Parade 10-21 by The Southern Illinoisan

& S D G OL VIN5 T C SAGE 1 GE GHSEE PA U CO

SUNDAY, OCTOBER 21, 2012

“When you return, there’s this feeling of being isolated in your powerlessness,” says Powers, photographed on Sept. 19 in front of the Korean War Veterans Memorial in Washington, D.C.

A Soldier’s Story What’s it like over there? With his acclaimed new novel, The Yellow Birds, Iraq veteran Kevin Powers answers that question and sheds light on the challenges faced by veterans coming home. © PARADE Publications 2012. All rights reserved.

Walter Scott’s

PARADE

P John Gilchrist at age 3

P Dennis Haysbert

Q: From 24 to the Allstate ads, Dennis Haysbert sounds so distinct. Does that booming voice run in his family?

—Steve A., Broken Arrow, Okla.

A: It does! “All my

brothers have my father’s voice,” says Haysbert, 58, who stars in the upcoming dark comedy The Details. His acting experience in high school also helped hone his signature sound. “We had this 1,200-seat theater with a 50-foot stage and an orchestra pit, so I had to learn to project.”

P Bieber and mom Pattie

Q: Now that Justin Bieber is 18, does his mother still travel with him on tour? —Jessica

Galloway, Houma, La.

A: “Not as much as

I used to,” says Pattie Mallette, 37, who will join her son for part of his Believe tour. “But I trust that he will continue

What would Christina sing on a Voice audition? Find out at Parade .com/voice WALTER SCOTT ASKS …

Christina Aguilera

The Voice coach, 31, releases her new album, Lotus, on Nov. 13. She’ll leave the NBC show for season four, which starts in the spring, but may return for later seasons. Why have you decided to leave The Voice? In order to be great coaches, we have to create great music and be current artists. I needed a break to be out there doing what I love. It only makes me fresh for when I return. How’s your relationship with your fellow coaches? They are the big brothers I always wanted. Blake [Shelton] is the protective one, Cee Lo [Green] is the fun one, and Adam [Levine] and I are the most similar, so we bicker the most, but we all have so much respect and love. Do you pay attention to negative comments about your body and style? To me it’s all noise, and I block it out

as much as I can. I like my body when I have curves. We all come in different shapes and sizes, and that is something to celebrate. What can fans expect from Lotus? It’s a rebirth of sorts. I’ve been through a lot since my last album: being on The Voice and going through a divorce. Lotus reﬂects the personal pain, but more than that, the personal triumph. Send questions to Walter Scott at personality@parade.com or to P.O. Box 5001, Grand Central Station, New York, N.Y. 10163-5001.

P Ginnifer Goodwin

Q: Which fairy-tale characters can we expect to see next on ABC’s Once Upon a Time? —Kim Pratt,

Q: What ever happened to Little Mikey from the 1972 Life cereal ad? —David Hooper, Mount Vernon, Tex.

A: John Gilchrist, 44,

appeared in over 250 commercials; now he’s on the other side of the ad game as director of media sales at New York’s MSG Network. As for the cereal that brought him fame, the father of three says, “My kids like Apple Jacks and Frosted Flakes, but I still sure do like Life!” Q: When did baseball catchers ﬁrst begin giving hand signals? —Dominic

Rockville, Md.

Grillon, Dunedin, Fla.

A: “We’re introducing a

A: According to

fairy-tale villain, Captain Hook [on tonight’s episode],” says Ginnifer Goodwin, 34, who plays Snow White on the drama. “There are also rumors of Jack and the Beanstalk. The character I’d love to see is the Little Mermaid!” Spoiler Alert: See 10 more new characters at wetpaint.com/once.

historians, it was once common for pitchers to give the signs; by 1875, catchers were doing it more because of their less exposed position. Charles “Pop” Snyder, whose career began in 1873 with the Washington Blue Legs, was one of the most prominent catchers to start giving signs.

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to make good decisions.” The two remain close; Justin wrote the foreword to her recent memoir, Nowhere But Up: The Story of Justin Bieber’s Mom. See childhood photos of the singer at Parade.com/bieber.

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TAYLOR MADE Taylor Swift excels at tales of love gone wrong—and sometimes right; her new album, Red, features both. Along with the breakup anthem “We Are Never Ever Getting Back Together” and the scathing “I Knew You Were Trouble,” hopeful ballads about a new romance (“Everything Has Changed,” “State of Grace”) have us rooting for her happily ever after.

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CLYDE Pair a dark suit with a fedora and a printed tie to become one of history’s most notorious outlaws. (Your date can be the other.)

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Six Months in 1945, by veteran reporter Michael Dobbs, vividly chronicles Mi the period from February to August, when Germany surrendered in WWII, the nuclear nucle age began, and the Iron Curtain descended—a short but seminal stretch desce that fundamentally changed the world. fu 4 • October 21, 2012

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FOR THE SPORTS FAN …

Muck City is Bryan Mealer’s evocative portrait of a poverty-stricken town in the Everglades that happens to be home to one of America’s best high school football programs. (Since 1985, it has sent 30 players to the NFL.) In Belle Glade, he writes, football is “salvation itself.”

CLASSIC NERD Tuck in your shirt and button it to the top; add suspenders, big outdated glasses, and your best Steve Urkel impression.

FOR THE NATURE LOVER …

In A Thousand Mornings, Pulitzer Prize– winning poet Mary Oliver explores the coastal landscape of her adopted home on the tip of Cape Cod in Massachusetts. As always, her intimate, poignant observations capture the lessons found in the natural world around us.

PHOTOS, HALLOWEEN ITEMS, CLOCKWISE FROM LEFT: DAVIES AND STARR/GETTY IMAGES; GREGG DELMAN/KEIKO ISAYAMA-VISSER; DAVID COOK; TRAVIS RATHBONE; DAVID ARKY/GETTY IMAGES; GRANT CORNETT; KARINEH GURJIAN ANGELO; PAUL ARMBRUSTER/ BILL LAUGHLIN; DIANE FIELDS/BETIM; ISTOCKPHOTO; CHRIS GENTILE. MOVIE ICONS, FROM LEFT: KEYSTONE FEATURES/GETTY IMAGES; EVERETT COLLECTION (2). GUITAR: THEO WARGO/WIREIMAGE FOR THE NEW YORK POST. BOOKS: RUSS HELLER FOR PARADE

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CONTINUED ON PAGE 6

WORLD’S LARGEST CORN MAZE

’Tis the season to get lost in a cornﬁeld, and there may be no better place to do so than Cool Patch Pumpkins in Dixon, Calif. Mark and Matt Cooley’s recordbreaking and meticulously designed labyrinth (Mark uses Excel to map out the course) winds through a 53-acre sea of stalks. It can take visitors up to two hours to ﬁnd their way out. Tip: Bring a GPS! (Open through Nov. 5; coolpatchpumpkins.com)

CLOUD ATLAS This epic mind bender of a movie follows six story lines taking place over ﬁve centuries, with the main stars (including Tom Hanks and Halle Berry, below, as well as Hugh Grant and Jim Sturgess) playing a variety of sometimes heavily disguised characters. The plots can be hard to follow (themes of freedom, responsibility, and interconnectedness recur), but the ﬁlmmaking—the Wachowskis (The Matrix) and Tom Tykwer (Run Lola Run) directed— is thrilling. (Rated R)

Maze-goers can climb bridges like this one to get their bearings.

