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  • 1. Issue IV Family & Living Spice Up Any Occasion With Great Cajun Recipes Fitness SuperSlow: Exercise and Build Strength With This Innovative Workout Method Health Untangling the Web— Find Credible Medical Information Online Tips & Trends Vacationing With Your Pet Travel & Leisure Explore the Freedom of RVing Embark on a Sea Cruise Adventure PFBX5X04 A 2/10/05 10:54 AM Page 1
  • 2. ““The rThe race is not alwace is not always to the swiftays to the swift...but to those who k...but to those who keep on runningeep on running..”” “Act as if it were impossible to fail.” “We come to feel as we behave.” “The race is not always to the swift...but to those who keep on running.”“The race is not always to the swift...but to those who keep on running.” ––Author UnknoAuthor Unknownwn –Dorothy Broude –Paul Pearsall –Author Unknown Proud to support individuals living life in the moment. BEXTRA.com PFBX5X04 A 2/10/05 10:54 AM Page 2
  • 3. COVER STORY 32 Phylicia Rashad: The Gift of Grace Award-winning actress Phylicia Rashad uses her wealth of talent, grace, and charm to give back to the community. FITNESS 8 The SuperSlow Workout Thinking of getting back into exercise? Try SuperSlow: a half- hour weekly workout that has the potential to increase your strength, your metabolism, and your well-being. GARDENING & NATURE 39 A Cold Weather Survival Guide for Your Garden Boost summer’s blooms with some proactive tips for protecting your garden and bringing the thriving-green outdoors indoors during the cool months. FAMILY & LIVING 23 Getting a Good Read We offer a wide array of new good reads, including an inspiring memoir, an intriguing biography, a riveting whodunit, a collection of great interviews, and a surprising romance. 44 Cajun for Any Occasion Southern hospitality diva Dianne Cage shares her down-home recipes and easy tips for preparing classic Cajun cuisine. 48 Good Tunes for Good Times We’ve picked out an outstanding play list from new artists and old favorites. Our review of the choicest new releases from rock, country, and jazz will point you to some good tunes for good times. 54 An Excellent Read on Book Clubs If you like great books and discussing them, then you’ll love book clubs. Joining or starting one is a snap. We show you how. TRAVEL & LEISURE 11 The Lowdown on Low-Carb Beer: Choices Are Brewing Many major breweries are hopping onto the low-carb band- wagon. Get the skinny on the best brews for carb counters. 15 Paradise Afloat: The Cruise Boom There’s a great sea cruise out there for almost any taste or budget. Which one suits your inner sailor, beachcomber, and bon vivant? 26 Hitting the Road in an RV: Freedom and Fun Times Await You Do you like the open road and the freedom of traveling at your own pace? You’re not alone. In the United States, there are over seven million recreational vehicles and counting. Find out why. 58 The Seven Wonders of the Wild Southwest of Ireland An ancient seacoast, countless shades of green, breathtaking views, and 100,000 welcomes. Step into Southwest Ireland’s friendly, tidy towns and its exuberant wild beauty, and explore its seven wonders. HEALTH 6 Take the Treatment Challenge Is your arthritis pain medication everything it should be? 20 Untangling the Web Want to zero in on credible medical information on the Internet, quickly and easily? We’ll show you how with some simple steps for healthy Web surfing. 29 A Patient Profile Barbara List and her pain specialist, Jeffrey Gudin, MD, discuss the modern management of arthritis joint pain and how it’s improved Barbara’s daily life. 52 An Ounce of Prevention . . . It’s All in the Mix Some common drugs, foods, and beverages don’t interact well. Know which ones don’t, so you’ll be sure to avoid a bad mix. TIPS & TRENDS 42 Vacationing With Your Pet Love to travel but can’t leave behind that four-legged member of the family? Find out the latest options for bringing your pet on your next trip. 64 The Etiquette of Gift Giving You’ve been invited to a wedding you cannot attend, should you send a gift? America’s leading lady of good manners, Letitia Baldrige, knows the proper answer to this and other gift-giving questions. Contents 4444 15 32 1111 15 32 2929 2626 5858 Cover photo by Matthew Jordan Smith 4242 From the Editor Welcome to PERFORM™—a magazine dedicated to people who want to live life in the moment. If we had a motto, it would be this: There is no such thing in anyone’s life as an unimportant day. —Alexander Woolcott We’d add to this that there’s also no such thing as an unimportant reader. No matter who you are, you want to do what you want to do, when you’d like to do it. We’ve filled this issue with ideas and tips to help you keep your lifestyle on course. The cover story in this issue is Phylicia Rashad, an award-winning actress who uses her wealth of talent, grace, and charm to give back to the community. In addition to catching up with Broadway’s leading lady, we’ll guide you through relaxing ways to sail on ships that pamper you and to tour the open vistas of America and Ireland in comfort—at your own pace. We also have tips to make traveling with your pets and caring for your garden easy. There are also delicious Cajun recipes to spice up any occasion. Our Health section will give you helpful Web-surfing techniques from the National Institutes of Health as well as the science behind powerful joint pain medicine. Whatever your lifestyle, career, or passion, PERFORM™ offers articles that will inspire you to live life in the moment. PFBX5X04 A 2/10/05 10:54 AM Page 4
  • 4. Joint pain can make it hard to perform many of the activities you enjoy. That’s why you must be clear with your doctor about how joint pain affects your life. Just follow these three simple steps: ANSWER THE TREATMENT CHALLENGE QUESTIONS TO THE RIGHT. Take a moment to think about how you now treat your joint pain. Then check the Yes or No boxes to the right. SHARE THE RESULTS WITH YOUR DOCTOR. Tell your doctor if you’re not getting all the relief you need. DISCUSS HOW YOU WILL TREAT YOUR ARTHRITIS JOINT PAIN. Your Treatment Challenge answers may suggest that it’s time to rethink how you manage joint pain. Important Information. BEXTRA is not for everyone. Prescription BEXTRA should not be taken if you’ve had allergic reactions to certain drugs called sulfonamides, aspirin or other arthritis medicines or if you’ve had aspirin-sensitive asthma or are in late pregnancy. It is not recommended if you have advanced kidney disease. Tell your doctor if you have kidney or liver problems. In rare cases, serious stomach problems such as bleeding can occur without warning. Tell your doctor right away if you develop blisters in the mouth or a rash, as it can be a sign of a serious skin reaction that may be life threat- ening. If you experience other unusual symptoms while taking BEXTRA, tell your doctor immediately. The most common side effects are headache, abdominal pain, indigestion, upper respiratory infection, nausea and diarrhea. Please see important Product Information on page 66. 1 I could not effectively control my arthritis pain. 2 My arthritis pain seemed worse than usual. 3 My arthritis pain interfered with my ability to: a. walk on a level surface. b. go up or down stairs. c. bend over. d. get in or out of a car. e. get in or out of bed. f. perform light chores. g. perform heavy chores. 4 My arthritis pain interfered with my ability to: a. sleep. b. play my favorite sport(s). c. perform daily activities such as shopping. HAVE YOU EXPERIENCED ANY OF THE FOLLOWING IN THE PAST MONTH? Yes No For more information, call toll-free 1-866-864-2600, visit www.BEXTRA.com or mail the Get More Information card between pages 62 and 63. Please see important product information on previous page. Take the Treatment Challenge now! How many Yes answers did you have? If one or more, talk to your doctor today about options for controlling joint pain. SO MUCH POWER, SO MUCH RELIEF™ PFBX5X04 A 2/10/05 10:54 AM Page 6
  • 5. 8 PERFORM SuperSlow FITNESS PERFORM 9 H ow many times have you heard this lately? “I just love exercising! I look forward to getting on that treadmill everyday!” Yes, chances are, unless you’re a marathon runner or a bodybuilder, you’re not looking forward to going to the gym. Or maybe you’re feeling frustrated because you just aren’t seeing any results. When it comes to baby boomers, exercise has become something that looms over us as the panacea for staying young—the best way to keep things like osteoporosis and the other ogres of aging at bay. Well, what if you could get into super shape by adding a once-a-week, 30-minute workout to your exercise routine, without even breaking a sweat? Ah, the ears perked right up! Enter the world of SuperSlow® . The new full-body, weight-based program promising maximum results in minimum time, with little or no chance of injury. Now, other than someone feeding us bonbons while we actually do it, that sounds pretty attractive. That’s why the SuperSlow® method has famous devotees such as Lesley Stahl and Barbara Walters. Not only do they like the valuable time they save, but, like so many others, they delight in the fact that there is no cardio involved. This is a non-dance, non-kick, non-step, non-time-consuming workout that you can almost look forward to doing once a week. You could not take more; you do not need more. The concept is simple: the more muscle you have, the higher your metabolism is, and thus the more calories you’re able to burn. And that means all the things on our wish list for fitness are right within our grasp—weight loss, strength, more energy, being able to greet each day ready to go, with little or no aches and pains. The universal goals of a generation might not seem so far off after all. Q:“What is the SuperSlow® method and why are the benefits potentially so profound?” A: “SuperSlow® is a form of calculated weight lifting and resistance training done just once a week for 20 to 30 minutes total. It is done with slow, fluid, deliberate movements with no stopping between repetitions. By slowing down this process, you achieve greater intensity, allowing you to reach the point we call muscle ‘failure’—the place where you can lift no further, but push on another few seconds. That is in fact where the real benefit occurs. As you become stronger, more weight is added to this circuit. I realize it sounds funny to say that ‘failure’ is a goal, but that’s the way it is. The nurturing and rebuilding of the muscles occurs in the following week, before your next session.” Q:“What actual effect does ‘slow’ have on your muscles and why does it tone better and produce better results than three or more days a week of lifting free weights?” A: “The only advantage that free weights have over machines is that they’re cheap, adjustable, and lack friction. Aside from that, they are basically an adjustable brick. Yes, they provide resistance, but different body parts have their own unique require- ments. This is why we need to figure out what the body does, and then build the equipment to accommodate that. The ‘slow’ effort minimizes momentum, which keeps the muscle more efficiently loaded, which makes the exercise more efficient. ‘Slow’ also minimizes acceleration and force, both of which in excess can cause injury. If you can’t lift it slowly, then don’t try to lift it at all. Explosive movements accomplish nothing.” Q:“Would you recommend this type of training to people of all ages?” A: “First, anyone with a medical condition or injury should consult their doctor before look- ing to begin an exercise program. We have found SuperSlow® to be appropriate for any age or fitness level. In fact, the majority of my clients are in their late 40s and 50s. I even have a few 70-plus clients who come back week after week. Low-force lifting, for a minimum of time, has an incredibly low potential for injury, making SuperSlow® a very safe method of training—not to mention highly effective. It never ceases to surprise people what they are capable of doing. Many who’ve been scared to do anything find they’re actually quite strong. It’s quite a confidence builder.” SuperSlowOr is it too good to be true? Could this be the exercise method we’ve all been waiting for? By Kathie Strauss PERFORM™ asked a SuperSlow® trainer and a master-level SuperSlow® instructor to take us through what this phenomenon is and why it can deliver such spectacular results. PFBX5X04 A 2/10/05 10:54 AM Page 8
  • 6. 10 PERFORM SuperSlow FITNESS PERFORM 11 The Lowdown on Low-Carb Beer: Choices Are Brewing The Lowdown on Low-Carb Beer: Choices Are Brewing Following a strict low-carb diet? Now there’s a range of beers to quench your thirst without breaking your carb bank. Following a strict low-carb diet? Now there’s a range of beers to quench your thirst without breaking your carb bank. By Rick Gervasio The SuperSlow® method was created by Ken Hutchins at Nautilus Industries in Florida as part of an osteoporosis study. More research is still being done, but many years of experience have demonstrated that the SuperSlow® method provides a pleasant and rewarding experience. Most importantly, it should give us all pause to rethink our method of keeping the ogres of aging at bay. “Low-force lifting, for a minimum of time, has an incredibly low potential for injury, making SuperSlow® a very safe method of training. ” For more information or to get in touch with a SuperSlow® trainer, visit www.exercisesolution.com. Working with a trainer familiar with SuperSlow® will ensure you’re performing your workouts as safely, correctly, and slowly as you should. SuperSlow is a registered trademark of Ken Hutchins. Q:“We’ve always been told that sweating is good, that it cleanses the body of unwanted toxins, and that it’s an integral part of exercise. It emotionally tells you you’ve worked out well. Why is this not as important with this method?” A: “Whether sweat accumulates or not doesn’t tell us how hard we’re working. You expend the same amount of calories lifting 100 pounds 10 times whether you sweat or not. Sweating doesn’t rid the body of toxins. That’s what the liver and kidneys are for. Sweating is the body’s cooling system. However, if you get so hot that you begin to sweat a lot, it may be a sign that other deleterious things could happen. The potential for heat exhaustion exists, where concentration and thinking capacity can become fuzzy and deteriorate. It is much better to remain as cool as possible when you train. If the subject starts in a chilled condition, and the room is kept cool, well-ventilated, and low in humidity, then, even if the subject does sweat, that sweat will cool the subject.” Q:“At the start of each session, do you pick up where you left off? Or immediately jump up to more weight?” A: “It depends. The usual guidelines call for moving up in weight after being able to do four to eight repetitions at a given weight. We increase the weight approximately five percent, and repeat the cycle, sticking with the new weight until eight reps can be performed. Eventually, if the subject started at 100 pounds for six reps, he can progress, for example, to 200 pounds for six reps, having doubled his strength. And because the progression occurred in such a way as to be within the body’s capacity for improvement, safety was never compromised.” Q:“As you push your clients to achieve higher weight, does it produce a tightening at the neck or shoulders or in other sensitive muscle groups or joints?” A: “SuperSlow® emphasizes minimizing tension in the neck and joints. Therefore, the potential for injury is reduced as well. This is achieved by maintaining good form and relaxation of uninvolved body parts. Because we train through a full range of motion, the muscles never get the opportunity to tighten up throughout each rep- etition.” Q:“We often hear that it is necessary to do some form of exercise every- day. What is your opinion on this?” A: “It all boils down to how much should we do? With SuperSlow® , it is as much as necessary, and not as much as you can tolerate. If we can get everything out of one 20-minute session per week, why do more? You don’t get proportionally greater results from doing more. However, this doesn’t mean you can’t enjoy other forms of exercise, such as taking a long walk or a relaxing yoga class, to round out your fitness goals.” PFBX5X04 A 2/10/05 10:54 AM Page 10
  • 7. A guide to guilt-free thirst quenching T he low-carb craze is no longer just a fad—millions of Americans have adopted Atkins® , South Beach™, the Zone, or some other variation as their main diet. But what do these carb counters do when it comes to drinking a beer? What about those hot, sun-filled days at the beach, the weekend retreats, or those al fresco dinners with friends? All perfect settings for a crisp, refreshing, ice-cold beer. Until recently, carbophobes would have to skip cold beer or offset such an indulgence by cutting out yet another food from their already restricted diets. Thankfully, beer manufacturers have hopped onto the low-carb bandwagon. And now almost every major brewer has added a low- carb beer to its product line—giving you options for cutting carbs while stocking the fridge or cooler with brewskies. With an eye on your waistline, PERFORM™ has done some homework. We’ve laid out some low-carb options to show you how these really compare from a carb perspective. The time has come to cut carbs The development of light beer over the last few decades was in response to calorie- conscious drinkers and has led to fierce competi- tion for the “best tasting” light beer. And now, not surprisingly, brewers have formulated “low carb” beers to meet the evolving needs of consumers. The carbs from beer come from the choice and amount of grains used in the beer-making process. Many popular American beers have a fairly high carbohydrate count. An average bottle of beer has around 11 grams of carbs in each 12-ounce serving. Inevitably, the process of removing the carbs from beer also removes the body that gives it much of its character. But brewers have been working hard to find ways to preserve or restore the char- acter of their low-carb beers. Many brewers have been able to pro- duce a low-carb beverage that still offers most of the refreshing characteristics people desire in a beer. You may already be drinking a low-carb beer Whether you will like the flavor of low-carb beer will depend, of course, on your taste in beer. If like me you prefer rich-tasting microbrews, then you will probably want to focus on other ways to cut carbs from your diet—because the depth of these beers cannot be matched by low-carb beers. However, most Americans enjoy light, simple lagers like Budweiser® , Coors® , Miller® , or Rolling Rock® , to name just a few. If that’s true for you, then you may find some of these new low-carb The Beer Essentials PERFORM 13 The Lowdown on Low-Carb Beer TRAVEL & LEISURE 12 PERFORM The Lowdown on Low-Carb Beer TRAVEL & LEISURE brews to be a good way to keep your beer and your diet too! And if you already drink light beers, such as Amstel Light® , Bud Light® , or Coors Light® , then you may already be drinking a low-carb beer. Many beer companies are now promoting their existing light-beer brands as “low carb” beer choices. Other companies have developed new brews that offer even fewer carbohydrates for those who demand the lowest amount available. All low-carb beers are not created equal Surprisingly, the carb count in these beers can vary consider- ably from one brand to another. See the table “Low-Carb Beer Options” on the previous page. Beware—some “light beers” have two to three times the carbs of the lowest low-carb beers. Generally, the lower the carbs per serving the less flavorful and more “watery” the beer will taste. However, I’ve found that some low-carb beers taste surprisingly better than others. Plus, there are several steps you can take to bring out the flavor of the beer you choose. Take it from me, the only way you’ll know if you like one of these beers is to try it yourself. If you’re trying hard to adhere to a low-carb diet, you may prefer a low-carb beer over no beer at all. You’ll also be happy to know that low-carb beer has fewer calories than regular beer. Plus, low-carb beers tend to have lower alcohol content. So next time you fill up your cooler, throw in some of these beers and see how they compare. If you are following a low-carb diet, remember that a low-carb diet can lower your tolerance for alcohol. So be sure to drink a lot of water along with your beer and be careful to space your drinks out over time. Low-Carb Beer Options The brands listed here are generally available from major retailers throughout the U.S. Check with your favorite beverage store to see what other local or regional low-carb beers may be available in your area. CARB % BEER COUNT CALORIES ALCOHOL BREWER Amstel Light® 5 g 95 3.5 Heineken USA Aspen Edge® 2.6 g 94 4.13 Coors Brewing Company Bud Light® 6.6 g 110 4.2 Anheuser-Busch Coors Light® 5 g 102 4.2 Coors Brewing Company Corona Light® 5 g 105 4.5 Grupo Modelo, S.A. de C.V. Michelob Ultra® 2.6 g 95 4.2 Anheuser-Busch Miller Lite® 3.2 g 96 4.5 Miller Brewing Company Natural Light® 3.2 g 95 4.2 Anheuser-Busch Rock Green Light® 2.4 g 92 N/A Latrobe Brewing Co. A BRIEF HISTORY OF BEER To understand what low-carb beer is and why it tastes the way it does, it’s helpful to understand the history of beer and how it’s made. Experts believe that beer was among the first beverages created by man. It may even predate the invention of wine and possibly even bread. (Fun fact: “brewing” comes from the same German root word as “bread.”) BREW vb. 1. To make (ale or beer) from malt and hops by infusion, boiling, and fermen- tation. 