Q & A: Weighing the Evidence





Q. My husband weighs twice as much as I do, yet we take the same dose of over-the-counter medications, as recommended on the packaging. Shouldn’t weight be a factor?




A. There is little information about using weight as a factor in adjusting doses of either prescription or over-the-counter medications, said Dr. Steven A. Kaplan, director of the Iris Cantor Men’s Health Center at NewYork-Presbyterian/Weill Cornell hospital.


“We are beginning to study different responses by weight,” he said, but he and other researchers have reached no conclusions on recommendations for therapy.


“In my own field, urology,” he added, “my opinion is that it is more likely for the recommended dose to be ineffective in a larger person rather than to be toxic in a thinner adult.”


Some prescription drugs, like chemotherapy agents, already have their dosages adjusted for weight because of their highly toxic nature. As for over-the-counter drugs, recommended doses generally tend to be weighted in favor of safety rather than efficacy, Dr. Kaplan said.


He and other doctors emphasized the importance of following package directions. For example, acetaminophen (like Tylenol) can present a life-threatening risk if the liver cannot process a high dose. If you find that the recommended dose does not work for you, Dr. Kaplan said, speak to your doctor.


C. CLAIBORNE RAY


Readers may submit questions by mail to Question, Science Times, The New York Times, 620 Eighth Avenue, New York, N.Y. 10018, or by e-mail to question@nytimes.com.



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Wall Street Moves Higher


Wall Street stocks fell at the start of trading Tuesday, but later managed small gains, after international lenders clashed over help for Greece and investor concern grew over how a lack of agreement in Congress could hurt the nation’s economy.


Equities have been pressured in recent sessions by worries over a series of stringent budget cuts and tax increases that are scheduled to take effect in the new year. Market participants are concerned that if no deal is reached to modify the changes, the economy could fall back into recession.


In afternoon trading, the Standard & Poor’s 500-stock index added 0.2 percent to about 1,383 points, the Dow Jones industrial average rose 0.2 percent to about 12,842, and the Nasdaq composite index was 0.2 percent lower.


Concerns over the fiscal discussions contributed to the S.&P. 500’s losses last week, the worst week for the index since June. On Monday, the index ended up only by 0.1 percent, off its highs of the session.


“Stocks will be stuck where they are until we get some kind of resolution on this, and if we don’t get something done, people will be even more disenchanted with equities than they are now,” said Art Hogan, managing director of Lazard Capital Markets in New York.


American lawmakers return to the Capitol Tuesday with a seven-week deadline to reach agreement over the budget and taxes, and while most analysts expect some kind of deal will be forged, concerns remained. Barclays on Tuesday cut its year-end target for the S.&P. 500 to 1,325 points from 1,395, saying there was “little basis to believe a grand compromise is in the offing.”


Home Depot, the home improvement retailer, rose 4 percent after it reported earnings that beat expectations and raised its outlook.


“Home Depot has two things going for it — an improvement in the housing sector and the rebuilding efforts after Hurricane Sandy,” Mr. Hogan said. “That’s a backdrop where the company is very well positioned.”


The euro started weaker after euro zone finance ministers said Greece should be given until 2022 to meet a goal for reducing its debt mountain to a more manageable level, but Christine Lagarde, chief of the International Monetary Fund, insisted the existing target of 2020 should stay.


Behind the differences was a debate over whether euro zone governments should write off some of their Greek debt holdings to help Athens, an idea that Germany opposes.


European stocks closed higher. The DAX in Germany added less than a point, and the CAC 40 in France gained 0.6 percent. The FTSE 100 in Britain added 0.3 percent.


The S.&P. 500 was still up about 10 percent for 2012, despite losses in recent weeks. The Nasdaq has fallen for five straight weeks.


Stocks closed little changed Monday, with investors limiting bets ahead of the negotiations in Washington. Volume was light, with the bond market and government offices closed for Veterans Day.


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Why Lakers' hiring of Mike D'Antoni is bad, in 7 seconds or less








The new Lakers coach famously wants his players to shoot in seven seconds or less. I’m not going to require that long to list the reasons that hiring Mike D'Antoni was yet another Buss blunder.