MARTHA STEWART’S COOKING SCHOOL You know her; you trust her; you have no doubt that when she demonstrates how to make a perfect hard-boiled egg or velvety hollandaise sauce, it’s gonna work. Martha’s new half-hour series demystiﬁes culinary techniques and offers recipes that both novice and expert cooks will enjoy. As her predecessor Julia Child used to say, “Bon appétit!” (PBS, check local listings)

GEORGIA VS. FLORIDA

It’s one of the bitterest rivalries in college football: For nearly a century, the Georgia Bulldogs and the Florida Gators have been vying for gridiron bragging rights. On Oct. 27, the teams face off again in Jacksonville, Fla. (CBS, 3:30 ET). To fans, the annual matchup is known as the World’s Largest Outdoor Cocktail Party. Watching at home? Kick off the afternoon with great snack ideas from Parade.com/football.

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Q: I often shop for gifts online, and although I can track the package to see that it was delivered, several times I have had to ask recipients if they actually received the gifts. What’s the right thing to do here? I don’t want to look like I’m just fishing for a thankyou. —Name withheld A: First of all, you really should be getting a thankyou, unless the recipient is a total lummox. But putting that issue aside, there is absolutely nothing wrong with asking someone, “Did you receive a package from me?” You don’t have to say anything about what it contained. Because, in fact, any number of things can happen to a package, even if it’s tracked. I still recall a lovely friend sending a “fruit of the month” gift to my ailing mother— undoubtedly a tasty snack for the raccoons, since it arrived during her hospital stay and was left out on the front porch! If my friend hadn’t asked whether my mother had received it, we would never have known about the gift. I still curse those raccoons. —Judith Newman Send your questions to Parade.com/mannerup October 21, 2012 • 7

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Powers (right) in northern Iraq outside Mosul in spring 2004.

COMING HOME

Army veteran Kevin Powers has written what some are calling the ﬁrst great novel of the Iraq war. Here, Powers shares his own experiences as a returning soldier—and what he sees as the challenges facing this new generation of vets. By LYNN SHERR

Cover photograph by MELISSA GOLDEN

In the past decade, more than a million troops have returned from Iraq and Afghanistan, with many thousands more still to come. Kevin Powers is one of them. For Powers, 32, who spent 13 months as a combat engineer in Iraq before returning to the States in 2005, “The question you always get is, ‘What’s it like over there?’” His searing debut novel, The Yellow Birds, tries to answer that question, by capturing the casual brutality and emotional isolation of the war as well as the disquietude of returning home when it no longer feels like home. The book——which centers on two young soldiers, Bartle and Murph, and the promise that binds them together——has been called the first great novel to come out of the Iraq war, earning comparisons to classics like Tim O’Brien’s The Things They Carried and Erich Maria Remarque’s All Quiet on the Western Front. But Powers says, “The most meaningful praise I’ve gotten is from other vets who’ve said that I was able to articulate something that they had been feeling for a really long time but hadn’t been able to express.”

owers grew up on the edge of a middle-class suburb about 30 minutes outside Richmond, where his mother was a mail carrier and his dad worked for Philip Morris. He enlisted in the Army National Guard during his senior year in high school, when he was 17. “I wasn’t the best student and didn’t have a lot of scholarships coming my way. But also I really believed that it was an honorable thing to do,” says Powers. “My father served in the army. My uncle was in the Marine Corps. Both my grandfathers served in the army in World War II. When I looked at the male role models in my life, it seemed that they all had that in common.” His National Guard unit was activated six years later, in December 2003, and the following year he found himself in Mosul and Tal Afar, working as a machine gunner providing security for the soldiers disarming bombs. “We would actually go out and look for IEDs [improvised explosive devices]. If we located one, we would call the [explosive ordnance disposal specialists] and they would come out and destroy them.” Powers calls himself lucky—

in war, that he never got wounded; and back at home, where he found work, got married, and started taking writing and literature classes that nourished a creative spark he’d felt since childhood. (After his discharge, he earned a bachelor’s degree at Virginia Commonwealth University and a master’s degree in poetry from the University of Texas at Austin. He and his wife, Kelly, now live in Florence, Italy.) PARADE talked with Powers about his experience as a returning Iraq veteran and what Americans should know about the years ahead for soldiers coming home. PARADE: In the book, you talk a lot about the dehumanizing effect of war, the numbness. How does

To read or listen to an excerpt from The Yellow Birds, scan this code or visit Parade.com/birds

that affect your ability to reenter civilian life? KEVIN POWERS: As human

beings, we have the blessing and the curse that we’re able to adapt to almost anything. No matter how extreme the circumstances you’re in, they become normal. Then there’s a sense that coming home is a letdown—because you’ve been in this kind of heightened state for so long, just the ordinary nature of everyday life can be confusing and frustrating. What jarred you?

In Iraq, everything mattered: Your survival, your friends’ survival, everything that you did was life or death. And we were very often surrounded by civilians we felt an obligation to, being that our job was to try to locate these IEDs and help to remove that danger for them. So there’s this sense that, right or wrong, what you’re doing is important, and it has an immediate effect on dozens, if not hundreds, of lives. And when you come back, it just doesn’t feel like life matters in the same way. No decision that you make feels like it has any impact. You feel helpless?

There was a really strong sense that my presence was not necessary. Overseas, I was part of a team; people relied on me. When you return, there’s this feeling of being isolated in your powerlessness. Is it common for returning vets to feel that they don’t ﬁt in?

Yes. It’s hard to find people to connect with. [Our peers] share the experiences of growing Powers at a memorial to soldiers up, going to high school, of the U.S. Army’s 2nd Division in Washington, D.C. ﬁrst loves. But then there’s October 21, 2012 • 9

Coming Home | from page 9

that compressed life experience you get from being in an extreme situation. We know about fear in a way that few people know. And you immediately recognize that very few people understand what that’s like. In the book, you write that on the way home, some soldiers say, “Well, what now?”

I felt that very strongly. There can be a profound feeling of aimlessness and purposelessness. You can get back into life or, sadly, you can be lost. Suicides are rampant. A lot of [returning vets] turn to alcohol and drugs. There’s a huge amount of pain.

Part of that is feeling that somehow you’re unequipped to participate fully in life, because some percentage of your attention, your being, your inner life is dedicated to dealing with the residue of your experience. And your experience has been killing, in many cases.

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Yeah, or witnessing killing, or dealing with the aftermath of killing. I mean, we’re talking about the worst thing that human beings can do to each other, and having that be normal. So when you come back, it doesn’t stay distant the way that other memories do. And even the kind of physical responses that you develop to what’s happening around you … For instance?

Noises and smells, those can bring back powerful memories. I remember when I was going to school one Fourth of July, and there were a lot of fireworks going off. I knew that I was in

PHOTOS, OPENING SPREAD, FROM LEFT: COURTESY OF KEVIN POWERS; MELISSA GOLDEN FOR PARADE

You describe Bartle [the main character in The Yellow Birds] as having turned into “a kind of cripple” when he returns home.

SWEEPSTAKES FACTS: Giveaway No. 1830; End Date: 2/28/15; Est. Odds of Winning: 1 in 1,215,500,000 You Have Not Yet Won. All Entries Have the Same Chance of Winning. We don’t know who the winner is. Enter For Free. You don’t have to buy anything to enter. Enter As Often As You Like. You may submit additional entries by writing to the address provided. Each entry request must be mailed 10 • October 21, 2012 separately. Buying Won’t Help You Win. Your chances of winning are the same as someone who buys something. © PARADE Publications 2012. All rights reserved.

