Issue link: https://www.epageflip.net/i/59529
4B Daily News – Saturday, March 24, 2012 FEATURES Teenager frustrated by 3-way friendship Dear Annie: I'm 16 years old, and I have two best friends, ''Krystina'' and ''Tayler,'' who mean the world to me. Lately, Krystina has been full of drama. She often says she feels left out and hurt. But, Annie, we never do any- thing without including her. Recently, she's been pulling this whole ''you guys never tell me anything until two weeks later'' thing. But I usually tell her everything at the same time I tell Tayler. She even knows stuff about me that Tayler doesn't. But she claims that Tayler tells me personal things that she doesn't repeat. That's not true, and Tayler con- firmed that the three of us learn everything at the same time. If we miss something, it's because it's so unimportant that we forget. But I will admit that sometimes I withhold things because I know Krystina will judge me and make me feel bad when I need her support the most. Still, those times are rare, and I always tell her relatively soon. Yet when I say this to her, it's like we have two different versions of reality. I don't know what to do. I don't want to lose Krystina's friendship. I feel terrible that she's hurting over this, but I have no idea how to change it. I can't text her every time I dye my hair or buy a hamburger, and neither can Tayler. But then, neither does Krystina. So what do we do? — Stuck in the Middle Annie's Mailbox by Kathy Mitchell and Marcy Sugar Dear Stuck: Three-way friendships are sometimes hard to navigate, particular- ly in high school, when hor- mones are running rampant and emotions are harder to control. Krystina's reality actually is a little different, and we suspect she feels she is competing for your affec- tion. The best you can do is frequently reassure her that you value her friendship, think she's a great person and want to stay close. Try not to exclude her, and address her lack of support with honesty at the time it happens. The rest is up to her. Dear Annie: I am married to the greatest woman in the world. Sev- eral years ago, while still in my 20s, I discovered I have a heart condition that requires a lot of medications. I will be dealing with it my entire life. The problem is that lately my libido seems to be almost not there. My wife takes the brunt of my fail- ure in the bedroom and often remarks that I don't find her attrac- tive. But I do. I am more in love with her now than when we mar- ried. We want children, and obvious- ly, this hampers my ability to reproduce. I've been thinking about adoption. With my limita- tions, how do I make my wife feel as amazing as she is? — Want To Feel Young Again Dear Want: Please make an appointment to see your doctor, and ask about changing your med- ications. Sometimes a little tweak- ing can work wonders. More importantly, take your wife with you so the doctor can explain how certain medications might interfere with your sex life. There is no rea- son for her to take this so personal- ly. Frank and frequent communica- tion is the best way to handle it, and work on other ways to make your wife feel amazing in the bed- room. Dear Annie: Like ''Undecided Mom,'' I have boxes of childhood memorabilia for my grown chil- dren, who now have children of their own. Instead of continuing to store their stuff, I've been ''gift- ing'' them with a year's worth of their childhood at a time. When my daughter's first baby was born, I gave her everything I'd saved from her own first year. I loved looking through it. When that first grandchild entered 4th grade last fall, he thought it was great to see his mom's old report cards, projects and pictures from when she was his age. We've shared a lot of laughs and memo- ries this way. — Memory Lane Traveler Annie's Mailbox is written by Kathy Mitchell and Marcy Sugar, longtime editors of the Ann Landers column. Please email your questions to anniesmailboxcomcast.net, or write to: Annie's Mailbox, c/o Creators Syndicate, 737 3rd Street, Hermosa Beach, CA 90254. Nominations sought for fisheries committee The California Department of Fish and Game (DFG) Fisheries Restoration Grant Program (FRGP) is seeking nominations to fill two vacancies on the FRGP Peer Review Committee (PRC). Pursuant to the Public Resources Code, section 6217, members of the PRC are appointed by the direc- tor of DFG to provide advice, oversight and recommen- dations regarding grant funding priorities for the FRGP. Seven of the PRC's 14 representatives are recommend- ed by the California Advisory Committee on Salmon and Steelhead Trout. The remaining seven represent the following interests: one representative from the agricul- ture industry, one representative from the timber indus- try, one representative of public water agency interests, one academic or research scientist with expertise in anadromous fisheries restoration and three county supervisors from coastal counties (the county supervi- ORLAND – As the weather warms, more visi- tors return to Black Butte Lake to take advantage of the great outdoors. All campsites in the Buckhorn Recreation Area and the Orland