/091116-urbanstu-berzon-pulitzertalk.html


http://www.pulitzer.org/press_releases

http://www.lasvegassun.com/news/2009/apr/21/sun-wins-pulitzer-prize/

http://www.lasvegassun.com/news/topics/construction-deaths/

http://www.lasvegassun.com/news/2008/mar/30/construction-deaths/ 

http://www.pulitzer.org/bycat/Public-Service

http://www.poynter.org/content/content_view.asp?id=61526

http://www.nytimes.com/1990/04/16/us/town-gets-clean-water-as-paper-gets-a-pulitzer.html

http://www.wdnweb.com/our_newspaper/about_us/

http://www.washingtonpost.com/wp-srv/local/invisible/deaths5.htm 

http://www.pulitzer.org/archives/5747 

http://www.gannett.com/go/newswatch/2002/may/claxton.htm 

Nellie Bly

Seymour Hersch



Woodward and Bernstein

The Smoking Gun
Any fan of researching police and court records should become familiar with The Smoking Gun

http://www.thesmokinggun.com/

Sample lede

Steve Spangler begins his schtick by coaching a woman who stares into a 7 foot long, 3 foot wide vat of 2,500 pounds worth of a sloshing corn starch and water mixture. At Spangler’s cue of “Go, Go, Go!” the woman runs on top of the mixture. She wildly stomps atop of it, punishing the surface of the mix with the soles of her feet. She then scampers to the other side, surprisingly clean of the sloppy mixture, and extends her arms as if to say “Tada!”

Good stuff.

Just some tightening to think about:

Steve Spangler begins his schtick by coaching a woman AS SHE stares into a 7 foot long, 3 foot wide vat of 2,500 pounds of corn starch and water.
“Go, Go, Go!” he yells, and the woman runs across.
She wildly stomps atop of it, punishing the surface of the mix with the soles of her feet. She then scampers to the other side, her feet surprisingly clean and extends her arms as if to say “Tada!”

Once you have captured the moment like this, the trick becomes whether you can tell the story with even fewer words. Fewer words, well chosen, have a bigger impact.

New York Times stories

http://www.nytimes.com/2010/04/25/health/25warrior.html

http://www.washingtonpost.com/wp-dyn/content/article/2007/02/17/AR2007021701172.html

http://www.nytimes.com/2010/04/25/us/25vegas.html

http://www.nytimes.com/2010/04/25/world/middleeast/25saudi.html

Monday, April 19, 2010

Reporting advice

My general advice would be to be open to questions that come up during the interview, and very often the best question to ask is "Why?" Look for why questions, when possible. They lead you to even better interviews, better stories.

Another question: Tell me about where you were when you discovered X. Get them to give you details before some big event occurred.

Ask your sources if they know other people they recommend that you talk to.

Last question: Are there other questions that you think need to be asked? Or ask: What else should people know about this?

Upstate Local Journalism Center

this is at http://wxxi.org/about/jobs/UNYLJC.html

WXXI (Rochester), along with WNED (Buffalo), WRVO (Oswego/Syracuse),
WSKG (Binghamton) and WMHT (Albany) are partnering to create Upstate
New York's Local Journalism Center. Together they will hire a total
of five additional reporters, one at each station. WXXI will also hire an editor and a
managing facilitator.

The Upstate Local Journalism Center will focus on "The Innovation
Trail." The Center's extensive multi-media reporting will help the
public gain a better understanding of the impact of investment in
research and technology projects across the region, the ways that
colleges, universities and medical centers are working to create
opportunities in emerging technologies, and other industry efforts to
transition from a manufacturing base to a knowledge economy. Working
across the region, this initiative will allow reporters to move
beyond traditional media to provide in-depth coverage with a
high-degree of community engagement and involvement.

This is a grant driven, two-year project with the possibility of continued sustainability.

Ground rules for embedded reporters

Excerpts from materials sent by Lt. Col. Paul Fanning:

... All local Afghan as well as international, foreign and/or American media representatives must be credentialed by the CPIC and issued a CFC-A Media Badge to cover U.S. Coalition Forces. Expiration dates will vary depending on length of approved coverage dates and embed periods.

All journalists/media representatives are required to have a CFC-A Media Badge and a CPIC/Public Affairs escort while on Camp Eggers. This includes credentialed media leaving through the checkpoints.

Journalists who are granted access on Camp Eggers or other installations falling under CFC-A are automatically bound by the CFC-A Ground Rules governing coverage in Afghanistan. You and your agency must adhere to all rules and accept the risks that exist when covering activities and operations on or around CFC-A installations. ...

....
A weekly joint International Security Assistance Force (ISAF) and Combined Forces Command-Afghanistan Press Conference is held every Monday at 10 a.m. at the HQ ISAF compound. Media advisories are issued by ISAF/CFC-A prior to each press conference to confirm time and location. All media wishing to attend the joint press conference are asked to arrive at HQ ISAF’s main gate no later than 30 minutes prior to the scheduled press conference to go through security (15 – 20 min). Commercial ground transportation is limited and traffic can be congested. Please be aware of the gate schedules and plan accordingly.

We do not have billeting/housing for journalists. If staying overnight you will be required to make accommodations with a local hotel, unless told otherwise by CPIC personnel.

NOTE: Alcohol, non-prescription drugs, knives and firearms are not allowed on any CFC-A installation/compound. Cellular/satellite phones, cameras/photography, video and computer equipment must be inspected and cleared by Force Protection representatives.

Combined Forces Command-Afghanistan Media Ground Rules

I, __________________________ of _____________________ understand that I am bound to the
(print first, middle initial, last name) (media organization/affiliation)
following CFC-A Media Ground Rules and any violation of these rules will result in the immediate termination of coverage/access to CFC-A units/installations and confiscation of my CFC-A Media Badge. (Please initial) ____________. CFC-A Media Ground Rules:

