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As long as there's a new project on the horizon, the creative journey never ends. Especially when you have a machine with as many possibilities as the Horizon Memory Craft 12000.
This is a machine so well designed and built, it's like an extension of your own two hands.
The Horizon Memory Craft 12000 was engineered to be forgotten. Because you never need to worry about performance, you can focus all your energy on your projects. That is when the journey starts and creativity blooms.
It's easy to create and edit designs on the touchscreen. But it's even easier when you can do the same thing in real time on your computer. Use your mouse to drag, drop and edit. This means your editing screen can be as large as your computer monitor. Or take your laptop with you to edit on the go.
There's nothing quite like the feeling of finishing your quilt. The top is done, your layers are put together and you're smoothly quilting through it all. It's wonderful, unless the bottom layers aren't feeding at the same speed as the top layers.
Several years ago, to solve this problem, we introduced the AcuFeed System. It soon became a favorite among quilters for its ability to move multiple layers under the needle with perfect precision. But as we were developing an AcuFeed just for the MC12000, we knew we could make it even better.
The new AcuFeed Flex feeding system gives you even better feeding results. It utilizes two widths of sewing feet. And you can easily detach it from your machine when not in use.
With the MC12000 having a 9mm stitch width, the new Dual Feed Twin Type feet take full advantage of this wider stance. They use both of the upper feed dogs in conjunction with the lower feed dogs. They give you extra feeding traction and allow you to use the machine's wider decorative stitches.
Dual Feed Single Type feet are just the thing for getting in close. Designed to feed narrower fabrics, you'll use them when you want to sew in piping or attach a zipper.
For both kinds of feet, the upper feed mechanism quickly detaches from the machine, and the feet are easily detached from the holder. For easier installation and removal, the rotation stopper has been eliminated, making it easier to access the screw.
Enjoy a level of creativity never before available on a Janome. You can actually create your own decorative stitches from scratch, and adjust them down to the finest detail.
With the software installed on your PC, you simply begin by clicking your mouse on the starting point icon and then clicking where you'd like to begin on the stitch grid. Each point you click after that is where the needle will make its next penetration. Create your stitch just like doing a dot-to-dot with straight lines or curves (where you use more points) until you have your stitch completed. Then you can go back and make fine adjustments, moving any of your points. You can copy and paste to repeat sections, making your stitch as complex as you like.
As you work you can play an animation of what your original stitch will look like as the machine sews it out.
When you're all done, you can save your stitch to your PC in the new .stx file format. Then click the Send button to transfer it to your MC12000 for stitching.
Let's say you want your stitch to look like a little cup and saucer. You can import an image of a cup and saucer into the Stitch Composer program to use as a background image. Now you can trace around the image to make your stitch just the shape you want.
Go beyond adjusting the length and width of the built-in stitches. You can bring any decorative stitch from your MC12000 into Stitch Composer and customize it any way you like. Then you can save your custom version as a .stx file--don't worry, the MC12000 won't allow you to save over an original built-in stitch.
Do you want more petals on a flower or a slightly different look for an heirloom stitch? Now you can make it exactly what you want.
The MC12000 has 425 built-in stitches. But when you can redraw them this easily, it's like having your choice of thousands of stitches.
Janome embroidery machines have never had to rely on a bulky embroidery unit that sticks out from the side of the machine. Not only do these units require much more room on your sewing table, they often weigh as much as a small machine themselves--something you're reminded of each time you have to remove one to go back to regular sewing.
As we were designing our largest-ever embroidery area for the Horizon Memory Craft 12000, we were able to continues our tradition of sleek design with the help of a sister division at our company. In addition to making sewing machines, Janome is also a world leader in compact, industrial robots. Designed to perform mechanical assembly work with tolerances measured in thousandths of an inch, some of these robots actually help build Janome sewing machines.
One of the breakthrough improvements of our robotics division was the development of an arm that moves along the XY axes on three linear motion guides (instead of just one). Not only can the arm move quickly over a greater distance, it can do it with much greater accuracy.
