text:
Today's Name to Know: Joe Torre. (And then there's everyone else.)
MLB: Indians oust Yankees at the Stadium in 4 Games. Congrats to
No, seriously: WHAT NEXT?!?! (That's supposed to reflect the pain and confusion within Yankees Nation.)
Will Joe Torre get fired? Should he? (I personally think few managers could do better, but despite the massive investment, he has failed to produce a title in the postseason since 2000. It's been a while. Also, despite going 6-0 against the Indians in the regular season, he and the team went 1-3 when it mattered.)
Anyway, Steinbrenner will "fire" Torre, then get crushed in the media, despite the fact that playoff success has eluded the manager for seven seasons, including the most epic playoff collapse in sports history. Here's the deal: MAKING the playoffs simply isn't enough when you're the Yankees (or when you're spending as much as the Yankees are spending).
I question whether the Yankees can find another manager better equipped to deal with the pressure and the players enough to win a championship (Girardi? Piniella?), but it's not like Torre has been winning titles recently himself. I know some fans would like to see him named "Manager For Life" (or whenever he wants to retire), but that's not how it works.
The Yankees are entering a new era -- the post-Boss era (and, sure, the post-Torre era, too) -- and they probably need a new manager to go along with it.
Will A-Rod return to NY? Should he? (I think he'll opt out, and I think he should. It hasn't been a good fit, despite his best-ever season at the plate. He is better off elsewhere, and the Yankees can use the $25 million a year it would take to keep him elsewhere, too.)
Will the Yankees become financially prudent? Not exactly. I think the era of the $20M Clemens signings is over, especially with the young arms the team has developed. They could use some lineup pop to replace A-Rod, though.
Mark Cuban really wants to buy the Cubs: And if MLB was smart, they would let him. (They never will, of course; he's a little too outspoken.)
MNF: Bills give Cowboys a game, but
Jake Delhomme out for the season: With David Carr as the next-best option and Delhomme's future shaky, the Panthers join the growing list of teams that could use a QB from the 2008 Draft's amazing group.
Marion Jones returns Olympic medals: It was the right thing to do, and of all of the athlete reactions to being involved with PEDs, Jones' reaction was the smartest, most honorable and reputation-helping.
USC QB Controversy: John David Booty vs. Mark Sanchez. I know Booty has the broken finger and is Carroll's guy, but given that Booty lost to STANFORD (at home!), effectively ruining the Trojans' season, I'd say there's no downside to giving Sanchez the job.
CFB BlogPoll Top 25 Ballot: USC No. 25.
CoachOfTheYear.com This Week: Zook! Harbaugh! The latest standings! I invite you to check out the site, my guest-blog and leave your latest analysis in the comments about which coach or coaches are emerging as the top contenders for this year's Liberty Mutual Coach of the Year award. (And don't forget to vote!)


text:
OCEAN CITY – Enforcement of zoning laws regarding scooter regulations and outdoor display policies is in full swing this season.
In February, the Mayor and City Council became concerned over the proliferation of scooter rental businesses in town and the safety concerns that have surfaced, such as a rapid increase in the number of scooter-related accidents. The Planning and Zoning Commission was tasked to focus on the industry and come forth with recommendations.
The first ordinance proposed would require all existing, or new, scooter rental businesses to comply with the new regulations this year or not be granted a business license, which would be in place from June 1 through May 31, 2013. The second ordinance requires scooter rentals to apply for a conditional use permit.
One of the proposed regulations that caused the most controversy among scooter rental operators is the licensee must provide instruction and training to each customer in advance of the rental of the vehicle, as well as provide a training area on the premise of the business or on other private property within a reasonable walking distance. The training area must be unobstructed paved surfaces at least 20 feet wide by 50 feet long in order to provide adequate space to turn, accelerate and stop the vehicle.
On Tuesday Zoning Administrator Blaine Smith updated the Mayor and City Council on the enforcement of the ordinances that went into effect on July 1.
According to Smith, there were 20 pre-existing scooter rental business licenses prior to the ordinances and all 20 renewed their licenses but only 18 are active. There have been no new scooter rental license applications.
According to Planning and Development Director Jesse Houston, there have been five first violation letters issued and two citations for second violations.
The two citations along with $250 fines have been issued to Island Cycles on Baltimore Ave. and Scooters by the Beach on Philadelphia Ave.
Smith explained citations are mostly due to the operators displaying scooters in public-right-away.
"It has been a challenge to meet all of the criteria in the ordinance," Smith said. "I think it has been successful … when this ordinance was first passed the goal was safety."
As for outdoor display policies being enforced on the Boardwalk, there have been seven citations, with fines, issued for third violations, and one suspension for a week was imposed on NY Piercing.

subset: commoncrawl


text:
Wherein a surgeon tells some stories, shares some thoughts, and occasionally shoots off his mouth. Like a surgeon.
Wednesday, November 29, 2006
Anatomy Lesson
OK, I'm switching from bitterroot to cotton candy: let's talk TV. If confession is purifying, then it should help me to admit I watch medical shows: "Grey's Anatomy," "ER," even the ridiculous "House, M.D."
Readers of this blog know it, I'm sure; but I wonder how many people who watch Grey's Anatomy are aware of the word-play on the name of medicine's most famous anatomy text. Just asking. It's about the only way in which the show bears resemblance to reality, especially as applies to surgery training. I assume these shows have medical consultants. Wonder how much they get paid, and why the producers haven't called me...
Let's start with something mundane (OK, it's all mundane), but which I always find amusing. (Oh yeah: I also watch "Scrubs," and have wondered from the beginning why in the opening sequence JD puts the chest Xray up backwards. That's amusing, too; and puzzling. I'm thinking it's so obvious that they're doing it on purpose. But why.....?) The classic portrayal of surgery -- the actual act of operating -- is to show a surgeon (I particularly note that chief resident lady) sewing something. And without fail that surgeon tightens the suture by pulling the needle and needle-holder high above his/her head -- a regular quilting bee. In real life, raising one's hand that high is never done: for one thing, you're likely to whack it into an overhead surgical light. For another, it's clumsy as hell. Surgery is about control and stability. Which is why it's also a kick to watch the other enactments of operating: see how they hold instruments? High up on the handles, with their elbows out, hands far from the patient, as if stirring some mysterious stew? I doubt you even carve your steak that way.
In the operating room, a surgeon's hands are almost never flapping around like that. You want to rest them on something firm; if not the whole hand, then at least the pinkie, like a cane. Elbows in, hands and fingers close as possible to the patient. In fact, many surgeons avoid putting fingers in the "finger-holes" of instruments, placing that part in their palm, thumb on the mid-shaft and index finger nearly all the way to the end of the instrument. You can click and unclick the lock with the pad at the base of the thumb (the thenar eminence) opposing the middle or ring finger. (Naturally, some of my teachers were adamant that you NEVER do it that way....) I'll give them this much: it's pretty rare any more to see the actors at the scrub sink with the masks off their faces. Or contaminating their hands by washing backwards.
Watching "Grey's Anatomy," you'd conclude that surgery interns hang around together until some interesting case comes up, and then they fight for who gets to be involved. Heart, belly, uterus, whatever is next. In reality, you're assigned for a given time to a given service -- vascular, cardiac, ortho, several other options -- and that's what you do until you move on in a month or two or three. And you'll likely never see anyone who's not assigned there with you, except at big conferences.
Nor will you spend much time sitting around discussing (or performing) sex, or anything else. You'll be doing the work of admitting six or ten patients, in many of whose operations you'll likely not participate. You'll be running around collecting lab data, old records, Xrays. Into the wee hours, you'll be charting, writing orders, checking pre- and postop patients, taking calls for sleeping pills. Paging your superiors. And not only will you not be directly assisting the operating surgeon (and sure as hell you won't be doing the delicate parts of his operation so no one will notice his disability!! "We're a great team," he says. Give me a friggin' break, say I!), you'll be at least one body away from the action.
If you live with a bunch of fellow interns, your intercourse will consist mainly of leaving notes asking whoever ate your peanut butter to please replace it. I was one of twelve surgery interns, who rotated serially through the services, like a trunk/tail elephant parade. About half were one-intern shows, which meant I neither saw any of my fellows nor my apartment for a couple of weeks at a time. On the two-intern services, I shared with the same two all year: Wendell at the front end, and Mike at the back end of each two-month alloquot. Hardly knew the others at all. Sure as hell didn't screw any of them. Or my professors. Despite that "front end - back end" reference. Not a lot of lady surgeons, them days.
Will someone please enlighten me: what the hell sort of doctors are House and his groupies? I'm not talking about assholery: that part is clear enough. I mean specialty. In no big hospital that I know of would the same people sitting around thinking off over a patient be the ones to do all those procedures. Biopsies. Radiologic interventions. Of late they've tapered off a bit from their routine breaking and entering of their patients' homes; but they still seem to be doing pretty much everything else. Moreover, what exactly is their relationship? The groupies are too old to be residents, plus the black guy was once assigned to mentor House himself. So why do they spend all that time being lectured to and ordered around? Don't they ever have something else to do?
