CasesBlog - Medical and Health Blog: February 2009

Health News of the Day

Health News of the Day is a daily summary made from the selected links I post on Twitter. It is in a bullet points format with links to the original sources which include 350 RSS feeds that produce about 2,500 items per day.

Reglan (Metoclopramide) Gets 'Black Box' Warning for tardive dyskinesia. More than 2 million Americans use Metoclopramide, according to the FDA. Reglan (metoclopramide) is the most common cause of drug-induced movement disorders. 20% of patients who took Reglan did so for longer than 3 months despite recommendations to limit use to less than 3 months http://is.gd/l9CD
Weight Loss May Take 250 Minutes of Exercise a Week http://is.gd/l9ED
Hostile men more prone to weight gain than their laid-back peers. Prior studies have linked hostility to heart disease, high blood pressure, and a greater overall mortality risk http://is.gd/la0c
Emotional stress raises older adults' fall risk: 12-fold following a bout of anger. Sadness was linked to a nearly 6-fold increase in the risk of a fall-related fracture http://is.gd/la15
Nucleic acid amplification tests for TB can cut the time for laboratory diagnosis from weeks to days http://is.gd/l9ui

Image source: OpenClipArt.org, public domain.

Describe what Twitter means for you in 140 characters

Dave Winer, the creator of RSS describes what Twitter means for him in 126 characters:

	davewiner Twitter is my shared notepad. If I want to remember something and I don't mind if everyone else knows it, I just post it here. about 9 hours ago from web
	davewiner More and more I use Twitter as if it were del.icio.us. about 10 hours ago from web

I agree.

EdBennett @markhawker Thanks. I like Twitter, but get nervous investing time and attention on a platform that feels fragile. 8:19 PM Jan 2nd from web in reply to markhawker

jsebooth just overhauled my twitter account. i scrapped the idea of using twitter for RSS feeds. Twitter now for humans. Google Reader for RSS. 2:22 PM Dec 28th, 2008 from twhirl

om twitter is like blogging. that is why everyone likes to twitter and blog about twitter itself. Sometimes, a tweet is just that a tweet! 1:04 PM Dec 28th, 2008 from twhirl

Berci My brother-in-law told me Twitterers are absolutely not normal to be on Twitter on Christmas night... :) I said it's called commitment 1:18 PM Dec 24th, 2008 from TweetDeck

DrCris @AllergyNotes If you follow more people you start to see twitter as a party conversation - if you are there, you are there. If not, fine. 9:58 PM Dec 22nd, 2008 from TweetDeck in reply to AllergyNotes

AllergyNotes Twitter: "I know that there is always a friend, at any time, which has the answer I am looking for about anything" http://tinyurl.com/9qynx5 9:25 PM Dec 20th, 2008 from TweetDeck

dreamingspires I agree w @allergynotes using Twitter just 2 push blogs is not what it's about, bt sharing quality info in context of yr relevant group is 2:25 AM Dec 29th, 2008 from TweetDeck

If you are included in this post but would like to have your tweet removed for any reason, please email me and will comply with your request the same day.

Health News of the Day

Healthier living could prevent about a third of the most common cancers. Better diet, more exercise and controlling weight could also prevent more than 40 percent of colon and breast cancer cases http://is.gd/kYvn
Good Diet, Physical Activity, and Healthy Weight May Prevent 34% of 12 Common Cancers in the U.S. http://is.gd/kYwa
Obama to create one bundled Medicare payment to cover both hospital stay & care for the patient for 30 days after release http://is.gd/kYwK
The Most Dangerous Place to Drive in the U.S? The South has the Highest Rate of Traffic-Related Deaths. Lowest Rate in NE. The Northeast annual rate of motor vehicle-related deaths was 9.8/100,000 people. The rate in the South was double at 19.5. The state with the highest average annual motor vehicle-related deaths is Mississippi http://is.gd/l0qU
Drug tandem of meropenem and clavulanate (part of Augmentin) works against extensively drug-resistant (XDR) TB. Of 9 million new TB cases annually worldwide, 490,000 are MDR-TB and 40,000 are XDR-TB http://is.gd/l0tU
Bacteria found in human spit generally similar around the world -- different between individuals, not between continents. Human body harbors 10 times more bacterial cells than human cells http://is.gd/l1ub
Men with prostate cancer taking statins were 63% less likely to die from the disease than men not taking statins http://is.gd/l1Bw

Image source: OpenClipArt.org, public domain.

