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Hi, 35-year-old guy, six-three, range between 220, 250 pounds, and the last guy that you would look at on the street and say, well, there walks a bulimic, but have struggled, you know, with the bingeing and purging - and not always purging, just like was mentioned - you know, bingeing and then compensating, you know, s... | hi 35-year-old, guy; six-three range between 220, 250 pounds and, the last guy that you, would look, at on; the street and say well there walks a bulimic but have struggled, you know. with the bingeing and purging. - and not always purging just like was mentioned - you know bingeing and then compensating you, know some... | Hi; 35-year-old guy, six-three range between 220, 250 pounds and the, last guy that you would. look at on. the street and say well there walks a bulimic but have struggled you know with the bingeing and purging - and not, always purging just like was mentioned - you know bingeing and then compensating you know some oth... | hi, 35-year-old guy, six-three, range between 220, 250 pounds, and the last guy that you would look at on the street and say, well, there walks a bulimic, but have struggled, you know, with the bingeing and purging - and not always purging, just like was mentioned - you know, bingeing and then compensating, you know, s... |
I mean, I didn't want to look like a model. I didn't have any delusion that I ever could. But that part of my life that I could control was the issue. And when I - and I still haven't - other than just in my, you know, 12-step meetings - dealt with the specific issue, but I think that I need to at some point address it... | i, mean i didn't want to look like a model i didn't have any delusion that i ever could. but that part of my life, that i could control was the issue and when i - and i still. haven't - other than. just in my you know 12-step meetings - dealt, with the. specific issue but i think that i need to at some point address it... | I mean I, didn't want to look like a model I didn't have, any delusion that I ever could But that part, of my, life that I, could control was the issue And when I - and I still, haven't - other than just in my, you, know 12-step meetings - dealt with the specific issue but I think that I need to, at some, point address... | i mean, i didn't want to look like a model. i didn't have any delusion that i ever could. but that part of my life that i could control was the issue. and when i - and i still haven't - other than just in my, you know, 12-step meetings - dealt with the specific issue, but i think that i need to at some point address it... |
Dr. Bravender? | dr | Dr | dr. bravender? |
(Through translator) Maliki will smash the others. He will win and reach the top. | (through translator) maliki will smash the others. he will, win. and reach the | (Through translator) Maliki will smash the; others He will, win and reach the. | (through translator) maliki will smash the others. he will win and reach the top. |
Sure. You know, from the study that we've been citing by Dr. Hudson and colleagues that was published recently regarding men and eating disorders, one of the findings in that study showed that of all the people they identified with bulimia, almost 95 percent had some co-morbid psychiatric diagnosis. So that ranged from... | sure you. know from the study, that we've. been citing by dr hudson and colleagues that was published recently regarding men and eating disorders one. of the findings in that study showed that of. all the, people they identified with bulimia, almost 95 percent had some co-morbid psychiatric diagnosis so that ranged fro... | Sure You know from. the. study that we've been citing by Dr Hudson and colleagues that was published recently regarding men and eating disorders one of. the findings in that study showed that of all the people they identified with bulimia. almost 95 percent had some co-morbid psychiatric diagnosis So that, ranged from ... | sure. you know, from the study that we've been citing by dr. hudson and colleagues that was published recently regarding men and eating disorders, one of the findings in that study showed that of all the people they identified with bulimia, almost 95 percent had some co-morbid psychiatric diagnosis. so that ranged from... |
And with our patients whom we see who have multiple different diagnoses going on at the same time, it's almost like which are you going to treat first? And we know that they all feed off one another. And what we usually end up doing is taking a hierarchy of harm and addressing those issues which are causing the greates... | and with our; patients whom we. see who have multiple different diagnoses going on at the same; time it's almost like which are you going to treat first? and we know, that they all feed off one another and what we usually end up. doing is taking, a hierarchy of harm and addressing those issues which are causing the gre... | And with our patients whom we see who have multiple different diagnoses going on at the same time it's almost like which are you going to. treat first? And we know that they all feed off one another And what we usually end up doing is taking a; hierarchy of harm and addressing those issues which. are causing the greate... | and with our patients whom we see who have multiple different diagnoses going on at the same time, it's almost like which are you going to treat first? and we know that they all feed off one another. and what we usually end up doing is taking a hierarchy of harm and addressing those issues which are causing the greates... |
Now just like with treatment of an addiction, I think Ron said earlier that you can't expect the eating disorder to get better if you don't replace it with something else to fill the need that the eating disorder is filling. And it's the same way with alcoholism. You can't just simply stop without finding some other he... | now just. like with treatment of an addiction i think ron said earlier that you. can't expect the; eating disorder to get better if you don't replace it with something else to fill the need, that the eating disorder. is, filling and. it's the same way with alcoholism you. can't just simply stop, without finding some ot... | Now, just like with treatment of an addiction I think Ron, said earlier that you can't expect the. eating disorder to get better if you don't replace it with something else to fill. the, need that the eating disorder is filling And it's the same way with alcoholism You can't just simply stop without finding, some. othe... | now just like with treatment of an addiction, i think ron said earlier that you can't expect the eating disorder to get better if you don't replace it with something else to fill the need that the eating disorder is filling. and it's the same way with alcoholism. you can't just simply stop without finding some other he... |
Rick, good luck with… | rick good luck | Rick good, luck | rick, good luck with… |
(Unintelligible). | (unintelligible). | ||
I'm sorry, did you have another question? | i'm sorry, did; you have another | I'm; sorry did you, have another | i'm sorry, did you have another question? |
Well, I was just going to say that - exactly. The addictive nature - my addictive self, you know, as soon as I gave up alcohol it said, well, you know, we don't need alcohol. We've got - you know, there's a multiple range of other things that we can, you know, stick in there and, you know, plague you with. | well i was just. going to say that, - exactly the addictive. nature - my; addictive, self you know as soon as i gave up alcohol it said, well you. know we. don't need alcohol we've got - you. know there's a multiple range of other things that we can you. know stick in there and you. know plague you | Well. I was just going to say that - exactly The addictive nature - my addictive, self you know as soon as I; gave, up alcohol it said well you know. we don't need alcohol We've got - you know there's, a; multiple range, of other things, that we can; you know stick in, there and you know plague you | well, i was just going to say that - exactly. the addictive nature - my addictive self, you know, as soon as i gave up alcohol it said, well, you know, we don't need alcohol. we've got - you know, there's a multiple range of other things that we can, you know, stick in there and, you know, plague you with. |