And really: I know poor ol' House is more drug-addled of late, but c'mon: not even stoned would any doctor mistake anything for four-limb necrotizing fasciitis. (Not only is there virtually no mechanism for getting it simultaneously in all four extremities, the patient would be dead too soon for a story line to develop.) It's inventive that the guy is a junkie. But after a while the formula wears thin: doctor-prick treats the patient like crap, makes about three wrong diagnoses, does a few unnecessary tests, putting the poor soul near the brink of death, then comes up with the right answer right before the closing credits. Every week, same damn thing. And yet: popular as pumpkin pie.
A quantum leap in realism was brought to the small screen with the advent of "ER," what with the roving camera and long takes; the failures, the confusion. But damn! With great regularity those patients seem to remain in the ER forever. Intubated, drugs dripping in. Like they're admitted there. Unless the ICU and recovery rooms are all overloaded, that just doesn't happen. Those guys have even opened bellies in their ER -- as big a no-no as there is. And let's not even talk about how often guns, bombs, and other disasters strike that place. Bad ju-ju. They need to see if it's built on an ancient cemetery or something.
Of course, it's all about entertainment, and not reality, and since when is reality all that entertaining anyway? In the grand order of things, it's a speck in the collective eye. But geez, aren't we doctors and nurses exciting enough that you could have a good show without just making shit up out of whole cloth?
I like everything about "Scrubs." Even the Xray.
37 comments:
When I heard about the intern on Grey's Anatomy assisting the surgeon I was jealous. I just wish I could be that good of a surgeon a few months after graduating from medical school.
Maybe the reason House is so popular is that's how our patients feel: like someone runs several unnecessary tests, misses the diagnosis which is obvious to the final consultant, and endangers their life in the meanwhile. . . That's the story you often hear from someone sent for a consult, regardless of whether the previous care was appropriate. - 11/30/2006 8:43 AM
Check the trivia on Wikipedia re:the "Scrubs" x-ray: http://en.wikipedia.org/wiki/Scrubs_%28TV_series%29#Trivia
I'd like to point out that there are almost NOnurses on the shows you mentioned, except for Scrubs of course.
What's your opinion on that? - 11/30/2006 10:24 AM
I like House and ER. I know they aren't very realistic. But it's an interesting twist to things. Scrubs is way to soap opra-ish for me.
- beajerry said...
No doubt a forensic pathologist has ranted the same about the plethora of CSI-type shows.
But you gotta lighten up. I get miffed whenever a skeptic writer (Skeptic magazine, et al) goes off on shows like Medium.
It's like a physicist scolding a Superman movie.
I suppose it does come back to bite medical professionals who don't point out the fiction when someone demands some fictional test they've seen on TV. - 11/30/2006 11:15 AM
- scalpel said...
I've honestly never seen so much as one second of House, Scrubs, or Grey's Anatomy. I watched a few episodes of ER the first couple of years, before it got too unrealistic.
I have enjoyed "Trauma: Life and Death in the ER" occasionally.
It's pretty common nowadays to have intubated patients and those with multiple drips remain in the ER for hours waiting on ICU beds, but we call in the gastroenterologist to do our endoscopies (in the ER, for esophageal impactions mainly). They call in their own nurses to assist. Pretty cool. - 11/30/2006 1:28 PM
Grey's Anatomy has at least one medical consultant -- an ER doc from a community hospital near where I live. I assume she's not responsible for some of the absurd situations that crop up on that show.
- Greg P said...
One thing that occurred to me in medical school watching surgeons, was that they hold instruments in seemingly unorthodox ways, the way that artists hold drawing and painting instruments in unorthodox ways, because of the issue of control and precision.
I'm a resident in Plastics. My former chairman is well known for smacking the residents' knuckles with whatever instrument available (usually suture scissors) when he takes his fingers out of the loops. I spent a month as an intern with bruised knuckles. Now, (after four years) I'm trying to relearn how to palm instruments (when I'm not in a case with him).
- #1 Dinosaur said...
Finally something we agree on right down the line, Sid.
Scrubs is on tonight. - 11/30/2006 4:33 PM
- Orac said...
E.R. is guilty of a lot of the same crimes. If you believe the show, E.R. docs can do anything: endoscopy, ICU patient management, invasive radiology, surgery, cardiac caths,E etc. In fact, if you're a surgeon in County General, you can do anything. We had Corday doing general surgery, liver transplants, spine surgery, cardiac surgery, and who knows what else.
I don't have TV set up to watch so I rent DVDs and have seen the first two seasons of Grey's Anatomy and four episodes of House (which I think is horrid). I used to faithfully watch ER but then Dr. Greene died in Hawaii. Sigh.
Food for thought on movies and the depiction of operating. Compare and contrast William Hurt in The Doctor (a bombastic CT surgeon who gets 'throat cancer' and learns how to be a patient) with Meg Ryan in City of Angels (a single female CT surgeon who bike rides through the gettos of LA to get to the hospital before she meets the angel Nicholas Cage).
In The Doctor, William Hurt is seen just as described in a catastrophic 'aortic dissection', fumbling with the needle driver and loading and reloading the needle up by the light handles. In City of Angels, Meg Ryan actually was shown in arms in body posture, wearing loops, rhytmically using an appropriate sized castro-viehjo with a reasonable appearence of fluid efficiency.
Rarely, Hollywood can come close.
btw - I do not watch those TV shows as my BP cannot tolerate them! - 11/30/2006 8:45 PM
- DK said...
You know, scrubs is actually based on the residency of the medical consultant. (There is an interview with him and his wife in the bonus material of the season 1 DVD set).
Before I started nursing school a (nurse) friend of mine told me that she thought Scrubs was the most realistic of all medical shows. Not so much becase of the medicine but the interactions.
Funny thing tho, there is a guy who reminds me of "The Todd" in my nursing class. Werid... - 11/30/2006 9:10 PM
- SeaSpray said...
I confess to being part of the Grey's Anatomy cult. What would really happen to someone if they cut a patient's LVAD wire? Would they lose their career as a surgeon?
I worked in ED registration for the last 20 years until recently and have thoroughly enjoyed working with the staff and patients. There is always something interesting going on in a hospital. :) I have worked around a lot of surgeons and heard their interesting stories, etc., but until Grey's Anatomy - never really thought much about all the training they have had and what they had to go thru to get to where they are now.
I recently purchased your book, which I am enjoying and also recently read your Oct.7th post called "Taking Trust". I was so moved by that post,in awe really. It was eloquently written and you are truly a gifted writer.
At that time, I was thinking I was going to have surgery, but thanks to my skilled and dedicated urologist it turns out that everything he did has worked and I won't have to go thru it after all.
I was profoundly affected by that post (Taking Trust) and even reassured that a surgery could mean so much to a doctor, affecting him or her to the very core of their being, so much so, that it would even feel sacred. Thank you for writing that post. - 12/01/2006 12:38 AM
- Dr Dork said...
Hear hear for Scrubs. Although Scrubs is a vehicle for comedy rather than drama, and doesn't pretend to take itself as seriously as those other shows..I concur with 'dk' that it's probably the closest to reality, and has far greater depth.
As per SusanRN, I agree it also has far greater breadth of characterisation of the hospital environment...and doctors are in reality but a fraction of the staff involved in patient care.
Another example - the 'alpha male' is the janitor... - 12/01/2006 5:40 AM
I personally have been in the ER for many hours when I had the misfortune to be low on the triage pole behind two head on car crashes. But the rest of it is just pure intertainment. What fun would it be if they were total strangers and not sleeping with each other? Actually the discovery channel does reality medical shows, but you really have to be a nerd to watch them. And you forgot to mention Dr. 90210. Dr. Reyes is a real pig and he doesn't even have to make stuff up.
- 593 said...
Hmmmm, as addicted to medblogs as I am, the only one of these shows that I have actually watched is ER, and I have only seen a few episodes. If they bother you so much, why do you continue to watch? I'm sure you have better things to do . . .
- Dr. Deb said...
***Re: SCRUBS***
It WAS done intentionally. - 12/01/2006 5:50 PM
1. I really like Scrubs too. The juxtaposition of silliness with *abject fear* resonates.
I think it grabbed me in one of the very first eps when JD was standing in a patient's room, bad news, and took a delivery of "Ton of bricks for Dr. Dorian?"
I like all these medical dramas, back to M*A*S*H*, Quincy ME and St Elsewhere.
Jozi-H is a Canada-South Africa co-production; it *doesn't so much take place in Chicago.* Still kind of soapy (that's TV for you) but different um, suds?
2. As a cc4 I just assumed the CXR was backwards b/c they were interns. And felt *very* clever pointing that out to non-medical friends and family.
TV has its pluses.
3. Then there was the night a year later, as an R1 in emerg, during SARS. Husband end-stage CAD/MI, wife says: "It's not as exciting as it is on TV." All of us and hubby stare at her. "Well, there's no music or anything." For us (and hubby I'm sure) it was exciting enough without the music.
4. A show about family practice would really suck. Even with music and suds.
drnccfp - 12/01/2006 8:19 PM
Argh I meant 1-1/2 years later. October of cc4 then June of R1. Nobody cares, it's just been bugging me.
drncc - 12/01/2006 8:48 PM
- SeaSpray said...