2. To make (a beverage) by boiling, steeping, or mixing various ingredients. 3. To concoct; devise. 4. To make ale or beer as an occupation. n. 1a. A beverage made by brewing. b. A serving of such a beverage. 2. Something produced as if by brewing; a mix. Most early beers were made from malted barley mixed with water and fermented with the aid of cultured yeasts. But the extreme sweetness of the barley malt had to be cut with something bitter to make it a suitable adult drink. While many different plants and herbs have been used, since the Middle Ages hops has been the preferred additive. Amstel Light is a registered trademark of Amstel USA Inc.; Aspen Edge, Coors, and Coors Light are registered trademarks of Coors Brewing Co.; Atkins is a registered trademark of Atkins Nutritionals, Inc.; Bud Light, Budweiser, Michelob Ultra, and Natural Light are registered trademarks of Anheuser-Busch, Inc.; Corona Light is a registered trademark of Grupo Modelo, S.A. de C.V.; Miller and Miller Lite are registered trademarks of Miller Brewing Co.; Rock Green Light and Rolling Rock are registered trademarks of Latrobe Brewing Co.; The South Beach Diet is a trademark of Dr. Arthur Agatston. One thing is clear: low-carb beers lack the body and flavor of regular beers. Here are some tips for getting the most flavor out of the beer you choose: • Choose bottled beers over canned— cans may add a metallic taste that will mask the beer’s flavor. • Store bottles away from sunlight to avoid skunking—light can skunk a beer within minutes. • Serve your beer right from the fridge or cooler—preferably in a frosted mug. • Add a slice of lemon or lime for additional flavor and to get your taste buds tingling. Low-Carb Beer Options Historically, beer has always been made up of these four ingredients: Water: Not as important as some brewers would have you think, but still somewhat important. The salts and mineral content historically had an impact on the flavor of the brew, although today chemical refinements can make almost any water suitable for use in brewing. Barley: This cereal grass may have been the first grain cultivated by man. Barley comes in two varieties: two-row (original) and six-row (which can be grown in a greater variety of climates). Before use in brewing, barley is “malted” by soaking the grains in water to promote germination. It is then dried and sometimes roasted for flavor. Yeast: Introducing strains of yeast into the malt and water mix (called the “wort”) causes it to ferment. This gives beer its characteristic flavor and converts the sugar into alcohol. Hops: The climbing hop vine grows in Europe, Asia, and North America. In the Middle Ages, dried flowers from the hop vine became the preferred flavoring agent to be added to beer to tone down the excessive sweetness of fermented barley. Hops gives beer its dry and bitter flavor. The strain of the hops used during brewing contributes a lot to the beer’s flavor and character. PFBX5X04 A 2/10/05 10:54 AM Page 12
  • 8. SO MUCH POWER, SO MUCH RELIEF™ PERFORM 15 Vacations at Sea TRAVEL & LEISURE Paradise AfloatThe Cruise Boom Whether your dream vacation consists of visiting a tropical or arctic destination, dining casually or formally, enjoying activity-filled or relaxing days, the choice is yours. By Susan Breslow Sardone ARE YOU READY TO CHALLENGE THE JOINT PAIN OF ARTHRITIS? BEXTRA. Powerful 24-hour relief. One tablet. Once daily. Ask your doctor if a FREE sample of BEXTRA is right for you. One 10-mg BEXTRA Tablet, once a day, provides the kind of 24-hour relief many arthritis sufferers are looking for. Prescription BEXTRA is tough on joint pain and inflammation. And there’s one convenient dose that’s powerful enough to tackle both the joint pain of osteoarthritis and adult rheumatoid arthritis. For more information call 1-866-864-2600 or visit www.BEXTRA.com. Important Information. BEXTRA is not for everyone. Prescription BEXTRA should not be taken if you’ve had allergic reactions to certain drugs called sulfonamides, aspirin or other arthritis medicines or if you’ve had aspirin-sensitive asthma or are in late pregnancy. It is not recommended if you have advanced kidney disease. Tell your doctor if you have kidney or liver problems. In rare cases, serious stomach problems such as bleeding can occur without warning. Tell your doctor right away if you develop blisters in the mouth or a rash, as it can be a sign of a serious skin reaction that may be life threatening. If you experience other unusual symptoms while taking BEXTRA, tell your doctor immediately. The most common side effects are headache, abdominal pain, indigestion, upper respiratory infection, nausea and diarrhea. Please see important Product Information on page 66. PFBX5X04 A 2/10/05 10:54 AM Page 14
  • 9. PERFORM 17 Vacations at Sea TRAVEL & LEISURE 16 PERFORM Vacations at Sea TRAVEL & LEISURE 16 PERFORM S ail into the sunset on your next vacation, aboard one of today’s floating resorts. Thanks to the increased popularity of cruising, if you’re among the 10.6 million travelers who travel by ship this year, you’ll have more options than ever. On the newest ships, amenities equal those of fine hotels: spas that pamper, swimming pools, even concierge and butler service. In port, you can participate in land and water sports, tour historic and cultural points of interest, and shop duty-free. At night, you can enjoy cocktails on the deck under moonlit skies, dance to live music, see a Broadway-style show, and try your luck at the casino. And, with satellite telephone service and 24-hour Internet access, you can stay connected with friends and family—or cut loose completely. Whether your dream vacation consists of visiting a tropical or arctic destination, dining casually or formally, enjoying activity- filled or relaxing days, the choice is yours. The Price Is Right Best of all, cruising can be affordable, offering all-inclusive pricing so vaca- tioners know in advance what a trip will cost (although shore excursions, specialty restaurants, and spa treatments can add to the bottom line). “Travelers can be assured of top-of-the-line service, food, and entertainment, no matter what level of accommodations they select,” says Bob Sharak, executive director of Cruise Lines International Association (CLIA), which represents 24 North American cruise lines. “Budget-conscious travelers can find a cruise for as little as $50 per person per day,” he points out, “including transportation, meals, accommodations, and most activities, depending on choice of cabin, ship, and itinerary.” Cruising for Info Online While nearly 90 percent of travelers book cruises through a travel agent, the Internet is an excellent place to research and compare cruises. “The Web has a wealth of information to help plan a cruise, such as cruise reviews, schedules, deck plans, photos of cabins and common areas, lists of shore excursions and port or onboard activities, and sample dinner menus,” explains Linda Garrison, a leading guide to cruises for About.com (www.cruises.about.com). She adds that online travel agents such as Expedia (www.expe- dia.com) and Travelocity (www.travelocity.com) “offer free search capabilities where you can select a time frame and destination, and see a list of available cruises.” PFBX5X04 A 2/10/05 10:55 AM Page 16
  • 10. PERFORM 19 Vacations at Sea TRAVEL & LEISURE Entertainment at Sea CELEBRITY CRUISES Celebrity Cruises®regales passengers with a variety of entertaining programs on its nine large ships. These can include lectures by stage and screen stars, and shows that bring Broadway pizzazz to the high seas. The youngest fleet at sea, Celebrity ships are floating luxury hotels with contemporary amenities. The 1,950-passenger Constellation, the line’s newest, features a 25,000-square-foot AquaSpa, complete with a thalassotherapy pool and a healthy dining spot, a CD music library, in-room Internet access for laptop- toting guests, and martini and coffee bars. Perfectly timed to view fall foliage, Constellation sails from New York to Canada this year, calling at Newport, Rhode Island, Bar Harbor, Maine, and Quebec City. Eighty percent of her staterooms offer an ocean view, and 74 percent of those have a balcony. The ship also has Caribbean and northern European voyages scheduled. Those who prefer adults-only cruises can choose a “Celebrity Escapes” sailing, limited to passengers over 21. Grown-up pleasures include free wine with dinner, extended spa hours, and sea- day brunches serving complimentary Bloody Marys and Mimosas. Luxury at Sea OCEANIA CRUISES Oceania Cruises™launched in 2002 with two midsize ships, Regatta and Insignia, which each accommodate 684 guests. Appealing to the luxe crowd, this line boasts five-star furnishings, sophisticated adventure- packed itineraries, and a high staff-to-guest ratio. Uncommon touches include a “tranquility bed” covered in 350- thread-count luxury linens with down pillows and a plush duvet, French-milled toiletries and thick towels, and teakwood decks. Onboard facilities include a casino, spa, fitness center, jogging track, and Internet café. Oceania Cruises’ country-club ambience extends to its four open- seating restaurants, with menus designed by well-known chef Jacques Pepin. Yet the ships aren’t stuffy; tuxedos and gowns are never a require- ment for dining. Itineraries are tailored to include many overnight port stays, which allow passengers time to explore local points of interest. In 2005, Oceania’s itineraries include the Amazon, the Baltic, the Greek Isles, the Mediterranean, Scandinavia, Central America, the Caribbean, and South America as well as the Panama Canal and Antarctica. Celebrity Cruises is a registered trademark of Royal Caribbean Cruises, Ltd. Holland America Line is a registered trademark of Holland America. Norwegian Cruise Line (NCL) is a registered trademark of Norwegian Cruise Line, Ltd. Oceania Cruises is a trademark of Oceania Cruises, Inc. Princess Cruises is a registered trademark of Carnival Corporation. Radisson and Radisson Seven Seas Cruises are registered trademarks of Carlson Companies, Inc. Whether you choose to set sail on a large or small ship, can afford a budget or a premium cruise, or opt to travel for just a few days or several weeks, you’re likely to meet many like-minded fellow travelers. That’s because baby boomers make up an ever-growing segment of the cruise market. Today, 34 percent of cruisers are between the ages of 35 and 54, and they’ve discovered that ocean voyages are where the good times roll. Vacations at Sea TRAVEL & LEISURE Freedom at Sea NORWEGIAN CRUISE LINE “Forty percent of North Americans can now embark on a cruise within a half-day drive of their home,” says Linda Coffman of Cruisediva.com (www.cruisediva.com). A boon to fearful flyers, Norwegian Cruise Line® (NCL) offers more roundtrip cruises from U.S. and Canadian ports than any other cruise line. The line’s innovative “freestyle cruising” concept—marked by open seating, extended restaurant hours, multiple alternative dining spots, and resort-casual attire at night—makes for a relaxing, varied vacation. The stylish 2,224-passenger Norwegian Dawn, for example, which sails out of New York City year-round, contains 10 restaurants, including a sushi bar. NCL’s fleet of a dozen ships sails to 140 ports around the world. Most ships feature a Monte Carlo-style casino, a spa, lavish shows, an Internet café, and a wide array of activities and entertain- ment from morning to night. The line’s newest ship is Pride of Aloha, the first modern vessel to fly a U.S. flag in 50 years. She recently began sailing seven-day voyages in the Hawaiian Islands. Adventures at Sea PRINCESS CRUISES Although Princess’ 14-ship fleet calls at ports in every continent, the original “Love Boat” line is best known for its Alaska itineraries. Seven of its ships, ranging from vessels that hold 1,590 passengers to larger ones that hold 2,670 passen- gers, ply the chilly waters surrounding the 49th state’s awe- some scenery. Roundtrip voyages out of Seattle and San Francisco to the Northwest’s Inside Passage are among the line’s most popular. Unique shore excursions, ranging from rides on helicopters that land atop glacial peaks, to horse- back riding through Tongass National Forest, to panning for gold, and dining on freshly caught salmon barbecued over an open fire, add to the experience immeasurably. Sapphire Princess, the newest ship, launched June 2004, features a multitude of balcony cabins, ideal for viewing breaching whales and calving ice packs. This ship offers both traditional fixed seating and the option of any- time dining. She contains four themed dining rooms, plus a main dining room and a trattoria. She also boasts Princess Concierge Service, a Princess-operated Lotus Spa, the fleet's largest Internet café, and Club Fusion, a high-tech entertainment lounge. In cooler months, Sapphire Princess visits the Mexican Riviera and offers Australia-New Zealand and Asia itineraries. Sail Away Since every cruise line is different, the following profiles can help you distinguish one from another and choose a line and a ship that are right for you. Serenity at Sea RADISSON SEVEN SEAS CRUISES Ranked the number-one cruise line by readers of Condé Nast Traveler, premium-class Radisson Seven Seas Cruises® provides passengers with a highly refined and totally relaxing vacation on the water. From the long-stemmed red roses that greet passengers in spacious cabins to the daily delivery of afternoon canapés, Radisson ships entertain graciously. The Seven Seas Navigator, one of the line’s five midsize ships, sails to Bermuda from East Coast ports. All 490 ocean-view suites feature marble baths. The smallest accommodations measure 301 square feet and 90 percent have a private balcony. Cuisine and service at the open-seating Compass Rose are comparable to those at a four-star restaurant. Throughout the ship, announcements and activi- ties are kept to a minimum, so passengers can appreciate the sea air, sunshine, and serene moments without interruption. For those who desire to cruise to a truly exotic destination, Radisson Seven Seas recently acquired Explorer II, specifically designed to sail through icy waters. Beginning in January 2005, she will transport 198 passengers on 11-night cruises from South America to the Falkland Islands and Antarctica. Tradition at Sea HOLLAND AMERICA LINE For more than 130 years, Holland America Line®ships have cruised the oceans of the world, carrying passengers to all seven continents. Cabins, which are more spacious than average, include ample room to hang the dinner jackets and long gowns or cocktail dresses that are de rigueur on formal nights. Ships feature three dining venues: a main restaurant, an informal café that serves a variety of international fare, and an intimate gourmet grill that levies a surcharge. Assigned seating and fixed dinner times in the main dining room assure that passengers will meet traveling companions. Newer vista-class ships feature a spa with a hydrotherapy pool and a well- equipped fitness area, extensive lounging areas, and a movie theater where the popcorn is always hot and fresh. Holland America ships cruise to more than 280 ports of call. Passengers who select a Caribbean itinerary can visit Half Moon Cay, Bahamas, the line’s lovely private island. Swim in its warm turquoise waters, snorkel, tour the island in an open-air tram, rent a catamaran to sail, savor a burger or an ice-cream pop, or sim- ply soak up the sun on powdery white sands. 18 PERFORM PFBX5X04 A 2/10/05 10:55 AM Page 18
  • 11. PERFORM 21 Medical Info Online HEALTH BEGIN BIG Once you’ve written down your questions, begin big. Log on to MedlinePlus—the National Library of Medicine and the National Institutes of Health (NIH) Web site for consumer health: www.nlm.nih.gov/medlineplus. MedlinePlus provides trusted information on over 650 diseases and conditions. The site also provides a medical encyclopedia and dictionary. Plus, it offers most of this information in Spanish as well as in English. There are also sections on prescription and nonprescription drugs, late-breaking health news, and links to trusted medical organizations. Best of all, MedlinePlus is updated daily. MAKE A LIST Before searching the Web, write down questions you’d like to find answers to. This way, you’ll have a road map and a goal to help you stay focused and to keep yourself from hopping site to site to no end. SEARCH SMART Unlike a general search engine, the Medline search engine zeroes in on relevant, reliable information. It also organizes the results for you into the following categories: • Health Topics • Drug Information • Medical Encyclopedia • News • Other My MedlinePlus search for “arthritis AND knee” generated many “Health Topics.” These included 43 unique finds on “Knee Injuries and Disorders” from leading organizations in the field, including the American Academy of Orthopaedic Surgeons, www.orthoinfo.aaos.org, The American College of Rheumatology, www.rheumatology.org, and the Arthritis Foundation, www.arthritis.org. FOCUS ON RELIABLE SOURCES Go directly to the Web sites of the companies whose products and treatments your physician prescribes and trusts. U.S. pharmaceutical companies, their products, and their product information are all regulated by the Food and Drug Administration (FDA). These companies stake their reputations on how well they accurately provide the safest and most current medical information and treatments to the public. Easy to navigate and chock-full of useful information, their Web sites reflect this commitment. And many of these Web sites provide up-to-the-minute, focused treatment information, as well as: • Offers for free samples of FDA-approved pharmaceuticals, available with your doctor’s prescription (not all, but many leading companies offer these) • Medically sound advice on improving health through exercise, diet, and disease-awareness programs • Resources to connect you with leading medical organizations and experts • Money-saving prescription programs for individuals meeting certain criteria 20 PERFORM Medical Info Online HEALTH Untangling Webthe PERFORM™ asked me to share my experiences searching the Web for medical infor- mation. I’m in my late 40s and was recently diagnosed with arthritis in both knees. While I’m receiving excellent initial treatment from my doctor, I always like to know more about my condition and current treatments—from credible sources. This knowledge helps me make the most of my time with my doctor. It also gives me confidence. A recent Google™ search for “arthritis” generated 6.14 million results. If you were to spend 5 minutes reviewing each result, it would take you over 58 years! So how do you untangle the Web? How do you get medical information you need and can trust, without wasting tons of time? How do you avoid misleading or incorrect information? Try these simple and efficient ways to tap into credible medical facts online. But always remember, nothing compares to a talk with your doctor. Finding Medical Information You Can Trust By Pat Mancuso Google is a trademark of Google Inc. PFBX5X04 A 2/10/05 10:55 AM Page 20
  • 12. 22 PERFORM Medical Info Online HEALTH THE NATIONAL INSTITUTES OF HEALTH RECOMMENDS THE FOLLOWING GUIDELINES FOR HEALTHY WEB SURFING: •Consider the source. Use recognized authorities. •Focus on quality. All Web sites are not created equal. •Be a cyberskeptic. Quackery abounds on the Web. •Look for the evidence. Rely on medical research, not opinion. •Check for currency. Look for the latest information. •Protect your privacy. Health information should be confidential. •Consult your health professional. Patient/provider partnerships lead to the best medical decisions. BEWARE OF DANGEROUS FRAUDS A recent safety survey by the FDA and U.S. Customs of several U.S. mail facilities found that 88% of packages containing imported pharmaceuticals included either unapproved or counterfeit phar- maceuticals that could pose serious dangers to consumers. www.pubmed.org www.arthritis.com* www.webmd.com www.ama-assn.org www.familydoctor.org www.healthfinder.org POPULAR ONLINE SEARCH DESTINATIONS *Sponsored by Pfizer Inc. PERFORM 23 Book Review FAMILY & LIVING Whether you’re a fan of nonfiction, are looking for expert advice, or are a veteran of classic whodunits, PERFORM™ gives you professional reviews on some “must reads” that will carry you well into 2005. PFBX5X04 A 2/10/05 10:55 AM Page 22