NIH Consensus on Management of Hepatitis B

The Annals of Int Medicine published the National Institutes of Health Consensus on Management of Hepatitis B (free full text). The main points are presented in an easy to understand question and answer format and some of them are summarized below.

What Is the Current Burden of Hepatitis B?

400 million people worldwide are living with chronic HBV infection.

Each year, 500 000 die of cirrhosis and hepatocellular carcinoma.

One million U.S. residents have chronic hepatitis B infection, 2,000-4000 deaths occur per year.

0.3-0.5% of U.S. residents have chronic infection, 47-70% of them are foreign-born.

What Is the Natural History of Hepatitis B?

A small proportion (less than 5%) of adults develop chronic HBV infection.

Chronic infection occurs in almost all children who are infected with hepatitis B during the perinatal period and in up to 50% of children who become infected between 1 and 5 years of age.

Lifelong monitoring is indicated.

What are the Therapeutic Options for Hepatitis B?

7 agents have been approved by the FDA, categorized as either interferons (interferon-2b and peginterferon-2a) or nucleoside or nucleotide analogues (lamivudine, adefovir, entecavir, tenofovir, and telbivudine).

The medications may be used as monotherapy or in combination.

References:
National Institutes of Health Consensus Development Conference Statement: Management of Hepatitis B. Michael F. Sorrell et al. Annals of Int Medicine. 20 January 2009 | Volume 150 Issue 2.
Image source: A simplified drawing of the HBV particle and surface antigen, Wikipedia, public domain.

CNN Video: Millions of Americans take performance-enhancing drugs for the brain

CNN Video: Steroids for the mind, 2:10 minutes.

Medical Geek Humor on Twitter

BiteTheDust @Berci: @Pudliszek @laikas @BiteTheDust While the US twitterers are sleeping, we can rule the twitterosphere. They are just too many-so true 22 minutes ago from TweetDeck

AllergyNotes @BiteTheDust @Berci @laikas "While the US twitterers are sleeping, we can rule the twitterosphere.They are just too many" - Who's sleeping? 8 minutes ago from web in reply to BiteTheDust

doc_rob @BiteTheDust @Berci @laikas "While the US twitterers are sleeping, we can rule the twitterosphere." Are there people outside the US?

Berci RT @doc_rob: @"Are there people outside the US?" Outside the what? :) 2 minutes ago from TweetDeck

If you are included in this post but would like to have your tweet removed for any reason, please email me and will comply with your request the same day.

Health News of the Day

NEJM: Any low-calorie diet works - Reduced-calorie diets result in weight loss regardless of their macronutrients http://is.gd/kUTD
Obama:"Health care reform cannot wait, it must not wait, and it will not wait another year" http://is.gd/kP0J
Obama's budget will seek (staggering) $634 billion over 10 years as a down payment on health care reform. The health reform plan would trim $316 billion over 10 years from Medicare http://is.gd/kUJm
Governor Bobby Jindal was a ‘Pre-Existing Condition’ when his mother was pregnant with him http://is.gd/kOXq
Pork Workers With Novel Neurological Illness caused by exposure to aerosolized pig brains Much Improved A Year Later http://is.gd/kUPV
Cord Serum IgE Level Predicts Atopy up to Age 20 http://tinyurl.com/dzbopy
Teen Obesity as Deadly as Smoking http://tinyurl.com/cqoajy

Image source: OpenClipArt.org, public domain.

Selection of My Twitter Favorites, Edition 44

Twitter is a microblogging service where people answer the question "What are you doing?" via 140-character messages from their cellphone, laptop or desktop. You can select the messages (called "tweets") that you find useful, amusing, or both. Here is the 44th edition of My Twitter Favorites (the oldest post is at the bottom, the newest at the top): Micro-blogging on Twitter is easy, fun and can be very useful and educational if you follow/subscribe to interesting people.
You can read more here: A Doctor's Opinion: Why I Started Microblogging on Twitter and
visit my account at Twitter/AllergyNotes.