He's never taken a team to an NBA Finals. He has a losing record in the playoffs. He doesn't coach defense. His sprinting offense will be tested on a team led by aging guys who no longer sprint.

And, oh yeah, he's not Phil Jackson.






I'll repeat what I wrote on Friday, only now with a greater and sadder emphasis: The only way the panicky firing of Mike Brown makes even an ounce of sense is if he was immediately replaced by Jackson.

Turns out, not only did Jim Buss not have a deal in place with Jackson when he fired Brown -- an inconceivable truth -- but he also wasn't prepared to make a deal. Buss apparently walked away from Jackson partially because the coach asked for an ownership piece of the team. Magic Johnson wins five championship rings and gets a piece of the Lakers, but Jackson's five championship rings gets him the door? This couldn’t be because Jim Buss never really liked Jackson, could it?

If you insist on applauding the Buss family for great ownership in moving so fast on firing Brown, then you must rip them for not having his logical replacement already in place, and you must be sickened that they didn’t realize the only man for that job, at this time, at any cost, was Jackson.

Mike D'Antoni is a great guy and a charismatic presence. If they add some younger and quicker pieces, the Lakers could eventually be wildly fun. But he has even less credibility with players than Mike Brown. He is exactly as one-dimensonal as Mike Brown. And his postseason basketball success makes Mike Brown look like, well, Jackson.

If you want to hire D'Antoni, you give Brown more than five games to get this roster figured out, because the transition time for D'Antoni is going to be long and the rewards are going to be questionable. If you want to hire D'Antoni, you make darn sure this season is trashed first, because there are no guarantees that his system can get any team past the second round.

Once it became obvious that Buss wouldn't give in to Jackson's incredible demands -- do you really blame Jackson for his asking price? -- then they should have just handed the team to Bernie Bickerstaff and taken their time in a national search. Instead, they settled on a guy who is recovering from knee-replacement surgery and can't even join the team immediately, they settled on him in about two days, and they relied on his best reference being a point guard with a fractured leg.

What about interviewing Brian Shaw? How about Nate McMillan? If Jackson is not an option, don't you at least look at Jerry Sloan?

D'Antoni coached in New York, so he can handle the heat here. The problem is, he went 121-167 there and could not even weasel a winning record out of a roster that, at one point, included Carmelo Anthony, Amare Stoudemire and Jeremy Lin.

D'Antoni coached basketball's most exciting team in Phoenix, so he knows entertainment. The problem: Those Phoenix teams had flexible fliers like Leandro Barbosa, Shawn Marion, a younger Steve Nash and a healthier Stoudemire. All that, and they still lost in the Western Conference finals in consecutive seasons.

His teams famously don't guard anybody. His offense is famously based on youth and quickness. His is a game of glitter but, so far, no NBA gold. How long is Dwight Howard sticking around if he doesn't think this guy can make the Lakers a winner?

On Friday night, in the wake of the Brown firing, everyone from the fans to Kobe Bryant were begging for Phil Jackson. Come this morning, they should be begging for an explanation.

One could list the reasons that the Mike Brown fire/Mike D'Antoni hire is just the latest in a series of moves that, despite their glittering roster, illustrate a huge vacancy in the Lakers' top-level leadership. But it's going to take a lot more than seven seconds.

Bill.plaschke@latimes.com

Twitter.com/billplaschke






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Introducing Wired's 'Top 3': May the Best Gadgets Win











Apple iPad. Microsoft Surface. Google Nexus 10. Samsung Galaxy Tab 2 10.1. Amazon Kindle Fire HD. Samsung Galaxy Note 16GB (Wi-Fi) 10.1, White. Samsung Galaxy Tab 2 7.0 (Wi-Fi) 8GB. LG G-Slate V909 32GB Wi-Fi & 4G Unlocked 8.9-inch. Sony Tablet S. Pioneer 11.6-inch Atom DreamBook ePad tablet. Asus Transformer Pad Infinity TF700 (gray, 32GB).


