Aides: Chavez in tough fight, may miss swearing-in






CARACAS, Venezuela (AP) — Somber confidants of President Hugo Chavez say he is going through a difficult recovery after cancer surgery in Cuba, and one close ally is warning Venezuelans that their leader may not make it back for his swearing-in next month.


Information Minister Ernesto Villegas said Wednesday night that Chavez was in “stable condition” and was with close relatives in Havana. Reading a statement, he said the government invites people to “accompany President Chavez in this new test with their prayers.”






Villegas expressed hope about the president returning home for his Jan. 10 swearing-in for a new six-year term, but said in a written message on a government website that if Chavez doesn’t make it, “our people should be prepared to understand it.”


Villegas said it would be irresponsible to hide news about the “delicateness of the current moment and the days to come.” He asked Venezuelans to see Chavez’s condition as “when we have a sick father, in a delicate situation after four surgeries in a year and a half.”


Moving to prepare the public for the possibility of more bad news, Vice President Nicolas Maduro looked grim when he acknowledged that Chavez faced a “complex and hard” process after his latest surgery.


At the same time, officials sought to show a united front amid the growing worries about Chavez’s health and Venezuela’s future. Key leaders of Chavez’s party and military officers appeared together on television as Maduro gave updates on Chavez’s condition.


“We’re more united than ever,” said Maduro, who was flanked by National Assembly President Diosdado Cabello and Oil Minister Rafael Ramirez, both key members of Chavez’s inner circle. “We’re united in loyalty to Chavez.”


Analysts say Maduro could eventually face challenges in trying to hold together the president’s diverse “Chavismo” movement, which includes groups from radical leftists to moderates, as well as military factions.


Tapped by the 58-year-old president over the weekend as his chosen political heir, Maduro is considered to be a member of radical left wing of Chavez’s movement that is closely aligned with Cuba’s communist government.


Cabello, a former military officer who also wields power within Chavez’s movement, shared the spotlight with Maduro by speaking at a Mass for Chavez’s health at a military base.


Just returned from being with Chavez for the operation, Cabello called the president “invincible” but said “that man who is in Havana … is fighting a battle for his life.”


After Chavez’s six-hour operation Tuesday, Venezuelan television broadcast religious services where people prayed for Chavez, interspersed with campaign rallies for upcoming gubernatorial elections.


On the streets of Caracas, people on both sides of the country’s deep political divide voiced concerns about Chavez’s condition and what might happen if he died.


At campaign rallies ahead of Sunday’s gubernatorial elections, Chavez’s candidates urged Venezuelans to vote for pro-government candidates while they also called for the president to get well.


“Onward, Commander!” gubernatorial candidate Elias Jaua shouted to a crowd of supporters at a rally Wednesday. Many observers said it was likely Chavez’s candidates could get a boost from their supporters’ outpouring of sympathy for Chavez.


Opposition leader Henrique Capriles, who lost to Chavez in the October presidential election and is running against Jaua, complained Wednesday that Chavez’s allies are taking advantage of the president’s health problems to try to rally support. He took issue with Jaua’s statement to supporters that “we have to vote so that the president recovers.”


Maduro looked sad as he spoke on television, his voice hoarse and cracked at times after meeting in the pre-dawn hours with Cabello and Ramirez. The pair returned to Venezuela about 3 a.m. after accompanying Chavez to Cuba for his surgery.


“It was a complex, difficult, delicate operation,” Maduro said. “The post-operative process is also going to be a complex and hard process.”


Without giving details, Maduro reiterated Chavez’s recent remarks that the surgery presented risks and that people should be prepared for any “difficult scenarios.”


The constitution says presidents should be sworn in before the National Assembly, and if that’s not possible then before the Supreme Court.


Former Supreme Court magistrate Roman Duque Corredor said a president cannot delegate the swearing-in to anyone else and cannot take the oath of office outside Venezuela. A president could still be sworn in even if temporarily incapacitated, but would need to be conscious and in Venezuela, Duque told The Associated Press.