But, thank you very much. Enjoy the show. I'm really glad that somebody's talking about men and this issue. Thank you very much. | but thank you very much enjoy the show i'm really glad, that, somebody's talking about men and this issue thank you very, | But thank you very much. Enjoy the show I'm really glad that somebody's talking about men and this. issue Thank you very | but, thank you very much. enjoy the show. i'm really glad that somebody's talking about men and this issue. thank you very much. |
Thanks for the call, Rick, and good luck to you. | thanks for the call, rick and good luck to | Thanks for the, call Rick and good luck to. | thanks for the call, rick, and good luck to you. |
Here's an e-mail we have from John in Cleveland. | here's an e-mail we have from john in | Here's an e-mail we have from John in | here's an e-mail we have from john in cleveland. |
In the past five years I've met five different men who had bulimia. All of them, including myself, are homosexual. My question for the doctor is this: did any results from the study indicate homosexuals are more likely to fall victim to this illness? | in the past five years i've met five different. men who had bulimia all of them including myself are homosexual my question for the. doctor is this: did any results from the study indicate homosexuals are more likely to fall victim to this | In the past five. years I've, met five different men who. had bulimia All of them including; myself, are homosexual My question for, the doctor is this: did. any results from the study indicate. homosexuals are more likely to fall victim to this | in the past five years i've met five different men who had bulimia. all of them, including myself, are homosexual. my question for the doctor is this: did any results from the study indicate homosexuals are more likely to fall victim to this illness? |
Yeah, that's been - that actually been a common assumption in teaching, is that gay men - we do know that gay men are at greater risk for a number of psychological issues. We know that gay men are more likely to suffer from depression and are significantly more likely to have attempted suicide than straight men. | yeah that's been - that, actually been a common assumption in teaching is that gay men - we do know that gay men are at greater risk for a number of psychological issues we know that gay men are more likely to. suffer from depression and are significantly, more likely to have attempted suicide than straight | Yeah that's been - that actually been a common, assumption in teaching is that gay men - we do. know, that gay men are at greater risk for a, number of psychological issues We know, that gay men are more likely to suffer from depression and. are. significantly more likely to have attempted suicide than straight | yeah, that's been - that actually been a common assumption in teaching, is that gay men - we do know that gay men are at greater risk for a number of psychological issues. we know that gay men are more likely to suffer from depression and are significantly more likely to have attempted suicide than straight men. |
It's been long held that gay men are at greater risk for eating disorders. And there are lots of theories as to why that might be, whether it's an increased emphasis on body or looks or appearance, or a feeling of other kind of social alienation from the greater culture at large. | it's been long held that gay, men are at greater risk for eating disorders and there are lots of theories as to. why. that, might be whether it's an increased emphasis on, body or looks or appearance or a feeling of other kind of social alienation from the greater. culture at | It's, been long held that gay men are at greater risk for eating disorders And there are lots of theories, as to, why that might; be whether it's an increased emphasis on body, or looks or appearance or a, feeling of. other kind of social alienation from the greater culture at, | it's been long held that gay men are at greater risk for eating disorders. and there are lots of theories as to why that might be, whether it's an increased emphasis on body or looks or appearance, or a feeling of other kind of social alienation from the greater culture at large. |
The study in question here didn't really address that, and there have been small case series and smaller reports that, but no population based studies yet. But I think from my clinical experience, and from other's clinical experience, that probably is the case. | the study in question here didn't really address that. and there have. been small case series and, smaller reports. that but no population based studies yet but i think from my clinical. experience and from other's clinical experience that probably is the | The; study in question here didn't really address that and there. have been, small case series and. smaller reports that but no population based studies yet But I think from my; clinical experience and from other's clinical experience that probably is, the | the study in question here didn't really address that, and there have been small case series and smaller reports that, but no population based studies yet. but i think from my clinical experience, and from other's clinical experience, that probably is the case. |
One thing the study did say was that as opposed to women who were in pursuit of thinness, men seemed to be in pursuit of that perfect ripped body. And is that your experience as well? | one thing the; study did say was that as opposed, to women who were in pursuit of thinness men seemed to be in pursuit of that perfect ripped body and is that your experience as | One thing the study did say was that, as opposed to women who were in pursuit of thinness men seemed to be in pursuit, of that perfect, ripped body And is that your experience as | one thing the study did say was that as opposed to women who were in pursuit of thinness, men seemed to be in pursuit of that perfect ripped body. and is that your experience as well? |
I think many men are, and there's a wonderful book that came out probably about five years ago now, called "The Adonis Complex," which examined this and looked at kind of young men's perception of the ideal body type. | i think many men are and there's a wonderful book that came. out probably about five years, ago, now, called "the adonis, complex" which examined this, and looked at kind of young men's perception of the ideal body | I think many men are and there's a wonderful book that came out probably about five years. ago now called; "The Adonis Complex" which examined, this and looked at kind of young men's perception of the ideal body | i think many men are, and there's a wonderful book that came out probably about five years ago now, called "the adonis complex," which examined this and looked at kind of young men's perception of the ideal body type. |
And one of the most distressing pieces of that was that if you ask teenage and college age men to identify in these line drawings what they think the ideal male body type looks like, the vast majority of them will pick a body type that is unattainable without using steroids. | and one of, the most distressing, pieces of that was that if you ask teenage and college age men to identify in these line drawings what they think the ideal. male body type. looks like the vast majority of them will pick a body type. that is unattainable, without using | And one of the most distressing pieces of that was that if you ask teenage and college age men to identify in these line drawings what they think the ideal male body type looks like the vast majority; of them will pick a body type, that is unattainable without using | and one of the most distressing pieces of that was that if you ask teenage and college age men to identify in these line drawings what they think the ideal male body type looks like, the vast majority of them will pick a body type that is unattainable without using steroids. |
Hmm. | hmm. | ||
So no matter how much weights they lift, how strict their diets, how much they work out, the body type they choose as ideal cannot be attained naturally. | so no matter how much weights they lift how strict their diets, how much they, work out the body type, they choose as ideal cannot be attained | So no matter how much weights they lift how strict their diets how. much they. work out the body type they choose as ideal cannot be attained | so no matter how much weights they lift, how strict their diets, how much they work out, the body type they choose as ideal cannot be attained naturally. |