Gadget fatigue: It’s what happens when you start thinking about what tablet or smartphone or laptop or TV you want to buy. Too many choices. Too many variables. Too many upgrades.


Exactly how much stuff is coming out? Consider Motorola’s cellphone lineup. Its popular Razr series released six models over the last year — the Droid Razr, the Droid Razr Maxx, the Droid Razr HD, the Droid Razr Maxx HD, the Droid Razr M and the Razr I. Motorola, owned by Android mobile OS maker Google, also makes a number of other phones, such as the Atrix HD and Electrify.


Wired is here to help. We’ve reorganized our gadget reviews to highlight three clear winners in each of the most important consumer electronics categories. It’s called Wired’s Top 3, and it means what it says. Every day, you’ll find the three most successful gadgets, as judged by Wired reviewers, among hundreds of available mobile phones, tablets, e-readers, TVs and more.


Each category comes with in-depth buying advice. And we’ll be updating these lists and guides as soon as new products arrive, so you don’t have to slog through endless SKUs to find the stuff you need to look at before you make a purchase.


Think of it as noise-canceling tech for gadget news and reviews.


Don’t agree with our choices? Tell us so in the comments, and make your own suggestions for new (and old) products we should throw into the cage to face off with our current Top 3.






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Elmo puppeteer accused of underage relationship
















NEW YORK (AP) — The puppeteer who performs as Elmo on “Sesame Street” is taking a leave of absence from the popular kids’ show in the wake of allegations that he had a relationship with a 16-year-old boy.


Sesame Workshop said puppeteer Kevin Clash denies the charges, which were first made in June by the alleged partner, who by then was 23.













“We took the allegation very seriously and took immediate action,” Sesame Workshop said in a statement issued Monday. “We met with the accuser twice and had repeated communications with him. We met with Kevin, who denied the accusation.”


The organization described the relationship as personal and “unrelated to the workplace.” Its investigation found the allegation of underage conduct to be unsubstantiated. But it said Clash exercised “poor judgment” and was disciplined for violating company policy regarding Internet usage. It offered no details.


“I had a relationship with (the accuser),” Clash told TMZ. “It was between two consenting adults and I am deeply saddened that he is trying to make it into something it was not.”


At his request, Clash has been granted a leave of absence in order to “protect his reputation,” Sesame Workshop said.


No further explanation was provided, nor was the duration of his leave specified.


“Elmo is bigger than any one person and will continue to be an integral part of ‘Sesame Street’ to engage, educate and inspire children around the world, as it has for 40 years,” Sesame Workshop said in its statement.


“Sesame Street” is currently in production, but other puppeteers are prepared to fill in for Clash during his absence, according to a person close to the show who spoke on condition of anonymity because that person was not authorized to publicly discuss details about the show’s production.


“Elmo will still be a part of the shows being produced,” that person said.


The 52-year-old Clash, the divorced father of a grown daughter, has been a puppeteer for “Sesame Street” since 1984. It was then that he was handed the fuzzy red puppet named Elmo and asked to come up with a voice for him. Clash transformed the character, which had been a marginal member of the Muppets troupe for a number of years, into a major star rivaling Big Bird as the face of “Sesame Street.”


In 2006, Clash published an autobiography, “My Life as a Furry Red Monster,” and was the subject of the 2011 documentary “Being Elmo: A Puppeteer’s Journey.”


Entertainment News Headlines – Yahoo! News



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The New Old Age Blog: What Chemo Can't Do

Let’s start with a simple medical fact: Chemotherapy doesn’t cure people who have very advanced Stage 4 lung or colon cancer.

Chemo can be quite effective at earlier stages. Even in late-stage disease, it may relieve symptoms for a while; it might help someone with tumors in his lungs breathe more easily, for example. Chemo can extend life for weeks or months.

It can also make the recipient feel nauseated, wiped out and generally lousy, and require him to spend more time in clinics and hospitals than a dying person might choose to. But it can’t banish cancer. Many aspects of medical prognosis and treatment are uncertain. Not this one.