Richmond. I knew that I was a college student. But I thought people were shooting at me. It took a little while to recognize that things were okay. That it wasn’t somebody trying to kill you.

There are so many choices to make when you get home. Is that overwhelming, too?

Absolutely. Just on a functional level of going from an experience where you knew exactly what you had to do. Because somebody told you?

Because somebody told you. And it may be the most difﬁcult thing that

Five more books from the newest generation of veterans

When you returned to civilian life, you had no college degree. But you were lucky: You got a job. And you went back to school.

Here, Bullet The strongest poems from Brian Turner’s collection distill both grisly reality and the unlikely ﬂashes of beauty he witnessed during his year in Iraq as an army infantry team leader.

I spent the summer after I got back framing houses with my brother. And then I got a job at a credit card company here in [Richmond], answering phones. I’d been writing since I was a kid, but I had more or less stopped. At VCU, I really started to remember how much I enjoyed writing and

continued on page 17

The Mullah’s Storm In Thomas Young’s

action-packed thriller, a U.S. transport plane carrying a captured Taliban leader crashes in the Hindu Kush mountain range. Deep in enemy territory, Air Force Maj. Michael Parson and Army Sgt. Sophia Gold try to claw their way out—with the bad guy in tow.

Rule Number Two: Lessons I Learned in a Combat Hospital Heidi Squier Kraft, Ph.D., a navy psychologist, spent seven months at an air base in Iraq helping soldiers battered by trauma and loss. As a professional, she couldn’t share her feelings with patients, but she shares them with readers in this moving memoir.

Fobbit In David Abrams’s darkly funny book, “fobbits”— troops who rarely leave the security of their forward operating base— mix uncomfortably with those

who venture into dangerous Baghdad streets every day.

The Long Walk: A Story of War and the Life That Follows Brian Castner drops the reader into his dusty boots as he runs explosive ordnance disposal missions during two of his tours in Iraq. But this memoir also tells the equally powerful story of Castner’s battle against the demons of posttraumatic stress disorder. —Brian Palmer For more of our selections, go to Parade.com /veterans

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Right. And there’s a certain kind of smell—it’s like a diesel engine smell. Something about that would immediately put me—you know, like I was back there. If I’m walking down the street and a city bus goes by, I’ll catch a whiff and just kind of take a second.

GIVING VOICE TO THE WAR

you ever had to do in your life, but you knew what you were supposed to do. And then coming home, [you have] essentially no direction. I think “rudderless” is probably an appropriate way of describing it. You see the world; you see all these directions that you could go. How do you possibly begin to decide? Particularly if you’re feeling emotionally numbed.

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Sunday with ... unmistakable voice and spiky head of hair, British rocker Rod Stewart hits the stage as passionately today as he did when he started out nearly 50 years ago. “I love what I do,” says Stewart, 67. “I smile from one ear to the other.” The father of eight, who lives in Beverly Hills with his third wife, Penny, and young sons Alastair and Aiden, talks about his life and career in his memoir, ROD: The Autobiography, out Oct. 23. “It’s been a life well lived,” he tells Erin Hill. “I’ve enjoyed it and will continue to enjoy it.”

What’s your secret to staying on good terms with your exes? I think just being honest. I don’t always see eye to eye with [ﬁrst wife] Alana; we have our battles, usually about ﬁnancial things. It can get stormy sometimes, but we always agree in the end. What makes your marriage to Penny work? I had been damaged in my

What are your Sundays like? Sunday is a big day for football; I’m either playing or watching. In the evening, we have about 15 friends over for a Sunday roast. You received a lot of flak from critics for your 1978 hit “Da Ya Think I’m Sexy?” Do you still enjoy performing it? I love it! It’s the last song that we do in concert. The crowd just goes mad. The critics never got it, but I think back in those days they just didn’t like me. I seem to have won them over! What do you think is sexy? It’s in the eyes. I’ve been out with some extremely beautiful women who have had no sex appeal whatsoever. It really is a lot more than skin deep.

PARADE There’s a chapter in

your book about your gravitydefying hair. What would you have done if you’d gone bald? I would have probably had it all chopped off, or I would have done exactly what E Elton John’s done and had a specta spectacular weave. I’m ve very lucky. I’ve st still got a brilliant h head of hair, which refuses to lay do down!

yoga, and I still play football [American soccer].

Rod Stewart

The resilient rocker opens up about family, football, and the joys of being follically blessed

marriage before [to Rachel Hunter], so I was reluctant to get married. We took our time in our courtship. She’s British, which helps; she’s wonderful, she’s not bad looking, and she really cares about people. Your youngest son, Aiden, will be 2 in February. How is fatherhood now? It’s a lot more enjoyable because I have

the luxury of making time for my kids. When [my two with Alana] were born, I was shaping a career and working hard. Now I take time off and dedicate it to them. If there were ever a fountain of youth, that would be it!

See Rod through the years at Parade.com /stewart

Where do you get the energy to be onstage night after night? I keep myself ﬁt. I work at it. I do

Your new album, Merry Christmas, Baby, will be out Oct. 30. Whose music do you like to play during the holidays? I love playing the Westminster Abbey boys’ choir. It’s beautiful. What are some of your favorite holiday traditions? We go to football matches and have the big turkey dinner with the family. I’m going to play Father Christmas one more time for my son Alastair. He’ll be 7, and that’s when kids start to wonder about Father Christmas. But it’s a lovely thing to do: Put the red outﬁt on and walk around the garden.

PHOTOS, FROM TOP: PENNY LANCASTER; ISTOCKPHOTO

MY LIFE HAS BEEN AN OPEN BOOK. I MAKE NO APOLOGIES FOR ANYTHING I’VE DONE.”

ith that

12 • October 21, 2012

Ask Marilyn By Marilyn vos Savant

My fat-free milk is labeled “homogenized.” But doesn’t this process mix the fat into the milk so that it doesn’t separate and rise to the top? How can milk be fat-free and homogenized? —A. Boudreau, Boston

After milk is separated (usually with a centrifuge) into its various components, they are combined to make products such as butter, cream, whole milk, 2 percent and 1 percent milks, skim milk, and more. The various milks are then homogenized, which prevents their fatty solids from rising to the top—even skim milk has a small percentage of fat—and gives them a smooth, even consistency.

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the art of passing through the exit door of a coffeehouse with a stroller, a handbag, and a hot beverage

If you can’t get enough of Numbrix in the pages of PARADE, now you can play on your phone or tablet. Compete against the clock, or just have fun, as you exercise your mind. It’s a game for players of all ages. (Apple devices, Android devices, and Kindle Fire).

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Numbrix

Complete 1 to 81 so the numbers follow a horizontal or vertical path—no diagonals.

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Kennections By Ken Jennings HOW TO PLAY

All five correct answers have something in common. Can you figure out what it is?

1. Author Lewis Carroll was born in what English county, whose cats he later made famous?

✎ 2. What supergroup formed in 1966 when Eric Clapton met two members of a British jazz quintet, Jack Bruce and Ginger Baker?

✎ 3. What color are both letter Gs in Google’s standard logo?