Our guest is Dr. Terrill Bravender, who's an associate professor of pediatrics, psychiatry and family medicine, director of adolescent medicine at Duke University Medical Center. And you're listening to TALK OF THE NATION from NPR News. | our guest is dr, terrill bravender who's an associate professor of pediatrics psychiatry and family medicine director of adolescent medicine at duke. university medical center and you're listening to talk of the nation from, npr | Our guest is Dr Terrill Bravender who's an associate professor of pediatrics psychiatry and family medicine director of, adolescent medicine at, Duke University Medical Center And you're listening to TALK OF THE NATION from NPR | our guest is dr. terrill bravender, who's an associate professor of pediatrics, psychiatry and family medicine, director of adolescent medicine at duke university medical center. and you're listening to talk of the nation from npr news. |
And we'll talk now with Christine. Christine calling us from Rochester in New York. | and we'll talk now with christine christine calling us from rochester in new | And we'll talk now with; Christine Christine calling us from Rochester in New. | and we'll talk now with christine. christine calling us from rochester in new york. |
Hi. | hi. | ||
Hi. | hi. | ||
Oh, it's so great to talk to you. I'm a huge fan of the show. | oh it's so great to talk to you, i'm a huge fan; of the | Oh it's so, great to talk to you I'm a huge fan of. the | oh, it's so great to talk to you. i'm a huge fan of the show. |
Well, thank you very much. | well thank you very | Well thank you very | well, thank you very much. |
Just wanted to comment or ask the question. I've been a high school English teacher for about 13 years now and I watch these young men cycling through. In sports these kids are athletes and they deprive themselves of food. They starve themselves for a week in order to make - for weeks on end in order to make weight. An... | just wanted to comment or ask the question; i've been a high school english teacher for about 13 years now and i watch these young men cycling through in sports, these kids; are athletes. and. they deprive, themselves of food; they starve themselves for a week in order to make - for weeks on end in order. to make weigh... | Just wanted to comment, or ask the question I've been a high school English teacher for about, 13 years now and I watch these young men, cycling through In sports these kids are athletes. and they, deprive themselves of food They starve themselves for a week in order. to make - for weeks. on. end in order, to make weig... | just wanted to comment or ask the question. i've been a high school english teacher for about 13 years now and i watch these young men cycling through. in sports these kids are athletes and they deprive themselves of food. they starve themselves for a week in order to make - for weeks on end in order to make weight. an... |
It seems so incredibly unhealthy and I'm just sort of wondering is this considered an eating disorder or is it just considered normal training or rites of passage? | it seems so incredibly unhealthy and i'm just sort of wondering is. this considered an eating. disorder or is it just, considered normal training or. rites of | It seems so incredibly, unhealthy and I'm just. sort of wondering is this considered an eating disorder or is it just considered normal training or rites of | it seems so incredibly unhealthy and i'm just sort of wondering is this considered an eating disorder or is it just considered normal training or rites of passage? |
I consider it an eating disorder. And I think that, you know, it used to be - again, back when I was a resident it was taught that the only men who developed eating disorders were wrestlers. And we know that's not true, that other men do too, but I think that type of behavior is a horrible setup for altering kind of a ... | i consider it an eating disorder and i think that you know it, used to; be; - again back when, i was a resident it, was taught that the only men who developed; eating disorders were wrestlers and we know that's not true that other. men do; too but i think that type of; behavior is a horrible setup for altering kind of ... | I consider it an eating disorder And I think that you know it used to be - again; back, when. I was a resident it was taught that the only men who developed eating disorders. were wrestlers And we know that's not true. that other men do too but I think that type of behavior is a, horrible setup for altering kind of a n... | i consider it an eating disorder. and i think that, you know, it used to be - again, back when i was a resident it was taught that the only men who developed eating disorders were wrestlers. and we know that's not true, that other men do too, but i think that type of behavior is a horrible setup for altering kind of a ... |
...Special favors and he hasn't granted any. And this was a readout to the Finnish press afterwards. | ...special favors and he hasn't granted any; and this was a readout, to; the finnish press | ...Special favors and he, hasn't granted any And this was, a readout to the Finnish press | ...special favors and he hasn't granted any. and this was a readout to the finnish press afterwards. |
Yes. | yes. | ||
But any athlete who participates in a sport that has weight cutoffs is always trying to get down to that lower weight classification for some perceived advantage. | but any athlete, who participates in a sport that has weight. cutoffs is always trying, to get down to that lower weight classification for some perceived | But any athlete who participates in a sport that has weight cutoffs is always trying to get down to that. lower weight classification for some perceived | but any athlete who participates in a sport that has weight cutoffs is always trying to get down to that lower weight classification for some perceived advantage. |
And I guess the parallel stereotype was restricted to girls who were ballet dancers? | and i guess the parallel stereotype was restricted to. girls who were ballet | And I guess the parallel stereotype was restricted to girls who were ballet | and i guess the parallel stereotype was restricted to girls who were ballet dancers? |
Right. And, you know, girls who are ballet dancers, or gymnasts, or ice skaters are also at pretty significant risk. And the way we often think about that is that athletes who either are divided into weight classes are at risk, or those whose performance is judged subjectively. | right and you know girls who are ballet dancers or gymnasts or ice skaters are also at pretty significant, risk and the. way we, often think about that is that athletes who either. are divided into weight classes are at risk or those whose performance is judged, | Right And you know girls who are ballet dancers or gymnasts or ice skaters are also at. pretty significant risk And the, way we often think about that is that athletes who either are divided into weight classes are at risk or those whose performance is judged | right. and, you know, girls who are ballet dancers, or gymnasts, or ice skaters are also at pretty significant risk. and the way we often think about that is that athletes who either are divided into weight classes are at risk, or those whose performance is judged subjectively. |
So the figure skater or the gymnast who's depending on that judge's score is more likely to suffer from an eating disorder than someone who has a non-negotiable outcome. Like a basketball or soccer player. | so the figure skater or the gymnast who's depending on that judge's score is more likely to suffer from an eating disorder than someone who has a non-negotiable outcome like a basketball or soccer, | So the figure skater or the gymnast who's depending on that judge's score, is more likely to suffer from an eating disorder than someone who has a, non-negotiable outcome Like a. basketball or soccer. | so the figure skater or the gymnast who's depending on that judge's score is more likely to suffer from an eating disorder than someone who has a non-negotiable outcome. like a basketball or soccer player. |
Mm-hmm. Christine, thank for the call. | mm-hmm christine thank for the | Mm-hmm Christine thank. for the | mm-hmm. christine, thank for the call. |
Thank you so much. | thank you. so | Thank you so | thank you so much. |
Here's an e-mail from Victoria in Tempe, Arizona. | here's an e-mail. from victoria in tempe | Here's an e-mail from Victoria in Tempe | here's an e-mail from victoria in tempe, arizona. |