1. All interviews will be on the record.
2. Media will be escorted by a public affairs representative at all times while in coalition areas, at all tactical or field locations and encampments, unless embedded with a unit. When escorted, media must remain with escorts until released and will follow instructions regarding their activities.
3. When embedded with a unit, media must remain with that unit at all times.
4. Media will not carry or possess personal weapons, knives, firearms or alcohol.
5. The media is responsible for loading and carrying its own equipment at all times.
6. Under no circumstances will media take photographs or video of detainees or persons in custody (to include recognizable face, nametag or other identifying feature), detainee or custody facilities or operations in Afghanistan. No interviews with detainees or persons in custody will be granted.
7. Media will not photograph Special Operations Forces or other equipment. Only photos of personnel in U.S. uniforms will be allowed.
8. The following categories of information are not releasable since their publication or broadcast jeopardize operations and endanger lives:
9. Specific numerical information on troop strength, equipment or critical supplies (e.g. artillery, tanks, landing craft, radars, trucks, water, etc.) for U.S. or coalition units.
10. Names of military installations or specific geographic locations of military units in the CENTCOM area of responsibility, unless released by the Department of Defense.
11. Information regarding future operations, current operations or strikes including postponed or cancelled operations.
12. Information regarding security precautions or force protection measures at military installations or encampments, to include video or still footage. CFC-A PAO may allow photography/video on a case-by-case basis if footage is reviewed prior to release.
13. Photography that shows level of security at military installations or encampments, especially aerial and satellite photography which reveals the name or specific location of military units or installations.
14. Information on intelligence collection activities/operations compromising tactics, techniques and procedures to include targets, methods, analyses and/or results.
15. Information and images of special operations units, U.S. or coalition, unless otherwise directed by the CFC-A public affairs or granted prior approval by Combined Joint Special Operation Task Force (CJSOTF).
16. Rules of engagement details.
17. During an operation, specific information on friendly forces, troop movements, tactical deployments, and dispositions that would jeopardize operational security or lives. Information on ongoing engagements will not be released unless authorized for release by the on-scene commander.
18. Information on effectiveness of enemy electronic warfare.
19. Any additional guidelines the CFC-A PAO determines necessary to protect tactical security.
20. Photos of local nationals employed by the coalition may not be published without written consent of the individual photographed or the Commander of the unit the individual is supporting.
21. Media may terminate coverage and/or embed opportunity at any time and will be offered
transportation from the area of operations, if the tactical situation permits and/or is available.



Hold Harmless/Release from Liability Statement
I recognize that covering combat and other military operations carries with it certain inherent risks to life, limb and equipment. I recognize that U.S. military, in pursuing the successful accomplishment of its mission, cannot guarantee my personal safety or the safety of my equipment. I hereby release the U.S. government and the U.S. military of any liability and hold them harmless for any injuries I may suffer or any equipment that may be damaged as a result of my covering combat or any other military operations. I understand that my agreement to this statement is a condition of being credentialed to cover U.S. military operations and receiving assistance for that coverage.
In consideration of receiving free transportation from the United States Military by land, air or other means that may be reasonably required to cover military operations in Afghanistan, I hereby release the United States Government, including its subdivisions, officers, military personnel, employees, and agents from all liability for any injuries or death that may result to me from this transportation, whether caused by negligence or otherwise.
I understand that in transporting me, the United States Government is not acting as a common carrier for hire and does not bear the liabilities attaching to that status.
I acknowledge that I voluntarily accept such transportation, I incur no obligation toward the United States Government except as imposed by this release.
I agree that this release not only binds me, but also my family, heirs, assigns, administrators, and executors.

A letter from Lt. Col Fanning about embedded reporter Dave Tobin

-----Original Message-----
From: Fanning, Paul A CIV USA NGB

Sent: 5/20/2009 9:29 AM

John:

There were at least two photographers that I am sure have the right shot and I will track them down and get back ASAP. I was the narrator for the ceremony and wasn't taking the shots myself otherwise you would have them now.

As for the award, we have complete professional respect for Dave and the Post Standard and as an organization wanted to and felt compelled to express it. More over, our sentiments were shared and driven by the feedback from our military families, veterans groups and from those in the community who reached out to us after reading Dave's reports. This is our way of saluting him and his special contribution to the community.

Dave and the paper had a tremendous impact because of what was reported and the way in which it was done. Dave earned -- won the trust of everyone back home and in the combat zone. His reporting was independent, accurate and comprehensive. He was not a guy who stayed at the base. He went out nearly everyday on convoys to get his stories and he went "down range" to remote sites as well. he shared the same risks as the soldiers who went "outside the wire" on a daily basis.

He never missed an opportunity, didn't waste any time and I only saw his stories and photos when they were posted on line at the paper's website. I also say his reporting was compelling due to the feedback that came our way. Bottom line -- he was on target.

I know a lot of us who are saying "if you want to know what it was really like for us in Afghanistan go to the Post Standard's website Following Orion and read Dave Tobin's reports."

I do hope that the paper's Central New York readers appreciate Dave's work and the paper's commitment to the story of our deployment and mission. We believe it was a very important story that needed to be told and he did tell it -- extremely well, THE BEST. We appreciate that all newspapers are under incredible pressure today but are grateful on behalf of the community that Dave and the Post Standard went above and beyond in its mission to serve them.

I also mentioned to Dave that I am actively seeking opportunities to engage with academia and news organizations about war coverage and the Army's embedded media program and NY's experience in particular. I think Dave has an important story to tell on his own about his role and that of the Post Standard's.

I will try and get photos to you ASAP.

Lt. Col. Paul Fanning

http://www.dmna.state.ny.us/news/news.php?id=1219956578

Wall Street Journal

http://www.dvidshub.net/?script=news/news_show.php&id=23520

Reporting on War

http://blogs.telegraph.co.uk/culture/christopherhowse/3647251/First_and_greatest_war_correspondent/ 

http://journalism.indiana.edu/resources/erniepyle/

The Death of Captain Waskow

http://todayshistorylesson.wordpress.com/2008/04/18/ernie-pyle-writer-war-hero/ 

http://www.bebo.com/BlogView.jsp?MemberId=271453248&BlogId=6376773354 

http://college.cengage.com/english/lauter/heath/4e/students/author_pages/contemporary/herr_mi.html 

http://www.johnsack.com/company_c_associated_press.htm 

http://www.johnsack.com/company_c_scene.htm 

http://www.esquire.com/features/vietnam-war-m-company-0365 

http://www.esquire.com/features/page-75/greatest-stories 

http://www.pbs.org/weta/reportingamericaatwar/reporters/ 

My Lai 

http://www.pbs.org/wgbh/amex/vietnam/trenches/my_lai.html 

Geraldo Rivera 

Sunday, April 18, 2010

The clash between science journalists and bloggers

http://blogs.discovermagazine.com/loom/2009/03/25/visions-of-the-crash/

http://languagelog.ldc.upenn.edu/nll/?p=402

http://www.badscience.net/2009/03/venal-misleading-pathetic-dangerous-stupid-and-now-busted/

Rashomon and Courage Under Fire



In 12th century Japan, a samurai and his wife are attacked by the notorious bandit Tajomaru, and the samurai ends up dead. Tajomaru is captured shortly afterward and is put on trial, but his story and the wife's are so completely different that a psychic is brought in to allow the murdered man to give his own testimony. He tells yet another completely different story. Finally, a woodcutter who found the body reveals that he saw the whole thing, and his version is again completely different from the others.

Errors in science reporting

Writing about issues such as global warming is complicated, and too few reporters brush up on their science when doing so.

http://www.cjr.org/behind_the_news/a_reporting_error_frozen_in_ti.php

http://www.regrettheerror.com/2009/12/16/crunks-2009-the-year-in-media-errors-and-corrections/

http://pandasthumb.org/archives/2009/08/more-on-science.html

http://blogs.discovermagazine.com/intersection/2009/08/31/how-science-reporting-works/

http://www.phdcomics.com/comics/archive.php?comicid=1174 

http://blogs.discovermagazine.com/intersection/2009/07/17/i-heart-jorge-cham/ 

http://www.timesonline.co.uk/tol/news/environment/article7009081.ece

http://www.guardian.co.uk/environment/2010/feb/21/sea-level-geoscience-retract-siddall 

http://blogs.discovermagazine.com/intersection/2010/01/27/taking-on-glaciergate-the-latest-climate-science-scandal/

Former News II student at NPR internship

Story reported by Zach Tomanelli.

http://www.npr.org/internedition/spring10/?p=349

Sunday, April 11, 2010

Marcellus Shale

http://kdka.com/kdkainvestigators/Marcellus.Shale.drilling.2.1291919.html


In Depth Look at the Potential of the Marcellus Shale Play - Click here for another funny movie.

http://www.cleanskies.com/

Science journalists are needed

Science Journalism from Jim Stovall on Vimeo.