  • 13. Rocket Man Robert H. Goddard and the Birth of the Space Age By David A. Clary “He spent his evenings in his undershirt on the screened porch, a cigar in one hand and a drink in the other . . . talking space travel into the night.” A degree in rocket science isn’t required to appreciate this biography of Robert H. Goddard, father of the jet plane, rocketry, and space exploration. Goddard was a brilliant scientist and engineer credited with launching the world’s first liquid-fuel rockets and the first vehicles to break the sound barrier. Yet the inventor didn’t have an easy ride. Our government ignored his work, until the Germans stole his ideas and used them in World War II, and then in the name of national security stripped Goddard of his 214 patents. Skinny Dip By Carl Hiaasen “I’m hearing the same weird duet all day and all night in my head—‘Midnight Rambler’ as performed by Eydie Gorme and Cat Stevens. I’m sure they’re perfectly nice folks, but frankly I’m ready to shove a sawed-off down my throat.” It’s always a treat when Hiaasen releases a new laugh-out-loud tale of Miami-area mayhem. “Skinny Dip,” his tenth comic novel, is populated with a typical cast of Hiaasenesque characters—the philandering husband, the corrupt developer, the burnt-out ex-cop, and the Everglades-dwelling eccentric, among them. This time a foiled murder attempt aboard a cruise ship turns the tables on the perp—and the would-be victim has a delightfully devilish time getting even. While the author dwells on the despoiling of the Everglades, his delivery is never heavy-handed—and here, at least, the good guys win. PERFORM 25 Book Review FAMILY & LIVING ‘Scuse Me While I Whip This Out Reflections on Country Singers, Presidents, and Other Troublemakers By Kinky Friedman “Before I left the White House that night, as a token of my gratitude, I gave Bill Clinton a Cuban cigar. I told him, ‘Mr. President, don’t think of it as supporting their economy, think of it as burning their fields.’” Known for his hilarious mystery novels and short but memorable rock ’n’ roll career touring with the likes of Bob Dylan and Willie Nelson, the irreverent Kinky Friedman points his pen at some well-known figures in this nonfiction collection. Is he serious about running for governor of Texas in 2006? Only the Kinkster knows. The Triumph of Love Over Experience A Memoir of Remarriage By Wendy Swallow “I have stepped on an amusement park ride called Remarriage Fantasyland. It’s just inching out of the station, but already I am both excited and scared, calculating the odds of crashing as I smile nervously.” Today 43 percent of all marriages involve at least one previously married partner, and two out of three second marriages fail. Despite the odds, Swallow decides to give love a second chance when she finally meets the love of her life at age 45. In this engaging, emotionally rich memoir, the former journalist sensitively explores the pitfalls and pleasures of remarriage. All I Did Was Ask Interviews From “Fresh Air” By Terry Gross “Part of me is a lazy guy, but I think that if you don’t do it yourself, especially in comedy, you’ll never get it right.” —actor/writer/director Albert Brooks Devotees of National Public Radio’s “Fresh Air” program and its inquisitive host Terry Gross will appreciate this collection of revealing interviews. Concentrating on three dozen well-known guests in the arts, Gross chats with comics (Albert Brooks, Chris Rock, Conan O’Brien), musi- cians (Johnny Cash, Eric Clapton, Sonny Rollins), film stars (Nicolas Cage, Jodie Foster, Michael Caine), authors (Mickey Spillane, Mario Puzo, Walter Mosley), and others. 24 PERFORM Book Review FAMILY & LIVING Shem Creek By Dorothea Benton Frank “I was even driving myself crazy with my own whining. Then I came to this conclusion. You don’t like your life? Go get another one and shut the heck up already . . .” You can practically smell the homemade biscuits in this warm, evocative tale of food and family set in South Carolina’s scenic Lowcountry. Divorced mother Linda Breland leaves behind a drab life in New Jersey and returns to her southern roots with two teenage daugh- ters in tow. Accepting a job as a restaurant manager, she gets more than she bargained for— and life suddenly takes a deliciously romantic turn. A bonus for hungry readers willing to bake, “Shem Creek” contains simple recipes for mouthwatering biscuits and pound cake. PFBX5X04 A 2/10/05 10:55 AM Page 24
  • 14. I f you’re like many baby boomers as I am, you may finally be getting to that lifelong dream of traveling the country. Driving coast-to-coast, visiting our nation’s natural treasures like the Grand Canyon, or simply getting your kicks on Route 66. If you’re considering doing it in a recreational vehicle (RV), one thing is cer- tain: check-out time is never an issue. The freedom to travel and explore this great country at your own pace is a powerful incentive, and a record number of Americans are taking advantage of this opportunity. According to recent industry information, in the United States there are approximately 7.2 million RVs, which include motor homes, travel trailers, folding camping trailers, and truck campers. An upward trend in RV purchases is projected through at least 2010. If you’re thinking RVs are only for the road warriors among us, read on. What makes today’s RV lifestyle so appealing is its versatility, freedom, and, believe it or not, comfort. You can wake up to a breathtaking sun- rise overlooking the Great Smoky Mountains, step out of your RV and cast a line into a secluded lake, or enjoy your favorite book in the peaceful embrace of nature. And a hot shower, a change of clothes, or your favorite foods are only an arm’s length away. Broaden Your Horizons Another benefit of taking to the road in an RV is it’s a great way to meet new people or visit old friends. The social aspect of RVing is something that attracts many people to it. In fact, if you visit RV manufacturers’ Web sites or do an online search, you can find information about RV rallies across the country. At the request of PERFORM™, I recently attended a rally host- ed by the Monaco Northwest Rally Chapter. During the group’s four-day visit to Yakima, Washington, I played in a golf tourna- ment, socialized at several barbecues, toured wineries, and met scores of interesting people. For those seeking bright lights and a little more action, there is an RV park on the Las Vegas strip. Talk about going mainstream! The mother lode of all RV rallies is the annual get-together in Quartzsite, Arizona. In mid-January each year for the past 21 years, roughly 200,000 RVers have been gathering in the desert 125 miles west of Phoenix. During the 10-day Quartzsite Sports, Vacation & RV Show, there are rock, gem, and arts-and-crafts exhibits and a rock ’n’ roll classic-car show. It’s an unbelievable experience! Cash In on the Fun Being rich or famous is not a prerequisite for enjoying an RV. Affordability is another great advantage of RV travel. And you don’t necessarily have to own a recreational vehicle to see if this lifestyle or vacation alternative is right for you and your family. In fact, many seasoned RV vets rec- ommend that you rent before you buy an RV. There are over 460 RV rental outlets throughout the country, PERFORM 27 offering state-of-the-art RVs in a range of sizes and styles. Odds are there’s a home-away-from-home on wheels that’ll fit your needs and budget. Motor homes are the most common rental model, typically run- ning from $90 to $200 per day. These also provide the most crea- ture comforts, including TVs, showers, beds, and kitchens. If you’re just looking to get into nature, smaller folding camping trailers and travel trailers run $28 to $85 per day. These provide just the basics for reliable and comfortable camping. Around the country, folks routinely book motor homes to travel to college foot- ball games. Check out a big-time game in person and you’ll see this popular pastime firsthand. What else is there to do in an RV? The National Sporting Goods Association reports that camping is one of the major outdoor activities of RVers. Other popular activities that RVers enjoy include biking, hiking, fishing, golfing, hunting, and skiing. In general, RVs offer the perfect base camp for nearly any outdoor activity. What makes the RV lifestyle so appealing is its versatility and freedom. No matter the destination, an RV is a great option for getting you there. The pro golfer John Daly travels the PGA circuit in a fabulous land yacht. He recently purchased a $1.3 million Featherlite® luxury coach, equipped with all the comforts of home. Amenities in the 45-foot, 20-ton Daly-mobile include the following: l Three 42-inch flat-screen televisions l A large gas grill that slides out of the bay for outdoor cooking l A dining table that seats seven l A large microwave, a stove, and a full-size refrigerator with freezer l A washer and dryer Of course, this is the extreme when it comes to buying and outfitting an RV. Daly is not the only professional who travels in a recreational vehicle. Just about every NASCAR driver travels the circuit in an RV, and Clint Eastwood and Paul Newman are also fans of RVing. FABULOUS LAND YACHT Featherlite is a registered trademark of Featherlite, Inc. 26 PERFORM By Rick Stedman PFBX5X04 A 2/10/05 10:55 AM Page 26
  • 15. BEXTRA patient Barbara List and her doctor, Jeffrey Gudin, MD, tell PERFORM™ how BEXTRA has helped her manage her arthritis joint pain. Barbara List taught school for 24 years in New York City. At 63, she’s retired and living in West Palm Beach, Florida, with her husband Jerry. Barbara suffers from the joint pain of osteoarthritis (OA) in both knees. Barbara recently started taking once-daily BEXTRA to relieve this arthritis joint pain. For Barbara, BEXTRA has made a big impact. Now she can lead a more pain-free life and return to doing many of the things she likes to do. Q: When did you first notice that your joint pain might be arthritis? A: I was a school teacher in New York City for 24 years. My exercise was walking from where I parked my car to school. I walked up and down the steps and often was in pain afterwards. I decided that I was going to go to a rheumatolo- gist. I was really in a lot of pain. Q: Did your arthritis joint pain begin all at once or slowly over time? A: It wasn’t like 1 day I was fine and the next day I wasn’t. It was a gradual thing. It hurt me. But I lived with it, until I would be sitting and I couldn’t get up. It would take me a few minutes to get up. My knees were that stiff. Q: How did your joint pain interfere with everyday activities? A: As a teacher, I would have to walk up 4 or 5 flights of stairs. There was no elevator. It was 28 steps between each flight. That did not help me. People say that is good exercise, but it was not for me because of my knees. We lived in a townhouse that had many levels. I couldn’t walk up the steps. I couldn’t go all the way downstairs, get the laundry and walk it up- stairs. It was very difficult for me. Because of my arthritis, we ended up selling the townhouse. We then moved into a 1-level house. King of the Road What’s good enough for a governor just might be worth a try. After serving eight years as Maine’s governor, Angus King hit the road on a six-month cross-country RV trip with his family. King and his family had first rented an RV during their kids’ spring vacation a few years earlier, spending a week traveling around Arizona, which turned out to be the inspiration for their trip across America. During their six-month journey, the Kings traveled 15,000 miles and visited 34 states. “One of the big attractions of RVing is that your life simplifies dramatically,” says King. “There were no meet- ings or deadlines to worry about. We weren’t burdened by the anx- iety of getting anywhere. Life is simpler on the road. It’s relaxing.” King says one of the keys to a successful RV trip is not having an itinerary. “If we liked a place, we’d stay a few extra days. If the weather was bad, we’d move on. We learned a lot about our coun- try and were impressed with how big it is.” A famous American pioneer of RVing was the author John Steinbeck, who took a cross-country trip back in the fall of 1960. Extensive planning went into Steinbeck’s journey across America. He bought a custom-made three-quarter-ton truck equipped with a self-contained camper, which he affectionately dubbed “Rocinante” after Don Quixote’s horse. Steinbeck’s traveling companion was Charley, a tall, cocoa-colored French poodle. The author’s four-month journey covered 10,000 miles and included 34 states. The result was his book “Travels With Charley: In Search of America.” Perhaps one day soon you may find yourself curled up with a good book by Steinbeck as you motor across this beautiful country. And one thing will be sure, if you’re in an RV, you’ll be in good company. PERFORM 29 The Modern Management of Arthritis Joint Pain Information in this article should not replace talking with your doctor about your health. 28 PERFORM RV Vacation TRAVEL & LEISURE RVs offer the perfect base camp for nearly any outdoor activity. An RV is the Perfect Vehicle for Getting Unanchored, Under Way, and Free. For those thinking about RVing for the first time, the Recreation Vehicle Industry Association offers these suggestions for getting started: Order a free video or CD-ROM. Call 1-888- Go-RVing for a free video or CD-ROM of RV shop- ping and travel tips. The Kings found this video very helpful in planning their cross-country RV trip. Visit www.gorving.com, where you can link to lists of local dealers and campgrounds that cater to RVers. Rent an RV. Check the local yellow pages under “Recreation Vehicle—Rentals.” Also visit the Recre- ational Vehicle Rental Association’s (RVRA) Web site, www.rvra.org, which lists more than 340 RV rental companies in the United States and Canada. Attend an RV show. There are dozens around the country throughout the year. For a listing, visit www.gorving.com, click “Buying and Renting,” then select “RV Shows.” 28 PERFORM a patient testimoniala patient testimonial PFBX5X04 A 2/10/05 10:55 AM Page 28
  • 16. Q: How did your joint pain affect your ability to do the things you normally like to do? A: There was definitely a lessening of activity. We used to have a small sailboat. We would get on the boat, bring it out and back and dock it. There came a point where I could not even jump off the boat onto the dock. I have 2 grandchildren. One of them is going to be 6. The other is 10. The last couple years that they’ve come to stay with us, my husband has bathed them. I just can’t get down on my knees to do it. I just can’t. Q: Did you think your joint pain would go away by itself or get worse? A: You are always optimistic when you first learn about it. You say, oh well, I will work through this. You know, summer will come. I will go swimming. We had a pool, so I would do water exercises, you know, that kind of thing. Q: Would you recommend seeing a doctor to other people who suffer from arthritis? A: In my opinion, it is very important that you work closely with your doctor in treating your arthritis. Based on the kind of arthritis you have, they’ll prescribe a medication. I know that with what I have, OA, that BEXTRA works very, very well. One of my friends has very bad arthritis in her hand. She lives in California. Her doctor prescribed BEXTRA to her. Now her hands are so much better. She can move her fingers and everything. Q: At what point did you decide it was time to talk with your doctor about your joint pain? A: I made sure to see my physician Dr Gudin back in December. I had been given steroids in my knees. And I had been taking Tylenol® for the arthritis. Those things really weren’t doing much for me. Dr Gudin told me that I should not keep living like this. He said that I could do something about the arthritis pain. He recommended a rheumatologist in Florida. I was really in a lot of pain. So I went to see this fellow when I moved south. Jeffrey Gudin, MD. Dr Gudin is clinical director of the Pain Management Center at Englewood Hospital and Medical Center. It is part of Mount Sinai University School of Medicine in Englewood, New Jersey. Dr Gudin is board certified in both pain management and anesthesiology (giving anesthesia for surgery). He has helped many arthritis sufferers lead healthier, more pain-free lives. Q: What are the early signs of arthritis? A: There are 3 major signs. First, joint pain. Second, inflammation. Third, stiffness. Osteoarthritis (OA) affects the joints. It most often affects joints in the fingers, knees, hips, and spine. Other joints it affects are in the wrists, elbows, shoulders, and ankles. When OA is found in one of these joints, there is often a record of injury or unusual stress. About a third of people with OA feel pain. Among this third, symptoms include: • Pain in a joint • Stiffness after sleeping or sitting • Swelling or tenderness in 1 or more joints • Crunching feeling or sound of bone rubbing on bone when the joint moves If your joints feel hot, red, or tender, you may have something other than OA. Check with your doctor about another cause, such as rheumatoid arthritis (RA). Q: Is the early diagnosis and treatment of arthritis joint pain important? A: Yes. It is key to stopping the damage. OA is the most common form of arthritis in the US. It affects more than 20 million people here. OA starts with the breakdown of cartilage in joints. This results in joint pain and stiffness. OA risk depends on your age. In general, OA occurs more in women than in men. There is a medical link between obesity and the onset of OA. If you have OA, dieting and exercise can help. This may help reduce or prevent stress on joints. Such as your knees. Repeat injury and physical trauma add to the onset of OA. Then there’s repeated knee bending. That puts you at high risk for OA of the knee. You may want to look for options to lessen the effects of OA in your daily life. PERFORM 31 Q: Are COX-2 inhibitors such as BEXTRA an important tool you use in treating the joint pain of arthritis? A: Yes. They are an important way to treat the joint pain of arthritis. COX-2 inhibitors like BEXTRA target and block out* 1 enzyme in the body. This enzyme, COX-2, plays a big role in trigger- ing joint pain. BEXTRA keeps it from doing that. Hence it is a “COX-2 inhibitor.” Think of BEXTRA as a key. A key that locks a door. That locked door keeps out the agent of arthritis joint pain. BEXTRA provides powerful, 24-hour relief from the pain, inflammation, and stiffness of OA and adult RA. A COX-2 inhibitor has fewer gastrointes- tinal side effects than other nonsteroidal antiinflammatories like ibuprofen. And it’s taken just once a day. It provides longer-last- ing relief. BEXTRA users don’t take pain pills every few hours. They don’t need to. *At recommended doses. 30 PERFORM Q: How long have you been taking BEXTRA? A: When I moved to West Palm Beach I went to a rheumatologist. This doctor put me on something called BEXTRA. You want to know something? Within a few days I was feeling better. I’ve been taking BEXTRA now for at least 4 months. Now, if I sit down, I can get up with- out the terrible pain that I had. Q: Does once-daily dosing make BEXTRA therapy easy to remember? A: Yes. I take 10 milligrams every night. I also take other pills for other ailments, so I take it along with my other pills. Q: Has taking BEXTRA worked for you? A: I’m telling you, BEXTRA works for me. I can start doing the things I like to do: swimming, going to the beach, eating on the beach, all that kind of stuff. As soon as I started taking BEXTRA there was a difference. Important Information. BEXTRA is not for everyone. Prescription BEXTRA should not be taken if you’ve had allergic reactions to certain drugs called sulfonamides, aspirin or other arthritis medicines or if you’ve had aspirin-sensitive asthma or are in late pregnancy. It is not recommended if you have advanced kidney disease. Tell your doctor if you have kidney or liver problems. In rare cases, serious stomach problems such as bleeding can occur without warning. Tell your doctor right away if you develop blisters in the mouth or a rash, as it can be a sign of a serious skin reaction that may be life threatening. If you experience other unusual symptoms while taking BEXTRA, tell your doctor immediately. The most common side effects are headache, abdominal pain, indigestion, upper respiratory infection, nausea and diarrhea. Please see important Product Information on page 66. Tylenol (acetaminophen) is a registered trademark of McNeil Consumer Healthcare, Division of McNeil-PPC, Inc. PFBX5X04 A 2/10/05 10:55 AM Page 30
  • 17. PERFORM 3332 PERFORM One of TV’s all-time favorite moms uses her wealth of grace, charm, and talent to promote positive messages and give back to the community. Phylicia Rashad TheGiftofGrace By Jeffrey Mucciolo PFBX5X04 B 2/10/05 11:35 AM Page 32