I have a nephew, age 29, who suffered with bulimia for 14 years. He's been to several rehabs for food disorders. Unfortunately, nothing has worked. He still believes his problem is due to other people. He won't take responsibility for his disease. His disease has almost bankrupted his parents. Do you know of anything w... | i have a nephew age 29, who suffered, with, bulimia for 14 years he's been to several rehabs for food disorders unfortunately nothing has worked he, still believes his problem is due to other people he won't take responsibility for his disease his disease has; almost bankrupted his parents do you know of anything we ca... | I have a, nephew age 29, who suffered with bulimia for 14 years He's been to several rehabs, for food disorders Unfortunately nothing has worked; He still believes his problem is due to other people He won't take responsibility for his disease His disease has almost bankrupted his parents Do you know of anything, we ca... | i have a nephew, age 29, who suffered with bulimia for 14 years. he's been to several rehabs for food disorders. unfortunately, nothing has worked. he still believes his problem is due to other people. he won't take responsibility for his disease. his disease has almost bankrupted his parents. do you know of anything w... |
Well, this is - this sounds like a very, I mean, very difficult and tragic situation. I think the way I would think about this really has to do with that addiction model. And at this age, once he's a young adult, I think thinking about it like an addiction is probably the best way for his family to help him, in the sam... | well this is - this sounds like. a very i mean very difficult and tragic situation i think. the way i would think about this really has to do with that addiction model and at this age once he's a young adult, i think thinking about it like an addiction is, probably the best way for his family, to help him, in the same ... | Well this is - this sounds like a very I mean very difficult and tragic situation, I think the way. I would think about this really has to do with that addiction model And at this age once he's a young adult I think thinking about it like an addiction is probably the best way for his, family to help him. in the same wa... | well, this is - this sounds like a very, i mean, very difficult and tragic situation. i think the way i would think about this really has to do with that addiction model. and at this age, once he's a young adult, i think thinking about it like an addiction is probably the best way for his family to help him, in the sam... |
An alcoholic, as they teach in many 12 steps programs, almost has to hit rock bottom first, before coming to the acceptance of it and giving themselves over to appropriate levels of treatment. And I think that the family needs to be there for him, and, again, working in a non-blaming, non-accusatory way, which can be v... | an alcoholic as they teach in many 12 steps programs almost has to hit rock bottom first before coming to the acceptance of. it and giving themselves over. to appropriate levels of treatment and i think that the family needs to be there for him, and again working in a non-blaming. non-accusatory way which can be very d... | An alcoholic as they teach in many 12 steps programs almost has to hit rock bottom first before coming to the acceptance of it and giving themselves over to appropriate levels of treatment And I think that the family needs to be there for him and again working in a non-blaming. non-accusatory way which can be very diff... | an alcoholic, as they teach in many 12 steps programs, almost has to hit rock bottom first, before coming to the acceptance of it and giving themselves over to appropriate levels of treatment. and i think that the family needs to be there for him, and, again, working in a non-blaming, non-accusatory way, which can be v... |
But letting him know that the family's there and supportive of him and concerned, and is willing to help him out. But when it comes to the changes, it's something he is going to have to do. | but letting him know that the family's there and supportive of. him and concerned and is willing to help him out but when it comes to the changes it's something he is going to have to | But letting him know that the family's there and, supportive of, him and concerned and is willing. to help him out But when it comes to the changes it's something he is going to have to | but letting him know that the family's there and supportive of him and concerned, and is willing to help him out. but when it comes to the changes, it's something he is going to have to do. |
We're going to have to take a short break and when we come back we'll take more of your questions about male eating disorders. Our guest, again, is Dr. Terrill Bravender, associate professor of pediatrics, psychiatry and family medicine, director of adolescent medicine Duke University. 800-989-8255, if you'd like to jo... | we're going to have to take a short break and when we come back we'll take, more of your questions about male, eating disorders. our guest again, is dr terrill bravender associate professor of pediatrics psychiatry and family medicine director of adolescent medicine duke, university 800-989-8255, if you'd like to join.... | We're going to have to take a short break and when we come back we'll, take, more of your questions about male eating disorders Our guest again is Dr Terrill Bravender associate; professor of pediatrics. psychiatry and family medicine, director of adolescent medicine Duke University 800-989-8255, if you'd like to join ... | we're going to have to take a short break and when we come back we'll take more of your questions about male eating disorders. our guest, again, is dr. terrill bravender, associate professor of pediatrics, psychiatry and family medicine, director of adolescent medicine duke university. 800-989-8255, if you'd like to jo... |
We're also going to be talking about a tiny taste of Europe ready to launch here in the United States, the smart car. 800-989-8255. I'm Neal Conan. It's the TALK OF THE NATION from NPR News. | we're also going to be talking about a tiny, taste of europe. ready to launch here in the united states the smart car. 800-989-8255. i'm neal, conan it's the talk of the nation from npr | We're also going to be talking about a tiny taste of Europe ready to launch here in the United States the smart car 800-989-8255. I'm, Neal Conan It's the TALK OF THE NATION from NPR | we're also going to be talking about a tiny taste of europe ready to launch here in the united states, the smart car. 800-989-8255. i'm neal conan. it's the talk of the nation from npr news. |
(Soundbite of music) | (soundbite of | (Soundbite of | (soundbite of music) |
Right now, we're talking with Dr. Terrill Bravender, a professor of pediatrics, psychiatry and family medicine at Duke University Medical Center, about eating disorders in men. If you'd like to join that conversation: 800-989-8255. E-mail: talk@npr.org. | right now we're talking with dr terrill bravender a professor of pediatrics psychiatry and family medicine at duke university medical center about eating disorders. in men if, you'd, like to join, that | Right, now we're; talking with Dr Terrill Bravender a professor of pediatrics. psychiatry. and family medicine at Duke University Medical Center about eating. disorders in men If you'd like to join that | right now, we're talking with dr. terrill bravender, a professor of pediatrics, psychiatry and family medicine at duke university medical center, about eating disorders in men. if you'd like to join that conversation: 800-989-8255. e-mail: talk@npr.org. |
And let's get another caller on the line. This is Matt. Matt with us from Modesto, California. | and let's get, another; caller on. the line this is matt matt with us from modesto | And let's. get, another caller on the line This is Matt Matt with us from Modesto | and let's get another caller on the line. this is matt. matt with us from modesto, california. |
Hi, Dr. Bravender. I was calling because I had a question. I was wondering if you felt or have noticed if it's more socially acceptable for women to come out about their eating disorders than it is for men? | hi dr bravender; i was calling because i had a question i. was. wondering if you felt. or have, noticed if it's more socially acceptable for women to come out about their eating disorders than it. is for | Hi Dr Bravender I was calling because. I had a question I was wondering if you felt or have noticed. if it's more socially acceptable for women to come out about their eating disorders than it is for | hi, dr. bravender. i was calling because i had a question. i was wondering if you felt or have noticed if it's more socially acceptable for women to come out about their eating disorders than it is for men? |