I enjoy Scrubs too and I forgot about Mash. I loved that show! My joke has always been that working with the emergency staff was like Mash because when it was crazy you worked really hard and when it wasn't, we were crazy! You have to have a sense of humor!
I think there could be a lot of material with a private practice show. Remember Marcus Welby MD? (I wanted to be Consuela - helping people) I think there could be both humor and drama - every profession has some stories! - 12/01/2006 11:35 PM
- Cathy said...
- This comment has been removed by the author.
- Cathy said...
God, ya'll must be young..Give me Dr. Kildare. Noone played it better than Richard Chamberlain.
I have never watched these shows you are talking of, other than ER. But, even that, I haven't watched since George Clooney left, many seasons ago.
When I was, (cough) young, there use to be a song about Dr. Kildare, based on the baseball song. Want me to sing it for ya?
To late if you say NO because I'm already singing it!
~~~Take me out to the hospital, wheel me up to my room, stick me with needles, for I don't care, I'm in looooove with Dr. Kildare. And it's boo boo boo for Ben Casey, Rah Rah Rah for Kildare, and it's one, two, three shots your out at the old hos....pital....pital...pital...pital...cha...cha...cha!~~~
Taking my bow....Thank you very much! - 12/02/2006 2:15 PM
There's a new medical melodrama (I think on CBS) called '3 lbs'. It's about two neurosurgeons, one older and cynical, the other young and earnest. There's also a fetching neurologist thrown in for good measure.
I couldn't make it through one episode, and I'm just a patient. One of the subplots involved the younger surgeon going to bed with a patient's sexy lawyer (NO!!!! Doctors hate lawyers.) The lawyer uses her wiles to weasel out information from the surgeon. She then drops him like a hot potato (Ha Ha). He's devastated (so sad).
For me, the only redeeming feature is the older surgeon is played by Stanley Tucci, a fine actor who brings some subtlety to his character.
I've watched House a couple of times. The plots look far-fetched. I am, however, amazed at how well Hugh Laurie, a British actor, can speak with an American accent. - 12/02/2006 2:18 PM
I like House because I like Hugh Laurie. As Anon 2:18 said, it's amazing how Laurie can carry this off - obviously a very accomplished actor. (If you want to see him in a very different show - watch Black Adder III. This is a Brit comedy with Roman Atkinson, where Laurie plays a stuffy prince.)
You have to suspend reality a bit to watch these shows. Otherwise you will go crazy.
Maybe you docs think all these shows are unrealistic, but it's not clear to me that docs are often not guessing when they diagnose patients. I was ill last year for about 8 weeks, and just went from one specialist to another with no definitive diagnosis. I started getting better, and the diagnosis was "some kind of virus". - 12/02/2006 3:58 PM
- SeaSpray said...
Cathy - George Clooney....sigh! Miss him! I vaguely remember Dr. Kildare - another curtain call for the song tho - take another bow. :)
- The Angry Medic said...
Anonymous 3.58pm: as unusual as it may sound, sometimes doctors just can't figure out what's going on. We're only human; there are actually patients whose conditions have us stymied.
And yep, Hugh Laurie is brilliant and is one of my inspirations. Black Adder is a classic here in England, as is Jeeves & Wooster. Laurie started off in my university, where he was already a hit. Glad House has given him an international stage :) - 12/02/2006 8:11 PM
There's also 'Nip/Tuck', the show about plastic surgeons in Miami Beach. The show's more about the surgeons' personal lives; it's more like a soap opera with a little bit of plastic surgery procedures added on.
Some of it seems odd. They showed one of the surgeons getting liposuction (even though he looks mighty trim). He was completely awake during the procedure. I was under the impression you had to be asleep for this.
One eye-catching part of the show are the sex scenes, featuring various positions and a decent amount of male nudity. These scenes are just shy of softcore porn; the only thing missing is the cheesy porn music. - 12/03/2006 7:46 AM
I like the medical stuff in these shows but hate the soap opera aspects. I stopped watching ER because it started to seem like everyone on the show was sleeping with everyone else. I tried Grey's Anatomy once but it appeared to be about 90% soap so I gave up on it. (The acting was alao pretty bad.)
House is fun because Hugh Laurie is so good and all the cases are obscure. With House you should think "unicorn" when you hear those hoofbeats, not "zebra" or "horse". It's fun to see if you can beat them to the dianosis. That said, sometimes the cases are painfully obvious: Who can see bats in an alley and not think "rabies" and even if House was so addled by withdrawl to diagnose necrotizing fasciitis in multiple limbs, don't any of the other docs have brains?
Unfortunately House appears to be heading down soap opera lane as well with each season having a new backstory involving some bad guy out to get House. The cases aren't as interesting as they used to be either. - 12/03/2006 11:16 AM
- SeaSpray said...
McDreamy Eyes! And of course the med stuff is interesting, even if not realistically carried out. Also, with this week's siames twin story - I never thought about siamese twins physically/verbally fighting with each other.
On last weeks ER, I noticed that after "gloved" Dr. Pratt put the container of body fluid on Jerry's (ward clerk) desk that he didn't put gloves on before picking it up to take to the lab. Infection control? OSHA? - 12/03/2006 4:57 PM
You know, I used to NEVER miss an episode of ER, that is, until I got into medical school. I've heard of "ER clubs" in various med schools, but I don't know how anyone has the time for that. Once I broke my ER habit, I lost interest in the medical dramas. Guess I got enough of that at work.
I'm beginning to come around now, though. I recently started watching "Scrubs"--what a hoot! I just love that Dr. Cox!!! He reminds me a great deal of one of my attendings. - 12/04/2006 8:17 PM
- SeaSpray said...
Dr. Cox and the janitor - my two favorites!
I am a big fan of Scrubs and House, not so much of ER or Grey's Anatomy. I don't think it's fair to ask a television show to accurately portray surgery, but I can see how those errors would irk someone whose job it is to do it correctly.
The formulaic approach that House, MD takes would usually not hold up a show. If it weren't for Hugh Laurie's incredible skill and wit, and that of the supporting cast, I don't think the show would be popular at all. Also, in response to your question, House's primary specialty, IIRC, is nephrology. I believe they have referred to him as the nation's top diagnostician on the show - not sure if that qualifies as an actual specialty outside of TV land, though.... - 12/15/2006 10:40 AM
- Karen Little said...
And have you noticed there are never any anaesthetists on Grey's? Humph.
I think we all like Scrubs because it's not about medicine at all - it's about really normal people. And JD really is hilarious. And I'm sure the X-Ray is backwards on purpose. - 12/15/2006 11:27 AM
I can't stand House. It barely qualifies as a medical show. All anybody has to do is look up an obscure disease in Harrison's or whatever, and then construct a screenplay around it, working backwards. But such canned writing is not the biggest sin--that lies with the fact that not a single character has any redeeming qualities whatsoever. I couldn't care less if any of them contracted Ebola and bled out on the show. In fact, I think that would get me to tune in.
Scrubs is great because as others have said, it doesn't take itself seriously and really does involve lots of facets of hospital life, not just the 20-something angst of a group of shallow interns (now PGY2s, I suppose) a la Grey's Anatomy. That being said, at least GA's characters, while shallow and not exactly complex, at least resemble real people in real situations (in life, not in hospital) and display a full spectrum of emotions, unlike the House crew, who I feel are ready to knife each other at a moment's notice when the other isn't looking. Just like well-trained pre-med students. - 12/20/2006 8:21 PM
- Unknown said...
It's kind of stupid (not to mention a waste of time) to keep analizing medical TV shows by their commitment with the truth. They are made for entertainment and even if it seems like an important part of these shows, Medicine is only a (luxury) supporting elemen.
Yes, House is made of a formula. But what makes it AMAZING is the writting: the dialogues are well-built, smart and touching. If you are a doctor and never questioned something about your thoughts after seeing an episode of House, then you're a flat and narrow-minded person.
About Grey's Anatomy, it's almost a soap opera and Medicine is really secondary, although it's good for the metaphores. The show is about relationships not a guide on how to make a surgery. Imagine how boring it would be to watch a single intern (instead of a group) that almost never goes to the OR, just to keep it real. Real sucks sometimes...
So, don't be so pragmatic. It's just TV... - 10/03/2007 5:57 PM
Moving this post to the head of the list, I present a recently expanded sampling of what this blog has been about. Occasional rant aside, i...
In no way is it false modesty to say that physicians are not healers. At best, what we do is to grease the way, to make conditions as favora...
Finally I'm getting around to writing about the gallbladder. Don't know what took me so long, seeing as how, next to hernias it'...
Among many, many who've needed it and accepted it, I've had two patients who refused colostomy . One is dead, the other alive and we...


text:
Rule #1 - Be Patient - Rule #2 - Don't ask when, if you don't contribute - Rule #3 - You have coding skills - LinuxMCE's small brother is available: http://www.agocontrol.com
Hi Andrew, I am trying to configure two cisco7970 phones with no luck. The wiki instructions deal mostly with configuration under LMCE with plug and play. Are there additional manual configurations required, or are there other changes under DIANEMO S preventing these from working. CheersGarath
What Asterisk version is Dianemo using? LinuxMCE is using 1.8 and afaik foxy is using that successfully with his Cisco phones.