Such patients’ doctors have almost certainly told them their cancer is incurable. Those who opted for chemotherapy anyway had to sign consent forms spelling out the potential side effects. Yet Dr. Jane Weeks, a research oncologist at Dana-Farber Cancer Institute in Boston, knew from previous studies that cancer patients can develop unrealistic ideas about their odds of survival.

So as she and her co-authors began analyzing results from the first representative national study of patients with advanced cancer, all undergoing chemotherapy, to see what they thought about its effects, Dr. Weeks expected many — perhaps a third of them — to get it wrong.

She was staggered to see how mistaken she was.

Nearly 1,200 patients or their surrogates were interviewed within months of a diagnosis of Stage 4 colon or lung cancer. They answered a number of questions during these telephone interviews, but the key one was: “After talking with your doctors, how likely did you think it was that chemotherapy would cure your cancer?” The only correct answer: “Not at all likely.”

But a great majority chose one of the other responses indicating some likelihood of cure or else said they didn’t know. The study, just published in The New England Journal of Medicine, found that 69 percent of lung cancer patients and 81 percent of those with colon cancer misunderstood the purpose of the very treatment they’d been undergoing.

The misperception was significantly higher among African-Americans, Asians and Hispanics than among whites — but not because of education levels, the usual variable in studies of health knowledge. “It suggests that this reflects cultural differences,” Dr. Weeks said.

Strangely, the patients who responded inaccurately also were more likely to highly rate their communications with doctors. Those who grasped that chemo wasn’t curative were, in effect, penalizing the doctors who helped them reach that understanding.

In a way, Dr. Weeks said, this makes sense. It reflects what researchers call optimism bias — or what Dr. Douglas White, a University of Pittsburgh bioethicist, has called “the powerful desire not to be dead.”

These were not very elderly people.  The bulk were ages 55 to 69. Only about a quarter of colon cancer patients and about a third of those with lung cancer were over age 70.

“It’s completely understandable that patients want to believe the chemo will cure them,” Dr. Weeks said. “And it’s understandable that physicians hesitate to take away that false hope.”

But this confusion can have unhappy consequences. For patients to make truly informed decisions, “they need to understand the outcomes,” Dr. Weeks said. “If they’re missing this critical fact, that can’t happen.”

People often hit rough times during weeks of chemotherapy. Common side effects include nausea and vomiting, diarrhea and fatigue; there are many trips to hospitals for IV drugs, X-rays and blood tests. “They’ll soldier on if they think it will cure them,” Dr. Weeks said. “Any of us would.”

But if these patients might respond differently if they understand that chemo is meant to make them feel better but may have the opposite effect, or that it may buy them another 10 to 12 weeks (a reasonable average for lung cancer) or maybe a year (for colon cancer) but won’t prevent their deaths.

Moreover, “if patients think chemo has a chance of curing them, they’ll be less likely to have end-of-life discussions early on,” Dr. Weeks said. “And they pay a price for that later” — if they enter hospice care much too late or die in hospitals instead of at home, as many prefer.

Possibly, at the time of the initial discussions, these patients recognized that chemo didn’t equal cure, she hypothesized. Then, they and their doctors began to focus on doing something, and they stopped seeing their cancer as incurable.

But realism — as palliative care doctors know — doesn’t have to mean despair. “A really good physician can communicate effectively and still maintain patient trust and confidence,” Dr. Weeks said.

“We have the tools to help patients make these difficult decisions,” two Johns Hopkins physicians, Dr. Thomas J. Smith and Dr. Dan Longo, wrote in an editorial published with the study. “We just need the gumption and incentives to use them.”


Paula Span is the author of “When the Time Comes: Families With Aging Parents Share Their Struggles and Solutions.”

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You're the Boss Blog: Will Higher Taxes Affect Small Businesses? You Tell Us

The Agenda

How small-business issues are shaping politics and policy.