You know, that's a great question, and I think it is. Particularly in teenagers. And I've seen a number of my patients who, as young women, who are almost proud of their eating disorder. And it's part of their identity and who they are. And all their friends know they have eating disorders, their teachers know, their p... | you know that's a great question and i think. it, is. particularly in teenagers and i've seen, a, number of my patients who as young women who are almost, proud; of their eating disorder and it's part of their identity and, who they are and all their friends know they have eating disorders, their, teachers know their p... | You know that's a great question and I think it. is Particularly in teenagers And I've seen a number of my patients who as young women who are almost proud of their, eating disorder And it's part of their identity and who they are And all their friends know they have eating disorders their teachers know their parents k... | you know, that's a great question, and i think it is. particularly in teenagers. and i've seen a number of my patients who, as young women, who are almost proud of their eating disorder. and it's part of their identity and who they are. and all their friends know they have eating disorders, their teachers know, their p... |
I have never seen that in a teenage boy or a young man. It seems to be much ore hidden. Again, I think because most of the press that eating disorders get are about women. I think that most of the treatment centers are focused on women's health, and it remains a fact, still, that eating disorders do affect mostly women... | i have never. seen that in a, teenage boy or, a young man it seems. to be much ore hidden again i, think because most of the press that eating disorders get are about women i think that most of the treatment centers are focused. on, women's health and, it remains a fact still. that eating disorders do affect mostly wom... | I have never seen that in a teenage. boy or a young man It seems to be much ore hidden Again I. think because most, of the press that eating disorders get are; about women I think. that most of the treatment, centers are. focused on women's health and it; remains a fact still that eating disorders do affect. mostly wom... | i have never seen that in a teenage boy or a young man. it seems to be much ore hidden. again, i think because most of the press that eating disorders get are about women. i think that most of the treatment centers are focused on women's health, and it remains a fact, still, that eating disorders do affect mostly women... |
Does that perverse pride in an eating disorder, does that make it more difficult to treat? | does that perverse, pride in an eating disorder does that make it more difficult to | Does that perverse pride in an eating disorder does that make it more difficult to | does that perverse pride in an eating disorder, does that make it more difficult to treat? |
Well, in a way it does, because just like, you know, part of the treatment of the eating disorder is trying to figure out what role the eating disorder is playing in that individual's life, and then trying to find something more productive to fill that role. | well in a way it does because just like you know part of, the treatment of the eating disorder is trying to figure out what role the eating disorder. is playing in that individual's life and then trying to find something more productive to fill that | Well in a way it. does, because, just like, you, know part of the treatment of the eating disorder is trying to. figure; out what role the eating disorder is playing, in that individual's life, and then trying to, find. something more productive to fill that | well, in a way it does, because just like, you know, part of the treatment of the eating disorder is trying to figure out what role the eating disorder is playing in that individual's life, and then trying to find something more productive to fill that role. |
And if an individual's identity is tied up in having an eating disorder, then replacing that - it can be done, but it's going to be a long road to go down. | and if an individual's identity is tied up in having an eating; disorder then replacing that - it can be done but it's, going to, be a, long road to go | And if an. individual's identity is tied, up in having an eating disorder, then replacing that - it can be done but it's going to be a. long road to go | and if an individual's identity is tied up in having an eating disorder, then replacing that - it can be done, but it's going to be a long road to go down. |
Hmm. Matt, thanks for the call. It's interesting, too, in treatment of eating disorders, in extreme cases they require hospitalization. It's simply the fact that a lot of - before people go into the hospital, family, friends, they can't be nearly tough enough with somebody who suffers from, for example, bulimia or anor... | hmm matt thanks for the call it's interesting too in treatment of eating disorders in extreme cases they require hospitalization it's simply the fact. that a lot of. - before people go into the hospital family friends they can't. be nearly tough enough with somebody who suffers from, for example bulimia or | Hmm Matt thanks for the call It's interesting too in treatment of eating disorders in extreme cases they require hospitalization It's simply the fact that. a lot of - before people go into the hospital family friends they, can't be nearly tough enough with somebody who suffers from for example bulimia or | hmm. matt, thanks for the call. it's interesting, too, in treatment of eating disorders, in extreme cases they require hospitalization. it's simply the fact that a lot of - before people go into the hospital, family, friends, they can't be nearly tough enough with somebody who suffers from, for example, bulimia or anor... |
Mm-hmm. Well, one of the - you know, one of the key components of our program at Duke involves bringing the family in and actually training, particularly the parents, in how to deal with their children with eating disorders. | mm-hmm well one of the - you know, one of the key components. of our program at duke involves bringing the family in and actually training particularly the parents in how to deal with their children with eating | Mm-hmm Well one of the - you know one of the key components of; our program at Duke involves bringing the family in and actually, training particularly the parents in how to deal with their children with eating | mm-hmm. well, one of the - you know, one of the key components of our program at duke involves bringing the family in and actually training, particularly the parents, in how to deal with their children with eating disorders. |
You know, virtually every treatment program in the nation uses a multi-disciplinary approach that involves people from medicine, psychology, psychiatry, nutrition. We may have social workers involved. Kind of body work professionals, like massage therapists or physical therapists or yoga work and things like that. | you know virtually every treatment program in, the nation uses a, multi-disciplinary approach that involves people from medicine psychology psychiatry nutrition we may have social workers involved kind of body work professionals like massage therapists or physical therapists or yoga work and things like; | You know virtually every treatment program in the nation uses a multi-disciplinary approach that. involves people from medicine psychology psychiatry nutrition We may have social workers involved Kind of. body work. professionals like massage therapists or physical therapists or yoga. work and things like | you know, virtually every treatment program in the nation uses a multi-disciplinary approach that involves people from medicine, psychology, psychiatry, nutrition. we may have social workers involved. kind of body work professionals, like massage therapists or physical therapists or yoga work and things like that. |
Yes. I think after last week no one could doubt that. | yes i think after last week no one could doubt | Yes I think after last week no one could doubt. | yes. i think after last week no one could doubt that. |