On Being a Science Journalist

Scientific Publication Cycle

Fair and balanced vs. objective and truthful

http://energysmart.wordpress.com/2008/06/27/tradition-washpost-global-warming-reporting-fair-and-balanced/

http://www.crosswalk.com/1303136/

http://www.huffingtonpost.com/laurie-david/global-warming-time-for-t_b_7938.html

Science reporting

http://www.newyorker.com/reporting/2009/10/19/091019fa_fact_gladwell/


http://www.cbsnews.com/video/watch/?id=5377319n&tag=related;photovideo

Reuters employees killed in Iraq

This video shows gun camera footage from an Apache helicopter as Reuters employees were killed in Iraq. A van that went in to try to help someone who survived the initial attack was also shot up. They learned later that two children were inside the van and were hurt in the attack. The military confirmed the validity of this video last week.

How Galen Was Saved

By ED BOND
Let me tell you how we named our dogs.
Tug was a throwaway dog, an eight-week old shepherd-mix pup with fur ravaged by mange. As Amy and I walked her around the block, I would spin the leash in front of her. She would catch it and, well, tug back.Tug
We got her a year ago in February. She left us that March.
Selkie was a black lab, with some shepherd, a messy eater with a nose perpetually coated with her previous meal. She was named out of hope, from an ancient Gaelic mythical creature of the sea with an insecure relationship with man. The hope was that she would not leave us.
We had rescued her in mid-May. She left in mid-June.
By the time we found Shadow, in October, we were mentally exhausted, too drained for a creative name. But she shadowed us around the house, so we applied that verb to her. An Australian Cattle Dog – again with some shepherd – she is muscular and high strung, taken to barking at 1 a.m. Either Amy or I drag ourselves out of bed, and if we have the patience, close our hands to her head, make eye contact and as calmly as possible say, “No barking.”
Galen’s first act with us – this February – was to put his chin on Amy’s thigh, followed by one front paw, then another. His name means calm in Gaelic, but later we would learn his demeanor was part fraud, he was already weary from battling an old enemy of ours.
In a year, we fought that enemy four times, and became too familiar with his attack, the silence, deception and betrayal.
Thirty years ago, this enemy was as common as fleas. Today, vets tell us how unlucky we were to have faced it so often. Most vets never even see it.
The tally, so far: two dead, one survived and one never attacked.
Now let me tell you how we fought canine distemper.

The enemy assembles

“The small brown dog you ordered has arrived,” said the message on our answering machine that rainy February Sunday afternoon. It was the Dog Lady of Los Angeles. “No payment is required. You only need to pick her up.”
Amy and I affectionately call my sister, Karen, the Dog Lady of Los Angeles.  She keeps treats in her car to lure strays and either reunites them with their owners or finds them homes.
Tug had been left in the women’s restroom at Farmer’s Market. She was found in a box next to the garbage can.
That night, we watched a dirty, four-legged creature walk around Karen’s courtyard in that undriven death march of the homeless, less like a puppy than scrawny pink skin held together by exhaustion and despair. We couldn’t tell what kind of dog she was.
Amy shook her head.
“I just don’t know about this,” she said.
“We’ll try it for a week,” I suggested. “And see what happens.”
I was the one who wanted a dog. Our summer wedding was a few months off. We had two cats, but dog helps makes a home.
But the enemy had already invaded and was assembling microscopic armies against us.
We didn’t know.
Amy paged me after Tug’s first trip to the vet, for shots and a checkup.
“I have one word for you,” she said. “Mange.”
She would need weekly dips for the next four weeks to eliminate the microscopic parasites that had eaten her brown and black fur. We had to keep the cats away from her, using spray bottles to drive them off, sometimes having to leave her in the bathroom alone. But classical music soothed her.
For the first two nights, the death march walking continued. I’d find her in the dark, where she paused on one more circuit around the bed and fell asleep.
Then, she realized she didn’t have to walk, that she had a home. She rested, ate, and slowly the real dog emerged. We bought squeaky toys and gave her oatmeal baths to restore her coat.
“You really picked a great dog,” Amy said one day.
That morning, after her walk, Tug had sat down to protest the routine being broken. “It was as if she was saying, `You know you are forgetting something, aren’t you?’ Amy said.
She had forgotten to let her play with the toy in her pocket. So, they played for about 15 minutes, Tug chasing in and around Amy’s legs.  “I love this dog,” she said.
As an airborne virus, distemper is usually breathed in from the aerosol nasal discharge of an infected dog, although sometimes it can be ingested, said Dr. Janet Foley, an infectious diseases fellow at the Center for Companion Animal Health at U.C. Davis. It is a highly unstable virus that does not survive more than a few hours outside of a dog’s body. The virus quickly spreads in enclosed environments, like shelters.
Within 24 of exposure_before she was found in that restroom_the virus had already reached Tug’s tonsils and lymphatic system. It was attacking her natural defenses first. By the second or third day, the virus was attacking her mononucleaic cells, a class of disease-fighting white blood cells. A fever can develop within four days, Foley said.
On her second trip to the vet after we had her for a week, Tug was prescribed an antibiotic for a runny nose. At this stage, distemper is indistinguishable from a lesser problem, like kennel cough.
But it was now attacking the epithelial cells in the lining of the respiratory tract. We didn’t know.
We made the pills into treats, wrapping them in little pieces of bread and made her sit for them. She learned to sit quickly for them, as if to tell us, “I will sit because I love you.”
Amy took Tug to work with her in Sherman Oaks. She became a favorite there and at the vet’s. Tug followed her around the office. Tug wagged her tail and squirmed when I came to pick them up at the end of the day.
“She has the will to live now,” one of Amy’s coworkers said. “That’s the difference.”
In distemper, the course of attack varies with the individual strain of the virus and the ability of the animal to fight the disease. Puppies, especially those who have not had any natural immunity from mother’s milk, are least able to fight it off. Between the third and the ninth day, the virus has become wide spread throughout the dog.
The virus attacks cells with what is called a cytopathic response, invading a healthy cell, causing them to swell up and die.
The danger of the mange faded, and after four weeks, the gates and barriers we had used to keep her away from the cats came down. I brought her to Moorpark College, where I was teaching journalism, and let her play with the students.
It was about 7 o’clock on a Monday morning, rather than soiling the rug as usual, Tug barked to go out for the first time and then squirmed and squealed at my feet, waiting for me to take her outside.
She was housebroken.
But the enemy had assembled its forces. That afternoon, the virus struck.
The distemper had destroyed the white blood cells that filled a lining called the meneges – between the spinal cord and brain – that had been defending Tug’s grey matter.
After the first seizure, Tug was confused and barking. Amy and her boss had to corner her before she could take her to the closest vet she could find, in Studio City.
What had happened was similar to using a pair of wire cutters to strip the insulation from an electrical wire. Nerve cells are protected by a sheath of cells called mylen. If the mylen decays, “it is very much like a short circuit,” Foley said.
The mylen is not necessarily destroyed by the distemper, but sometimes is destroyed by the dog’s own antibodies trying to attack the virus.
Tug’s first seizure was brief. The Studio City vet let Tug go back to the office. Epilepsy was one possibility. Or maybe she ate a spider.      Or there was something called distemper.
Amy left Tug at the office with her friends so that she could work a shift  at her other job as a bartender. I was planning to pick her up when my pager went off again.
It was raining.
Tug had another seizure, much worse, and was back at the vet in Studio City.  The rain was chopping into fine pellets making it difficult to find the right building on Ventura Boulevard. I waited for a half-hour in a little room until I could meet Dr. Stein.
Distemper was still only one of a handful of possibilities, until they got the blood tests the next day. If it was distemper, well “Distemper dogs usually don’t live,” Dr. Stein said.