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4. What was the married name of both Alexis and Fallon Carrington on the TV soap Dynasty?

✎ 5. Of what nationality is 17-time Grand Slam winner Roger Federer?

✎ WHAT’S THE “KENNECTION” BETWEEN ALL FIVE ANSWERS?

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14 • October 21, 2012

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16 • October 21, 2012

Coming Home | from page 11

reading, having discussions. What about those who don’t find work? Unemployment for returning vets is a huge problem. How much does it affect a returning vet if he or she can’t ﬁnd a job?

I can’t imagine having that added anxiety, trying to reintegrate, trying to adjust, if I didn’t know where I was going to live, if I didn’t know how I was going to eat. And, you know, I’m not sure how [that anxiety] inﬂuences an employer’s decision to hire a vet or not. After I had been at one job for a couple months, the person who hired me said he had worried about hiring a vet, because he thought I might have lots of problems. But I think the reverse can also be true. I mean, I think the difficulty of entering back into the world, Are you a veteran? Share not only does your own that apply to homecoming experience personal relaat Parade.com tionships and /veterans relationships with family, it can make it difﬁcult to reach out to potential employers. It’s, “How am I going to interact with these people if I get a job? They’re not going to understand me.” Bartle doesn’t seem to be able to fit in when he comes back. Was that your experience?

It can be hard to make friends. Even basic things [get in the way], like wondering why people are late. They’re showing up 10 minutes late and they don’t care. And you’re thinking, “Do these people know how lucky they are?”

The CDC now also recommends routine vaccination for boys 11–12 years old.

Boys can be affected by HPV disease too. GARDASIL HELPS PROTECT BOTH YOUR SON AND DAUGHTER.

When it comes to human papillomavirus (HPV), females are only half the equation. There are 30 to 40 types of HPV that will affect an estimated 75% to 80% of males and females in their lifetime. For most, HPV clears on its own. But, for others who don’t clear certain types, HPV could cause cervical cancer in females and other types of HPV could cause genital warts in both males and females. And there’s no way to predict who will or won’t clear the virus. GARDASIL is the only HPV vaccine that helps protect against 4 types of HPV. In girls and young women ages 9 to 26, GARDASIL helps protect against 2 types of HPV that cause about 75% of cervical cancer cases, and 2 more types that cause 90% of genital warts cases. In boys and young men ages 9 to 26, GARDASIL helps protect against 90% of genital warts cases. GARDASIL may not fully protect everyone, nor will it protect against diseases caused by other HPV types or against diseases not caused by HPV. GARDASIL does not prevent all types of cervical cancer, so it’s important for women to continue routine cervical cancer screenings. GARDASIL does not treat cervical cancer or genital warts. GARDASIL is given as 3 injections over 6 months.

IMPORTANT SAFETY INFORMATION Anyone who is allergic to the ingredients of GARDASIL, including those severely allergic to yeast, should not receive the vaccine. GARDASIL is not for women who are pregnant. The side effects include pain, swelling, itching, bruising, and redness at the injection site, headache, fever, nausea, dizziness, vomiting, and fainting. Fainting can happen after getting GARDASIL. Sometimes people who faint can fall and hurt themselves. For this reason, your child’s health care professional may ask your child to sit or lie down for 15 minutes after he or she gets GARDASIL. Some people who faint might shake or become stiff. This may require evaluation or treatment by your child’s health care professional. Only a doctor or health care professional can decide if GARDASIL is right for your child. You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch or call 1-800-FDA-1088. Please read the Patient Information on the next page and discuss it with your child’s doctor or health care professional.

Talk to your child’s doctor about GARDASIL.

to complete

MAKE SURE YOU GET ALL 3 DOSES SO THAT YOU GET THE BEST PROTECTION.

Meaning that they didn’t see what you saw over there?

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1-800-GARDASIL VACC-1019194-0004 03/12

USPPI 9883616 Patient Information about ® GARDASIL (pronounced “gard-Ah-sill”) Generic name: [Human Papillomavirus Quadrivalent (Types 6, 11, 16, and 18) Vaccine, Recombinant] Read this information with care before getting GARDASIL.1 You (the person getting GARDASIL) will need 3 doses of the vaccine. It is important to read this leaﬂet when you get each dose. This leaﬂet does not take the place of talking with your health care provider about GARDASIL. What is GARDASIL? GARDASIL is a vaccine (injection/shot) that is used for girls and women 9 through 26 years of age to help protect against the following diseases caused by Human Papillomavirus (HPV): 𰃊𰁕𰃊 C 𰃊 ervical cancer 𰃊𰁕𰃊 V 𰃊 ulvar and vaginal cancers 𰁕 Anal cancer 𰃊𰁕𰃊 G 𰃊 enital warts 𰃊𰁕𰃊 P 𰃊 recancerous cervical, vaginal, vulvar, and anal lesions GARDASIL is used for boys and men 9 through 26 years of age to help protect against the following diseases caused by HPV: 𰁕 Anal cancer 𰁕 Genital warts 𰁕 Precancerous anal lesions The diseases listed above have many causes, and GARDASIL only protects against diseases caused by certain kinds of HPV (called Type 6, Type 11, Type 16, and Type 18). Most of the time, these 4 types of HPV are responsible for the diseases listed above. GARDASIL cannot protect you from a disease that is caused by other types of HPV, other viruses, or bacteria. GARDASIL does not treat HPV infection. You cannot get HPV or any of the above diseases from GARDASIL. What important information about GARDASIL should I know? 𰃊𰁕𰃊 Y 𰃊 ou should continue to get routine cervical cancer screening. 𰃊𰁕𰃊 G 𰃊 ARDASIL may not fully protect everyone who gets the vaccine. 𰃊𰁕𰃊 G 𰃊 ARDASIL will not protect against HPV types that you already have. Who should not get GARDASIL? You should not get GARDASIL if you have, or have had: 𰃊𰁕𰃊 a 𰃊 n allergic reaction after getting a dose of GARDASIL. 𰃊𰁕𰃊 a 𰃊 severe allergic reaction to yeast, amorphous aluminum hydroxyphosphate sulfate, polysorbate 80. What should I tell my health care provider before getting GARDASIL? Tell your health care provider if you: 𰃊𰁕𰃊 a 𰃊 re pregnant or planning to get pregnant. GARDASIL is not recommended for use in pregnant women. 𰃊𰁕𰃊 h 𰃊 ave immune problems, like HIV infection, cancer, or you take medicines that affect your immune system. 𰃊𰁕𰃊 h 𰃊 ave a fever over 100°F (37.8°C). 𰃊𰁕𰃊 h 𰃊 ad an allergic reaction to another dose of GARDASIL. 𰃊𰁕𰃊 t𰃊ake any medicines, even those you can buy over the counter. Your health care provider will help decide if you should get the vaccine.