And we found that a key piece really involves bringing the family in, whether that means a spouse, grandparents, or parents, somebody else, because certainly in the outpatient realm we're only with these patients for an hour or, you know, two, maybe three a week. Whereas, the family members are with these patients all ... | and we found that a key piece, really. involves bringing the family in whether that means a spouse grandparents or parents somebody else because certainly in the outpatient realm we're only with these patients for an hour or you. know two maybe three a week whereas the family members are with these patients all the, | And, we found that a key piece really involves bringing the family, in whether that means a spouse grandparents or parents somebody else because certainly in the outpatient realm we're only with these patients for an hour or you know two maybe three a week Whereas the family, members are with these patients all the | and we found that a key piece really involves bringing the family in, whether that means a spouse, grandparents, or parents, somebody else, because certainly in the outpatient realm we're only with these patients for an hour or, you know, two, maybe three a week. whereas, the family members are with these patients all ... |
And they're really looking for help to figure out how to help their loved ones. And we're doing our best to teach them how to do that in a productive way. | and they're really looking for help to figure out how to help. their loved ones and we're doing our best, to teach them how to do that in a productive | And they're really looking for help to, figure out how to help their, loved ones And we're doing our best to teach them how to do that in a productive | and they're really looking for help to figure out how to help their loved ones. and we're doing our best to teach them how to do that in a productive way. |
And you've made the comparison with addiction. Is it typical for people with eating disorders to have relapses? | and you've made the comparison with addiction is it typical for people. with eating disorders to, have | And you've made the comparison with addiction, Is it typical for people with eating, disorders to have | and you've made the comparison with addiction. is it typical for people with eating disorders to have relapses? |
Well, it is. And, you know, we're always cautious when we have a patient come in and things get better. Or, you know, an individual has anorexia and when that child gains weight parents think, yay, great. We're done. Thank you very much for your help. And we won't ever come in to see you again. And that's not the case.... | well it, is and you know we're always cautious when we have a, patient come in and things get better or you know an individual has anorexia and when that child gains weight parents think yay great we're done thank you, very much for your, help. and we won't ever come in to see you again and that's not the case and we t... | Well it is And you know we're always cautious when we, have a patient come in and things get better Or you know an individual has anorexia and when that; child gains weight parents think yay great We're done Thank you very much for your help And we won't ever come in to see you again And that's not the, case And we; te... | well, it is. and, you know, we're always cautious when we have a patient come in and things get better. or, you know, an individual has anorexia and when that child gains weight parents think, yay, great. we're done. thank you very much for your help. and we won't ever come in to see you again. and that's not the case.... |
And we're going to anticipate roadblocks along the way. And just like with other addictions, that should be anticipated. And we should help the parents -and the patient, too - predict what those are going to be and figure out ways of addressing that before they happen. | and we're going to anticipate roadblocks along the way and just, like. with other addictions that should be anticipated and we should help the parents -and, the patient too - predict what those are going to, be and figure out ways of addressing that before they | And we're going to anticipate roadblocks along the way And just like with other addictions that should be anticipated And we, should help the parents -and the patient too - predict what those are going to. be and figure out ways. of addressing. that before they | and we're going to anticipate roadblocks along the way. and just like with other addictions, that should be anticipated. and we should help the parents -and the patient, too - predict what those are going to be and figure out ways of addressing that before they happen. |
One final call. Let's get Jennifer on the line. Jennifer, another call from Rochester, New York. | one final call let's get jennifer on, the line jennifer another call from rochester new. | One final call Let's get Jennifer on the line Jennifer another call from Rochester New, | one final call. let's get jennifer on the line. jennifer, another call from rochester, new york. |
Yes. Hi. I was wondering - there's an older family member - male family member - in our family who seems to have - seems to be somewhat of an unhealthy kind of preoccupation with maintaining a certain weight. | yes hi i was wondering - there's an older family member - male family; member - in our family who seems to have - seems to be somewhat of an unhealthy kind of preoccupation with maintaining a certain | Yes Hi I was wondering - there's an older family member - male family member - in our family who. seems to have, - seems to be somewhat of an unhealthy kind of preoccupation with. maintaining a certain | yes. hi. i was wondering - there's an older family member - male family member - in our family who seems to have - seems to be somewhat of an unhealthy kind of preoccupation with maintaining a certain weight. |
I was wondering what would generally kind of classify eating disorders in men? And is it any - really any different than that in women? | i was wondering what would generally kind. of classify eating disorders in men? and is it any - really any different than that in | I was wondering. what would generally kind of classify eating, disorders in, men? And is it any, - really any different than that in, | i was wondering what would generally kind of classify eating disorders in men? and is it any - really any different than that in women? |
Well, the diagnostic classifications that we use are pretty much the same for men and women. And the - Ron earlier mentioned the DSM, which is the diagnostic and statistical manual. It's kind of the diagnostic Bible for psychiatry, and it lists different behaviors and other parameters that you must have for certain eat... | well the; diagnostic classifications that we use are pretty much the same for; men and women. and. the, - ron earlier mentioned the dsm which is the diagnostic and statistical manual it's kind of the, diagnostic bible for psychiatry, and it lists different behaviors and other parameters that you must have for certain e... | Well. the diagnostic classifications that we use are pretty much the, same for men and women And the - Ron earlier mentioned the DSM which is the diagnostic and statistical manual It's kind of the diagnostic Bible for psychiatry and it lists different, behaviors and other parameters that you must have for certain eatin... | well, the diagnostic classifications that we use are pretty much the same for men and women. and the - ron earlier mentioned the dsm, which is the diagnostic and statistical manual. it's kind of the diagnostic bible for psychiatry, and it lists different behaviors and other parameters that you must have for certain eat... |
So for example, anorexia nervosa, you have to be below 85 percent of ideal body weight as well as having a morbid fear of fat and some other psychological parameters. Bulimia, you have to have a certain number of binges with compensatory behaviors afterwards. | so for example, anorexia nervosa you have to be below 85 percent of. ideal body weight as well as having a morbid fear of fat and some, other psychological parameters bulimia you have to have a certain number of binges with compensatory behaviors | So for example anorexia nervosa you have to be below 85 percent, of ideal body weight as well as having a morbid fear of fat and some other psychological parameters Bulimia you have to have, a certain number of binges with compensatory behaviors. | so for example, anorexia nervosa, you have to be below 85 percent of ideal body weight as well as having a morbid fear of fat and some other psychological parameters. bulimia, you have to have a certain number of binges with compensatory behaviors afterwards. |
