I Was Misinformed: The Time She Tried Viagra





I have noticed, in the bragging-rights department, that “he doesn’t need Viagra” has become the female equivalent of the male “and, I swear, she’s a real blonde.” Personally, I do not care a bit. To me, anything that keeps you happy and in the game is a good thing.




But then, I am proud to say, I was among the early, and from what I gather, rare female users.


It happened when the drug was introduced around 1998. I was 50, but after chemotherapy for breast cancer — and later, advanced ovarian cancer — I was, hormonally speaking, pretty much running on fumes. Whether this had diminished my sex drive I did not yet know. One may have Zorba-esque impulses when a cancer diagnosis first comes in; but a treatment that leaves you bald, moon-faced and exhausted knocks that out of your system pretty fast.


But by 1998, the cancer was gone, my hair was back and I was ready to get back in the game. I was talking to an endocrinologist when I brought up Viagra. This was not to deal with the age-related physical changes I knew it would not address, it was more along the feminist lines of equal pay for equal work: if men have this new sex drug, I want this new sex drug.


“I know it’s supposed to work by increasing blood flow,” I told the doctor, “But if that’s true for men, shouldn’t it be true for women, too?”


“You’re the third woman who asked me that this week,” he said.


He wrote me a prescription. I was not seeing anyone, so I understood that I would have to do both parts myself, but that was fine. I have a low drug threshold and figured it might be best the first time to fly solo. My memory of the directions are hazy: I think there was a warning that one might have a facial flush or headaches or drop dead of a heart attack; that you were to take a pill at least an hour before you planned to get lucky, and, as zero hour approached, you were supposed to help things along by thinking beautiful thoughts, kind of like Peter Pan teaching Wendy and the boys how to fly.


But you know how it is: It’s hard to think beautiful thoughts when you’re wondering, “Is it happening? Do I feel anything? Woof, woof? Hello, sailor? Naaah.”


After about an hour, however, I was aware of a dramatic change. I had developed a red flush on my face; I was a hot tomato, though not the kind I had planned. I had also developed a horrible headache. The sex pill had turned into a bad joke: Not now, honey, I have a headache.


I put a cold cloth on my head and went to sleep. But here’s where it got good: When I slept, I dreamed; one of those extraordinary, sensual, swimming in silk sort of things. I woke up dazed and glowing with just one thought: I gotta get this baby out on the highway and see what it can do.


A few months later I am fixed up with a guy, and after a time he is, under the Seinfeldian definition of human relations (Saturday night date assumed) my official boyfriend. He is middle aged, in good health. How to describe our romantic life with the delicacy a family publication requires? Perhaps a line from “Veronika, der Lenz ist da” (“Veronica, Spring Is Here”), a song popularized by the German group the Comedian Harmonists: “Veronika, der Spargel Wächst” (“Veronica, the asparagus are blooming”). On the other hand, sometimes not. And so, one day, I put it out there in the manner of sport:


“Want to drop some Viagra?” I say.


Here we go again, falling into what I am beginning to think is an inevitable pattern: lying there like a lox, or two loxes, waiting for the train to pull into the station. (Yes, I know it’s a mixed metaphor, but at least I didn’t bring in the asparagus.) So there we are, waiting. And then, suddenly, spring comes to Suffolk County. It’s such a presence. I’m wondering if I should ask it if it hit traffic on the L.I.E. We sit there staring.


My reaction is less impressive. I don’t get a headache this time. And romantically, things are more so, but not so much that I feel compelled to try the little blue pills again.


Onward roll the years. I have a new man in my life, who is 63. He does have health problems, for which his doctor prescribes an E.D. drug. I no longer have any interest in them. My curiosity has been satisfied. Plus I am deeply in love, an aphrodisiac yet to be encapsulated in pharmaceuticals.


We take a vacation in mountain Mexico. We pop into a drugstore to pick up sunscreen and spot the whole gang, Cialis, Viagra, Levitra, on a shelf at the checkout counter. No prescription needed in Mexico, the clerk says. We buy all three drugs and return to the hotel. I try some, he tries some. In retrospect, given the altitude and his health, we are lucky we did not kill him. I came across an old photo the other day. He is on the bed, the drugs in their boxes lined up a in a semi-circle around him. He looks a bit dazed and his nose is red.