  • 18. PERFORM 35 Phylicia Rashad COVER STORY PRASAD PRASAD stands for Philanthropic Relief, Altruistic Service and Development. It is an international not-for-profit committed to improving the quality of life of economically disadvantaged people by honoring human dignity and foster- ing self-reliance. “Prasad is also a Sanskrit word that can be translated as the gift that carries blessings for both the giver and receiver,” Rashad explains. Now as its official spokesperson, Phylicia Rashad is the public face of PRASAD. But she’s not just another pretty face. She has traveled throughout the United States and to India and Mexico to promote and observe PRASAD’s work in providing on-site medical, dental, and eye care to the needy. By restor- ing good health, particularly eyesight, to impoverished people, PRASAD helps thousands lead a better life in which they can support their families and con- tribute more fruitfully to their communities. For more information, visit the PRASAD Web site: www.prasad.org. Teaching and learning Rashad graduated magna cum laude from Howard University in Washington, DC, and says that education has always been important to her: “I was privileged to grow up in a place and time when education was important. I was privileged to have this education, and it was well-rounded in arts and sciences.” As evidenced by the causes she supports, Rashad holds science and medicine in high regard: “I always enjoyed scientific study. And I have continued to be amazed by those human beings who are so driven to a discipline [such as scien- tific research] to study for hours on end for many years, one single principle. And really define it, and refine their understanding of it. I am appreciative of people of this nature.” Rashad even found time to do some teaching at her alma mater while she worked on “The Cosby Show”: “I was teaching one day a week. We taped ‘Cosby’ on Thursday, and on Friday morning I’d be on the plane going down to DC and I would teach a class every Friday for a semester.” She found the whole experi- ence extremely rewarding. “I received much more than I could ever have given. I found the students brilliant, and fearless”—which is more than she could say for herself. “I was scared to death!” admits Rashad. “I thought, ‘What do I have to say? And how am I going to communicate anything if I don’t even know what I have to say?’” The endeavor was well worth it to her: “I discovered that I had a lot to say. And I learned that teaching is as much about learning as it is about teaching.” Rashad is also happy to report on the success of her former students: “They are all doing marvelous things. They are innovative and creative. I’m just as proud as I can be—I couldn’t be more proud if I was their mother.” She continues to support education in many different ways and frequently delivers eloquent and uplifting commencement speeches, including one this year at Syracuse University, this writer’s alma mater. 34 PERFORM Phylicia Rashad COVER STORY B est known for her role as enlightened professional mother Claire Huxtable from the long-running TV hit “The Cosby Show,” Phylicia Rashad is a woman of rare dignity, grace, and accomplishment. This year she became the first African-American woman to win a Tony Award® in the leading-actress category. The award was for her role as the tough-minded matriarch Lena Younger in the critically acclaimed production of “A Raisin in the Sun,” in which Rashad shared the stage with Audra McDonald and Sean “P. Diddy” Combs. Rashad’s performance exemplified her own long, successful career portraying characters who offer positive role models for women and African-Americans. Rashad is deeply devoted to her craft. She considers only roles that are meaningful to her and that offer a positive message. “I think the thing that is important for me as a performer is that people should do something that reflects their own humanity,” says Rashad. PERFORM™ caught up with Phylicia Rashad as she prepares to take on yet another matriarchal role, this time in August Wilson’s “Gem of the Ocean,” which is currently in rehearsals for a fall opening on Broadway. Rashad took time from her busy schedule to speak with us about her work, her views on life, and the charitable causes that matter so much to her. Putting fame to work Rashad considers herself a normal “real” person who just happens to have a very high-profile job: “I wake up in the morning and I’ve got to feed the cat and walk the dog. I wake up my teenager for school every morning, do homework every night, sign the forms for school, and do all the things that mothers do.” “I live in a neighborhood full of families who have duties and chores, too,” she explains. “I like that. I make it my business to stay connected to regular people, because I am regular people.” Unlike other celebrities, Phylicia Rashad doesn’t want to play the star: “I can’t imagine anything more boring than living in the spotlight. That does not feel excit- ing to me. It’s not something I would want to do.” When Rashad does leverage her success, it’s to help people in need. She frequently and generously supports the arts and education, especially programs benefiting children. She actively helps a number of national and international health-related charities, including the American Diabetes Association (after her father died of cardiovascular complications from diabetes) and the Ovarian Cancer National Alliance (after losing her friend and “Cosby” costar, Madeline Kahn, to ovarian cancer). One organization in particular, PRASAD, is close to her heart. Rashad has spent time at PRASAD's eye camp in India, where more than 10,000 poverty- stricken people have been given free eye exams and sight-restoration surgery—thanks to the marvels of modern medicine and the support of people like Phylicia Rashad: “It is wonderful because I have been to these eye camps and attended screenings to determine the needs and fitness of the patients. I’ve also seen how there were a number of instances in which glasses and contact lenses were just given away for free to people who didn’t necessarily need cataract surgery. And I watched physicians come and scrub down abandoned schools themselves to use as operating rooms. They brought in state-of-the-art equipment and performed surgeries in a matter of 10 days. In the last eye camp that I attended, there were 1,300 surgeries performed!” Sharing the stage in "A Raisin in the Sun" with Audra McDonald and Sean "P. Diddy" Combs, Rashad played Lena "Mama" Younger—the role for which she earned her Tony Award. Tony Award is a registered trademark of the American Theatre Wing. Rashad holding her 2004 Tony Award for best performance by a leading actress in a play, joined by fellow winners, Idina Menzel, Hugh Jackman, and Jefferson Mays. PFBX5X04 B 2/10/05 11:35 AM Page 34
  • 19. Phylicia Made her television debut in the 1978 production of “The Wiz.” Appeared in the soap operas “One Life to Live” and “Santa Barbara” prior to “The Cosby Show.” Before her marriage to sports announcer Ahmad Rashad, she was married to Victor Willis, the policeman of the ‘70s pop sensation The Village People. Made her stage debut with the Negro Ensemble Company in "Sons and Fathers of Sons" while attending Howard University. Has appeared in several critically acclaimed movies including “Once Upon a Time…When We Were Colored” (1996) and “Loving Jezebel” (2000). Has appeared in numerous made-for-TV dramas, including “Uncle Tom's Cabin” (1985), “Free of Eden” (1999), and “The Old Settler” (2001). PERFORM 37 Phylicia Rashad COVER STORY AT A GLANCE Aging gracefully In “Gem of the Ocean,” Rashad, who is in her mid-50s, plays Aunt Esther, an elderly woman living in Pittsburgh, Pennsylvania, in 1904. Aunt Esther claims to be 285 years old, although she’s actually in her 80s. What drew her to the role of Aunt Esther, Rashad says, was Aunt Esther’s beauty: “This particular character is for me, without question, the most beautiful woman I’ve ever played. And this is what aging is like, because she is fine and purposeful. She is wise and passionate. She has seen many things and she holds the memories of thousands of human beings who did not make it through the middle passage. She knows a lot.” Rashad sees reaching old age as an opportunity to continue exploring life with the benefit of more wisdom. She explains: “The way you live determines many things. If you live a life in fear of aging, then your aging process, your state of mind, and your state of being is going to reflect that. If you’ve lived a life of consciousness, a life of service to others, a life of looking deeply into your own self, so that you really do understand yourself and offer that understanding in service to others, then your aging is going to reflect that and that can be very beautiful.” When asked whether or not she imagines that she’ll still be acting when she reaches Aunt Esther’s age, Rashad doesn’t hesitate with her response: “I can’t imagine myself not [acting]—I can’t ever see that. So in one form or another, God willing, I will be doing it.” In the starring role of Aunt Esther in the Los Angeles production of August Wilson's latest play, "Gem of the Ocean." 36 PERFORM Phylicia Rashad COVER STORY Although Rashad had already been acting in films and on stage and TV for years, her big breakthrough was her eight- year role as Claire Huxtable on “The Cosby Show.” When asked how being on “Cosby” changed her life, she focuses on what it allowed her to do for the people most important to her: “This was a great opening to many things, all of which were great. Not only for me, but for people close to me. Financially, I was in a position to take care of people in my family who needed it. I had a great aunt who was in a nursing home. I was able to refurbish her home and bring her home, so that her last days were spent in her home. I thought that was one of the greatest things I’ll ever do in my life. I was also able to help nieces and nephews with their education. And help my own mother. You earn money, but what’s important is how you use it, what you do with it.” Phylicia Rashad’s deeply held beliefs about the importance of family and community have attracted her to roles that feature strong, matriarchal women of great integrity and honesty. She draws on the strong characters in her own family for inspiration: “There have been a number of inspirations. My own mother, Vivian Ayers Allen, is the first. These women were educated in the communities in which I grew. I grew up in Houston, Texas. My moth- er was from Chester, South Carolina. My father was from Port Allen, Louisiana. All the women were beautiful and resourceful, and they cared for their families. They embodied the best qualities, and really showered their love on family members.” Rashad is also inspired by her sister, the actor, director, and producer, Debbie Allen. “She is such a dynamic human being.” And this award-winning actress is inspired by other performers too: “I think Viola Davis is, without question, one of the grandest actresses today. I love Meryl Streep, Nicole Kidman, and that beautiful Scarlett Johansson. I love her.” Inspired outlook What does Rashad do when she’s not performing? “When I get the chance to sit down, I love to read lots of different things. I also like sitting out in nature.” She is also inspired by travel, and hopes to see even more of the world when time allows. “There are so many places I would like to see,” Rashad admits. “I would like to see ancient sites in Greece. I’d like to visit Bangkok. There are so many beautiful things in this world, and I would like to see these things and the people living in it.” Taking care of family matters Rashad with her sister—actor, director, and producer— Debbie Allen. PFBX5X04 B 2/10/05 11:35 AM Page 36
  • 20. By Sheri L. Ziemann PERFORM 39 Seasonal Garden Tips GARDENING & NATURE For most people, gardens are much more than plants that look pretty. They’re more than containers on a balcony, pots of flowers, or patches of vegetables. A garden offers comfort, peace, self- expression, and hope with each cycle of its renewal. Whether you live in an area where it snows in winter, like Chicago or New York, or in an area with a more temperate winter, like Phoenix, there are a few easy steps you can take to help protect your plants during the cool months. A Cold Weather Survival Guide for Your Garden “The race is not always to the swift...but to those who keep on running.” “Act as if it were impossible to fail.” ““WWe come to feel as we behae come to feel as we behaveve..”” “I bend but do not break.” “Forever is composed of nows.” –Author Unknown –Dorothy Broude ––PPaul Paul Pearsallearsall –Jean de La Fontaine –Emily Dickinson “We come to feel as we behave.” –Paul Pearsall Proud to support individuals living life in the moment. BEXTRA.com PFBX5X04 B 2/10/05 11:35 AM Page 38
  • 21. Bring Your Garden Indoors Before the first frost, hire some helpers to save your favorite plants. Many plants, from herbs to small annuals like impa- tiens and marigolds, can be dug up and planted in pots. Set them in a sunny window inside. They’ll add beauty to your home, and the herbs will be handy when it comes to seasoning your favorite winter recipes. Plant Ahead Plant spring bulbs such as daffodils, tulips, and cro- cuses. Depending on where you live, you may plant them throughout the fall, starting in September (in colder regions) and ending in December (in warmer areas).The key is to plant them while the soil can be worked easily, before the ground hardens. If time and effort are issues, have friends or landscapers help you with this.If you plan to plant dozens of bulbs to achieve the look you’ve been dream- ing of, ask friends for help, because that can be a lot of work for one person. Don’t Wait on Weeds Don’t give weeds a head start. Weeding now will save you work come spring. There are many effec- tive products available at gardening stores that make it easy to zap weeds before they have a chance to take over your garden. If using weed killer isn’t possible,you’ll find weeding here and there in short bursts, over a week or two, more man- agable than spending a weekend trying to pull out every weed—not to mention easier on the fingers, knees, and back. Avoid the Cold Prune While pruning time varies among plants, avoid pruning during the fall or winter because the new growth produced as a result of pruning will be subject to cold injury. The exception to this rule is trimming off only dead or damaged foliage or branches. PERFORM 41 Seasonal Garden Tips GARDENING & NATURE PERFORM™ has included the following fall checklist for both cool and warm climates: Cool Climates Snow protects and endangers plants. A good blanket of snow will insulate the soil like mulch. However, heavy snow on evergreen branches will weigh them down, which can cause breakage. Start by working upward, knocking snow from the bottom branches first. Otherwise, the snow from above will increase the weight on the burdened lower branches. If branches are wrapped in ice, don’t try freeing them. Let the ice melt and release the boughs gradually. Perennials ◆ After a killing frost, clean up perennial beds and borders. Cut off dead flower stems. ◆ Dig up tender bulbs such as dahlia, canna, and gladiolus. Wrap or cover them with moist material and store in sand in a cool, dark place. Annuals ◆ Collect seeds of favorite plants that will breed true to type. Vegetables ◆ Harvest pumpkins, potatoes, sweet pota- toes, and onions. Brussels sprouts, carrots, and other root crops can stay in the ground through light frosts. ◆ Mulch root-vegetable beds with thick layers of straw or chopped leaves. Warm Climates Perennials ◆ Clean up perennial beds and borders.Weed areas that weren’t mulched. ◆ Divide large clumps of spring- and summer-blooming plants to control size and renew blooming. Annuals ◆ Plant seeds of hardy annuals for extended winter bloom. Collect seeds of favorite warm-weather plants that will breed true to type. ◆ Keep polyspun garden fabric handy to cover annuals if light frost threatens. Vegetables ◆ Renew beds for fall planting by adding compost and fertilizer. ◆ Sow carrots and other root crops as well as lettuce for winter harvest. Devoting the same love and attention to your garden in the fall that you do in the spring and summer can not only save time but also ensure a beautiful bloom when the weather heats up. Early Spring . . . It’s Not Too Late! February, March, and April are great months for planning and setting priorities for the wonderful growing season just ahead: ◆ Browse mail-order catalogs to discover what’s new. Begin setting your sights on what changes you may want to make to your garden this year. ◆ Be prepared. Early spring is also a good time to check your gardening tools. Making necessary repairs or replacements now can save you from headaches later. In early spring, garden stores are well-stocked with the items you’ll need throughout the growing season. ◆ For early blooming plants like forsythia,prune as soon as blooms have passed. ◆ Remove dead flowers from bulbs, leaving the remainder of the plant as is. ◆ If you’ve neglected your compost over the winter, now’s the time to tend to it. If you haven’t established a compost bin yet, spring is a great time to do so. GARDENING & NATURE 40 PERFORM Seasonal Garden Tips The fall signals the end of your garden’s growing season. This is when you need to begin winterizing your garden so your plants weather the winter months com- fortably. It may appear that all activity in your garden has stopped, but there is a lot going on in the autumn soil. According to the leading gardening experts at PERFORM™, it’s very important that you add new mulch to your garden in the fall, when the ground is frozen or near frozen. Apply a thick, winter layer of mulch to protect plants and soil from frost and weather damage. The point of this is to keep the temperature even, more than it is to keep the soil warm. If you don’t want to buy mulch, you can use chopped leaves. Apply about six inches of leaves. Don’t use whole leaves for mulching, they will pack down your garden and keep air from getting to the soil. Helpful Tips Here are some ways you can winterize your garden in the fall that will make the unveiling of next spring all the more exciting. PFBX5X04 B 2/10/05 11:35 AM Page 40