And then binge eating disorder, I think Ron mentioned, you have to have binge eating defined in a specific way and some guilt associated with that that takes place over a certain period of time. | and then, binge eating disorder i think ron mentioned you have to have binge eating defined in a specific way and some. guilt associated with that that takes place over a certain period of | And then binge eating; disorder. I think Ron mentioned you have to have binge eating, defined in a specific way and some guilt, associated with that that takes place, over a certain period of, | and then binge eating disorder, i think ron mentioned, you have to have binge eating defined in a specific way and some guilt associated with that that takes place over a certain period of time. |
OK. All right. Well… | ok all right | OK All right | ok. all right. well… |
And those are - yeah, those are all - those are all listed there. | and those are - yeah. those are all - those are, all listed | And those are - yeah, those are all - those are all listed | and those are - yeah, those are all - those are all listed there. |
…great. | …great. | ||
But here's the interesting thing, is that those are really artificial constructs. And other data has shown that there's this kind of catch-all phrase for eating disorders that don't fit those like artificial categories called eating disorder not otherwise specified. | but here's the; interesting thing is that those are really artificial constructs and other data has shown that there's this kind of catch-all phrase for eating disorders that. don't. fit those. like artificial; categories called eating disorder not otherwise | But here's the interesting thing is that those are really artificial constructs And other data has shown that there's this kind of catch-all phrase for eating disorders that don't fit those, like artificial categories called eating disorder not otherwise | but here's the interesting thing, is that those are really artificial constructs. and other data has shown that there's this kind of catch-all phrase for eating disorders that don't fit those like artificial categories called eating disorder not otherwise specified. |
Mm-hmm. | mm-hmm. | ||
People who come in for treatment who are worried about their eating or their families are worried about their eating, if we look at measures of psychological health and well-being in those folks with eating disorder not otherwise specified, they're just as impaired as those with the diagnosable eating disorders. | people who come in for. treatment who are worried about their eating or their families. are worried about their eating if we look at measures, of psychological health. and well-being in those folks with, eating disorder not otherwise specified. they're just as impaired, as those with the diagnosable eating | People who come in for treatment who are worried about their eating, or their families are worried about their eating if we look at measures of psychological health and well-being in those folks with eating disorder not otherwise specified they're just as impaired as those with the diagnosable eating | people who come in for treatment who are worried about their eating or their families are worried about their eating, if we look at measures of psychological health and well-being in those folks with eating disorder not otherwise specified, they're just as impaired as those with the diagnosable eating disorders. |
Mm-hmm. | mm-hmm. | ||
So those definitions we've got really are kind of blunt instruments for figuring out who has the disorder. And I think I would look at how much it's impairing his life, and as well as his physical health is the most important pieces to look at. | so those definitions we've got really are kind of blunt instruments for figuring, out who has the disorder and i think i would look at how much. it's. impairing his life. and as well, as his physical health is the most, important, pieces to look | So those, definitions we've got. really are kind of blunt instruments for figuring out who has the disorder. And I think I would. look at how much it's impairing his life and as well as his physical health is the most important. pieces to look | so those definitions we've got really are kind of blunt instruments for figuring out who has the disorder. and i think i would look at how much it's impairing his life, and as well as his physical health is the most important pieces to look at. |
All right. Well thank you very much. I - for answering the question. I really - I love the show. | all right well thank you very much i - for answering; the question i really - i love the | All right Well thank you, very much I - for answering, the question I really. - I love the | all right. well thank you very much. i - for answering the question. i really - i love the show. |
Thanks very much, Jennifer. | thanks very much | Thanks very much | thanks very much, jennifer. |
Thank you. | thank | Thank | thank you. |
I appreciate your call. Dr. Bravender, thanks very much for taking the time to be with us today. | i. appreciate your call dr, bravender thanks very much for taking the time to be with us | I appreciate your call Dr Bravender thanks very much, for taking the time, to be with us | i appreciate your call. dr. bravender, thanks very much for taking the time to be with us today. |
All right. Thank you for having me on. | all right thank, you for having me | All right Thank you for having me | all right. thank you for having me on. |
Terrill Bravender, associate professor of pediatric psychiatric and family medicine, director of adolescent medicine at Duke University's Medical Center with us today from a studio on the campus at Duke University. | terrill bravender associate professor of pediatric psychiatric and, family medicine director of adolescent medicine at duke university's medical center with us today, from a studio on the campus at duke | Terrill Bravender associate professor of. pediatric psychiatric and family medicine director of adolescent medicine, at. Duke University's Medical Center with us today from a studio on the campus at Duke | terrill bravender, associate professor of pediatric psychiatric and family medicine, director of adolescent medicine at duke university's medical center with us today from a studio on the campus at duke university. |
When we come back, Smart Car. | when, we come back smart | When we come, back Smart. | when we come back, smart car. |
We have a story next about people who are working on average 64 hours per week. That's a long workweek. Certainly, many American adults work that long, but, in this case, we are talking about children who work 64 hours per week in Bangladesh in violation of that country's labor laws. NPR's Jason Beaubien reports that m... | we have a story next about people who are working on average 64 hours per week, that's a long, workweek certainly many american adults, work that long. but in this case we are talking about, children who work 64 hours per week in bangladesh in violation of that country's labor laws. npr's jason beaubien reports that ma... | We have a. story next about people who are working on average 64 hours per week That's a. long workweek Certainly many American adults work that long but in this case we are talking, about, children who. work 64 hours per week in Bangladesh in violation of that country's labor laws NPR's Jason Beaubien reports that man... | we have a story next about people who are working on average 64 hours per week. that's a long workweek. certainly, many american adults work that long, but, in this case, we are talking about children who work 64 hours per week in bangladesh in violation of that country's labor laws. npr's jason beaubien reports that m... |