Looking at the picture, I wonder if he had a cold.


Then I remember: the flush, the damn flush. If I had kids, I suppose I would have to lie about it.



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Stocks close lower after weak retail reports









Stock indexes closed lower Thursday, a third straight decline, after U.S. retailers issued weak forecasts for earnings and more people filed claims for unemployment benefits.

Wal-Mart, Ross Stores and Limited Brands, the owner of Victoria's Secret, all fell after issuing forecasts that disappointed financial analysts. Wal-Mart fell $2.59, or 3.6 percent, to $68.72.

The Dow Jones industrial average wavered between small gains and losses shortly after the opening bell, then moved lower at midmorning. It closed down 28.57 points at 12,542.38.

The Standard & Poor's 500 index dropped 2.17 points to 1,353.32 and the Nasdaq composite finished 9.87 points lower at 2,836.94.

Stocks have fallen steadily since voters returned President Barack Obama and a divided Congress to power. The Dow has lost 5 percent from Election Day, Nov. 6.

Investors are worried that U.S. leaders may not reach a deal before tax increases and government spending cuts take effect Jan. 1. The impact would total $700 billion for 2013 and could send the country back into recession.

Bill Stone, chief investment strategist at PNC Asset Management Group in Philadelphia, said the bargaining in Washington would likely drag on until next year, weighing on stocks. “It's hard to see the market getting a whole ton of traction until that gets settled.”

President Obama will meet with congressional leaders Friday to talk about the budget, but he appeared to suggest Thursday that he would insist on an increase in tax rates for the wealthy.

T. Dale, a portfolio manager at Security Ballew Wealth Management in Jackson, Miss., said that stocks are more likely to fall than rise, partly because of slowing global economic growth and the U.S. budget impasse.

“The market has gotten well ahead of itself,” Dale said.

Superstorm Sandy drove the number of people seeking unemployment benefits up to 439,000 last week, the Labor Department reported. Applications for benefits rose 78,000, mostly because a large number were filed in storm-damaged states.

The European Union's statistics agency confirmed that the euro zone, the group of 17 countries that use the euro currency, is in recession. The economy in the region shrank 0.1 percent in the third quarter from the previous three-month period.

Among the retailers disappointing Wall Street with lower earnings forecasts, Ross Stores, whose stores includes Ross Dress for Less, fell 70 cents, or 1.3 percent, to $54.44. Limited Brands dropped $1.10, or 2.4 percent, to $45.50.

The yield on the 10-year Treasury note was little changed at 1.59 percent.

Among stocks making big moves:

— NetApp, a data storage business, jumped $3.08, or 11.3 percent, to $30.20 after the company reported earnings that were higher than analysts were expecting.

— Viacom, the owner of Nickelodeon, MTV and the Paramount movie and TV studio, rose $1.24, or 2.6 percent, to $49.23. The media conglomerate did better than investors had expected thanks to lower costs and higher fees from cable and satellite companies for carrying its cable networks.

— Petsmart, a specialty pet retailer, jumped $2.63, or 4.1 percent, to $67.48 after raising its full-year outlook.

— Target rose $1.06, or 1.7 percent, to $62.44 after reporting that its profit rose more than analysts had forecast. The company also issued a strong outlook heading into the critical holiday season.

— Dollar Tree, a discount retailer that sells items for $1 or less, gained $1.94, or 5.1 percent, to $39.70 after the company said its net income rose 49 percent in the third quarter.

— Apple's market value fell below $500 million for the first time since May, as the maker of smartphones and tablets dropped $11.26 to $525.62. The company's market value climbed as high as $658 million Sept. 19, according to FactSet data.

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Romney reflects on his loss in call with campaign donors









Mitt Romney told his top donors Wednesday that his loss to President Obama was a disappointing result that neither he nor his top aides had expected, but said he believed his team ran a “superb” campaign with “no drama,” and attributed his rival’s victory to “the gifts” the administration had given to blacks, Hispanics and young voters during Obama’s  first term.