When this technology was used to build the MC12000's Linear Motion Embroidery System, we utilized multiple ball bearings for smooth, stable movement. This minimizes wear on the parts and makes the whole system much quieter. The unit is also hermetically sealed to keep out dust so it can enjoy the longest possible operating life.
Attaching the embroidery unit to the back of your machine is simple. You set it against your machine so the dots line up. Then simply slide it into place. At less than five inches deep it takes up a small amount of room to the back of your machine.
You only need to remove it if you are transporting your MC12000. Otherwise you'll want to keep it attached for regular sewing as it will give you extra support for your project. But when you do want to take it off, it easily detaches and can be stored in the included carrying case.
The Linear Motion Embroidery System is the first of its kind from Janome. It's what allows the Horizon Memory Craft 12000 to enjoy industry-leading speed and embroidery quality over such a large area.
The extra large embroidery area lets you use four hoops with amazing new capabilities. The largest, the huge GR Hoop, gives you 9.1" x 11.8" of embroidery area. It includes special magnets to aid in fabric stability. The SQ Hoop has been extended to 9.1" x 9.1" and there's also a 5.5" x 5.5" square hoop. The Free Arm Hoop (FA10) allows you to embroider in hard-to-reach places.
The Auto Presser Foot Lift automatically lifts the presser foot after a thread cut, when you've pressed the thread snip button, or after a programmed thread cut at the end of a row of decorative stitches. You keep your hands on your project for optimum control.
The extra width makes all your decorative stitches bolder and more distinct. Most of the 425 built-in stitches take full advantage of the 9mm width. You get twenty feet, newly designed for a 9mm stitch width, included with your machine.
For piecing quilts, sewing light fabric or doing embroidery, a straight stitch needle plate makes all the difference. Now you can switch your needle plate in just seconds. Instead of undoing screws, simply push one lever to release the plate, then snap the new plate in place.
Start your Free Motion Quilting or Surface Designing with a straight stitch. Then widen to a 9mm zigzag without stopping or ever taking your hands off your fabric. With Variable Zigzag, you use the knee lifter to broaden and taper stitches while sewing.
Janome engineering allows the Memory Craft 12000 to embroider at up to 1,000 stitches per minute. And because the compact embroidery unit is so stable, you can stitch at this speed with hoops up to 9.1" x 11.8" without losing any Janome stitch quality.
Not only does the Memory Craft 12000 have more work space than any other Janome, the sewing bed features a 15" stainless steel plate embossed with useful measurements. 11" to the right of the needle gives you plenty of room for your biggest projects.
You don't have to settle for "close enough." Thanks to a 9mm stitch width, the Memory Craft 12000 is capable of more precise detail than ever on every decorative stitch. Position the needle with unprecedented accuracy for smoother transitions and perfect curves.
Precision stitching, more decorative choices, and automatic features make expressing yourself through FMQ easier than ever. And now, you can also customize the foot height for your project and preference, then save the settings to memory. Or let Auto Pressure and Auto Height adjust for you.
In addition to lighting your work area with 10 built-in LEDs in five locations, you can also add greater illumination in the area where you need it most: directly under the needle. Just extend the retractable HighLight and aim it up or down, depending where you need the light. When you're done, it slides back into its slot.
When you really need to get a closer view, attach the AcuView Magnifier. With 1.5x magnification it makes it easy to see the tiniest detail under the needle. And it can be used in conjunction with the HighLight.
Craft Depot is proud to be a Janome Dealer. As a Janome dealer we provide access to:
At Craft Depot we provide prompt shipping throughout Australia. We accept credit cards, money orders, electronic funds transfers/bank deposits.
Our friendly and experienced Craft Depot team are available by phone and email 7 days a week should you have any questions or need expert advice.