President Obama may have won a decisive reelection victory, but it is John Boehner, the Republican speaker of the House, who is making the rounds and claiming a mandate. And everywhere he goes, he’s talking about what would happen to small businesses if the Bush-era tax cuts on the wealthiest Americans are allowed to expire. To ABC News’s Diane Sawyer, Mr. Boehner said, “Raising taxes on small-business people is the wrong prescription given where our economy is.” He told USA Today, “Raising taxes on small businesses will kill jobs in America. It is as simple as that.”

In a statement to reporters the day after the election, Mr. Boehner made what some observers described as a concession: House Republicans would consider new revenue as part of a deal to avert the “fiscal cliff.” But he then explained that the new revenue could not come from higher tax rates. “In the New Testament, a parable is told of two men. One built his house on sand; the other built his house on rock,” he said. “The foundation of our country’s economy — the rock of our economy — has always been small businesses in the private sector. I ran one of those small businesses, and I can tell you: raising small businesses’ taxes means they don’t grow.”

To support the claim, Mr. Boehner turned to the same controversial Ernst & Young study on which Mitt Romney relied in the first presidential debate in Denver.

Of course, this view is no less controversial now than it was at the time of that debate. Since the debate, we’ve learned about a September report (pdf) from the nonpartisan, and respected, Congressional Research Service, which surveyed the historical record and found that “the reduction in the top tax rates have had little association with saving, investment, or productivity growth” — but “appear to be associated with the increasing concentration of income at the top of the income distribution.” The Congressional Research Service withdrew the report after Republican senators complained.

Then, last week, a report from the Congressional Budget Office seemed to suggest that raising the tax rates on the wealthiest Americans would have little effect on economic output in the fourth quarter of 2013.* Extending the top tax rates would cost the economy 200,000 jobs, according to the C.B.O., an estimate well below the 700,000 jobs that Ernst & Young predicted would be lost. In fact, the C.B.O. figures show that while raising taxes (on everybody) amounts to about two-thirds of the total deficit reduction in 2013, it has a much smaller effect on gross domestic product, the measurement for output. (The C.B.O. report relies in part on economic modeling, much like the Ernst & Young study, meaning that the C.B.O.’s assumptions about the relationship between taxes and economic output informed the results.)

And Agenda readers who own small businesses have weighed in as well. Jed Horovitz in New Jersey wrote, “Each year, I decide how much money to re-invest in my company and how much to take out. Because I pay taxes on my profit, I always look for productive ways to invest in my company first. Spending pretax money makes sense. If my taxes were lower, I would take more money out and just put it in the bank.”

Carol Gillen, who described herself as “the wife and bookkeeper of a small-business owner” in New York, said, “Demand drives hiring, not the personal income tax of the owner.”

But The Agenda would like to hear from more business owners. We want to take a close look at how you and your companies would be affected by increasing the top tax rates, including how it might affect hiring and investment plans. It would be an intensive profile — we would want to talk through specifics on revenue, income, taxes and investments. (We have made the same request to the National Federation of Independent Business and the S Corporation Association of America, both of which strongly oppose any income tax increase.)

It’s a lot to ask, we know, but it’s an important issue. If you own such a company and have employees — making you a job-creator — and you’re game, please drop us a line to let us know you’re interested.

*More precisely, the C.B.O. report said that extending all of the Bush tax cuts and fixing the Alternative Minimum Tax so that it does not reach deeper into the middle class would add about 1.4 percent to the nation’s gross domestic product in the fourth quarter of 2013. Meanwhile, fixing the Alternative Minimum Tax and extending all of the Bush tax cuts except for wealthier Americans would add about 1.3 percent to G.D.P., so the additional G.D.P. attributed to extending the tax cuts for the top two tax brackets amounts to one-tenth of 1 percent.

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Times investigation: Legal drugs, deadly outcomes









Terry Smith collapsed face-down in a pool of his own vomit.

Lynn Blunt snored loudly as her lungs slowly filled with fluid.

Summer Ann Burdette was midway through a pear when she stopped breathing.





Larry Carmichael knocked over a lamp as he fell to the floor.

Jennifer Thurber was curled up in bed, pale and still, when her father found her.

Karl Finnila sat down on a curb to rest and never got up.

These six people died of drug overdoses within a span of 18 months.

