Guest guest Posted August 5, 2001 Report Share Posted August 5, 2001 On this bright Sunday morning, Patsy Cline* is keeping me company and well, I guess that means my southern *roots* are definitely showing today...what can I say? I love her voice. Admittedly, I have an eclectic* taste in music. I dare say, the majority of you would probably struggle with trying to understand the selections that make up my music collection. What I find particularly interesting about my taste in music, is that I did not know any other kind of music existed -- beyond country western -- until I was ten years old. At a state fair rodeo in Oregon, I met Roy at the age of five and he and Dale were my heroes for quite a few years. Beyond that, any singer who made it to the Grand Ole Opry* stage had my attention. But, at the age of ten I accompanied my father to an auction and came home the proud owner of a box of 78s. Records, that is. (Hopefully, most of you remember " records " !) The year was 1967. Instead of listening to the Beatles like the rest of my peers, I was listening to the likes of Dietrich, Rosemary Clooney, and the s Sisters. It took me 3 more years to discover the Beatles and rock music -- and that was only AFTER I joined band to learn the clarinet so I could mimic Benny Goodman. I know this may seem odd to some of you, but honestly, we weren't allowed our own radios and my father pretty much dictated everything that was allowed on the main stereo (it was a big piece of living room furniture back then) and even TV. I often found myself retreating to my bedroom to listen to my 78s and read into the wee hours of the next morning because his selections in entertainment were so, well, limited. I guess I haven't changed much since then. Musically speaking, I'm pretty sure I was the oldest 10 year old around. I went from country western to war-time crooners, big band, rock, classical, broadway musicals, opera, grunge, blues, and heaven only knows where I'm at now. A little of almost everything, I guess. I do have my limits though. I hate music videos and Napster. I prefer my own imagination to that of some video producer and I detest the idea of stealing music via the Internet. I guess you could say that I'm broadminded, but a purist to the music and ethically grounded against thievery. So, what's my point here and for criminy sakes what does any of this have to do with uterine fibroids?!!! Tell me. What characteristics does it take (and how does one acquire them) to be open-minded about treatment options for uterine fibroids? What kind of person looks at the big picture of research and tries to piece together this huge and far-reaching puzzle of medicine into something that makes sense for any one individual? What kind of person prefers to think " outside the box " of current conformity and look for new solutions to an old problem? What kind of person doesn't discriminate against individuals with varying backgrounds--in regard to age, belief systems, or race, when looking for treatment solutions? What kind of person is medically broadminded, a purist to the science, and ethically grounded in his/her activities? What kind of physician do you think fits this definition? Are there physicians who fit this definition? Yes, I think so. Eclectic physician: one of a class of practitioners of medicine, who select their modes of practice and medicines from all schools. http://www.dictionary.com/cgi-bin/dict.pl?term=Eclectic%20physician And, how can we foster more of them? Call me Crazy (Patsy Cline pun intended), but I think if gyns are going to progress at all in their treatment of patients with uterine fibroids, then we need to figure out how to better address their medical school training to include an eclectic assortment of medicine and not just the traditional stand-by of hysterectomy surgery when treating women with reproductive system disease. How do we broaden the scope of medical training for gynecologists? How do we open those closed minds who are convinced that the hysterectomy is the definitive solution and that further research is simply unnecessary? I don't know. I just know it needs to be done. In the meanwhile, I certainly won't Fall to Pieces (yes, another Cline pun intended) if uterine fibroids research allows us to completely bypass the current set of dinosaurs practicing the hysterectomy (for benign conditions) in lieu of a better, more non-invasive treatment method. ------------------------------------------------------------------------ The issue of using Cyklokapron (tranexamic acid) in controlling bleeding was a topic of some discussion this past week on the list group. For the record, Pharmacia & Upjohn manufacture this