Facing the reality

He took me into a room where the cats are housed_distemper is only contagious among canines_Tug had been put there as a precaution. She had been loaded down with drugs but still dragged herself out of her stupor to say hello.
The phone rang early the next morning. Tug had more seizures. “You should be prepared for the worst,” Stein said.
“We’d still like to have her back,” I said. “Can we pick her up this afternoon?”
I called Amy after teaching a morning class at Los Angeles Valley College. “It’s distemper,” she said, and then added firmly. “But it is NOT a death sentence. We are going to do everything we can for her.”
“You bet,” I said. Boosting the immune system was the key, we were told.  And our regular vet was willing to try a few treatments.
Somehow, for us that became a vow to fight for Tug any way we could.
“After these changes happen, I don’t find that they have much of a chance,” Foley said.
Dr. Stein explained the basic medication that afternoon: Phenobarbital and anti-biotics every 12 hours. The Phenobarbital was to control the seizures and antibiotics – which I had originally assumed was to attack the virus – was meant to prevent secondary diseases from attacking in the absence of an immune system either weakened or already destroyed by the virus. She was also given Valium to supplement the Phenobarbital.
“In about a week, she’ll either get better,” he said as we left. “Or the seizures will get worse.”
A blonde-haired young man handed Tug to us through a door in the back of the building. The muscles in her head were rigid and bulging. Saliva drained from her mouth, and snot and mucous coated the fur on her chest. I wrapped Tug in a blue towel as I took her into my arms and put her onto Amy’s lap after she got into the car.
Throughout the long rush hour drive home in the sunset traffic, we took turns talking to her. “Good girl Tug. You’re going to be OK, Tug.”
That Friday night, I collapsed asleep on the couch. Amy was bartending, and for the past few days we seemed to be going around the clock, cleaning up Tug, making her comfortable, getting the medication into her, and getting food into her. With the seizures and the drugs, Tug had been unconscious for a couple of days.
Then, as I dozed on the couch at about 12:30 a.m., something jarred at my arm.
I’d left her in a basket on the floor by my side.
Tug jumped at my arm again. She cried. She was awake and had to go outside.
Her walk was staggered, the legs having trouble supporting her. She seemed to propel herself forward to keep herself upright. And kept drifting off to the side like a drunkard headed for the bar.
She could barely support herself when she stopped to pee. She walked for a half a block with me. Back inside, she kept walking, and as she walked I used a syringe to squirt food and water into her mouth.
We kept that up for another hour, until Amy got home from work. “You’re going to get better,” I told Tug. “You’re going to be playing on the beach with us real soon.”
The beach in Playa del Rey had been her favorite place.
Unfortunately, the demylenization is not the main attack of distemper.  “It’s more a secondary problem,” Foley said.
Distemper attacks nearly every organ in the body, from the kidneys and liver to the enamel in the teeth, as well as the structure of the eyes, and the tear ducts. In the brain, while the short-circuiting of seizures is occurring, the virus is also attacking other cells including those of the cerebellum, where the higher consciousness resides.
We didn’t know it, but we were losing Tug cell by cell.
The fight lasted another two weeks. Our vet tried acupuncture treatments and vitamin C. We didn’t want to think about killing her. The seizures were not painful, we were told, the animal simply feels nothing during the episode. Tug seemed to settle down into a pattern of one long but mild seizure. Often we felt the top of her head as the two muscles there throbbed rhythmically.
Like having a baby, we took over all her bodily functions for her, hoping that if we took care of everything else, she could fight off the virus. She lost control of her bowels and we diapered her. We bathed her and fed her with a baby bottle, a formula of special puppy food, milk supplement and water blended into a kind of canine milkshake.
As long as she kept eating, which she did, we felt there was a chance.
We lost sleep. It seemed our eyes were playing tricks on us, not sure if she was seizuring or just breathing, we watched her carefully, looking for any hope.
One morning after preparing a cocktail of her medicines in a shot glass of water heated in the microwave, I watched in bleary-eyed disbelief as the yellowish solution evaporated before my eyes. The glass split in two.
It took a couple of minutes for my addled mind to realize that heating the water in a microwave had ruined the glass. A small hole had cracked the bottom.
Eventually, pneumonia set in.
At times it seemed that Tug would forget to breathe and only remember to as we called out to her.
By now we were moving her legs and head for her to keep her muscles from atrophying. We changed her position routinely to keep the fluids from the pneumonia from settling in one part of her lungs.
After one breathless period, late one night as we thought about getting ready to put her down for the night, my tired brain tricked my mouth into saying the words. “Do you think we should put her to sleep?”
But we weren’t ready to give up yet. We continued the routine until one Sunday morning after she had eaten a portion of the food in her baby bottle. Tug choked and vomited on me.
The virus had finally attacked her stomach. We weren’t able to feed her.
Later that day, while I was at work, Tug stopped breathing again and Amy hospitalized her at our vet.
They were able to feed her better, and a more intensive drug treatment was started with an intravenous tube.
While visiting her a couple days later, our vet, Dr. B.. suggested one more thing.  She had heard of a vet in Lancaster who used some unorthodox treatments, and asked if she could try a blood transfusion from another dog she had that had survived distemper.
Her idea would not work. That vet, Dr. Alson Sears of Lancaster, had tried without success using simple blood serum from distemper dogs. But the treatment that he claims does work is a little more mysterious than that.
Tug died in her sleep, just before her evening medication, sparing us the decision to euthanize her. We were on the way to visit her. I was making an awkward left turn just a couple of blocks away from the vet when the pager went off. I handed it to Amy.
“It’s the vet’s,” she said. Then after a busy silence as we moved through traffic, she said, “I think it’s bad news.”
She was brought to us in an examination room, wrapped loosely in a blue blanket, and laid on a table, resting with her eyes open and cool to the touch. In the three weeks we had battled the virus, Tug’s fur had come in, more a full shepherd now. Her legs had been growing, giving the slightest suggestion of adult shape.
I was surprised to collapse in tears against Amy.