Can other vaccines and medications be given at the same time as GARDASIL? GARDASIL can be given at the same time as RECOMBIVAX HB®1 [hepatitis B vaccine (recombinant)] or Menactra [Meningococcal (Groups A, C, Y and W-135) Polysaccharide Diphtheria Toxoid Conjugate Vaccine] and Adacel [Tetanus Toxoid, Reduced Diphtheria Toxoid and Acellular Pertussis Vaccine Adsorbed (Tdap)]. What are the possible side effects of GARDASIL? The most common side effects with GARDASIL are: 𰃊𰁕𰃊𰃊pain, swelling, itching, bruising, and redness at the injection site 𰃊𰁕𰃊𰃊headache 𰃊𰁕𰃊𰃊fever 𰃊𰁕𰃊𰃊nausea 𰃊𰁕𰃊𰃊dizziness 𰃊𰁕𰃊𰃊vomiting 𰃊𰁕𰃊𰃊fainting There was no increase in side effects when GARDASIL was given at the same time as RECOMBIVAX HB [hepatitis B vaccine (recombinant)]. There was more injection-site swelling at the injection site for GARDASIL when GARDASIL was given at the same time as Menactra [Meningococcal (Groups A, C, Y and W-135) Polysaccharide Diphtheria Toxoid Conjugate Vaccine] and Adacel [Tetanus Toxoid, Reduced Diphtheria Toxoid and Acellular Pertussis Vaccine Adsorbed (Tdap)]. Tell your health care provider if you have any of the following problems because these may be signs of an allergic reaction: 𰃊𰁕𰃊𰃊difﬁculty breathing 𰃊𰁕𰃊𰃊wheezing (bronchospasm) 𰃊𰁕𰃊𰃊hives 𰃊𰁕𰃊𰃊rash Tell your health care provider if you have: 𰃊𰁕𰃊𰃊swollen glands (neck, armpit, or groin) 𰃊𰁕𰃊𰃊joint pain 𰃊𰁕𰃊𰃊unusual tiredness, weakness, or confusion 𰃊𰁕𰃊𰃊chills 𰃊𰁕𰃊𰃊generally feeling unwell 𰃊𰁕𰃊𰃊leg pain 𰃊𰁕𰃊𰃊shortness of breath 𰃊𰁕𰃊𰃊chest pain 𰃊𰁕𰃊𰃊aching muscles 𰃊𰁕𰃊𰃊muscle weakness 𰃊𰁕𰃊𰃊seizure 𰃊𰁕𰃊𰃊bad stomach ache 𰃊𰁕𰃊𰃊bleeding or bruising more easily than normal 𰁕 skin infection Contact your health care provider right away if you get any symptoms that concern you, even several months after getting the vaccine.

How is GARDASIL given? GARDASIL is a shot that is usually given in the arm muscle. You will need 3 shots given on the following schedule: 𰃊𰁕𰃊 D 𰃊 ose 1: at a date you and your health care provider choose. 𰃊𰁕𰃊 D 𰃊 ose 2: 2 months after Dose 1. 𰃊𰁕𰃊 D 𰃊 ose 3: 6 months after Dose 1.

For a more complete list of side effects, ask your health care provider.

Fainting can happen after getting GARDASIL. Sometimes people who faint can fall and hurt themselves. For this reason, your health care provider may ask you to sit or lie down for 15 minutes after you get GARDASIL. Some people who faint might shake or become stiff. This may require evaluation or treatment by your health care provider.

This leaflet is a summary of information about GARDASIL. If you would like more information, please talk to your health care provider or visit www.gardasil.com.

Make sure that you get all 3 doses on time so that you get the best protection. If you miss a dose, talk to your health care provider.

Issued April 2011

What are the ingredients in GARDASIL? The ingredients are proteins of HPV Types 6, 11, 16, and 18, amorphous aluminum hydroxyphosphate sulfate, yeast protein, sodium chloride, L-histidine, polysorbate 80, sodium borate, and water for injection.

Manufactured and Distributed by: Merck Sharp & Dohme Corp., a subsidiary of Merck & Co., Inc. Whitehouse Station, NJ 08889, USA

VACC-1019194-0004 03/12

Coming Home | from page 17

life is precious and fragile, and taking it for granted just seems kind of bafﬂing. What about the attitude of this country toward the war in which you served? In the book, Bartle refers to “the dull world that ignored our little pest of a war.”

It’s complicated. I understand that it’s incredibly difficult to watch what’s happening on the news every day and not become inured to it. I’ve fallen victim to that myself, wanting to look away. But I also felt powerful resentment that it seemed like nobody cared that we had gotten into this thing without thinking what the consequences would be. And does that in your mind diminish what you’ve just done with your life for a couple years?

It’s a disconnect. You might think of your experience and then say, “Nobody even knows or cares.” We’re in the middle of a presidential race. What are the larger issues you’d like to see discussed? What’s missing from the dialogue?

In some ways, the dialogue itself is missing. It seems the public conversation has disappeared. There are still soldiers in Afghanistan right now. There might be a wounded soldier as we speak who is feeling his life slipping away from him. And it doesn’t warrant a mention in some venues. I think that’s tragic. Veterans Day is coming up. What should Americans think about?

I think making sure that there are opportunities in place, knowing what some veterans have given, parts of their lives that they’ll never get back, parts of their bodies that they’ll never get back. Having some sort of safety net in place, to me, seems like it should be a key feature of any sort of 18 • October 21, 2012

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political discussion. I know there are exceptions, but in my experience, to a man, every person that I served with wanted to contribute to our country, felt that it was something that they could do on behalf of their fellow citizens. Toward the end of The Yellow Birds, Bartle says, “I don’t want desert. I don’t want prairie. I don’t want plains. I don’t want anything unbroken. I’d rather look at the mountains, something manageable and ﬁnite that could break up and ﬁx the earth into parcels small enough that they could be contended with.”

He wants a life he feels he has some, maybe not control over, but some agency in. He wants to have a life that’s manageable, that he doesn’t feel overwhelmed by. Because coming home can be so overwhelming?

Because the entirety of the experience is overwhelming, the ﬁghting, the coming home, the readjusting. So, I think, in his case, he has a desire to live simply, to just be ordinary.

PHOTO: COURTESY OF KEVIN POWERS

Is that what you’ve seen in other returning vets?

I do. And I think a lot of the guys I know and a lot of people I’ve talked to, what they want is very often what most people want, a kind of simple life, a livelihood, a family, people who care about them, people they can care about. I think vets on the whole want the same things that everybody else does.

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By Connie Schultz

“You Look Just Like …” What do you do when you realize Mom’s most irritating habit has become your own? ME, MYSELF, AND I

Did I ever really look like Marlo Thomas, Sally Field, Mary Tyler Moore, and Jane Pauley?

never met anyone who’s unique?” She tilted her head up and smiled. “Oh, honey, you’ll see. We all look like somebody.” The ﬁrst time it happened to me, I was with Mom, watching my 10-month-old daughter toddle around a food court. She was wide-eyed and giggling, her single wisp of hair an exclamation mark at the top of her head. “Oh, my gosh,” I said. “She looks just like Cindy Lou Who in How the Grinch Stole Christmas!” Mom nodded. “I wasn’t going to say anything. …” These days, everyone resembles someone else. My friend Sarah reminds me of a girl from my high school. Whenever Jackie scoffs at life’s absurdities, I see Auntie Mame. My son looks more and more like John Lennon in the Yoko years. My mother is no longer around to point out who looks like me, but others have stepped up to take her place. Just last month, I was listening to a U.S. senator’s speech when she suddenly pointed to me and said, “Diane, you know what I mean.” Even as I shook my head, she went on and on about me, Diane. She had mistaken me for a member of Congress. Mom would have loved that. “Connie could’ve been Diane,” she would have said, loudly.

