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Daily Archives: January 3rd, 2016


December 31, 2015

The Sudden But Well-Deserved Fall of Rahm Emanuel

By Rick Perlstein

 

A majority of Chicagoans now think that the Mayor should resign. It’s hard to remember a time when Rahm Emanuel wasn’t a Democratic Party superstar. Go back to 1991, when the thirty-two-year-old took over fund-raising for Bill Clinton. He was soon renowned for making the staff come to work on Sundays, shrieking into the phone to donors things like “Five thousand dollars is an insult! You’re a twenty-five-thousand-dollar person!”—and, not incidentally, helping Clinton afford the blitz of TV commercials that saved him from the Gennifer Flowers scandal, clearing his course to the White House. The legend continued through this past April, when Rahm—in Chicago and D.C., he’s known by that single name—won a second term as the mayor of Chicago in a come-from-behind landslide.

Nine months later, Chicagoans—and Democrats nationally—are suffering buyer’s remorse. Last month, a Cook County judge ordered the release of a shocking dashcam video of a black seventeen-year-old named Laquan McDonald being shot sixteen times by a policeman while he was walking away. Five days later, the officer was charged with murder. The charge came after four hundred days of public inaction, and only hours before the video’s release. Of almost four hundred police shootings of civilians investigated by the city’s Independent Police Review Authority since 2007, only one was found to be unjustified. So the suspicion was overwhelming that the officer would not have faced discipline at all had officials not feared a riot—especially after it was learned that McDonald’s family had been paid five million dollars from city coffers without ever having filed a lawsuit. Mayor Emanuel claims that he never saw the video. Given that he surely would not have been reëlected had any of this come out before the balloting, a recent poll showed that only seventeen per cent of Chicagoans believe him. And a majority of Chicagoans now think he should resign. ” For twenty years now, there have been those who say that this emperor never had any clothes on in the first place. Given the speed and intensity of his fall, perhaps it’s time to reconsider their case.

Start with the 1992 Presidential campaign. Emanuel persuaded Clinton to prioritize raising money. This, to put it lightly, caught up with him. And while Emanuel was never tied to the fund-raising chicanery involving forgotten names like James Riady, Yah Lin Trie, and John Huang, it was that zeal for cash that provided Clinton’s Presidency its original taint of scandal. Obsessive fund-raising is also the foundation of Emanuel’s political operation in Chicago. When two reporters for the Chicago Reader filed a Freedom of Information Act request for the mayor’s private schedule in 2011 (unlike previous mayors, his public schedule was pretty much blank), they discovered that he almost never met with community leaders. He did, however, spend enormous blocks of time with the rich businessmen, including Republicans, who had showered him with cash.

There are moral complaints to be made about this, to be sure. But the behavior has also failed Emanuel on political grounds: when he found himself in trouble, he was left without a broad base of political support, unlike the previous mayor, Richard M. Daley, who in similar straits fell back on his close relationships in all fifty city wards. When one of those rich Republicans donors—Bruce Rauner, with whom Rahm has vacationed—became Illinois’s governor, last year, at least the scolds could comfort themselves that their mayor would enjoy privileged access to lobby for the city’s needs. But that hasn’t worked, either: instead, Rauner has given Rahm the cold shoulder.

But return to Washington in the early nineteen-nineties, when a grateful Clinton awarded his young charge a prominent White House role. There, Emanuel’s prodigious energy, along with his contempt for what he called “liberal theology,” rocketed him higher and higher into the Clinton stratosphere. “He gets things done,” Clinton’s chief of staff, Erskine Bowles, enthused late in 1996, when Emanuel usurped George Stephanopoulos as senior adviser for policy and strategy. Among his special projects was helping to pass the North American Free Trade Agreement and the 1994 crime bill. He also tried to push Clinton to the right on immigration, advising the President, in a memo in November, 1996, to work to “claim and achieve record deportations of criminal aliens.” These all, in the fullness of time, turned out to be mistakes.

NAFTA, in alienating the Party’s working-class base, contributed to the Democrats losing control of the House of Representatives in 1994. As for the crime bill, which included a “three strikes” provision that mandated life terms for criminals convicted of violent crimes even if their other two offenses were nonviolent, Clinton himself has apologized for it, saying that the policy “made the problem worse.” The attempt to out-Republican the Republicans on immigration never took off. Republicans are the party solely associated with vindictive immigration policies, which leaves them in the long-term crisis they’re finding themselves in now—identified as anathema by Latinos, the nation’s fastest-growing ethnic group. If Rahm had had his way, that never would have happened.

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 In case you haven’t had one yet or are in the age bracket where your Doctor will suggest one (yes suggest!). The article below is as clear as it can be about the procedure and accurate.  I have had the procedure several times over the years.

The Truth About Getting A Colonoscopy

January 02, 2016
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(Photo: Getty Images)

There are a lot of good things about turning 50. You’re more self-aware and more confident. You no longer sweat the small stuff. And if you took care of yourself in the decades prior to hitting the half-century mark, you’re probably in pretty good shape. On the 50-really-stinks side of things: it’s time to schedule a colonoscopy. That involves letting a doctor insert a flexible tube up your bum to check for polyps that could lead to colorectal cancer, the second-leading cause of cancer death.

