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In 1997 the American Academy of Pain Medicine and the American Pain Society stated that "it is now accepted…that respiratory depression induced by opioids tends to be a short lived phenomenon, generally occurs only in opioid-naïive patients and is antagonized by pain. Therefore, withholding the appropriate use of opioids from a patient who is experiencing pain on the basis of respiratory concerns is unwarranted."1 In addition, Papaleontiou et al. published a meta-analysis in 2010 on the efficacy and safety of opioid intake in chronic non-cancer pain.2 Constipation, nausea, and dizziness represented the top three side effects, with a prevalence between 22% and 30%. However, obstructive or central apnea/hypopnea, hypoventilation during sleep, and impairment of respiratory drive remained unmentioned.2
Can general practitioners, pain therapists and oncologists reassure their patients regarding respiratory side effects in long-term treatment with opioids?
It is without doubt, that for far too long sufficient palliation has been withheld from pain patients, in fear of side effects, addiction, and misuse of opioids. However, improved knowledge combined with changing attitudes has helped to normalize the use of the most important relievers of pain, leading to a large increase in opioid prescription.3,4 Moreover, opioids are prescribed not only to relieve pain, but also, for example to alleviate dyspnea in patients with chronic pulmonary disorders.5 Finally, opiate addiction remains a growing and largely unsolved problem, leading to the incorporation of an increasing number of patients world-wide in methadone maintenance programs.6 Bearing in mind this widened use of opioids, observations of sleep related breathing disorders (SRBD) are alarming. Kelly et al. described fatal or life-threatening events in children who underwent adenotonsillectomy for obstructive sleep apnea. These children possessed genetic alterations that led to an increased morphine production from codeine.7 Many such reports of perioperative complications in sleep apnea patients have been published.
In 2007 the broad spectrum of SRBD under opioids were described retrospectively by Walker et al.8 Besides obstructive disturbances, they found central apneas, ataxic or irregular respiration, and periods of sustained hypoventilation.
However, we have to admit frankly that our knowledge of the pathophysiology of opioid-induced sleep apnea is still very limited. Pattinson reviewed the control of respiration under opioid intake.9 The author pointed out that respiration becomes shallow and irregular leading to hypercapnia and hypoxia. The respiratory disturbances differed according to the mode of application. Whereas rapid intravenous boli induced apneas, long-term infusions led to a gradual increase of hypercapnia, thereby contributing to the maintenance of respiration. The effect of opioids on the respiratory rhythm has not been conclusively explored. Peripheral and central chemosensitivity play a major role, leading to a reduction of the hypoxic and hypercapnic ventilatory response. However, the extent of the interference and the precise location of the interception of the reflexes are unclear. This retards the pharmaceutical development of opioids with sufficient analgesic properties but minimized respiratory side effects.
Having said all this, physicians will mostly be interested in data relating to the clinical presentation, optimal diagnosis, and treatment of opioid-induced sleep apnea. Are there specific signs and symptoms of opioid induced sleep apnea? They are certainly associated with dizziness, impaired concentration, and daytime sleepiness. But is it possible to differentiate between central nervous system effects and breathing disturbances? Generally speaking, sleepiness and deficits in neurocognitive parameters cease during long-term application, so that even driving may be permitted. However, this trend is not to be expected in SRBD. Another clinically relevant but unsolved problem is the question of whether the outcome of opioid users with or without SRBD differs.
In this current issue, Ramar et al.10 present an important study focusing on the question of the best available therapy of respiratory disturbances during sleep. They investigated patients with central breathing disturbances due to chronic heart failure or chronic opioid use, who had failed to respond to treatment with constant CPAP. Adaptive servoventilation (ASV) enabled sufficient therapy in the majority of heart failure and opioid patients. The study provides preliminary data, as it was retrospective and a randomized comparison with CPAP, placebo, or optimal pharmaceutical therapy is missing. Nevertheless, the authors analyze the largest sample to date from everyday practice, and in that sense, it is representative of the real-life situation.
In 2008 two studies with contradictory results were published in this journal.2 While Farney failed to show a difference between CPAP and ASV, Javaheri found an effective treatment with ASV in a small group of opioid induced sleep apnea patients. The latter results, now being proven by Ramar's data, could be expected due to the algorithm of adaptive servoventilation. CPAP may interfere with SRBD in several ways: it stabilizes the upper airways and counterbalances upper airway obstruction; the positive thoracic pressure reduces left ventricular cardiac afterload and therefore improves the ejection fraction; and finally, CPAP can enlarge lung volumes and reduce ventilation- perfusion mismatch. However, CPAP does not influence, or only marginally influences breathing rhythm and chemosensitivity. In contrast, ASV combines the effects of CPAP (positive expiratory pressure) with variable pressure support and the application of mandatory breaths. Therefore, disturbances of respiratory drive and periods of hypoventilation can be counterbalanced. Interestingly, a higher bicarbonate level was a predictor of ASV success. This surprising finding could have, as discussed by the authors, technical reasons. However, it could also indicate extensive periods of hypoventilation as a part of the SRBD. Based on Ramar's data, the question remains why 30% to 40% of patients with heart failure or opioid induced sleep apnea, respectively, could not be treated optimally. The choice or setting of the device, the mode of reaction of the algorithm, and interface problems may contribute to this phenomenon. However, the results suggest an advantage to the early use of adaptive servoventilation after optimal medical therapy.
Sleep specialists should try to avoid repeating history. The epochal invention of CPAP by Sullivan led to a rather generalized perception of obstructive sleep apnea, but importantly at the same time, to the implementation of the optimal treatment. This coincidence—although of huge value for the patient—handicapped detailed exploration of the pathophysiological background. Opioid-induced sleep apnea is, as pointed out above, even more unclear. Increasing evidence in this field suggests a treatment advantage with adaptive servoventilation. However, all efforts should be undertaken to better understand the clinical presentation, pathophysiology, and prognosis. Opioid-induced sleep apnea is a real problem as the rapidly increasing prevalence indicates. We are however a long way from truly understanding its relevance.
Future studies should try to characterize the different phenotypes of breathing disturbances as precisely as possible. This also has implications for coming guidelines.
Dr. Randerath has received speaking fees and research support from Weinmann, Respironics, Resmed, Heinen und Löwenstein. Sandhya George has indicated no financial conflicts of interest.
Randerath WJ; George S. Opioid-induced sleep apnea: is it a real problem? J Clin Sleep Med 2012;8(5):577-578.
The use of opioids for the treatment of chronic pain. A consensus statement from the American Academy of Pain Medicine and the American Pain Society. Clin J Pain. 1997;13:6–8. [PubMed]
Papaleontiou M, Henderson CR Jr.; Turner BJ, et al., authors. Outcomes associated with opioid use in the treatment of chronic noncancer pain in older adults: a systematic review and meta-analysis. J Am Geriatr Soc. 2010;58:1353–69. [PubMed Central][PubMed]
Sullivan MD, Edlund MJ, Fan MY, et al., authors. Trends in use of opioids for non-cancer pain conditions 2000-2005 in commercial and Medicaid insurance plans: the TROUP study. Pain. 2008;138:440–9. [PubMed Central][PubMed]
Caudill-Slosberg MA, Schwartz LM, Woloshin S, authors. Office visits and analgesic prescriptions for musculoskeletal pain in US: 1980 vs. 2000. Pain. 2004;109:514–9. [PubMed]
Rocker G, Horton R, Currow D, Goodridge D, Young J, Booth S, authors. Palliation of dyspnoea in advanced COPD: revisiting a role for opioids. Thorax. 2009;64:910–5. [PubMed]
Sharkey KM, Kurth ME, Anderson BJ, Corso RP, Millman RP, Stein MD, authors. Obstructive sleep apnea is more common than central sleep apnea in methadone maintenance patients with subjective sleep complaints. Drug Alcohol Depend. 2010;108:77–83. [PubMed Central][PubMed]
Kelly LE, Rieder M, van den Anker J, et al., authors. More codeine fatalities after tonsillectomy in North American children. Pediatrics. 2012;129:e1343–7. [PubMed]
Walker JM, Farney RJ, Rhondeau SM, et al., authors. Chronic opioid use is a risk factor for the development of central sleep apnea and ataxic breathing. J Clin Sleep Med. 2007;3:455–61. [PubMed Central][PubMed]
Pattinson KT, author. Opioids and the control of respiration. Br J Anaesth. 2008;100:747–58. [PubMed]
Ramar K, Ramar P, Morgenthaler TI, authors. Adaptive servoventilation in patients with central or complex sleep apnea related to chronic opioid use and congestive heart failure. J Clin Sleep Med. 2012;8:569–76
Javaheri S, Malik A, Smith J, Chung E, authors. Adaptive pressure support servoventilation: a novel treatment for sleep apnea associated with use of opioids. J Clin Sleep Med. 2008;4:305–10. [PubMed Central][PubMed]
Farney RJ, Walker JM, Boyle KM, Cloward TV, Shilling KC, authors. Adaptive servoventilation (ASV) in patients with sleep disordered breathing associated with chronic opioid medications for non-malignant pain. J Clin Sleep Med. 2008;4:311–9. [PubMed Central][PubMed]


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Photos from the "Hey Loser" opening at Hot Art Wet City!
ECUAD Student Publication
Taking it's name from the mischievous primate companion of Emily Carr, WOO is an experimental magazine which aims to showcase student artwork, criticism and creativity. Throughout ever-evolving manifestations, WOO has remained committed to creating publications which promote curiosity and reflect the temperature of the student body. The WOO team facilitates connections with established artists, curators, and alumni with the intention of engaging and contributing to the surrounding arts community. Submissions are accepted 3 times a year for printed editions, and we encourage feedback and written submissions for blog content throughout the year.
Photos from the "Hey Loser" opening at Hot Art Wet City!

