The Rush Limbaugh Show is America's most listened to radio talk show, broadcast on over 600 radio stations.
America’s #1 radio talk-show host and multi-million-copy #1 New York Times bestselling author presents a book for young readers with a history teacher who travels back in time to have adventures with exceptional Americans.MEET RUSH LIMBAUGH’S REALLY GOOD PAL, RUSH REVERE!Okay, okay, my name’s really Rusty—but my friends call me Rush. Because I’ve always been the #1 fan of the coolest colonial dude ever, Paul Revere. Talk about a rock star—this guy wanted to protect young America so badly, he rode through those bumpy, cobblestone-y streets shouting “the British are coming!” On a horse. Top of his lungs. Wind blowing, rain streaming.Well, you get the picture. But what if you could get the real picture—by actually going back in time and seeing with your own eyes how our great country came to be? Meeting the people who made it all happen—people like you and me?Hold on to your pointy triangle hats, because you can—with me, Rush Revere, seemingly ordinary substitute history teacher, as your tour guide across time!
“How?” you ask? Well, there’s this portal. My talking horse named Liberty. And—well, just trust me, I’ll get us there.We’ll begin by joining a shipload of brave families journeying on the Mayflower in 1620.
I don’t think so. 1620 was a pretty awesome time, and you’ll experience exactly what they did on that rough, dangerous ocean crossing. Together, we’ll ask the pilgrims all our questions, find out how they live, join them at the first Thanksgiving, and much more.So saddle up and let’s ride!
Our exceptional nation is waiting to be discovered all over again by exceptional young patriots— like you! THE AMERICAN REVOLUTION HAS BEGUN—AND RUSH REVERE, LIBERTY THE HORSE, AND THE TIME-TRAVELING CREW ARE READY TO RIDE INTO THE ACTION!Join us on this incredible time-travel adventure!Liberty, my wisecracking horse, our old friends Cam, Tommy, Freedom, and I are off to meet some super-brave soldiers in the year 1775.
Yep, that’s right. We’ll be visiting with the underdog heroes who fought for American independence, against all odds—and won! But not before eight very real years of danger and uncertainty. Be a part of Rush Revere’s crew as we rush, rush, rush into a time when British rule had become a royal pain, and rebellion was in the air. We’ll be on hand to see two lanterns hung in the Old North Church, prevent a British spy from capturing Paul Revere, and grapple with danger at the battles of Lexington, Concord, and Bunker Hill.The extra special part of this trip is that right here in the twenty-first century, Cam’s dad is a soldier fighting in Afghanistan, and Cam has been pretty angry that he is away. Visiting with exceptional American heroes like Dr.
Joseph Warren and George Washington, racing along after Paul Revere on his midnight ride, and seeing the Declaration of Independence signed make Cam see his own dad in a new and special way.But don’t worry. Along with the danger, excitement, and patriotism, there will still be time to stop for a delicious spinach, oats, and alfalfa smoothie. No, wait—that one’s for Liberty. The kids and I voted for strawberries.Now let’s open the magic portal to the past!
IT’S THE DAWN OF AN IMPORTANT NEW DAY IN AMERICA. YOUNG READERS, GRAB THE REINS AND JOIN RUSH REVERE, LIBERTY THE HORSE, AND THE WHOLE TIME-TRAVELING CREW IN THIS PATRIOTIC HISTORICAL ADVENTURE THAT TAKES YOU ON AN EXCITING TRIP TO THE PAST TO SEE OUR REMARKABLE NATION’S MOST ICONIC SYMBOLS UP CLOSE AND PERSONAL!“Rush Revere here, along with my chatty horse, Liberty! Wait a minute. America’s #1 radio talk-show host and multi-million-copy #1 New York Times bestselling author presents the second book in a series for young readers with a history teacher who travels back in time to have adventures with exceptional Americans.Rush Revere rides again! Saddle up with Rush Limbaugh’s really good pal for a new time-travel adventure.“Whoa there, young historians! Before we go rush, rush, rushing off anywhere, I’d like a moment. I’m Liberty, Rush Revere’s loquacious equine companion—his trusty talking horse!
Always at the ready to leap from the twenty-first century into America’s past, that’s me. When he says ‘Let’s go!’ I’m so there. I’m jazzed, I’m psyched, I’m—”“Ah, excuse me, Liberty?”“Yeah, Rush?”“Usually you say ‘oh no, not again!’ and ‘while we’re in colonial Boston, can I try the baked beans?’”“Okay, fine—you do the talking. I’ll just be over here, if you need me.”Well, he’s sulking now, but I couldn’t be your tour guide across time without Liberty! His name says it all: the freedom we celebrate every July Fourth with fireworks and hot dogs (and maybe some of those baked beans). But how did America get free?
How did thirteen newborn colonies tell the British king where he could stick his unfair taxes?Jump into the bustling streets of Boston in 1765, where talk of revolution is growing louder. I said LOUDER.
You’ll have to SHOUT to be heard over the angry cries of “Down with the king!” and “Repeal the Stamp Act!” that fill the air. You’ll meet fierce supporters of liberty like Samuel Adams, Benjamin Franklin, and my idol, Paul Revere, as they fearlessly defy British rule. It’s an exciting, dangerous, turbulent, thrilling time to be an Americanand exceptional young patriots like you won’t want to miss a minute.
Published 5:07 AM EST Feb 6, 2020
As Rush Limbaugh and Shannen Doherty revealed cancer diagnoses this week, the questions arise: What exactly is stage IV cancer and how is cancer diagnosed?
Limbaugh, the longtime conservative radio host, said Monday he was diagnosed with an 'advanced lung cancer.' Limbaugh, who was awarded Tuesday with the Presidential Medal of Freedom during the President Donald Trump's State of the Union speech, said his diagnosis was confirmed by two medical institutions Jan. 20.
