Well, I’m a day late with my report, but yesterday was a hectic day. I was working on little to no sleep yesterday morning, so I napped for a couple of hours yesterday afternoon (during the time I’d normally do the writeup) in anticipation of the Slow Food Columbus “Shake the Hand That Feeds You” Locavore Dinner at Flying J Farm (more about that later!).
This weekend was the first time I had to go to the farmers market without Paul, since he’s now working nights. I decided to drag my mother and her boyfriend along with me, after oversleeping by about 45 minutes. Still, I managed to get to the North Market before 8am. It was quite a chilly morning (in the 50s, I think), so I wore long pants and a hoodie for the first time in months.
The tide is definitely turning in regards to what’s available. The name of the game of the moment is stone fruits and apples and pears and and root vegetables and winter squash. And I’m perfectly OK with that, as autumn is one of my favorite times to cook, because of the plethora of veggies that can be used for soup and stew making (are you guys craving soup and stew as much as I am right now?).
I was glad to hear that most of our farmers sustained minimal damage in last week’s windstorm. I was worried about how the storm would affect them, since their livelihood is based on the whim of Mother Nature. Most came through just fine.
I’m still shocked to find berries at the market – like these raspberries from Rhoads Farm. It must be a really good year for berries, because there’s been a steady stream of beautiful berries for months now.

Love love love the colors of eggplant this year. This basket of eggplant from Wayward Seed Farm shows about 5 different shades of purple. I just can’t get enough eggplant this year, for some reason!

I got a bunch of root veggies at Persinger Farms, including a bunch of these carrots. Again, simply amazed at the quality of produce this year.

This pile of habaneros looks like just the recipe to set one’s rear on fire. So pretty, but so unbelievably hot that I won’t even get close to one.

It was off to Worthington by 8:30ish. I missed Worthington last week, and am glad things are back to normal. I bought a portable “shopping cart” to take with me to the market, and am so glad that I did so – it made purchasing a lot of produce possible, whereas I would have in big trouble if I had tried to carry all this stuff by myself while at the same time trying to take pictures. I can’t even remember everything I bought at the market today, since there is so much. I spent $100 in mere minutes. Of course, some of that cost is meat, so it’s understandable…
After hearing so much about the awesome pears everyone got at Wayward Seed Farm last week, I picked up a pound or so for munching on later. I hear that last week’s pears were darn near perfect.

The apple cider from Ochs was so good the last time around that I sprung for a gallon this week. To me, nothing says fall more than apple cider (speaking of which, isn’t today officially the first day of fall?)
It’s almost time to get another centerpiece – to replace the flowery spring/summer ones with a naturally beautiful one made with decorative squash.

And what I thought were buckeyes were chestnuts – not a chestnut fan myself, but I wish I were – these looked lovely.