subset: commoncrawl


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A certain entertainer who will go unnamed because I have no interest in vilifying individuals, had this to say about Bush and his administration, and I quote: "What is the difference between that terrorist and and other terrorists?" and later, "What do you call Bush when the war he put us in to date has killed almost as many Americans as died on 9/11....By most definitions Bush can be considered a terrorist." When this entertainer was asked if he expected to be criticized for his remarks, he had this to say, "Bring it on, dissent is central to any democracy." But does he really believe that? Here is what he said later concerning those American leaders opposed to Obama's policies (Americans, mind you, you know, co-citizens with this entertainer and all the rest of us citizens living in the United States of America, land of the free, A DEMOCRACY): "The only thing left to Barack Obama to do is to work like a third-world dictator and just put all those guys in jail. You're violating the American desire." So this entertainer doesn't really advocate the democratic process of open and free dissent, except when it is convenient to his agenda and the agenda of those he wishes to align.
What I want to know is aren't we all getting tired of this hypocrisy? May I remind us that Lenin, Stalin, Hitler, Mao, and all the rest of the lesser notorious dictators all thought their systems were the right way and represented the "desire of the people". And all of them put those people who disagreed with them "in jail"; only they weren't called jails; they were called concentration camps, re-education camps, internment camps, and labor camps--places where if the hapless "dissenter" couldn't be persuaded to change his or her opinion, he or she was tortured and slaughtered--all in the name of someone's idea of truth. How many innocent people have been "sacrificed" for their leaders' policies in the last 100 years? 100 million? "Oh, Bruce," people have told me, "you're exaggerating; it was more like maybe 10-50 million; besides we know better now; we are more civilized; we really know that system A would work and we now have the wisdom to make it work without all that bloodshed." The entertainers remark unwittingly tells a different story--the true story: "I will get what I want, and I'll get it by any means necessary!"
Now before you get the wrong impression, I am NOT saying Obama or any leader in this great country is advocating the extremist policies implied by that entertainer's remarks. My purpose is not to attack people, politics, or groups--regardless of which side of the aisle they might sit. What I am attacking is the double standard.
If you really believe what I think that entertainer and most others do,"I will get what I want, and I'll get it by any means necessary!" then admit it openly! Be honest! Stop with the shell-game, already. But you won't do that. And you know why? Because if you were to allow your ideology to debated in an open and totally free marketplace of ideas, where everyone must play by the same rules, where the press is required to truthfully represent each idea, and accurately report incidences (something woefully lacking at late in American journalism--another thing that should both anger and scare us in light of the great Twentieth century experiments I alluded to above), I strongly suspect your ideology would not stand up to the scrutiny. And you know it, which is why you resort to intimidation and name-calling, all under the guise of free-speech, justice, and democracy; the very practices you accuse your opposition of, you practice. You play out this double standard because it takes the eyes off your own duplicity. Hypocrites!
I've seen this hypocrisy play out in homes all my life--I've been a party to it at times, to my shame. It goes like this: "Don't you dare criticize me for X, or be angry if you had to wait for me, or challenge my eating habits, or criticize the company I keep, or the books I read, or the way I drive, or the way I eat, or the cloths I wear, and don't you dare say I live by a double standard when I want to use a weapon in an argument that I won't allow you to use! Because if you do any of those things or things like them, you don't understand me, you are shaming me, you are not allowing me to express my feelings, you don't appreciate me, you don't love me, you are emotionally abusing me, you are controlling me, and on and on and on." Okay, but if the person receiving this riot act attempts to hold the other person to those same standards the poor person will get, "you don't understand me, you are shaming me, you are not allowing me to express my feelings, you don't appreciate me, you don't love me, you are emotionally abusing me, you are controlling me, and on and on and on." Hypocrites! At least be honest and admit you want to be treated by a different and in all cases more tolerant standard than you will ever allow anyone else to operate, and be done. But of course, you won't do this because everyone, even though they live the same way, will look askance at such honestly because they, as you, know deep down it is a lie--nay, it is evil. Good Lord, you won't admit it because it might mean you won't get what you want; at least be honest about that.
We are all hypocrites, except unlike the entertainer quoted above, we don't get paid for it. But we sure make everyone else pay for it with divorce, law suits, theft, betrayals, character assassinations, cheating, lying, torture, murder, war, bigotry, greed, abuses of all kinds, being marginalized, gossip, cliques, cronyism, terrorism, being ostracized, cruelty, hatred, and...did I leave anything out?
Do you really want peace on this planet, or is it you want to be comfortable by having it exactly your way? If it's the latter, great! I mean, I think it is a wrong viewpoint, but I ain't going to convince you of that because you aren't even honest enough to admit to yourself it is the standard by which you live. How then can you possibly be open to any objective dialog? Let's be honest, people. There's a gigantic elephant in the middle of our global room with the words "selfish-ambition and conceit" painted on its side like the scarlet letter. Let's either repent of it or lay our cards on the table and admit we live by it and we will continue to live by it. Let's be honest, please! The smoke and mirrors are killing us all.
Monday, May 27, 2013
Let's Be Honest, Shall We?
A certain entertainer who will go unnamed because I have no interest in vilifying individuals, had this to say about Bush and his administration, and I quote: "What is the difference between that terrorist and and other terrorists?" and later, "What do you call Bush when the war he put us in to date has killed almost as many Americans as died on 9/11....By most definitions Bush can be considered a terrorist." When this entertainer was asked if he expected to be criticized for his remarks, he had this to say, "Bring it on, dissent is central to any democracy." But does he really believe that? Here is what he said later concerning those American leaders opposed to Obama's policies (Americans, mind you, you know, co-citizens with this entertainer and all the rest of us citizens living in the United States of America, land of the free, A DEMOCRACY): "The only thing left to Barack Obama to do is to work like a third-world dictator and just put all those guys in jail. You're violating the American desire." So this entertainer doesn't really advocate the democratic process of open and free dissent, except when it is convenient to his agenda and the agenda of those he wishes to align.
Posted by Bruce Kokko at 1:08 PM 1 comments
Tuesday, May 21, 2013
Anger Management
The topic of anger came up recently....I lost my temper. And what usually happens happened: the strange mixture of yelling and silence, the pacing back and forth, the attending to tasks one wouldn't otherwise think of doing, the seemingly clever repartee, the flashing of probing looks, and the tense waiting for all of it to work its magic to persuade the other person to capitulate. It was all a bunch of nonsense I should have outgrown years ago, because as always with such outbursts of anger, the person I was really angry with and who really needed to capitulate was myself.
There is valid righteous anger, where one is angry out of a genuine concern for the welfare of the recipient and the healthy restoration of all relationships involved. It was with righteous anger Jesus overturned the money-changers' tables in the court of the Gentiles in the Temple in Jerusalem. Jesus was genuinely concerned for God and His relationship with us. The very things meant to turn us back to God for needed mercy the church officials exploited to line their pockets--officials such as Annas who would quite soon delight in the crucifixion of Jesus. And all of this was going on before the eyes of Gentiles--perhaps some who had come seeking the one true God--many who likely turned away in disgust at this spectacle of hypocrisy. Jesus was angry, and He had every right to be so. But He didn't use anger as a weapon for self-promotion, nor did it devolve into one. Jesus' love for God, the observers and even those guilty parties was too deep for that.
Genuine righteous anger never becomes all consuming because its motive is love. Unfortunately, even righteous anger can turn ugly in inexperienced hands, which pretty much encompasses all of us. The fact of the matter is the most diabolical weapon wielded by those pursuing self-interest is "being right".
The anger Jesus expressed that day just before Passover two thousand years ago was righteous and rare--not the kind of anger most often consuming us, and certainly not the anger I allowed myself recently. Jesus speaks to this far more common unrighteous anger in His so-called Sermon on the Mount. Here's what He had to say, "You heard that it was said in ancient times, 'You will not murder.' Whoever murders will be liable to judgment. I say to you, everyone who is angry with his brother will be liable to judgment; whoever says to his brother, 'brainless!', will be liable to the Sanhedrin [a judiciary body in Israel]; whoever says, 'Fool!' will be liable into hell."
Much could be said about this powerful teaching, but for the present I would have us observe one thing. If left unchecked, unrighteous anger will always escalate to some form of murder, be it literal killing--as in the case of Cain murdering his brother Abel--character assassination, or some variant of cruel subjugation of the recipient. And for this reason the escalation leading to this end is a step-wise dehumanization of the recipient. This is why Jesus teaches that the judgment becomes progressively more severe as one continues to vent one's anger with increasing venom; it is why one can with cold indifference, turn away from one's spouse after one's finished, or leave him or her devastated, or in thankfully rare situations, easily pull the trigger of a gun. Because we have--perhaps without realizing it--dehumanized the other person to the degree he or she becomes in our mind nothing more than an object to be vanquished.
When we approach arguments by seeking to manipulate the issues, the presentation of the issues, or in any way intimidate the other person, we are in effect dehumanizing him or her. This is why such arguments end badly and will raise themselves up again at some later time with a renewed and well-fed vengeance.
In order to avoid these unpleasant fates, we would do well to execute a little bit of anger management. Unfortunately, in the heat of anger it is often too difficult to be objective because that's the way unrighteous anger possesses us. We should try anyway, and if we can't, we should later, after we've cooled down, seek to understand what made us angry in the first place. I'm telling you, 99.99% of the time it's because we were really angry at ourselves for some reason such as we decided for some self-serving motive not to do something we should have. And instead of owning up to it we attempt to cover up our guilt by becoming angry with the disappointed person, and it quickly goes downhill from there.
When we discover the origin of our anger--regardless of what it might be--we need to reconcile with the other person so that the specter of dehumanization flees, and relationships are restored. This is why the very next thing Jesus says is, "If, then, you present your gift upon the altar, and there you remember that your brother has something against you, leave your gift there before the altar, and first go, be reconciled with your brother, and then upon returning, present your gift."
Posted by Bruce Kokko at 10:42 PM 0 comments
Tuesday, May 7, 2013
As I have said in earlier blogs, I enjoy reading through the archives of Chemical Engineering News, which is the news magazine of the American Chemical Society. It is like going back in time and listening in on real time conversations between people discussing current events and their take on what it all means. Much could be written about those exchanges; suffice it for the present to say that not much has changed for Americans in the last 60 plus years; the names have changed, governments have changed around them, but the rancor, politics, and ills haven't.
One thing I enjoy doing while perusing these time capsules is to read the column that in the fifties and before was entitled, necrology. This is just a fancy word for obituary. I read the obituaries because I'm interested in seeing if there has been a significant shift in mortality age in the last sixty plus years--there has. I'm also fascinated by the tributes written for the luminaries of science who had finally succumbed--names such as Fleming, Einstein, and Alder (who?). But the main reason I read them is to honor those who have gone before me.
The vast majority of the names appearing in those memorials are names long since forgotten--forgotten because "out of sight, out of mind" and because those who remembered them are also long gone. Some names I find in necrology, even though they left behind long lists of accomplishments, have been "buried with her name"--to quote the old Beatles' lyric. This makes me sad, so I resurrect them--if only for a brief moment--to celebrate their lives. And after I'm done, I, with the majority of humanity, promptly forget their names.
The Bible speaks frequently about the transience of humankind: man is like a flower that grows up, blooms, withers and dries, to be blown away by the wind, and become no more; or, humankind is nothing more than a vapor; or, people are but ghosts who appear for a time, and are gone. Yet at the same time, the Bible teaches the eternal value and worth God reckons humankind. In Psalm 8 we read,
Posted by Bruce Kokko at 8:20 PM 1 comments
Wednesday, May 1, 2013
Good News and Bad News
I have good news and bad news. Which would you like to hear first?
We have an original painting in our media room painted by our dear friend, Jane, picturing three guys waiting for something. It is a fascinating piece, and Jane won't tell us what she was thinking when she painted it; so we are left to ponder a universe of possible meanings. Anyway, when I see it I see three classic human responses to some future but imminent and also uncertain event. One guy stares fixedly ahead with anxious eyes. You see in his face a desire to look away, if for no other reason than to mitigate his stress level, but he can't bring himself to do it because somehow he believes he will better manage the coming disaster if he can prepare himself for it by watching it unfold. Even though it is quite apparent to the observer his terror of anticipation is wreaking far more damage on the fearful man than any conceivable future event ever could, including death. The second man reads a book as he waits. Perhaps it's a book on seven things you need to know when.... But I doubt it. This chap at least affects a sense of peace. The third guy looks ahead as did the first person, but this one is smoking a cigarette. As with the first, you sense he is anticipating something unpleasant about to happen; but unlike the first soul, this guy is shouting in his silence, "Bring it on! Come on, give me your best shot!" He waits with the alertness of a pugilist so he can be sure to hold the advantage over whatever menace is coming. And if he can't, you believe he will fix it so he goes out with as many as possible.
Mind you, there is nothing in this picture to suggest any pending doom. Everything appears quite innocuous. One is pretty sure the only thing pending is the daily commute. Indeed, this banality is corroborated by the shadow of a man standing in front of the scene but outside the view of the painting, cast over the pit where the three men are waiting. From the shadow we know the unseen man is wearing an overcoat and a hat, and reading a newspaper.
Four men in this riveting scene are waiting for something. It might be the 5:45 to the burbs, or it might be news--either good or bad, or as in the present case, both. Which of the four persons are you? Having met them through my mind's eye, which of them do you think would want the good news first, and which the bad? And would their reasons be the same? If they aren't--and I strongly suspect they aren't--will they be the same tomorrow, or the next day? In many ways, human nature is like that mysterious anticipated thing in the painting: unpredictable in its continuity.
Well, I apologize to those who like to wait for desert because I'm going to give the good news first. The good news is another person has chosen to serve and love Jesus; the person has entered into his salvation and there is great rejoicing both from me and from heaven. What a beautiful thing it is to watch someone find true life. God is good.
The the bad news is another witness to this glorious event has answered it with, "Hooray, another person's on our side!" When I learned of this response to such good news, I became crestfallen. Here's why.
Our world since the fall of humankind has been competitive. It has partitioned itself up into a zillion us- and-thems. I saw myself in this person's glee and wept inside. It dawned on me I still do not see what Jesus accomplished for all of us on the cross with inestimable cost as being a great gift from a personal/infinite God longing to dwell together with His creation in order to love them forever in unending life; instead I see it as an argument to be won, a person to be added to the country club roster, or an advantage over an increasingly virulent opposition. My concern is still more about my reputation, the club's reputation, the flock's survival, or my own glory. Yet the world is populated by a humanity that wants deep down to just be loved and to love. They don't realize this longing drives them to do all the abhorrent things they do--because all things done outside of God's kingdom are abhorrent because they are fundamentally the seeking of truth in a certain lie. And I look for ways to win these souls over, not realizing such a motive only drives them further away--drives them away from the only hope any of us have for being sated by the living water flowing freely from our creator through His son, our Lord and Savior, Jesus the Christ--the very love we are desperate for.
So I make this public confession, and I ask forgiveness from whomever might be reading this. Then I would ask them to look beyond my flawed motives and the faults of all those confessing the name of Christ to see God waiting with open and loving arms to hold them in His love and life forever.
Posted by Bruce Kokko at 6:19 PM 0 comments