Doherty, the 'Beverly Hills, 90210' alum, also announced her cancer diagnosis this week, telling 'Good Morning America' on Tuesday that she was diagnosed with stage IV cancer after first being diagnosed with breast cancer in 2015.
In the past year, longtime 'Jeopardy!' host Alex Trebek and Rep. John Lewis, a civil rights icon, were also diagnosed with stage IV pancreatic cancers.
Here's what to know about cancer diagnoses:
What are the stages of cancer?
Cancer staging refers to how doctors classify the extent of a patient's cancer, including how the cancer has spread in their body and how much cancer there is, the American Cancer Society says.
Doctors use staging to help with treatment and determine a prognosis. But staging alone is not the only factor considered.
According to the National Cancer Institute, the TNM system is most commonly used as it applies to many types of cancer. When a cancer is diagnosed and the TNM system is employed, patients will be given a letter and number that follows, such as T1N0MX or T3N1M0, the institute says.
T generally refers to the original, or primary, tumor and its size or spread. TX means it cannot be measured, T0 means it cannot be found and T followed by a number refers to how large or how much it has spread to nearby tissue. A higher number followed by T means the larger or more widespread the tumor.
N generally refers to whether the cancer has spread to nearby lymph nodes. Similar to T, NX means cancer in nearby lymph nodes cannot be measured, N0 means the cancer has not spread to nearby lymph nodes and N followed by a number refers to the number, location and/or size of lymph nodes with the cancer.
M generally refers to whether the cancer has metastasized, meaning spread to other parts of the body. MX means this cannot be measured, M0 means the cancer has not spread and M1 means it metastasized.
After determining the TNM staging, doctors assign it a more general staging number, often between stages I and IV.
According to the National Cancer Institute, stages I through III mean cancer is present. A larger number indicates the tumor is larger and the cancer has spread more in nearby tissue.
Stage IV cancer indicates the cancer has spread to other, more distant parts of the body, the institute says.
This often happens as the cancer spreads through a patient's blood stream, said Dr. James Abbruzzese, a medical oncologist at Duke University who specializes in pancreatic cancer.
While Limbaugh said he has 'advanced lung cancer,' an advanced cancer does not always mean it is also a stage IV cancer, as cancer can be advanced but not have spread to other parts of the body, according to the American Cancer Society.
Stage 0 indicates 'abnormal cells are present but have not spread to nearby tissue,' the National Cancer Institute says. This is also called carcinoma in situ.
Other factors beyond TNM staging can also affect the overall stage, the American Cancer Society says. Grade measures how abnormal cells look under a microscope and how quickly they're likely to grow and spread. Cell type, tumor location and blood levels of certain substances, called tumor marker levels, also can affect the overall stage, the American Cancer Society says.
Is stage IV cancer always fatal?
While it's generally easier to treat earlier stages of some cancers with surgery or radiation given that they are more localized, stage IV cancers are treatable, too, said Dr. Lecia Sequist, a medical oncologist at Massachusetts General Hospital Cancer Center who specializes in lung cancer.
'Survival is driven by more than just the staging,' Abbruzzese said. Depending on the type of cancer and how responsive it is to therapy, it's possible for patients with stage IV cancer to live longer lives, he said.
Still, Sequist said, 'The reason why those words, 'stage IV cancer,' have such a weight to them is often it does portend a more serious situation.'
Pancreatic cancer had a 9.3% five-year survival rate between 2009 and 2015 while female breast cancer had a 89.9% 5-year survival rate in the same period, according to the National Cancer Institute.
For those cancers in cases where the cancer spread to distant parts of the body, breast cancer had a 27.4% five-year survival rate compared to 2.9% five-year survival rate for pancreatic cancer.
Prostate cancer had a 98% five-year survival rate between 2009 and 2015, with a 30.5% survival rate in cases where the cancer spread to distant parts of the body. For lung and bronchus cancer, the five-year survival rate was 19.4% with a 5.2% survival rate in cases where the cancer spread to distant parts of the body.
Stage IV breast cancer isn’t the same as stage IV lung cancer or stage IV pancreatic cancer
While many cancers use the numbered stages, what that stage means for cancer care can vary greatly depending on the type of cancer, Abbruzzese said.
For example, a stage II breast cancer and stage II pancreatic cancer may not have the same prognosis and could have different risks of recurrence after the initial cancer is treated, he said.
That's because the biology of various cancers differ greatly, said Sequist.
Some cancers are more aggressive in how quickly they spread. For example, breast cancers with more estrogen and progesterone receptors than normal may grow more quickly. According to the National Cancer Institute, testing for this would help determine whether treatments to block estrogen and progesterone are needed.
Additionally, there are different ways doctors stage a patient's cancer within the TNM system, depending on the type of cancer, the American Cancer Society says.
'In some types of cancer, the T categories describe the size of the main tumor, while in others they describe how deeply the tumor has grown in to the organ it started in, or whether the tumor has grown into nearby structures (regardless of its size),' the American Cancer Society says.
Other cancers, including brain and spinal cord tumors and blood cancers, use different staging systems, according to the National Cancer Institute.
The American Cancer Society says many brain tumors often spread to other parts of the brain but not the lymph nodes or other parts of the body, so they do not use the TNM system.
Leukemias like Adult Acute Lymphoblastic Leukemia or Adult Acute Myeloid Leukemia have no standard staging system. But Chronic Lymphocytic Leukemia does have a staging system based on the number of lymphocytes in the blood, platelets and red blood cells and the size of lymph nodes, liver or spleen, according to the National Cancer Institute.
Follow USA TODAY's Ryan Miller on Twitter @RyanW_Miller