If a president-elect is declared incapacitated by lawmakers and is unable to be sworn in, the National Assembly president would temporarily take charge of the government and a new presidential vote must be held within 30 days, Duque said.


Chavez said Saturday that if an election had to be held, Maduro should be elected president.


The dramatic events of this week, with Chavez suddenly taking a turn for the worse, had some Venezuelans wondering whether they were being told the truth because just a few months ago the president was running for his fourth presidential term and had said he was free of cancer.


Lawyer Maria Alicia Altuve, who was out in bustling crowds in a shopping district of downtown Caracas, said it seemed odd how Maduro wept at a political rally while talking about Chavez.


“He cries on television to set up a drama, so that people go vote for poor Chavez,” Altuve said. “So we don’t know if this illness is for that, or if it’s that this man is truly sick.”


Some Chavez supporters said they found it hard to think about losing the president and worried about the future. His admirers held prayer vigils in Caracas and other cities this week, holding pictures and singing hymns.


Chavez has undergone four cancer-related surgeries since June 2011. He has also undergone months of chemotherapy and radiation treatments. Throughout his treatments, Chavez has kept secret some details of his illness, including the exact location and type of the tumors.


Ecuadorean President Rafael Correa wished his close ally the best, while also acknowledging the possibility that cancer might end his presidency. “Chavez is very important for Latin America, but if he can’t continue at the head of Venezuela, the processes of change have to continue,” Correa said at a news conference in Quito.


___


Associated Press writer Christopher Toothaker contributed to this report.


Latin America News Headlines – Yahoo! News


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Why Hillary Clinton won't get a break from public life

By Walter Shapiro

The envelope, please. The 2012 award for the most candid comment by a prominent public official goes to Hillary Clinton. Her uncharacteristic burst of honesty adds a layer of complexity to the premature speculation about her political future.

In an interview with the New York Times columnist Gail Collins, Clinton revealed her fantasy for 2013 after she takes her final globe-girdling flight as secretary of state: “I just want to sleep and exercise and travel for fun. And relax. It sounds so ordinary, but I haven’t done it for 20 years. I would like to see whether I can get untired.”

The dream seems so modest: to see whether her 65-year-old body can recover from years of too much stress and too little sleep. But Hillary Clinton, Private Citizen will soon have to confront the world clamoring at her door with its own set of expectations, requests and demands for clarity about running for president in 2016.

Friends who want her to speak, receive an award or grace a charitable event have been told to hold off asking until April or May, according to a front-page story in last Sunday’s Times by Jodi Kantor. As an indication of the coming news media frenzy, the New York Times is already lavishing more space on the whither-Hillary beat than the tabloids devote to Lindsay Lohan and Kate Middleton. Combined.

What this means, of course, is no rest for the weary and world-famous.

Sure, Clinton may take two months or so off, interspersed with such restful tasks as house-hunting (the Clintons are said to be tempted by the Hamptons), hiring a staff, talking to a lecture agent, contemplating a book and presumably chatting with the most persistent political callers. If she does manage to sneak off on a vacation (Iowa is always lovely in March), rest assured that the paparazzi and the political press will be close behind.

Try as she might, Clinton will find it difficult, if not impossible, to avoid being entangled in a web of obligation. Legions of friends (and, unlike the norm in politics, her longstanding friendships appear genuine) will ask her for time-consuming favors that cannot all be rejected. The do-gooder side of her nature will propel her into too many events and trips for worthy causes. And, as a Clinton, she knows all too well how easily political supporters bristle when their egos are not being stroked.

I first interviewed Hillary Clinton in the governor’s mansion in Little Rock in 1992. And since then, I have made my contributions to that mushrooming branch of journalism called Hillary Studies. This experience has left me with an appreciation for her complexity as a person—and a reluctance to assume that her only motivations are ambition and a feminist obligation to seize the opportunity to become the first woman president.