  • 22. That dog that stays by your side or that kitty that naps in your lap is more than just a pet. Caring for your cuddly companion can be good for your overall well-being. A number of studies conducted over the past 25 years point to specific health benefits that attend pet ownership. It has been shown that people with pets have lower blood pressure, better cholesterol readings, an increased survival rate from coronary bypass surgery, fewer visits to the doctor, and higher levels of physical activity. Given the healthy rewards of animal companionship, you may want to bring your pet with you on your next vacation. A 2003 survey by the American Animal Hospital Association revealed that nearly 62 percent of Americans who own pets travel with a pet. Just like people, some animals are good travelers . . . and some are not. “Cats in general do better in their own surroundings,” says Illinois veterinarian Cheryl Roge. Being moved to an unfamiliar environment can be stressful for any species. Still, a dog can be a terrific travel companion, especially on car trips. Taking a few common-sense precautions can help ensure happy trails and happy tails: • Before a long trip, have your dog checked by the vet. Get shots updated and request a health certificate. • Make sure your dog wears a secure collar with ID. For added peace of mind, have your dog microchipped by the vet to ensure your dog can be found easily if you two become separated unexpectedly. • Keep your dog in the back seat when you’re driving and use a seat belt or harness for the animal. • Make frequent stops to walk and water the dog. • Carry a full supply of your dog’s food. • Never leave your dog alone in a locked car for more than a few minutes. Great Places to Sit, Stay, Lie Down, and Roll Over Inexpensive hotel and motel chains, including Motel 6® , LaQuinta® , and Red Roof Inn® , have had the “pets welcome” mat out for years. More recently, many midrange and upscale properties, including Sheraton® , Westin® , W Hotels® , Four Seasons® , Loews® , and Affinia® , have become especially accommodating to guests with well-behaved pets. The “Loews Loves Pets” program, available at the chain’s 20 properties in the United States and Canada, provides pets with bowls for food and water, placemats, toys and treats, a “Do Not Disturb” sign that lets housekeeping know a pet is in the room, and a room-service menu developed by a licensed vet. In addition, pet-walking and sitting services can be arranged through the concierge. Affinia’s luxury hotels in New York City go all out to attract canines and their human companions. Affinia’s new “Jet Set Pet” program provides signature food and water bowls, an assortment of healthy snacks and toys, and a “howlistic” bone-shaped amenity kit, which includes a leash, a temporary ID tag, therapeutic doggie massage cream, relaxing lavender spray, and a doggy guidebook. To find out more about pet-friendly accommoda- tions, check out these Web sites: Pets Welcome (www.petswelcome.com), Pets on the Go (www.petsonthego.com), and Dog Friendly (www.dogfriendly.com). Since vacations consist of more than sleeping and eating, dog owners can find out where to walk and swim with pets at Hike With Your Dog (www.hikewith yourdog.com). An Ohio company, Rovin’ with Rover (www.rovinwithrover.com), arranges bus tours for people and their canine companions. Pets TIPS & TRENDS If you don’t have a pet but the idea of traveling with one has you thinking about getting one, there are more places than ever to find a dog or cat. According to a survey by About Dogs (dogs.about.com), most people head for the nearest animal shelter, visit a breeder, or adopt a stray. Before they pick up a leash or a carrier, though, increasing numbers of would-be pet owners start their search for a new best friend online. Petfinder (www.petfinder.com), the oldest and largest searchable directory of adoptable pets on the Web, links to more than 7,000 shelters and rescue groups in the United States and Canada. You enter a few search criteria—type of animal, size, gender, breed, and age. Then, based on these and your ZIP code, Petfinder’s search engine generates a list of pets available for adoption. While mutts are said to be generally healthier than pedigrees since they’re less prone to inbreeding, many people still prefer pricey purebreds. Yet they’re not always easy to acquire through adoption. Shelters overeager to find homes for dogs have been known to exaggerate a dog’s provenance, ascribing breed characteristics more imagined than real. The American Kennel Club (www.akc.org/breeds/rescue.cfm) main- tains a list of pedigree rescue groups, making it possible to adopt one without spending a fortune. These rescue groups harbor animals ranging from full pedigrees spirited out of shel- ters to show dogs past their prime. While it’s unlikely you can acquire a pedigreed puppy from a rescue organization, adult and senior dogs are plentiful. Adoption fees generally start at $150, a small price to pay for a friend who offers unconditional love. Fetching a New Best Friend PERFORM 43 Affinia is a registered trademark of Denihan Ownership Company LLC. Four Seasons is a registered trademark of Four Seasons Hotel Limited Corporation. La Quinta is a registered trademark of La Quinta Worldwide LLC. Motel 6 is a registered trademark of Societe de Participations et D’Investissements de Motels. Red Roof Inn is a registered trademark of RRI Financial Inc. Sheraton, Westin, and W Hotels are registered trademarks of Starwood Hotels and Resorts Worldwide Inc. Photo courtesy of Loews Hotels 42 PERFORM Pets TIPS & TRENDS By Laura Miller PFBX5X04 B 2/10/05 11:36 AM Page 42
  • 23. PERFORM 45 Cajun Cooking FAMILY & LIVING 2TIP 1TIP DON’T DO THE DIRTY WORK Have the shrimp peeled and deveined and the sausage sliced into half-inch- thick pieces at the market. Following these tips and recipes, you’ll be relaxed and refreshed when your guests arrive—not hunched over and scrambling in the kitchen with your oven mitts on. After all, why shouldn’t you enjoy the party as much as your guests? Go Cajun for your next occasion! CAJUN-INSPIRED RECIPES ARE A GREAT WAY TO ADD DOWN-HOME FLAIR AND LOADS OF FLAVOR TO ANY OCCASION. THE FOLLOWING ARE SOME ESSENTIAL TERMS FROM THE LEXICON OF CAJUN COOKING: GUMBO Gumbo is a thick stew made from mainstay Cajun vegetables, such as okra, tomatoes, and onions, and one or several meats or shellfish, such as chicken, sausage, ham, shrimp, crab, or oysters. The one thing all good gumbos begin with is a dark roux, which adds an unmistakable, incomparably rich flavor. Gumbo is a wonderful way to transform leftovers (ham, a ham bone, chicken, turkey, duck, sausage, seafood, or bacon) into a savory meal. JAMBALAYA A quintessential Louisiana dish, jambalaya (pronounced juhm-buh-LI-yah or jam-buh-LI-yah) is a hearty and versatile dish that combines cooked rice with a variety of ingredients, including tomatoes, green peppers, chili powder, garlic, onions, and any kind of shellfish, meat, or poultry desired. Jambalaya is a variation of Spanish paella. ROUX A roux (pronounced ROO) is a mixture of oil and flour browned slowly to a desired color (a dark-chocolate color for gumbos and stews, a caramel color for étouffés or gravies) that is used as the basis for many Cajun dishes, such as gumbos, stews, and gravies. “ ” TRADITIONAL ROUX – 1 cup cooking oil, 1 cup flour. In a heavy pot, heat the oil over low-to-medium heat. Stir in the flour and continue stirring constantly to prevent burning. Should you notice some black specks in your roux, throw out the roux and start over—otherwise, black specks will give your roux a bitter, burned taste. When the roux reaches the desired color, add chopped onions, stirring well. Master making this and have fun! DON’T BE AFRAID TO REHEAT THESE DISHES Dianne recommends making the gumbo 24 hours in advance and refrigerating it in a covered ceramic or glass container, so that all the ingredients can absorb the seasonings . . . then just reheat and serve buffet-style. Likewise, Dianne’s jambalaya, beans and rice, and pecan-pie recipes can all be prepared a day ahead. 44 PERFORM Cajun Cooking FAMILY & LIVING Cajunfor Any Occasion L ouisiana evokes images of ancient oaks draped in Spanish moss, snaking bayous, and ornate wrought-iron balconies in the French Quarter of New Orleans. Louisiana cooking elicits an equally alluring array of images and textures, from savory gumbos to exotic jambalayas to pecan-based desserts. This eclectic cuisine knows no boundaries, having African, French, German, Native American, and Spanish influences at its piquant core. While some culinary purists may try to split hairs on the differences between the Creole and Cajun cookery, the old distinctions are now quite blurred, so much so that “Cajun” has become a catchall term for traditional Louisiana cooking. Whether hosting a large group for a get-together, throwing a special celebration, or whipping up a savory supper from leftovers, bring home the bayou with these Cajun recipes from Louisiana hospitality diva Dianne Cage. You’ll be able to prepare each recipe in under an hour, with a lot less work than you might think . . . thanks to a few work-sparing tips from Dianne. PFBX5X04 B 2/10/05 11:36 AM Page 44
  • 24. 46 PERFORM Cajun Cooking FAMILY & LIVING Cajun Cooking FAMILY & LIVING (Serves 20) Seasoning Mix: To be done ahead 4 bay leaves 4 teaspoons salt 1 teaspoon white pepper 1 teaspoon black pepper 1 teaspoon cayenne pepper (or less) 1 teaspoon thyme leaves 1 ⁄2 teaspoon oregano leaves 1 teaspoon filé (powdered sassafras leaf) Vegetables: To be done ahead 4 cups chopped onion 3 cups chopped green pepper 2 cups chopped celery 1 cup chopped green onion 2 tablespoons minced garlic 11 ⁄2 cups vegetable oil 11 ⁄2 cups flour 12 cups (more or less) seafood or chicken stock Peeled medium shrimp (as much as desired) Crabmeat (claw) (as much as desired) Okra (frozen or fresh), chopped (as much as desired) In a large iron skillet, heat oil until it just begins to smoke; add flour and whisk continuously over high heat until dark red-brown. Do not burn. Add half the vegetables, continue whisking (or stirring with a wooden spoon) for a minute more. Add remaining vegetables and seasoning mix. Continue stirring con- stantly to prevent burning. Reduce heat a little and stir approximately five minutes. Remove from heat. In another large pot, bring stock to a boil. Add roux, one spoonful at a time, stirring after each addition. Bring to a low boil.Add seafood or other meats in the order in which each degree of doneness is desired. 1. Sausage, duck, or chicken. First simmer 20 to 25 minutes, stirring occasionally. 2. Crabs. Until meat comes from cavities. 3. Okra. Takes 10 to 15 minutes. 4. Crabmeat. Add 5 minutes before finished cooking. 5. Add shrimp and oysters last. Have at a boil, cover, remove from heat, and let stand until shrimp are pink and oysters curl. If oil foam forms, this may be skimmed off. Serve hot over rice. Preparing ahead: Refrigerate gumbo for at least 24 hours, reheat, and serve over hot cooked rice. FILÉ GUMBO Recipes adapted from “Cooking and Gardening With Dianne” by Dianne Cage. Published by arrangement with the Wimmer Companies, Inc. All rights reserved. PERFORM 47 SHRIMP AND SAUSAGE JAMBALAYA 1 pound smoked sausage, thinly sliced 3 tablespoons olive oil 2 ⁄3 cup chopped green pepper 2 cloves garlic, minced 3 ⁄4 cup chopped fresh parsley 1 cup chopped celery 2 16-ounce cans of tomatoes 2 cups chicken broth 1 cup chopped green onions 11 ⁄2 teaspoons thyme 2 bay leaves 2 teaspoons oregano 1 tablespoon Creole seasoning* 1 ⁄2 teaspoon salt 1 ⁄4 teaspoon cayenne pepper 1 ⁄4 teaspoon black pepper 2 cups long-grain converted rice, washed 3 pounds raw shrimp, peeled and deveined In a four-quart heavy pot, sauté sausage. Remove with slotted spoon. Add oil to drippings and sauté green pepper, parsley, and celery for five minutes. Chop tomatoes and reserve liquid. Add tomatoes and liquid, broth, and onions. Stir in spices. Add rice. Add sausage and cook 30 minutes, covered, over low heat, stirring occasionally. After most liquid has been absorbed by rice, add shrimp and cook until pink. Transfer mixture to an oblong baking dish; bake approximately 25 minutes and serve. *A mixture of salt, red pepper, black pepper, chili powder, and garlic powder. Preparing ahead: Cover baking dish tightly with plastic wrap or foil and refrigerate overnight. When ready to reheat, remove plastic wrap or foil, and place the jambalaya- filled baking dish in a 400°F oven for 20 minutes. Serve. THE BEST PECAN PIE 1 stick butter 1 cup light corn syrup 1 cup sugar 3 large eggs, beaten 1 ⁄2 teaspoon lemon juice 1 teaspoon vanilla 1 dash of salt 1 cup chopped pecans 1 8- or 9-inch unbaked pie crust Brown butter in a saucepan until golden brown. Do not burn. Let browned butter cool. In separate bowl, add remaining ingredients in order and stir. Blend butter into mixture well. Pour into unbaked pie crust and bake at 425°F for 10 minutes; then lower to 325°F and bake for 40 minutes. Serve warm with fresh whipped cream or vanilla ice cream. RED BEANS, OR PINTO BEANS, AND RICE 1 pound or 1 16-ounce can of red kidney or pinto beans 1 ⁄4 cup chopped ham or leftover cooked pork 2 large onions, chopped 1 bell pepper, chopped 2 ribs celery, chopped 2 cloves garlic, finely chopped Salt and pepper to taste Pinch of sugar 1 bay leaf 2 pounds link spicy sausage sliced into half-inch-thick pieces 1 ⁄4 cup parsley, chopped 3 cups cooked rice If you’re using dry beans, soak overnight and rinse before adding to a medium-size pot. If you’re using canned beans, rinse them and add to a medium-size pot. To the bean pot, add ham (fat trimmed off), onion, bell pepper, celery, garlic, salt, pepper, sugar, and bay leaf. Cook over medium heat for 10 to 15 minutes, stirring occa- sionally. While beans are cooking, fry sausage pieces in a skillet; drain and stir sausage into bean pot. Serve over hot cooked rice. PFBX5X04 B 2/10/05 11:36 AM Page 46
  • 25. PERFORM 49 Music Review FAMILY & LIVING Rock On THE WHO/THEN AND NOW Do you think you’re too old to rock ’n’ roll? Well, it’s been nearly 40 years since The Who took the stage and Roger Daltrey sang “I hope I die before I get old.” Now, he and guitarist/songwriter Pete Townshend are still doing it. So why can’t you? True, they’ve lost two of the original four members—Keith Moon to drugs in 1979, John Entwistle to a heart attack in 2002. But despite those losses and their advancing age, The Who continues to rock. This new Who album is a greatest-hits package that also includes the first new Who songs to be released in decades. The first 18 tracks are a great sampling of the most popular songs, including early favorites “I Can’t Explain” and ”My Generation” along with “Pinball Wizard” and “See Me, Feel Me” from the rock opera “Tommy.” Of course, the bombastic stadium-rock staples “Won’t Get Fooled Again” and “Who Are You” are here, although “Baba O’Riley” (widely known as “Teenage Wasteland”) is curiously absent. All of the songs have been digitally remastered and sound better than ever. If you don’t already have most of these songs in your collection, “Then and Now” will help you right that terrible rock ’n’ roll wrong. “Old Red Wine” is the first new track on this collection. It’s Townshend’s tribute to The Who’s late bass guitarist, John Entwistle. Townshend composed this moody song on the road, while The Who was still touring after the death of Entwistle. The song sounds a bit like something from the Quadrophenia period and looks back fondly on the crazy times the band had in its early years. In the other new tune, “Real Good Looking Boy,” Townshend praises rock ’n’ roll as a source of salvation. While the music is unmistakably The Who, it doesn’t sound much like any song they’ve recorded before. In both tunes, Daltrey’s voice is richer and deeper than ever, while Townshend’s guitar playing is playful but lacks the crunch he made famous in his youth. While neither of these tunes may rock the house quite as hard as the classic cuts, most longtime fans will be pleased to hear new material from these enduring rock legends. Go Country for Your Country VARIOUS ARTISTS/PATRIOTIC COUNTRY This collection recognizes that most Americans, despite talk of a “country divided,” deeply love their country and enjoy celebrating it with song. In exalting our country, few forms of music can match country—one of the few purely American music forms. The album includes 18 new and classic patriotic tunes performed by a mix of country legends and newcomers. It kicks off with an update to Lee Greenwood’s classic “God Bless the USA.” Originally written in the 1980s, this song still resonates today. Another high- light is Martina McBride’s stirring rendition of “God Bless America.” This is a live recording of her performance at the Rose Bowl Parade in January 2002. Randy Travis also tips his hat with “America Will Always Stand,” a simple ode to the enduring strength of this country and its people. The group Alabama celebrates the simple country life with “Born Country.” “This Ain’t No Rag, It’s A Flag,” from The Charlie Daniels Band, serves as a sequel to their hit “Courtesy of the Red, White, and Blue.” Once again, Mr. Daniels and his band are a bit heavy-handed with their flag-waving, but there’s no arguing with the real emotion and country-rock bluster behind “We’ll Get You.” Following patriotic cuts by Kenny Chesney, Hank Williams Jr., and others, the album winds down with Kenny Rogers’ straightforward expression of love for the strong and free country we strive to be, in “Homeland.” Whether you’re a big country fan or not, it’s hard to resist feeling a sense of American pride after a listen to this collection. Best of all, a portion of the proceeds from the sales of this collection will be donated to active-duty troops, the families of fallen soldiers, and the USO. Jazz It Up DIANA KRALL/THE GIRL IN THE OTHER ROOM Canadian Diana Krall broke into the popular music scene in the late 1990s with her Grammy-winning album “All For You.” Since then she has con- tinued to produce a string of hits based on old standards from some of her musical inspirations, Nat King Cole, Rosemary Clooney, and Frank Sinatra. Her smoky voice and subtle touch on the piano, coupled with her reverence for jazz history, have been a powerful and profitable combination. “The Girl in the Other Room” takes Krall in a new direction, away from jazz classics and overplayed torch songs. She offers a jazzy interpretation of modern standards made famous by Joni Mitchell, Bonnie Raitt, and Tom Waits. This album is the first to include original compositions by Krall. Some of these she cowrote with her new husband, Declan McManus— the skinny-tied, bad-boy crooner known to the music world as Elvis Costello. Standout cuts include “I’m Coming Through,” “Black Crow,” “Departure Bay,” and “Love Me Like a Man.” The spare, spacious acoustic instru- mentation avoids the overproduced sound of some of Krall’s earlier efforts and evokes classic ’60s jazz albums by Coltrane, Davis, and Brubeck. Most of the new material, including the title track and “Abandoned Masquerade,” has melodic and lyrical complexity and a brooding tone. And all the tunes are delivered with Krall’s trademark “old soul” smoky vocals and brilliant command of those 88 keys, with an overall feeling of melancholy. This is a great album to serve up with a fine bottle of wine and some thoughtful conversation. 48 PERFORM Music Review FAMILY & LIVING As a music lover I’m happy to say that there’s still a lot of good music being put out by talented artists, even if it’s sometimes hard to find on the radio. When PERFORM™ asked me to review the latest music releases, I was glad to oblige. I’ve collected what I think are the best bets among the latest rock, country, and jazz, as well as some others worth checking out in these categories. So, if you’re looking for some new sounds to fill your home or car or to play at your next social gathering, odds are that at least one, if not all, of these albums will win you over. New Sounds GoodTunesfor GoodTimesGET YOUR HANDS ON THESE CDS TO HEAR SOME REFRESHINGLY GOOD SOUNDS. By Bruce Hartmeyer PFBX5X04 B 2/10/05 11:36 AM Page 48
  • 26. “The race is not always to the swift...but to those who keep on running.” “Act as if it were impossible to fail.” “We come to feel as we behave.” ““I bend but do not brI bend but do not break.eak.”” “Forever is composed of nows.” –Author Unknown –Dorothy Broude –Paul Pearsall ––Jean de La FJean de La Fontaineontaine –Emily Dickinson “I bend but do not break.” –Jean de La Fontaine Proud to support individuals living life in the moment. BEXTRA.com ERIC CLAPTON/ME AND MR. JOHNSON Clapton revisits the crossroads of blues and rock by devoting an entire album to the songs of blues legend Robert Johnson; Clapton’s voice is grittier, his soloing is more restrained and more refined, and the production is simple—all of which are good things. Also Worth Checking Out KENNY CHESNEY WHEN THE SUN GOES DOWN This follow-up to his multi-platinum 2002 album “No Shirt, No Shoes, No Problems” benefits from his increasing confidence as a performer and his maturation from teenager to young adult. “When the Sun Goes Down” is the celebration of living life, look- ing for love, and chasing one’s dreams. NORAH JONES/FEELS LIKE HOME This follow-up to her best-selling, Grammy-winning debut “Come Away With Me” deftly avoids the sophomore slump while still delivering the melancholy whispery vocals and disarmingly simple jazz piano accompaniments that we’ve come to expect from Jones. “Feels Like Home” embraces bluegrass and country—in fact, on one of her new songs, Jones duets with country legend Dolly Parton. 50 PERFORM Music Review FAMILY & LIVING PFBX5X04 B 2/10/05 11:36 AM Page 50