Andrew,what SCCP channel driver are you using? Did you try the one in our repo?
Andrew, At the moment, could we use c7970s as phone and orbiter on Dianemo S? We plans to install a few of them.ThanksHernan
We would like to use cisco phones and not throw them away.
Hi Andrew,Is there any way to configure 7960 orbiter with the LMCE skin? the problem is that Dianemo skin is black and the phone screen is not good to provide details. We would like to use cisco phones and not throw them away.ThanksHernan


text:
Humorist David Sedaris delighted members of the class of 2006 at
Princeton University's Baccalaureate service on Sunday, June 4, with a
fanciful tale describing what Princeton was like when he was a student.
"When I went to Princeton, things were completely different," Sedaris
deadpanned. "I'm dating myself, but this was before Jesus Christ."
"Back then we were on a pass-fail system," he continued. "If you
passed, you got to live. And if you failed, you were burned alive on a
pyre that is now the transgender studies building." The system "kept
you on your toes," he insisted. "If I'd been burned alive because of
bad grades, my parents would have killed me."
Baccalaureate, an interfaith worship service, dates to 1760 and is one
of Princeton's oldest traditions. Held in the University chapel, it
includes prayers and readings reflecting the diversity of religious
life at Princeton. A "sermon" or address is given by a speaker chosen
by the president after discussion with class leaders.
Sedaris, who actually graduated from the School of the Art
Institute of Chicago, is an author who has used self-deprecating humor
and sharp wit to write about his foibles and those of his family to
hilarious effect.
"If laughter is the best medicine for what ails us, then David Sedaris
is a physician extraordinaire," said President Shirley M. Tilghman in
her introduction of the speaker. Sedaris is the author of the
best-sellers "Barrel Fever" and "Holidays on Ice," as well as
collections of personal essays "Naked" and "Me Talk Pretty One Day." He
won the Thurber Prize for American Humor in 2001.
In his speech, Sedaris conjured a fictional era of Princeton history in
which students attended modesty seminars, majored in patricide and took
classes from a fortune teller.
He recounted his parents' ecstatic reaction to the news that he would
be attending Princeton. His father outfitted himself in "a Princeton
breastplate and a Princeton night cap" and wore a sandwich board that
said, "Ask me where my son went to college." He also drove a wagon with
a bumper sticker that read, "I hold my horses for Ivy League schools,"
Sedaris told the audience.
But when Sedaris informed his parents that he was thinking of majoring
in comparative literature, they were not pleased. "Dad followed his
'I'm so disappointed' speech with a lecture on career opportunities.
'You're going to study literature and get a job doing what?' he said.
After Sedaris graduated, he said, "I went back home -- an Ivy League
graduate with four years of dirty laundry and his whole life ahead of
him. 'What are you going to do now?' my parents asked. And I said,
'Well, I was thinking of washing some of these underpants.' That took
six months."
Eventually the wayward graduate ended up publishing a book of stories
about his family, proving, said Sedaris, that we never know what the
future will hold. "Stuff comes up, weird doors open, people fall into
things," he told the seniors.
The Baccalaureate service was Webcast live and will be available for later viewing on the Webmedia site. End-of-the-year activities will continue with Class Day on Monday and Commencement on Tuesday.


text:
Ho Chi Minh City, Vietnam - The first appearance by a U.S.-based evangelist preaching at a major event since the 1975 communist victory in Vietnam helped the country's Protestants to celebrate their centennial last weekend after government officials gave last-minute approval.
In what seems to have become standard government procedure in Vietnam, permission requested months in advance was granted – at a venue several kilometers from the one organizers sought – just three hours before the first major celebration of the Centennial of Protestantism in Vietnam (1911-2011) at Thanh Long Stadium in Ho Chi Minh City on Saturday (April 9) was scheduled to begin. Argentine-born Luis Palau, who has preached in person to 28 million people in 72 countries, delivered the gospel message.
A second night of celebration began at 7 p.m. on Sunday.
The venue change meant equipment staged in one part of the city had to be moved to the new location before it could be assembled, church leaders said. It also meant notifying many thousands of people invited to one venue about the change to the other, they said.
Given the lack of government cooperation, the leader of Vietnam's Evangelical Fellowship (of house churches) said the fact that the event went ahead at all was "an absolute miracle."
By word-of-mouth, Internet, Twitter, Facebook, and especially phone texting, thousands of people got word of the change as technicians and hundreds of volunteers made heroic efforts to ready the stadium. Vietnamese police proved surprisingly helpful in redirecting people from the original site to the new location.
At 9 p.m. – two hours after the schedule start – huge banners reading "PRAY FOR VIETNAM" and "GOD LOVES VIETNAM" were unfurled to welcome the Luis Palau Team and thousands of people to the festival, which joyfully combined the centennial celebration with Easter.
After opening prayers and welcome by Vietnamese leaders, Palau's son Andrew Palau gave testimony to how God delivered him from alcoholism and drug addiction and called him to Christian service. An Intel Corp. vice-president also gave testimony to how God blessed his life and his business. Pastor-musician Don Moen, known for songs such as "Give Thanks," "God is so Good," and "God will Make a Way," provided inspirational music followed by exuberant congregational singing.
Palau began his message at 11 p.m., delivering a concise and clear evangelistic sermon, and about 800 came forward as he invited people to receive Christ. It was after midnight before people began to depart for their homes.
The second celebration proceeded Sunday evening (April 10) in a more orderly and timely fashion. More than 12,000 people filled the seats and most of the chairs set up on the stadium field. In response to Palau's second message, more than 1,000 people, according to one organizer, came forward in response to the call to follow Christ.
Photos and Vietnamese text on the events are readily available at www.hoithanh.com, and clips of the arrival of Palau and Moen in Vietnam may be found on YouTube. They were welcomed at Ho Chi Minh City's Tan Son Nhut airport by hundreds of enthusiastic young people carrying banners and flowers.
Dr. Nguyen Xuan Duc, president of the Vietnam World Christian Fellowship, said he was very encouraged about the future of the church in Vietnam.
"These are watershed days for Protestantism in Vietnam," he said. "There is no fear, but rather wonderful spontaneity and irrepressible joy. Events like this happen in spite of the government and without the blessing of some overly conservative church leaders. What we see is young, vibrant, lay-led, internationally connected and very media-savvy."
While Moen, Palau and others spoke on Sunday night, also appearing in Ho Chi Minh City was iconic singer/songwriter Bob Dylan – whose performance sold only about half of the 8,000 seats at RMIT university.
A week before in Beijing, censors who reviewed Dylan's song list allowed an unabashedly Christian song beginning, "Jesus said be ready for you know not the hour in which I come," but did not allow "Blowin' in the Wind" and "The Times They Are A-Changin'," according to The Associated Press. Brad Adams of Human Rights Watch complained that, in an earlier day, Dylan – whose music contributed to opposition to the Vietnam War – would never have let a government tell him what to sing, according to the AP.
Vietnamese organizers and the Palau team now travel north to Hanoi for similar events on Friday and Saturday (April 15-16). As yet there is no indication whether authorities there will be more accommodating than they were in Ho Chi Minh City.


text:
playland pee pants
It's the new Chuck E. Cheese.
my kids are so bad
Upon waking and seeing his reflection in the mirror,
hamper wet clothes odor urine
ok so who has the best mom site
if i touch the plastic covering right above the styrofoam piece, the styrofoam piece falls and may dance some more
you know who i said i do she said you do i said do but i really don't because it's you that i really want.
photos of horses butt hole
my mom said to pick the very best one and this is it
my cat is dragging his butt hold across the carpet
look what i can do blogspot
how do you decide to have 6 kids
Not by reading my blog, that's for sure!
why does cheese ruin your voice
If the person who googled this saw my pictures from last night and thought they were of cheese, I can understand their belief that cheese could indeed ruin one's voice.
lightbulb shaped bottles
Now there's a bright idea.
i resign
Me too!


text:
Casual Wear Self Collar T-Shirt
Sold out
Casual Wear Self Collar T-Shirt
Model Height : 5'7.
Made of 95% Cotton 5% Spdx.
Casual Wear Self Collar T-Shirt is ideal for casual wear. Made for a better comfortable fit for everyday wear.
- Delivery for all items within Colombo 1-15 will be charged 100LKR.
- Delivery for all orders placed out of Colombo (1-15) area will take between 3 to 7 working days from the date of order placement.
- Order deliveries within Colombo (1-15) area, suburbs or outstation will not be made on Sundays.
- Orders placed on Public Holidays will be delivered on the next working day.
- Our delivery agent will contact you prior to delivery to inform about the delivery time if it is a Cash on Delivery (COD) payment.


text:
Ten of Cups Tarot Card Meanings
Share abundantly with all the levels of people who are involved in this creative endeavor.
Previous Card
Nine of Cups
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Page of Cups
What does the Ten of Cups Tarot card mean?
Learn the meaning of the Ten of Cups Tarot card in under a minute!
Ten of Cups Upright Meaning
The Ten of this suit traditionally signifies family and community, often showing a celebratory scene including many generations, crowned by a rainbow signifying the end of hard times.
See this vision -- love and support extending in all directions -- a huge emotional safety net for everyone.