zapposBack in Vegas. I have a regular exercise routine everytime I land here: Spend 20 mins walking all around trying to remember where I parked1:29 PM Feb 22nd from txt
AllergyNotesMany people don't feel like writing blogs -- so many great/funny/silly ideas would have gone unpublished if it weren't for Twitter...:)10:59 AM Feb 22nd from TweetDeck
schroncdI like to put on one of my old Joan Baez records once in a while just to see the hair stand up on the cat's back.10:57 AM Feb 22nd from web
schroncdIt always amazes me how, right in the middle of the day, my entire brain can go night-night.10:54 AM Feb 22nd from web
scanmanJawaharlal Nehru: Laziness is the biggest enemy. Mahatma Gandhi: Always love your enemy. As a patriotic Indian, I'm forced to follow both :)2:12 AM Feb 22nd from iTweet
evLately, I keep forgetting my wallet at home. Subconscious reaction to economic slowdown? (Related: thx @willotoons!)9:17 PM Feb 21st from txt
pkedroskyField note: Between layoffs and park emptiness, Disneyland not happiest place in world2:50 PM Feb 21st from txt
davewinerThe first virtual hug goes to @timoreilly just for being a guy who passionately believes in what he evangelizes. You don't have to agree11:02 AM Feb 20th from web
kandersonLate to bed, early to rise, makes a guy grumpy, gives him red eyes. Take that, Ben Franklin!7:56 AM Feb 20th from Twinkle
davewinerAll the escapes are scenic or climate-ic. How about human escapes. A trip for intellectual distance? A 3-day course?4:55 PM Feb 19th from web

If you are included in this post but would like to have your tweet removed for any reason, please email me and will comply with your request the same day.

Should Students Cite Wikipedia in their Academic Papers?

Should College Students Cite Wikipedia in their Academic Papers? The short answer is "no." Do they use it. You bet.

Wikipedia Tutorial: a guide for students When I attended the NEJM Horizons conference last October, I was surprised to hear medical students reporting that their colleagues use Wikipedia as a medical reference text. The wiki platform has a place in medical education but Wikipedia does not require any expert knowledge or credentials verification to contribute. A Wikipedia article is often in the top 5 of Google search results for many queries and the path of least resistance for most searchers is to focus only on the first page of results. This is not a good search (and research) pattern for future physicians, in my opinion. References: Should College Students Cite Wikipedia in their Academic Papers? Amit Agarwal, 2009. NEJM Horizons Conference to Push Boundaries of Traditional Medical Publishing, Day 1 Is Wikipedia a reliable learning resource for medical students? No, according to Advances in Physiology Education http://buff.ly/1A48e9Q

Health News of the Day

People obese at the age of 18 are twice as likely to die prematurely compared to normal-weight http://is.gd/kKrF
Being overweight as a teenager boosts risk of premature death by a third - as much as smoking up to 10 cigarettes a day http://is.gd/kKsr
The incidence of peanut allergy among Australian toddlers has doubled in the past nine years. New term "Gen-A" (generation allergy) reflects high incidence of allergic diseases among children http://is.gd/kIOw
Healthy men over 55 should consider taking finasteride to prevent prostate cancer. Finasteride is a 5-alpha reductase inhibitor used to treat prostate enlargement symptoms and baldness. Finasteride has 2 names: Propecia for baldness and Proscar for BPH, prostate cancer prevention will cost $1,000 a year http://is.gd/kK7Q
Even a little alcohol increses cancer risk in women. 13% of the cancers of the breast, liver, rectum, and upper respiratory/GI system may be related to alcohol use http://is.gd/kK8X

Image source: OpenClipArt.org, public domain.

Health News of the Day

NPR: "A patient of mine asks: 'Now Dr. Smith, are you a doctor doctor, or are you a doctor nurse?'" http://tinyurl.com/bcw43u
Child abuse leaves lasting 'scars' on DNA http://tinyurl.com/bg6ztc
Universal 'Antibody Cocktail' Would Stop All Flu Types http://is.gd/kt5o
Monoclonal antibodies could lead to the development of a flu vaccine that would not have to be changed yearly http://is.gd/kt7e
Antibodies against H5N1 are broadly neutralizing because many influenza strains share the same stem structure http://is.gd/kt7U
"Investigational ragweed vaccine Pollinex Quattro would require only a six-week, six-injection regimen" http://is.gd/kvia
White House budget director: Reducing healthcare costs is crucial for restoring the health of the United States' economy http://is.gd/kzXG
Understanding the epigenome: chromatin does a lot more than hold chromosomes together http://is.gd/kCcg
Play and down time may be as important to a child’s academic experience as reading, science and math http://is.gd/kCcv

Image source: OpenClipArt.org, public domain.