  • 27. Foods for Thought Foods can change the way a drug works or can create a side effect. If you are taking a medica- tion, the following foods and substances should raise a red flag. Each of these may cause side effects when taken with certain drugs: IRON ■ Dark leafy greens ■ Liver ■ Prunes or raisins ■ Red meat ■ Shellfish ■ Supplements CITRUS ■ Juices ■ Whole fruit CALCIUM ■ Dairy products ■ Fish with bones YEAST ■ Breads ■ Dietary supplements PERFORM 53 Remember, if you have problems or have a side effect from a medicine or food, call your doctor right away. ASPIRIN T he best way to be certain that you’re safely taking drugs, foods, and herbals is to ask your doctor. Here are some tips I’ve put together for PERFORM™. Note that nothing is better than talking with your doctor, but these are a great start to managing your mix: ■ Read the labels. All drugs, foods, drinks, and OTCs have them. ■ Make a list. Keep a list with every prescription medication, OTC, and herbal product you take. Tell you doctor about all of these. ■ Seeing more than 1 doctor? Make sure each doctor is aware of every medicine you take. Or ask them to call your other doctor(s) for you. They will make sure your medicines can be taken together. ■ Ask your doctors what to expect when you start a new diet or medication. Let them know if you have any allergies. ■ Make a habit of having all your prescriptions filled at the same pharmacy. For a list of drug interactions, visit the US Food and Drug Administration Web site at www.fda.gov/cder/consumerinfo/druginteractions.htm Drug Interactions HEALTH 52 PERFORM Drug Interactions HEALTH An Ounce of Prevention... It’s All in the Mix Drinking alcohol when taking common OTCs, such as Advil® , Motrin® , or Tylenol® , may lead to stomach upset, rapid heartbeat, or even more harmful effects. Drinks to Think About Coffee, soda, and alcohol may be a big part of our diets. They can also have a big impact on many of the drugs we take. Alcohol can increase the effects of many medicines. Caffeine found in coffee and soda may either increase or lessen the effects of many medicines. Consider even grapefruit juice. It has been shown to increase the blood levels of drugs taken for high blood pressure or allergies when taken at the same time. W hat can make a drug interact with another drug? Or what can make some foods interact with a drug? It’s all in the mix. Drugs, and many common foods we eat, don’t mix well. You must take all med- icines—prescription, over-the- counter medicines (OTCs), even herbals—the right way. If you do, you are more likely to avoid side effects. A big reason why some drugs don’t mix well with other drugs is that chemical reactions may take place. These often result in side effects. Some foods we eat may also change how a drug works in your body. Add to this that our ages, diets, weight, and health can also change the way a drug works. If you take more than 1 drug, are on a diet, or have a health concern, consult with your doctor. As a proud baby boomer, I find myself needing a little health tune-up every now and then. I try to keep my blood pressure down and my joints free from pain. My doctors and today’s medicines offer me safe and effective treatments. As consumers, we are buying OTCs and taking vitamins and herbal pills at growing rates. With so many products to keep us going, what could there be to worry about? As a former nurse, I’ve learned that keeping track of all that I add to the mix should be at the top of my list for good health. With so many choices available, there’s a growing chance you can create a less-than-perfect mix. Something as safe as oatmeal or grapefruit juice can make a medicine you take less effective, more active, or even harmful to you. By Beth Joseph Advil (ibuprofen) is a registered trademark of Whitehall-Robbins Healthcare, American Home Products Corporation. Motrin (ibuprofen) is a registered trademark of McNeil Consumer Healthcare, Division of McNeil-PPC, Inc. Tylenol (acetaminophen) is a registered trademark of McNeil Consumer Healthcare, Division of McNeil-PPC, Inc. Pharmex Original Copyrighted Warning Label Information was reprinted with Pharmex’s authorization. PFBX5X04 B 2/10/05 11:36 AM Page 52
  • 28. hat could be one reason why book clubs have become so popular. Not only are they a way to socialize, but they also give us quality time to escape and focus, to feed our imagination and understanding, and ultimately to communicate with others. Just for pleasure. After all, isn’t that what a good book is all about? Maybe it was Oprah and her book club that spurred the craze. Whatever it was, the phenomenon of book clubs is alive and well. And if you’re not already in one, it’s easy to join or start a book club. Begin with your friends and work from there. Your neighborhood bookstore and library are also good sources to tap. You can even go online. There’s a Web site that can guide you through establishing your own book club. ReadingGroupGuides.com is a premier destination for readers and their book clubs (www.readinggroupguides.com). Whether searching for a discussion guide for a particular book, seeking advice or ideas on how to start or maintain a group, or just looking for suggestions from other groups around the country on hot new books, you can find it all on this site. In addition to a monthly newsletter to keep your group in the literary know, the site boasts more than 1,400 book-discussion guides, searchable by title, author, or genre. It even offers the opportunity to register your group to become eligible for group discounts and other special offers from publishers and authors. Who makes up the wonderful world of book clubs? As you might expect, nearly 95 percent of book clubs are all women. The remaining five percent of clubs include men and mixed groups of men and women. The most famous mixed group is humorously called “Mostly We Eat,” which was originally formed for ABC’s “Good Morning America.” T Keep it fun and upbeat. This is what’s most important about starting and maintaining a successful reading group! ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ Regardless of your gender or demographic, if you’d like to start your own reading group, PERFORM™ has outlined these simple steps for you to get started: 54 PERFORM Book Clubs FAMILY & LIVING PERFORM 55 Book Clubs FAMILY & LIVING Call or e-mail one or two friends who share your love of books and suggest you join forces. Decide on a book you’ll all read, and then set a date to get together to discuss it. At that initial meeting, if each of you brings a friend who’s also read the book, you’ve got the makings of your very own book club! Network with coworkers or fellow parents at your child’s school to find more potential members or existing book clubs. Put up a notice at the gym or in your church hall or synagogue—anywhere people gather and chat is the perfect place to seek potential members. Pick dedicated readers, those who will commit to reading the book and making the meetings. It’s not just a social event. Aim for eight to 12 members for the ideal reading group. That way if a few can’t attend, you’ll still have enough to keep the book discussion lively. From the start, establish ground rules for the club. Every reading group should have a basic structure that its members all agree to and depend on—a structure that will be somewhat flexible within reasonable limits. Discuss fully how you’ll be organized, how you’ll make your book selections, whether you’ll specialize in fiction, nonfiction, mysteries, or not specialize at all. Make sure everyone knows that hosting duties will be passed around the group on a rotating basis. If there’s any problem with that, it’s best to determine this ahead of time. Appoint a secretary who will keep track of the club’s reading list of titles. In addition, a secretary can send out reminders before meetings, which will improve the chances for a good turn out. The secretary or another club member should be in charge of scheduling meeting venues, so that meeting hosts have ample time to prepare. Hosting a meeting does not mean giving a sit-down dinner for 12, but rather serving fruit and cheese and some beverages. The secretary or another club member can be the club’s contact to local bookstores, to ensure there will be enough copies of the selected book for all members. Keep it fun and upbeat. This is what’s most important about starting and maintaining a successful reading group! That way you’re assured of some good gab, some “aha” moments, and a generally enjoyable evening. How many times have you cradled a book you love, ever so slowly turning the final pages, never wanting it to end? And if you’re like me, when the book was over, you would have given anything to have someone to share your thoughts with and the feelings and impressions the story instilled in you—to find out just how much your reading differed from another reader’s. That’s what always seems to happen when we read a good book—we just yearn to share. And that’s because many of our life experiences and our relation to them have taken place within those pages. An ExcellentReadon BookClubsCOME ON, JOIN THE CLUB! By Lilly Spencer 1 2 3 4 5 6 7 8 PFBX5X04 B 2/10/05 11:36 AM Page 54
  • 29. FAMILY & LIVING Book Clubs FAMILY & LIVING Being in the club has caused me to stretch my thinking and read more objectively. PERFORM 57 “ ” 56 PERFORM Book Clubs Some groups go so far as to hire a facilitator—someone who knows the book well and will manage the group discussion. Facilitators come prepared with in-depth information on the author and a solid list of questions to spark relevant discussion. To find out if such people are in your area, contact your local library or bookstore. You can always appoint a group member to be the facilitator for a meeting. Book clubs can make great teaching grounds, with older members sharing and teaching life lessons in light of the story being discussed. Lynda Infantino, in her 60s, feels her book club is not just about books but also a place to share her life. Lynda’s group consists of nine women, all over the age of 50, from diverse backgrounds and professions. Among them is a lawyer, a former English teacher, a former university librarian, two women who distribute textbooks to the New York City school system, a graphic designer, and an antiques dealer. Sometimes a book will res- onate with an individual club member’s past. Two club members survived childhoods in war-torn Europe. Another grew up in the Midwest. A recent book stirred the Midwesterner’s memories of growing up in Indiana, while the very same book seemed boring and meaningless to a native New Yorker in the club. “Discussions here can get pretty heated,” Lynda says. “We are all strong women, and often we end up all speaking at once, trying to put our views out there.” The beauty of everyone sharing their thoughts is getting to learn insights beyond your own. “You learn something new every time and get to know the book that much more fully,” Lynda explains. “You get to compare notes, share thoughts, and discuss how you didn’t know what you loved more, the writing or the plot. You even find yourself pushing to finish a book you just couldn’t get into from the first page, but felt you ought to finish, only to exclaim at the next meeting, ‘You liked this book?! I thought it wasn’t worth the paper it was printed on.’ Being in the club has caused me to stretch my thinking and read more objectively. I find I’m not just reading for escape but with an eye to what the author is trying to communicate, the themes in the book, and what I’ll say about it at the next meeting.” Her book club also offers Lynda the possibility of rediscovering classics she read long ago in school. For example, in rereading “The Great Gatsby,” Lynda was amazed by the beauty of its language and the richness of its metaphors. “I don’t think I had grasped any of this when I read it as a schoolgirl,” she admits. In addition to Lynda and her group, I interviewed Catherine Infantino, a professional woman from Boston, about her experiences with her book club. Lynda’s new daughter-in-law and a second alternate for the Olympic rowing team, Catherine was invited to join a book club three years ago by one of her husband’s friends. The club has been around for some time. Now with 10 members, all in their 30s, the club includes a lawyer, a woman who works with special-needs children and has two children of her own, an event coordinator, an interior designer, and two stay-at-home moms. Catherine finds the variety of her club stimulating, especially when it comes to book discussions. The club members enjoy each other’s company so much that they sometimes meet for strictly social occasions. The book discussions are anything but unsocial or formal, though. They take place on a rotating basis each month at a member’s home, where tea and snacks are offered. It all begins “just naturally,” Catherine explains, “with a little review on what everyone is up to, and then we get down to business—did we or did we not like the book? Within minutes, out come all the salient issues and everyone’s feelings about them.” Unlike Lynda’s more mature and outspoken group, this club’s discussions don’t get too heated. “We’re all very open to people having a variety of differing opinions and we always seem to explore the variations,” says Catherine. Catherine loves her book club for many reasons. First, it’s nice to have “a little push to read a book I might not otherwise read,” she says. Second, Catherine is pleased to have a forum to discuss the extraordinary ideas a good book can offer, ideas which in the club’s discussions can lead to lively debate on a wide array of issues, from philosophy and poli- tics, to relationships, education, and quality of life. When I ask her if any books in particular have struck a chord with her and the group, Catherine tells me that Barbara Kingsolver’s “Poisonwood Bible” has. The novel is about four daughters, each with a strong person- ality. “Each one of us had a favorite character, so we dis- cussed what it was that we enjoyed about each. What we discovered was that the characters were so very similar to the women in our group. And that turned out very well because we all learned a little something extra about each other.” When I ask Catherine the best benefit of participating in her book club these past three years, she replies: “The ritual of community, and especially a community of women. I think it is natural for women to meet and discuss a variety of issues. Throughout history, there have been sewing bees, quilting bees, women getting together to wash their laundry in the river, a whole variety of activities in which women get together and discuss the issues at hand, whether they be about home and hearth or society. I find that our book club is our current means for women to gather. It’s very inspiring and informative to be able to have so many women of such varied backgrounds come together and bring all their experiences with them. It makes for endless and enticing discussions.” If a book club is in your future and sounds like the kind of reading environment you’re looking for, it could be as easy as calling your friend next door or logging on to your computer. ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ Not only are book clubs a way to socialize, but they also give us quality time to escape and focus. ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ ◆ PFBX5X04 B 2/10/05 11:36 AM Page 56
  • 30. M y sisters, in-laws, nieces, girlfriend, and I joined my parents to celebrate their 40th wedding anniversary in a once-in-a-life- time way, journeying to the most beautiful and awe-inspiring place, the Southwest of Ireland. Our trip together honored our parents and also gave us each a chance to catch up with one another in an unforgettable setting. Flying in from the United States, we glimpsed Ireland’s Dingle Peninsula, the westernmost edge of Europe. Three miles below us, the land appeared to be an impossibly long muscular arm of green velvet reaching out into the black Atlantic. The airline captain called it the “scenic Irish coastline.” But scenic struck us as too tidy a term for this dreamscape. Undulating cliffs brimmed with breaking waves. Sunbeams rippled over the crooked, clover-carpeted mountains rolling down to the sea. A rain- bow materialized over a misty inlet. This first encounter entranced us, more than any scenery ever had. And during our 10 days there, we would be amazed continually by Southwest Ireland—its natural beauty, lively layers of history, and infectiously cheery towns and people. Due to its geographic remoteness and accidental multiculturalism born from centuries of sea invasions and sea trade, the maritime Southwest has long been considered a renegade region, with a spirit as untamed as its landscape. Even while ever-increasing droves of tourists visit its friendly, tidy towns, the Southwest remains an enclave of exuberantly wild terrain and Irish heritage. Its Gaeltacht (pronounced GAYLE-takt) areas, sometimes marked by road signs, are some of the last places on Earth where the native language of Ireland, called “Irish,” is spoken. Gaeltacht areas embody not only the Irish language (there are only about 90,000 fluent speakers today), but more broadly an ancient culture that lives on into the present through songs and stories, which can be enjoyed in performance halls, pubs, and at local festivals. The 10 of us rented a fine, secluded house near the town of Kenmare (population 2,600) in County Kerry. Kenmare’s location, nestled between the high mountains and the sea, explains its name in Irish, Neidin, which means “little nest.” It seemed a fitting metaphor to us as we delighted in our house’s wooded seaside location, from where we set out on our daytrips to the wonders of southwestern Ireland. I’ve created a list of the seven wonders of the Southwest. Listed here from north to south, these seven wonders are not the only wonders you’ll discover in southwestern Ireland, but these are surely some of the greatest the Emerald Isle has to offer: Towering out of the Atlantic to a height of 800 feet, the Cliffs of Moher are one of Ireland’s most famous sights. On a clear day the views are beyond words, all the way out to the Aran Islands, which appear like jades floating on the glittering sea. Just two miles north of the Cliffs is the one-street seaside village of Doolin, home to some of the best traditional-Irish-music pubs on the Atlantic and a gate- way to the Aran Islands and to the Stone Age monoliths of the Burren section of northern County Clare. From where we stayed in Kenmare, a beautiful drive through County Kerry to the 20-minute car ferry in Tarbert, County Limerick, across the majestic Shannon River, followed by a dramatic loop north got us to the Cliffs in under three hours. One. The Cliffs of Moher 58 PERFORM Ireland TRAVEL & LEISURE PERFORM 59 Ireland TRAVEL & LEISURE The Seven Wonders of the Wild Southwestof IrelandBy Pete Spain Photographs by Kate Desmond & Pete Spain PFBX5X04 B 2/10/05 11:36 AM Page 58
  • 31. A tourist magnet, Killarney National Park is large enough that it never feels too crowded—not even at its easy-to- access attractions, such as Ross Castle and Muckross Abbey, both from the 15th century, and Torc Waterfall. We visited the park three times, to hike, cycle, and boat, reaching it via the Old Kenmare Road through the desolate, sheep-dotted mountains surrounding the park’s three lakes. Home to Ireland’s last wild herd of red deer, and to its tallest mountain, Mount Carrantuohil, and mountain range, Macgillycuddy’s Reeks, the Killarney Lakes district features some of the most breathtaking back-of-beyond landscapes anywhere. While we usually split up into different groups focused on a variety of destinations and activities each morning, we did the Gap of Dunloe together. The Gap is an ancient passage through Macgillycuddy’s Reeks, which gather so steeply around it that it can be seen from a great distance. The highland path to the Gap winds alongside some of the most undisturbed lakes and rivers this side of Mars. Our trip there began in an open 18-foot skiff on Lough Leane in the Killarney National Park. Our boat driver navigated us through the park’s three pristine lakes, under narrow stone-arch bridges, and over a bit of white water to a cottage, where we disembarked and headed into the mountains. Some of us hiked the seven-mile mountain road, while others traveled it in a horse-drawn jaunting cart. Should you be deprived of a refreshing rain on your way through the Gap you can heal your parched self at the end of your journey at Kate Kearney’s cottage, an establishment that’s been serving passersby since the 18th century. In Irish skellig means crag, so it’s no won- der that the rocky islands rising 650 feet out of the choppy Atlantic, seven miles off the coast of County Kerry, are called the Skellig Islands. The largest of these islands is Skellig Michael, home to a 1,500-year-old monastic complex saddling rocky peaks. This UNESCO* World Heritage site, one of only two in Ireland, is reached by boat, followed by a climb up 600 steps cut in ancient times into the rock face of the island. Skellig Michael’s well-preserved monastery was built by a community of early-Christian monks from the sixth to the 13th century. Historians claim that the island’s beehive stone huts and oratory were made by the same artisan monks who erected similar structures on the Dingle Peninsula. In his book, “How the Irish Saved Civilization,” Thomas Cahill writes that during the Dark Ages in Europe it was monks laboring in remote monasteries, such as on Skellig Michael, who preserved the Bible and other literary keystones that had been rescued after the fall of Rome. According to Cahill, isolated by distance, struggling to feed themselves The backdrop for the movies “Ryan’s Daughter” and, more recently, “Far and Away,” the Dingle Peninsula is a realm of time- less beauty and Irish heritage—from its lush green fields running out to massive sea cliffs, to its ancient stone structures and archeological sites, up to the summit of Mount Brandon, Ireland’s second highest mountain. Legend claims that around A.D. 500 St. Brendan the Navigator fasted for 40 days in a stone hut atop Mount Brandon before setting sail to discover America. Legend or no legend, on the peninsula there is 1,500-year-old history you can touch: beehive stone huts, on top of Mount Brandon and off the sea road west of Dingletown, as well as stones engraved with early-Christian symbols. If you need a break from all that’s historical, do the town of Dingle. Besides its many excel- lent eateries and traditional pubs, the town has a new aquarium and a variety of exquisite shops, including Lisbeth Mulcahy’s Weavers Shop, where you can peruse Lisbeth’s hand- made sweaters and tapestries and her husband’s prized pottery. After a jaunt through Dingletown, drive 20 minutes into the hills for a bird’s-eye view from Connor Pass—at over 1,200 feet, Ireland’s highest pass. If heav- enly heights aren’t your cup of tea, bring a picnic to the shore where much of “Ryan’s Daughter” was filmed, on Slea Head’s sandy beach. Just in from the sea, make time to visit the incredible Gallarus Oratory near Ballyferriter. Constructed without mortar by monks who utilized corbelling (i.e., laying a ring of stones, then another on top of that, with each additional top ring lying a little closer to the center than the ring below it, while tilting the stones downward and outward so as to shed rainwater), this 1,300-year-old weatherproof stone chapel is shaped like an upturned boat. Almost as impressive as Gallarus is the recently opened Great Blasket Centre in Dunquin, a national heritage museum that celebrates the oral-storytelling traditions and bygone histories of the families who once inhabited the now-deserted Blasket Islands off the coast from Dunquin. We spent two days on the Dingle Peninsula, although we could have easilyspentaweek,amonth...alottery’swinningsthere.Ittookusjustundertwo hours to reach the first stretch of the Dingle Peninsula from Kenmare. The 79-mile road along the coast of the Iveragh Peninsula (the peninsula just south of the Dingle Peninsula) is one of Ireland’s premier attractions because of its spectacular views of rocky seaside life, old and new. Passing over a glowing green landscape arranged by stone walls, hedges, giant wild rhubarb, palm trees, and stony hills, the Ring of Kerry has the added feature of stone castles and ruins. Two you won’t want to miss can be found outside the town of Caherciveen, the 14th-century Ballycarbery Castle and the more primitive and perhaps more amazing Cahergall stone ring fort dating from the ninth century. From our house in Kenmare, the Ring of Kerry began at the end of our driveway. It took us an hour and a half to get to the picturesque beach-resort town of Waterville, home to one of Ireland’s most challenging golf courses, and the start of the Skellig Ring—a shutterbug’s dream of a route through the undeveloped, tour-bus-prohibited, Gaeltacht region of far-western Kerry. Ireland TRAVEL & LEISURE Four. Killarney National Park and the Gap of Dunloe Five. Skellig Michael *United Nations Educational, Scientific and Cultural Organization Ireland TRAVEL & LEISURE Two. The Dingle Peninsula Three. The Ring of Kerry 60 PERFORM PERFORM 61 We would be amazed continually by Southwest Ireland— its natural beauty, lively layers of history, and infectiously cheery towns and people. PFBX5X04 B 2/10/05 11:36 AM Page 60