product. This is an extremely useful drug for hemophiliacs and women who suffer from Von Willebrands. http://www.pnu.com/prescription/pdf_current/cyklokap.pdf http://www.drugdigest.org/DD/DVH/Uses/0,3915,6260|CYKLOKAPRON,00.html A woman who recently turned to NUFF for help after what was a technically successful UAE but with continued and severe bleeding was desperately grasping for any solution whatsoever to keep her uterus. She'd been through the ringer of tests, drugs, and treatment--including multiple transfusions. Without really knowing or believing that I could help her at this point, I asked her if she had been tested for Von Willebrands. Her bleeding disorder had a very long history and now that her dead submucosal fibroids had been removed via hysteroscopic resection, her continued bleeding seemed to be without specific identifiable cause and the doctors were once again pushing for hysterectomy. Turns out she did have this disease. Apparently, perhaps as many as 1 in 100 men and women have this bleeding disorder to varying degrees. An excellent description of Von Willebrands from the Canadian Hemophilia Society: What is Von Willebrands Disease? http://www.hemophilia.ca/english/vonwillebrand/index.html From the National Hemophilia Foundation (U.S.): Bleeding Disorders & Women http://www.hemophilia.org/bdi/bdi_women.htm A gentle reminder that not all of the symptoms we complain about to our physicians are the direct result of uterine fibroids. ------------------------------------------------------------------------ Another " clinical review " of uterine fibroids on Medscape this week. Blech. Wish they'd get someone who knows what they are writing about (when it comes to fibroids) to submit a paper...... In the following paper: Managing Uterine Fibroids son, M. Clinician Reviews 11(6):79-85, 2001. http://womenshealth.medscape.com/CPG/ClinReviews/2001/v11.n06/c1106.04.davi/pnt-\ c1106.04.davi.html son cites the following as a source: 28. Friedman AJ, PP. Does low-dose combination oral contraceptive use affect uterine size or menstrual flow in premenopausal women with leiomyomas? Obstet Gynecol. 1995;85:631-635. Clearly, this paper was NOT adequately peer reviewed. If it had been, this citation (and the paragraph based on it) would have been removed. Why? Because it was retracted due to scientific misconduct. From Medline: Friedman AJ, PP. Does low-dose combination oral contraceptive use affect uterine size or menstrual flow in premenopausal women with leiomyomas? Obstet Gynecol. 1995 Apr;85(4):631-5. Retracted publication. http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?cmd=Retrieve & db=PubMed & amp;list\ _uids=7898846 & amp;dopt=Abstract I wonder what part of " Retracted publication " son (and the Editorial Board for Clinician Reviews) did not understand? More: Pitkin RM. Obstet Gynecol 1995 Nov;86(5):728 Retraction of: Friedman AJ, PP. Obstet Gynecol 1995 Apr;85(4):631-5 http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?cmd=Retrieve & db=PubMed & amp;list\ _uids=7566837 & amp;dopt=Abstract Individuals who know little about leiomyomas and aren't willing to do complete and accurate research shouldn't be writing such clinical reviews. In a single blow, son showed her true level of ignorance on this topic. And, once again, the peer review at Medscape on this issue was less than stellar. I believe this is the 3rd such Medscape review paper on fibroids in the last 2 years that I've written to Medscape folks about due to lack of peer review and, so far, not a single paper has been rewritten, re-reviewed, or even so much as acknowledged as being problematic. One Medscape editor ( Barrett, also of Quackwatch fame) wrote to tell me he didn't have the time to read the papers that are submitted for publication! My faith in content presented by Medscape is currently in the toilet. The Clinician Review's policy on Peer Review: " Peer Review Submissions are sent for blind review to members of the Editorial Board, who may accept, reject, or recommend revision. Authors are notified of the Editorial Board's decision in writing. Upon acceptance of the manuscript and receipt of a signed copyright assignment form from each author, manuscripts become the property of Clinicians Group, LLC. " http://womenshealth.medscape.com/CPG/ClinReviews/public/ClinReviews-AuthorGuides\ ..html#peer In my view, the Editorial Board is indeed responsible for this paper and its lack of research integrity. The Editorial Board has a distinct responsibility to review a document in its entirety, review the bibliographic resources cited, and communicate back to the author in a way that would mentor him/her into creating a more scientifically