So I have no idea if she will run in 2016, and I doubt if she does either. Clinton’s State Department spokesman Philippe Reines got it right when he cautioned the Times, “Be very wary of those pretending to bear actual knowledge.” Over the next two years, everyone in politics could learn enough classical Greek to read “The Iliad” in the time that they will devote to devouring speculative articles built around anonymous quotes from “Clinton friends.”

If she does make another bid for the White House, Clinton will have been granted the ultimate luxury in presidential politics. And that is to take the time in advance to contemplate what she would want to accomplish in the White House rather than having to focus solely on the mechanics for getting there.

The only post-war presidents who have had a chance to think seriously about governing from the White House before they took office were Dwight Eisenhower, Richard Nixon and Ronald Reagan. And in politics, as in country music, two out of three ain’t bad.

Since Reagan in 1980, every new president simultaneously held a normally demanding day job (vice president, governor or senator) when he was elected. Bill Clinton, for example, rushed from a 1990 reelection campaign as Arkansas governor to a roller-coaster race for the White House to president-elect without a moment for reflection. And this careening from crisis to crisis contributed to Clinton’s disastrous first two years in the White House.

But with Hillary Clinton it could be different. She has the right instincts about what she wants to do with the long-awaited gift of free time. Reading something other than briefing books and classified memos would add to her already impressive breadth of her knowledge. Unstructured conversations with old friends and major thinkers might lead her in surprising intellectual directions. Such a laid-back interlude would make her, if elected, a better and more thoughtful president in 2017.

That is the theory. But the sad truth is that Hillary Clinton will never be allowed to go off the grid for long. Her celebrity is too great; the clamor for a piece of her political future is too intense.

So Clinton will dutifully do what is expected of her as a private citizen: attending an international conference in Bangladesh, holding an off-the-record meeting with potential political donors, writing a book, making a few policy addresses on national security. And someday, if she does return to the White House in 2017, she will still fantasize about being untired.


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Review: PlayStation icons join in ‘Battle Royale’






The holiday season is a good time to catch up with old friends. If you’re an Xbox fan, you’re probably getting reacquainted with galactic warrior Master Chief in his new adventure, “Halo 4.” If you’re a Nintendophile, you’re probably frolicking with Mario on your new Wii U.


Sony, meanwhile, has expanded its holiday guest list to invite nearly two decades worth of characters to mix it up in “PlayStation All-Stars Battle Royale” (for the PlayStation 3, $ 59.99; Vita, $ 39.99). Fans of the original PlayStation can welcome back old pals like Sir Daniel Fortesque of “MediEvil” and the title character of “Parappa the Rapper.” Younger gamers who have only known the PS3 will be happy to see Nathan Drake from “Uncharted” and Cole MacGrath from “Infamous.” Turn them loose in an assortment of game-inspired arenas and you’ve got chaos.






It’s not an original idea: Nintendo has been pitting its lovable characters against each other since 1999′s “Super Smash Bros.” As you’d expect, “All-Stars” lets up to four players choose their favorite personalities and pound on each other until one is left standing.


The technique is a change from most fighting games. Most of the time, kicking or punching your opponent doesn’t do much damage. Instead, each blow adds to an attack meter; build up enough energy and you can unleash three levels of truly deadly moves. There’s a little more strategy, but most players won’t find it too complicated.


The solo campaign is awfully skimpy, but “All-Stars” makes for a lively party when you have a few friends over. Two-and-a-half stars out of four.


— Sony’s burlap-clad goofball Sackboy is part of the “All-Stars” lineup, but he takes center stage in “LittleBigPlanet Karting” ($ 59.99).


Yes, it’s a go-kart racer — a genre that has already made room for Mario, Donkey Kong and Sonic the Hedgehog — but Sony freshens it up by giving you the ability to build your own racetracks and share them online. By exploring the game’s built-in courses, you can find hundreds of elements to add to your own, and they all share the homespun “arts-and-crafts” aesthetic of the original “LittleBigPlanet.”