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Fearsome Dreamer
Written by Laure Eve
Part of the Fearsome Dreamer Series
Lovereading4kids Price £10.39
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Selected by our Editorial Experts
October 2013 Debut of the Month A sensual and provocative novel about the power and the peril of dreaming in which danger, betrayal and obsession will grip you from the beginning. With a unique blend of fantasy and alternate history, Fearsome Dreamer introduces the reader to a host of fully realised and compelling characters and it's brimming with unresolved sexual tension.
A Piece of Passion from Emily Thomas, Publisher I took Fearsome Dreamer home at the end of a busy day. I fired up my kindle, with no particular expectations, and started to read. By the time I had read the first page, I felt that delicious sizzle of excitement. The writing was superb: rich, descriptive, emotional and impressively poised all at once. Rue the central heroine is a girl bursting to live her life, to feel and to explore beyond what she knows. You are pulled with her, out of her somewhat plodding, rural existence and into another, more dangerous life as she learns how to literally make her dreams come true with the guidance of her icy and difficult tutor, White. When Rue first meets the central 'hero' White, we feel the snap, like an
electric shock, that passes between the two of them and every frustration, and betrayal and twist that occurs thereafter as they step in an out of dreams, trying to find the truth in each other. Fearsome Dreamer is an outstanding debut: imaginative, ambitious, epic, a little prophetic and heaving with unresolved sexual tension. Or URST, as we say in the trade. A winner through and through. Read!
In addition to our Lovereading expert opinion for Fearsome Dreamer a small number of readers were lucky enough to be invited to review this title. Here's a taster....'Complex, interesting and different Fearsome Dreamer is an excellent book to escape into for a few days...An exciting plot with twists and turns guaranteed to keep readers hooked.'
Scroll down to read more reviews...
Win an original print from The Pavee and the Buffer Girl
Siobhan Dowd's powerful story of the fight against racism and prejudice, The Pavee and the Buffer Girl, has been reissued as a splendid graphic novel with stunning illustrations by Emma Shoard. We are giving away an ORIGINAL print from the book (shown here) and a copy SIGNED by Emma.
To have a chance of winning this special prize, click the button below. Please note that this draw is open only for UK residents and is free to enter, multiple entries from the same email address will only be counted once.
The draw closes on 3 May 2017. The winners will be notified by 15 May 2017.
Good luck!
Fearsome Dreamer by Laure Eve
In the world of Fearsome Dreamer, England has become Angle Tar - a technophobic and fiercely independent country holding its own against the mass of other nations that is World. Rue is an apprenticed hedgewitch in rural Angle Tar, but she knows she is destined for greater things. After being whisked off to the city by the enigmatic Frith, Rue becomes the student of White, a young Worlder with a Talent that is much in demand: White is no ordinary Dreamer - but then neither is Rue. Both can physically 'jump' to different places when they dream - and both have more power than they know. Rue and White find themselves electrically attracted to each other - but who is the mysterious silver-eyed boy stalking Rue's dreams? And why is he so interested in her relationship with White? Is Rue about to discover just how devastatingly real dreams can be...?
A small number of readers were lucky enough to be invited to review Fearsome Dreamer. Read their reviews below.
Elijah Ferrante, age 13 - 'Overall I have immensely enjoyed this book, the plot is thick and the real villains shrouded in a mist of secrecy...I loved the book and cannot wait for the second one. Click here to read the full review.
Safiyah Afghan, age 15 - 'Complex, interesting and different Fearsome Dreamer is an excellent book to escape into for a few days...An exciting plot with twists and turns guaranteed to keep readers hooked.' Click here to read the full review.
Jhaneel Green, age 16- 'They need to make this into a movie. PRONTO!' Click here to read the full review.
Izzy Read, age 12 - 'World and Angletar are a fantastically woven alternative reality; easily pulling you in and drawing you into this flawless creation.' Click here to read the full review.
Sam Harper - 'Fearsome Dreamer is a wonderful fantasy adventure, full of action and excitement. It is probably most suitable for teenagers but I loved it!' Click here to read the full review.
