What is multiple myeloma
December 9, 2008
Welcome to the Myeloma Beacon, a news resource for multiple myeloma.
I’ve been writing for them for about a month. Although I read through a few general introductions to the disease, it’s taken me a few weeks to develop a comfortable familiarity with the subject. Here are some informal notes on MM, summarized from the description at the Multiple Myeloma Research Foundation.
Notes:
Introduction. Multiple myeloma is a blood cancer; specifically, it affects the plasma cells that normally produce antibodies for the immune system. Plasma cells are the counterpart to white blood cells in the immune system, and both originate from stem cells in blood marrow.
Symptoms. The disease results in osteoporosis of the pelvis, spine, ribs and skull, as well as a number of other symptoms, including hyperalcemia, anemia, renal damage, increased susceptibility to bacterial infection, and impaired production of disease-fighting antibodies.
Origin.
NORMAL ANTIBODY PRODUCTION
Stem cell in bone marrow >> lymphocytes (T cell & B cell);
B cell >> plasma cell >> antibodies (aka immunoglobulins)
IN MULTIPLE MYELOMA
Damaged B cell >> malignant plasma cell (aka myeloma cell) >> travel through bloodstream to accumulate in bone marrow >> more myeloma cells >> messed-up antibodies & bone damage
Mechanism. Myeloma cells send out cytokines, which inhibit natural cell death (apoptosis), and growth factors that create new blood vessels to feed tumors. They also may fail to activate the immune system, so the tumors don’t have anything to stop them from growing.
Effects. Collections of plasma cells cause lesions in the hard outer part of the bone and masses or tumors in soft part of bone or soft tissues (plasmacytoma). The affected bone marrow produces nonfunctional immunoglobulin, called M protein, that gets in the way of normal antibodies and may also shorten their lifespan. Instead of M protein, patients with some forms of myeloma produce incomplete antibodies (Bence Jones myeloma) or none at all (nonsecretory myeloma).
Incidence. The second most prevalent blood cancer after non-Hodgkin’s lymphoma, multiple myeloma accounts for 1% of all cancers in white US residents and 2% of cancers in black residents. There are 5 to 7 new cases out of 100,000 per year. In the US, about 20,000 new cases are expected in 2008; about 56,000 people currently live with the disease.
Risk factors. Male, African American, over 70 years of age, and some occupations (agriculture, petroleum, leather, cosmetology industries).
_Postscript. I am seriously digging wordpress’s new dashboard.
the global dow
December 3, 2008
I would NOT like to be the guy calling the shots on this beast (and by that I mean, how cool would that be??)
Forget ING, I’m switching to HSBC
November 29, 2008
A few months ago, I wrote that I’d look into opening a high interest savings account at ING. I mean, I thought it was pretty cool that a bank could exist purely online. But in spite of its rave online reviews, my user experience with ING has been disappointing.
First, the blaring, ad-like home page just won’t stop asking me to buy more products to “Save Your Money!” From product descriptions all the way down to the license agreement, ING talks to its customers like they’re simpletons looking for an easy way out. I may be a lowly beginner, but stupid I am not.
Secondly, their layout is a mess. At least 70% of the home page contains links I don’t need. The go-to left menu is wasted on product advertisements. Key links for accessing my account are strewn across an awkwardly horizontal menu. And their Microsoft Publisher graphics need serious reconsideration.
To be fair, the Orange Savings Account is only a gateway to more expensive (and profitable) financial products. They offer great deals for online CDs, mortgage and investment services, and an award-winning high interest checking account. Should I open one of these, I might find that ING is the best bank around. But honestly, my investment account is already set up, I’m really rather poor, and all I want is to get 3 to 4% interest on my meager savings.
So what am I looking for? I want a bank that will respect its beginners, present relevant options for growing my money, and provide me with the tools I need to become a more sophisticated saver. Of course, all these requirements are rather immaterial feel good effects of a well-designed user interface. But what can I say, I like design. If I’m getting the same service, I might as well choose the prettier one.
I’ve decided to go with ING’s competitor, HSBC Direct. They have a clean, well-organized interface that’s appropriately monotone and rectangular. All the links I need are neatly stacked in a left menu. Like ING, I can transfer funds to and from my regular checking account for free and watch my interest grow. But unlike ING, I’m not bombarded by silly advertisements and product offers. What’s made me really happy is their neat customer service. Instead of muddling through 10 minutes of robot phone menus, they call you! A customer service representative can dial you at a chosen number, at any time of day.
Finally, a couple quirky details about HSBC that are not great, but not deal breakers:
- This post has been so long in coming because of the two week lag time between registration and the snail-mail arrival of a temporary password, blech!
- HSBC presents the additional formality of signing up for online transfers apart from your account, which is strange, but it’s no trouble at all.
- HSBC accounts have two complete number/letter passwords, whereas ING requires a regular number/letter password and a number code.
iwillteachyoutoberich
October 31, 2008
Well, this is interesting. Ramit Sethi, blogger of iwillteachyoutoberich.com, proposes a November challenge: Save $1000 in 30 days. Here is his promise:
I promise: No stupid frugality tips
I’m not trying to save $1 or even $10 per week, because it’s not worth changing your behavior for that kind of money. Guys, we’re aiming to save $1,000 in 30 days. That’s why this series will not include retarded suggestions like “Start a garden” or “Buy day-old food from bakeries.” I certainly won’t tell you to cut your rent or move to a cheaper place, because NOBODY WILL DO IT! Does anyone ever follow those stupid tips? No, but it sure makes other personal-finance authors feel good about themselves for coming up with a suggestion that theoretically, maybe, somehow could save money for the moron who would do it. Not here.
Here is his plan. And yes, in the knowingly precocious flavor of its namesake, it is called the “C.E.O. plan:”
Save $1000 in 30 days challenge
C = Cut one habit cold-turkey
for example: Reduce eating out. Stop drinking 4 nights/wk.E = Earn more
for example: Sell at least one thing on ebay. Babysitting. Freelancing.O = Optimize spending
for example: Negotiate insurance rates. Optimize cell phone and cable bill.
While I can’t say I’ll commit, I will definitely check in on the tips, because this guy talks like he knows it all. He probably doesn’t, but he knows enough to make what little I know, zero.