text: Why It's Time to Go Monochrome When it comes to redesigning a room, the first decision is usually, "which color?". And sometimes, that can be the hardest choice of all. I can't be the only person who has excitedly walked into a paint store, then left a short time later, overwhelmed with a thousand similar-but-different options. Who knew there could be […] By Danica Rog Design and Decorate Why It's Time to Go Monochrome


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Olympics News
Nike shuts down Oregon Project after Alberto Salazar ban
Nike Inc. shut down its Nike Oregon Project training group Thursday after the recent ban of founder and coach Alberto Salazar.
LIVE: Wallabies out to avoid Uruguay upset
If this World Cup has proven anything, it's that the gap between Tier 1 and Tier 2 nations is shortening. The Wallabies face one of those Tier 2 nations in Uruguay - follow all the action from 3.15pm (AEST).
Kenenisa Bekele wins Berlin Marathon but misses Eliud Kipchoge's world record
Former Olympic and world champion Kenenisa Bekele staged a thrilling comeback to win the Berlin marathon on Sunday, dramatically missing the world record by two seconds as he recorded the second-fastest time in history.
Wales make 14 changes for Ireland clash
Rhys Carre and Owen Lane will make their debuts for Wales Saturday, when the Grand Slam winners host Ireland in their penultimate Rugby World Cup warm-up match in Cardiff.
All Blacks stars to snub rugby sevens in Tokyo
New Zealand's team bidding for a rugby sevens gold medal at next year's Tokyo Olympics will not include any All Blacks after several approached declined to be involved.
Archery World Championships: Indian men's recurve team claim silver medal
India won silver in the men's recurve team event at the Archery World Championships after losing to China in the final in Netherlands on Sunday.


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Thanks to MindLoveMisery's Menagerie for hosting Finish Off Friday's. This week's theme is footsteps in the fog.
Footsteps echoed eerily in the fog. I'd left the pub early that night and was looking forward to being home warm in my bed.
I glanced behind me, hearing footsteps following persistently, wishing I had my black lab Iggy with me.
A large hand landed on my shoulder. Turning around with trepidation, I faced a tall man in a hoody. He raised his hands, trying to tell me he was harmless, then handed me my forgotten gold clutch.
He smiled, "I'm a bouncer at The Clover and I know you're a regular. I saw you leaving and wanted to return your purse."
"Thank you so much," I stuttered trying to shove the ten from my pocket in his hand.
He refused the money insisting on walking me home, telling me about his young family.
©Mandibelle16. (2016) All Rights Reserved.


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Across the country, homeowners have been facing foreclosure after seeing their payments on adjustable mortgages increase while housing prices fell. According to the Palm Beach Post, this problem has even afflicted the Republican senate candidate in Florida, Marco Rubio.
Rubio is reportedly facing foreclosure on a Tallahassee home that he co-owns with David Rivera, a Florida state lawmaker. The duo "stopped making payments in February after a dispute about the amount [of the mortgage payment] once the interest-only period ended." Rubio's campaign has claimed that the issue has "been resolved," even though documents do not show that the foreclosure process has been halted.
Rubio, of course, is basing his entire campaign on his version of fiscal conservatism, and has repeatedly criticized the Obama administration (as well as Republicans) for spending money that it doesn't have:
"It's not just good enough to say, you know what, we think Barack Obama's doing a bad job. You've got to say what you would do instead. And I think there's so much to be done, whether it's stop the growth of the federal government, stop spending money we don't have." [CNBC, 1/12/10]
"President Barrack Obama's economic policies are wrong, Rubio said. 'We are spending money we don't have,' Rubio said." [Florida News-Press, 5/13/10]
"Really, in the last 20 years it's been a battle between the tax-and-spend democrats and the borrow-and-spend republicans. Both parties are guilty of spending money that we don't have." [Hotline, 10/23/09]
Of course, if Rubio wasn't prepared to spend on his adjustable mortgage, he shouldn't have taken it out. And if he was, in fact, led to believe that he could afford the mortgage or that the adjustment was not as drastic as it was, then he should be pushing for stricter government regulation of the mortgage market through the creation of a consumer financial protection agency.
As the St. Petersburg Times pointed out, "even if the [mortgage] dispute is finalized, it makes Rubio vulnerable to criticism once again about his personal finances. As House Speaker, he charged $16,000 in questionable personal expenses to a state Republican Party credit card, including $135 at a Miami barbershop, and later refunded $3,000 for flights he double-billed to taxpayers and the party."
Cross-posted on the Wonk Room.