Obama, Romney argued, had been “very generous” to blacks, Hispanics and young voters. He cited as motivating factors to young voters the administration’s plan for partial forgiveness of college loan interest and the extension of health coverage for students on their parents’ insurance plans well into their 20s. Free contraception coverage under Obama’s healthcare plan, he added, gave an extra incentive to college-age women to back the president.

Romney argued that Obama’s healthcare plan’s promise of coverage “in perpetuity” was “highly motivational” to those voters making $25,000 to $35,000 who might not have been covered, as well as to African American and Hispanic voters. Pivoting to immigration, Romney said the Obama campaign’s efforts to paint him as “anti-immigrant” had been effective and that the administration’s promise to offer what he called “amnesty” to the children of illegal immigrants had helped turn out Hispanic voters in record numbers.





PHOTOS: Mitt Romney’s past

“The president’s campaign,” he said, “focused on giving targeted groups a big gift — so he made a big effort on small things. Those small things, by the way, add up to trillions of dollars.”

The Wednesday donor call was organized by Romney’s finance team and included a final rundown of fundraising efforts as well as an analysis by Romney pollster Neil Newhouse, who has been criticized by some Republicans for misleading the candidate about his chances.

“I am very sorry that we didn’t win,” Romney told the donors. “I know that you expected to win. We expected to win…. It was very close, but close doesn’t count in this business.”

Romney reflected on the trajectory that led to last week’s loss, acknowledging that he’d “gotten beat up pretty bad” by Obama and his allies after the primaries, but noting his rebound after the first fall debate.  

The 2012 Republican nominee avoided any recriminations about his team or a second-guessing of their efforts, calling the organization “a very solid team that got along” – an attribute he said he hoped would be reflected in the 2012 campaign books that are being written.

PHOTOS: Paul Ryan's past

Romney added that there was “no drama in the campaign — not that everybody was perfect; everybody has flat sides, but we learned how to accommodate each other’s strengths and weaknesses, to build on the strengths.”

“The organization did not get in the way,” he said.

In words of thanks for his donors, Romney said he never expected the campaign to raise more than $500 million. The Romney team ultimately raised more than $900 million, according to finance chairman Spencer Zwick, who reviewed some of the final tallies during the call.

Romney said he and his team were discussing how to keep the campaign’s donor group connected — perhaps with annual meetings or a monthly newsletter — “so we can stay informed and have influence on the direction of the party, and perhaps the selection of a future nominee.”

“Which, by the way,” the former candidate added with a chuckle, “will not be me.”

The former Massachusetts governor said he was trying to turn his thoughts to his plans going forward.

“But frankly we’re still so troubled by the past, it’s hard to put together our plans for the future,” he said.

PHOTOS: 2016 presidential possibilities

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maeve.reston@latimes.com

Twitter: @maevereston





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Steve Wozniak, Danny Trejo to appear in 8-bit video game
















LOS ANGELES (TheWrap.com) – When it comes to the iPhone, Steve Jobs created it, but Steve Wozniak got game.


The Apple co-founder will appear as a playable character in an upcoming iOS video game “Danny Trejo‘s Vengeance: Woz with a Coz.”













The game, slated to be released around November 22, puts Wozniak alongside “Machete” star Trejo in an 8-bit mobile game, fighting a city full of enemies with an assortment of weapons.


The plot is simple: “Woz” is forced to save his wife, J-Woz, after she is kidnapped by street thugs. Teaming up with Vengence, Woz tears up Fusion City in his quest to rescue her.


“Featuring an over-the-top, old school inspired action combined with a retro 8-bit and exciting gritty art style, players will enjoy Woz’s brain power, translator apps, Danny Trejo’s machetes, guns and other crazy upgrades,” a Facebook fan page devoted to the game says.


Other playable characters will include musician Baby Bash and MMA World Champion “Suga” Rashad Evans.


Gaming News Headlines – Yahoo! News



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NBC names new top producer for 'Today'

NEW YORK (AP) — NBC News is staying in-house in its effort to turn around the "Today" show.

The network on Wednesday appointed a 23-year veteran of the morning news show as its new executive producer. Don Nash began working for "Today" as a production assistant in NBC's Burbank office in 1989 and will now run the four-hour broadcast.