Researchers from the London-based Overseas Development Institute surveyed nearly 3,000 households in the slums of Dhaka. They found children as young as 6 employed full time and others working up to 100 hours a week. On average, these kids earned less than $2 a day. | researchers from the london-based overseas development institute surveyed. nearly 3,000 households in the. slums of dhaka they found children, as young as 6 employed full time and others. working up, to 100 hours a week on average these kids earned less than, $2 a | Researchers from the London-based Overseas Development Institute, surveyed, nearly 3,000 households in the slums, of Dhaka They found children as young as 6 employed full time and. others working up to 100 hours a week On average these kids earned less than $2 a | researchers from the london-based overseas development institute surveyed nearly 3,000 households in the slums of dhaka. they found children as young as 6 employed full time and others working up to 100 hours a week. on average, these kids earned less than $2 a day. |
And the prevalence of child labor in Bangladesh is worrisome. | and the prevalence of child labor in bangladesh is | And the prevalence, of child labor in Bangladesh is | and the prevalence of child labor in bangladesh is worrisome. |
Maria Quattri is one of the authors of the study. She says the majority of girls who are employed are toiling in the garment industry. Boys' jobs varied from factory work to construction to selling goods on the streets. The legal age of employment in Bangladesh is 14, although 12 and 13 year olds are permitted to do wh... | maria quattri is one of, the. authors of the study she; says the majority of girls who are employed are toiling, in the. garment industry boys' jobs varied from factory work to construction to selling goods on the streets the legal age of employment in. bangladesh, is 14, although 12 and. 13 year olds are permitted to ... | Maria Quattri is, one of the authors, of the study She says the majority of girls who are employed. are toiling in the garment industry. Boys' jobs varied from factory. work to construction to selling goods on the streets The legal age of employment in Bangladesh is 14, although 12 and 13 year olds are permitted to do ... | maria quattri is one of the authors of the study. she says the majority of girls who are employed are toiling in the garment industry. boys' jobs varied from factory work to construction to selling goods on the streets. the legal age of employment in bangladesh is 14, although 12 and 13 year olds are permitted to do wh... |
My pleasure. | my | My | my pleasure. |
Vote was stuck at a tie until Delaware Democrat Chris Coons offered to switch his vote from yes to present so that Isakson, who's been ailing ever since he had back surgery last year, wouldn't have to come and do a vote at 11:30 at night. After about an hour of waiting, the clerk finally called the vote, and Foreign Re... | vote was stuck at a tie until delaware democrat chris coons offered. to switch his vote from yes to present so that isakson who's been ailing ever since he had back surgery last. year wouldn't have to come and do a vote at. 11:30 at night after about an hour of waiting the. clerk finally called the vote and foreign rel... | Vote was stuck at a tie until, Delaware Democrat Chris Coons. offered to switch his vote from yes to present so, that Isakson who's been ailing ever since he had back surgery. last year. wouldn't have to come and. do a vote, at 11:30 at night. After about an hour, of waiting the clerk finally called. the vote and Forei... | vote was stuck at a tie until delaware democrat chris coons offered to switch his vote from yes to present so that isakson, who's been ailing ever since he had back surgery last year, wouldn't have to come and do a vote at 11:30 at night. after about an hour of waiting, the clerk finally called the vote, and foreign re... |
(SOUNDBITE OF ARCHIVED RECORDING) | (soundbite of archived | (SOUNDBITE OF ARCHIVED | (soundbite of archived recording) |
Eleven ayes, nine noes and one present. | eleven ayes nine noes, and one | Eleven ayes nine noes, and one | eleven ayes, nine noes and one present. |
We'll report him to the floor in a positive manner. I want to thank the members of this committee for the diligence they've displayed. I think we've done the right thing together. I want to thank Senator Coons for being a statesman. | we'll report him. to, the floor in a positive manner i want to thank, the members of this committee for the diligence they've displayed i, think we've done the right thing together i want, to thank senator coons for being a | We'll report him to the floor in. a, positive manner I want to thank the members of this committee for the diligence they've. displayed I think we've done, the right thing together I want to thank Senator Coons; for being a | we'll report him to the floor in a positive manner. i want to thank the members of this committee for the diligence they've displayed. i think we've done the right thing together. i want to thank senator coons for being a statesman. |
We'd been reporting for a long time that he might not clear the committee because a Republican senator, Rand Paul, was going to join the Democrats in voting no. What made Rand Paul change his mind today? | we'd been reporting for a long time. that he might not, clear the. committee because a republican senator rand paul was going to join the democrats in voting no what made, rand paul change his mind | We'd been reporting for. a long time that he. might not clear the committee because a Republican, senator Rand Paul was going to join the Democrats in voting no What made Rand Paul change his mind | we'd been reporting for a long time that he might not clear the committee because a republican senator, rand paul, was going to join the democrats in voting no. what made rand paul change his mind today? |
It was a pretty dramatic flip. Up until today and actually just a few minutes before the vote, Paul said he was going to oppose Pompeo over his position on the Iraq War, his support for more surveillance databases and his position on use of force in North Korea and Iran. Then right before they were supposed to vote, he... | it was a pretty dramatic flip up until today and actually just. a few minutes before the vote paul, said he was going to, oppose pompeo over his position, on. the iraq war his support for more, surveillance databases and his position on use of force in north, korea and iran then. right before they were supposed to vote... | It was, a pretty dramatic flip Up until, today and actually just a few minutes before. the vote Paul said he was going to oppose Pompeo over his position on, the Iraq War his support for more surveillance databases and his position on. use of force in North Korea and Iran Then right before they were supposed to vote he... | it was a pretty dramatic flip. up until today and actually just a few minutes before the vote, paul said he was going to oppose pompeo over his position on the iraq war, his support for more surveillance databases and his position on use of force in north korea and iran. then right before they were supposed to vote, he... |
(SOUNDBITE OF ARCHIVED RECORDING) | (soundbite of. archived | (SOUNDBITE; OF ARCHIVED | (soundbite of archived recording) |
I have changed my mind. I have decided to go ahead and vote for director Pompeo because he's assured me that he's learned the lesson. | i have changed my mind i have decided to go ahead and vote for director pompeo because he's assured, me that he's learned the | I have changed my mind I have decided to go ahead and vote for director Pompeo because he's assured me that he's learned the | i have changed my mind. i have decided to go ahead and vote for director pompeo because he's assured me that he's learned the lesson. |
This isn't a huge shock, but it's a game-changer for Pompeo. If Paul had voted and followed through to say no, Pompeo would have been the first secretary of state nominee in modern history to go to a vote in the full Senate without the support of that committee. | this isn't a. huge shock but it's a game-changer for pompeo if paul had voted and followed through to say no pompeo would have, been the first, secretary of state nominee in modern history to go, to a vote. in the full senate without the, support of that | This isn't a huge shock but it's a game-changer for Pompeo If Paul had voted and followed through to say no Pompeo would. have been the first, secretary of state nominee in modern history to go to a, vote in the full Senate without the support of, that | this isn't a huge shock, but it's a game-changer for pompeo. if paul had voted and followed through to say no, pompeo would have been the first secretary of state nominee in modern history to go to a vote in the full senate without the support of that committee. |
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