Ten of Cups Reversed Meaning
The Ten of Cups reversed suggests that a group's collective good will is damaged and its safety net is fraying. Personal judgments and rejection abound. Things are being said and done that will be regretted later.
Someone has to make the first move in a more positive direction, leaving judgment and criticism behind. Mediation is called for in order to re-establish some mutual trust and support. This person will provide an example for others to follow -- or the team endeavor will dissolve. The storm which precedes the rainbow is not yet over.
Ten of Cups Advice Position
With the Ten of Cups in this position, prioritize teamwork over your personal goals. Everyone needs to feel they made a contribution. The crew needs to feel they are all in this together, and everyone needs to be rewarded when the ship comes in.
It's essential to follow a teamwork approach in order to maximize the benefits for yourself. The good will that will emerge from such an approach will last long after the project is over. You will be generously rewarded later if you take a selfless approach at this time.


text:
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text:
Another Sweet Hayfield Treat
Do you know what these are?
Attention Pacific West Coasters: Want to visit a beautiful sheep farm? (No, not this one.) My shepherdgirl pal (and amazing artist) Katherine Dunn and her husband are holding a very special Father's Day Open Farm Weekend at their farm outside Portland, Oregon in the heart of the beautiful wine country. Sheep, lambs, goats, dogs, pony rides, 4500 lavender plants, farm art and other fun stuff for sale, and more. Click here for details, and click here to visit Katherine's Apifera Farm blog.
A year of Daily Photos ago: Nero Di Toscana Cabbage (which is thriving in this year's garden and tastes wonderful in freshly picked salads).


text:
At the Jacksonville Historical Society, we're making history every day. Our monthly Speakers Series offers in-depth information on surprising and diverse aspects of our city's past, and our fun Pop Up events are designed to bring attention to the forgotten history buried in our own back yard. Throughout the year, we also lead countless school groups on "insider tours" of our city's most significant landmarks and events. Why don't you join us?
- Categories
"Casanova Killer" "Citrus King" trial 1888 5K race A Genealogical History of Florida Revealed in the Historical St. Nicholas Cemetery aardwolf brewing company AASLH actor airport Anastasia Island Andrew Jackson in Florida Andrew Young anniversary annual meeting 2017 architecture archives aviation Banned banned books beer Berta Arias Black history month Brendan Burke British Florida broadcasting Bryan Simpson Camp Blanding Casket Factory Castillo de San Marcos censorship Charles Lindbergh Charles Weston Charlie Towers Jerry Ferguson Chuck Meide civil rights Civil War civillian Clara White Mission Climate Cohen Brothers Connie Bradshaw Conrad Veidet Consolidation Cowford Cuban refugees don r. colee jr Dorothy K. Fletcher downtown Dr. Kay Ellen Gilmour drive-ins Duval County Schools Eartha White Ed Booth Edward Waters College Elizabeth Towers Elsie Jun Oishi Elvis Presley Emily R. Lisska Evergreen cemetery Evergreen Cemetery tour Exhibit Father Walsh feature first coast trawler history First Thanksgiving florida Florida Founder William P. DuVal Florida Legislature Florida Theatre Fredric L. Pirkle free speech French Novelty fundraiser Furchgott's geologist George Winterling Gingerbread Extravaganza Great Fire Great Fire 1901 Great Fire Run Grover Cleveland Halloween Helen Lane Henry Morrison Flagler higher education Hispanic Heritage Month History Conference History Consortium homefront homosexuality Hurley Winkler Hurricane Hurricane Dora Jacksonville Jacksonville Beach Jacksonville Genealogical Society Jacksonville Historical Society Jacksonville Landing Jacksonville Public Library Jacksonville Zoo James Cusick James M. Denham Japanese Japanese community Jean Ribault Jeff Gardner Jewish Jewish Community Joel McEachin Johnnie Mae Chappel Jose Ramirez Joseph E. Lee Jr. Judge Brian Davis Judge Marion Gooding Judith Poucher Kermit Hunter Kiley Secrest La Caroline landmarks Landon High School Laudonniere Leah Mary Cox lect Leslie Kirkwood Levy's Liberty Ships Lighthouse Archaeological Maritime Program Lightner Museum Lunch & Learn Lyndon Johnson Mae Axton Maple Leaf Marcia Jo Zerivitz maritime maritime history Marshall Rowland Mary A. Nolan Mayor Jake Godbold Menendez Merrill Merrill House Metropolitan Park military Mineral City Mining movie houses movies murder NAACP NAS Jax National Archives National Preservation Month navy Next Day In the Morning NFL Night of Terror Norman Studios North Florida Northeast Florida Old St. Andrew's Church Old St. Andrews Old St. Luke's Operation Pedro Pan Otis Toole party Paul Orlac Playing with History Pokey Towers Lyerly pop up history Prime Osborn Convention Center program series Public Library railroad railroad bridge REALM Consulting Remarkable Women in History Remembering for the Future Community Holocaust Initiative retail Rev. Tom Are Ribault River May Riverside Robert Scott Davis Roger Smith Sarah Van Cleve seaport Sherry Johnson shrimping Silent film Silent Sundays skyline Southern Genealogist's Exchange Society Spanish-American War Speaker Series Spirit of St. Louis Springfield St. Augustine St. AUgustine Historical Society St. Johns River St. Johns River Shipbuilding Company St. Johns Town St. Nicholas Cemetery Stephen Cargile suffragette Susan Caven The Beatles The Hands of Orlac The Johns Committee The Joys and Noise of 19th Century Toys theatres Tim Gilmore Tokutaro Takami Tom Schmidt Tour Tours toys trawler vaudeville Virginia King Vogue Shops Wayne W. Wood Wayne Wood Weather WJCT women Women's History Month women's rights workshop World War II Ximenez-Fatio House Year of the River Yellow Fever epidemic
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text:
Rebuilding Soldiers Transformed By War Injuries
Military members who lost their limbs overseas participate in a run in California.
Reed Saxon/APWeb Resources
Improvements in medical care and equipment mean fewer troops are dying on the battlefield. But more troops are returning home severely wounded, with injuries that require lifelong care and cost millions of dollars in medical bills.
On Thursday's Fresh Air, veteran combat reporter David Wood talks about some of the challenges that severely wounded soldiers face when they return from Afghanistan and Iraq. Wood is the author of a new 10-part series for The Huffington Post called "Beyond the Battlefield" that examines some of those challenges and setbacks.
Wood tells Fresh Air's Terry Gross that fewer U.S. troops die outright on the battlefield — because of protective equipment and better medical care. But more Americans are being wounded, and their injuries are more "severe and complex." The number of American soldiers who lost at least one limb doubled from 2009 to 2010, and the number of triple amputees has nearly doubled, he says. Almost all of the severely injured troops return to the U.S. with traumatic brain injuries (TBI).
"It's so tragic to see these young men and women struggling not only to master prosthetic legs, for example, but to try to fight their way through the fog that descends into your brain when you have a brain injury like that," says Wood. "It's often very hard for them to think clearly, to recall words, to do small problems, to remember to take their medication and make their appointments. Surprisingly, there's been so much advancement in physical medicine during this war — but it's only been in recent years that the military has recognized TBI as a combat wound, and it's pretty clear that no one knows what the best treatment is."
Related NPR Stories
A Soldier's Story
One of the soldiers Wood profiles is Lance Cpl. Tyler Southern. Southern was 19 when an improvised explosive device, or IED, blew up underneath him in Afghanistan. The blast tore up both of his legs and one arm, and mangled his remaining left arm. Southern was taken to an intermediate battlefield medical facility where he flat-lined.
"He was bleeding so heavily that they could not keep blood in him, and the blood was pouring out of him," says Wood. "As soon he came off the helicopter and they rushed him into an operating room, doctors slashed off the side of his chest and reached in and clamped off all of the veins leading to the lower part of his body in an effort to squeeze what little remaining fluid was left up to his brain to keep his brain alive."
After he had stabilized, Southern was transferred to Walter Reed Army Medical Center's amputee center, where wounded veterans learn how to adapt to their injuries. He faces years of rehab, after having endured dozens of surgeries to clean and repair his limbs. But he manages to make light of his situation — he has handed out T-shirts to other Marines on his floor that say "I had a blast!" and spends most of his days working out to try to build muscle in his remaining limb.
"He's an extremely active, very funny, very bright, very quick person ," says Wood. "It's hard to get him to stand still to talk to him. He's constantly moving."
'People Who Are Wounded In War Are Wounded Forever'
But not all of the soldiers Wood writes about have thrived as much as Southern. Jimmy Cleveland Kinsey II, a Marine, returned from Iraq after driving over an IED. The blast tore through his leg, leaving him with shrapnel wounds, burns, post-traumatic stress disorder and TBI. When he returned home, Kinsey was in chronic pain.
"He was a good Marine, a fun-loving guy. I never knew him, but he's the kind of guy you'd like to hang around with," says Wood. "He got drugs to control the pain. His leg got worse and worse, and they had to take it off. ... That set him into a depression. His addiction to pain medication and anxiety medication got worse. Jimmy was a strong guy, but in the end his wounds and the effects of them did him in. He died in a PTSD clinic of an overdose of [the pain killer] fentanyl."