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A collection of oils specially selected for their unique beauty & skin healing benefits.
Beautifully packaged, with a handpicked selection of beauty oils that are pure, freshly cold pressed and unrefined. This natural collection features some of our most popular oils, renowned for their amazing benefits for the skin and hair.
Each oil offers its own lovely unique properties and comes in the perfect mini gift size to introduce one to the "World of beauty oils".
Included in this delectable gift set, is the king of all oils, Argan oil, renowned for its rich vitamin E content and deeply nourishing action for the skin and hair. The wonderful Carrot oil, rich in beta- carotene and known for its distinct healing uses for the skin. Not forgetting the nourishing Avocado oil, for its incredible age fighting and skin replenishing properties. Also included is the nutrient packed sweet-smelling Cherry Seed oil, for its deep moisturising attributes, calming Calendula oil for its skin soothing properties and finally the enchanting Rose oil for its uplifting fragrance, perfect for baths.
It is the perfect little oils collection to enjoy and experiment with, and at the same time reap the amazing benefits oils have for the skin and hair.
This gift set contains 10ml sized bottles, enough to enjoy a transformational beauty regime.
Organic Argan oil,
Organic Avocado oil,
Organic Carrot oil,
Organic Calendula oil,
Organic Cherry Seed oil,
Organic Rose oil
All contained in a beautiful exotic themed Gift Box
(10ml x 6)
This product is natural so use within 12 months of opening.
External application on skin, hair and body.
Storage: Cool dark place or cupboard.
Avocado Organic oil 10 ml
(100% Persea Americana, cold pressed, unrefined oil)
Carrot organic oil 10 ml
(100% Daucus Carota, cold pressed & unrefined, infused in organic extra Virgin Sweet Almond Oil)
Rose Petal organic oil 10 ml
(100% Rosa Damascena infused in Organic Almond Oil, Prunus dulcis cold pressed, unrefined)
Cherry Seed Oil organic oil 10ml
(100% Prunus cerasus) cold pressed, unrefined, organic
Organic Argan organic oil 10ml
(100% Argania spinosa oil, cold pressed, unrefined, organic
Organic Calendula oil 10ml
(100% Calendula officinalis flores (organic fresh British Marigold flowers), infused in Prunus dulcis (organic unrefined cold pressed Golden Sweet Almond oil)


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Jakle: Haley relishes part in 'Dark Shadows'
Jackie Earle Haley is happy to be back home in San Antonio "to chill awhile" after a bustling year of filming in London and Virginia with the likes of Tim Burton, Johnny Depp, Steven Spielberg and Daniel Day-Lewis.
The Oscar-nominated actor, who previously spooked audiences as Rorschach in "Watchmen" and Freddy Krueger in "A Nightmare on Elm Street," described his most recent experiences on Spielberg's "Lincoln" and Burton's "Dark Shadows" as "incredible." He predicted the latter, which opens in theaters Friday and boasts a stellar cast that includes Depp, Michelle Pfeiffer, Helena Bonham Carter and Jonny Lee Miller, would be well received by moviegoers, including die-hard fans of TV's "Dark Shadows" of the '60s and early '70s.
"Tim Burton plays great homage to the soap," Haley said in a phone chat. "But he also makes that content accessible to the sensibilities of the 2012 audience. There's melodrama, dark moments with 'Dark Shadows' but also a light tone with humor."
The plot? A charismatic vampire, Barnabas Collins (Depp), is set free from his coffin after 200 years and returns to his ancestral home, the Collinwood mansion, where his dysfunctional descendants currently live.
Did Haley, who plays Barnabas' spellbound servant Willie Loomis, watch the TV soap?
"When I was a kid I totally remember bits and pieces, that weird music, scenes when Barnabas would hypnotize someone," he said.
His wife, Amelia, was a huge fan.
"She'd run home from school to watch it," he said. "It was a unique soap in that it was the only one with supernatural content with vampires, werewolves and ghosts. Adults loved it, but it also transcended to kids."
A bonus to staunch fans? Some original cast members - including Jonathan Frid (Barnabas), who recently passed away, and David Selby (Quentin) - have cameos.
"You'll see them during a party sequence," Haley said.
One major difference is Haley's character. In the original, Loomis started out as a con man who was always rooting around in the family mausoleum for treasure. Here, he's "the drunken curmudgeonly servant to the Collins family," Haley said.
"They're pretending to be rich nobility but are basically broke and living in this dilapidated mansion," he said. "Willie is happy to play along, as long as he has three squares and a cot. … When Barnabas shows up, he hypnotizes Willie and makes him his servant, so he actually has to work, which puts a crimp in his style."
Haley was especially pleased by Burton's attention to detail when re-creating this 1970s world, set in the fictional fishing village of Collinsport, Maine.
"All the London sets were incredible," he said, saying he was especially impressed by "the amazing three blocks of Collinsport on rafters. "… The props in the storefront windows were period-perfect to the time; it was really nostalgic to walk around."
Also transporting the actor back to his youth was his look as Loomis.
"The sideburns were great, my favorite thing," he said. He also wears a '70s suit that "would make John Karlen (who originally played Loomis) proud."
On to "Lincoln," which is slated for a December release and stars Day-Lewis in the title role. Haley said his part in the Spielberg biopic of the 16th president is not big but "important, pivotal." He plays Alexander Stephens, the vice president of the Confederacy.
"Steven wanted me to play him as a diplomat and a politician," he said. "It was definitely a cool experience working with Steven and the wonderful cast," which includes, coincidentally, two others with S.A. ties, Tommy Lee Jones and Bruce McGill.
Jeanne Jakle's column appears Wednesdays and Sundays in S.A. Life, and she blogs at Jakle's Jacuzzi on mySA.com. Email her at email@example.com.


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Want to look for owls? Head out with family and friends and follow these owl prowl tips.
What You Need
- bird field guide
- field journal/notebook
What You Do
- Whooo's There?
Look in a bird field guide to find out which owls live in your area and where to look for them. A librarian can help you. Also check out online guides and listen to recorded owl calls:
enature.com (broken link)
- Night Noise
In the evening, listen for owls hooting, tooting, whistling, or trilling. Late winter and early spring are usually the best times to hear owls calling for mates.
- Give a Hoot
Imitate the call of an owl and see if the bird calls back to you.
- Eye Spy
Return during the day to places where you heard owls calling. Look for whitewash, owl pellets, and owl feathers. If you find some, check carefully up in the trees. There might be an owl tucked next to the trunk or perched on a limb.
- Stick Figures
Keep track of trees in the area that have stick nests in them. Go back to those trees in late spring to see if an owl mom is using any of them. Take binoculars so you don't have to get so close that you disturb her.
- Take Note
Keep owl-prowling notes in a field journal. Sketch a map of any owl hot spot you find and keep track of what you discover there over time. Use your field notes again next year to see if owls start a new family in the same area.


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Gluten-Free Results
Amy's Kitchen
1 brand, 106 products
"Amy's Kitchen manufactures a number of 'Gluten Free' products all meeting the FDA guidelines for 'gluten free' (i.e., < 20 ppm gluten). We strive to make these products as delicious as our popular gluten containing products. We currently have over 100 products that are 'Gluten Free'."
"Amy's has always had strict Good Manufacturing Practices (GMPs) to avoid cross-contact of our non-gluten products with gluten and we continue to strengthen these practices. The GMPs include strict raw material control, sanitation practices and employee training.
"We are constantly improving our practices to include more separation, a higher degree of testing and more in process checks. In the last year, we have increased our screening of critical ingredients to verify they are 'gluten free' when they arrive at our plant.
"We continue to make efforts to minimize gluten in areas where gluten free items are processed. We have instituted a screening program to verify that equipment has been thoroughly cleaned between manufacturing runs.
"In addition, we have an in-house lab so that we are able to quickly screen ingredients and finished products to verify they meet the FDA 'gluten free' standard of less than 20 ppm gluten. We are now routinely testing all Amy's products that are labeled 'Gluten Free' to verify they meet the FDA requirement."
ContactPhone: 1-707-781-7535
Online: www.amys.com/community/contact
Amy's Kitchen brands:Amy's - 106 products
Important: We try to provide the most up-to-date and accurate information available. However, please keep in mind that manufacturer policies and formulations can change at any time, and that some information listed on this site could be out-of-date or contain unintentional errors.
Remember to always read product labels and check with the manufacturer directly if you have any concerns.


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A lot of you probably don't have the Sundance Channel. A lot of you probably do and don't even know it. Either way, that's no longer an excuse not to watch one of the most captivating and poignant TV series in recent memory. The entire six-episode first season of the network's first scripted series Rectify is available to stream on Netflix, and I can promise you it's worth your time.
A masterfully calibrated meditation on doubt, loss and change, Rectify is about Daniel Holden (Aden Young), a man who is unexpectedly released from prison after spending 19 years on death row. Holden was convicted as a teenager of the rape and murder of his high school girlfriend and his release reopens old wounds in the small Georgia town where his family still resides. While law enforcement works on building a new case, many of the residents lack the patience for modern justice to run its course.
"I will seriously need to reconsider my world view," Daniel announces upon his return to society. And more so than the mystery of whether or not Daniel is guilty of killing Hannah Dean, this is what Rectify's first season is about.
Rectify and more shows we're binge-watching this summer
The series moves at an unapologetically slow pace, subtly and hypnotically mining the emotional depths of Daniel and his family members' attempts to adapt and connect in the wake of his return. But despite the lyrical pacing, Rectify is never boring nor self-indulgent. Daniel describes his years in prison as "the time in between the seconds," and that's exactly how Rectify feels. The show breathes in a way that makes Mad Men feel rushed, and its languid hero offers a welcome respite from the cocksure Don Drapers and Walter Whites that currently populate television. Of course, some viewers might complain about the amount of time Daniel devotes to merely staring at his surroundings, but it's truly a profound experience, seeing the world through Daniel's eyes, where the most mundane aspects of daily life suddenly become monumental.
However, even as Daniel finds solace in the simplicities of our world, the years he spent in solitary confinement have left him paralyzed in the face of an overwhelming number of variables. "Now that I'm here in this world, where everything's marked by hours or dates or events, I find myself in a state of constant anticipation. What it is I'm anticipating, I'm not always sure, nor is it necessarily a pleasant feeling," Daniel explains.
The world Daniel returns to is drastically different from the one he left behind. His mother has remarried, expanding his family to include a half-brother, step-father, step-brother and even a sister-in-law, and they're all as foreign to him as Wi-Fi, DVDs and the countless luxuries we take for granted each day. And while Daniel's social maturity stagnated within the confines of prison, his kid sister Amantha (Abigail Spencer) flourished, growing into a fiercely protective and headstrong adult whose entire life, and even her romantic relationship, inordinately revolve around her brother. (And yes, I spelled that right. Amantha. It is a testament to Spencer's talents that the absurdity of the name is quickly forgotten.)
Young delivers a generous and soulful performance as an untethered man who vacillates between the young kid he was before his incarceration and the detached, contemplative man he became behind bars. Flashbacks to Daniel's time in prison provide insight into his transformation, while his friendship with his fellow convict Kerwin (Johnny Ray Gill) shows that for as much as Daniel tried to resign himself to his windowless purgatory, he was never completely able to shut out the world and its beauty.
Despite Rectify's elegiac tone, there's an effortless humor to the show, much of which stems from Daniel himself. His fish-out-of-water befuddlement with the world ("Does this work?" he earnestly asks a cashier, regarding a bottle of SmartWater) could easily devolve into a series of cheap clichés, yet series creator Ray McKinnon manages to turn even a wide-eyed trip to Walmart into a tender moment where Daniel reconnects with his mother.
Returning summer shows: Where we left off
And by the season finale (whose emotional pummeling rivals the devastation of Game of Thrones' Red Wedding), neither the audience nor any of the characters — Daniel included — seem to know who he really is. This ambiguity feels both inconsequential and incredibly profound. Daniel is not a character you know, he is a character you feel. And whoever he may be cannot be reduced to simple binaries, especially those of innocent and guilty.
Rectify is a show about trying to apply order to variables. When Daniel loses everything that he's accepted to be true about his life — that he would die in prison — and is forced back into the society that tried to shed him, Daniel must learn what it means to be human all over again. And this, he discovers, means embracing the unexpected. A life where miracles are as likely to happen as misfortune, and where nothing — from the person waiting behind a door to the beliefs he held as true — can be predicted or relied on.
Rectify's first season is currently available on Netflix. Season 2 premieres Thursday, June 19 at 9/8c on Sundance Channel.
Watch This Tonight: Why Rectify is the perfect weekend binge


