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Forcing Sobriety, However Imperfectly

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By HOWARD MARKEL, M.D.

Published: May 6, 2008

Like most patients assigned to my substance abuse clinic these days, , a stylish 22-year-old cosmetology student, did not arrive voluntarily.

Skip to next paragraph Tony Ding for The New York Times

The alcohol monitor “keeps me from even thinking about drinking,†says , who has worn it for more than five months.

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After two drunken driving violations, one in which another motorist was injured, a judge ordered to attend a weekly recovery group I conduct for young adults facing similar legal troubles. But that was hardly the biggest stick the judge had at his disposal.

“This Scram keeps me from even thinking about drinking,†immediately told me as he raised a pant leg and pointed to a boxy plastic ankle bracelet that looked neither cool nor comfortable.

Scram, for Secure Continuous Remote Alcohol Monitor, records the wearer’s alcohol intake by measuring air and perspiration emissions from the skin every hour. It detects blood alcohol levels as low as 0.02 percent, which corresponds to one drink or less an hour, and can even tell when the alcohol was consumed.

Once a day, has to be near a modem so it can transmit data from the last 24 hours to a monitoring agency and his probation officer.

Last year, American courts ordered Scram devices on thousands of defendants released on bond and awaiting trial for alcohol-related offenses, those sentenced to probation, and under-age drinkers. They pay a monitoring agency an average of $12 a day for the device, as well as installation and service fees.

Criminal justice professionals report high compliance rates, at least while these people remain in the court system. Last summer, the actress Lohan wore one.

Yet the device is not perfect.

For one thing, it can lead to unexpected and embarrassing situations. When was chosen by a favorite instructor to work on a fashion show at the airport, he worried how to inform her before his device was discovered by airport security. I urged him to be honest, and fortunately the teacher proved entirely supportive. She suggested letting the others in their group pass through security first and, a little later, explaining the situation to the inspectors. “It worked like a charm,†told me the next week.

Defense lawyers say that despite widespread use, independent, peer-reviewed scientific data is lacking on the device’s reliability and the technology it uses to measure alcohol levels.

False positive readings are also a risk. Among other things, baked goods like raisin bread and sourdough English muffins can cause the body to produce its own alcohol. And like any computer-based device, the Scram can malfunction.

On the Web, bloggers recommend “scamming the Scram†by placing lunch meat, tape or paper between the ankle and the sensor or plunging the leg into an ice-cold bath to prevent perspiration.

Alcohol Monitoring Systems Inc., which manufactures the device, says such ploys do not work because they block the sensors, setting off a tamper alarm that is transmitted online to the monitoring agency and then to the court system.

can testify that the notification is swift. One afternoon, he received a call from his probation officer about a tamper alarm recorded from 5 to 6 o’clock that morning. convinced the officer that he was neither drinking nor scamming and provided evidence of reporting to work sober at 8 a.m.

Because his device had never registered alcohol consumption in all the time he had worn it, the officer gave him a second chance. The next morning, the same thing happened.

A stressful conference followed. “I’ve got to admit,†recalled, “it was looking pretty bad.†Fortunately, the probation officer was in an experimental mood.

The culprit was a five-month buildup of sweat and dirt on the sensors. There have been no false alarms since the device was thoroughly cleaned.

is beginning to understand the severity of his alcohol addiction and how it threatens his life and well-being. Over the past five months, I believe, he has remained sober and made significant progress.

But I have also treated enough substance abusers to be suitably impressed by the consuming grip of the disease. Active alcoholics do not often tell me the truth about their abuse. They lie, in essence, to protect the continued use of their most cherished commodity.

One could argue that Scram and the threat of jail bought those five months of sobriety and treatment for .

As a physician, I remain uncomfortable aiding and abetting coercive methods like Scram.

But this concern is overshadowed by a far greater one surrounding his long-term health. Soon will “graduate†from his court-supervised treatment. His real test of recovery begins the day his Scram device is removed from his ankle.

Markel is a professor of pediatrics, psychiatry and the history of medicine at the University of Michigan.

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To find reference information about the words used in this article, double-click on any word, phrase or name. A new window will open with a dictionary definition or encyclopedia entry.