Unfortunately, “LBP Karting” also revives the weird, floaty physics of its parent. That worked fine in the two-dimensional fantasy world of “LBP,” but it’s annoying when you’re behind the wheel. The tracks are filled with the power-ups, obstacles and gravity-defying leaps you’d expect in a kart racer, but the vehicles themselves feel sluggish and unresponsive. Two stars.


—Insomniac Games’ popular “lombax”-robot buddies are celebrating their 10th anniversary, both in “All-Stars” and their own “Ratchet & Clank: Full Frontal Assault” ($ 19.99). The latter game, however, is a big disappointment, stripping away most of what made the team so endearing.


It’s a “base defense” game, meaning you’re plopped down on a planet and then have to protect your turf from waves of invading enemies. That eliminates the exploration and discovery that made most of the “R&C” games so absorbing, replacing it with a tiresome cycle of building fortifications, having them destroyed, then rebuilding them. Instead of the comedy that was once this series’ trademark, you get drudgery. One star.


___


Follow Lou Kesten on Twitter at http://twitter.com/lkesten


Gaming News Headlines – Yahoo! News


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Venezuela’s Chavez in “complex” post-operation condition: VP






CARACAS (Reuters) – Venezuelan President Hugo Chavez is in a “complex” and delicate condition after his latest surgery for cancer in Cuba, Vice President Nicolas Maduro said on Wednesday.


Looking grave-faced in an address to the nation, he urged Venezuelans to unite in prayer for their 58-year-old president, and to keep faith that Chavez would return soon.






(Reporting by Caracas newsroom; Editing by Will Dunham)


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‘Lincoln,’ ‘Les Mis,’ ‘Playbook’ lead SAG awards






LOS ANGELES (AP) — The Civil War saga “Lincoln,” the musical “Les Miserables” and the comic drama “Silver Linings Playbook” boosted their Academy Awards prospects Wednesday with four nominations apiece for the Screen Actors Guild Awards.


All three films were nominated for overall performance by their casts. Also nominated for best ensemble cast were the Iran hostage-crisis thriller “Argo” and the British retiree adventure “The Best Exotic Marigold Hotel.”






Directed by Steven Spielberg, “Lincoln” also scored individual nominations for Daniel Day-Lewis in the title role as best actor, Sally Field for supporting actress as Mary Todd Lincoln and Tommy Lee Jones for supporting actor as abolitionist firebrand Thaddeus Stevens.


“Les Miserables,” from “The King’s Speech” director Tom Hooper, had nominations for Hugh Jackman for best actor as Victor Hugo’s long-suffering hero Jean Valjean and Anne Hathaway for supporting actress as a woman fallen into prostitution, plus a nomination for its stunt ensemble.


“Silver Linings Playbook,” made by “The Fighter” director David O. Russell, also had lead-acting nominations for Bradley Cooper and Jennifer Lawrence as lost souls who find a second chance at love and Robert De Niro for supporting actor as a football-obsessed dad.


Besides Lawrence, best-actress nominees are Jessica Chastain as a CIA analyst pursuing Osama bin Laden in “Zero Dark Thirty”; Marion Cotillard as a woman who finds romance after tragedy in “Rust and Bone”; Helen Mirren as Alfred Hitchcock’s strong-willed wife in “Hitchcock”; and Naomi Watts as a woman caught in the devastation of a tsunami in “The Impossible.”


Joining Cooper, Day-Lewis and Jackman in the best-actor field are John Hawkes as a polio victim aiming to lose his virginity in “The Sessions” and Denzel Washington as a boozy airline pilot in “Flight.”


SAG nominees are almost all familiar names in Hollywood’s awards season. Eighteen of the 20 film acting contenders are past Academy Awards nominees and 13 have won Oscars, among them five two-time winners. Only Cooper and Jackman have never before earned Oscar nominations.