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An elderly man whose body was found on a Perth beach after he admitted to the mercy killing of his disabled life partner never wanted his personal struggle to become a political debate, his lawyer says.
Herbert Erickson, 81, who preferred to be called "Bernie", pleaded guilty to the murder of his de facto partner Julie Betty Kuhn, 73, less than a month ago.
The murder had come as part of a failed murder-suicide pact conceived after Ms Kuhn - a wheelchair-bound, chronic arthritis sufferer - had a stroke, a court heard earlier this year.
Erickson admitted to smothering his partner at their Armadale home in January.
He then attempted to electrocute himself - losing some of his fingers, but surviving the ordeal.
Speaking outside court after an October appearance the elderly pensioner said he wanted to be with his partner, "but I'm here, worst luck," he told reporters.
He was due to be sentenced in January.
Instead his body was found on Floreat Perth beach Tuesday.
His vehicle was reportedly found in a nearby car park and his clothes were discovered folded neatly on the beach.
His lawyer David Manera said Erickson's death had left him with "a tremendous sense of sadness".
"He was in many respects a fine, dignified gentleman," Mr Manera said.
"Yesterday he returned his library books, I'm told he reported to the police station, walked his dogs and made his arrangements."
Mr Manera said Erickson had been concerned about the likelihood of receiving an immediate term of imprisonment over the love-motivated killing of his partner.
"But I was hopeful that he would see light at the end of the tunnel and realise that there was a chance that the court would agree that these were exceptional circumstances," Mr Manera said.
Although the discovery of Erickson's body reignited debate over the legalisation of voluntary euthanasia on Tuesday, Erickson himself had chosen not to become involved with lobby groups or political debates before his death, Mr Manera said.
"Bernie was offered assistance by a euthanasia group in Western Australia and he refused that assistance," Mr Manera said.
"He did not want to make this a political issue - it was a very personal issue and he dealt with it in his own personal way and in accordance with discussions which he'd had with his partner."
Philip Nitschke, Exit Australia director, on Tuesday said a lack of "decent legislation" was to blame for the tragic predicament.
"They help the ones they love and then they are trapped with the possibility of serious legal consequences," he said.
"We see this type of thing because we don't have decent legislation in place."
West Australian premier Colin Barnett sympathised with Erickson's situation but said he would not support moves to legalise voluntary euthanasia.
"Once you go down the path of euthanasia, you go down the path of, to be blunt, legalised killing and it raises a whole host of other issues," Mr Barnett told reporters.
But opposition spokesman Mark McGowan said if it came down to a conscience vote he would vote in favour of legalising the practice.
"If people are terminally ill, they are in great pain and they make a choice personally to end their suffering, well then, I would support the Bill," he said.
* Support is available for anyone who may be distressed by calling SANE Helpline 1800 18 7263; Lifeline 131 114; Salvo Crisis Line (02) 8736 3295; beyondblue 1300 22 46 36.
Rania is a health reporter at The Age.


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Superior Court
Dylan Thomas James Counts, 20, Omak, pleaded guilty Dec. 11 to second-degree burglary, second-degree theft and third-degree malicious mischief. Counts was sentenced to 14 months in prison and fined $1,612.87, including $502.37 in restitution. The crimes occurred Jan. 26. In a separate case, the court dismissed Dec. 11 a charge against Counts: second-degree possession of depictions of minors engaged in sexually explicit conduct. The charge was dismissed with prejudice.
Jeremy John Lavender
Cops & Courts
By Zachary Van Brunt on December 18, 2014 in Court, Police & 911 Calls
Superior Court


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Girl, Born October 2005
Melissa is a sweet 7 year old girl. Melissa was born with fetal alcohol syndrome. She is active and very friendly, but small for her age. She is diagnosed with significant vision problems (optic atrophy) and will greatly benefit from a family of her own. We're hoping to get additional photos of her and an academic update. She is delayed cognitively, but is sweet and affectionate.
Single moms ok, married couples preferred. No more than 4 children at home, and no more than 2 already with special needs. Travel required, wonderful region to visit!
Melissa's grant of $22.50 has been gifted to Tessa.
***This child is in a country that is currently not accepting new commitments. We can no longer accept grant donations or inquiries for this child, but we have not given up on any of these children and encourage all of our Prayer Warriors to continue their efforts! When and if this country program re-opens for adoptions, we will relist this child and begin seeking an adoptive family immediately.***


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Separate names with a comma.
Discussion in 'iPad Help' started by nipmark, Jul 10, 2011.
Hello friends,
How can i configure Ipad to print from HP 1102w wireless
Apple have their own proprietary printing protocol called 'AirPrint'. Only a few printers support it at present - HP is one of those that do and you can see if your model is on the list at the Apple web site
Apple - iPad - Print right from your iPad with AirPrint.
If it is there, then you can print directly under iOS 4.2 and 4.3 from apps that support in-app printing, such as Apple's iPad iWorks suite ('Pages', 'Numbers' and 'Keynote'). Not all apps support in-app printing, so you need to check out whether the app you're interested in does. For example, Apple's native iPad 'Calendar' app does not support in-app printing.
If your printer is not on the list then there are third-party apps that can help. Some printer manufacturers have released apps for PCs with their printers connected (i.e. Lexmark). On these models, an app on your PC or Mac 'pretends' to be an AirPrint printer and the app translates the AirPrint printing protocol into a form that the printer understands.
However, there are standalone apps for the iPad and 'Print N Share' is one of the best known. It can print directly from the iPad to a WiFi printer without any PC being involved. It does this by 'pretending' to be an AirPrint printer. It then, similar to the previous case, translates the AirPrint printing protocol to a form that your printer understands.
Most all WiFi equipped printers are supported by 'Print N Share' but even those few that are not are able to print via a PC using, again, a small (free) app that's available from the developers of 'Print N Share'. Once again, this app sits on your PC or Mac and links your iPad to the printer via your PC - meaning, too, that the printer can be WiFi, USB or even Bluetooth. The downside is that the PC has to be switched on.
One 'issue' that sometimes confounds users of 'Print N Share' is that this only works under iOS 4.2 or 4.3 - the iPad's 'multi-tasking' operating system (OS). 'Print N Share' needs to be loaded and running before you can print!! So, if you're going to be doing some printing, you need to first of all fire up 'Print N Share' and leave it running in the background. You can check whether it is running by double tapping the iPad's 'Home' button, to see the tasks that are 'loaded' in the 'Multi-task' menu bar. For various reasons, it's helpful if 'Print N Share' was loaded quite recently. If you haven't printed for a while, use the multi-task bar to 're-activate' it.
If you're happy to leave your PC switched on then another - and probably better - way forward is to use a PC program called FingerPrint. This is a program that runs on your PC and makes it 'look' like an AirPrint printer. It's as close as you'll get to plug-and-play printing for non-AirPrint printers. You simply download the program (there's a free 7-day version available so you can try it at no risk), install it, start the program (it automatically inserts itself into the PC's startup menu) choose the printers you want to offer to the iPad - it shows you the usual list that you get from a regular Windows print dialog box - and that's it. When you want to print on your iPad (there's no separate app for the iPad) you simply choose the print menu in apps that support in-app printing and FingerPrint makes your PC look like an AirPrint printer. You'll be offered, in the iPad, the choice of printers that you selected on the PC and off you go. FingerPrint receives the printing data from the iPad over WiFi and translates it into a form that your printer understands. I have it on my PC and it works just great.
Hope this helps, but don't hesitate to post any more detailed questions that you might have.
I had the same problem and I updated the firmware of the printer from hp support and it worked fine.
I updated my firmware, still can't get it to work running Lion...frustrating