Health News of the Day

Low Vitamin D Levels Linked to Colds and Flu http://is.gd/kCgA
People with the lowest vit. D (less than 10 ng/mL) 36% more likely to have an URTI than those with levels higher than 30
Higher Calcium Intake May Reduce Risk of Colorectal and GI Cancers http://is.gd/kChC
Older people who got most calcium from food/suppl. had a 16% lower risk of colorectal and other cancers of the GI tract
MicroRNAs in blood may lead to new tests for liver toxicity http://is.gd/kCiy
Anger really can kill you by triggering potentially deadly heart rhythms (VT/VF) http://is.gd/kCiW
Earthquakes, war or even the loss of a World Cup Soccer match can increase rates of death from sudden cardiac arrest
Urine test for lipocalin 2 (Lcn2) may tell of breast cancer's spread http://is.gd/kCjz
Lipocalin 2 (Lcn2) gene associated with estrogen receptor (ER)-negative breast cancers
Only 60 percent of the lifeguards reported using sunscreen http://www.nytimes.com/2009...

Image source: OpenClipArt.org, public domain.

The future of pharmacologic stress testing: selective A2A adenosine receptor agonist regadenoson (Lexiscan)?

Adenosine and dipyridamole, the currently available vasodilators for myocardial perfusion imaging, produce hyperemic coronary flow by stimulating A(2A) adenosine receptors on arteriolar vascular smooth muscle cells. However, both vasodilators are nonselective activators of the adenosine receptors A(1), A(2B), and A(3), which contributes to common undesirable effects.

Regadenoson is a new highly selective, low-affinity A(2A) adenosine agonist that is a coronary vasodilator. It was approved by the United States Food and Drug Administration on April 10, 2008 and it will be marketed under the tradename Lexiscan.

Regadenoson is an adenosine derivative as you can guess from its chemical name: 2-{4-[(methylamino)carbonyl]- 1H-pyrazol-1-yl}adenosine.

It has a 2-3 minute biological half-life, as compared with adenosine's 30 second half life. Regadenoson stress protocols using a single bolus have been developed, obviating the need for an intravenous line.

The dose is 0.4 mg of regadenoson (5 mL) delivered by rapid intravenous injection, regardless of body weight, to simulate exercise in radionuclide myocardial perfusion imaging.

Regadenoson should not be given to patients with sinus node dysfunction, unless they have a functioning pacemaker, or second- to third-degree atrioventricular block.

Other warnings in the prescribing information include risk of fatal cardiac arrest, ventricular arrhythmias, myocardial infarction, hypotension, and bronchoconstriction and respiratory compromise in patients with chronic obstructive pulmonary disease or asthma.

References:
The future of pharmacologic stress: selective A2A adenosine receptor agonists. Cerqueira MD. Am J Cardiol. 2004 Jul 22;94(2A):33D-40D; discussion 40D-42D.
Regadenoson, from Wikipedia, the free encyclopedia.
FDA Okays Regadenoson (Lexiscan) as Pharmacologic Stress Agent. Todd Neale, Staff Writer, MedPage Today, April 11, 2008.
Image source: Regadenoson, Wikipedia, public domain.
Image source: Heart, Gray's Anatomy, 1918, public domain.
Image sources: MI, Wikipedia.

Health News of the Day

Low Vitamin D Levels Linked to Colds and Flu http://is.gd/kCgA
People with the lowest vit. D (less than 10 ng/mL) 36% more likely to have an URTI than those with levels higher than 30
Higher Calcium Intake May Reduce Risk of Colorectal and GI Cancers http://is.gd/kChC
Older people who got most calcium from food/suppl. had a 16% lower risk of colorectal and other cancers of the GI tract
MicroRNAs in blood may lead to new tests for liver toxicity http://is.gd/kCiy
Anger really can kill you by triggering potentially deadly heart rhythms (VT/VF) http://is.gd/kCiW
Earthquakes, war or even the loss of a World Cup Soccer match can increase rates of death from sudden cardiac arrest
Urine test for lipocalin 2 (Lcn2) may tell of breast cancer's spread http://is.gd/kCjz
Lipocalin 2 (Lcn2) gene associated with estrogen receptor (ER)-negative breast cancers
Only 60 percent of the lifeguards reported using sunscreen http://www.nytimes.com/2009...

Image source: OpenClipArt.org, public domain.