Buttes Campground will re-open on Friday, March 30. Individual and group campsites in both areas can be reserved in advance, for dates beginning March 30, by calling the National Recreation Reservation Ser- vice (NRRS) at 1-877-444- 6777 or at www.Recre- ation.gov . From Nov. 1 through March 31, the fee for a stan- dard campsite is $16. Beginning Sunday, April 1, the fee for a standard camp- site at either campground is $18 per night. The Buck- horn Group Campground is available for $150 per night. The Orland Buttes Group Campground is available for $100 per night. Day use and camping fees are half price with a federal recreation pass. For More options for pancreatic cancers Q: I am a 55- year-old man who was recently diag- nosed with pan- creatic cancer. It is a neuroendocrine tumor. My doctor will be performing surgery in a couple of weeks and has discussed some new drugs that the FDA recently approved. Can you help me understand my diag- nosis and the new drugs? A: A cancer diagnosis can make a person feel very alone, but be assured you are not alone in your diagnosis. About 44,000 Americans will be diag- nosed with pancreatic cancer this year — accounting for approxi- mately 3 percent of all cancer diagnoses. Neuroendocrine tumors and the more com- mon type of pancreatic cancer start from different types of cells. They have different symptoms and are treated differently. People can lead relatively normal lives for several years with a neuroen- docrine tumor, even if the disease has spread outside the pancreas. There are two new sors are recommended by the California State Associa- tion of Counties). Because the FRGP only awards grants to applicants within coastal counties of California, all representatives must reside in or represent interests in coastal counties in which salmon and steelhead exist. The agriculture and public water agency representa- tive seats are vacant. DFG will accept nominations from the general public for these positions through June 30. Appointed representatives will serve for four years, starting with the PRC meeting in the fall of 2012. To nominate a representative for either the agricul- ture or public water agency seat, send a nomination let- ter to Patty Forbes, FRGP Coordinator, 830 S St., Sacra- mento, CA 95811. Nomination letters should include the resume of the candidate and verification that they represent coastal counties in which salmon and steel- head exist. Black Butte Lake opens campgrounds for the season more information on the new senior or access federal recreation passes, go to http://store.usgs.gov/pass/in dex.html. The collection of day use fees at Black Butte Lake is a year round process. Fees are collected at Buckhorn, Orland Buttes and Eagle Pass Recreation Areas. The fee is $4 per day per car. These fees help offset oper- ating and maintenance costs at Corps Recreation Areas. Fees are not charged in undeveloped areas — Griz- Save on your classified with these coupons! You choose the number of times! No limit on the number of ads per customer, but each customer order MUST BE ACCOMPANIED WITH THE COUPON for the special(s) you want to use. All ads must be PAID IN ADVANCE by cash , check , MasterCard or Visa. Orders may be FAXED, MAILED OR BROUGHT INTO OUR OFFICE . Use the form below for mailing or faxing. Help wanted ads excluded. Our address is P.O. Box 220, Red Bluff, CA 96080, and our FAX number is 527-5774. Final deadline for coupons to be in our office is 12:00 Noon, on March 30, 2012, includes counter, mail and fax. 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NO REFUND or CREDIT if ad is canceled prior to scheduled ending date Print or type your ad in the box below, check the special coupon you wish to use and mail or fax together with your payment. Name_____________________________________________ Address____________________________________________ City______________________________ State___________ Zip_________________ Phone________________________ No. Of Ads W/coupon ______________________ BOLD LINE ($2 ADDITIONAL CHARGE). No copy changes or skip dating on these specials. No refund or credit if ad is canceled prior to scheduled ending date. Ads must be scheduled to start on or before Friday, March 30, 2012. Forms may be copied for additional ads or attach separate sheet. AD 1. zly Flat, Angler's Cove, Burris Creek or Observation Point. A Corps of Engineers Annual Day Use Pass can be purchased for $30. The hang tag pass is good for 12 months and allows access to the recreation areas without paying the $4 day use fee. Annual passes will be avail- able at the Buckhorn entrance station beginning April 1. For additional informa- tion, call (530) 865-4781 or stop by the park office, 8 miles west of Orland on County Road 200. Hours are 7:45 a.m. to 4:30 p.m., Monday through Friday, closed at lunchtime. Or visit spk.usace.army.mil/black- butte.html. FDA-approved drugs for pancreatic neuroendocrine tumors. They are sunitinib (Sutent) and everolimus (Afinitor). These new drugs disrupt molecular- level signaling within can- cerous cells. They work in a much more targeted way than conventional chemotherapy. Cancer