sound and substantiated document. Medscape's Clinician Review failed on all counts for this paper. I hope everyone can discern just how angry the perpetuation of Friedman's " work " makes me. 80% of his patient records were altered to give him the results he wanted. He was taken to task, fined $10,000 and lost his license for three years over this. (He now works for a major pharmaceutical that manufactures, among other things, oral contraceptives.) As a patient advocate, I have no kind words for researchers like this and even less kind words for those in the medical community who choose to perpetuate his scientific misconduct within more current work. Furthermore, the following paragraph is seriously problematic: " Gonadotropin-releasing hormone agonists (GnRHa) decrease levels of follicle-stimulating hormone and luteinizing hormone to produce a hypoestrogenic (or " menopause-like " ) effect. In patients who take them, fibroid tumors can decrease in size by as much as 60%[9,27] -- in some cases eliminating the need for surgery. GnRHa may be prescribed for perimenopausal women or for those who are poor candidates for surgery. They can also be administered before surgical interventions -- for example, to facilitate hysteroscopic fibroid resection[15] or a vaginal hysterectomy.[1] Additionally, these drugs reduce the incidence of anemia preoperatively, decreasing the potential need for blood transfusion during surgery.[9,27] " Why is this paragraph problematic? Look at the last sentence. " Additionally " ????? According to the FDA, GnRH drugs have ONLY been approved for use with fibroids to reduce the incidence of anemia preoperatively. It has NOT been approved for ANY of the applications identified prior to the " Additionally " statement within this paragraph. Promotional use of drugs off-label should be identified clearly in a review paper such as this. It is not. Furthermore, I find it questionable that the ONLY use for which GnRH is approved for with fibroids, is tagged on the end of this paragraph, almost as an " additional " after thought. Finally, there are a couple more issues, starting with the information presented on RU-486. It's inaccurate and not up-to-date (heaven forbid any physician might actually consider prescribing 50 mg/d off-label based on the information presented in this paper). And, myolysis for women who wish to preserve their fertility? I certainly wouldn't recommend/suggest this. Please read this clinical review paper with a critical eye and use extreme caution when evaluating the validity of the content. Sigh. Truly troubled with Medscape today. Truly. ------------------------------------------------------------------------ Oh, and while I've already mentioned Barrett (as an editor for Medscape), I might as well post this recent court decision too. It impacts all of us on the list group in terms of what we may choose to write about our physicians. Internet Defamation Lawsuit Is Dismissed By MEG JAMES, TIMES STAFF WRITER July 31, 2001 A judge in Northern California has thrown out a defamation lawsuit against a San Diego woman whose Internet postings included derogatory comments about two doctors--a ruling that some lawyers say extends free-speech protections to ordinary users of the Internet. Read the rest here: http://www.latimes.com/business/la-000062321jul31.story Read the full court ruling here: http://www.healthfreedomlaw.com/Court%20Documents/Rosenthal%20SLAPP/Rosenthal%20\ Ruling.htm ------------------------------------------------------------------------ On another note (also from Medscape), for those of you who have considered turning to acupuncture for treatment of your uterine fibroids (or back pain), the following paper should be a most interesting read: Acupuncture for Chronic Low Back Pain: Diagnosis and Treatment Patterns Among Acupuncturists Evaluating the Same Patient Kalauokalani D, Sherman KJ, Cherkin DC. South Med J 2001 May;94(5):486-92. Read the full paper here: http://www.medscape.com/SMA/SMJ/2001/v94.n05/smj9405.08.kala/pnt-smj9405.08.kala\ ..html And, if you were interested in that paper, you might also be interested in the following one: Lessons from a trial of acupuncture and massage for low back pain: patient expectations and treatment effects. Kalauokalani D, Cherkin DC, Sherman KJ, Koepsell TD, Deyo RA. Spine. 2001 Jul 1;26(13):1418-24. Read the abstract or order the full paper here: http://www.spinejournal.org/article.asp?ISSN=0362-2436 & VOL=26 & amp;ISS=13 & amp;PAG\ E=1418 ------------------------------------------------------------------------ Uterine artery embolization for the treatment of adenomyosis: clinical response and evaluation with mr imaging. Siskin GP, Tublin ME, Stainken BF, Dowling K, Dolen EG. AJR Am J Roentgenol. 