Past Coverage

New Generation Gap Emerges As Older Addicts Seek Help (March 6, 2008)

On Florida Coast, Addicts Find Home in an Oasis of Sobriety (November 16, 2007)

VITAL SIGNS; Counseling by Phone Benefits Drinkers (August 7, 2007)

VITAL SIGNS: DISPARITIES; Singling Out Minorities for Alcohol Counseling (March 6, 2007)

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[Guest guest]

OK, what did everyone else get from this article? At first I was gratified to see that the issues of malfunction and false positives were mentioned; then in the very end it seemed almost as though the doctor felt it was worth it because addiction is such a devastating disease. Did anyone else get that, or am I a tad overly sensitive??

~~~~~~~~~~~Keep The Faith~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Eva>> _Alcoholism - Alcohol Monitoring Bracelets - Medicine and Health - Forcing > Sobriety, However Imperfectly - New York Times_ > (http://www.nytimes.com/2008/05/06/health/views/06essa.html?_r=2 & ref=health & oref=slogin & oref=slogin) _Skip > to article_ > (http://www.nytimes.com/2008/05/06/health/views/06essa.html?_r=2 & ref=health & oref=slogin & oref=slogin#articleBodyLink) > > > * _Get Home Delivery _ > (http://www.nytimes.com/adx/bin/adx_click.html?type=goto & page=www.nytimes.com/yr/mo/day/health/views & pos=Bar1 & sn2=ac1a84c7/327a> 1da2 & sn1=4295162a/cd777731 & camp=nyt2008-circ-bar1_textlink-33HJ6-homepage & ad=g> ethomedelivery.html & goto=https://www.nytimesathome.com/splitter_cp/index.php?S> PTR_ID=hdNYT & MediaCode=W47AF & CMP=33HJ6) > * _Log In_ (http://www.nytimes.com/auth/login?URI=http://) > * _Register Now_ (http://www.nytimes.com/gst/regi.html) > * _Home Page_ (http://www.nytimes.com/) > * _My Times_ 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(http://health.nytimes.com/pages/health/views/index.html) > * _Health Guide_ (http://health.nytimes.com/health/guides/index.html) > > > > > > > > > Search Health3,000+ Topics> > > > > > > > Essay> Forcing Sobriety, However Imperfectly > > > > > * _Sign In to E-Mail or Save This_ > (http://www.nytimes.com/auth/login?URI=http://www.nytimes.com/2008/05/06/health/views/06essa.html) > * _Print_ > (http://www.nytimes.com/2008/05/06/health/views/06essa.html?_r=2 & oref=slogin & ref=health & pagewanted=print) > (http://www.nytimes.com/2008/05/06/health/views/06essa.html?_r=2 & oref=slogin & ref=health & pagewanted=all) > * _Reprints_ (http://www.nytimes.com/2008/05/06/health/views/06essa.htm> l?_r=2 & ref=health & oref=slogin & oref=slogin#) > * _Share_ > (http://www.nytimes.com/2008/05/06/health/views/06essa.html?_r=2 & ref=health & oref=slogin & oref=slogin#) > * _Digg_ (javascript:articleShare('digg') > * _Facebook_ (javascript:articleShare('facebook') > * _Mixx_ (javascript:articleShare('mixx') > * _ Buzz_ > (http://buzz./article/new_york_times/http%3A%2F%2Fwww.nytimes.com%2F2008%2F05%2F06%2Fhealth%2Fviews%2F06essa.html) > * _Permalink_ (javascript:articleShare('permalink') > > > (http://www.nytimes.com/adx/bin/adx_click.html?type=goto & page=www.nytimes.com/yr/mo/day/health/views & pos=Frame4A & sn2=ef30654e/dcc1ab9 & sn1=bdf5e3e/f7e4032 & c> amp=foxsearch2008_emailtools_810903cc-nyt5 & ad=youngheart_88x31_8.gif & goto=http> ://www.foxsearchlight.com/youngatheart) > > > > By HOWARD MARKEL, M.D.