Nash was most recently senior broadcast producer in the show's control room. He replaces Jim Bell, who shifted to NBC Sports to run its Olympics broadcasts.

After nearly two decades of dominance, "Today" has slipped behind ABC's "Good Morning America" in the ratings.

NBC also added another layer of management for the show, appointing Alexandra Wallace as the network's executive in charge of the program.

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Personal Health: Quitting Smoking for Good

Few smokers would claim that it’s easy to quit. The addiction to nicotine is strong and repeatedly reinforced by circumstances that prompt smokers to light up.

Yet the millions who have successfully quit are proof that a smoke-free life is achievable, even by those who have been regular, even heavy, smokers for decades.

Today, 19 percent of American adults smoke, down from more than 42 percent half a century ago, when Luther Terry, the United States surgeon general, formed a committee to produce the first official report on the health effects of smoking. Ever-increasing restrictions on where people can smoke have helped to swell the ranks of former smokers.

Now, however, as we approach the American Cancer Society’s 37th Great American Smokeout on Thursday, the decline in adult smoking has stalled despite the economic downturn and the soaring price of cigarettes.

Currently, 45 million Americans are regular smokers who, if they remain smokers, can on average expect to live 10 fewer years. Half will die of a tobacco-related disease, and many others will suffer for years with smoking-caused illness. Smoking adds $96 billion to the annual cost of medical care in this country, Dr. Nancy A. Rigotti wrote in The Journal of the American Medical Association last month. Even as some adult smokers quit, their ranks are being swelled by the 800,000 teenagers who become regular smokers each year and by young adults who, through advertising and giveaways, are now the prime targets of the tobacco industry.

People ages 18 to 25 now have the nation’s highest smoking rate: about 34 percent, according to the 2010 National Survey on Drug Use and Health. I had to hold my breath the other day as dozens of 20-somethings streamed out of art gallery openings and lighted up. Do they not know how easy it is to get hooked on nicotine and how challenging it can be to escape this addiction?

Challenging, yes, but by no means impossible. On the Web you can download a “Guide to Quitting Smoking,” with detailed descriptions of all the tools and tips to help you become an ex-smoker once and for all.

Or consult the new book by Dr. Richard Brunswick, a retired family physician in Northampton, Mass., who says he’s helped hundreds of people escape the clutches of nicotine and smoking. (The printable parts of the book’s provocative title are “Can’t Quit? You Can Stop Smoking.”)

“There is no magic pill or formula for beating back nicotine addiction,” Dr. Brunswick said. “However, with a better understanding of why you smoke and the different tools you can use to control the urge to light up, you can stop being a slave to your cigarettes.”

Addiction and Withdrawal

Nicotine beats a direct path to the brain, where it provides both relaxation and a small energy boost. But few smokers realize that the stress and lethargy they are trying to relieve are a result of nicotine withdrawal, not some underlying distress. Break the addiction, and the ill feelings are likely to dissipate.

Physical withdrawal from nicotine is short-lived. Four days without it and the worst is over, with remaining symptoms gone within a month, Dr. Brunswick said. But emotional and circumstantial tugs to smoke can last much longer.

Depending on when and why you smoke, cues can include needing a break from work, having to focus on a challenging task, drinking coffee or alcohol, being with other people who smoke or in places you associate with smoking, finishing a meal or sexual activity, and feeling depressed or upset.

To break such links, you must first identify them and then replace them with other activities, like taking a walk, chewing sugar-free gum or taking deep breaths. These can help you control cravings until the urge passes.

If you’ve failed at quitting before, try to identify what went wrong and do things differently this time, Dr. Brunswick suggests. Most smokers need several attempts before they can become permanent ex-smokers.

Perhaps most important is to be sure you are serious about quitting; if not, wait until you are. Motivation is half the battle. Also, should you slip and have a cigarette after days or weeks of not smoking, don’t assume you’ve failed and give up. Just go right back to not smoking.

Aids for Quitting

Many if not most smokers need two kinds of assistance to become lasting ex-smokers: psychological support and medicinal aids. Only about 4 percent to 7 percent of people are able to quit smoking on any given attempt without help, the cancer society says.