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As the largest event organizer in the sport of triathlon, IRONMAN pioneered the creation of an independent anti-doping program when it became the first private, non-federation sports company to become a signatory to the World Anti-Doping Code Code in 2005.
The IRONMAN Anti-Doping Program is operated in compliance with the World Anti-Doping Code, which represents the standard in the global fight against doping. Our rules, procedures and policies are developed to protect athlete rights and responsibilities, to deter and detect doping in a scientifically valid and legally defensible way and to define sanctions that ensure consistency and mutual recognition among other Anti-Doping Organizations, including your National Anti-Doping Agency and National Triathlon Federation.
| IRONMAN Rules and Resources
|IRONMAN Doping Rules
|IRONMAN Competition Rules
The IRONMAN Anti-Doping Rules are adopted and implemented in conformance with IRONMAN's responsibilities as an Anti-Doping Organization under WADA Code, and are in furtherance of IRONMAN's continuing efforts to eradicated doping in the sport of triathlon.
The official competition rules which govern all IRONMAN and IRONMAN 70.3 events.
| World Anti-Doping Program (WADA) International Standards
|World Anti-Doping Code
|Testing and Investigations
The Code is the core document that provides the framework for harmonized anti-doping policies, rules and regulations within sport organizations and among public authorities. It works in conjunction with five International Standards aimed at bringing harmonization among anti-doping organizations.
The comprehensive WADA International standard to plan for effective testing and to maintain the integrity and identity of samples, from notifying the athlete to transporting samples for analysis.
|Standard for Laboratories
|Privacy and Personal Information
The document ensures production of valid test results and evidentiary data to achieve uniform and harmonized results and reporting from all accredited laboratories.
The document ensures that all relevant parties involved in anti-doping in sport adhere to a set of minimum privacy protections when collecting and using athlete personal information, such as information relating to whereabouts, doping controls, and Therapeutic Use Exemptions.
|Prohibited List
|Therapeutic Use Exemptions
The Comprehensive document serving as the international standard for identifying substances and methods prohibited in sport.
The document ensures that the process of granting TUEs is harmonized across sports and countries.


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Is it Collectible or Collectable?
An authoritative source on hot collectibles and another eye on current trends and prices in the online collectible auction world. We try to answer that elusive question - What's Hot?
Granted, it's hard to put a finger on everything hot in the collectibles and online auction markets, but we hope to open the window just a tad by aggregating content that we find interesting, and hopefully you might also...
WE WANT YOUR ARTICLES: Do you have an interesting article on collectibles of any type? Email us at firstname.lastname@example.com, and if we publish it here, we'll be sure to give you a shameless plug for your business and/or website.
TREND WATCH: Vintage Rock Memorabilia is a hot topic - check out the action.
Need website hosting? The best we've found that is Wordpress friendly and optimized is Siteground. Check them out!
eBay Coffee Collectibles
|$98.00 (0 Bids)
End Date: Wednesday Nov-20-2019 11:29:09 PST
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Price is calculated based upon any options you have, multiplied by the quantity. The price doesn't include any shipping or taxes that may be incurred.
Our durable, long-lasting 14' x 26' Arctic Armor safety pool cover is strong enough to support your entire family, yet light enough to put on or remove from your pool in five minutes or less. Arctic Armor covers are made of super-strong two-ply mesh with a break strength of over 4,000 lbs. During use, the safety cover is held in place with brass anchors. These anchors recess flush with the deck when the cover is not in use. Rest assured that your children and pets are protected from accidental drowning. In addition to its safety features, the Arctic Armor pool cover affords excellent winter protection for your pool. Its fine, lightweight mesh allows rain to seep through but screens out leaves and debris. Spring clean up is a snap because no water collects on the cover. The safety cover comes complete with brass anchors, stainless-steel springs, installation tools and a storage bag. Backed by a 12-Year Warranty. All accessories for installation are included.
Features:- Actual Cover Size - 14' x 26' - Actual Pool Size - 12' x 24'- 2 Color options (blue or green)- Super-strong two-ply mesh- Brass anchors to hold the cover in place- Screens out leaves and debris- Storage bag- 12-Year Warranty
At Pool Cover Source, customer satisfaction is a measure of how products and services supplied by our company meet or surpass your expectations. Through our testimonies, our satisfied customers speak for themselves. Every day we strive to ensure that all of our customer needs and expectations are met. We want to establish and maintain a relationship that is built on QUALITY products and service that Pool Cover Source provides to both commercial and residential clients worldwide.
This item ships via FedEx or UPS (depending on your zip code). If you have a large quantity order, it will ship via FedEx Freight or a standard LTL carrier. Once shipped, you will receive a tracking number via the email address you provide. Ground shipments usually arrive within 2-5 business days after shipment. Normally, our shipments do NOT require a signature and will be left on your doorstep if you are not available at the time of delivery.
Please inspect the package when it arrives to determine if damage occurred during shipping. If the packaging is crushed, wet or severely damaged, reject the shipment and do not sign for it. The item will be returned to us, which allows us to file a claim. If damage during shipping is discovered after delivery, contact customer service immediately so a claim can be filed. Please retain all damaged items and shipping materials, as the carrier may need to perform an inspection.Please note that UPS and FedEx shipments cannot be delivered to PO boxes.


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Based on promotional artwork for the hugely popular Batman: Arkham City, DC Collectibles has launched their line of Arkham City statues with none other than the Joker's girlfriend: Harley Quinn.
Standing approximately 23cm tall Harley is a must have for her fans, fans of Arkham City or simply fans of collectibles that will look great amongst your collection. Even sitting on your desk next to your monitor (like mine is) she looks fantastic.
Sculpted from cold-cast porcelain and hand painted it's hard to find fault with the detail and effort put into her design. Her pose is based off of a promotional character poster for the Arkham City game and the statue reflects that pose perfectly. A sly look over the shoulder, leaning forward a little provacatively with one hand on her hip and the other on her chest. In every sense of the word Harley looks sexy.
The monochromatic colouring looks sublime with Harley's skin and her being a great shade of white and grey shades with red, the only colour on the statue, perfectly standing out and emphasising the colouring of her outfit and the red colouring of her lipstick and tips in her hair. There may be the odd edging in the hand painted job, pa rticularly along the underside of her belt, but it's minimal and unnoticeable unless you go looking for it on purpose. You pretty much need a magnifying glass to pick it out. Everything about the paint job is close to perfect right down to the Joker card tattoos on Harley's waste and around her right arm.
The sculptors have paid a great deal of attention in sculpting Harley's outfit. Every hook, buckle, crease in her pants and elbow length gloves is finely detailed. There's even the small chain hanging on Harley's waste that further highlights just how much detail was put into the statue. Put all that on top of a base shaped like Batman's signature Bat-symbol with it's own detailing reminiscent of the crumbling Bat-symbol used in promotional images for the game.
At a cost of $125 there's no arguing that DC Collectibles's Arkham City Harley Quinn is well worth the price and would be a great addition to any collection. Add the fact that DC Collectibles is following up with The Joker and Nightwing, and potentially more statues in the series, Harley Quinn is the beginning of a great statue collection for any Arkham City fan or fans of great looking collectibles.
Final Score
Review By TFDutchman


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Of course someone has speculated about Rielle Hunter's take on all this. "Speculated" being the operative word.
In Rielle Hunter's defense, the "friend" who spoke exclusively to Radar has not actually gotten a quote from the mother of Edwards' child since Elizabeth Edwards died. Her remarks deal, presumably, with Hunter's reaction to Elizabeth's illness generally. Anyway, says the source "close to Hunter" : "Rielle has been very patient through all of this. She still believes that John is her soul mate, and she thinks that they're going to get married." And suddenly turning on her: "She doesn't care about anyone but herself. She's been selfish and horrible this whole time, no matter what else has been said about her."
Well, all this could have been gleaned from the infamous Oprah interview, in which Hunter's self-absorbed obliviousness (and Elizabeth-bashing) was on full view. And who knows about their marital state? Hunter, who's currently living in an Edwards-supported home, may know something this random enemy doesn't.
As to Hunter's take on Elizabeth's death? "She will say nice things about Elizabeth, but only if it makes her look good." Thanks, clairvoyant! Frankly, we think this is a case where she'd be much better served by keeping her mouth shut: her smugly serene assertions about Elizabeth's self-delusion on Oprah were quite damning enough. And random frenemy? You can zip it, too.
EXCLUSIVE: Rielle Hunter Wants To Marry John Edwards As Family & Friends Mourn Elizabeth's Death [Radar]