2001 Aug;177(2):297-302. Read the abstract here or order the full paper: http://www.ajronline.org/cgi/content/abstract/177/2/297 ------------------------------------------------------------------------ Gadolinium-enhanced mr imaging in the evaluation of uterine fibroids treated with uterine artery embolization. Katsumori T, Nakajima K, Tokuhiro M. AJR Am J Roentgenol. 2001 Aug;177(2):303-7. Read the abstract here or order the full paper: http://www.ajronline.org/cgi/content/abstract/177/2/303 ------------------------------------------------------------------------ Evaluation of the uterine cavity with magnetic resonance imaging, transvaginal sonography, hysterosonographic examination, and diagnostic hysteroscopy. Dueholm M, Lundorf E, Hansen ES, Ledertoug S, Olesen F. Fertil Steril. 2001 Aug;76(2):350-7. Read the abstract here or order the full paper: http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?cmd=Retrieve & db=PubMed & amp;list\ _uids=11476785 & amp;dopt=Abstract ------------------------------------------------------------------------ Use of GnRH pre-operatively to reduce fibroid size prior to a laparoscopic myomectomy is not without surgical risk..... Laparoscopic myomectomy: predicting the risk of conversion to an open procedure. Dubuisson JB, Fauconnier A, Fourchotte V, Babaki-Fard K, Coste J, Chapron C. Hum Reprod. 2001 Aug;16(8):1726-31. Read the abstract here or order the full paper: http://humrep.oupjournals.org/cgi/content/abstract/16/8/1726 ------------------------------------------------------------------------ Determinants of pregnancy rate and obstetric outcome after laparoscopic myomectomy for infertility. Dessolle L, Soriano D, Poncelet C, Benifla J, Madelenat P, Darai E. Fertil Steril. 2001 Aug;76(2):370-4. Read the abstract here or order the full paper: http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?cmd=Retrieve & db=PubMed & amp;list\ _uids=11476788 & amp;dopt=Abstract ------------------------------------------------------------------------ Expression of angiogenic factors and apoptotic factors in leiomyosarcoma and leiomyoma. Hong T, Shimada Y, Uchida S, Itami A, Li Z, Ding Y, Kaganoi J, Komoto I, Sakurai T, Imamura M. Int J Mol Med. 2001 Aug;8(2):141-8. Read the abstract here or order the full paper: http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?cmd=Retrieve & db=PubMed & amp;list\ _uids=11445864 & amp;dopt=Abstract ------------------------------------------------------------------------ Tell me again about the pain from UAE...and how there is no pain from hysterectomy or myomectomy...or how gyns would never allow for pain experimentation to occur on THEIR patients..... The analgesic efficacy of patient-controlled bupivacaine wound instillation after total abdominal hysterectomy with bilateral salpingo-oophorectomy. Zohar E, Fredman B, ov A, Jedeikin R, Shapiro A. Anesth Analg. 2001 Aug;93(2):482-7. Read the abstract here or order the full paper: http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?cmd=Retrieve & db=PubMed & amp;list\ _uids=11473884 & amp;dopt=Abstract ------------------------------------------------------------------------ Laparoscopically assisted vaginal and abdominal hysterectomy: comparison of postoperative pain, fatigue and systemic response. A case-control study. Rorarius MG, Kujansuu E, Baer GA, Suominen P, Teisala K, Miettinen A, Ylitalo P, Laippala P. Eur J Anaesthesiol. 2001 Aug;18(8):530-539. Read the abstract here or order the full paper: http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?cmd=Retrieve & db=PubMed & amp;list\ _uids=11473560 & amp;dopt=Abstract ------------------------------------------------------------------------ Why didn't your gyn raise the treatment options of hysteroscopic or laparoscopic removal of your fibroids? Hmmmm..... Milad M, Kim R, Cohen B. Resident training and endoscopic hospital privileging. Curr Opin Obstet Gynecol. 2001 Aug;13(4):431-6. Read the abstract here or order the full paper: http://www.co-obgyn.com/article.asp?ISSN=1040-872X & VOL=13 & amp;ISS=4 & amp;PAGE=431 ------------------------------------------------------------------------ Cost effective management of heavy uterine bleeding: ablative methods versus hysterectomy. Neuwirth RS. Curr Opin Obstet Gynecol. 2001 Aug;13(4):407-10. Read the abstract here or order the full paper: http://www.co-obgyn.com/article.asp?ISSN=1040-872X & VOL=13 & amp;ISS=4 & amp;PAGE=407 ------------------------------------------------------------------------ A good example of incredibly insufficient research with a whole lot of flaws in the methodology and conclusions drawn.... Messalli EM, Barbieri B, Cobellis L, Panariello S. Ovarian function after total simple hysterectomy. Minerva Ginecol. 