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...patient Bob has a "bone-on-bone" knee - no cartilage at all between his femur (thigh bone) and his tibia (leg bone). Common arthritis looks white on an on X-ray; Bob's X-ray is a snowstorm. He's as bow-legged as a cowboy, the inside of his bones have ground each other down. Although his cartilage is all gone, there's something even more important missing in his case. He has no pain. Bob, 70, actually comes in this time because he has pulled a muscle. When I examine him, I'm careful...
...What a contrast to my next patient. Sean is half Bob's age. He weighs less, isn't as active, and has nice straight legs. Barely a trace of arthritis on X-ray and nothing except "minimal arthritic changes" on his MRI. He has taken Advil, Naprosyn, Voltaren, Celebrex with minimal help. Injections into his knees of hyaluronic acid (a component of joint fluid) and corticosteroids provided only a few weeks of relief. Physical therapy, braces, acupuncture, yoga all failed. He couldn't get out of chairs, couldn't climb stairs because of the pain. There was one thing left...
...Alandar, 52, is one of those fans. A season-ticket holder for four years, the X-ray-machine salesman from Peoria, Ariz., says he and his girlfriend used to bring mist sprayers and portable fans to keep cool as they grilled on the bleachers at Sun Devil Stadium. "The first four or five games used to be a test of your endurance," he says. Now the couple enjoys $100 cushioned club seats in the soaring, air-conditioned arena...
...Kirn's depiction of Princeton. While I cannot comment on the Princeton of the 1980s, when Kirn was there, I do know that the Princeton of today offers intellectual stimulation that far surpasses the philosopher-name-dropping that Kirn suggests is the end point of a Princeton education. The "X factor" is not egotism but motivation. The established alumni networks may help down the line, but the attention that Princeton's professors give to their undergraduates is the school's most appealing trait. And I hope that Kirn reported the cheating he saw to the Honor Committee, part of Princeton...
...Once upon a time, in the late '60s and early '70s, there was something that deserved the term adult entertainment. It delved responsibly into mature themes for a wide, grown-up audience. Midnight Cowboy, which won the Oscar as best picture of 1969, was rated X; if you weren't at least 18, you couldn't see it. Same with such excellent films as Medium Cool and The Devils. I don't remember mass complaints that kids couldn't see these films. The idea then was that some things - intelligent films and, for that matter, the profits that came from...