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Children of the Drone
Vanity Fair, June 2013
Marcel Duchamp had his urinal. Andy Warhol had his soup can. James Bridle has his . . . drone? With his first major U.S. museum exhibition opening this week at Washington's Corcoran Gallery of Art and College of Art & Design, the young British artist is spearheading a conceptual-art movement—"the New Aesthetic"—through Tumblr, Twitter, and Instagram, as he tries to capture technology's strange effects on society.
The South by Southwest Interactive Festival, held each March in Austin, Texas, has become the Internet's Sundance, an annual showcase for whatever the Silicons—Valley and Alley—can cook up, and the place where the press goes to chew on it. Ever since Twitter blew up there in 2007, the old-media publicity machine has been churning hard, with carefully orchestrated product launches and heavy competition for the attention of the biggest-name journalists. Hollywood shows up to help: last year Leonardo DiCaprio and Tobey Maguire came to support the photo-sharing app Mobli, in which they had both invested—only the latest sign that the festival had lost its funky roots, inevitably changed by money and age.
Which made it all the more startling when the biggest thing to break out last year involved neither publicists nor marketing plans, and presented nothing, in fact, to buy or sell. All it offered was a new way of understanding our screen-obsessed lives, packaged into a putative conceptual movement that had a provocative clarity that propelled it through the valleys of the Internet—far beyond South by Southwest's tech scene—to art, fashion, media, and marketing. It had a symbol: the drone. An André Breton–style ringleader: a young English artist named James Bridle. And a name: the New Aesthetic.
The birth announcement of the New Aesthetic was a blog post written by Bridle on May 6, 2011. But its breakthrough moment came one afternoon early in 2012, when Bridle and his friend and collaborator Einar Sneve Martinussen sat in his East London studio, contemplating a hobbyist's model of an MQ-1 Predator drone. They recognized it not only as an epochal weapon but also as the most dramatic and violent representation of a far broader condition. "It embodies so many of the qualities of the network," Bridle said. "Sight at a distance, action at a distance, and it's invisible." The drone epitomized the way we live now, as people who do not so much log on and log off the Internet but effectively live within it. "I started thinking about it as an emanation of the network itself—not just a surveillance platform, but a dark mirror," Bridle recalls.
Yet what was it, practically speaking? Bridle wanted "to touch the cold metal of it, to measure oneself against it." But except for the occasional appearance at an air show, drones appeared mostly in blurry photos. How big was the thing? What would it be like to stand next to it? In the parking lot outside the studio in the tech-heavy London neighborhood of Shoreditch, Bridle and Martinussen paced out the dimensions and then traced it on the ground in chalk: a drone shadow. The invisible made visible. They called it Drone Shadow 001 and put pictures of it on Flickr, the photo-sharing site.
For Bridle, that afternoon of modest creation came on the heels of nine months of pointed observation. Since that first blog post announcing his intentions, he had been gathering images, quotes, and videos that testified to what he saw as a new way of understanding the world, a "new aesthetic of the future, which sounds more portentous than I mean," he wrote. Its primary format soon became a Tumblr blog, and its guiding principle was that we could no longer clearly see, much less understand, the effects of the networked world we've built.
"We're writing things that we can't read," Kevin Slavin, a professor at the M.I.T. Media Lab, says. "We've produced systems of such complexity that they've all been written by humans but they are totally illegible to any human on earth, and yet their effects are quite tangible." The New Aesthetic points at those effects, with trepidation. In the process it becomes slippery and occasionally difficult to pin down, even for Bridle himself. Think of the New Aesthetic as a meme of memes: a found art movement (but, confusingly, not a movement of found art), evolving even as it is being defined.
The "aesthetic" referred to Bridle's preoccupation with the visible artifacts of the network, the identifiable places and moments where the digital erupts into the physical. He posted dresses patterned in pixels, camouflage that evades facial recognition, and a map of the places most densely covered by Wikipedia entries. A more sinister category of phenomena soon appeared on the Tumblr: the roving stare of Google Street View cars; stock-trading algorithms that responded to market panics they themselves had created; pilots in Nevada who killed Taliban in Afghanistan. In Bridle's mind, "the New Aesthetic" was not an art movement or an artwork but a collection of noticed things. It was no coincidence that the medium of Tumblr itself suddenly seemed very New Aesthetic: an endless scroll that others would then "reblog," thereby reconstituting it in their own way.
The New Aesthetic had a healthy following not only within Bridle's London tech world but also among museum curators, drone-watchers, and political journalists—from MoMA to CNN. Next week, an exhibition of Bridle's work will open at the Corcoran Gallery of Art and College of Art and Design in Washington, D.C. "It's really nice to see people looking for what's next again," cheered one early New Aesthetic fan, Warren Ellis, from his blog. "I think it really is something distinct, something you can sort of get your arms around—not just, you know, a bunch of cool-looking stuff," wrote Robin Sloan, a self-described "media inventor" and author of the novel Mr. Penumbra's 24-Hour Bookstore."I find it quite beautiful because it's a group effort to try and describe the coming together of the physical and the digital—which is the dimension where we will live the most in the future," said Paola Antonelli, senior curator of architecture and design and director of research and development, at the Museum of Modern Art.
By the summer of 2011, the Tumblr was attracting attention, and Bridle was ready to bring in fresh voices for the New Aesthetic and expand its audience. He was also looking for an excuse to return to South by Southwest, the key gathering for this corner of the Internet. He organized a panel discussion called "The New Aesthetic: Seeing Like Digital Devices." It brought together Joanne McNeil, at the time an editor at Rhizome, a digital-arts organization; Ben Terrett, a preternaturally talented designer and Bridle's former studio-mate in London; Aaron Straup Cope, a digital-mapping savant, formerly of Flickr and now at the Cooper Hewitt National Design Museum; and Russell Davies, a former adman and general online mischief-maker, who had helped run Wieden & Kennedy's ad campaign for Microsoft during the agency's late-90s heyday and been a mentor to Bridle. "We are becoming acquainted with new ways of seeing," the description promised, "the Gods-eye view of satellites," "the elevated car-sight of Google Street View, the facial obsessions of CCTV." What it didn't say was that the New Aesthetic was a movement.
On the final morning of the festival a crowd filled the ornate ballroom of the historic Driskill Hotel, where, as a prop, Cope built a drone. It was made of foam blocks as if it had been pixelated and was improbably large, with a wingspan as wide as a king-size bed. He and Bridle suspended it from a rainbow of balloons, paraded beneath it through the hotel lobby, and parked it beside the dais. On the screen behind them, they projected a video of Slavin, with whom they were all friendly, nodding in an endless loop—a joke of a compliant panel member but also an invocation of Big Brother.
The audience unwittingly played its part, with every head bowed over a laptop screen, and listened as the panelists told a consistent story of a present overwhelmed by the not-always-intended effects of the technological world we'd created. The five panelists shared Moonrakerclips, Pynchon quotes, and McLuhan-esque aphorisms: All our metaphors are broken. McNeil put the New Aesthetic in art-historical context. Bridle quoted Julian Assange: "We must think beyond those who have gone before us, and discover technological changes that embolden us with ways to act in which our forebears could not." They took no questions. When it was over, they paraded the drone back to the bungalow they'd rented for the week and jumped into the pool with it.
But just about then came the first indication that a nerve had been struck. The science-fiction writer Bruce Sterling, who had been in the audience, blogged about the panel by collecting the tweets about it: "The New Aesthetic involves giant balloons, evidently," said one. "Also, one of the speakers appears to be a floating head." Sterling saved his true response for a 5,000-word commentary, posted three weeks later on his blog. "The New Aesthetic is a rather old, and hearteningly traditional, story about a regional, generational cluster of creative people who are perceiving important stuff that other, older, and dumber people don't get quite yet," Sterling wrote. "It's a typical avant-garde art movement that has arisen within a modern network society." And Bridle himself is the "André Breton–style Pope of The New Aesthetic"—a characterization that served as a dog-whistle alert to a thick seam of art, fashion, and media commentators.
The responses came instantly and in torrents. Within weeks there was an online debate at the Creators Project; a live New Aesthetic "Death Match" at Long Island City's Flux Factory; service-oriented "What Is the New Aesthetic?" primers; an "Is Fashion Ready for a New Aesthetic?" warning at the Business of Fashion conference; a snarky "The New Aesthetic Needs to Get Weirder" essay on The Atlantic's Web site; a linking by the science-fiction writer Madeline Ashby of the New Aesthetic's obsession with surveillance to the male gaze; and an analysis of its politics (or lack thereof) by an Emirati arts journal.
The kerfuffle was a shock. The Internet Age was finally getting an art movement to call its own, a viable successor to the way futurism responded to the age of speed, Pop art to the age of the advertisement, and Abstract Expressionism to postwar American power. Except, in classic Internet fashion, the New Aesthetic wasn't just a new thing but a new kind of thing.
'Suddenly everyone who thinks it's a movement either wants to be part of it or wants to destroy it," Bridle reflected one recent afternoon, sitting behind a makeshift desk in his new, windowless studio in a converted factory in the Cambridge Heath neighborhood of London. "Bruce describing it as a movement locks it into an existing idea of historical processes, but there's no such thing as avant-gardes anymore. That's such a ridiculous idea. That's an art-historical construct that just doesn't apply anymore. But it leads to that idea of there being avant-garde figures that are ahead of everything else. But there's not. It's just me, looking at this stuff, and going, 'Have you seen this? Have you actually seen it? Have you really paid attention and thought this stuff through? Because I'm trying to, and it's amazing!'"
Bridle has dark hair, fair skin, and a foxlike expression of wry amusement. At 32 he still comes off as an English-public-school lad gone slightly punk, with gray jeans and combat boots, a black sweatshirt, and a pierced tragus. On top of a large bookshelf behind him, sitting like a sculpture, was a surveillance camera, its cable dangling; on the shelf below it, a stuffed Wenlock, the London Olympics' mascot, its one eye standing in for another camera. The room's lack of windows at first seemed like an economy but soon came to feel like a shield. "My Faraday cage," Bridle said, jokingly. It was a new space, and a departure for Bridle: a move from Shoreditch to Cambridge Heath—the London equivalent of the Lower East Side to Williamsburg—which he acknowledged to be a shift from his earlier work in the tech world, primarily as a digital-books consultant to publishers, toward art. In the two years since he introduced the New Aesthetic, the concept had gone from a collection of found images to a cottage industry, nipped at by gallerists and marketing consultants, roared at by bloggers and media theorists. A pair of curators was due soon for a studio visit. Bridle's walls were covered exclusively with photographs of drones.
The germ of what would become the New Aesthetic had gestated among a group of English technologists over the years, and this group had in turn shaped Bridle. They had a salon, a Friday breakfast organized by Russell Davies, the former adman on the South by Southwest panel, at the back table of a Shoreditch greasy spoon called the Shepherdess. It had spawned from a homemade conference called "Interesting," deliberately conceived by Davies as a low-clost, low-key ted. (He and Bridle had met when Bridle spoke there in 2008, on the subject of "cooking with booze.") What distinguished the group from its counterparts in San Francisco and New York was a shared sensibility—uniquely British, it seems—that technology is not just something to make a billion from but something to prod and question.
"We always think that, as Orwell said, Fascism cannot succeed in Britain because it would be laughed at," says Matt Jones, a regular at the Shepherdess, until April, when he became interaction design director at Google Creative Lab in New York. "I think that what terrifies us about some of the technological implications is that a machine can't be laughed at. You can't satirize Google. That's what spawns new expressions like some of James's work. It is a very particularly British reaction to the new American century of technology": technology is something Americans do to us.
"The New Aesthetic, if you were to really boil it down, is a reflection on the inventions of the war on terror," Jones adds. "Whether it's total information awareness, social-graph analysis, data mining, autonomous vehicles, surveillance technology—wherever the last $100 billion was spent you get an algal bloom around the rusted pieces. We can both revel in it and recoil from it."
Last October, Bridle painted Drone Shadow 002 outside a gallery of the Istanbul Design Biennial, with the help of a Turkish road crew. Seen from above on a sidewalk outside a church, it was an image that could be shared, a product of the network reflected in the network. Bridle followed it up with a project called Dronestagram. Working from the locations of drone strikes compiled by the Bureau of Investigative Journalism, he would find the town on Google Earth, guess at a precise location for the strike, and then post a satellite image of the place on the photo-sharing site Instagram. "Foreign wars and foreign bodies have always counted for less, but the technology that was supposed to bring us closer together is used to obscure and obfuscate," he wrote. Dronestagram used it to bring us closer. It was picked up by CNN, The Guardian, The Atlantic, Time, and French and Dutch TV. Here were the darkest ramifications of the New Aesthetic—a portent of all that we've given over to machines. As a collection of found images that becomes a work unto itself, it slides in behind Duchamp or Warhol, seizing on the truth and beauty of what is most terrifying in our age.
It marks a shift in our understanding of technology, not as a single object or Web site, but as an all-encompassing structure unlike anything before. "We're still unsure of why we built it and what we're supposed to do with it," Bridle says. "It's the thing we're living inside, and I'm keeping an eye on it."