> Published: May 6, 2008> > Like most patients assigned to my _substance abuse_ > (http://health.nytimes.com/health/guides/specialtopic/drug-abuse/overview.html?inline=nyt-classifier) > clinic these days, , a stylish 22-year-old cosmetology student, did not > arrive voluntarily. > > _Skip to next paragraph_ > (http://www.nytimes.com/2008/05/06/health/views/06essa.html?_r=2 & ref=health & oref=slogin & oref=slogin#secondParagraph) > > Tony Ding for The New York Times> The alcohol monitor “keeps me from even thinking about drinking,†says > , who has worn it for more than five months. > > Related> _Health Guide: Alcoholism »_ > (http://health.nytimes.com/health/guides/disease/alcoholism/overview.html) > > > RSS Feed> * _Get Health News From The New York Times »_ > (http://www.nytimes.com/services/xml/rss/nyt/Health.xml) > > > > After two drunken driving violations, one in which another motorist was > injured, a judge ordered to attend a weekly recovery group I conduct for > young adults facing similar legal troubles. But that was hardly the biggest > stick the judge had at his disposal. > “This Scram keeps me from even thinking about drinking,†immediately > told me as he raised a pant leg and pointed to a boxy plastic ankle bracelet > that looked neither cool nor comfortable. > Scram, for Secure Continuous Remote Alcohol Monitor, records the wearer’s > alcohol intake by measuring air and _perspiration_ > (http://health.nytimes.com/health/guides/symptoms/sweating/overview.html?inline=nyt-classifier) emissions > from the skin every hour. It detects blood alcohol levels as low as 0.02 > percent, which corresponds to one drink or less an hour, and can even tell when > the alcohol was consumed. > Once a day, has to be near a modem so it can transmit data from the last > 24 hours to a monitoring agency and his probation officer. > Last year, American courts ordered Scram devices on thousands of defendants > released on bond and awaiting trial for alcohol-related offenses, those > sentenced to probation, and under-age drinkers. They pay a monitoring agency an > average of $12 a day for the device, as well as installation and service fees. > Criminal justice professionals report high compliance rates, at least while > these people remain in the court system. Last summer, the actress _ > Lohan_ > (http://topics.nytimes.com/top/reference/timestopics/people/l/lindsay_lohan/index.html?inline=nyt-per) wore one. > Yet the device is not perfect. > For one thing, it can lead to unexpected and embarrassing situations. When > was chosen by a favorite instructor to work on a fashion show at the > airport, he worried how to inform her before his device was discovered by airport > security. I urged him to be honest, and fortunately the teacher proved > entirely supportive. She suggested letting the others in their group pass through > security first and, a little later, explaining the situation to the > inspectors. “It worked like a charm,†told me the next week. > Defense lawyers say that despite widespread use, independent, peer-reviewed > scientific data is lacking on the device’s reliability and the technology it > uses to measure alcohol levels. > False positive readings are also a risk. Among other things, baked goods like > raisin bread and sourdough English muffins can cause the body to produce its > own alcohol. And like any computer-based device, the Scram can malfunction. > On the Web, bloggers recommend “scamming the Scram†by placing lunch meat, > tape or paper between the ankle and the sensor or plunging the leg into an > ice-cold bath to prevent perspiration. > Alcohol Monitoring Systems