As a health reporter, I’ve written about the life-saving benefits of colonoscopy for ages. Yet I put off my own procedure for 2 years. I told myself I didn’t have the time (even as I told others to make the time). The truth was I dreaded the necessary bowel cleansing, aka “the prep.” (Are your insides out of whack? Then try The Good Gut Diet.)

After being read a modified riot act by my primary care doctor (I was compliant with everything else except this screen), I finally made the appointment. Then I cancelled it. Then I made it again. And I eventually went through with it. (Here are tips to get over your colonoscopy fears.)

Guess what? There are far things worse than the bowel cleansing. Think an infestation of termites, identity theft or, of course, colon cancer—which, if you have a colonoscopy, could be discovered and treated early.

If you’re shying away from having the screening, it’s probably because you still don’t feel like you know what you’re signing up for. I’m here to enlighten you.

 

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Very rarely will a doctor tell you to shun salads and whole grains. But for a few days leading up to your exam, it’s low-fiber, all the way. You get to eat cake, croissants, white bread, butter, pasta, and meat without the gristle. No popcorn, nuts, seeds. No whole-wheat toast! The rationale is simple: Low-fiber foods move through your digestive tract quickly, making the prep easier.

“Let’s put it this way: we don’t want to find corn kernels or lentils in your colon when we do the screen,” says gastroenterologist Carol Burke, MD of the Cleveland Clinic, adding that these tough-to-digest foods can also clog the scope. “Basically, we want the cleanest colon possible, and eating low-fiber, low-residue, easily-digestible foods will help you achieve that,” she says.

Clear liquids are your friend.

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OK, the cake part was nice. Sadly, the day before your exam, you don’t get cake. You don’t get to eat anything, really. The only things on the menu are clear liquids like white grape juice, bouillon, and water. There are actually more translucent beverages and clear liquid food-like substances than you ever thought, and your doctor will send you a list of approved fare. (To make the water go down easier, try one of these sassy water recipes.)

The prep takes hours.

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Simply put, bowel prep means taking nuclear-strength laxatives. The goal is to get your colon squeaky clean so your doc can see what’s going on in there. It’s also the reason that many people, like me, put off scheduling the screening or never schedule it at all, says Burke. But once your commit, you need to follow through whole-heartedly: You don’t want to be on the table and be told you have to go through it all over again because your prep wasn’t done properly.

There’s more than one way to cleanse your bowels, but the most commonly-prescribed option requires you to drink vats of a liquid polyethylene glycol (PEG)–based solution. The evening before your exam, you’ll start guzzling about a half-gallon of this sludge. It doesn’t taste great, but some regimens can be mixed with flavor packets or Crystal Light. (Check with your doc.)

Every 10-15 minutes you down 8 oz, and about 45 minutes later you’ll start running to the bathroom to eliminate waste. About 5 or 6 hours before your procedure you get to guzzle another half-gallon (again in 8 oz increments, every 10-15 minutes). (Here are other screenings you might consider having for gut health.)

While none of this is super fun—and if you have an early-morning appointment, it means getting up in the middle of the night to finish the job—it’s far easier than downing an entire gallon in one sitting (which is what doctors used to recommend). This newer “split-dosing” is also more effective, says Burke.

If this sounds truly terrible, speak up. There are alternatives, including pills and smaller-volume solutions. “Your doctor will work with you to find the best prep for you both in terms of your health and preference,” says Burke. “We don’t want prep to be an impediment.”

The test isn’t as embarrassing as you imagine.
There really wasn’t much to blush about. “Everything is designed for patient comfort and safety,” says Burke, noting that the only person looking at your butt for a moment is the doctor when he or she checks for hemorrhoids, fissures, or other abnormalities. After that, the scope goes in and all eyes are focused on the screen looking for polyps. (In other words, no one cares about your butt cheeks.)

The only slightly embarrassing moment came post-procedure, when a rather attractive male nurse asked if I had passed gas. I said nope. He then asked me to move my knees up to my chest. I did. And then I tooted, and tooted again. (During the procedure the doctor inflates the colon with air to help get a better view. So the “passing of air,” isn’t done to embarrass you, says Burke, but rather to help get rid of any excess air in the colon. Leftover air in the colon can cause discomfort.)

The test is pretty quick and doesn’t hurt.

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(Photo: Getty Images)

Unless you are a hero and don’t want any anesthesia, you’ll most likely get “conscious sedation”—a drug combo designed to relax you and block any pain. I am not a hero. I got sedation, and I felt nothing. Many people even fall asleep, but I couldn’t stop talking.

The doctor asked me to roll on to my left side and to pull my knees up toward my chest. Then we were off to the races as he inserted the flexible, camera-laden tubing up my butt and gently advanced it through my colon. I heard things like, “excellent prep.” “Things are going well.” And then I remember asking how close we were to being done. My doctor said we were done. The whole thing was over in about 30 minutes.

Best of all, I heard the words that everyone undergoing a colonoscopy hopes to hear: “See you in 10 years.” Translation: nothing suspicious cropped up, and I can wait a decade before my next colonoscopy. (Although you may want to limit some meat consumption to keep your colon healthy.)

As I headed home, I was felt relieved—and ravenous. Many people say they “eat light” after a colonoscopy to avoid cramping and other potential problems. I did not eat light. I tore through a rotisserie chicken like a Viking shield maiden. Then I slept, and dreamed of cake and white bread.

By Joan Raymond

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