Picking up the pieces

About a month and a half after Tug’s ashes were scattered on the beach_ in a ceremony with my sister and some close friends _I absent-mindedly picked up an animal rescue newspaper at the neighborhood market on an evening walk. I handed it to Amy without thinking.
She stopped.
“It looks like Tug,” Amy said. A story about a litter of Labrador/shepherd mix puppies that needed to be rescued from a shelter included a photo of a Tug-like dog.
That puppy died of a ruptured intestine before we could reach the woman who was trying to find them homes. But Amy found Selkie among its siblings.
The Selkie is a creature from Gaelic legend, half-human, half-seal. We had recently seen “The Secret of Roan Innish,” which tells the tale of a man who captures a Selkie and lives in fear of losing her. We had heard she might be a good water dog, so the name seemed appropriate.
Within minutes of picking her up, I was in an examining room presenting her to Dr. B.
Dr. B. gave the animal an exam, her shots _ we weren’t going to let it happen again _ and the usual tests. She shrugged and said “Feed her and love her.”
“Isn’t this the scrawniest thing on four legs you’ve ever seen,” she said to another vet.
The routine returned, a puppy in the back seat on our morning commute that would stay with Amy all day.Then she developed a small cough.
“It could be kennel cough,” Karen said. Maybe.
We had her tested again for distemper. She’d been tested before and was found clean. That was the only reason we accepted her. The second test may have been pointless, since the vaccination she got from Dr. B. would have thrown it off.
“It couldn’t be distemper again,” we kept saying to ourselves.
If it was, we at least knew we had a better chance fighting it now, before the seizures started. We put aside the fear for the worst and did what we could to boost her immune system. At least that might help her with the kennel cough  — or whatever that was.
“The amazing coughing dog,” is what we started calling her, even as I chopped vegetables for hours as part of a special diet suggested by the Venice Animal Alliance. I would mix them with raw lamb and the rest of her food. But Selkie wouldn’t eat it.
We started giving her vitamin C pills. She didn’t like them wrapped in bread. We would have to open her mouth and toss them down her gullet.
She remained skin and bones on four legs. She developed a fever, but we still hoped.
Then one morning when I had asked to work at home, Amy called from the vet.  She was about to get on the freeway when Selkie had a chewing gum seizure.
“I’ll be right there,” I said.
A chewing gum seizure is a twisted smacking of the gums, where the sides of the dog’s mouth snarl up, and the saliva is released and sometimes foams.
Again in an examining room with Selkie, Dr. B. asked us to think about putting her to sleep this time.
“I can’t do that,” Amy said. Now she was the one crying. “Not while she’s still with us.”
Selkie started to seizure again, more like a rabid dog. Dr. B. found a point on her leg and pressed her thumb on it. `”It’s an accupressure point,” she said. “It is supposed to relieve the seizure.”
Her mouth stopped flaring.
I had one idea.
“Who was this vet you told us about,” I asked Dr. B. “The one up in Lancaster?”
I got a name and phone number for Dr. Sears, brought Selkie home and called.  No, a technician who answered the phone said, there is nothing they could do once the seizures started.
I spent the next 24 hours with Selkie, cleaning her, comforting her, and giving her medication. Oddly enough, she got her appetite back and started eating everything I gave her, including that vegetable/raw lamb mix she used to refuse. In between seizures she was a normal dog.
I kept searching the Internet for information on distemper, even e-mailed a couple of vets, trying to find out the survival rate for dogs after seizures started. I found nothing I didn’t already know.
On the second night, Amy and I were bathing her when another seizure started.
At first I thought it was just from the shock of being in the water again.  But Selkie was locked in a permanent short-circuit.
It didn’t stop after we took her out of the bath.
It didn’t stop after we dried her off.
It didn’t stop to let us get her evening medication into her. We only were able to drip a drop or two into her mouth as her head jerked side to side, throwing spit.
Our friend, Margaret Owens happened to stop by that night.     “It’s not fair to her anymore,” she said.
Our vet was already closed for the night. Finally, we decided we could not wait until morning. We started going through the phone book. Just before midnight, we climbed into the back of Margaret’s four-wheel drive and she drove us to an emergency veterinary hospital on Sepulveda near Westwood.
We waited for half an hour, with Selkie on my lap spraying spit on me as I watched a bad episode of Star Trek on the waiting room television. We watched to make sure there were no dogs around. Only cats.
Finally we were shown in to a vet. We explained she had distemper.
She gave her quick look.
“What do you want me to do?”
“We think she should be put to sleep,” Amy said.
A few minutes later, after signing the paperwork, we were brought into another room. Selkie was lying on the table, still spraying spit back and forth. A tube had been inserted into her leg. The fatal injection was ready.
“Good-bye Selkie,” Amy said. “I’m sorry, Selkie.”
“Bye-bye Selkie,” I said. “We tried.”
We both kissed her on the top of the head. The table was cool and smooth.  The vet began the injection.
Finally, the seizures stopped.
Selkie’s head stopped thrashing. The drooling ended. The puppy we knew returned, falling asleep.
“She is no longer with us,” said the vet, almost crying herself.  “Please, in the future, make sure you get the dog vaccinated.”
She meant well. She didn’t know the virus had beaten us to the needle again.
Selkie died on my birthday in June. We scattered her on the same beach as Tug.
In July we forgot about dead dogs, and returned to Upstate New York to get married. Some friends of mine sent us a card with $80, to be used to buy a new puppy.

