pcl1029

Hi,everyone,

FDA Issues Two Proposed Rules under FSMA to Strengthen the Oversight of Imported Foods

July 26, 2013

Today, FDA issued two proposed rules under the Food Safety Modernization Act (FSMA) aimed at strengthening assurances that imported food meets the same safety standards as food produced domestically. These new measures respond to the challenges of food safety in today’s global food system, in which imported food comes into the U.S. from about 150 different countries and accounts for about 15 percent of the U.S. food supply. They are part of the effort mandated by Congress to modernize the food safety system and focus on preventing food safety problems, rather than relying primarily on responding to problems after they have occurred.

Under the proposed rule for Foreign Supplier Verification Programs (FSVP), importers would need to verify that their suppliers are meeting the same U.S. safety standards required of domestic producers. Requirements for verification activities would be primarily based on the type of food, nature of the hazard identified and on who—such as the foreign supplier, the importer, or the importer’s customer—is best able to control the hazard.

Under the proposed rule for Accreditation of Third Party Auditors, FDA would recognize accreditation bodies based on certain criteria such as competency and impartiality. The accreditation bodies, which could be foreign government agencies or private companies, would in turn accredit third party auditors to audit and issue certifications for foreign food facilities.

The two proposed rules work together with the standards proposed in January 2013 for produce safety and preventive controls in facilities that produce food for humans. The two proposed rules publish in the Federal Register on July 29, 2013. Comments on the two new proposed rules on the safety of imported food are due by 120 days from the publication date.

God bless.

Hi,

i do not think Glutathione IV is approved by FDA here in the States as part of the treatment protocol for cancer and the like.
It is sold over the counter in every supermarket, like Walmart, in the dietary section. It is an amino acid (ie:protein building block ) and it sold as an anti-oxidant .
Our body produce it .
The following link may help those who wants to know more.(again be aware of the saleman talks )

God bless.

Hi,everyone,

Since I join this message board about 2 years ago, There were relatively more younger patients as the times goes by.
This disease should be for the age group between 50-70’s and not for the younger ones like in their 20 and 30’s.
Unless the younger patients have predisposed disease condition like ulcerative colitis ,bile duct genetic disease or PSC, they should not have this horrible disease when their immune systems are in their prime state.
I suspect the environment plays a definite risk factor in such a younger generation; may be the global trading especially the frozen food,vegetables. or the restaurants that open the new trend of eating and dinning of Asian cuisine where the temperature of the cooking is of concern.
God bless.

Hi, Scott,
Stanford is one of the hospital that do radioembo a lot because either they push for it to learn more or they thought it may be one of the tools they want to used at par with Northwestern university which spent lot of time on this procedure.

When this procedure came out three years ago and patients on this board mentioned they had it done.(at least 6-8of them, check out 2000miles entries by just clicking his ID after you sign on. There will be more details.) I am very interested since they can , in theory, taking care of the cancer that cannot removed by surgery or it is too big for RFA (>3-4cm and more than 3-4 tumors and in tight spot.) .it sounds like an excellent choice. I personally communicated to at least three of them,most of them over 60 years old, and may had comobidities ( other health issues). All of them passed away within or around a 6-8 months period . This was why I raised the safety issue of radioembo issue and ask 2000 milers to help me for the stats just from our members.
The reason, as far as I am concern, is that , I am not sure how the beads or resin , which will stay inside the liver for a long time( 2-3days) will affects the outcome of recurrence; I am really not sure, even they report the radiation of the beads will affect both the tumor and healthy tissues , and at the most the radiation will only be radiated about 3mm beyond the tumor site, that means the maximum effects that will affect the health tissue that surround the tumor is 3mm at the most . but I did read a report that the range of the radiation may be more like 3-12mm. I think it is depended on the beads size and where the beads end up with in the liver. I know the resin type can go deeper, but what if the different size of the beads go into the tumor not as planed (ie: a few of the big beads goes in first and block the subsequent little beads to go deeper on the same intended to treat site. If so, the readioembo is not completely effective. Furthermore, if the above range of 3-12mm radiation zone is true, that means the procedure can affect and kill relatively more a portion of the heavy cells which are not intended . Unlike RFA the burn off is around 4-5cm for a 3cm size tumor and over time they will fill up the hoe with regenerated cells, I don’t know what the patients’ own body will do with such a large dead tumor tissue inside the liver without surgically remove the tumor later in the radio embo procedure and if the liver regenerated the same size of what the radioembo left, how does the body keeping or reabsorb such big dead mass in the body?
The really concern to sum this up is the total radiation the patient will have over the ENTIRE treatment period from diagnosis to each recurrence and beyond. .
I also knew one of the well known oncologist shares the concern about the effectiveness of radioembolization just of short of disapproval of the whole procedure.
Besides, about the lung shunt, even if my is= to 6 and the acceptable is < 20.
I don’t want to take that chance to get pneumonitis .
Scott, please remember, I am a patient only and not a doctor, I know Dr. Tse and his department is good at what they do, but it is all up to you to discern what the radioembo really means to your wife.

The most concern for me with regard to radioembo,along with every 3 month CTscan and PET scan and the future diagnosis and treatment like RFA, microwave, IRE, and chemoembolization(TACE) are all guided by Ct scan for the procedure and thus we, as patients ,should account for ALL of these accumulative radiation too.
The liver is a very sensitive organ, you try to buy a fresh pig liver and put it in the microwave oven for 1,3,5 and 10 min; low,medium, and high. And you will see how sensitive the liver are . And radioembo usually applied to a relatively large part of the liver( the entire left or right lobe) and therefore a lot of radiation will deliver to the liver.
I am lucky in a way that I can use RFA for the small sizes of my tumors and therefore I used RFA instead of sectional radioembo for the 2.5x3cm area.
But I still will not rule out radioembo as my last resort .
God bless.

Hi,Gavin,
My comment below may not relate that much of what you have posted above.But i think is related .

The funny thing is some of my friends or relatives will acceptme and others will politely keep their distances away from me when they know I have cancer.

I think it is the human nature and not a big deal ; for example, my wife does not want to talk about it, but I let everyone in my high school (almost 170 of them)that I still communicate with know about it.
The most interesting thing is that all my professional friends whom I work with love to see and talk to me when they see me in the hallway. i am a kind of a “miracle poster” for them since they knew of my diagnosis more than 4 years ago.
Say hi to your mum for me for a change, today is cold (76F) compare to 90F just a few days ago.

Hi,
Thanks for the article.
I hope the stent works well enough for your brother to have the chemotherapy.
God bless.

Hi, Renee,

Please take a look of the message above ; I just add a 2nd oncology consult suggestion to the message that I have answered you at 12:1700 yesterday about gene sequencing.
God bless.