Inc., which manufactures the device, says such > ploys do not work because they block the sensors, setting off a tamper alarm > that is transmitted online to the monitoring agency and then to the court > system. > can testify that the notification is swift. One afternoon, he received a > call from his probation officer about a tamper alarm recorded from 5 to 6 o’> clock that morning. convinced the officer that he was neither drinking > nor scamming and provided evidence of reporting to work sober at 8 a.m. > Because his device had never registered alcohol consumption in all the time > he had worn it, the officer gave him a second chance. The next morning, the > same thing happened. > A stressful conference followed. “I’ve got to admit,†recalled, “it > was looking pretty bad.†Fortunately, the probation officer was in an > experimental mood. > The culprit was a five-month buildup of sweat and dirt on the sensors. There > have been no false alarms since the device was thoroughly cleaned. > is beginning to understand the severity of his alcohol addiction and how > it threatens his life and well-being. Over the past five months, I believe, > he has remained sober and made significant progress. > But I have also treated enough substance abusers to be suitably impressed by > the consuming grip of the disease. Active alcoholics do not often tell me the > truth about their abuse. They lie, in essence, to protect the continued use > of their most cherished commodity. > One could argue that Scram and the threat of jail bought those five months of > sobriety and treatment for . > As a physician, I remain uncomfortable aiding and abetting coercive methods > like Scram. > But this concern is overshadowed by a far greater one surrounding his > long-term health. Soon will “graduate†from his court-supervised treatment. > His real test of recovery begins the day his Scram device is removed from his > ankle. > > Markel is a professor of pediatrics, psychiatry and the history of > medicine at the University of Michigan.> _More Articles in Health »_ (http://www.nytimes.com/pages/health/index.html) > > > > _Need to know more? 50% off home delivery of The Times._ > (http://www.nytimes.com/adx/bin/adx_click.html?type=goto & page=www.nytimes.com/yr/mo/day/health/vie> ws & pos=Bottom1 & sn2=6e689e8c/b0de9b32 & sn1=1be01bb8/e39a1f0c & camp=nyt2008-circ-f> ooter-33FYX-textlink-all & ad=text & goto=https://www.nytimesathome.com/splitter_c> p/index.php?SPTR_ID=hdNYT & MediaCode=W16AK & CMP=33FYX) > > > Tips> To find reference information about the words used in this article, > double-click on any word, phrase or name. A new window will open with a dictionary > definition or encyclopedia entry. > > > Past Coverage> * _New Generation Gap Emerges As Older Addicts Seek Help_ > (http://www.nytimes.com/2008/03/06/us/06abuse.html?fta=y) (March 6, 2008) > * _On Florida Coast, Addicts Find Home in an Oasis of Sobriety_ > (http://www.nytimes.com/2007/11/16/us/16recovery.html?fta=y) (November 16, 2007) > * _VITAL SIGNS; Counseling by Phone Benefits Drinkers_ > (http://www.nytimes.com/2007/08/07/health/07awar.html?fta=y) (August 7, 2007) > * _VITAL SIGNS: DISPARITIES; Singling Out Minorities for Alcohol > Counseling_ (http://www.nytimes.com/2007/03/06/health/06alcoholvital.html?fta=y) > (March 6, 2007)> > > Related Searches> * _Alcohol Abuse_ > (http://query.nytimes.com/search/query?ppds=des & v1=ALCOHOL+ABUSE & fdq=19960101 & td=sysdate & sort=newest & ac=ALCOHOL+ABUSE & rt=1,des,org,> per,geo) _Add Alert_ > (http://select.nytimes.com/mem/tnt.html?module=call & alert_context=1 & topic1=ALCOHOL+ABUSE & topic_field1=des & topic1_check=y & retA= & retT= & > cskey=) > * _Medicine and Health_ > (http://query.nytimes.com/search/query?ppds=des & v1=MEDICINE+AND+HEALTH & fdq=19960101 & td=sysdate & sort=newest & ac=MEDICINE+AND+HE> ALTH & rt=1,des,org,per,geo) _Add Alert_ > (http://select.nytimes.com/mem/tnt.html> ?module=call & alert_context=1 & topic1=MEDICINE+AND+HEALTH & topic_field1=des & topic1_check=y & retA= & retT= & cskey=) > * _Drug Abuse and Traffic_ > (http://query.nytimes.com/search/query?ppds=des & v1=DRUG+ABUSE+AND+TRAFFIC & fdq=19960101 & td=sysdate & sort=newest & ac=DRUG+ABUS> E+AND+TRAFFIC & rt=1,des,org,per,geo) _Add Alert_ > (http://select.nytimes.com/mem/tnt.html?module=call & alert_context=1 & topic1=DRUG+ABUSE+AND+TRAFFIC & topic_fi> eld1=des & topic1_check=y & retA= & retT= & cskey=) > * _Probation and Parole_ > (http://query.nytimes.com/search/query?ppds=des & v1=PROBATION+AND+PAROLE & fdq=19960101 & td=sysdate & sort=newest & ac=PROBATION+AND> +PAROLE & rt=1,des,org,per,geo) _Add Alert_ > (http://select.nytimes.com/mem/tnt.html?module=call & alert_context=1 & topic1=PROBATION+AND+PAROLE & topic_field1=des> & topic1_check=y & retA= & retT= & cskey=) > > > > > > > > > _Well_ (http://well.blogs.nytimes.com/) > > _The Well Podcast: More on Wasted Food_ > (http://well.blogs.nytimes.com/2008/05/22/the-well-podcast-more-on-wasted-food/) > May 22, 2008> > _The Voices of Attention Deficit Disorder_ > (http://well.blogs.nytimes.com/2008/05/22/the-voices-of-attention-deficit-disorder/) > May 22, 2008> > _High School Blood Drives Pose Extra Risk_ > (http://well.blogs.nytimes.com/2008/05/21/high-school-blood-drives-pose-extra-risk/) > May 21, 2008> > _Trapped in an Elevator, Captured on Video_ > (http://well.blogs.nytimes.com/2008/05/21/trapped-in-an-elevator-captured-on-video/) > May 21, 2008> > _One Man’s Advice From Four Cancer Battles_ > (http://well.blogs.nytimes.com/2008/05/21/one-mans-advice-from-four-cancer-battles/) > May 21, 2008> > > > > > > Health & Fitness Tools> (http://www.nytimes.com/ref/health/bmi.html) > _BMI Calculator_ (http://www.nytimes.com/ref/health/bmi.html) > _What's your score? »_ (http://www.nytimes.com/ref/health/bmi.html) > _Calorie Calculator for Goal Weight_ > (http://www.nytimes.com/ref/health/caloriecounter.html) > _What's your limit? »_ > (http://www.nytimes.com/ref/health/caloriecounter.html) > > (http://www.nytimes.com/adx/bin/adx_click.html?type=goto & page=www.nytimes.com/yr/mo/day/health/views & pos=Frame5A & sn2=ef10654e/5cc1ab9 & sn1=23645c47/56c5> c596 & camp=Health-MarketingModule-Frame5A & ad=HL-D-I-NYT-MOD-FP-CM4-HL-0308-OST & > goto=http://health.nytimes.com/health/guides/disease/osteoporosis/overview.htm> l?WT.mc_id=HL-D-I-NYT-MOD-FP-CM4-HL-0308-OST & WT.mc_ev=click & mkt=HL-D-I-NYT-MOD> -FP-CM4-HL-0308-OST) > _What you can do to> prevent osteoporosis_ > (http://www.nytimes.com/adx/bin/adx_click.html?type=goto & page=www.nytimes.com/yr/mo/day/health/views & pos=Frame5A & sn2=ef10654e/5cc1ab9 & > sn1=23645c47/56c5c596 & camp=Health-MarketingModule-Frame5A & ad=HL-D-I-NYT-MOD-FP> -CM4-HL-0308-OST & goto=http://health.nytimes.com/health/guides/disease/osteopor> osis/overview.html?WT.mc_id=HL-D-I-NYT-MOD-FP-CM4-HL-0308-OST & WT.mc_ev=click & m> kt=HL-D-I-NYT-MOD-FP-CM4-HL-0308-OST) > _LEARN MORE »_ > (http://www.nytimes.com/adx/bin/adx_click.html?type=goto & page=www.nytimes.com/yr/mo/day/health/views & pos=Frame5A & sn2=ef10654e/5cc1ab9 & sn1=236> 45c47/56c5c596 & camp=Health-Mark> etingModule-Frame5A & ad=HL-D-I-NYT-MOD-FP-CM4-HL-0308-OST & goto=http://health.nytimes.com/health/guides/disease/osteoporosis/ov> erview.html?WT.mc_id=HL-D-I-NYT-MOD-FP-CM4-HL-0308-OST & WT.mc_ev=click & mkt=HL-D> -I-NYT-MOD-FP-CM4-HL-0308-OST) > > (http://www.nytimes.com/adx/bin/adx_click.html?type=goto & page=www.nytimes.com/yr/mo/day/health/views & pos=Frame5A & sn2=ef10654e/5cc1ab9 & sn1=23645c47/56c5c596> & camp=Health-MarketingModule-Frame5A & ad=HL-D-I-NYT-MOD-FP-CM4-HL-0308-OST & goto> =http://www.nytimes.com/pages/health/index.html?WT.mc_id=HL-D-I-NYT-MOD-FP-CM4> -HL-0308-L1 & WT.mc_ev=click & mkt=HL-D-I-NYT-MOD-FP-CM4-HL-0308-L1) > > > > MOST POPULAR - HEALTH> > * _E-Mailed_ > (http://www.nytimes.com/2008/05/06/health/views/06essa.html?_r=2 & ref=health & oref=slogin & oref=slogin#) > * _Blogged_ > (http://www.nytimes.com/2008/05/06/health/views/06essa.html?_r=2 & ref=health & oref=slogin & oref=slogin#) > > > 1. _Older Brain Really May Be a Wiser Brain_ > (http://www.nytimes.com/2008/05/20/health/research/20brai.html?em & ex=> 1211688000 & en=e03b881d03d889ac & ei=5087> ) > 2. _Well: Finding the Best Way to Cook All Those Vegetables_ > (http://www.nytimes.com/2008/05/20/health/nutrition/20well.html?em & ex=1211688000 & en=57018> 74bbecd6724 & ei=5087> ) > 3. _Muscles: More Than an Exercise in Vanity_ > (http://www.nytimes.com/2008/05/13/health/13muscles.html?em & ex=1211688000 & en=2e5e44c4955e97d9 & ei=5087> ) > 4. _Scientist at Work | Claudius Conrad: A Musician Who Performs With a > Scalpel_ > (http://www.nytimes.com/2008/05/20/health/20prof.html?em & ex=1211688000 & en=e5b25b5bd0859a62 & ei=5087> ) > 5. _Personal Health: Trying to Break Nicotine’s Grip_ > (http://www.nytimes.com/2008/05/20/health/20brod.html?em & ex=1211688000 & en=d44ba3951f3221c4 & ei=508> 7> ) > 6. _Brain: For a Sharp Brain, Stimulation_ > (http://www.nytimes.com/2008/05/13/health/13brain.html?em & ex=1211688000 & en=4a5a8e9e6e92f818 & ei=5087> ) > 7. _Well: The Voices of Attention Deficit Disorder_ > (http://well.blogs.nytimes.com/2008/05/22/the-voices-of-attention-deficit-disorder/?em & ex=121168800> 0 & en=cf1132c995c029ce & ei=5087> ) > 8. _Regimens: Aspirin More Beneficial if Taken at Night_ > (http://www.nytimes.com/2008/05/20/health/research/20regi.html?em & ex=1211688000 & en=d25d2726fb> b88b5f & ei=5087> ) > 9. _Really?: The Claim: Smoking Can Cause the Loss of Hair_ > (http://www.nytimes.com/2008/05/20/health/20real.html?em & ex=1211688000 & en=91dcaf7799c87ec9> & ei=5087> ) > 10. _Well: One Man’s Advice From Four Cancer Battles_ > (http://well.blogs.nytimes.com/2008/05/21/one-mans-advice-from-four-cancer-battles/?em & ex=12116880> 00 & en=db57c4a21abd5a4b & ei=5087> ) > _Go to Complete List »_ (http://www.nytimes.com/gst/mostemailed.html) > > 1. _Older Brain Really May Be a Wiser Brain_ > (http://www.nytimes.com/2008/05/20/health/research/20brai.html?bl & ex=1211688000 & en=2f1c1073322ca17f & ei=508> 7> ) > 2. _A Musician Who Performs With a Scalpel_ > (http://www.nytimes.com/2008/05/20/health/20prof.html?bl & ex=1211688000 & en=2f1c1073322ca17f & ei=5087> ) > 3. _Screening for Abuse May Be Key to Ending It_ > (http://www.nytimes.com/2008/05/20/health/20abus.html?bl & ex=1211688000 & en=2f1c1073322ca17f & ei=5087> ) > 4. _Tumor Is Common Type in Older