All 50 states and the District of Columbia have free telephone-based support programs that connect would-be quitters to trained counselors. Together, you can plan a stop-smoking method that suits your smoking pattern and helps you avoid common pitfalls.

Online support groups and Nicotine Anonymous can help as well. To find a group, ask a local hospital or call the cancer society at (800) 227-2345. Consider telling relatives and friends about your intention to quit, and plan to spend time in smoke-free settings.

More than a dozen treatments can help you break the physical addiction to tobacco. Most popular is nicotine replacement therapy, sold both with and without a prescription. The Food and Drug Administration has approved five types: nicotine patches of varying strengths, gums, sprays, inhalers and lozenges that can curb withdrawal symptoms and help you gradually reduce your dependence on nicotine.

Two prescription drugs are also effective: an extended-release form of the antidepressant bupropion (Zyban or Wellbutrin), which reduces nicotine cravings, and varenicline (Chantix), which blocks nicotine receptors in the brain, reducing both the pleasurable effects of smoking and the symptoms of nicotine withdrawal. Combining a nicotine replacement with one of these drugs is often more effective than either approach alone.

Other suggested techniques, like hypnosis and acupuncture, have helped some people quit but lack strong proof of their effectiveness. Tobacco lozenges and pouches and nicotine lollipops and lip balms lack evidence as quitting aids, and no clinical trials have been published showing that electronic cigarettes can help people quit.

The cancer society suggests picking a “quit day”; ridding your home, car and workplace of smoking paraphernalia; choosing a stop-smoking plan, and stocking up on whatever aids you may need.

On the chosen day, keep active; drink lots of water and juices; use a nicotine replacement; change your routine if possible; and avoid alcohol, situations you associate with smoking and people who are smoking.


This post has been revised to reflect the following correction:

Correction: November 14, 2012

An earlier version of this column misstated the rate of smoking among young adults. According to the 2010 National Survey on Drug Use and Health, about 34 percent of people ages 18 to 25 smoke cigarettes, not 40 percent. (That is the share of young adults who use tobacco products of any kind, according to the survey.)

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Car review: Looks aside, Ford C-Max hybrid has leg up on Prius V









As Ford took aim at the Toyota Prius, a brand now synonymous with green motoring, it needed a car that looked the part.

So rather than convert an existing model, it imported a dowdy hatchback from Europe — tall greenhouse, short hood — and dropped in a hybrid power plant, resulting in the 2013 C-Max.

Thankfully, it doesn't drive the way it looks.





Pushed from a dead stop, the five-door Ford eagerly chirps its tires as it launches on a zero-to-60-mph run of just 8.2 seconds, according to Motor Trend. That's almost two seconds quicker than the lumbering Prius V and comparable to many non-hybrid small cars.

Yet the C-Max outpaces the Toyota at the gas pump too. The Ford is rated at 47 miles per gallon for both city and highway driving. The Prius V five-door, the model that Ford identifies as direct competition, is rated at 44 mpg in the city and 40 mpg on the highway. During 260 miles of testing the Ford, I averaged 37.5 mpg.

The car's powertrain comes in two forms. The Hybrid SE I tested starts at $25,995. Not green enough? You can opt for the $33,745 C-Max Energi, a plug-in hybrid that uses the same gas-and-electric drivetrain but has a larger battery that's rechargeable through a 120-volt or 240-volt outlet. It will go about 21 miles under electric-only power before switching to gas.

The gas engine is a 2.0-liter, inline four-cylinder, while the electric motor is powered by a 1.4-kilowatt-hour lithium-ion battery (7.6 kWh on the Energi). Total horsepower between the two comes out at 188 — or 54 horsepower more than the lighter Prius V. Power is routed to the front wheels through a continuously variable transmission (CVT).

Besides being quick and efficient, the C-Max hustles through turns with predictable body roll. Handling faults are few; the electric-power steering system has a bit too much fake resistance built in, and the regenerative brakes, which recharge the electric motor, are touchy and unevenly modulated.