But according to coroners' records, that was not all they had in common. Bottles of prescription medications found at the scene of each death bore the name of the same doctor: Van H. Vu.

After Finnila died, coroner's investigators called Vu to learn about his patient's medical history and why he had given him prescriptions for powerful medications, including the painkiller hydrocodone.

Investigators left half a dozen messages. Vu never called back, coroner's records state.

Over the next four years, 10 more of his patients died of overdoses, the records show. In nine of those cases, painkillers Vu had prescribed for them were found at the scene.

Vu, a pain specialist in Huntington Beach, described himself as a conscientious, caring physician. He declined to comment on individual cases, citing confidentiality laws, but he said he treats many "very, very difficult patients" whose chronic pain is sometimes complicated by substance abuse and depression, anxiety or other mental illness.

"Every single day, I try to do the best I can for every single patient," he said in an interview. "I can't control what they do once they leave my office."

Prescription drug overdoses now claim more lives than heroin and cocaine combined, fueling a doubling of drug-related deaths in the United States over the last decade.

Health and law enforcement officials seeking to curb the epidemic have focused on how OxyContin, Vicodin, Xanax and other potent pain and anxiety medications are obtained illegally, such as through pharmacy robberies or when teenagers raid their parents' medicine cabinets. Authorities have failed to recognize how often people overdose on medications prescribed for them by their doctors.

A Los Angeles Times investigation has found that in nearly half of the accidental deaths from prescription drugs in four Southern California counties, the deceased had a doctor's prescription for at least one drug that caused or contributed to the death.

Reporters identified a total of 3,733 deaths from prescription drugs from 2006 through 2011 in Los Angeles, Orange, Ventura and San Diego counties.

An examination of coroners' records found that:

In 1,762 of those cases — 47%— drugs for which the deceased had a prescription were the sole cause or a contributing cause of death.

A small cadre of doctors was associated with a disproportionate number of those fatal overdoses. Seventy-one — 0.1% of all practicing doctors in the four counties — wrote prescriptions for drugs that caused or contributed to 298 deaths. That is 17% of the total linked to doctors' prescriptions.





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How I Was Drawn Into the Cult of David Petraeus



When it came out that CIA Director David Petraeus had an affair with his hagiographer, I got punked. “It seems so obvious in retrospect. How could you @attackerman?” tweeted @bitteranagram, complete with a link to a florid piece I wrote for this blog when Petraeus retired from the Army last year. (“The gold standard for wartime command” is one of the harsher judgments in the piece.) I was so blind to Petraeus, and my role in the mythmaking that surrounded his career, that I initially missed @bitteranagram’s joke.


But it’s a good burn. Like many in the press, nearly every national politician, and lots of members of Petraeus’ brain trust over the years, I played a role in the creation of the legend around David Petraeus. Yes, Paula Broadwell wrote the ultimate Petraeus hagiography, the now-unfortunately titled All In. But she was hardly alone. (Except maybe for the sleeping-with-Petraeus part.) The biggest irony surrounding Petraeus’ unexpected downfall is that he became a casualty of the very publicity machine he cultivated to portray him as superhuman. I have some insight into how that machine worked.


The first time I met Petraeus, he was in what I thought of as a backwater: the Combined Armed Center at Fort Leavenworth. It’s one of the Army’s in-house academic institutions, and it’s in Kansas, far from the battlefields of Iraq and Afghanistan. In 2005, Petraeus ran the place, and accepted an interview request about his tenure training the Iraqi military, which didn’t go well. Petraeus didn’t speak for the record in that interview, but over the course of an hour, he impressed me greatly with his intelligence and his willingness to entertain a lot of questions that boiled down to isn’t Iraq an irredeemable shitshow. Back then, most generals would dismiss that line of inquiry out of hand, and that would be the end of the interview.