Age_ > (http://www.nytimes.com/2008/05/21/health/21tumor.html?bl & ex=1211688000 & en=2f1c1073322ca17f & ei=5087> ) > 5. _Hazards: Despite Dangers, Hookahs Gain Favor_ > (http://www.nytimes.com/2008/05/20/health/20haza.html?bl & ex=1211688000 & en=2f1c1073322ca17f & ei=5087> ) > 6. _Finding the Best Way to Cook All Those Vegetables_ > (http://www.nytimes.com/2008/05/20/health/nutrition/20well.html?bl & ex=1211688000 & en=2f1c1073322c> a17f & ei=5087> ) > 7. _Study Links Rise in Mastectomies to M.R.I. Detection_ > (http://www.nytimes.com/2008/05/16/health/research/16cancer.html?bl & ex=1211688000 & en=2f1c1073> 322ca17f & ei=5087> ) > 8. _Patient Voices: A.D.H.D._ > (http://www.nytimes.com/interactive/2008/05/21/health/healthguide/TE_ADHD_CLIPS.html?bl & ex=1211688000 & en=2f1c1073322ca17f> & ei=5087> ) > _Go to Complete List »_ (http://www.nytimes.com/gst/mostblogged.html) > > > > > (http://www.nytimes.com/adx/bin/adx_click.html?type=goto & page=www.nytimes.com/yr/mo/day/health/views & pos=Box1 & sn2=ec1a84c6/327d7da2 & sn1=3c90b82a/775f90f4 & c> amp=NYT2008-marketingmodule & ad=MO-D-I-NYT-MOD-MOD-M044-ROS-0508 & goto=http://ny> times.com/?WT.mc_id=MO-D-I-NYT-MOD-MOD-M044-ROS-0508-LOGO & WT.mc_ev=click & mkt=M> O-D-I-NYT-MOD-MOD-M044-ROS-0508-LOGO) > (http://www.nytimes.com/adx/bin/adx_click.html?type=goto & page=www.nytimes.com/yr/mo/day/health/views & pos=Box1 & sn2=ec1> a84c6/327d7da2 & sn1=3c90b82a/775f90f4 & camp=NYT2008-marketingmodule & ad=MO-D-I-NY> T-MOD-MOD-M044-ROS-0508 & goto=http://nytimes.com/movies/?WT.mc_id=MO-D-I-NYT-MO> D-MOD-M044-ROS-0508-VRT & WT.mc_ev=click & mkt=MO-D-I-NYT-MOD-MOD-M044-ROS-0508-VR> T) > _nytimes.com/movies_ > (http://www.nytimes.com/adx/bin/adx_click.html?type=goto & page=www.nytimes.com/yr/mo/day/health/views & pos=Box1 & sn2=ec1a84c6/327d7da2 & sn1> =3c90b82a/775f90f4 & camp=NYT2008-marketingmodule & ad=MO-D-I-NYT-MOD-MOD-M044-ROS> -0508 & goto=http://nytimes.com/movies/?WT.mc_id=MO-D-I-NYT-MOD-MOD-M044-ROS-050> 8-URL & WT.mc_ev=click & mkt=MO-D-I-NYT-MOD-MOD-M044-ROS-0508-URL) > > (http://www.nytimes.com/adx/bin/adx_click.html?type=goto & page=www.nytimes.com/yr/mo/day/health/views & pos=Box1 & sn2=ec1a84c6/327d7da2 & sn1=3c90b82a/775f90f4 & c> amp=NYT2008-marketingmodule & ad=MO-D-I-NYT-MOD-MOD-M044-ROS-0508 & goto=http://ww> w.nytimes.com/2008/05/16/movies/16cann.html?ex=1226808000 & en=10699abeb4611028 & > ei=5087 & WT.mc_id=MO-D-I-NYT-MOD-MOD-M044-ROS-0508-PH & WT.mc_ev=click & mkt=MO-D-I> -NYT-MOD-MOD-M044-ROS-0508-PH) > > _What's happening in Cannes?_ > (http://www.nytimes.com/adx/bin/adx_click.html?type=goto & page=www.nytimes.com/yr/mo/day/health/views & pos=Box1 & sn2=ec1a84c6/327> d7da2 & sn1=3c90b82a/775f90f4 & camp=NYT2008-marketingmodule & ad=MO-D-I-NYT-MOD-MOD> -M044-ROS-0508 & goto=http://www.nytimes.com/2008/05/16/movies/16cann.html?ex=12> 26808000 & en=10699abeb4611028 & ei=5087 & WT.mc_id=MO-D-I-NYT-MOD-MOD-M044-ROS-0508> -HDR & WT.mc_ev=click & mkt=MO-D-I-NYT-MOD-MOD-M044-ROS-0508-HDR) > Also in Movies: > * _Cannes Journal_ > (http://www.nytimes.com/adx/bin/adx_click.html?type=goto & page=www.nytimes.com/yr/mo/day/health/views & pos=Box1 & sn2=ec1a84c6/327d7da2> & sn1=3c90b82a/775f90f4 & camp=NYT2008-marketingmodule & ad=MO-D-I-NYT-MOD-MOD-M044> -ROS-0508 & goto=http://www.nytimes.com/2008/05/19/movies/19cann.html?ex=1226808> 000 & en=8cc39a29fe4df05d & ei=5087 & WT.mc_id=MO-D-I-NYT-MOD-MOD-M044-ROS-0508-L1 & W> T.mc_ev=click & mkt=MO-D-I-NYT-MOD-MOD-M044-ROS-0508-L1) > * _Uncertain