PHOTOS, FROM TOP: COURTESY OF CONNIE SCHULTZ; ABC PHOTO ARCHIVES/ABC VIA GETTY IMAGES (2); CBS PHOTO ARCHIVE/GETTY IMAGES; NBC/NBC NEWSWIRE

s soon as the cashier we walked to the car. said hello, my hus“Did we just do that?” I asked band and I turned to as Sherrod turned the key. each other and said, “Emily.” “We did,” he said. Overnight, The woman smiled and shook we’d both become my mother. her head. “Not my name, sorry.” By the time Mom was 30, she “No, no,” I said. “You sound just couldn’t meet anyone without like our friend Emily.” announcing that they resembled “Just like her,” Sherrod said. someone she knew. My baton She smiled again, but this time teacher looked like the soprano it was a smile of pity. Oh, right, your who sat next to her in the choir. friend Emily. Whaateevver. “The one who’s really an alto,” Because we are self-absorbed Mom whispered in my ear. I was baby boomers, this did nothing to 8 at the time. deter us from telling her all about Our mailman looked like her Emily. How she’s an accountant father’s mother. “Yep,” she said. and lives in Boston. How she’s “Put a wig on him and he’s always so busy at tax time. How Grandma BeBout.” she wears her annoying Red Sox She was forever tagging me T-shirt when she as the double of knows we’re diemake-believe women I CAN NO hard Indians fans. played by chirpy LONGER “Remember when actresses. First, I MEET ANYONE she wore it at the was Marlo Thomas’s WITHOUT playoffs?” Sherrod Ann Marie. Then ANNOUNCING said. I was Sally Field’s THAT THEY “Right in front of F lying Nun. By REMIND ME OF us,” I said. We both high school, I was SOMEONE ELSE. shook our heads. I the spitting image gestured toward the o f M a r y Ty l e r cashier. “Not that we don’t love Moore’s Mary Richards. Except Emily. She’s wonderful.” when I was news anchor Jane “Wonderful,” Sherrod said. Pauley. “I just saw Jane again on “And you sound just like her.” the Today show,” she’d say. “You “Twelve thirty-nine,” the cashier look just like her when you wear said. that little bow necktie.” “Beg pardon?” After Mom declared my first “Twelve dollars and 39 cents.” roommate to be the long-lost twin “Oh, right,” I said. “Sorry.” of Audrey Hepburn, “but only The heat traveled up my neck as when she wears a turtleneck,” I I waited for the change. Silently, turned to her and said, “Have you 20 • October 21, 2012

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22 • October 21, 2012

Medication Guide JANUVIAÂŽ (jah-NEW-vee-ah) (sitagliptin) Tablets Read this Medication Guide carefully before you start taking JANUVIA and each time you get a reďŹ ll. There may be new information. This information does not take the place of talking with your doctor about your medical condition or your treatment. If you have any questions about JANUVIA, ask your doctor or pharmacist. What is the most important information I should know about JANUVIA? Serious side effects can happen in people taking JANUVIA, including inďŹ&#x201A;ammation of the pancreas (pancreatitis) which may be severe and lead to death. Certain medical problems make you more likely to get pancreatitis. Before you start taking JANUVIA: Tell your doctor if you have ever had s PANCREATITIS s STONES IN YOUR GALLBLADDER GALLSTONES s A HISTORY OF ALCOHOLISM s HIGH BLOOD TRIGLYCERIDE LEVELS s KIDNEY PROBLEMS Stop taking JANUVIA and call your doctor right away if you have pain in your stomach area (abdomen) that is severe and will not go away. The pain may be felt going from your abdomen through to your back. The pain may happen with or without vomiting. These may be symptoms of pancreatitis. What is JANUVIA? s *!.56)! IS A PRESCRIPTION MEDICINE USED ALONG WITH DIET AND EXERCISE TO LOWER BLOOD SUGAR IN ADULTS WITH type 2 diabetes. s *!.56)! IS NOT FOR PEOPLE WITH TYPE DIABETES s *!.56)! IS NOT FOR PEOPLE WITH DIABETIC KETOACIDOSIS INCREASED KETONES IN YOUR BLOOD OR URINE s )F YOU HAVE HAD PANCREATITIS INmAMMATION OF THE PANCREAS IN THE PAST IT IS NOT KNOWN IF YOU HAVE A HIGHER chance of getting pancreatitis while you take JANUVIA. s )T IS NOT KNOWN IF *!.56)! IS SAFE AND EFFECTIVE WHEN USED IN CHILDREN UNDER YEARS OF AGE Who should not take JANUVIA? Do not take JANUVIA if: s YOU ARE ALLERGIC TO ANY OF THE INGREDIENTS IN *!.56)! 3EE THE END OF THIS -EDICATION 'UIDE FOR A COMPLETE LIST OF ingredients in JANUVIA. Symptoms of a serious allergic reaction to JANUVIA may include: s RASH s RAISED RED PATCHES ON YOUR SKIN HIVES s SWELLING OF THE FACE LIPS TONGUE AND THROAT THAT MAY CAUSE DIFlCULTY IN BREATHING OR SWALLOWING What should I tell my doctor before taking JANUVIA? Before you take JANUVIA, tell your doctor if you: s HAVE OR HAVE HAD INmAMMATION OF YOUR PANCREAS PANCREATITIS s HAVE KIDNEY PROBLEMS s HAVE ANY OTHER MEDICAL CONDITIONS s ARE PREGNANT OR PLAN TO BECOME PREGNANT )T IS NOT KNOWN IF *!.56)! WILL HARM YOUR UNBORN BABY )F YOU ARE pregnant, talk with your doctor about the best way to control your blood sugar while you are pregnant. Pregnancy Registry: If you take JANUVIA at any time during your pregnancy, talk with your doctor about how you can join the JANUVIA pregnancy registry. The purpose of this registry is to collect information about the health of you and your BABY 9OU CAN ENROLL IN THIS REGISTRY BY CALLING s ARE BREAST FEEDING OR PLAN TO BREAST FEED )T IS NOT KNOWN IF *!.56)! WILL PASS INTO YOUR BREAST MILK 4ALK WITH YOUR doctor about the best way to feed your baby if you are taking JANUVIA. Tell your doctor about all the medicines you take, INCLUDING PRESCRIPTION AND NON PRESCRIPTION MEDICINES VITAMINS and herbal supplements. Know the medicines you take. Keep a list of your medicines and show it to your doctor and pharmacist when you get a new medicine. How should I take JANUVIA? s 4AKE *!.56)! TIME EACH DAY EXACTLY AS YOUR DOCTOR TELLS YOU s 9OU CAN TAKE *!.56)! WITH OR WITHOUT FOOD s Take JANUVIA tablets whole. Do not split, crush, or chew JANUVIA tablets before swallowing. If you cannot

swallow JANUVIA tablets whole tell your doctor.

