F.D.A. May Tap Experts on Energy Drinks


The Food and Drug Administration said in a letter released on Tuesday that it was likely to seek advice from outside experts to help determine whether energy drinks posed particular risks to teenagers or people with underlying health problems.


The letter appears to signal a change in the agency’s approach to the drinks, which contain high levels of caffeine.


Previously, F.D.A. officials have said that they were investigating possible risks posed by popular products like 5-Hour Energy, Monster Energy and Red Bull. But an agency spokeswoman, Shelly Burgess, said the new letter was the first time that the F.D.A. had said it might turn to outside experts.


The F.D.A. letter, which was released Tuesday by Senator Richard J. Durbin of Illinois and Senator Richard Blumenthal of Connecticut, follows disclosures that the agency received reports of 18 deaths and over 150 injuries that mentioned the possible involvement of energy drinks.


The filing of such reports with the F.D.A. does not prove that a product was responsible for a death or an injury. Energy drink makers have said their products are safe and were not responsible for the health problems.


The officials said a review of the drinks might be “greatly enhanced by also engaging specialized expertise” from an outside group, like the Institute of Medicine, which is part of the National Academy of Sciences.


Industry analysts said the letter indicated that the F.D.A. did not plan any immediate actions on energy drinks, an interpretation that set off a rally on Tuesday in the stock of Monster Beverage, the producer of Monster Energy. Company shares closed at $51.97, up over 13 percent. Any regulatory outcome is likely to be “benign,” Judy Hong, an analyst at Goldman Sachs, said in a note to investors, according to Bloomberg News.


In Canada, however, the use of an outside panel led to limits on caffeine levels in energy drinks.


In their letter, F.D.A. officials indicated that an outside review would focus on the possible risks posed by high levels of caffeine, a stimulant, to certain groups. They reiterated that daily consumption of significant levels of caffeine, which is found in products like coffee and tea, is safe.


“Areas of particular focus would include such matters as the vulnerability of certain populations to stimulants and the incidence and consequence of excessive consumption” of energy drinks, especially by young people, F.D.A. officials wrote.


In Canada, an expert panel made several recommendations, including arguing that such beverages be labeled “stimulant drug-containing drinks.”


Health Canada, that country’s counterpart to the F.D.A., did not adopt many of the group’s recommendations, but it has put in place new rules limiting caffeine levels in cans of energy drinks to 180 milligrams.


Some larger-size cans of energy drinks sold in the United States, like the 24-ounce can of Monster Energy and the 20-ounce can of Red Bull, have caffeine levels above that limit.


An eight-ounce cup of coffee, depending on how it is made, can contain from 100 to 150 milligrams of caffeine.


In the new letter, F.D.A. officials also said that studies that had examined other ingredients, like taurine, that are often used in energy drinks had determined those substances were safe. The agency also said that a survey suggested that energy drinks constitute a small portion of the caffeine consumed in this country, even by teenagers.


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Groupon CEO Mason offers to step down













Groupon CEO Andrew Mason


Groupon CEO Andrew Mason walks outside the Nasdaq after the company debuts in November 2011.
(Brendan McDermid/Reuters / November 28, 2012)





















































Groupon Inc. CEO Andrew Mason, under fire for a plunging share price and tapering growth, said on Wednesday he would agree to step down if needed, as the struggling company's board prepared to debate on Thursday whether he remains the right leader.

Groupon has shed four-fifths of its value since its public trading debut as an investor darling during last year's consumer dotcom IPO boom. Wall Street has grown uneasy about the viability of its business as fever for daily deals has cooled among consumers and merchants, hurting its growth rate.

Mason, responding to reports that the board of directors will discuss his performance during a regular Thursday meeting, said it would be "weird" if they did not.

"It would be more noteworthy if the board wasn't discussing whether I'm the right guy for the job," Mason said in an interview from a Business Insider conference.

"If I ever thought I wasn't the right person for the job, I'd be the first person to fire myself."

Europe has been a particular problem for Groupon, partly because the sovereign debt crisis has sapped demand for higher-priced deals. Groupon was also offering steeper discounts, turning off some European merchants.

Adding to its difficulties, the U.S. Securities and Exchange Commission is looking into Groupon's accounting and disclosures, areas that raised questions among some during its IPO.

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Jesse Jackson Jr. still might collect federal pension









WASHINGTON—





— Jesse Jackson Jr., who resigned from Congress last week and acknowledged he was the subject of a federal investigation, could be eligible for an annual pension estimated at $45,000, but that benefit would be lost if he was convicted of one of several public corruption felonies.