Health News of the Day

Low Vitamin D Levels Linked to Colds and Flu http://is.gd/kCgA
People with the lowest vit. D (less than 10 ng/mL) 36% more likely to have an URTI than those with levels higher than 30
Higher Calcium Intake May Reduce Risk of Colorectal and GI Cancers http://is.gd/kChC
Older people who got most calcium from food/suppl. had a 16% lower risk of colorectal and other cancers of the GI tract
MicroRNAs in blood may lead to new tests for liver toxicity http://is.gd/kCiy
Anger really can kill you by triggering potentially deadly heart rhythms (VT/VF) http://is.gd/kCiW
Earthquakes, war or even the loss of a World Cup Soccer match can increase rates of death from sudden cardiac arrest
Urine test for lipocalin 2 (Lcn2) may tell of breast cancer's spread http://is.gd/kCjz
Lipocalin 2 (Lcn2) gene associated with estrogen receptor (ER)-negative breast cancers
Only 60 percent of the lifeguards reported using sunscreen http://www.nytimes.com/2009...

Image source: OpenClipArt.org, public domain.

Twitter Song: "You're No One If You're Not On Twitter"

Video: "You're No One If You're Not On Twitter" by Ben Walker, a musician and author of IHateMornings.com.

The video has had 297,011 views as of today. Make that 297,012...

Do you remember the Digg.com song?

Kina Grannis created the “Digg Song” and became an almost instant viral success, so much so that a record company has been in touch with her. Link via Dr Shock MD PhD. Song chorus:

"Gotta digg, gotta digg, gotta digg
Gotta make this story big!"

I have not heard of the "Diagnosis Wenckebach" singers being offered a record deal yet. Strange.

References:
Digg.com and Other Web 2.0 Songs

What USMLE scores do I need to get into the residency/specialty of my choice?

Who else is better to answer this question than the team from First Aid for USMLE? The list below is based on the Step 1 Scores for US Senior applicants:

Tier 1 (Median USMLE Step 1 Scores of 233-243):

Plastic Surgery
Dermatology
Otolaryngology
Diagnostic Radiology
Radiation Oncology
Orthopaedic Surgery
Transitional Year

Tier 2 (Median USMLE Step 1 Scores of 217-222):

Internal Medicine
Pathology
General Surgery
Emergency Medicine
IM/Peds
Anesthesiology
Neurology
Pediatrics

Tier 3 (Medan USMLE Step 1 Scores of 208-213):

Ob/GYN
Family Medicine
PM&R
Psychiatry

How to Score Well on the Board Exams

In 2004, I listed a few tips on How to Score Well on the Boards and some of them are still valid:

- Practice makes perfect
- Read a concise book
- Practice with a lot of MCQs
- The formula "first line, last line, answers" works for many test takers
- Pace yourself
- Calculate 2 variables: the percent of correct answers and the seconds you spend on each question
- For those who like mnemonics, the best free resource is Medical Mnemonics.com

References:
What Score do I need for my Specialty? Firstaidteam.com.
How to Score Well on the Boards?
ABIM Issues Warning Regarding Scam “Certification Boards” Plus How to Score Well on the Real Board Exam

Medical Geek Humor on Twitter

ruraldoctoring Ever have one of those days when you didn't feel like being nice to everybody? I'm having one now. 44 minutes ago from web

chrisseper

@ruraldoctoring I'm with you! 40 minutes ago from TweetDeck in reply to ruraldoctoring

gruntdoc @ruraldoctoring I've never had the opposite 33 minutes ago from TweetDeck in reply to ruraldoctoring

If you are included in this post but would like to have your tweet removed for any reason, please email me and will comply with your request the same day.

Health News of the Day

Children with peanut allergy given small daily doses of peanut flour were able to build tolerance - potential "cure"? http://is.gd/kgMK
You've heard about it in the news but this is the source: Successful oral tolerance induction in severe peanut allergy. http://is.gd/kg4L
Serum interleukin-17 levels are related to clinical severity in allergic rhinitis http://tinyurl.com/dhwjyq
Vitamin B12 Useful for Recurrent Aphthous Stomatitis (RAS), RAS affects 25% in the general population http://is.gd/kizv
in RAS, 74% of patients treated with sublingual vitamin B12 were aphthous ulcer-free compared with 32% with placebo http://is.gd/kizv
Ustekinumab (anti-IL12, IL 23) reduced symptoms of psoriatic arthritis and psoriatic skin lesions, well tolerated http://is.gd/kgAL

Image source: OpenClipArt.org, public domain.