One of the year’s most-acclaimed films, Paul Thomas Anderson’s “The Master,” earned only one nomination, supporting actor for Philip Seymour Hoffman as a mesmerizing cult leader. The film was snubbed on nominations for ensemble, lead actor Joaquin Phoenix and supporting actress Amy Adams.


Other individual performances overlooked by SAG voters include Anthony Hopkins in the title role of “Hitchcock,” Keira Knightley in the title role of “Anna Karenina,” Bill Murray as Franklin Roosevelt in “Hyde Park on Hudson” and “Argo” director Ben Affleck, who also starred in the film.


The SAG Awards will be presented Jan. 27. The guild nominations are one of Hollywood’s first major announcements on the long road to the Feb. 24 Oscars Awards, whose nominations will be released Jan. 10.


Nominations for the Golden Globes, the second-biggest film honors after the Oscars, come out Thursday.


Maggie Smith had four individual and ensemble nominations. Along with sharing the ensemble honor for “Best Exotic Marigold Hotel,” Smith joined the cast of “Downton Abbey” among TV ensemble contenders and had nominations for supporting film actress as a cranky retiree in “Marigold Hotel” and TV drama actress for “Downton Abbey.”


Nicole Kidman earned two individual nominations, as supporting film actress as a woman smitten with a prison inmate in “The Paperboy” and best actress in a TV movie or miniseries as war correspondent Martha Gellhorn in “Hemingway & Gellhorn.”


Bryan Cranston had three overall nominations, as best actor in a TV drama for “Breaking Bad,” an ensemble honor for that show and a film ensemble honor for “Argo.”


Along with “Breaking Bad” and “Downton Abbey,” best TV drama ensemble contenders are “Boardwalk Empire,” ”Homeland” and “Mad Men.” TV comedy ensemble nominees are “30 Rock,” ”The Big Bang Theory,” ”Glee,” ”Modern Family,” ”Nurse Jackie” and “The Office.”


___


Online:


http://www.sagawards.org


Entertainment News Headlines – Yahoo! News


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Store employee saves customers during Ore. mall shooting



A store employee at the Clackamas Town Center
mall used his knowledge of the shopping complex to hustle a customer
out of the building during Tuesday's shooting rampage and then twice
went back inside to guide other shoppers to exits and safety.



Allan Fonseca, who works at Lancome counter in Macy's and was waiting on
Jocelyn Lay when they heard shots fired about 3:30 p.m. Thinking
quickly, Fonseca got her behind the counter to hide.



"We both just looked at each other and knew that this was a serious
situation and it was a gunman and we both just dove down below the
Lancome counter there for a little protection," Lay told "Good Morning
America." "And the gunfire just kept going off."



PHOTOS: Oregon Mall Shooting



Lay said that she began praying for the Lord to protect her and the
other shoppers in the mall. She said Fonseca, as a store employee, knew
exactly what to do, and she credits him as her hero.



"He said that we needed to evacuate, and he took me by the hand and took me down the escalator and out to safety," she said.



Once Fonseca was sure that she was safe, he then turned to her and said, "I'm going to go back and help other people."



Fonseca said that because he is familiar with the exits in the mall, he
felt that he would be able to help shoppers escape the gunfire.



"I felt that if I knew how to get out of the mall and out to safety then
I should share that knowledge with everyone else, like the shoppers
that don't come here regularly and don't know all of the exits," he
said. "So I decided to go back up because I wanted to see if there was
anybody in panic or didn't know where to do."



Fonseca returned to the mall and evacuated the lower level of the Macy's
store, and then went back up to the "shooting floor" to look for his
co-workers. Lay says she's not sure she would have done if he hadn't
been there to get her out of harm's way.



"I probably just would have stayed there and probably would have had a
little more fear because it's one of those situations where you've seen
in previous shootings, the gunman keep shooting and keep looking for
different people," she said. "I would have huddled there and hoped and
prayed."