Jackson, 47, a South Side Democrat who served 17 years in Congress, remained out of sight Monday, five days after sending a resignation letter to House Speaker John Boehner, R-Ohio. A federal criminal investigation into Jackson's alleged misuse of campaign money remains active, a source said Monday.

Jackson has been out of the public eye since June, when he began a leave for what aides later disclosed is bipolar disorder. He won re-election Nov. 6 while at the Mayo Clinic in Minnesota, where an official said Monday he is no longer a patient.

Smith & Co., a crisis management firm that is representing Jackson, declined to comment on his whereabouts. The firm, with offices in Washington and Los Angeles, in the past has represented clients including Monica Lewinsky, Michael Vick and former Sen. Larry Craig, R-Idaho.

Federal officials do not disclose how much a retiree receives as a pension. But at the National Taxpayers Union, Executive Vice President Pete Sepp estimated that Jackson could collect about $45,000 a year when he reaches age 62. If Jackson chose to draw the pension beginning at age 56 — just a little more than eight years from now — the sum would be reduced by 30 percent, leaving about $31,500 a year.

Jackson has not been charged with a crime. He said in his resignation letter that he was aware of the ongoing federal investigation into his activities and was doing his best to cooperate with investigators and accept responsibility for his "mistakes."

Earlier this year, Congress expanded the number of felony public corruption offenses that would trigger the loss of a federal pension. They added several crimes, including tax evasion, money laundering and offenses relating to soliciting political contributions.

Lawmakers also broadened the penalty's reach by dictating that it would apply to former members of Congress who became president or vice president or served in state or local government. That provision was aimed at high-profile figures such as now-imprisoned Rod Blagojevich, a former congressman convicted of offenses that occurred while he was Illinois governor.

Jackson announced his resignation when the House was adjourned for Thanksgiving week. The House is scheduled to gavel back into session at 1 p.m. CST on Tuesday. Sometime later, Jackson's resignation letter will be read aloud.

That might not be the last word from Capitol Hill on Jackson.

The House Ethics Committee had been investigating Jackson's efforts in 2008 to gain Blagojevich's appointment to President Barack Obama's Senate seat, but the committee does not have jurisdiction over former lawmakers and may not sanction them. However, the panel retains the authority to issue a report in such cases and could do so regarding Jackson. The panel did just that after the 2006 resignation of Rep. Mark Foley, R-Fla., over sexually provocative emails to teenage boys who had been congressional pages.

Meanwhile, Jackson's former offices remain open, under the control of the House clerk.

Under House rules, when a lawmaker dies, resigns or is expelled, the clerk manages the congressional office until a successor is chosen for the vacancy, said Steve Dutton, a spokesman for the Committee on House Administration.

Dutton said Jackson's offices in Washington, Chicago and Homewood will remain open — and staffers paid — until a successor is picked.

kskiba@tribune.com



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Disney Channel to debut ‘Sofia the First’ Jan. 11












NEW YORK (AP) — Disney says its animated children‘s series “Sofia the First” will premiere Jan. 11 on the Disney Channel and Disney Junior networks.


Created for kids ages 2 to 7, “Sofia the First” is about a young girl who becomes a princess and learns that honesty, loyalty and compassion are what makes a person royal.












Sofia is voiced by “Modern Family” actress Ariel Winter, and her mother is played by “Grey’s Anatomy” star Sara Ramirez.


Last week’s premiere of the “Sofia the First” animated movie drew a total audience of more than 5 million viewers. It was the year’s top-rated cable TV telecast among kids ages 2 to 5.


In the series’ debut episode, Sofia strives to become the first princess to earn a spot on her school’s flying derby team.


Entertainment News Headlines – Yahoo! News


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Books: Woe Is Syphilis, and Other Afflictions of Famous Writers





The old Irishman was a swollen, wheezing mess, blood pressure wildly out of control, kidneys failing, heart fibrillating. “What we have here,” said his new Spanish doctor, “is an antique cardiorenal sclerotic of advanced years.”




In fact, what the doctor had there was William Butler Yeats: the poet had a long list of chronic medical problems and experienced one of his regular cardiac crises while wintering in Spain. He still had three poetically productive years ahead of him before he died of heart failure in 1939, at age 73.