Living with paranoia

“You guys are on restriction,” Dr. B. told us. “The next dog you get, I have to approve it.”
By that she meant, if we brought in another dog that she had any doubts about, she would just take it away from us.Shadow cost $100, but that included a free bag of food and a coupon to get her fixed.
She had been born in a South-Central animal shelter in August. We started looking for her in October. Our friends insisted on coming with us as we went from shelter to shelter, afraid Amy would fall in love with the sickest thing to come along.
But we found Shadow in a pet store in Westwood. PALS had rescued her from the South-Central shelter and kept her for a month to make sure she was healthy before putting her up for adoption.
She was playful and quick to lick Amy. Most importantly she was strong. Amy took her for her first checkup. “You don’t realize,” Dr. B. said to the puppy, “your four paws just landed in the lap of luxury.”
“[Dr. B.] has a message for you,” Amy told me later. “ `Good job.’ ”
Again, we took another puppy with us to Sherman Oaks. But Shadow was too full of energy. She chewed furniture, bit fingers, peed in the wrong places, once on top of an important piece of paper that had the misfortune to land on the floor.
We were _ mostly me _ the most paranoid dog owners in the world.
Before getting Shadow, we had moved to a new house. Most of Tug’s and Selkie’s toys and bedding had been thrown out– just in case. I never let her off the property. And when I found a foreign deposit on the front lawn from a strange dog, I not only picked it up, but I wrapped the newspaper I picked it up with and wrapped it in a plastic bag.
Then I wrapped that bag in another plastic bag.
I guess I would have wrapped Shadow in plastic bags if I could have.
Each month we took her to the vet for booster shots. In late October, she started sneezing.
I panicked, suddenly realizing that we had washed her in the same plastic tub that we had bathed Tug and Selkie in. I e-mailed some vets, but was reassured distemper could not be transmitted after so long. “Distemper needs a live animal or a laboratory to survive,” one vet said in an e-mail.
The sneezing didn’t last. In December, she got her final vaccination shot, which included the shot for rabies. I clasped the rabies tag in my hand like an alcoholic with a one-year chip from AA. “Now we have a real dog,” I said.
However, she was the most paranoid animal we could have had. Since we had kept her away from other dogs, she didn’t know how to play with them.
“Maybe Shadow needs a friend,” Amy caught herself saying one day. She immediately made me swear never to repeat that. But fate was already working to bring us to Galen.
ot long after Amy absent-mindedly wondered about whether Shadow needed a friend, Karen found another dog, a street dog from Pico and Alvarado Karen was calling “Red Dog,” which she was trying to place in a good home.
In late January during a rainstorm, the engine on Amy’s Toyota blew just beyond Getty Center Drive on the 405. It took a couple of weeks to find the right mechanic, but after the job was done we didn’t have enough money.
We stopped by Karen’s apartment on the way home one night to borrow the money, and Galen introduced himself with chin and paws on Amy’s lap. Again she was in love.
“You don’t have any reservations about him, do you?” Amy asked as we talked about the dog on the way home.
“None,” I said.
Only to myself did I admit that so far almost every dog she has fallen in love with so quickly has died. “Nah,” I thought. “It couldn’t possibly happen again.”For one thing, Galen was an adult, probably about two years old. He was a strong dog who had probably survived on the streets for a while. Most importantly, Dr. B. had checked him over and gave him a clean bill of health.
Karen brought him over to visit Shadow that Saturday. They got along well enough and he liked being with us. So, she just let him stay.
“How do you keep doing this too me?” Amy said.
“What did I do?”
“Look, now we have two cats and two dogs. How did that happen?”
Amy had always suspected that if I had my chance I would fill any house we moved to with animals. Both of my sisters have done so. She had sworn that she would not let it happen. But no, I pointed out. I didn’t do anything. Each animal was either a joint decision or one that she had fallen in love with hopelessly.
Shadow was still a puppy and was already even in height with Galen. We thought that as she grew that might happen to balance Galen’s natural aggressiveness. They played together, a constant game of wrestling with their mouths and teeth. Galen quickly taught Shadow to how to chase cats.
Then, one night, I heard Galen coughing.
It was familiar.
Too familiar.
In the next couple of days, we watched him carefully. His eyelids became heavy. The nose had a discharge. We had him tested.
“If anything happens to Shadow,” Amy said. “I’ll never forgive myself.”
The results showed a low-grade infection. Distemper had found us again. Amy called me.
I had her ask if we should take him to this doctor in Lancaster, this Dr. Sears we had heard of.
“She said that wouldn’t be a bad idea.”
The next day, Karen drove Galen to Lancaster. He threw up on the backseat.

Finding Dr. Sears

It was a few months after Galen’s treatment that I finally talked to Dr. Sears for this story. He hadn’t returned earlier phone calls. I called again.
“Get me out of this,” he said to his wife, Ruth, when he heard I was on the line.
It took some convincing on my part before she let me talk to him. “I just don’t want to go out there again,” he told her.
I wasn’t trying to make him out to be more than he was, I said. I just wanted to write this story. With the understanding that Sears was not attempting to sell himself as a savior of dogs, Ruth put me on the phone with him.
The problem was that the treatment has not been published, except once in the 1970s, and that was a treatment for cats, for a different disease, Sears said. As a treatment for canine distemper, it had not been published.
At a 1974 convention in front of about 2,000 colleagues, Sears brought up his treatment during a seminar.
The lead doctor at the seminar, thought about it, and then said, “Sit down, that’s impossible.”
“I was so mad I was spitting nails,” Sears said.
Forget about getting acceptance, Sears said. He decided to shun publicity because of the continued resistance he expected to see by trying to promote the treatment. “I’ll just keep saving animals.”
Al and Ruth Sears had met at the University of Pennsylvania in the 1950s.  She was a nursing student and he was in vet school. She was from the East Coast, and Al had grown up in the Panama Canal Zone. The moved to California to finish his veterinary training and in the 1960s, Sears started working in the Antelope Valley.
“When I came here, distemper was as common as fleas,” Sears said.
As today, there was no treatment for distemper. And, vaccines were not as strong or reliable. When an outbreak occurred, all that could be done was to make an announcement and ask people to bring in their dogs, line them up and give them shots.
Sears agreed to meet with me. I drove up and had lunch with both of them at a country club. Ruth acts as an office manager. They work in a small, one story building, with a clean, white lobby sometimes visited by Mitchell, a grey and white cat. He had been dropped off one day, never picked up, and eventually became the office cat.
“Call me Al,” Sears said as we shook hands. He was a big man with white hair.
As he drove us to the country club, I told him about the dogs that we lost.  “There must have been something I missed,” I said, talking about how Tug’s symptoms had not tipped us off.
“You can’t tell the difference between a real bad case of kennel cough and a mild case of distemper,” Sears said.
During distemper outbreaks in the 1960s, “we were losing ten dogs a week,” Sears said.
They tried a variety of experimental treatments, including massive doses of vitamin C, another using ether. But no such treatments worked.
“The key to the whole thing is to turn the virus off,” Sears said. By accident, he somehow found a way.
In the 1970s, a paper was released on developing an interferon for dogs.  Essentially, it was a method to stimulate the disease fighting macrophage cells and T-cells to get into a dog’s system in force.
Sears followed a procedure he had heard of for triggering the interferon, and withdrawing a material from the animal at a key time. He did so without the full written report and made a mistake in the timing for withdrawing the material.
But he didn’t know that when he tried the serum on one dog with distemper.
“Literally, the next day, the dog was better,” Sears said.
He mailed a sample of the material to Cornell University. A report returned to him said the levels of interferon were insignificant.
“In the meantime, we were saving dogs,” Sears said. “So we didn’t care.”
But how did it work?
“I don’t know,” Sears said. “What we don’t know to this day is what the material is.”
To find the answer requires intensive research. That requires money and support that Sears does not have and is not willing to seek out because of the strong criticism he received in the 1970s that prompted him to keep his discovery mostly to himself.
Fortunately, our vet had heard of him.
“I’ll probably publish, but it will be when I’m ready to get out of the firing line,” said Sears, who is still at least a couple of years away from retirement, when he wanted to publish.
“I’ve been burned a couple of times by the big guns before,” he continued.  “I finally said, `I don’t care.”
He chose to wait until retiring because of the examples of Copernicus, who believed the Earth revolved around the sun, but fearing the wrath of the church, did not publish until the year of his death, and Galileo, who proved Copernicus right, but had to recant under threat of excommunication and torture from the church.
“These are milestones in science,” said Sears, as he explained why he was so reluctant at first to talk to me. “And everybody remembers them.”
Sears expects that when he publishes his treatment, it will create a similar uproar in the veterinary community. “Everybody will yell and scream,” Sears said. “But then, I’ll be saying, `Fine, yell and scream, but this is what I found.”
In recent years, distemper became less the problem. Parvo, a powerful virus that can survive outside a dog for a long time, which causes severe dehydration, diarrhea and death, became the issue.
Thanks to the stronger and commonplace vaccinations of today, distemper is more rare.
Galen had been the first case Sears had seen in at least six years.
He had a fever when Karen brought Galen in. He was treated with fluids, and antibiotics. He was clearly sick. “He wasn’t fighting anyone,” Sears said.
Sears keeps the material _ the color of weak honey beer _ what he calls “goofy serum” but Ruth prefers the more respectable name of ”Serum X” in a refrigerator near the back door. Ten CCs of the serum was taken from a simple vial and injected into the rump.
Further shots were required. Galen had to stay over the weekend.
The fever was under control in 18 hours.