The C-Max's stout construction keeps road and wind noise minimal, while the huge windshield gives drivers a panoramic view. Unfortunately, the view comes at the expense of the car's overall shape. Because the shell was sourced from across the pond, it has proportions more common in Europe than in the U.S. On American roads, and certainly parked next to the sleeker Prius V, the upright C-Max looks a bit like a goober. Blame the tall cabin, small wheel wells and short rear overhang.

But the upright profile lends itself to cavernous interior space, especially headroom. Occupants can comfortably take in the aforementioned visibility from nicely padded seats.

Despite being half a foot shorter than the Prius V, Ford brags that the C-Max has more passenger space than the Toyota. But the Ford is conspicuously short on cargo room because the load floor sits high, pushed up by the batteries stored below. The rear seats do fold flat to maximize hauling space.

The C-Max's dashboard design and layout will look familiar to anyone who's spent time in other Ford offerings such as the Escape or Focus. The conventional interior should help attract more traditional buyers who want a fuel-efficient conveyance without a spaceship cockpit.

That's not to say the C-Max has no tech goodies. The instrument panel features a pair of color digital screens on either side of the speedometer, controlled by buttons on the steering wheel. The screen on the right controls such features as the stereo and phone; the one on the left shows you one of several gauges designed to help you drive at maximum efficiency.

My test car also came with Ford's much-maligned Sync infotainment system, a touch screen at the top of the dashboard through which you control the navigation system, stereo, phone and climate control. It performed admirably during my week of testing.

The system was part of a $1,995 package that also added a power liftgate, backup sensors and Sirius satellite radio. Other options such as heated seats and mirrors and some loud candy-blue paint brought the total sticker to $28,680. Although Ford says the C-Max base price is $1,500 lower than the Prius V, once you add similar options to both cars, the prices differ by only a few hundred dollars.

All C-Max models have seven air bags, including a driver's knee air bag, stability control, a tire-pressure monitoring system, anti-lock brakes and a crash-alert system.

Although the C-Max is priced competitively with the Prius V, consumers should consider that both cars command a healthy premium over gas-powered models that are getting increasingly impressive fuel economy. Ford's better-looking Focus five-door hatchback, for instance, starts at $20,000 and offers the same mid-level build quality as the C-Max, a slightly smaller interior and fuel economy rated at 27 mpg in the city and 38 mpg on the highway.

But if you're really looking for something to deliver an eco-beat down to the Toyota Prius V, the C-Max offers a drivetrain that's both faster and greener.

david.undercoffler@latimes.com





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Obama reassuring liberal allies, prepping for 'fiscal cliff' talks









WASHINGTON -- President Obama is assuring liberal allies that he will fight for the middle class during upcoming fiscal negotiations with Republicans, and he is urging those supporters not to lay down their weapons just because the election is over.

But the White House is also talking about the inevitability of compromise as the administration and congressional Democrats and Republicans prepare to negotiate an end-of-year fiscal deal that will center on the expiration of the George W. Bush-era tax cuts and a spate of automatic spending cuts.

The preparations are bringing progressive allies and business leaders alike to the White House this week, leading up to the president’s summit on Friday with congressional leaders of both parties -- their first session since his reelection.





PHOTOS: Reactions to Obama's victory

In an hourlong meeting with labor and other progressive leaders on Tuesday, the president promised to stand firm on the tax principles he outlined in the campaign, according to several people who were present.

They departed the West Wing under a bright sky, the victory they helped Obama win fresh in their minds. They were heartened that Obama emphasized the need for "balance" between spending cuts and revenue increases, and for the wealthy to bear a fairer share of the tax burden, said Neera Tanden, president of the Center for American Progress.

"He said that this election was about the middle class and fairness," Tanden said. "He’s standing firm on taxes on the wealthiest Americans."

Labor leaders were adamant that the deal protect the middle-class tax cuts, said AFL-CIO chief Rich Trumka. "Do we believe the president is committed to that same thing?" he said after emerging from the West Wing. "Yes, we do."

White House officials are talking about a schedule in which the president would stay on the campaign trail, with the aim of keeping the pressure on House Republicans to renew the expiring tax cuts for the middle class while letting those for the wealthy expire.

PHOTOS: America goes to the polls

As the Tuesday meeting was breaking up, White House Press Secretary Jay Carney was just steps away in the briefing room, talking about the realities of negotiation.