What makes antique case histories like Yeats’s so compelling to research, so interesting to read? Admittedly, they have educational value — medicine moves forward by looking back — but their major attraction is undoubtedly the operatic vigor of their emotional punch. As we contemplate the poor health of historic notables, we can sigh gustily at the immense suffering our ancestors considered routine, wince at the lunatic treatments they so innocently underwent, and marvel over and over again that the body, the brain and the mind can take such divergent paths.


These pleasures are present in abundance in the newest addition to the genre of medical biography, “Shakespeare’s Tremor and Orwell’s Cough.” Dr. John J. Ross, a Harvard physician, writes that he stumbled into the field by accident while trying to enliven a lecture on syphilis with a few literary references. The discovery that Shakespeare was apparently obsessed with syphilis (and suspiciously familiar with its symptoms) hooked Dr. Ross.


The resulting collection of 10 medico-literary biographical sketches ranges from the tubercular Brontës, whose every moist cough is familiar to their fans, to figures like Nathaniel Hawthorne, whose medical stories are considerably less familiar.


Dr. Ross’s discussion of Shakespeare is unique in the collection for its paucity of relevant data: so few details are known of the playwright’s life, let alone his health, that all commentary is necessarily supposition. Dr. Ross is not the first to note that references to syphilis are “more abundant, intrusive and clinically exact” in Shakespeare’s works than those of his contemporaries. This observation, along with the apparent deterioration of Shakespeare’s handwriting in his last years, leads to the hypothesis that Shakespeare had syphilis repeatedly as a young man, and wound up suffering more from treatment than disease.


The Elizabethans dosed syphilis with a combination of hot baths (treating the disease by raising body temperature endured into the 20th century), cathartics and lavish quantities of mercury. The drooling that accompanies mercury poisoning was considered a sign of excellent therapeutic progress, Dr. Ross writes: “Savvy physicians adjusted the mercury dose to produce three pints of saliva a day for two weeks.”


And so, when Shakespeare signed his will a month before he died with a shaky hand, was his tremor not possibly a sign of residual nerve damage from the mercury doses of his sybaritic youth? No amount of scholarship is likely to confirm this theory, but details of the argument are gripping and instructive nonetheless.


The story of the blind poet John Milton runs for a while along similar lines. Much is known about the long deterioration of Milton’s vision and other particulars of his delicate health, but Dr. Ross observes that many of his problems seem to have cleared up once he actually became blind. Was he vigorously medicating himself with lead-based nostrums in hopes of forestalling what Dr. Ross argues was probably progressive retinal detachment, then recovering from lead poisoning once his vision was irretrievably gone? Another intriguing if unanswerable question.


Just as the competing injuries of disease and treatment battered the luminaries of English and American literature, so did pervasive mental illness.


Jonathan Swift was a classic obsessive-compulsive long before he succumbed to frontotemporal dementia (Pick’s disease). Poor Hawthorne, so forceful on the page, was in person a tortured shrinking violet, the embodiment of social phobia and depression. Emily Brontë’s behavior was strongly suggestive of Asperger syndrome; Herman Melville was clearly bipolar; Ezra Pound was just nuts.


Yet they all wrote on, despite continual psychic and physical torments. Perhaps the thickest medical chart of all belongs to Jack London, who survived several dramatic episodes of scurvy while prospecting in the Klondike (he was treated with raw potatoes, a can of tomatoes and a single lemon), then accumulated a long list of other medical problems before killing himself (inadvertently, Dr. Ross argues) with an overdose of morphine from his personal and very capacious medicine chest.


Dr. Ross has not written a perfect book. The fictionalized scenes he creates between some of his subjects and their medical providers should all have been excised by a kindly editorial hand, which might also have addressed more than a few grammatical errors. Frequent leaps from descriptive to didactic mode as Dr. Ross updates the reader on various medical conditions can be jarring, like PowerPoint slides suddenly deployed in a poetry reading. True literary scholars might dismiss the book as lit crit lite, a hodgepodge of known facts culled from the usual secondary sources.


But all these caveats fade into the background when Dr. Ross hits his narrative stride, as he does in chapter after chapter. Then the stories of the wounded storytellers unfold smoothly on the page, as mesmerizing as any they themselves might have told, those squinting, wheezing, arthritic, infected, demented, defective yet superlative examples of the human condition.


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Chicago housing recovery lags other cities













Home sales flat nationall, up in Chicago


A sale is pending on this home in San Francisco. The National Association of Realtors reported a decline in sales in September.
(Justin Sullivan/Getty Images / October 19, 2012)





















































The Chicago area's housing recovery continues to lag behind other metropolitan areas, according to a widely watched monthly index of home prices released Tuesday.