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Facebook revises privacy controls in effort to make them more accessible, comprehensible






SAN FRANCISCO – Facebook is trying to make its privacy controls easier to find and understand in an effort to turn the world’s largest social network into a more discreet place.


The fine-tuning announced Wednesday will include several revisions that will start rolling out to Facebook Inc.‘s more than 1 billion users in the next few weeks.






The biggest change will be a new “privacy shortcuts” section that will appear as a tiny lock on the right-hand side at the top of people’s news feeds. This feature offers a drop-down box where users will be able to get answers to common questions such as “Who can see my stuff?”


Other updates will include a tool that will enable individuals to review all the publicly available pictures identifying them on Facebook.


Social Media News Headlines – Yahoo! News


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‘Lincoln’ leads Critics’ Choice Awards nominees






LOS ANGELES (AP) — Film critics love “Lincoln.” The historical drama earned a record-breaking 13 nominations for the Critics’ Choice Movie Awards.


The Broadcast Film Critics Association announced the nominees for its 18th annual awards ceremony Tuesday in Los Angeles.






“Lincoln” beat the 12 nods earned by 2010′s “Black Swan” with bids for director Steven Spielberg, star Daniel Day-Lewis and supporting actors Sally Field and Tommy Lee Jones, as well as cinematography, adapted screenplay, costume design, makeup, editing, art direction, score and acting ensemble.


“Les Miserables” follows with 11 nominations and “Silver Linings Playbook” has 10. “Life of Pi” earned nine nods. “Argo,” ”Skyfall” and “The Master” each have seven.


Winners will be announced Jan. 10, 2013, at a ceremony set to be broadcast live on the CW network.


___


Online:


www.criticschoice.com


Entertainment News Headlines – Yahoo! News


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Michigan passes right-to-work bill


LANSING, Michigan (Reuters) - The Republican-majority Michigan legislature gave final approval on Tuesday to "right-to-work" restrictions on public sector unions in a state considered a stronghold of organized labor, as protesters chanted in the gallery and thousands rallied outside.


The House passed the measure making membership and payment of union dues voluntary for public sector employees such as teachers by a 58-51 vote. The Senate approved the same bill last week so it will now go to Republican Governor Rick Snyder, who has promised to sign it into law.


The public sector law was the first of two expected to be approved by the House on Tuesday. The other covers private sector workers, including the large auto industry in Michigan.


More than 12,000 workers from throughout Michigan and the U.S. Midwest protested as the legislature voted, most gathered in freezing temperatures and a light snow outside the building to show their displeasure.


Michigan State Police Inspector Gene Adamczyk said the Capitol was closed to visitors when it reached capacity of 2,200. An estimated 10,000 people demonstrated outside.


A few protesters were ejected from the Capitol after they chanted slogans from the gallery during the debate. Outside of the building, protesters tore down two tents set up for supporters of right-to-work as the crowd applauded but Adamczyk said there had been no arrests by late morning.


The show of force by unionized workers recalled huge rallies in Wisconsin two years ago when Republicans voted to curb public sector unions.


The right-to-work movement has been growing in the United States in recent years. Indiana earlier this year became the first state in the industrial Midwest to approve right-to-work and several other states are watching the Michigan action closely.


Michigan would become the 24th state to enact right-to-work provisions in a stunning blow to the power of organized labor in the United States, which has suffered a series of setbacks in recent years.


Wisconsin Republicans in 2011 passed laws severely restricting the power of public sector unions. While Wisconsin did not even attempt to pass right-to-work, the success of Republicans there in curbing powerful unions such as teachers and state workers emboldened politicians in other states to follow suit.


Michigan is home of the heavily unionized U.S. auto industry, with some 700 manufacturing plants in the state. It is also the birthplace of the United Auto Workers, the richest U.S. labor union. Michigan has the fifth highest percentage of unionized workers in the United States at 17.5 percent.


Detroit area is headquarters for General Motors Co, Ford Motor Co and Chrysler, which is majority owned by Fiat SpA.