One of Petraeus’ aides underscored a line that several other members of the Petraeus brain trust would reiterate for years: “He’s an academic at heart,” as Pete Mansoor, a retired Army colonel who served as Petraeus’ executive officer during the Iraq surge, puts it. There was a purpose to that line: it implied Petraeus wasn’t particularly ambitious, suggesting he was content at Fort Leavenworth and wasn’t angling for a bigger job. I bought into it, especially after I found Petraeus to be the rare general who didn’t mind responding to the occasional follow-up request.



So when Petraeus got command of the Iraq war in 2007, I blogged that it was all a tragic shame that President Bush would use Petraeus, “the wisest general in the U.S. Army,” as a “human shield” for the irredeemability of the war. And whatever anyone thought about the war, they should “believe the hype” about Petraeus.


I wasn’t alone in this. Petraeus recognized that the spirited back-and-forth journalists like could be a powerful weapon in his arsenal. “His ability to talk to a reporter for 45 minutes, to flow on the record, to background or off-the-record and back, and to say meaningful things and not get outside the lane too much — it was the best I’ve ever seen,” Mansoor reflects. It paid dividends. On the strength of a single tour running the 101st Airborne in Mosul, Newsweek put the relatively unknown general on its cover in 2004 under the headline CAN THIS MAN SAVE IRAQ? (It’s the first of three cover stories the magazine wrote about him.) Petraeus’ embrace of counterinsurgency, with its self-congratulatory stylings as an enlightened form of warfare that deemphasized killing, earned him plaudits as an “intellectual,” unlike those “old-fashioned, gung-ho, blood-and-guts sort of commander[s],” as Time’s Joe Klein wrote in 2007. This media narrative took hold despite the bloody, close-encounter street fights that characterized Baghdad during the surge.


That March, I was embedded with a unit in Mosul when I learned Petraeus was making a surprise visit to its base. The only time he had for an interview was during a dawn workout session with company commanders, I was told, but if I was willing to exercise with everyone else, sure, I could ask whatever I wanted. The next morning, Petraeus came out for his five-mile run and playfully asked: “What the hell is Spencer Ackerman doing in Mosul?” It’s embarrassing to remember that that felt pretty good, but it did. And sure enough, while I sweated my way through a painful run — I had just quit smoking and was in terrible shape — he calmly parried my wheezed questions. I only later realized I didn’t gain any useful or insightful answers, just a crazy workout story that I strained to transform into a metaphor for the war. (“‘This tires you out that day, but it gives you stamina over the long run,’ he noted. ‘And this is about stamina. It’s absolutely grueling.’” Ugh.)


There was another element at work: counterinsurgency seemed to be working to reduce the tensions of Iraq’s civil war, as violence came down dramatically that summer. So when I got the occasional push-back email from Petraeus’ staff that my reporting was too negative or too ideological, I feared they had a point. And I got exclusive documents from them that — surprise, surprise — not only vindicated Petraeus but made the general seem driven by data and not ideology.


To be clear, none of this was the old quid-pro-quo of access for positive coverage. It worked more subtly than that: the more I interacted with his staff, the more persuasive their points seemed. Nor did I write anything I didn’t believe or couldn’t back up — but in retrospect, I was insufficiently critical. And his staff never cut off access when they disagreed with something I’d written. I didn’t realize I was thinking in their terminology, even when I wrote pieces criticizing Petraeus. A 2008 series I wrote on counterinsurgency was filled with florid descriptions like “Petraeus is no stranger to either difficulty or realism.”


Politicians and the press treated Petraeus as a conquering hero. Tom Ricks, then the Washington Post’s senior military correspondent, wrote that Petraeus’ “determination” was the “cornerstone of his personality,” and portrayed the success of surge as that determination beating back the insurgents and the nay-sayers. “The soldiers and marines told us they feel that they now have a superb commander in Gen. David Petraeus,” wrote Brookings Institutions analysts Michael O’Hanlon and Kenneth Pollack after a return from Iraq. “They are confident in his strategy, they see real results, and they feel now they have the numbers needed to make a real difference.” John McCain hugged Petraeus so closely during his 2008 campaign that Post columnist Jackson Diehl dubbed the general “McCain’s Running Mate.”