specialists see these two new drugs and drugs like them as the exciting new wave of cancer therapy. Your doctor may have reviewed this information with you, but it may help to briefly describe the pancreas. It is a gland that's situated at the back of the abdomen, where it's close to and connected with many other struc- tures in your body. The pancreas has two main functions: It produces digestive fluids and enzymes that are released into the small intestine, and it produces insulin and other hormones that are released into the bloodstream. It is thought that the common type of pancreat- ic cancer comes from cells that produce digestive juices, while the neuroen- docrine tumors arise from islet cells responsible for insulin and other hor- mones. This is the tradi- tional view, but new evi- dence is suggesting that both types of cancer may originate from stem cells. Dr. K by Anthony L. Komaroff, M.D. Your doctor has probably explained that your type of can- cer can be removed surgical- ly. Generally speaking, though, the operation is not performed if the cancer has spread beyond the pancreas itself. In that case, a surgical proce- dure does little to alter the course of the disease. Up to 30 percent of pancreatic neuroen- docrine tumors result in excess release of insulin or other hormones. If too much insulin is pumped out, blood sugar levels can plummet. Extra gas- trin, a hormone that stim- ulates the stomach, can lead to stomach ulcers. Surplus glucagon can make blood sugar levels go up. Now medications called somatostatin analogs are used to con- trol hormone release. They may also slow the growth of the tumors. Con v entional chemotherapy is used to treat pancreatic neuroen- docrine cancer after it has spread. It extends lifes- pan, but it doesn't cure the cancer. The two new drugs sunitinib (Sutent) and everolimus (Afinitor) are exciting alternatives to conventional chemothera- py. Sunitinib inhibits an enzyme critical to a com- plex chain of chemical events — a "signaling pathway." By doing so, it inhibits the spread of can- cer cells. Everolimus inhibits a different enzyme, mTOR, and a different pathway. The basic concept of hom- ing in on a molecular- level target specific to cancer cells is the same. Research shows that sunitinib and everolimus can cut the growth of pan- creatic neuroendocrine cancers in half. But these new medications do have side effects, including high blood pressure and low white blood cell counts. Overall, however, these side effects are less serious than those from conventional chemothera- py. The bottom line is that in this new era of targeted drugs, unusual cancers are becoming more treatable. A diagnosis of cancer is never welcome, but your diagnosis comes at a hopeful time. Submit questions to harvard_adviser@hms.h arvard.edu. Site helps pilots find hospitals Caltrans has launched a website for emergency response pilots to help them find 150 heliport-equipped hos- pitals across California during med- ical emergencies. This service will provide a critical link between hospitals and personnel that respond either to daily or large- scale medical emergencies. "Until now, emergency responders had no single source of information for the locations and capabilities of these heliports," said Acting Caltrans Director Malcolm Dougherty. "This new website provides critical infor- mation at a time when every second counts." The website is intended to aid pilots who fly Emergency Medical Services (EMS) helicopters and helps first responders by providing quick online access to state-permitted hos- pital heliports and the type of emer- gency services each hospital provides. "It's a great resource for any air medical organization," said John Mitchell, Redding Reach Air Medical Services base Lead Pilot. "It reduces pilots' stress levels by familiarizing them with different hospitals' heli- pads and also gives a birds-eye view of each hospital's location and area. I have it marked as a favorite on my browser." The Hospital Heliport website was developed by Caltrans in cooperation with the EMS Authority, EMS opera- tors, and other stakeholders. The result is an interactive state map that shows the locations of hospi- tal heliports. Emergency responders can "zoom" into county or regional views and select information about a particular heliport. Information includes geographic coordinates, trauma center level, and the heliport's proximity to nearby cities and major roads. The site also provides aerial pho- tographs depicting authorized flight paths, and heliport data such as dimensions, lighting, elevation, and helicopter size and weight limits. "Air ambulance services make it possible to transport the most severe- ly injured and sickest patients from distant locations to medical centers that have the needed expertise," said Dr. Howard Backer, Director of the EMS Authority. "Providing hospital landing site information online ensures that air ambulance providers have ready access to accurate infor- mation on receiving facilities' landing sites to improve flight safety." The website address is: http://www.dot.ca.gov/hq/planning/ae ronaut/dataplates.html