  • 32. 62 PERFORM Ireland TRAVEL & LEISURE and go unnoticed by warring parties while they painstakingly copied manuscripts, these Irish monks were the bridge between the Dark Ages and the thriving medieval period that followed. How the monks ever got out to Skellig Michael with manuscripts, colorful inks, and gold leaf is anyone’s guess. As we learned in failing to arrive at Skellig Michael six days in a row, it’s a hit-or-miss opportunity. Even on a clear day, when you can catch a tantalizing glimpse of the craggy islands across the sea, the Atlantic might be too rough for safe passage. We found consolation at the Skellig Experience heritage center in Portmagee, a few miles west of the Kerry Way, where we learned about the life and times of Skellig Michael’s monks and birds. With the information we learned there, we’re planning our next attempt at boarding a boat from western Kerry to the last place on earth that anyone would try to land—anyone other than a monk, a Viking, or a tourist in the good hands of an Irish boatman. The most amazing driving road we encountered, the Tunnel Road, was built before autos, carved through the mountains during Queen Victoria’s time. Now known as Route N71, the road south from Killarney through Kenmare was known as the “Prince of Wales” route in the late 18th century and was unique then for its moun- tain tunnels. From Kenmare, this road wends it way through pristine rolling hills down to the quaint harbor town of Glengarriff. People have been visiting Glengarriff for generations to ferry out 20 minutes to Garinish Island to behold one of Ireland’s finest gardens. Once a British naval defense post against Napoleonic invasions, Garinish Island was acquired in the early 1900s by an Anglo-Irish politician who, with the help of a landscape architect, transformed the bare rocky island into a world depository of flora. Thriving in the region’s mod- erate temperatures, generous rainfall (the highest annual rainfall on record for Garinish Island is over 100 inches!), and long summer days (16 hours of daylight), the azaleas, ferns, and rhododendron on Garinish Island look more like giant trees than ornamental plants. This southernmost part of Ireland offers enticing beaches, turquoise waters, sailing, kayaking, and angling. It is here that the earls of Desmond, with license from the British, oversaw a vast empire of sea trading, from the Anglo- Norman invasion in the 1160s to the time of Queen Elizabeth—when the last earl lost his head, literally. Before anyone whose name survives lived in this area of golden sands and blue harbors there were Celtic druids. We visited the Dromberg Stone Circle near Rosscarberry. In the ’50s, archeologists unearthed this well-preserved druid ring in a farmer’s field. The ring stands on a breezy vista overlooking farmland that stretches out to the Atlantic. At sunset on the winter solstice, the sun aligns with the stone circle’s entrance, its monolithic table stone, and a gap in the western hills. Stitched together in an area about the size of Connecticut, these seven wonders of Southwest Ireland are well worth visiting. The region itself offers mountains, seascapes, hillsides, and fields of beauty in a place that feels like home. Many of the tourists we met were returning for the fourth or 14th time. Who could blame them? On our last day, walking around a mountain lake, we noticed a thin wire fence gauzed with loose mats of wool from a recently moved-on sheep herd. We followed the fence to the sheep as they were laying siege to a far patch of golden thistle, wild rose, and foxglove by a stream feeding the lake. A fine rain started to fall, adding some sibilance to an airy firmament of muted sounds. As we watched the sheep munching and lolling about in the rain, a sunbeam broke through and a rainbow fanned down the mountainside, right where another group of sheep were trudging along. They seemed blind to the rose light from the rainbow clinging to their nappy coats. Or perhaps it was just another afternoon light show to them. To us, it was a sign that we’ll have to be going back to discover more wonders. Seven. The Southern Coast from Baltimore to Kinsale Along the way, glean what you can from the locals on where to have tea, dinner, or a real pub experience. A few of the more outstanding establishments we enjoyed were: Foxy John’s Hardware and Bar, Dingle, County Kerry: Here, with a worn hardware counter to the right and a bar to the left, you can go either way for a screwdriver. Should your car fail you, either before or after your time here, Foxy John also operates a bike-rental operation out back. The Lime Tree Restaurant, Kenmare, County Kerry: The place my mom loved most. An artsy charming restaurant offering a marvelous menu (featuring fresh local ingredients such as salmon, monkfish, cod, duck, lamb, beef, and organic vegetables) and a very good wine list, complemented by perfect service. Mac’s Ice Cream, Killarney, County Kerry: One taste of this ice cream and you’ll be asking, “Do they feed the cows butter here?” At the front of this appealing restaurant/dairy counter, the woman who makes the ice cream still takes compliments and your money, even after years of being celebrated throughout Ireland for her ice cream. The Pantry, Bantry, County Cork: If you find yourself approaching Bantry, remember The Pantry. Twenty chairs, seven tables in a little second-story flat with big windows. Everything, but the tables and tea leaves, is made on premises. Leave room for dessert. McDermott’s Bar, Doolin, County Clare: Recently named Ireland’s traditional-Irish-music pub of the year, this centuries old bar has live traditional music every night from April through November and on weekends during the winter months. Six. The Tunnel Road from Kenmare south to Glengarriff Important Information. BEXTRA is not for everyone. Prescription BEXTRA should not be taken if you’ve had allergic reactions to certain drugs called sulfonamides, aspirin or other arthritis medicines or if you’ve had aspirin-sensitive asthma or are in late pregnancy. It is not recommended if you have advanced kidney disease. Tell your doctor if you have kidney or liver problems. In rare cases, serious stomach problems such as bleeding can occur without warning. Tell your doctor right away if you develop blisters in the mouth or a rash, as it can be a sign of a serious skin reaction that may be life threatening. If you experience other unusual symptoms while taking BEXTRA, tell your doctor immediately. The most common side effects are headache, abdominal pain, indigestion, upper respiratory infection, nausea and diarrhea. Please see important Product Information on page 66. BEXTRA— one powerful pill that can give you 24-hour relief from the joint pain of arthritis. KnowledgeisPowerBEXTRA’s pain-fighting molecules concentrate at the site of arthritis joint pain to help you get moving again. SO MUCH POWER, SO MUCH RELIEF™ PFBX5X04 B 2/10/05 11:36 AM Page 62
  • 33. The Etiquette of Gift Giving A Talk With Letitia Baldrige Are there guidelines one should use for giving gifts to family members and friends? Yes. Consider how close you are to the family member, how much you can afford to spend, and how much respect and affection you want to show with your gift. With friends, use your imagination and creativity to select something that will please them. If you don’t know them well enough, it’s alright to ask them what they like and go from there. Tip: People usually don’t spend as much on friends, as it can set a precedent and they will expect a gift in kind every year. Is it appropriate to give a gift to a boss or coworker,and what types of gifts are right? You do not give gifts to bosses, because you don’t want to potentially embarrass them or make them feel they have to reciprocate. However, it’s always appropriate to give a gift to a coworker who has done you a big favor and to include a thank-you that says why you’re grateful. Tip: There are exceptions. If you are an assistant, a flowering plant or other small gesture is appropriate.Any employee can always send the boss a beautiful card with a sincere sentiment. If you’re invited to an event such as a wedding but can’t go, do you still have to send a gift? A wedding is a big event, and you might think that a gift is always required. Try and remember that if you are going to the wedding, you need to send a gift. If you turn down the invitation, you do not have to send a gift. Tip: If this is a really great friend, however, and you can’t make it, send a gift anyway as a gesture of your friendship. What if you receive a gift you already have? This can actually work to your benefit. It’s alright to return a duplicate gift to the store. Write a note to the gift giver, saying that you already had this item and so you returned it for something you really wanted. Tell them what that item is and that you couldn’t be more delighted with it. Tip: Remember that it is rude to return a gift for cash. Is it OK to re-gift? Believe it or not, yes. Provided that you keep a complete record of when you received the gift and who gave it to you. When you send the gift to another person, make sure they don’t know who gave you the gift first. I have personally re-gifted successfully—and also horribly! Tip: A good policy for minimizing re-gifting faux pas is to confine your re-gifting efforts to friends who live in a different state. Is it ever acceptable to e-mail a thank-you note? Seeing how widely accepted e-mail has become, sending a thank-you via e-mail is alright, as long as the gift was modest and the giver didn’t have to go through too much trouble to give it to you. Tip: If someone sends you an antique he picked up on the Riviera—that merits a handwritten letter on beautiful stationery. 64 PERFORM Gift Etiquette TIPS & TRENDS A merica’s leading arbiter of etiquette and the author of 20 books on the topic, Letitia Baldrige, recently took time to answer a few questions on the etiquette of gift giving. You can find out more by reading Letitia Baldrige’s “New Manners for New Times: A Complete Guide to Etiquette.” PERFORM 65 Cartoons THE LIGHTER SIDE PFBX5X04 B 2/10/05 11:36 AM Page 64
  • 34. SO MUCH POWER, SO MUCH RELIEF™ Brief summary of prescribing information. INDICATIONS AND USAGE For relief of the signs and symptoms of osteoarthritis and adult rheumatoid arthritis. For the treatment of primary dysmenorrhea. CONTRAINDICATIONS BEXTRA should not be given to patients who have demonstrated allergic-type reactions to sulfonamides, patients with known hypersensitivity to valdecoxib or those who have experienced asthma, urticaria, or allergic-type reactions after taking aspirin or NSAIDs. Severe, rarely fatal, anaphylactic-like reactions to NSAIDs are possible in such patients (see WARNINGS – Anaphylactoid Reactions, and PRECAUTIONS – Pre-existing Asthma). WARNINGS Gastrointestinal (GI) Effects - Risk of GI Ulceration, Bleeding, and Perforation: Serious GI toxicity (bleeding, ulceration and perforation of the stomach, small intestine or large intestine) can occur at any time with or without warning symptoms in patients treated with NSAIDs. Minor GI problems such as dyspepsia are common and may also occur at any time during NSAID therapy. Therefore, physicians and patients should remain alert for ulceration and bleeding even in the absence of previous GI tract symptoms. Inform patients about the signs and symptoms of serious GI toxicity and the steps to take if they occur. Only 1 in 5 patients who develop a serious upper GI adverse event on NSAID therapy is symptomatic. Upper GI ulcers, gross bleeding or perforation caused by NSAIDs occur in about 1% of patients treated for 3 to 6 months and 2-4% of patients treated for one year. These trends continue, thus increasing the likelihood of developing a serious GI event at some time during the course of therapy. However, even short-term therapy is not without risk. Prescribe NSAIDs with extreme cau- tion in patients with a prior history of ulcer disease or GI bleeding. Most spontaneous reports of fatal GI events are in elderly or debilitated patients and therefore special care should be taken in treating this population. For high risk patients, consider alternate therapies that do not involve NSAIDs. Studies have shown that patients with a prior history of peptic ulcer disease and/or GI bleeding and who use NSAIDs have a greater than 10-fold higher risk for developing a GI bleed than patients with neither of these risk factors. Pharmacoepidemiological studies have identified several other co-therapies or co-morbid conditions that may increase the risk for GI bleeding such as: treatment with oral corticosteroids, or anticoagulants, longer duration of NSAID therapy, smoking, alco- holism, older age, and poor general health status. Serious Skin Reactions: Serious skin reactions, including exfoliative dermatitis, Stevens-Johnson syndrome, and toxic epidermal necrolysis, have been reported through postmarketing surveillance in patients receiving BEXTRA (see ADVERSE REACTIONS–Postmarketing Experience). Fatalities due to Stevens-Johnson syndrome and toxic epidermal necrolysis have been reported. BEXTRA should be dis- continued at the first appearance of skin rash or any other sign of hypersensitivity. Anaphylactoid Reactions: In postmarketing experience, cases of hypersensitivity reactions (anaphylactic reactions and angioedema) have been reported in patients receiving BEXTRA (see ADVERSE REACTIONS–Postmarketing Experience). These cases have occurred in patients with and without a history of allergic-type reactions to sulfonamides (see CONTRAINDICATIONS). BEXTRA should not be given to patients with the aspirin triad. This symptom complex typically occurs in asthmatic patients who experience rhinitis with or without nasal polyps, or who exhibit severe, potentially fatal bronchospasm after taking aspirin or other NSAIDs (see CONTRAINDICATIONS and PRECAUTIONS–Pre-existing Asthma). Seek emergency help in cases where an anaphylactoid reaction occurs. Advanced Renal Disease: Treatment with BEXTRA is not recommended in patients with advanced kidney disease, but if it is used, close monitoring of the patient’s kidney function is advisable. Pregnancy: Avoid BEXTRA in late pregnancy because it may cause premature closure of the ductus arteriosus. PRECAUTIONS General: BEXTRA Tablets cannot be expected to substitute for corticosteroids or to treat corticosteroid insufficiency. The pharmacological activity of valdecoxib in reducing fever and inflammation may diminish the utility of these diagnostic signs in detecting complications of presumed noninfectious, painful conditions. Hepatic Effects: Borderline elevations of one or more liver tests may occur in up to 15% of patients taking NSAIDs, and notable elevations of ALT or AST (about three or more times the upper limit of normal) have been reported in approximately 1% of patients in clinical trials with NSAIDs. These lab abnormalities may or may not change with continuing therapy. Rare cases of severe hepatic reactions, including jaundice and fatal fulminant hepatitis, liver necrosis and hepatic failure (some with fatal outcome) have been reported with NSAIDs. In controlled clinical trials of valdecoxib, the incidence of borderline (defined as 1.2- to 3.0-fold) elevations of liver tests was 8.0% for valdecoxib and 8.4% for place- bo, while approximately 0.3% of patients taking valdecoxib, and 0.2% of patients taking placebo, had notable (defined as greater than 3-fold) elevations of ALT or AST. A patient with symptoms and/or signs suggesting liver dysfunction, or in whom an abnormal liver test has occurred, should be monitored carefully for evidence of the development of a more severe hepatic reaction while on therapy with BEXTRA. Discontinue BEXTRA if clinical signs and symptoms consistent with liver disease develop, or if systemic manifestations occur (e.g., eosinophilia, rash). Renal Effects: Long-term administration of NSAIDs has resulted in renal papillary necrosis and other renal injury. Renal toxicity has also been seen in patients in whom renal prostaglandins have a compensatory role in the maintenance of renal perfusion. In these patients, NSAIDs may cause a dose-dependent reduction in prostaglandin formation and, secondarily, in renal blood flow, which may precipitate overt renal decompensation. Patients at greatest risk of this reaction are those with impaired renal function, heart failure, liver dysfunction, those taking diuretics and ACE inhibitors, and the elderly. Discontinuation of NSAID therapy is usually followed by recovery to the pretreatment state. Use caution when initiating treatment with BEXTRA in patients with considerable dehydration. Rehydrate patients first and then start therapy with BEXTRA. Use caution in patients with pre-existing kidney disease. (See WARNINGS – Advanced Renal Disease.) Hematological Effects: Anemia is sometimes seen in patients receiving BEXTRA. Patients on long-term treatment with BEXTRA should have their hemoglobin or hematocrit checked if they exhibit any signs or symptoms of anemia. BEXTRA does not generally affect platelet counts, prothrombin time (PT), or partial thromboplastin time (PTT), and does not appear to inhibit platelet aggregation at indicated dosages. Fluid Retention and Edema: Fluid retention and edema have been observed in some patients taking BEXTRA. Use BEXTRA with caution in patients with fluid retention, hypertension, or heart failure. Preexisting Asthma: Due to the potential for cross reactivity, do not use BEXTRA in patients with aspirin-sensitive asthma because of the risk of severe bronchospasm, which can be fatal. Use with caution in patients with preexisting asthma. Information for Patients: Inform patients that BEXTRA can cause GI discomfort and, rarely, more serious GI side effects, which may result in hospitalization and even fatal outcomes; to be alert for the signs and symptoms of ulcerations and bleeding, and seek medical advice should these be observed; to promptly report GI ulceration or bleeding, skin rash, weight gain, or edema; to stop therapy and seek immediate medical attention if they experience the warning signs and symptoms of hepatotoxicity (e.g., nausea, fatigue, lethargy, pruritus, jaundice, right upper quadrant tenderness, and flu-like symptoms); to seek immediate emergency help in the case of an anaphylactoid reaction; and to avoid BEXTRA in late pregnancy due to potential premature closure of the ductus arteriosus. Laboratory Tests: Physicians should monitor for signs and symptoms of GI bleeding. Drug Interactions: The