2001 Aug;53(4):229-34. Read the abstract here or order the full paper: http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?cmd=Retrieve & db=PubMed & amp;list\ _uids=11431638 & amp;dopt=Abstract Gee, I guess my #1 question would be: with all the women undergoing hysterectomy all over the world, was there a specific reason why only 30 patients retaining their ovaries at hysterectomy could be identified for this study? I have more questions, but I think you get the drift of how unimportant this paper is {in my book}. ------------------------------------------------------------------------ MR monitoring of tumour thermal therapy. Germain D, Chevallier P, t A, Saint-Jalmes H. MAGMA. 2001 Aug;13(1):47-59. Read the abstract here or order the full paper: http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?cmd=Retrieve & db=PubMed & amp;list\ _uids=11410396 & amp;dopt=Abstract ------------------------------------------------------------------------ Arterial embolization for haemorrhage in the obstetric patient. Corr P. Baillieres Best Pract Res Clin Obstet Gynaecol. 2001 Aug;15(4):557-61. Read the abstract here or order the full paper: http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?cmd=Retrieve & db=PubMed & amp;list\ _uids=11478815 & amp;dopt=Abstract ------------------------------------------------------------------------ Viagra-Like Drugs Unlikely to Cure Female Sexual Arousal Disorder WESTPORT, CT (Reuters Health) Jul 31 - Addressing only the physical component of female sexual dysfunction is likely to fail if psychosocial aspects are not dealt with at the same time. Read the rest here: http://oncology.medscape.com/reuters/prof/2001/08/08.01/20010731drgd001.html The medical literature behind this Reuters Health report: Female Sexual Response: The Role of Drugs in the Management of Sexual Dysfunction (Commentary) Basson, R. Obstet Gynecol 2001;98:350-353. Mind you, this commentary is based on the issue of AROUSAL. For those of us with plenty of arousal but less than ideal physical function, perhaps you'd take exception to this commentary, as I did. ------------------------------------------------------------------------ Completely off-track on this citation...but the fact that men can suffer from " hot flashes " just as women do did indeed capture my momentary attention...what, a little soy or add-back therapy wouldn't help these guys? Can you see the " men " section in the natural food stores addressing this issue? Hmmmm...with the prevalence of prostate cancer in this nation, you'd think this would be a bigger issue....could it be that a great many men are simply avoiding the current " treatments " for their prostate cancer? Spetz AC, Hammar M, Lindberg B, Spangberg A, Varenhorst E. Prospective evaluation of hot flashes during treatment with parenteral estrogen or complete androgen ablation for metastatic carcinoma of the prostate. J Urol. 2001 Aug;166(2):517-20. Read the abstract here or order the full paper: http://www.jurology.com/article.asp?ISSN=0022-5347 & VOL=166 & amp;ISS=2 & amp;PAGE=51\ 7 Lest you think I'm making fun of this very serious condition, well, you could be right. However, I do know how serious a diagnosis of prostate cancer can be...as two very dear and close relatives of mine were recently diagnosed with this. Neither have any intention of undergoing the current treatments available...but they are very willing to experiment with their diet and exercise regiment....sound familiar? ------------------------------------------------------------------------ On the television tube in the coming weeks: Discovery Health Channel Lifeline Aug 5 2001 10:00 PM EST Aug 6 2001 1:00 AM EST Aug 10 2001 3:00 AM EST A New Beginning At Duke University Medical Center a doctor is treated for a tragic eye injury, a woman undergoes surgery designed to reduce her pain as she donates a kidney to her husband and the mother of an intensive care infant requires surgery for fibroids. ________________________________ Discovery Health Channel SHE TV Episode 77 Aug 13 2001 8:00 AM EST Female Viagra; Female Sex Dysfunction. ________________________________ Did anyone see this episode this past Friday night, by any chance? (At least, I think it was on last Friday.) The Health Network Doctor's Diaries Friday, August 3, 8pm EST/5p PST & 11p ET/8p PT Episode Guide: http://my.webmd.com/content/article/3136.19090#episode_4 Nurse Major usually goes to work at Westchester Medical Center. But today, she is Dr. Maurice Poplausky's patient. Tormented by pain from multiple uterine fibroid tumors but unwilling to undergo a