s 9OUR DOCTOR MAY DO BLOOD TESTS FROM TIME TO TIME TO SEE HOW WELL YOUR KIDNEYS ARE WORKING 9OUR DOCTOR MAY change your dose of JANUVIA based on the results of your blood tests. s 9OUR DOCTOR MAY TELL YOU TO TAKE *!.56)! ALONG WITH OTHER DIABETES MEDICINES ,OW BLOOD SUGAR CAN HAPPEN MORE OFTEN when JANUVIA is taken with certain other diabetes medicines. See â&#x20AC;&#x153;What are the possible side effects of JANUVIA?â&#x20AC;?. s )F YOU MISS A DOSE TAKE IT AS SOON AS YOU REMEMBER )F YOU DO NOT REMEMBER UNTIL IT IS TIME FOR YOUR NEXT DOSE skip the missed dose and go back to your regular schedule. Do not take two doses of JANUVIA at the same time. s )F YOU TAKE TOO MUCH *!.56)! CALL YOUR DOCTOR OR LOCAL 0OISON #ONTROL #ENTER RIGHT AWAY s 7HEN YOUR BODY IS UNDER SOME TYPES OF STRESS SUCH AS FEVER TRAUMA SUCH AS A CAR ACCIDENT INFECTION OR surgery, the amount of diabetes medicine that you need may change. Tell your doctor right away if you have any of these conditions and follow your doctorâ&#x20AC;&#x2122;s instructions. s #HECK YOUR BLOOD SUGAR AS YOUR DOCTOR TELLS YOU TO

s 3TAY ON YOUR PRESCRIBED DIET AND EXERCISE PROGRAM WHILE TAKING *!.56)! s 4ALK TO YOUR DOCTOR ABOUT HOW TO PREVENT RECOGNIZE AND MANAGE LOW BLOOD SUGAR HYPOGLYCEMIA HIGH BLOOD sugar (hyperglycemia), and problems you have because of your diabetes. s 9OUR DOCTOR WILL CHECK YOUR DIABETES WITH REGULAR BLOOD TESTS INCLUDING YOUR BLOOD SUGAR LEVELS AND YOUR HEMOGLOBIN ! # What are the possible side effects of JANUVIA? Serious side effects have happened in people taking JANUVIA. s 3EE â&#x20AC;&#x153;What is the most important information I should know about JANUVIA?â&#x20AC;?. s Low blood sugar (hypoglycemia). If you take JANUVIA with another medicine that can cause low blood sugar, such as a sulfonylurea or insulin, your risk of getting low blood sugar is higher. The dose of your sulfonylurea medicine or insulin may need to be lowered while you use JANUVIA. Signs and symptoms of low blood sugar may include: s HEADACHE s IRRITABILITY s DROWSINESS s HUNGER s WEAKNESS s FAST HEART BEAT s DIZZINESS s SWEATING s CONFUSION s FEELING JITTERY s Serious allergic reactions. If you have any symptoms of a serious allergic reaction, stop taking JANUVIA and call your doctor right away. See â&#x20AC;&#x153;Who should not take JANUVIA?â&#x20AC;?. Your doctor may give you a medicine for your allergic reaction and prescribe a different medicine for your diabetes. s Kidney problems, sometimes requiring dialysis The most common side effects of JANUVIA include: s UPPER RESPIRATORY INFECTION s STUFFY OR RUNNY NOSE AND SORE THROAT s HEADACHE JANUVIA may have other side effects, including: s STOMACH UPSET AND DIARRHEA s SWELLING OF THE HANDS OR LEGS WHEN *!.56)! IS USED WITH ROSIGLITAZONE !VANDIAÂŽ 2OSIGLITAZONE IS ANOTHER TYPE of diabetes medicine. These are not all the possible side effects of JANUVIA. For more information, ask your doctor or pharmacist. Tell your doctor if you have any side effect that bothers you, is unusual or does not go away. #ALL YOUR DOCTOR FOR MEDICAL ADVICE ABOUT SIDE EFFECTS 9OU MAY REPORT SIDE EFFECTS TO &$! AT &$! How should I store JANUVIA? 3TORE *!.56)! AT Â & TO Â & Â # TO Â # Keep JANUVIA and all medicines out of the reach of children. General information about the use of JANUVIA Medicines are sometimes prescribed for purposes that are not listed in Medication Guides. Do not use JANUVIA for a condition for which it was not prescribed. Do not give JANUVIA to other people, even if they have the same symptoms you have. It may harm them. 4HIS -EDICATION 'UIDE SUMMARIZES THE MOST IMPORTANT INFORMATION ABOUT *!.56)! )F YOU WOULD LIKE TO KNOW MORE information, talk with your doctor. You can ask your doctor or pharmacist for additional information about JANUVIA that is written for health professionals. For more information, go to www.JANUVIA.com OR CALL What are the ingredients in JANUVIA? Active ingredient: sitagliptin. Inactive ingredients: microcrystalline cellulose, anhydrous dibasic calcium phosphate, croscarmellose sodium, magnesium stearate, and sodium stearyl fumarate. The tablet ďŹ lm coating contains the following inactive ingredients: POLYVINYL ALCOHOL POLYETHYLENE GLYCOL TALC TITANIUM DIOXIDE RED IRON OXIDE AND YELLOW IRON OXIDE What is type 2 diabetes? Type 2 diabetes is a condition in which your body does not make enough insulin, and the insulin that your body PRODUCES DOES NOT WORK AS WELL AS IT SHOULD 9OUR BODY CAN ALSO MAKE TOO MUCH SUGAR 7HEN THIS HAPPENS SUGAR (glucose) builds up in the blood. This can lead to serious medical problems. (IGH BLOOD SUGAR CAN BE LOWERED BY DIET AND EXERCISE AND BY CERTAIN MEDICINES WHEN NECESSARY

Manufactured by: Merck Sharp & Dohme (Italia) S.p.A. 6IA %MILIA n 0AVIA )TALY OR -%2#+ 3(!20 $/(-% ,4$ #RAMLINGTON .ORTHUMBERLAND 5+ .% *5 53 0ATENT .OS AND AvandiaÂŽ IS A REGISTERED TRADEMARK OF 'LAXO3MITH+LINE #OPYRIGHT ÂŠ -ERCK 3HARP $OHME #ORP A SUBSIDIARY OF Merck & Co., Inc. All rights reserved 2EVISED 53-' 4 2 This Medication Guide has been approved by the U.S. Food and Drug Administration.

DIAB-1039462-0002 08/12

Terms and Conditions â&#x20AC;˘ This voucher is valid for 1 free 30-day trial supply of JANUVIA. â&#x20AC;˘ Limit 1 voucher per patient for the duration of the program. â&#x20AC;˘ Valid for 1-time use only. Free trial offer is valid only for up to 30 tablets of JANUVIA. No purchase is necessary. ReďŹ lls are not required. â&#x20AC;˘ This voucher is not transferable. No substitutions are permitted. Cannot be combined with any other free trial, coupon, discount, prescription savings card, or other offer. â&#x20AC;˘ This voucher is not insurance. â&#x20AC;˘ You must be 18 years or older to redeem this voucher. Patient, pharmacist, and prescriber agree not to seek reimbursement for all or any part of the beneďŹ t received by the patient through this offer. The free trial supply of JANUVIA cannot be used toward any out-of-pocket costs under any plan (such as true out-of-pocket expense [TrOOP]). â&#x20AC;˘ This voucher can be used only by eligible US residents at any participating eligible retail pharmacy in the United States. Product must originate in the United States. â&#x20AC;˘ This voucher is the property of Merck and must be turned in on request. â&#x20AC;˘ Merck reserves the right to rescind, revoke, or amend this offer at any time without notice. â&#x20AC;˘ It is illegal to sell, purchase, trade, or counterfeit this voucher. Void if reproduced. Void where prohibited by law, taxed, or restricted. â&#x20AC;˘ Please read the accompanying Medication Guide and discuss it with your doctor. Also available is the physician Prescribing Information. â&#x20AC;˘ Expiration Date: 06/30/2013

JANUVIAÂŽ SITAGLIPTIN TABLETS ARE WIDELY AVAILABLE ON MOST INSURANCE PLANS a See offer FREE below b .