But by the time President Obama tapped Petraeus to run the Afghanistan war in 2010, something had changed. Petraeus’ mouth was saying “counterinsurgency,” with its focus on protecting civilians from violence, but in practice, he was far more reliant on air strikes and commando raids. He was even touting enemy body counts as measurements of success, which was completely antithetical to counterinsurgency doctrine, and his staff’s insistance that nothing had changed sounded hollow.


But then there was Broadwell to spin the shift away. On Ricks’ blog, she described the complete flattening of a southern Afghan village called Tarok Kolache, confidently asserting that not only was no one killed under 25 tons of U.S. air and artillery strikes, but that the locals appreciated it. Danger Room’s follow-up reporting found that the strikes were even more intense: two other villages that the Taliban had riddled with bombs, were destroyed as well. But Broadwell, who was traveling around Afghanistan and working on a biography of Petraeus, didn’t grapple with the implications of Petraeus shifting away from counterinsurgency, let alone the fortunes of the Afghanistan war.


Broadwell didn’t have a journalistic background, and it seemed a bit odd that she was visibly welcomed into Petraeus’ inner circle. At a Senate hearing Petraeus testified at last year, for instance, I met Broadwell for the first time in person, and noted that she sat with Petraeus’ retinue instead of with the press corps. Some of Petraeus’ old crew found it similarly strange. “I never told General Petraeus this, but I thought it was fairly strange that he would give so much access to someone who had never written a book before,” Mansoor recalls.


At the same time, consider this passage from All In:


Far beyond his influence on the institutions and commands in Iraq and Afghanistan, Petraeus also left an indelible mark on the next generation of military leaders as a role model of soldier-scholar statesman. … Creative thinking and the ability to wrestle with intellectual challenges are hugely important in counterinsurgency but also any campaign’s design and execution, he felt; and equipping oneself with new analytical tools, civilian and academic experiences, and various networks had been invaluable for him and — he hoped — for those whom he’d mentored and led.


The uncomfortable truth is that a lot of us who’ve covered Petraeus over the years could have written that. It’s embarrassingly close to my piece on Petraeus’ legacy that @bitteranagram tweeted. And that’s not something you should fault Petraeus for. It’s something you should fault reporters like me for. Another irony that Petraeus’ downfall reveals is that some of us who egotistically thought our coverage of Petraeus and counterinsurgency was so sophisticated were perpetuating myths without fully realizing it.


None of this is to say that Petraeus was actually a crappy officer whom the press turned into a genius. That would be just as dumb and ultimately unfair as lionizing Petraeus, whose affair had nothing to do with his military leadership or achievements. ”David Petraeus will be remembered as the finest officer of his generation, and as the commander who turned the Iraq War around,” emails military scholar Mark Moyar. But it is to say that a lot of the journalism around Petraeus gave him a pass, and I wrote too much of it. Writing critically about a public figure you come to admire is a journalistic challenge.


Conversations with people close to Petraeus since his resignation from the CIA have been practically funereal. People have expressed shock, and gotten occasionally emotional. It turns out, Mansoor sighed, “David Petraeus is human after all.” I wonder where anyone could have gotten the idea he wasn’t.


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Bond bounds back to top of box office in “Skyfall”
















LOS ANGELES (Reuters) – The new James Bond movieSkyfall” dominated movie box offices with $ 87.8 million in ticket sales in its U.S. and Canadian debut over the weekend for the biggest Bond opening ever, according to studio estimates released on Sunday.


Skyfall,” starring Daniel Craig as the famous super-spy, finished ahead of last weekend’s winner, family film “Wreck-It Ralph.” The animated Walt Disney Co movie about a videogame character grabbed $ 33.1 million from Friday through Sunday.













In third place, the Denzel Washington drama “Flight” earned $ 15.1 million. The movie tells the story of an airline captain who saves his plane from crashing but is accused of drinking before the flight.


Sony Corp’s movie studio released “Skyfall.” “Flight” was distributed by Paramount Pictures, a unit of Viacom Inc.


(Reporting by Lisa Richwine; Editing by Will Dunham)


Movies News Headlines – Yahoo! News



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