The S&P/Case-Shiller home price index found that area home prices in September fell 0.6 percent from August and were down 1.5 percent on an annualized basis. Chicago and New York City were the cities among the 20 studied where pricing was worse than their year-ago comparisons.

September's reading was the first monthly decrease for the Chicago area's home price index after five months of gains. Despite the slip in the overall market, area condo prices continued to recover, rising .9 percent in September from August, marking the six consecutive month of improvement.

Historically, condo prices remain at their spring 2001 level while the overall market's pricing is similar to its fall 2001 levels.

All combined, the 20 cities included in the home price index in September recorded a monthly gain of 0.3 percent in September. Year-over-year, prices rose 3 percent. On a quarterly basis, the national composite rose 3.6 percent in the third quarter compared with 2011's third quarter.

mepodmolik@tribune.com | Twitter @mepodmolik




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2 shot at gang funeral: 'This is crazy'













Park Manor shooting


Chicago police investigate after two people were shot on the 300 block of East 71st Street on Monday morning. The shooting took place near the A.A. Rayner & Sons Funeral Home.
(Eric Clark/For the Chicago Tribune / November 26, 2012)




















































Two people were shot after the funeral of a reputed gang member in the Park Manor neighborhood on the South Side this afternoon, police said, with a  minister at the services tweeting, "This is Crazy."

The two were shot outside St. Columbanus Church in the 300 block of East 71st Street, across the street from the A.A. Rayner & Sons Funeral Home. They were taken in critical condition to Stroger, according to Chicago Fire Department spokesman Will Knight.

The shooting occurred after the funeral, according to the minister who was presiding, the Rev. Corey Brooks.

"I just preached a funeral and gunfire has broke out and I believe people have been shot," Brooks tweeted. "Please pray I believe people have been hit it is Chaos about 500 people here. This is Crazy!!"

Brooks is the pastor who spent weeks on the rooftop of an abandoned motel last winter in an effort to get it torn down to make way for a community center in the Woodlawn neighborhood.


One witness said she saw someone firing at two people outside the church.

Deborah Echols-Moore said there were several hundred mourners in the sanctuary of the church when she heard gunshots. “We thought it was someone banging on the seats,” but soon realized it was gunshots, Echols-Moore said.

People panicked and made a rush to get out of the church. "A lady fell on me.”


The funeral was for a 32-year-old man who was shot last week at an apartment building in the Washington Park neighborhood on the South Side.


chicagobreaking@tribune.com


Twitter: @ChicagoBreaking





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Beyonce documentary premiering on HBO in February












NEW YORK (AP) — Beyonce is getting personal.


HBO announced Monday that a documentary about the Grammy-winning singer will debut Feb. 16, 2013. Beyonce is directing the film, which will include footage she shot herself with her laptop.












The network said the documentary will include “video that provides raw, unprecedented access to the private entertainment icon and high-voltage performances.” It will also feature home videos of her family and of the singer as a new mother and owner of her company, Parkwood Entertainment.


Beyonce said in a statement the untitled project was “personal” to her. She is married to Jay-Z. They had their first child, daughter Blue Ivy Carter, in January.


The 31-year-old will perform at the 2013 Super Bowl halftime show on Feb. 3, 13 days before the documentary airs.


Entertainment News Headlines – Yahoo! News


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Wealth Matters: Dealing With Doctors Who Accept Only Cash


James Edward Bates for The New York Times


Dr. Stanford Owen no longer accepts insurance. He charges patients like Monica Knight $38 a month.







A FEW weeks ago, my wife and I were at our wits’ end: our 4-month-old daughter wouldn’t sleep for more than an hour at a time at night. We had consulted books and seen our pediatrician, but nothing was working. So my wife called a pediatrician who specializes in babies who struggle with sleep problems.




The next day, he drove an hour from Brooklyn to our house. He then spent an hour and a half talking to us and examining our daughter in her nursery. He prescribed some medicine for her and suggested some changes to my wife’s diet. Within two days, our baby was sleeping through the night and we were all feeling better.


The only catch was this pediatrician did not accept insurance. He had taken our credit card information before his visit and given us a form to submit to our insurance company as he left, saying insurance usually paid a portion of his fee, which was $650.


A couple of weeks later, our insurance company said it wouldn’t pay anything. Here’s how the company figured it: First, it said a fair price for our doctor’s fee was $285, about 60 percent less, because that was the going rate for our town. Then, it said the lower fee was not enough to meet our out-of-network deductible.