It's not clear whether Kinsey's overdose was intentional or accidental, but what is clear, says Wood, is that Kinsey didn't get the help he needed. And he's not alone. Wood writes that 18 veterans kill themselves every day. (That figure includes veterans from Vietnam and other wars.)
"When you think about it, one of the things that we as a country are learning is that people who are wounded in war are wounded forever," he says. "Even though there are many cases like Tyler Southern, people who seem to almost thrive on the challenge of their new life, even with Tyler Southern, he'll be dealing with his wounds for the rest of his life. They don't go away."
Interview Highlights
On IEDs
"IEDs are designed to create mayhem on the human body. For dismounted troops especially, stepping on or near an IED when it explodes beneath you, it tends to traumatically amputate one or both limbs, very often it severs the genitals and on up through the body, slashing through flesh and bone, ripping off cartilage — and on top of that, there's a fireball that burns away the damaged flesh that's left. ... Trying to clean out the wounds, trying to prevent infections, is often the first order of business, and a lot of the wounded who arrive at Walter Reed [Army Medical Center] in suburban Maryland or the Brooke Army Medical Center in San Antonio, Texas, spend many, many days having their wounds gently cleaned and cleaned and cleaned over and over again."
On troops losing their genitals after stepping on IEDs
"The Army sent a team of doctors to Afghanistan earlier this year to talk to soldiers about IEDs [and the] kinds of injuries [that result]. One of the things they reported back is that soldiers and Marines are signing do-not-resuscitate pacts — in the event that they lose their genitals, they don't want to live. ... It does reflect a deep fear among many troops that they, in essence, lose their manhood."
On getting vets the care they need
"The [Department of Veterans Affairs] is an amazing place. They do a lot of great stuff and almost everyone I've met there has been smart and creative and dedicated, and I have a lot of admiration for the people who work there. At the same time, it's a gigantic bureaucracy and it's hard to transform that bureaucracy to take care of the unique problems that we're seeing among the wounded coming back from Iraq and Afghanistan. There's been a gigantic demand for mental health services, which the VA has scrambled to keep up on, not always successfully. A lot of veterans have difficulty getting services. The wait times are sometimes very, very long. Things got so bad that a federal appeals court in California ruled that the VA was denying veterans their constitutional rights by not providing good services on time."
On being a Quaker and a conscientious objector who has been embedded with troops on and off for the past 35 years
"I got interested in telling the stories of people who were caught up in conflict. People who were fighters, people who were refugees, people who were victims — the vast number of people who work constantly to resolve conflict and to get sides talking. I never felt that by reporting the stories of people in conflict that I was endorsing conflict in any way. ... Being a conscientious objector is a very personal thing. The way I thought about it: Do you want to spend the next several years killing people, or do you want to spend it doing something more productive? And that's really the way I came at that."
"I'm terrified when I'm out on a battlefield. Telling these stories, I think it's important that people understand what it's like out there, what people go through, who are the people who are doing this in Afghanistan on our behalf. Most of us have sat this war out. I want them to know what it's like and who is in the middle of it and what the consequences are. Beyond that, I don't really have an agenda. I think that's really important, especially in a democracy. We need to know who is doing it and what it's like for them."


text:
Apple plans to open an additional 40 to 50 Apple retail locations across the world in 2010, as the company hopes to provide local services in additional foreign markets.
More than half of the new stores next year will be located outside of the United States, according to Apple, which needs to bolster its international presence. A further international expansion will help convince consumers to visit Apple stores to see the company's various products and services in person.
Specifically, Apple will open new locations in London and Paris, with at least two stores already planned for Shanghai. After launching its first stores in 2001, Apple has seen continued success built around its trendy stores — analysts predict Apple had almost 46 million visitors to its stores worldwide during the month of September.
Apple currently has stores in the U.S. from San Francisco to New York City, and now must deal with increased competition from Microsoft entering the retail space. Microsoft's California location in Mission Viejo competes directly with an Apple store in the same retail location.
The Cupertino-based company currently has 280 stores operating in 10 different countries. Apple's products are sold in Best Buy and other brick and mortar locations, but Apple has been able to offer customers one-on-one interaction when it comes to tech support and future product purchases.


text:
Large Wooden 3D Puzzle 4-Pack Mental Brainteaser
- 4 Large Wooden Puzzles.
- Separately Packaged.
- Hard.
- Brainteasers.
- Ages (8+).
Large Wooden 3D Puzzle 4-Pack Mental Brainteaser
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text:
Mary J. Blige's New Tax Lien -- FINANCIAL DISASTER
Mary J. Blige's FINANCIAL DISASTER New $900k Tax Lien
Just when you thought Mary J. Blige's financial problems couldn't get any worse ... TMZ has learned the singer has been hit with a $900,000 tax lien in the State of New Jersey.
Blige -- who was JUST sued earlier this month for allegedly defaulting on a $500k bank loan -- is now on the hook for $901,769.65 in back taxes to the Garden State, this according to official documents obtained by TMZ.
The tax lien is the latest in a string of financial woes for the Grammy winner -- just last year, Mary J. was sued for allegedly defaulting on a $2.2 million bank loan .. and before that, her charity was sued for not paying back a $250k loan.
Back in May, Blige blamed the charity's financial issues on the staff -- saying, "The problem is that I didn't have the right people in the right places doing the right things."
We reached out to Blige's camp for comment on the tax lien -- but so far, radio silence.


text:
Tuesday, 26 March 2013 05:16 AM EDT
ROME — Italy's highest criminal court has overturned the acquittal of Amanda Knox in the slaying of her British roommate and ordered a new trial.
The Court of Cassation ruled Tuesday that an appeals court in Florence must re-hear the case against the American and her Italian-ex-boyfriend for the murder of 21-year-old Meredith Kercher.
Kercher's body was found in November 2007 in her bedroom of the house she shared with Knox and other roommates in Perugia, an Italian university town where the two women were exchange students. Her throat had been slashed.
Prosecutors alleged Kercher was the victim of a drug-fueled sex game gone awry. Knox and Raffaele Sollecito denied wrongdoing. An Ivory Coast man, Rudy Guede, was convicted of the slaying in a separate proceeding and is serving a 16-year sentence.
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text: In this MOOC, you will learn how to hack web apps with command injection vulnerabilities in a web site of your AWS Linux instance. You will learn how to search valuable information on a typical Linux systems with LAMP services, and deposit and hide Trojans for future exploitation. You will learn how to patch these web apps with input validation using regular expression. You will learn a security design pattern to avoid introducing injection vulnerabilities by input validation and replacing generic system calls with specific function calls. You will learn how to hack web apps with SQL injection vulnerabilities and retrieve user profile information and passwords. You will learn how to patch them with input validation and SQL parameter binding. You will learn the hacking methodology, Nessus tool for scanning vulnerabilities, Kali Linux for penetration testing, and Metasploit Framework for gaining access to vulnerable Windows Systems, deploying keylogger, and perform Remote VNC server injection. You will learn security in memory systems and virtual memory layout, and understand buffer overflow attacks and their defenses. You will learn how to clone a Kali instance with AWS P2 GPU support and perform hashcat password cracking using dictionary attacks and known pattern mask attacks.


text:
Here is a taste of the annoyingness:
There are three things a woman really needs at 38: a husband, at least one child, and a dress with long sleeves, which, I have discovered over the years,may be harder to come by than the husband. I found two potential husbands in the space of four years—and married one of them. But in all that time, I found only one really good dress with long sleeves, despite looking for such a frock just as diligently as I looked for the husband.Ah yes, the eternal quest to acquire husbands, children, and long-sleeved dresses. WTF, Plum Sykes? I think, as sublimely irritating as her first statement is, Sykes has an eye for a good silhouette with long sleeves: high, tight armholes and a sleeve that extends past the wrist.
Now this year's October issue loudly states on its cover: "WHY YOUR DRESS NEEDS LONG SLEEVES." Uh, okay. The evidence for this bold statement is a spread of loudly printed, long-sleeve dresses.
I think I've come to a conclusion on this frenzy: well-tailored, long-sleeved dresses are expensive. (Setting a sleeve in perfectly, as we sewists all know, can be a challenge.) Sure, you can get a long-sleeved poly/spandex jersey dress at any Macy's, but what about one in a lovely wool or crepe? Try a Roland Mouret:
Vintage McCall's 6523. I adore the bell skirt here. It has a tulle petticoat to keep its structure!
McCall's 5927, with its high neck and slouchy sleeves:
This fab number from the August 2009 issue of Burda World of Fashion:
And lastly, Vogue 8615.
I think the key to these dresses is making sure you have the right bodice fit, as well as fabric choice. To get a slimming silhouette, one might need to raise the armhole a bit. And, of course, in order to maintain mobility, you'll want a fabric with a hint of stretch in it. It does help, in life, to be able to move one's arms.
So, what do you think? Are you feeling the long-sleeved dress this season?


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Why We Love It
Handcrafted in India with thought full designed patterns .Our wooden accessories are a perfect match for your decor and utility needs at home. Its a beautiful handmade product that can be used to store jewellery, keepsakes & other articles. They are perfect for dressing tables, bedside tables etc. Some of them can even be used to put in dry food items.