Facing the skepticism

Foley and other vets are doubtful about such a treatment. Antiviral treatments have not been successful. Most who espouse experimental treatments are only interested in grabbing media attention, funding and patients. “If they’re so wonderful,” Foley said. “Why don’t they come forward and be tested in the methods of science?”
But Foley _ who does not know Sears _ can understand why he hasn’t come forward.  Research costs money, and distemper is better controlled through vaccination.  Finding a treatment after the disease has struck is a low priority in veterinary science.
“If I were to write a grant to study distemper, it wouldn’t get funded,” Foley said.

Coming home

I had to work the Sunday that Amy and Karen brought Galen back, but I was waiting when they got home.
As I waited, I thought about the night before Galen left. Amy and I sat with him in the home office where he had to be kept. We didn’t want Shadow exposed to the virus any more than we had to. We petted him, scratched his head, and took a few pictures. We were saying good-bye.
“I know,” Karen said. “I was so upset. I thought I was going to take him up there and he was going to die there.”
That weekend even Shadow was unhappy.
At about the moment that Galen was brought into the back gate _ breathing, not cremated and scattered on a beach, not comatose or seizuring, all qualities I prefer in dogs _ Shadow launched herself through the dog door into the backyard.
In the chaos that ensued, Karen and Amy explained to me that according to Sears, the virus had been turned off. However, the distemper had probably already done damage, possibly to the stomach, the lungs, most definitely the eyes, the skin on the nose and the pads of the feet.
Distemper attacks the tear ducts, shutting them down, making it impossible for the eyes to naturally rewet themselves. That develops into dry eyes.
Along with treatments of liquid vitamin A on the pads of the feet and on Galen’s nose, which had seemed to dry up and crack like the bed of an evaporated lake, we also had to start putting ointment directly onto Galen’s eyeballs.
Amy held Galen still, as Karen _ who seems to have a talent for these things, and a special relationship with Galen as his original rescuer _ started to apply the ointment. My job was just to hold Shadow.
But she broke free, and with front legs outstretched, she threw herself bodily against Galen. About the closest a dog could come to giving a bear hug, as if to say, “HOORAYYY!! Welcome home!”
We kept up the treatments for a couple of weeks. Galen would sometimes need a muzzle because he hated the eye ointments and nose cream. We watched him carefully, wondering if a smacking of chops was a preliminary chewing gum seizure. Dr. B. saw one of these smacking of chops on a visit.
“If it was an actual seizure, you will see more,” Sears told me. The mylen continues to degrade after decay begins.
It has been months now. And Galen has remained healthy. We have found out he is really an aggressive dog, who will sometimes bite. But we are working on him, and he is getting better.
Meanwhile the love affair continues between our dogs.
Their favorite game is tug

Thursday, April 8, 2010

How scientists think

http://xkcd.com/242/

Final Cut Pro training

There's still a few of you who have not had training in Final Cut Pro, especially log and capture.

So, my offer is that if you meet me either at 9 a.m. or 10 a.m. on a Friday morning until the end of the semester, we'll go find a Final Cut editing computer and put you through the paces. I am usually in Park 275 between 9 and 11 a.m., getting ready for the News Editing lab at 11 a.m., but if I'm not there, you will probably find me in my office.

Or I could be downstairs somewhere, showing someone log and capture.

Ed Bond

Monday, April 5, 2010

Making Sense of Science Reporting

http://www.washingtonpost.com/wp-dyn/content/article/2008/12/05/AR2008120502959.html

Key points:

1) Look for the evidence.

2) Give readers enough information to judge "the strength of a claim"

3) Report "how the news fits into what's already known about the subject,"

4) Follow-ups are important. (Because it's impossible sometimes to get it all on deadline.)

5) Look for context.

6) Look deeply into the numbers.

7) Who sponsored the research and who makes money from its findings?

Blood Test, Statin Afford Potent Shield, Study Says

http://www.washingtonpost.com/wp-dyn/content/article/2008/11/09/AR2008110900852.html

Mrs. Kelley's Monster and The Multi-Leaf Collimator

Here's two stories I'd like everyone to read. The first is by Jon Franklin. The second is by me.

http://www.jonfranklin.com/Stories/Mrs_Kellys_Monster.html

Hospital to Use Precision Device Against Tumors On...
Doctors at St. Joseph in Burbank hope the multi-leaf collimator will cause fewer side effects. Skeptics wonder about its $250,000 cost.

ED BOND
The Los Angeles Times

Copyright, The Times Mirror Company; Los Angeles Times

The mortal game cancer specialists have played for decades goes like this: blast the tumor, not the patient.

A group of doctors at St. Joseph Medical Center in Burbank are about to begin a new round in that confounding task, armed with a $250,000 device called a multi-leaf collimator.

The complicated-sounding machine has a simple purpose, to shape the beams of radiation so that most of the surrounding tissue is left untouched, sparing the patient nausea, diarrhea, discomfort or other side effects.

Doctors at St. Joseph plan to use its precision to test the effectiveness of higher doses of radiation on tumors. By better channeling the radiation, these doctors say, the machine will allow them to provide a level of care closer to that found in major medical institutions with multi-million-dollar equipment.

St. Joseph will be the first community hospital to use the device in California when patient treatment begins within two weeks, according to its manufacturers and members of the California Radiation Oncology Society. The machine will soon be in use at Northridge Hospital Medical Center, UCLA Medical Center, Cedars-Sinai Medical Center, and Sutter Memorial Hospital in Sacramento.

Some praise the machine as a breakthrough that finally gives the medical community a reliable tool for attacking a tumor. But others are more skeptical, saying that the machine is expensive and unnecessary.

"Right now we do a fairly good job of confining the radiation dose," said Dr. Donald Fuller, a San Diego radiation oncologist, who said most hospitals now use neither the multi-leaf nor its more expensive cousin. "If it is more expensive (to use the multi-leaf), can it be justified? These are the kinds of dilemmas we are wrestling with."