So what all did you end up getting? Did those of you that lost electricity this week spend an arm and a leg on produce like I did (and I don’t even have the excuse of losing electric!)? What’s on the menu for this week?
Hodgkin’s disease.(Article 365: 1 Clock Hour)(Disease/Disorder overview)
Journal of Continuing Education Topics & Issues April 1, 2010 | Boe, Gerard P.
Introduction Hodgkin’s disease is a malignancy that originates in the lymphatic system. The disorder usually begins in the lymph nodes or the spleen but can also be present in other areas.
To understand the changes that occur in lymphoma, it is necessary to provide a short look at the lymphatic system. Lymph is a substance similar to plasma which circulates through a system of vessels similar to the blood circulation system. During normal metabolism, a small amount of the fluid portion of the blood filters out of the capillaries into the surrounding tissues. The lymphatic system helps maintain a balanced internal tissue environment by removing excess fluid as lymph. The fluid is drained through afferent vessels into small bean-shaped lymph nodes.
Function of the Lymphatic System The primary function of the lymphatic system is to provide an immune defense. This complex system can differentiate between self and foreign molecules (antigens) and is able to recognize antigens it previously encountered and mount a defense. In addition to these outside antigens, the lymphatic system is capable of removing aged and damaged (senescent) cells.
During fetal development, lymphatic precursors originate first in the fetal liver and later in the bone marrow. At this time in their development, some of the cells migrate to the thymus and become T-cells while those that remain in the liver or bone marrow become either B-cells or natural killer cells (NK). The thymus and bone marrow are considered to be primary lymphoid organs because they are maturation sites for the cells, which move into the secondary lymphoid organs where they serve to protect the body against foreign antigens. website hodgkin s disease
An antigen is any substance which the body may consider to be foreign. They (antigens) may be viruses, tumor cells, bacteria or fungi. The interaction of the T-cells and B-cells protect the body against these invaders and is called the immune response.
Lymphatic Alterations in Hodgkin’s Disease Changes that occur in this disease can be categorized into three areas–anatomic, histologic and immune function.
Anatomic Changes: The physical changes that may occur are enlarged spleen and lymph nodes. When the spleen is involved, it most often indicates spread through the hematologic system and may also include the liver and bone marrow.
Histological Changes: There may be a significant presence of large Reed-Sternberg or Hodgkin’s cells. There may be a depletion of lymphocytes and an increase in eosinophils. The Reed-Sternberg cells are binucleated or multinucleated and must be present in order for the diagnosis of Hodgkin’s disease to be made.
Immune Function: Cellular immunity is defective in Hodgkin’s lymphoma. Even for several years after successful treatment, the production and function of the T-cells may be impaired. The abnormalities include a decreased natural killer cell toxicity, suppressor monocyte activity and possibly delayed cutaneous hypersensitivity. The function of B-cells is usually normal in untreated patients with Hodgkin’s disease. go to website hodgkin s disease
Signs and Symptoms The severity of the disease is often proportional to the number of systems or organs involved. It may be localized or it may present itself in a number of different systems. Symptoms may appear in any one or more of the following systems:
Lymphatic System-Many patients have enlarged lymph nodes. Frequently, the nodes are located in the cervical and the supraclavicular area but they may also be seen in the axillary, mediastinal and inguinal reagions. Pain in the lymph nodes after the ingestion of alcohol is found in about 10% of patients and can be said to be specific for Hodgkin’s.
Renal system–Troubles in the renal system are often a complication of advanced disease. Metabolic abnormalities, such as abnormal uric acid levels, may occur.
Bone Marrow–Bone marrow involvement occurs in only about 10% of untreated cases. Bone marrow involvement may demonstrate the following characterstics: increase in granulocytes, monocytes, and eosinophils and there may be areas of fibrosis along with the abnormal infiltration of lymphocytes and macrophages without the presence of Hodgkin-Reed cells.
Gastrointestinal–Patients may complain of abdominal pain, vomiting and nausea. If the spleen or abdominal lymph nodes are involved, there may be other vague symptoms and GI bleeding.
Diagnosis and Treatment Hodgkin’s may occur from early childhood to old age. Increased numbers of cases of some types may be noted in patients between 15 and 35 and then again after 50 years of age. Males seem to be more susceptible than females.
When Hodgkin’s disease is suspected, microscopic histological examination of the lymph nodes through a biopsy helps to classify the Hodgkin’s. The histology of Hodgkin’s can vary from patient to patient; it is important to determine the classification and the treatment as well as the prognosis.
Treatment modalities for individuals with Hodgkin’s disease are based on age, classification and the overall condition of the patient. One or more of the following methods may be used:
* Chemotherapy * Irradiation * Chemotherapy and irradiation * Bone marrow transplant Summary Lymphomas are malignancies that originate in the lymphatic system. Usually originating in the lymph nodes, these disorders can infiltrate in areas such as lungs, bone, testes and brain.
Hodgkin’s disease is one of the two major categories of lymphomas.
The thymus and bone marrow are categorized as primary lymphoid organs because they function as differentiation and maturation sites. The lymphoid organs serve as sites where lymphocytes protect the body against antigens. The interaction of T and B cells to protect the body from the “foreign invaders” (antigens) is called the immune response.
The cause or causes of Hodgkin’s have not been identified. Some researchers have voiced the opinion that it is heterogeneous and possibly represents more than one disease.
References Devita, Jr., Vincent T., et. al., Cancer: Principles and Practice of Oncology, 5th ed, 2001 Beutler, Ernest, et al, Williams Hematology 6th ed, 2001 Levine, Sandra M., and Mochamuk, Robert S., MD, Hodgkin’s Disease: Reducing Treatment Toxicity and Secondary Malignancies, Annual Meeting of American Society of Clinical Oncology, May 2001.
Ballanti, Joseph A. ed., Clinical Immunology, W.B Saunders Co., Philadelphia, 1994 Hodgkin’s Disease Gerard P. Boe Gerard P. Boe, PhD, CLC(AMT), MT(AMT), Executive Director of AMTIE, Editor of Journal of Continuing Education Topics & Issues, and Chair, AMT CLC Evaluation Committee Boe, Gerard P.