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Baby is on the way. Give yourself permission to make the internal preparations as well. This class is a slow-flow at its core. Postures will prepare the body for labor with longer holds and slower transitions. Beginners will learn to control their breath and connect with their thoughts. Seasoned practitioners will learn to slow down. Guided visualizations will prepare all for labor, birth and baby.
Back to All Events
Earlier Event: February 14Prenatal Yoga - Cancelled. Happy Valentine's Day
Later Event: February 28Prenatal Yoga


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f a soldier ever saw lightning, and heard the thunder bolts of a tornado at the same time the heavens opened and the stars of destruction were sweeping everything from the face of the earth, if he was in this charge, he saw it.¹
The bloody Civil War battle fought among the rocky cedar glades near the town of Murfreesboro, Tennessee, left an indelible imprint on the lives of many a soldier and his family. As one gazes across the narrow waters of Stones River today, it is difficult to imagine the carnage of a Civil War battle. The quiet waters no longer echo the sound of cannon fire or screams of death. The cold limestone and cedar thickets no longer resound with the sharp sound of 10,000 muskets delivering their deadly charges. But perhaps we can imagine soldiers struggling along what was once a cotton field, picking the harvest's remains to stuff in their ears so that the din of battle might somehow seem more distant. For many, the quiet came too soon. The battle at Stones River claimed 23,000 casualties--it was the second bloodiest battle fought west of the Appalachians during the Civil War. The Stones River National Battlefield stands today as a silent reminder of those individuals who lost their lives there.¹W. J. McMurray, M.D., History of the Twentieth Tennessee Regiment Volunteer Infantry C.S.A. (Nashville: The Publication Committee of the Regiment, 1904), 238.
About This Lesson
Getting Started: Inquiry Question
Setting the Stage: Historical Context
Locating the Site: Maps
Determining the Facts: Readings
Visual Evidence: Images
Putting It All Together: Activities
How the National Register
Stones River National Battlefield
This lesson is based on Stones River National Battlefield, one of the thousands of properties listed in the National Register of Historic Places.


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Girlfriends in GTA San Andreas
During the course of Grand Theft Auto: San Andreas, there are six possible girlfriends for Carl, with two of them, Denise Robinson and Millie Perkins, becoming girlfriends through the storyline. Dating any of the six girlfriends is not required for 100% Completion with the exception of Millie Perkins who can be killed on the first date to obtain a keycard for the ultimate heist mission, Breaking the Bank at Caligula's.
Denise is first encountered during the mission Burning Desire for Frank Tenpenny, whilst Millie first appears during the mission Key To Her Heart in Las Venturas. The remaining four girlfriends are Michelle Cannes, Barbara Schternvart, Helena Wankstein, and Katie Zhan.
|Voice Artist
|Denise Robinson
|Denise is encountered during the mission Burning Desire and she lives a block away from Carl in Ganton, Los Santos.
|Heather Alicia Simms
|Millie Perkins
|Millie is encountered during the mission Key to Her Heart and she lives in the Prickle Pine district of Las Venturas.
|Helena Wankstein
|Helena can first be found at the Ammu-Nation store in Blueberry, Red County and she lives on a farm in Flint County.
|Bijou Phillips
|Katie Zhan
|Katie can first be found on the golf course near the Marital Arts gym and she lives in Paradiso, San Fierro
|China Chow
|Michelle Cannes
|Michelle can first be found at the Driving School in Doherty, San Fierro and lives in Downtown, San Fierro.
|Vanessa Aspillaga
|Barbara Schternvart
|Barbara can first be found at the police station in El Quebrados, Tierra Robada and she also lives in El Quebrados.
|Danielle Lee Greaves
Tips & Glitches
- Driving dates must be played by the rules, but for other date types, there are shortcuts:
- Using a Maverick to take girlfriends out is helpful for some of the more secluded ones (Helena, Barbara), allowing you to complete a food or dance date before they get bored.
- Driving a motorcycle on a date pretty much gives you a free pass to drive recklessly. Carl can hit other cars, solid objects, fall/fly off the bike with his girlfriend, etc. and none of this will upset them. This also helps you reach distant dates before the girl gets bored. However, any "stunt" driving will get a complaint.
- (None of this is relevant for Katie, as she likes horrible driving).
- Sometimes a girlfriend will be absent from their house for over 24 hours. If this happens, dying, getting arrested, or completing a mission seem to be the only ways to get them spawning for dates again.
- If the player has collected all the oysters in the game, Carl's sex appeal will be at its maximum; thus, the girlfriends wouldn't really care how Carl would look, making all dates possible.
- On rare occasions, while the player is dating a girlfriend, he can be spotted by another girlfriend.[1]
- If the player has collected all the oysters in the game, Carl can find all of his girlfriends, except Denise and Millie, again in their usual place where they first met, even though Carl had killed them or abandoned them.
- During Vigilante, girlfriend models are sometimes used as criminals.[2]


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Product Description
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Disclosing one's HIV status in the workplace is a complex and emotional issue, with many different variables to consider. I've made the decision to share my HIV-positive status with my co-workers and I've been rewarded handsomely for it. It's not an easy to "come out of the closet" so to speak, but if one is careful in how they do it, it can be both a positive and rewarding step. The following is an account of what I went through.
Soon after starting my first round of medicines, I began experiencing neuropathy in my legs. It became such an issue that I would be in a lot of pain if I had to stand up for my commute to work on the train. So I decided to confide in my boss, and see if she would adjust my schedule to allow me to come in a half hour early every day so that I'd have an easier commute. I was so nervous that day, wondering what she would think of me.
I stopped by her office one morning when she was in between meetings, and asked to speak to her privately. I then told her of my condition and how the medicines were causing me pain in my legs and feet. I was careful to stress that I was not looking for special treatment, only reasonable accommodation. It turns out that all that stress was for nothing. She was very understanding and immediately offered to adjust my schedule.
I found that it was easiest to let people know about my status by dropping small hints. For example, I stopped hiding my morning medicines from everybody, and began taking them at my desk. If a co-worker asked me what I was taking, I would tell them that these are my morning medicines. If they asked anything further, I would take them aside to speak to them privately and tell them about my HIV. It's important to remember though, that AIDS still scares people, and that many people still don't know a lot about it. If I had to leave work in the middle of the day for a doctor's appointment or if I happened to be going through a bout of bronchitis, I decided that in my case it was much easier just to be honest about what I was going through and if someone was curious, I would explain why I was getting sick and how I planned to get better.
Whenever I disclose my HIV status to someone in the office, I always offer to answer any questions they may have and reassure them that I'm not dying and I'm not sick. I explain that being HIV-positive is now considered a chronic condition, and that with drug therapy and reasonable lifestyle changes, such as a regular exercise regimen, I'll probably not become seriously ill for quite some time. I've noticed that once I've disclosed my status to someone in the office, they tend to treat me with respect and my relationship with that person tends to be closer, most of the time. It's also a lot easier to take the time I need when I'm not feeling better when the people I work with know of my condition. My department as a whole understands, rather than resents, that sometimes I may not be up to my full potential.
I have a different boss now, and he found out after I was in the hospital for a week with bronchitis that required the use of intravenous antibiotics. When I came back to work, I asked him if he'd heard about my HIV, and he stated that he had. As with my previous boss, I reassured him that I didn't want special treatment, just reasonable accommodation. To his credit, he's been one of the best bosses I've ever had. He doesn't question when I call in sick, and always accommodated any request I have for time off during the workday to fill prescriptions, go to the doctor's office, or whatever else I may need to do.
I've received a lot of support from people at work since "coming out" with my status, but I've also had some people back away from me. That is bound to happen to everyone. Telling people you have HIV is not a small thing for many people to swallow and, frankly, it just makes some people nervous. This is something that one must thing about very seriously before making the decision to let people know what you are going through.
The reality, of course, is that each individual must make the decision to disclose based on his or her own situation. The medicines do cause side effects for many people, as do the medicines that treat the side effects. But in some cases it may actually cause more stress to let people know of your situation, which can adversely affect your health as well. But if you spend a little time, as I did, weighing out the options, you should be able to decide which course is best for you.
All in all, my decision to disclose my HIV status at work has left me with less stress, more support, and a better relationship with most of my coworkers. And thanks to the support I'm receiving and the stress I'm not dealing with, I'm feeling pretty healthy, and pretty happy. Life is good.
Steve McMahon is a frequent contributor to Body Positive magazine.


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Survivor: Who Does Jeff Probst Think Doesn't Have a Chance at Winning?
Feb 13, 2013 8:00 AM EST
Survivor kicks off its 26th season Wednesday night, pitting fans against former competitors for the second time with Survivor: Caramoan — Fans vs. Favorites. And, according to host Jeff Probst, though the show's formula may be routine by now, t… Read more