"This needs to be validated," acknowledged Dr. Christopher Rose, associate technical director at St. Joseph's radiation oncology department, who helped push for the technology to be developed in the mid-1980s. "It may be a $250,000 piece of junk."

The National Cancer Institute is planning a nationwide study next year on the effectiveness of multi-leaf collimators in fighting prostate cancer, said Dr. Dwight Kaufman, acting assistant director of the institute's radiation research program.

"Whether it translates into better control of cancer with less toxicity still remains to be seen," Kaufman said.

But supporters of the new procedure say they're betting it will prove an affordable way to focus radiation doses on tumors.

"This is the latest frontier in answering the question of how do we improve radiation treatment," said Dr. Michael Steinberg, of the Santa Monica Cancer Treatment Center, who is president of the California Radiation Oncology Society.

Here's how it works.

Until now, cancer specialists have had to protect the flesh around a tumor with blocks of a lead alloy, shaped to protect vital organs from a field of radiation.

The multi-leaf, however, protects healthy tissue by covering it with overlapping leaves of metal. Each leaf blocks out an area in the field of radiation, allowing only a shape approximately matching that of the tumor for the beam to pass through.

The multi-leaf also improves that way doctors can aim radiation at a tumor, supporters said. Instead of only being able to fire the radiation through the side or through the front, the new equipment uses a computer to continually change that shape of the beam as it rotates around the patient. This way, the tumor can be attacked from every angle.

The multi-leaf is not the only piece of equipment meant to sharpen the stream of radiation. Science has created far more precise tools, such as the equipment used for proton radiation treatment at the cancer center at Loma Linda University Medical Center. But that equipment cost $45 million, and it is one of only two in the United States.

Proton radiation hits only the tumor, said Dr. Jerry Slater, clinical director for the department of radiation medicine at Loma Linda. Radiation from the multi-leaf, by contrast, still must pass through some healthy tissue to get to the tumor.

Compared with conventional treatments, the multi-leaf collimator is expected to do the most good in reaching tumors in the deep, hard-to-access areas of the body, such as the pancreas or the prostate. Those organs are lodged between the bladder and the rectum, which are particularly susceptible to harm by radiation.

It is already clear that the equipment will not be useful for all types of cancer. About 10% of the 700 cancer patients using radiation therapy at St. Joseph will be likely candidates for the new device, said Dr. Leslie Botnick, director of the Radiation Oncology Department at St. Joseph. Cancers such as lymphoma and Hodgkin's disease are not limited to a small area of the body, so patients with these illnesses would not benefit as much from the machine.

At Northridge Hospital Medical Center, it was the bottom line that encouraged hospital administrators to approve the purchase of their own multi-leaf collimator, which will be delivered in December, said Dr. Aaron Fingerhut, the hospital's director of the radiation oncology department at the Thomas and Dorothy Leavy Cancer Center.

"Right now we have a technician who manufactures these lead blocks, which is time-consuming, and then they have to be lifted up to shoulder height and mounted on the machine," Fingerhut said. A full-time technician earns more than $50,000 a year, so in a few years the hospital could recoup the cost on the device, he added.

With the multi-leaf collimator, treatments could eventually be made faster and more cost-effective, Fingerhut said. Some day, having the machine could increase a hospital's business, because insurance companies and health-maintenance organizations might send patients to the less-expensive program, he said.

One thing doctors at St. Joseph hope to do is use the machine to experiment with giving patients higher radiation doses. Researchers there say that if the machine really spares surrounding tissue, higher levels of radiation can be tried on tumors.

"St. Joseph's clearly wants to be a hitter in the high-dose studies," said Dr. Scotte Doggett, medical director of radiation oncology at Sutter Memorial Hospital in Sacramento, which also plans to use the device. The work at St. Joseph may encourage others, he said.

It is important to note, however, that despite high hopes, the multi-leaf might not be the answer for hospitals struggling to provide appropriate care for patients with cancer.

Loma Linda's Slater said that although he thinks the new machine represents a step forward, proton radiation treatment is "a magnitude ahead."

Buying a high-technology piece of equipment may be an unlikely step for a community hospital in a struggling economy, said Botnick, who came to St. Joseph along with Rose in the early 1980s from the Joint Center for Radiation Therapy at Harvard Medical School, which had begun the nation's first studies in shaping radiation beams.

The two came to St. Joseph to study ways to bring the same level of care found at a university hospital to a community hospital.

"I think if (hospital administrators) had to make the decision in 1992 economics, they wouldn't have done it," Botnick said. "This is not going to help us make more money."

Still, said Rose, the technology is too important to be ignored.

"The issue is, can it be done in a community hospital?" he said. "That's what we're going to try to find out."
[Illustration]
PHOTO: Radiation oncologist Dr. Arnold Malcolm and radiation therapist Carol Nemeth with multi-leaf collimator. Carlos Reyes poses as patient.; PHOTO: Display shows how a beam of radiation is aimed on the cross-section of a patient's body. / RICARDO DeARATANHA / Los Angeles Times

Reproduced with permission of the copyright owner. Further reproduction or distribution is prohibited without permission.
Section: Metro; PART-B; Zones Desk
ISSN/ISBN: 04583035
Text Word Count 1258

What we are looking for

http://edbondreporter2.blogspot.com/2010/01/what-im-looking-for-in-your-writing.html

http://edbondreporter2.blogspot.com/2010/02/some-notes-on-tryout-assignment.html

Sunday, April 4, 2010

Science Journalism

http://www.mnn.com/technology/research-innovations/stories/media-mayhem-bad-news-and-news-done-badly

http://www.healthjournalism.org/blog/2009/05/former-cnn-producer-on-h1n1-coverage-retaining-audience-through-fear-mongering/

http://www.unisci.com/stories/20022/0523024.htm

Snoutbreak '09 - The Last 100 Days
The Daily Show With Jon StewartMon - Thurs 11p / 10c
www.thedailyshow.com
Daily Show
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http://www.who.int/csr/don/2009_10_23/en/index.html

http://www.webmd.com/cold-and-flu/features/what-is-pandemic



http://www.onthemedia.org/transcripts/2009/10/09/01


http://articles.latimes.com/2009/apr/30/science/sci-swine-reality30




http://video.msn.com/?mkt=en-US&playlist=videoByUuids:uuids:58108144-fc76-454f-abab-27005aedce2d&showPlaylist=true

http://www.myfoxatlanta.com/dpp/news/Health_Watch_Hand_Sanitizer_Dangers_102609

http://video.msn.com/video.aspx?mkt=en-us&vid=58108144-fc76-454f-abab-27005aedce2d

http://www.cbc.ca/clips/mov/northwilson-2-sanitizer090624.mov

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Global warming vs. climate change
http://scienceblogs.com/framing-science/2009/06/study_do_the_terms_global_warm.php

http://mises.org/Community/blogs/tokyotom/archive/2008/04/08/why-those-sneaky-enviros-changed-from-quot-global-warming-quot-to-quot-climate-change-quot.aspx