(Additional reporting by Robert Carr; Editing by Greg McCune and Bill Trott)



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Seeing Through the Fog of ‘Chemo-Brain’






Two weeks ago, Diem Brown, contestant of the Real World/Road Rules Challenge, shared on her PEOPLE.com blog her frustration with her chemo-brain, after having received chemotherapy over the Thanksgiving holiday for recently diagnosed ovarian cancer.


She writes, “Stressed out, overwhelmed and soooo annoyed that your mind isn’t working as it should. This, my friends, is an example of chemo brain!”






Unfortunately, as a surgeon, I have witnessed too many patients get the diagnosis of cancer. If they can transcend the initial shock, there is a desperation to understand what their lives will be like as cancer patients, and what the odds are that they will be cancer survivors.


But for many women, their fear of death is as strong as their fear of chemotherapy, the poison that along with hope, is inseparable from the Hollywood images of the sick, nauseated, thin and bald.


Diem refers to “chemo-brain”, also known as “chemo-fog”, a side effect of chemotherapy that causes problems with memory, information processing, and mood –- effects that can persistent for as many as 20 years after treatment has subsided.


Mental dullness or fatigue and an inability to focus characterized by difficulty organizing thoughts and keeping memories has also been described by patients who suffer from chemotherapy induced cognitive dysfunction.


For years, chemo-brain went largely unrecognized by health care professionals, and those who suffered from it were left without answers to their confusion.


Recently, through the Internet, web chatting and blogging, many women who suffered from chemo-brain realized they were not alone, and over the last few years, several studies have been done giving credit to the condition. But, as they say, you have to see it to believe it.


And now we can see it. In the process of presenting my own research discussing the use of imaging in breast cancer patients at this week’s San Antonio Breast Cancer Symposium, I stumbled across a presentation discussing how scientists are trying to clear the chemo-fog by imaging the brain.


Dr. Bernadine Cimprich from the University of Michigan, along with a group of scientists from the University of Washington and University of Toronto took the stage in San Antonio Friday to shed some light through the fog, and offer a strategy at prevention.


Since chemo-brain doesn’t affect all cancer patients to the same degree, they asked the question, are some patients who receive chemotherapy predisposed to developing the disease?


Chemo-brain has been studied before, but has been difficult to characterize because so many different types of drugs and regimens are used, and for the most part patient’s memory and cognition are not studied prior to starting cancer therapy.


To help shed some light on the subject, these researchers used functional magnetic resonance imaging, or fMRI – a technology that uses magnets to image the brain as it works.


By taking pictures of the brain before and after chemotherapy, they found that patients who suffered from this condition had inherently different function from those who did not before they had even received treatment.


“Brain imaging before treatment showed reduced function in frontal [brain] regions” says Dr. Cimprich, the precise regions that are needed to perform working memory and guide our day-to-day activities, such as remembering the shopping list, our finding our way home.


Identifying patients who may be predisposed to developing chemo-brain can help oncologists alter treatment strategies in efforts to reduce or eliminate the fog.


Who are the patients at highest risk? Dr. Cimprich’s team used surveys to evaluate pre-treatment cognitive function and found that fatigue is a major factor. He suggests that “early interventions targeting fatigue may improve cognitive function and reduce the distress of chemo-brain”.


While the small study involved 98 patients, only 29 of which received chemotherapy, it still lays ground to understand the true nature of chemo-brain, and as Dr. Cimprich emphasizes, identifying the problem early is crucial, because early cognitive problems can become worse over time.


In her blog, Diem suggests making lists as a way to overcome her chemo-brain. And while we all know that stressful times can side track our minds and dull our spirits, until science can give us better answers, research suggests that a deep breath and a little yoga may help do the job of lifting the fog on chemo-brain.


Dr. Christopher Tokin is a surgical resident at the University of California, San Diego School of Medicine and a resident alumnus of the ABC News Medical Unit.


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