Today, I took steps to balance my TYPE 2 DIABETES. Today, I chose exercise and talked to my doctor.

Actor Portrayal

JANUVIA works to lower blood sugar in 2 ways. Talk to your doctor about JANUVIA today. Increases Insulin

Decreases Sugar Made In Liver

s *!.56)! IS A ONCE DAILY PRESCRIPTION PILL THAT HELPS YOUR BODY INCREASE THE INSULIN MADE IN YOUR PANCREAS AND DECREASE THE SUGAR MADE IN YOUR LIVER s !LONG WITH DIET AND EXERCISE JANUVIA HELPS LOWER BLOOD SUGAR LEVELS IN ADULTS WITH TYPE DIABETES s "Y ITSELF *!.56)! IS NOT LIKELY TO CAUSE WEIGHT GAIN OR LOW BLOOD SUGAR HYPOGLYCEMIA

JANUVIA (jah-NEW-vee-ah) should not be used in patients with type 1 diabetes or with diabetic ketoacidosis (increased ketones in the blood or urine). If you have had pancreatitis (inďŹ&#x201A;ammation of the pancreas), it is not known if you have a higher chance of getting it while taking JANUVIA.

3ELECTED 2ISK )NFORMATION !BOUT *!.56)! Serious side effects can happen in people who take JANUVIA, including pancreatitis, which may be severe and lead to death. Before you start taking JANUVIA, tell your doctor if youâ&#x20AC;&#x2122;ve ever had pancreatitis. Stop taking JANUVIA and call your doctor right away if you have pain in your stomach area (abdomen) that is severe and will not go away. The pain may be felt going from your abdomen through to your back. The pain may happen with or without vomiting. These may be symptoms of pancreatitis. Do not take JANUVIA if you are allergic to any of its ingredients, including sitagliptin. Symptoms of serious allergic reactions to JANUVIA, including rash, hives, and swelling of the face, lips, tongue, and throat that may cause difďŹ culty breathing or swallowing, can occur. If you have any symptoms of a serious allergic reaction, stop taking JANUVIA and call your doctor right away. a

Kidney problems, sometimes requiring dialysis, have been reported. If you take JANUVIA with another medicine that can cause low blood sugar (hypoglycemia), such as a sulfonylurea or insulin, your risk of getting low blood sugar is higher. The dose of your sulfonylurea medicine or insulin may need to be lowered while you use JANUVIA. Signs and symptoms of low blood sugar may include headache, drowsiness, weakness, dizziness, confusion, irritability, hunger, fast heartbeat, sweating, and feeling jittery. Your doctor may do blood tests before and during treatment with JANUVIA to see how well your kidneys are working. Based on these results, your doctor may change your dose of JANUVIA. The most common side effects of JANUVIA are upper respiratory tract infection, stuffy or runny nose and sore throat, and headache.

Call 1-888-JANUVIA or visit www.Januvia.com. You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch or call 1-800-FDA-1088.

Formulary data provided by Pinsonault Associates, LLC, April 2012.

0LEASE READ THE -EDICATION 'UIDE ON THE ADJACENT PAGE FOR MORE DETAILED INFORMATION Having trouble paying for your Merck medicine? Merck may be able to help. www.merck.com/merckhelps Copyright ÂŠ 2012 Merck Sharp & Dohme Corp., a subsidiary of Merck & Co., Inc. All rights reserved. DIAB-1039462-0002 08/12

Terms and conditions apply. Please see next page.

Eligible patients may receive a free 30-day trial supply of JANUVIAÂŽ (sitagliptin) tablets. 1. Take this voucher to your next appointment. Ask your doctor about JANUVIA. 2. Get a free 30-day trial supply of JANUVIA if your doctor says itâ&#x20AC;&#x2122;s right for you. No purchase is required. Not valid for reďŹ lls. JANUVIA is a prescription medication. Only your health care provider can decide if JANUVIA is right for you. How this voucher works: s 4HIS VOUCHER CAN BE USED TIME BEFORE THE EXPIRATION DATE

4O RECEIVE YOUR FREE DAY TRIAL SUPPLY OF *!.56)!

TAKE THIS VOUCHER WITH YOUR VALID SIGNED PRESCRIPTION TO ANY PARTICIPATING

eligible retail pharmacy (certain restrictions apply). s 4HERE IS NO REQUIREMENT TO PURCHASE ANY PRODUCT OR SERVICE TO RECEIVE YOUR FREE DAY TRIAL SUPPLY OF *!.56)! s 2ESTRICTIONS APPLY Please see Terms and Conditions on the back of this voucher. s Expiration Date: 06/30/2013 Prescriber 4O INITIATE A FREE DAY TRIAL SUPPLY FOR AN APPROPRIATE PATIENT

YOU SHOULD s Read the Prescribing Information before prescribing JANUVIA. s 7RITE A PRESCRIPTION FOR UP TO TABLETS OF *!.56)! .O SUBSTITUTIONS ARE PERMITTED s

2El LLS ARE NOT REQUIRED AND THERE ARE NO REQUIREMENTS TO PURCHASE ANY PRODUCT OR SERVICE TO USE THIS VOUCHER )F YOU WANT

YOUR PATIENT TO CONTINUE TAKING *!.56)! BEYOND THE FREE TRIAL PERIOD

PLEASE WRITE A SEPARATE PRESCRIPTION BASED ON YOUR

recommended therapy. s &ILL IN THE DOSE ON THIS VOUCHER s 'IVE THE VALID SIGNED PRESCRIPTION AND THIS VOUCHER TO THE PATIENT Copyright ÂŠ 2012 Merck Sharp & Dohme Corp., a subsidiary of Merck & Co., Inc. All rights reserved.

Dose _____mg Offer valid for up to 30 tablets. s

%LIGIBLE PATIENTS CAN TAKE THIS VOUCHER AND THE PRESCRIPTION TO ANY PARTICIPATING ELIGIBLE RETAIL PHARMACY TO RECEIVE THEIR FREE

DAY TRIAL SUPPLY

&OR ADDITIONAL COPIES OF THE 0RESCRIBING )NFORMATION

CALL

VISIT WWW JANUVIA COM

OR CONTACT YOUR -ERCK

representative. Pharmacist s /NLY VOUCHER MAY BE USED PER PATIENT 6OUCHER MAY NOT BE TRANSFERRED TO ANOTHER PATIENT s 4HERE IS NO REQUIREMENT FOR PATIENT TO PURCHASE ANY PRODUCT OR SERVICE AND REl LLS ARE NOT REQUIRED s

0LEASE ENSURE THAT THE MEDICATION AND DOSAGE STRENGTH SELECTED MATCH THE MEDICATION AND DOSAGE STRENGTH ON THE

prescription. s

Submit claim to McKesson Corporation using BIN No. 610524. For pharmacy processing questions, please call the Help Desk at 800-657-7613. s &OR ALL OTHER PRESCRIPTIONS

PLEASE USE THE PATIENT S PRIMARY METHOD OF PAYMENT AND A NEW 2X NUMBER

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AND HEALTH OR PHARMACY BENEl T PLANS

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ID: 061672477