While we were none too happy with the insurance company, we remained impressed by the doctor: he had made our baby better and was compensated for it, all the while avoiding the hassle of dealing with insurance.


Last year, I wrote about doctors who catered only to the richest of the rich and charged accordingly. But after my experience, I became interested in doctors for the average person who take only cash. What pushes a doctor to go this route, often called concierge medicine? And how hard is it to make a living?


As to why doctors decide to switch to a concierge practice, the answer is almost always frustration.


“About four years ago, one insurance company was driving me crazy saying I had to fax documents to show I had done a visit,” said Stanford Owen, an internal medical doctor in Gulfport, Miss. “At 2 a.m., I woke up and said, ‘This is it.’ ”


Dr. Owen stopped accepting all insurance and now charges his 1,000 patients $38 a month.


“When I decided to abandon insurance, I didn’t want to lose my patient base and make it unaffordable,” he said. “I have everything from waitresses and shrimpers to international businessmen. It’s a concierge model, but it’s also the personal doctor model.”


Dr. Owen, who once had three nurses and 10 examining rooms, said it was now just him and a receptionist. He has become obsessed with keeping overhead low, but he said that, for the first time since the 1990s, his income was going up.


At the other end of the spectrum is David Edelson, who runs a practice called HealthBridge in Great Neck, N.Y. In addition to five doctors, the practice has a full fitness center and provides the services of a personal trainer, nutritionist, acupuncturist, sleep expert and stress-management consultant.


“The current model for primary care is broken,” Dr. Edelson told me. “Either I can go down with the ship, sell my practice to a hospital or take my practice in the wrong direction. Or I can develop a better mousetrap, which is more time dealing with patients and their care.”


Dr. Edelson has reduced his own practice to 300 patients, from more than 3,000. Of those, 250 pay $1,800 a year for concierge services and 50 others receive scholarships. He estimated that from the combination of the membership fee for the extra services and what gets billed to insurance for typical care, he will make $600,000, and more of that will end up in his pocket.


“We’re bringing in the same fees but we’re reducing our overhead,” he said. Fewer patients means fewer medical assistants, receptionists and staff members to deal with insurance.


But of the five doctors in the practice, he is the only one to go fully concierge. Another, William Klein, is testing the model, with 15 percent of his patients in the concierge program. Dr. Klein said he was hedging his bets because he was not sure what the new federal health care law would mean for primary care physicians.


Weren’t some patients getting shortchanged by this hybrid model? He said he saw no difference in care.


“It’s like paying for first class and not coach,” Dr. Klein said. “Everyone is getting to the same destination, but some people have a better seat.”


This approach to medicine is not without risks for the doctors and downsides for patients.


This article has been revised to reflect the following correction:

Correction: November 23, 2012

An earlier version of this column gave an incorrect middle initial for Mr. Harris. It is M., not V.



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Obama taps Walter as new SEC chief









WASHINGTON -- President Obama on Monday designated Elisse Walter as chairwoman of the Securities and Exchange Commission, but it's unclear if the Democratic commissioner will be the permanent replacement for outgoing Mary Schapiro.


Walter, who has served on the SEC since July 2008, will take over the reins of the agency after Schapiro steps down on Dec. 14. Schapiro announced her resignation Monday.


Obama thanked Schapiro for her "steadfast leadership." 





"When Mary agreed to serve nearly four years ago, she was fully aware of the difficulties facing the SEC and our economy as a whole," Obama said in a written statement.


"But she accepted the challenge, and today, the SEC is stronger and our financial system is safer and better able to serve the American people – thanks in large part to Mary's hard work," he said.


Obama can designate a current commissioner as chairman. But he must nominate a permanent replacement, who then has to be confirmed by the Senate.


After Schapiro departs next month, the SEC will have two Democrats and two Republicans, making it difficult to pass any controversial measures.


The White House did not indicate if Walter was among those being considered for the nomination.


Walter served as chairwoman for a short period in January 2009 after the departure of former Chairman Christopher Cox, before Schapiro was sworn in.


Walter, a former executive at the Financial Industry Regulatory Authority and the National Assn. of Securities Dealers, has been mentioned as a permanent replacement for Schapiro.


Obama said he was "confident that Elisse's years of experience will serve her well in her new position."


ALSO:


SEC chief Mary Schapiro to step down


Warren Buffett says tax hikes won't stop wealthy from investing


New faces likely for key U.S. economic posts, starting at Treasury



Follow Jim Puzzanghera on Twitter and Google+.





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