The "whole point of compromise," he said, "is that nobody gets to achieve their maximalist position."

The president in the past has demonstrated a willingness, he said, to "give" in an effort to "meet your negotiating partner somewhere in the middle and reach a deal."

As they stake out their stand, business leaders are signaling resistance to the idea of letting the tax cuts expire for any Americans, including the wealthy.

In a letter to the president, several corporate chief executives warned of the economic perils of cutting spending dramatically while simultaneously raising taxes. If the president and Congress can’t agree on how to head off those automatic changes, they’ll both begin to take effect at the end of the year.

"Experts agree such immediate changes will most likely reduce economic growth and hinder employment in the United States and globally," said the letter by the CEOs, including some who are invited to the White House on Wednesday. "This would be particularly damaging as economies throughout the world struggle and look to us for leadership."

PHOTOS: President Obama’s past

The meeting is expected to be a little tense as the two sides stake out territory. That’s what the progressive leaders hope for.

Quietly, some of them worry about the inevitable "give" that Carney talked about. As they left the White House grounds on Tuesday, they spoke of nothing but optimism -- even as they spoke in terms of supporting particular principles, not particular leaders.

Asked if he would help the president lobby Congress, Trumka said he was “prepared to stand up to make sure that there is shared sacrifice here, so the rich actually start paying their fair share.”

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christi.parsons@latimes.com

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Man who accused Elmo puppeteer of teen sex recants

NEW YORK (AP) — A man who accused Elmo puppeteer Kevin Clash of having sex with him when he was a teenage boy has recanted his story.

In a quick turnabout, the man on Tuesday described his sexual relationship with Clash as adult and consensual.

Clash responded with a statement of his own, saying he is "relieved that this painful allegation has been put to rest." He had no further comment.

The man, who has not identified himself, released his statement through the Harrisburg, Pa., law firm Andreozzi & Associates.

Sesame Workshop, which produces "Sesame Street" in New York, soon followed by saying, "We are happy that Kevin can move on from this unfortunate episode."

The whirlwind episode began Monday morning, when Sesame Workshop startled the world by announcing that Clash had taken a leave of absence from "Sesame Street" in the wake of allegations that he had had a relationship with a 16-year-old.

Clash, a 52-year-old divorced father of a grown daughter, swiftly denied the charges of his accuser, who is in his early 20s. In that statement Clash acknowledged that he is gay but said the relationship had been between two consenting adults.

Though it remained unclear where the relationship took place, sex with a person under 17 is a felony in New York if the perpetrator is at least 21.

Sesame Workshop, which said it was first contacted by the accuser in June, had launched an investigation that included meeting with the accuser twice and meeting with Clash. Its investigation found the charge of underage conduct to be unsubstantiated.

Clash said on Monday he would take a break from Sesame Workshop "to deal with this false and defamatory allegation."

Neither Clash nor Sesame Workshop indicated on Tuesday when he might return to the show, on which he has performed as Elmo since 1984.

Elmo had previously been a marginal character, but Clash, supplying the fuzzy red puppet with a high-pitched voice and a carefree, child-like personality, launched the character into major stardom. Elmo soon rivaled Big Bird as the face of "Sesame Street."

Though usually behind the scenes, Clash meanwhile achieved his own measure of fame. In 2006, he published an autobiography, "My Life as a Furry Red Monster," and he was the subject of the 2011 documentary "Being Elmo: A Puppeteer's Journey."

He has won 23 daytime Emmy awards and one prime-time Emmy.

___

Online:

http://www.sesamestreet.org

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Kidney Donors Given Mandatory Safeguards


ST. LOUIS — Addressing long-held concerns about whether organ donors have adequate protections, the country’s transplant regulators acted late Monday to require that hospitals thoroughly inform living kidney donors of the risks they face, fully evaluate their medical and psychological suitability, and then track their health for two years after donation.


Enactment of the policies by the United Network for Organ Sharing, which manages the transplant system under a federal contract, followed six years of halting development and debate.


Meeting at a St. Louis hotel, the group’s board voted to establish uniform minimum standards for a field long regarded as a medical and ethical Wild West. The organ network, whose initial purpose was to oversee donation from people who had just died, has struggled at times to keep pace with rapid developments in donations from the living.