hysterectomy, Nurse has opted for an embolization. She and Dr. Poplausky hope that this innovative procedure will cut off the blood supply to the fibroids, causing them to shrink away. Great adjunct article (if not just a wee bit out of date) on the WebMD site: Diagnosing and Treating Fibroids A guide to diagnosing uterine fibroids, and recommendations for avoiding a hysterectomy if at all possible. The Gynecological Sourcebook, Third Edition Copyright © 1999 by M. Sara Rosenthal http://my.webmd.com/content/dmk/dmk_article_5963003 ------------------------------------------------------------------------ Starting this month, you can get a chance to meet me and chat with other women in your community about uterine fibroids. Please come see me (so I'm not talking to myself!) and say hello if you're in the vicinity of any of the following scheduled talks. Write me off-line if you'd like more information or would like to inquire as to how I might visit YOUR city to lead a discussion about fibroids. August 09 -- Costa Mesa, CA Mother's Market and Kitchen August 18 -- Colorado Springs, CO E. Library August 20 -- Portland, OR, Multnomah County Library August 21 -- Beaverton, OR, Beaverton City Library August 21 -- Portland, OR, Belmont Library August 22 -- Portland, OR, N. Portland Library August 25 -- Salem, OR, W. Salem Library ------------------------------------------------------------------------ Lately, I've found myself becoming a rather nocturnal creature. Hitting the gym just shy of midnight for a workout and a swim and then home to bed almost every night these days. Sometimes, I'm so tired after these late night exercise fests, that I sometimes fantasize being able to put on my nightgown, robe, and slippers (instead of the clothes I wore into the gym) and driving home all ready to crawl into bed once I'm there. Just call me Walter Mitty. I like to exercise every day. I hate it when I don't get time to do this during the day and I guess that's why I've decided to " make the time " at night. I know that exercise gets the oxygen/blood flowing and taxes my musculoskeletal system to help fight osteoporosis and the rest of me to fight any one of a myriad of diseases associated with a more sedentary lifestyle. Relaxes me. Helps me to sleep better. But most of all, it simply helps me to breathe. While I do know that many of the women on this list group aren't able to truly exercise the way they'd like to due to anemia, fatigue, excessive bleeding, etc., please know that there is hope on the other side of treatment for capturing your life back and moving forward with taking good care of yourself through appropriate diet and exercise. Try to breathe as best you can today and walk as much as possible to help facilitate some level of physical exercise. But, know that there is hope for an even more active lifestyle after treatment. Then, once you're well again, turn that " hope " into a promise and a personal gift you give yourself. Breathe. And do it deeply with the gift of exercise. Wishing you all the best, Carla Dionne Executive Director National Uterine Fibroids Foundation 1 (877) 553-NUFF mailto:carla@... http://www.NUFF.org /list/uterinefibroids Author, " Sex, Lies, and the Truth About Uterine Fibroids " " Never doubt that a small group of thoughtful committed citizens can change the world. Indeed it's the only thing that ever has. " Margaret Mead * eclectic \Ec*lec " tic\, a. 1. Selecting; choosing (what is true or excellent in doctrines, opinions, etc.) from various sources or systems; as, an eclectic philosopher. * Patsy Cline. http://www.patsycline.com/ http://www.geocities.com/Nashville/5710/index1.html Roy and Dale . http://www.royrogers.com/ (I've been to their museum in Victorville. 3 times. It's a fort. What can I say? I was a very impressionable 5 year old!) Grand Ole Opry http://www.opry.com Dietrich http://www.bombshells.com/gallery/dietrich/index.shtml Rosemary Clooney http://www.rosemaryclooney.com/ s Sisters http://www.cmgww.com/music/andrews/ Benny Goodman http://www.davidmulliss.com.au/BennyGoodman/benny.htm Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 20, 2001 Report Share Posted August 20, 2001 6-8 p.m. on Tuesday. Carla Dionne Re: Fibroid Tidbits... > August 21 -- Beaverton, OR, Beaverton City Library What time will you be at the Beaverton Library? I work about a mile from there. Alison Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 20, 2001 Report Share Posted August 20, 2001 > 6-8 p.m. on Tuesday. I will try to make it Carla. I will be moving to my new house, though. Alison Quote Link to comment Share on other sites More sharing options...
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