Health News of the Day

Stroke risk increases with the number of fast-food restaurants in a given area http://is.gd/k9vO
For every fast food restaurant in a designated neighborhood, the relative stroke risk increased 1% http://is.gd/k9vO
Psoriasis Drug Raptiva (Efalizumab) Linked to progressive multifocal leukoencephalopathy (PML) in 3 Cases http://is.gd/k9dX
Raptiva (Efalizumab) already has a black box warning about the risk of life-threatening infections, including PML http://is.gd/k9dX
Efalizumab (Raptiva) is a recombinant humanized monoclonal antibody that binds to CD11a, a component of LFA-1 (integrin) http://is.gd/k9fK

Most Americans infected with the AIDS live in cities, with 10 states accounting for 71 percent of cases http://is.gd/k9U2
56,300 people became newly infected with HIV in the U.S. in 2006, 48% were men who have sex with other men http://is.gd/k9U2

Image source: OpenClipArt.org, public domain.

Selection of My Twitter Favorites, Edition 43

Twitter is a microblogging service where people answer the question "What are you doing?" via 140-character messages from their cellphone, laptop or desktop. You can select the messages (called "tweets") that you find useful, amusing, or both. Here is the 43rd edition of My Twitter Favorites (the oldest post is at the bottom, the newest at the top): Micro-blogging on Twitter is easy, fun and can be very useful and educational if you follow/subscribe to interesting people.
You can read more here: A Doctor's Opinion: Why I Started Microblogging on Twitter and
visit my account at Twitter/AllergyNotes.

schroncd Sports fans are skeptical about A-Rod's excuses at his newsconference. If I want to watch a millionaire lying to me, I can always watch CNBC about 7 hours ago from web
medicalstudent Whoever put into Google "feel completely lost medical student" & found my site, if you're out there, get in contact! There's help available about 12 hours ago from TweetDeck
kanderson Even after a long winter, a light snow is still pretty. about 22 hours ago from web
AllergyNotes Video: 100 days, 100 songs, 100 locations, 100 dances, by a graduate student at Yale http://vimeo.com/3237836 -- Not for the faint-hearted. 9:15 PM Feb 17th from TweetDeck
hjluks Saw 4 patients today who want to "rush" surgery due to Cobra and no job prospects. Strange and sad. 7:06 PM Feb 17th from TwitterFon
joemd MD Life: I saw a demented woman today. "Any children?" I asked. "No," she said. She has a daughter. What a loss for both. 6:58 PM Feb 17th from web
hjluks Do patient expectations(from surgery) vary by generation? Is *perfection* the next "standard of care"? 6:52 PM Feb 17th from TwitterFon
AccordionGuy @gapingvoid: Q: What's the difference between a large pizza and a social media specialist? A: A large pizza can feed a family of four. 1:47 PM Feb 17th from web
AllergyNotes RT @steverubel: Great advice from @garyvee about taking criticism http://is.gd/jKgq -- "Don't listen to anyone, listen to everyone " 7:12 PM Feb 16th from TweetDeck
Berci The Doctor as the Second Opinion and the Internet as the First http://bit.ly/16I9lW 11:51 AM Feb 16th from TweetDeck
loic Video shows how you really are and most of you are scared about that. You should not. 11:52 PM Feb 15th from TwitterBerry
rldugan "Success is like wrestling a gorilla. You don't quit when you're tired - You quit when the gorilla is tired." Robert Strauss 11:46 PM Feb 15th from web
AllergyNotes Glad to see that now my blog is #1 Google search result for "wine allergy" before a website called "Nobody Knows Anything" http://is.gd/jEsC 10:53 PM Feb 15th from TweetDeck
steverubel Lance Armstrong's tweets are also quoted in the press http://ping.fm/AnFPD 9:23 PM Feb 15th from Ping.fm
Pogue Landed in Chicago, taxiing. Pilot says, "Look out the left side of the aircraft"--there was AIR FORCE ONE!! Cool! My kids loved it. Me 2. 4:12 PM Feb 14th from twitterrific
zappos Be Humble: “In the beginner's mind there are many possibilities, but in the expert's mind there are few.” - Shunryu Suzuki 1:11 PM Feb 14th from web
chrisseper Wife: "You're too conservative. I'm the wild one." It's the glasses, isn't it? 7:17 AM Feb 14th from txt
schroncd TX Dept of Health is recalling products from peanut plant after finding dead rats. The rats families are also filing a $150 million lawsuit 10:40 PM Feb 13th from web

If you are included in this post but would like to have your tweet removed for any reason, please email me and will comply with your request the same day.

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