“There is no question that this is a major development in living donor protection,” said Dr. Christie P. Thomas, a nephrologist at the University of Iowa and the chairman of the network’s living donor committee.


Yet some donor advocates complained that the measures did not go far enough, and argued that the organ network, in its mission to encourage transplants, has a conflict of interest when it comes to safeguarding donors.


Three years ago, the network issued some of the same policies as voluntary guidelines, only to have the Department of Health and Human Services insist they be made mandatory.


Although long-term data on the subject is scarce, few living kidney donors are thought to suffer lasting physical or psychological effects. Kidney donations, known as nephrectomies, are typically done laparoscopically these days through a series of small incisions. The typical patient may spend only a few nights in a hospital and feel largely recovered after several months.


Kidneys are by far the most transplanted organs, and there have been nearly as many living donors as deceased ones over the last decade. What data is available suggests that those with one kidney typically live as long as those with two, and that the risk of a donor dying during the procedure is roughly 3 in 10,000.


But kidney transplants, like all surgery, can sometimes end in catastrophe.


In May at Montefiore Medical Center in the Bronx, a 41-year-old mother of three died when her aorta was accidentally cut during surgery to donate a kidney to her brother. In other recent isolated cases, patients have received donor kidneys infected with undetected H.I.V. or hepatitis C.


Less clear are any longer-term effects on donors. Research conducted by the United Network for Organ Sharing shows that of roughly 70,000 people who donated kidneys between late 1999 and early 2011, 27 died within two years of medical causes that may — or may not — have been related to donation. For a small number of donors, their remaining kidney failed, and they required dialysis or a transplant.


The number of living donors — 5,770 in 2011 — has dropped 10 percent over the last two years, possibly because the struggling economy has made it difficult for prospective donors to take time off from work to recuperate. With the national kidney waiting list now stretching past 94,000 people, and thousands on the list dying each year, transplant officials have said they must improve confidence in the system so more people will donate.


The average age of donors has been rising, posing additional medical risks. And new ethical questions have been raised by the emergence of paired kidney exchanges and transplant chains started by good Samaritans who give an organ to a stranger.


Brad Kornfeld, who donated a kidney to his father in 2004, told the board that it had been impossible to find good information about what to expect, leaving him to search for answers on unreliable Internet chat rooms. He said he had almost backed out.


“If information is power,” said Mr. Kornfeld, a Coloradan who serves on the living donor committee, “the lack of information is crippling.”


Under the policies approved this week, the organ network will require hospitals to collect medical data, including laboratory test results, on most living donors to study lasting effects. Results must be reported at six months, one year and two years.


Similar regulations have been in place since 2000, but they did not require blood and urine testing, and hospitals were allowed to report donors who could not be found as simply lost.


That happened often. In recent years, hospitals have submitted basic clinical information — like whether donors were alive or dead — for only 65 percent of donors and lab data for fewer than 40 percent, according to the organ network. Although the network holds the authority, no hospital has ever been seriously sanctioned for noncompliance.


“It’s time we put some teeth into our policy,” said Jill McMaster, a board member from Tennessee.


By 2015, transplant programs will have to report thorough clinical information on at least 80 percent of donors and lab results on at least 70 percent. The requirements phase in at lower levels for the next two years.


Dr. Stuart M. Flechner of the Cleveland Clinic, the chairman of a coalition of medical societies that made recommendations to the organ network, said 9 of 10 hospitals would currently not meet the new requirement.


Donna Luebke, a kidney donor from Ohio who once served on the organ network’s board, said the new standards would matter only if enforcement were more rigorous. She noted that the organization was dominated by transplant doctors: “UNOS is nothing but the foxes watching the henhouse,” she said.


Another of the new regulations prescribes in detail the medical and psychological screenings that hospitals must conduct for potential donors. It requires automatic exclusion if the potential donor has diabetes, uncontrolled hypertension or H.I.V., among other conditions.


The new policies also require that hospitals appoint an independent advocate to counsel and represent donors, and that donors receive detailed information in advance about medical, psychological and financial risks.


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