futures for bounty at Cannes_ > (http://www.nytimes.com/adx/bin/adx_click.html?type=goto & page=www.nytimes.com/yr/mo/day/health/views & pos=B> ox1 & sn2=ec1a84c6/327d7da2 & sn1=3c90b82a/775f90f4 & camp=NYT2008-marketingmodule & a> d=MO-D-I-NYT-MOD-MOD-M044-ROS-0508 & goto=http://www.nytimes.com/2008/05/14/movi> es/14cann.html?ex=1226808000 & en=bbd929617b8d2266 & ei=5087 & WT.mc_id=MO-D-I-NYT-M> OD-MOD-M044-ROS-0508-L2 & WT.mc_ev=click & mkt=MO-D-I-NYT-MOD-MOD-M044-ROS-0508-L2> ) > * _Mike Tyson's film will premiere at Cannes_ > (http://www.nytimes.com/adx/bin/adx_click.html?type=goto & page=www.nytimes.com/yr/mo/day/health/views & po> s=Box1 & sn2=ec1a84c6/327d7da2 & sn1=3c90b82a/775f90f4 & camp=NYT2008-marketingmodul> e & ad=MO-D-I-NYT-MOD-MOD-M044-ROS-0508 & goto=http://www.nytimes.com/2008/05/11/m> ovies/11aran.html?ex=1226808000 & en=950de5971a524815 & ei=5087 & WT.mc_id=MO-D-I-NY> T-MOD-MOD-M044-ROS-0508-L3 & WT.mc_ev=click & mkt=MO-D-I-NYT-MOD-MOD-M044-ROS-0508> -L3) > > > > > Advertisements> > > _ > > > All the news that's fit to personalize._ > (http://www.nytimes.com/adx/bin/adx_click.html?type=goto & page=www.nytimes.com/yr/mo/day/health/views & pos=Right5A & s> n2=467310d0/6a92813 & sn1=1a105323/96639062 & camp=NYT2008-Mktg-Brand-Textlink-HP-> ROS & ad=MT-D-I-NYT-AD-TXT-BR1-ROS-1007-NA & goto=http://my.nytimes.com/?mkt=MT-D-> I-NYT-AD-TXT-BR1-ROS-1007-NA & WT.mc_id=MT-D-I-NYT-AD-TXT-BR1-ROS-1007-NA & WT.mc_> ev=click & query=2008.05.23.13.18.14) > > _> > > > Which movies do the Critics recommend?_ > (http://www.nytimes.com/adx/bin/adx_click.html?type=goto & page=www.nytimes.com/yr/mo/day/health/views & pos=Right6A & sn> 2=f8673149/6a9280f & sn1=14f5cc71/7847fe09 & camp=NYT2008-Mktg-Movies-Textlink-HP-> ROS & ad=MO-D-I-NYT-AD-TXT-MVL1-ROS-0108-CP & goto=http://movies.nytimes.com/gst/m> ovies/critics_picks.html?WT.mc_id=MO-D-I-NYT-AD-TXT-MVL1-ROS-0108-CP & WT.mc_ev=> click & mkt=MO-D-I-NYT-AD-TXT-MVL1-ROS-0108-CP & query=2008.05.23.13.18.14) > > > _> Need to know more? > > Get 50% off home delivery of The Times._ > (http://www.nytimes.com/adx/bin/adx_click.html?type=goto & page=www.nytimes.com/yr/mo/day/health/views & pos=Right7A & s> n2=73109007/6a9281b & sn1=3a18abe3/a6ee056 & camp=nyt2008-circ-textad-33WX3-ros & ad> =textad_33WX3 & goto=https://www.nytimesathome.com/splitter_cp/index.php?SPTR_ID> =hdNYT & MediaCode=W16AD & CMP=33WX3) > _ > > > In a world of second opinions, get the facts first.> _ > (http://www.nytimes.com/adx/bin/adx_click.html?type=goto & page=www.nytimes.com/yr/mo/day/health/views & pos=Right8A & sn2=67310901/6a92817 & sn1=dc0e793c/92aca3a> 7 & camp=NYT2008-Mktg-Health-Textlink-HP-ROS & ad=HL-D-I-NYT-AD-TXT-HL2-ROS-0108-N> A & goto=http://www.nytimes.com/pages/health/index.html?WT.mc_id=HL-D-I-NYT-AD-T> XT-HL2-ROS-0108-NA & WT.mc_ev=click & mkt=HL-D-I-NYT-AD-TXT-HL2-ROS-0108-NA & query=> 2008.05.23.13.18.14) > > > > (http://www.nytimes.com/adx/bin/adx_click.html?type=goto & page=www.nytimes.com/yr/mo/day/health/views & pos=Bottom3 & sn2=6e689e8e/b05e9b32 & sn1=7e409b21/dd04feb> 5 & camp=NYT2008-Mktg-TMag-S4D-HP-ROS & ad=TM-D-I-NYT-AD-S4D-TM1-ROS-1107-NA & goto=> http://www.nytimes.com/indexes/2008/03/30/style/t/index.html?WT.mc_id=TM-D-I-N> YT-AD-S4D-TM1-ROS-1107-NA & WT.mc_ev=click & mkt=TM-D-I-NYT-AD-S4D-TM1-ROS-1107-NA> ) > > > > > > > > > > > > > **************Get trade secrets for amazing burgers. 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