Why us
Our products are handcrafted by family-run artisans who have honed the skills over time. We care for nature by using sustainable manufacturing techniques. We take pride in uplifting craft and artisan community and follow fair trade practices.
An authentic product designed and marketed by Art Avenue.
Shipping (India):
- Shipping is free for orders above INR 1500/-
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- Dispatched in 7-21 working days. Many of our items are made to order so dispatch time can be longer than usual. We will inform you in case your order dispatch time is delayed for more than 21 days.
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- Delivery time is 5-10 working days after dispatch. In some cases it might take longer than usual.
- Cash on Delivery option is not available for certain items.
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- Click here to know more about our shipping policies.
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- Since most of our items are made on order, we do charge a nominal Return service fee which is INR 999/- The fee shall be deducted from the refund amount once the return process is complete.
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All our items are exclusively handcrafted by skilled artisans and workers. We take utmost care of the quality, look and feel of the product. However, please expect slight variations in sizes/colors/ appearance and quality of the product because of the human involvement in the process.
Imperfections that should be expected include:
-Pattern variations / asymmetric pattern and seam placement
-Design and paint smudges
- Shredding of natural fibres especially jute yarn -
It is widely accepted that these unique attributes are not defects.
We adhere to extremely high standards in our production process, but it is important to stress that these products are inherently imperfect (and undeniably beautiful!) -
Every computer monitor has a different capability to display colours, so actual colours may vary. We try to edit our photos to be as accurate as possible, but we cannot guarantee that the colour you see accurately portrays the true colour of the product.


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Answers for the Daily Jumble November 19, 2019 Answers are displayed here for you to check them in case you haven't been able to crack them yourself.
The Jumble Word Puzzle usually has a set of 4 clue accompanied by a drawing illustrating the clues. You have a set of jumbled words in a form of scrambled letters very different from the actual word.
Below you will see a list of Todays Jumble Clues and answers:
Clue LIYFL – Answer FILLY
Clue NITEW – Answer TWINE
Clue TRFGOO – Answer FORGOT
Clue CAPUTE – Answer TEACUP
As a player you have to reconstruct the words, and then arrange the letters in the words to spell the answer phrase to the clue.
The clues and image illustration always provide hints for you to solve the answer phrase. The answer, often consists of a phrase that uses a pun or a homophone.
The Cartoon Caption:
If you missed a puzzle, you can always go back to the homepage and review the solution of a jumble that was posted earlier. More Jumble Answers »
Please check out these other recent jumble puzzles that we were able to unscramble for you guys.
- IGNCI Jumble
- WDEMAO Jumble
- FRTMOA Jumble
- NRETETIN Jumble
- MLIBC Jumble
- NALUN Jumble
- NROOCB Jumble
- ONNUITITR Jumble


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Présentoir Rack pour systèmes de remplacement capillaire
How often do I have to replace a hair system?
It mainly depends on which base you choose as different bases have different lifespans. Our ultra-thin skin base (0.02-0.04mm) has a lifespan of about 1-2 months while our mono base hair system can last up to a year with the correct care.
Besides this, the frequency you wear it and the way how you care and maintain your hair system also affects its lifespan.
Can I sleep, swim or shower with my hair system on?
Definitely YES. You can probably do anything with it. However, chlorine in pools can be harmful to the hair and make the hair drier. So, we recommend you deep condition the hair after you go swimming to help refresh the hair.
Which system is the most breathable and suitable for a very active lifestyle?
Full lace hair systems are the most breathable and perfect for a humid/hot climate and for those who have a very active lifestyle.
We also have combined bases of lace and skin which are also breathable and easy to apply and remove. We recommend you to remove the hair system and do a thorough clean once a week if you sweat a lot every day.
How would I know what size to buy?
Base size : width x length
Toupees have sizes of 6x8, 7x8, 7x9, 8x10 and other sizes. So you need to confirm the length and width of your hair loss area.
First, find your front hairline. Normally it is four fingers width away from your eyebrow.Please place your 4 fingers onto your forehead and one side lines up with your eyebrow and the other side should be where your front hairline begins.
Second, confirm the length. Measure from your front hairline to where your hair loss stops at the back of your head.
Third, confirm the width. Measure the widest area of your hair loss area from one side to the other.
OTHERWISE, an $8.99 DELIVERY CHARGE WILL APPLY
All orders will be shipped with Discreet Package
ReHair System cooperates with DHL and FedEx and we ship to most countries within a week usually around 5 business days.
Following is a general timeframe:
US/Canada 3-5 Business days
EU, Australia, New Zealand, United Kingdom 4-6 Business days
Other Countries 5-7 Business Days
We ship to most countries worldwide except the following Continent/countries:
Afghanistan, China, North Korea
Your order normally will be shipped within 1-3 business days. If you need our "base/ hair pre-cut service" before shipment, please allow an additional 1-2 working days.
This does not include potential custom clearance delays, weekends, public holidays or any unforeseeable circumstances.
Military Address
Orders to Hawaii, Alaska, Puerto Rico, Guam, Northern Mariana Island or any APO and FPO military addresses will be shipped via USPS Regular Service only.
We accept order cancellation before the product is shipped or made.
Once your order has been shipped, or is on the way, it cannot be cancelled. If you don't want it anymore, please follow our return policy to return your order.
You will get a full refund if the order is cancelled. Please note that custom orders cannot be cancelled once they have been placed.
We have a 30-day return policy, which means you have 30 days after receiving your item to request a return. A 15% of the product price restocking fee will apply if it's returned without any QUALITY problem.
To be eligible for a return, your item must beUNUSEDand in the SAME CONDITION that you received it. Pleasedo not cut, style, colour, wash or wear the hair system. It must be in theORIGINAL PACKAGING. You'll also need the receipt or proof of purchase.
To start a return, you can contact us at email@example.com. If your return is accepted, we'll send you instructions on how and where to send your package. Items sent back to us without first requesting a return will not be accepted.
You can always contact us for any return questions at firstname.lastname@example.com.
Please inspect your order upon reception and contact us immediately with related photos or a specific video if the item is defective, damaged or if you receive the wrong item so that we can evaluate the issue and make it right.
We are responsible for the return cost incurred if it is our fault. However, you'll need to pay the return shipping cost for any personal reasons.
Custom products (such as special orders or personalized items) cannot be returned. Please get in touch if you have questions or concerns about your specific order.
The fastest way to ensure you get what you want is to return the item you have, and once the return is accepted, make a separate purchase for the new item.
We will notify you once we've received and inspected your return, and let you know if the refund was approved or not. If approved, you'll be automatically refunded on your original payment method. Please remember it can take up to 2-4 weeks for your bank or credit card company to process and post the refund too. In most cases, it only takes a couple of days. If you didn't get your refund in 4 weeks, you should check with your bank account first and make sure there is no problem with the bank. otherwise, please contact our e-mail: email@example.com
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Professional Consultant


text: Today's workplace calls for a new style of leadership to embolden and accelerate innovation. Design offers a novel way to discover market opportunities, experiment to validate concepts and mitigate risk, and deliver value to all stakeholders. This course offers hands-on experience applying human-centered design process to real-world challenges, and requires you to explore the world around you. Learn how to engage with end users, effectively frame problems, identify potential solutions, and build prototypes to test assumptions and learn what works (and doesn't). Then dive into a range of ways large and small to bring design innovation into your organization.


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Software DevelopmentHaryana, India201-500 Employees
Droom offers a 21st-century e-commerce experience for automobiles. Droom offers India's largest selection of automobiles with over 2.9 lacs vehicles online in 1,100 cities — both used & new, cars & 2-wheelers, and other vehicles too. For buyers, Droom offers India's finest automobile buying experience online with trust, selection, low price, and convenience second to none. Every vehicle sold at Droom goes through a proprietary and technology-driven rigorous 1,100-point inspection and certification for its condition, pricing, and history. Because Droom invests in technology and AI vs. physical stores and thousands of people, the automobiles sold at Droom are cheaper than other options available to the consumers. From our mobile apps or websites, users can search for vehicles or create buying requirements, book vehicles, get loans and insurance, and finally get the vehicle delivered to their doorstep. Buyers can return the vehicle before making full payment and the best part is every vehicle comes with six months warranty (up to Rs. 50 lacs). Droom also offers individual sellers the ability to sell their used vehicles to our large network of over 20k dealers for the best price and fast turnaround in a fully transparent manner from the comfort of your home. Droom is also working with leading OEM and EV manufacturers to bring automobile buyers the largest assortment of new vehicles with the paperwork, loan & insurance, and delivery at the doorstep. Droom is the market leader in the automobile e-commerce segment and since its inception, Droom has sold over 400K vehicles and served over 1.5 million happy customers with its products and services. Droom is among the most trusted consumer internet brands in India often recognized for its innovative approach and technology and is backed by marquee global investors including Lightbox, Digital Garage, Toyota Group, Recruit, Beenext, Beenos, 57 Stars and many multibillion-dollar family offices in SE Asia and Hong Kong.


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«Convenient search. Instant price comparison.»
«Qualified support, fast search. Helpful tips.»