drug interaction studies with valdecoxib were performed with both valdecoxib and a rapidly hydrolyzed intravenous prodrug form. The results from trials using the intravenous prodrug are reported in this section as they relate to the role of valdecoxib in drug interactions. General: In humans, valdecoxib metabolism is predominantly mediated via CYP 3A4 and 2C9 with glucuronidation being a further (20%) route of metabolism. In vitro studies indicate that valdecoxib is a moderate inhibitor of CYP 2C19 (IC50 = 6 µg/mL or 19 µM) and 2C9 (IC50 = 13 µg/mL or 41 µM), and a weak inhibitor of CYP 2D6 (IC50 = 31 µg/mL or 100 µM) and 3A4 (IC50 = 44 µg/mL or 141 µM). Aspirin: Concomitant administration of aspirin with valdecoxib may result in an increased risk of GI ulceration and complications compared with valdecoxib alone. Because of its lack of anti-platelet effect, valdecoxib is not a substitute for aspirin for cardiovascular prophylaxis. In a parallel group drug interaction study comparing the intravenous prodrug form of valdecoxib at 40 mg BID (n=10) vs placebo (n=9), valdecoxib had no effect on in vitro aspirin-mediated inhibition of arachidonate- or collagen-stimulated platelet aggregation. Methotrexate: Valdecoxib 10 mg BID did not show a significant effect on the plasma exposure or renal clearance of methotrexate. ACE-inhibitors: Reports suggest that NSAIDs may diminish the antihypertensive effect of ACE-inhibitors. This interaction should be given consideration in patients taking BEXTRA concomitantly with ACE-inhibitors. Furosemide: Clinical studies, as well as post-marketing observations, have shown that NSAIDs can reduce the natriuretic effect of furosemide and thiazides in some patients. This response has been attributed to inhibition of renal prostaglandin synthesis. Anticonvulsants (Phenytoin): Steady state plasma exposure (AUC) of valdecoxib (40 mg BID for 12 days) was decreased by 27% when coadministered with multiple doses (300 mg QD for 12 days) of phenytoin (a CYP 3A4 inducer). Patients already stabilized on valdecoxib should be closely monitored for loss of symptom control with phenytoin coadministration. Valdecoxib did not have a statistically significant effect on the pharmacokinetics of phenytoin (a CYP 2C9 and CYP 2C19 substrate). Drug interaction studies with other anticonvulsants have not been conducted. Routine monitoring should be performed when therapy with BEXTRA is either initiated or discontinued in patients on anticonvulsant therapy. Dextromethorphan: Dextromethorphan is primarily metabolized by CYP 2D6 and to a lesser extent by 3A4. Coadministration with valdecoxib (40 mg BID for 7 days) resulted in a significant increase in dextromethorphan plasma levels suggesting that, at these doses, valdecoxib is a weak inhibitor of 2D6. Even so, dextromethorphan plasma concentrations in the presence of high doses of valdecoxib were almost 5-fold lower than those seen in CYP 2D6 poor metabolizers suggesting that dose adjustment is not necessary. Lithium: Valdecoxib 40 mg BID for 7 days produced significant decreases in lithium serum clearance (25%) and renal clearance (30%) with a 34% higher serum exposure compared to lithium alone. Lithium serum concentrations should be monitored closely when initiating or changing therapy with BEXTRA in patients receiving lithium. Lithium carbonate (450 mg BID for 7 days) had no effect on valdecoxib pharmacokinetics. Warfarin: The effect of valdecoxib on the anticoagulant effect of warfarin (1 - 8 mg/day) was studied in healthy subjects by coadministration of BEXTRA 40 mg BID for 7 days. Valdecoxib caused a statistically significant increase in plasma exposures of R-warfarin and S-warfarin (12% and 15%, respectively), and in the pharmacodynamic effects (prothrombin time, measured as INR) of warfarin. While mean INR values were only slightly increased with coadministration of valdecoxib, the day-to-day variability in individual INR values was increased. Anticoagulant therapy should be monitored, particularly during the first few weeks, after initiating therapy with BEXTRA in patients receiving warfarin or similar agents. Fluconazole and Ketoconazole: Ketoconazole and fluconazole are predominantly CYP 3A4 and 2C9 inhibitors, respectively. Concomitant single-dose administration of valdecoxib 20 mg with multiple doses of ketoconazole and fluconazole produced a significant increase in exposure of valdecoxib. Plasma exposure (AUC) to valdecoxib was increased 62% when coadministered with fluconazole and 38% when coadministered with ketoconazole. Glyburide: Glyburide is a CYP 2C9 substrate. Coadministration of valdecoxib (10 mg BID for 7 days) with glyburide (5 mg QD or 10 mg BID) did not affect the pharmacokinetics (exposure) of glyburide. Coadministration of valdecoxib (40 mg BID (day 1) and 40 mg QD (days 2-7)) with glyburide (5 mg QD) did not affect either the pharmacokinetics (exposure) or the pharmacodynamics (blood glucose and insulin levels) of glyburide. Coadministration of valdecoxib (40 mg BID (day 1) and 40 mg QD (days 2-7)) with glyburide (10 mg gly- buride BID) resulted in a 21% increase in glyburide AUC(0-12hr) and a 16% increase in glyburide Cmax lead- ing to a 16% decrease in glucose AUC(0-24hr). Insulin parameters were not affected. Because changes in glu- cose concentrations with valdecoxib coadministration were within the normal variability and individual glucose concentrations were above or near 70 mg/dL, dose adjustment for glyburide (5 mg QD and 10 mg BID) with valdecoxib coadministration (up to 40 mg QD) is not indicated. Coadministration of gly- buride with doses higher than 40 mg valdecoxib (e.g., 40 mg BID) has not been studied. Omeprazole: Omeprazole is a CYP 3A4 substrate and CYP 2C19 substrate and inhibitor. Valdecoxib steady state plas- ma concentrations (40 mg BID) were not affected significantly with multiple doses of omeprazole (40 mg QD). Coadministration with valdecoxib increased exposure of omeprazole (AUC) by 46%. Drugs whose absorption is sensitive to pH may be negatively impacted by concomitant administration of omeprazole and valdecoxib. However, because higher doses (up to 360 mg QD) of omeprazole are tolerated in Zollinger-Ellison (ZE) patients, no dose adjustment for omeprazole is recommended at current doses. Coadministration of valdecoxib with doses higher than 40 mg QD omeprazole has not been studied. Oral Contraceptives: Valdecoxib (40 mg BID) did not induce the metabolism of the combination oral contraceptive norethindrone/ethinyl estradiol (1 mg/0.035 mg combination, Ortho-Novum 1/35® ). Coadministration of valdecoxib and Ortho-Novum 1/35® increased the exposure of norethindrone and ethinyl estradiol by 20% and 34%, respectively. Although there is little risk for loss of contraceptive efficacy, the clinical significance of these increased exposures in terms of safety is not known. These increased exposures of norethindrone and ethinyl estradiol should be taken into consideration when selecting an oral contraceptive for women taking valdecoxib. Diazepam: Diazepam (Valium® ) is a CYP 3A4 and CYP 2C19 substrate. Plasma exposure of diazepam (10 mg BID) was increased by 28% following administration of valdecoxib (40 mg BID) for 12 days, while plasma exposure of valdecoxib (40 mg BID) was not substantially increased following administration of diazepam (10 mg BID) for 12 days. Although the magnitude of changes in diazepam plasma exposure when coadministered with valdecoxib were not sufficient to warrant dosage adjustments, patients may experience enhanced sedative side effects caused by increased exposure of diazepam under this circumstance. Patients should be cautioned against engaging in hazardous activities requiring complete mental alertness such as operating machinery or driving a motor vehicle. Carcinogenesis, mutagenesis, impairment of fertility: Valdecoxib was not carcinogenic in rats given oral doses equivalent to approximately 2- to 6-fold human exposure at 20 mg QD as measured by the AUC(0-24hr) or in mice given oral equivalent to approximately 0.6- to 2.4-fold human exposure at 20 mg QD as measured by the AUC(0-24hr) for two years. Valdecoxib was not mutagenic in an Ames test or a mutation assay in Chinese hamster ovary (CHO) cells, nor was it clastogenic in a chromosome aberration assay in CHO cells or in an in vivo micronucleus test in rat bone marrow. Valdecoxib did not impair male rat fertility at oral doses equivalent to approximately 3- to 6-fold human exposure at 20 mg QD as measured by the AUC(0-24hr). In female rats, a decrease in ovulation with increased pre- and post- implantation loss resulted in decreased live embryos/fetuses at doses equivalent to approximately 2-fold human exposure at 20 mg QD as measured by the AUC(0-24hr) for valdecoxib. The effects on female fertility were reversible. This effect is expected with inhibition of prostaglandin synthesis and is not the result of irreversible alteration of female reproductive function. Pregnancy: Teratogenic Effects: Pregnancy Category C. The incidence of fetuses with skeletal anomalies such as semi-bipartite thoracic vertebra centra and fused sternebrae was slightly higher in rab- bits at an oral dose equivalent to approximately 72-fold human exposures at 20 mg QD as measured by the AUC(0-24hr)throughout organogenesis. Valdecoxib was not teratogenic in rabbits up to an oral dose equiv- alent to approximately 8-fold human exposures at 20 mg QD as measured by the AUC(0-24hr).Valdecoxib was not teratogenic in rats up to an oral dose equivalent to approximately 19-fold human exposure at 20 mg QD as measured by the AUC(0-24hr). There are no studies in pregnant women. However, valdecoxib crosses the placenta in rats and rabbits. Use BEXTRA during pregnancy only if the potential benefit justifies the potential risk to the fetus. Non-Teratogenic Effects: Valdecoxib caused increased pre- and post-implantation loss with reduced live fetuses at oral doses equivalent to approximately 19-fold human exposure at 20 mg QD as measured by the AUC(0-24hr) in rats and an oral dose equivalent to approximately 72-fold human exposure at 20 mg QD as measured by the AUC(0-24hr) in rabbits throughout organogenesis. In addition, reduced neonatal survival and decreased neonatal body weight when rats were treated with valdecoxib at oral doses equivalent to approximately 7-fold human exposure at 20 mg QD as measured by the AUC(0-24hr) throughout organogenesis and lactation period. No studies have been conducted to evaluate the effect of valdecoxib on the closure of the ductus arteriosus in humans. Therefore, avoid use of BEXTRA during the third trimester of pregnancy. Labor and Delivery: The effects of BEXTRA on labor and delivery in pregnant women are unknown. Nursing Mothers: It is not known whether this drug is excreted in human milk. Because of the potential for adverse reactions in nurs- ing infants from BEXTRA, a decision should be made whether to discontinue nursing or to discontinue the drug, taking into account the importance of the drug to the mother and the importance of nursing to the infant. Pediatric Use: Safety and effectiveness of BEXTRA in pediatric patients below the age of 18 years have not been evaluated. Geriatric Use: No overall differences in effectiveness were observed between elderly patients and younger patients. ADVERSE REACTIONS Adverse events occurring in >2.0% in controlled arthritis trials of three months or longer regardless of causality at doses of 10mg (N=1214) and 20mg (N=1358) respectively: Hypertension 1.6%/2.1%, Back pain 1.6%/2.7%, Edema peripheral 2.4%/3.0%, Influenza-like symptoms 2.0%/2.2%, Injury accidental 4.0%/3.7%, Dizziness 2.6%/2.7%, Headache 4.8%/8.5%, Abdominal fullness 2.1%/1.9%, Abdominal pain 7.0%/8.2%, Diarrhea 5.4%/6.0%, Dyspepsia 7.9%/8.7%, Flatulence 2.9%/3.5%, Nausea 7.0%/6.3%, Myalgia 2.0%/1.9%, Sinusitis 2.6%/1.8%, Upper Respiratory Tract Infection 6.7%/5.7%, Rash 1.4%/2.1%. 7.5% of arthritis patients receiving valdecoxib 10 mg daily, 7.9% of patients receiving valdecoxib 20 mg daily and 6.0% of patients receiving placebo discontinued due to adverse events in placebo and active controlled clinical trials. In the seven controlled OA and RA studies, the following adverse events occurred in 0.1–1.9% of patients treated with BEXTRA 10–20 mg daily, regardless of causality: Application site disorders: Cellulitis, dermatitis contact; Cardiovascular: Aggravated hypertension, aneurysm, angina pectoris, arrhythmia, cardiomyopathy, congestive heart failure, coronary artery disorder, heart murmur, hypotension; Central, peripheral nervous system: Cerebrovascular disorder, hypertonia, hypoesthesia, migraine, neuralgia, neuropathy, paresthesia, tremor, twitching, vertigo; Endocrine: Goiter; Female reproductive: Amenorrhea, dysmenorrhea, leukorrhea, mastitis, menstrual disorder, menorrhagia, menstrual bloating, vaginal hemorrhage; Gastrointestinal: Abnormal stools, constipation, diverticulosis, dry mouth, duodenal ulcer, duodenitis, eructation, esophagitis, fecal incontinence, gastric ulcer, gastritis, gastroenteritis, gastroesophageal reflux, hematemesis, hematochezia, hemorrhoids, hemorrhoids bleeding, hiatal hernia, melena, stomatitis, stool frequency increased, tenesmus, tooth disorder, vomiting; General: Allergy aggravated, allergic reaction, asthenia, chest pain, chills, cyst NOS, edema gen- eralized, face edema, fatigue, fever, hot flushes, halitosis, malaise, pain, periorbital swelling, peripheral pain; Hearing and vestibular: Ear abnormality, earache, tinnitus; Heart rate and rhythm: Bradycardia, palpitation, tachycardia; Hemic: Anemia; Liver and biliary system: Hepatic function abnormal, hepatitis, ALT increased, AST increased; Male reproductive: Impotence, prostatic disorder; Metabolic and nutritional: Alkaline phosphatase increased, BUN increased, CPK increased, creatinine increased, diabetes mellitus, glycosuria, gout, hypercholesterolemia, hyperglycemia, hyperkalemia, hyper- lipemia, hyperuricemia, hypocalcemia, hypokalemia, LDH increased, thirst increased, weight decrease, weight increase, xerophthalmia; Musculoskeletal: Arthralgia, fracture accidental, neck stiffness, osteoporosis, synovitis, tendonitis; Neoplasm: Breast neoplasm, lipoma, malignant ovarian cyst; Platelets (bleeding or clotting): Ecchymosis, epistaxis, hematoma NOS, thrombocytopenia; Psychiatric: Anorexia, anxiety, appetite increased, confusion, depression, depression aggravated, insomnia, nervousness, morbid dreaming, somnolence; Resistance mechanism disorders: Herpes sim- plex, herpes zoster, infection fungal, infection soft tissue, infection viral, moniliasis, moniliasis genital, otitis media; Respiratory: Abnormal breath sounds, bronchitis, bronchospasm, coughing, dyspnea, emphysema, laryngitis, pneumonia, pharyngitis, pleurisy, rhinitis; Skin and appendages: Acne, alopecia, dermatitis, dermatitis fungal, eczema, photosensitivity allergic reaction, pruritus, rash erythematous, rash maculopapular, rash psoriaform, skin dry, skin hypertrophy, skin ulceration, sweating increased, urticaria; Special senses: Taste perversion; Urinary system: Albuminuria, cystitis, dysuria, hematuria, micturition frequency increased, pyuria, urinary incontinence, urinary tract infection; Vascular: Claudication intermittent, hemangioma acquired, varicose vein; Vision: Blurred vision, cataract, conjunctival hemorrhage, conjunctivitis, eye pain, keratitis, vision abnormal; White Cell and RES Disorders: Eosinophilia, leukopenia, leukocytosis, lymphadenopathy, lymphangitis, lymphopenia. Other serious adverse events that were reported rarely (estimated <0.1%) in clinical trials, regardless of causality, in patients taking BEXTRA: Autonomic nervous system disorders: Hypertensive encephalopathy, vasospasm; Cardiovascular: Abnormal ECG, aortic stenosis, atrial fibrillation, carotid stenosis, coronary thrombosis, heart block, heart valve disorders, mitral insufficiency, myocardial infarction, myocardial ischemia, pericarditis, syncope, thrombophlebitis, unstable angina, ventricular fibrillation; Central, peripheral nervous system: Convulsions; Endocrine: Hyperparathyroidism; Female reproductive: Cervical dysplasia; Gastrointestinal: Appendicitis, colitis with bleeding, dysphagia, esophageal perforation, gastrointestinal bleeding, ileus, intestinal obstruction, peritonitis; Hemic: Lymphoma-like disorder, pancytopenia; Liver and biliary system: Cholelithiasis; Metabolic: Dehydration; Musculoskeletal: Pathological fracture, osteomyelitis; Neoplasm: Benign brain neoplasm, bladder carcinoma, carcinoma, gastric carcinoma, prostate carcinoma, pulmonary carcinoma; Platelets (bleeding or clotting): Embolism, pulmonary embolism, thrombosis; Psychiatric: Manic reaction, psychosis; Renal: Acute renal failure; Resistance mechanism disorders: Sepsis; Respiratory: Apnea, pleural effusion, pulmonary edema, pulmonary fibrosis, pulmonary infarction, pulmonary hemorrhage, respiratory insufficiency; Skin: Basal cell carcinoma, malignant melanoma; Urinary system: Pyelonephritis, renal calculus; Vision: Retinal detachment. Postmarketing Experience: The following reactions have been identified during postmarketing use of BEXTRA. These reactions have been chosen for inclusion either due to their seriousness, reporting frequency, possible causal relationship to BEXTRA, or a combination of these factors. Because these reac- tions were reported voluntarily from a population of uncertain size, it is not possible to reliably estimate their frequency or establish a causal relationship to drug exposure. General: Hypersensitivity reactions (including anaphylactic reactions and angioedema) Skin and appendages: Erythema multiforme, exfoliative dermatitis, Stevens-Johnson syndrome, toxic epidermal necrolysis OVERDOSAGE Symptoms following acute NSAID overdoses are usually limited to lethargy, drowsiness, nausea, vomiting, and epigastric pain, which are generally reversible with supportive care. Gastrointestinal bleeding can occur. Hypertension, acute renal failure, respiratory depression and coma may occur, but are rare. Anaphylactoid reactions may occur following an overdose. Manage patients by symptomatic and supportive care following an NSAID overdose. There are no specific antidotes. Dialysis is unlikely to be useful in overdose. Forced diuresis, alkalinization of urine, or hemoperfusion may not be useful. DOSAGE AND ADMINISTRATION Osteoarthritis and Adult Rheumatoid Arthritis - 10 mg once daily. Primary Dysmenorrhea - 20 mg twice daily, as needed. HOW SUPPLIED BEXTRA Tablets 10 mg are white, film-coated, and capsule-shaped, debossed “10” on one side with a four pointed star shape on the other, supplied as: NDC Number Size 0025-1975-31 Bottle of 100 0025-1975-51 Bottle of 500 0025-1975-34 Carton of 100 unit dose BEXTRA Tablets 20 mg are white, film-coated, and capsule-shaped, debossed “20” on one side with a four pointed star shape on the other, supplied as: NDC Number Size 0025-1980-31 Bottle of 100 0025-1980-51 Bottle of 500 0025-1980-34 Carton of 100 unit dose Store at 25˚C (77˚F); excursions permitted to 15-30˚C (59-86˚F). [See USP Controlled Room Temperature] Rx only May 2004 Manufactured for: G.D. Searle LLC A subsidiary of Pharmacia Corporation Chicago, IL 60680 USA Pfizer Inc New York, NY 10017, USA by: Searle Ltd. Caguas, PR 00725 bexb1002.c1102 B-4-S © 2004 Pfizer Inc. BEXTRA® (valdecoxib tablets) Talk to your doctor today about prescribing BEXTRA for the joint pain of arthritis Visit www.BEXTRA.com to print your certificate for a FREE 7-day trial www.BEXTRA.com Important Information. BEXTRA is not for everyone. Prescription BEXTRA should not be taken if you’ve had allergic reactions to certain drugs called sulfonamides, aspirin or other arthritis med- icines or if you’ve had aspirin-sensitive asthma or are in late pregnancy. It is not recommended if you have advanced kidney disease. Tell your doctor if you have kidney or liver problems. In rare cases, serious stomach problems such as bleeding can occur without warning. Tell your doctor right away if you develop blisters in the mouth or a rash, as it can be a sign of a serious skin reaction that may be life threatening. If you experience other unusual symptoms while taking BEXTRA, tell your doctor immediately. The most common side effects are headache, abdominal pain, indigestion, upper respiratory infection, nausea and diarrhea. Please see important Product Information on page 66. Form a powerful partnership against joint pain… PFBX5X04 B 2/10/05 11:36 AM Page 66
  • 35. Proud to support individuals living life in the moment. BEXTRA.com “The race is not always to the swift...but to those who keep on running.” ““Act as if it werAct as if it were impossible to fail.e impossible to fail.”” “We come to feel as we behave.” “I bend but do not break.” “Forever is composed of nows.” –Author Unknown ––Dorothy BroudeDorothy Broude –Paul Pearsall –Jean de La Fontaine –Emily Dickinson “Act as if it were impossible to fail.” –Dorothy Broude Printed in the USA/October 2004© 2004 Pfizer Inc. All rights reserved.BX205006 PFBX5X04 B 2/10/05 11:36 AM Page 68