«Got a dream car! Memorable drive!»
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«Wide car range. High service standards. »
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125 Report Card Comments It's report card time and you face the prospect of writing constructive, insightful, and original comments on a couple dozen report cards or more. Here are 125 positive report card comments for you to use and adapt! Struggling Students? Check out our Needs Improvement Report Card Comments for even more comments!
You've reached the end of another grading period, and what could be more daunting than the task of composing insightful, original, and unique comments about every child in your class? The following positive statements will help you tailor your comments to specific children and highlight their strengths.
You can also use our statements to indicate a need for improvement. Turn the words around a bit, and you will transform each into a goal for a child to work toward. Sam cooperates consistently with others becomes Sam needs to cooperate more consistently with others, and Sally uses vivid language in writing may instead read With practice, Sally will learn to use vivid language in her writing. Make Jan seeks new challenges into a request for parental support by changing it to read Please encourage Jan to seek new challenges.
Whether you are tweaking statements from this page or creating original ones, check out our Report Card Thesaurus [see bottom of the page] that contains a list of appropriate adjectives and adverbs. There you will find the right words to keep your comments fresh and accurate.
We have organized our 125 report card comments by category. Read the entire list or click one of the category links below to jump to that list.
AttitudeBehaviorCharacterCommunication SkillsGroup WorkInterests and TalentsParticipationSocial SkillsTime ManagementWork Habits
The student:
is an enthusiastic learner who seems to enjoy school.
exhibits a positive outlook and attitude in the classroom.
appears well rested and ready for each day's activities.
shows enthusiasm for classroom activities.
shows initiative and looks for new ways to get involved.
uses instincts to deal with matters independently and in a positive way.
strives to reach their full potential.
is committed to doing their best.
seeks new challenges.
takes responsibility for their learning.
The student:
cooperates consistently with the teacher and other students.
transitions easily between classroom activities without distraction.
is courteous and shows good manners in the classroom.
follows classroom rules.
conducts themselves with maturity.
responds appropriately when corrected.
remains focused on the activity at hand.
resists the urge to be distracted by other students.
is kind and helpful to everyone in the classroom.
sets an example of excellence in behavior and cooperation.
The student:
shows respect for teachers and peers.
treats school property and the belongings of others with care and respect.
is honest and trustworthy in dealings with others.
displays good citizenship by assisting other students.
joins in school community projects.
is concerned about the feelings of peers.
faithfully performs classroom tasks.
can be depended on to do what they are asked to do.
seeks responsibilities and follows through.
is thoughtful in interactions with others.
is kind, respectful and helpful when interacting with his/her peers
is respectful of other students in our classroom and the school community
demonstrates responsibility daily by caring for the materials in our classroom carefully and thoughtfully
takes his/her classroom jobs seriously and demonstrates responsibility when completing them
is always honest and can be counted on to recount information when asked
is considerate when interacting with his/her teachers
demonstrates his/her manners on a daily basis and is always respectful
has incredible self-discipline and always gets his/her work done in a timely manner
can be counted on to be one of the first students to begin working on the task that is given
perseveres when faced with difficulty by asking questions and trying his/her best
does not give up when facing a task that is difficult and always does his/her best
is such a caring boy/girl and demonstrates concern for his/her peers
demonstrates his/her caring nature when helping his/her peers when they need the assistance
is a model citizen in our classroom
is demonstrates his/her citizenship in our classroom by helping to keep it clean and taking care of the materials in it
can always be counted on to cooperate with his/her peers
is able to cooperate and work well with any of the other students in the class
is exceptionally organized and takes care of his/her things
is always enthusiastic when completing his/her work
is agreeable and polite when working with others
is thoughtful and kind in his/her interactions with others
is creative when problem solving
is very hardworking and always completes all of his/her work
is patient and kind when working with his/her peers who need extra assistance
trustworthy and can always be counted on to step in and help where needed
Communication Skills
The student:
has a well-developed vocabulary.
chooses words with care.
expresses ideas clearly, both verbally and through writing.
has a vibrant imagination and excels in creative writing.
has found their voice through poetry writing.
uses vivid language in writing.
writes clearly and with purpose.
writes with depth and insight.
can make a logical and persuasive argument.
listens to the comments and ideas of others without interrupting.
Group Work
The student:
offers constructive suggestions to peers to enhance their work.
accepts the recommendations of peers and acts on them when appropriate.
is sensitive to the thoughts and opinions of others in the group.
takes on various roles in the work group as needed or assigned.
welcomes leadership roles in groups.
shows fairness in distributing group tasks.
plans and carries out group activities carefully.
works democratically with peers.
encourages other members of the group.
helps to keep the work group focused and on task.
Interests and Talents
The student:
has a well-developed sense of humor.
holds many varied interests.
has a keen interest that has been shared with the class.
displays and talks about personal items from home when they relate to topics of study.
provides background knowledge about topics of particular interest to them.
has an impressive understanding and depth of knowledge about their interests.
seeks additional information independently about classroom topics that pique interest.
reads extensively for enjoyment.
frequently discusses concepts about which they have read.
is a gifted performer.
is a talented artist.
has a flair for dramatic reading and acting.
enjoys sharing their musical talent with the class.
The student:
listens attentively to the responses of others.
follows directions.
takes an active role in discussions.
enhances group discussion through insightful comments.
shares personal experiences and opinions with peers.
responds to what has been read or discussed in class and as homework.
asks for clarification when needed.
regularly volunteers to assist in classroom activities.
remains an active learner throughout the school day.
Social Skills
The student:
makes friends quickly in the classroom.
is well-liked by classmates.
handles disagreements with peers appropriately.
treats other students with fairness and understanding.
is a valued member of the class.
has compassion for peers and others.
seems comfortable in new situations.
enjoys conversation with friends during free periods.
chooses to spend free time with friends.
Time Management
The student:
tackles classroom assignments, tasks, and group work in an organized manner.
uses class time wisely.
arrives on time for school (and/or class) every day.
is well-prepared for class each day.
works at an appropriate pace, neither too quickly or slowly.
completes assignments in the time allotted.
paces work on long-term assignments.
sets achievable goals with respect to time.
completes make-up work in a timely fashion.
Work Habits
The student:
is a conscientious, hard-working student.
works independently.
is a self-motivated student.
consistently completes homework assignments.
puts forth their best effort into homework assignments.
exceeds expectations with the quality of their work.
readily grasps new concepts and ideas.
generates neat and careful work.
checks work thoroughly before submitting it.
stays on task with little supervision.
displays self-discipline.
avoids careless errors through attention to detail.
uses free minutes of class time constructively.
creates impressive home projects.
Related: Needs Improvement Report Card Comments for even more comments!
Student Certificates!
Recognize positive attitudes and achievements with personalized student award certificates!
Report Card Thesaurus
Looking for some great adverbs and adjectives to bring to life the comments that you put on report cards? Go beyond the stale and repetitive With this list, your notes will always be creative and unique.
attentive, capable, careful, cheerful, confident, cooperative, courteous, creative, dynamic, eager, energetic, generous, hard-working, helpful, honest, imaginative, independent, industrious, motivated, organized, outgoing, pleasant, polite, resourceful, sincere, unique
always, commonly, consistently, daily, frequently, monthly, never, occasionally, often, rarely, regularly, typically, usually, weekly
Copyright© 2022 Education World


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Stainless Steel "Xenomorph" Ring - 2x M Navy L
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Home » Sound Art - Radio Art » BABIN, BELANGER, BRAND, CUTLER, DOYON, DUMAS, LEBRASSEUR, d'ORION, OSWALD, SENEZ: Covers
BABIN, BELANGER, BRAND, CUTLER, DOYON, DUMAS, LEBRASSEUR, d'ORION, OSWALD, SENEZ: Covers
Ten musicians (above) each chose a commercial recording that they thought could benefit from something being added to it. Each musician received all 10 tracks and each added something to all of them. Nobody heard anything but the original pieces, so no one knew what anyone else had added. Jocelyn Robert gathered all the recordings together, lined up the 10 added tracks from each - still synched to the original commercial recording - erased the originals and mixed the remaining overdubbed parts into a self-standing piece. Each piece, therefore, owed its existence to a commercial recording, but nothing of that recording remained. The result is this CD - which was commissioned to accompany a conference on copyright in Quebec. It's complicated, rich - and experimental - since there is always the phantom of the erased structure holding everything together. Not everything works, but.. In common with many recent releases, there is a minimum of information on the digipack, just a list of names - see above - but no indication of what each of them played, plus a list of the original tracks erased. A fascinating project, nicely realised, by a pretty good band.
Code: OHMAVTR042
Price: £12.50


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by Kevin Miller (2023-09-15)
In response to Foods Should be Avoided for Acne Diet Plan
Critical Literacy: Theories and Practices is a non-commercial initiative committed to the ethical dissemination of academic research and educational thinking. CLTP acknowledges the thoughtful dedication of authors, editors and reviewers to develop and promote this open journal initiative. The journal receives copy-editing sponsorship from the Faculty of Education at the University of Oulu, Finland. CLTP has previously received copy editing support from the Centre for the Study of Social and Global Justice at the University of Nottingham, UK.


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