In her lyrical debut novel, Eve has seemingly created a new genre - the romantic technofantasy. James Dawson, shortlisted for Queen of Teen
About the Author
Other Formats
Book Info
384 pages
Interest Age: From 16
Laure Eve
More books by Laure Eve
Author's Website
Author's Facebook Latest
Hot Key Books
Publication date
3rd October 2013
Publisher Profile
Hot Key Books is an imprint of Hot Key
Hot Key Books, a division of Bonnier Publishing, publish stand out, quality fiction, for 9 – 19 year olds, print and digital that people like to talk about. If you are looking for something a little bit different from your books, something a little bit special then Hot Key Books may well have just what you want.
Publisher's Website
Publisher's Blog
We love Lovereading4kids because it promotes reading choices, new authors and a sense of community for children of all ages!Rachel Bridgeman
It's really exciting to read and review new books, thrilling to see my reviews online and I love finding the final published copies on sale.Sam Harper – age 10
I think Lovereading4kids is an amazing company because of the friendly staff and the fabulous chance to read great books before publication.Adam Graham
I love Lovereading as it provides an honest opinion and showcases a range of fiction. Suited to both parents & kids alike, it's a must-use.Georgie Rowe – age 16
It is fantastic, you get to read lots of books and you always find something new and amazing in them.Erica Motoc, age 7
You give me age appropriate ideas of books I can read and buy for the children and find out what other children their age think of them too.Katie Lonsdale
Lovereading is just a convenient way to find new books and hear others opinions on them.Sarah Murray – age 15
It's so easy to find the right book for your child. Such an easy-to-use, yet in-depth website. 100% reliable.Pippa, Jack, Liam & Matthew Wils

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LightSwitch Advanced Development and Customization Techniques
Download this episode
In the session you will see techniques for building sophisticated UI, implementing middle tier application logic by customizing the data update pipeline and much more without leaving the LightSwitch development environment.
For more information, check out this course on Microsoft Virtual Academy:
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Event HomepageDevDays 2011 Netherlands
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Event Time and Date
Tuesday, February 21 2017, 6:00 PM to 7:00 PM
Ask a Scientist is a national science advocacy nonprofit organization.
Our goal is to share science with local communities across the country.
To do this, we will participate in outreach at public events (farmer's market, street fairs, etc.) where people can stop by and ask questions.
Join us for updates and to help us plan events as we move forward into the Spring semester. We look forward to seeing you there!
Hodges Library
1015 Volunteer Blvd, Knoxville, Tennessee
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While most homebuilders are part of a pre-defined community, there are over 6 homebuilders in Bonanza, AR that are willing to come to you! If you've got a piece of property you're looking to build on, you're in the right place. Even if you don't already own property, there are lots of builders who can help you through the process of finding the ideal land for your new home. Build on your lot homes come in all price points and sizes from $34986 to $152049 and 924 square feet to 2432 square feet. Whether you're looking to build a home as part of an infill development, or you're looking for a home in a more remote country location, build on your lot homes can be a great option!
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text: pinealoma definition April 26, 2017 AZ Dictionary Link to this page noun: A tumour for the pineal gland. cyst for the pineal gland View More Related Sources Hypernym for "pinealoma" tumour View More Cross Reference for "pinealoma" pineoblastoma View More Medical Dictionary for "pinealoma" An uncommon slow-growing tumefaction regarding the… View More How would you define pinealoma? All the definitions on AZdictionary were written by people just like you. Now's your chance to add your own! Your Full Name Your definition Post Definition


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Choose a date
Go-Karting VIP Incentive
Duration: 4, 5 hours
What better way than to beat your friends or co-workers at the racetrack!
We have put together several go-kart arrangements that are perfect for incentives or birthday- and bachelor parties. These arrangements mostly consist of training, several races and a final. The traditional bottle of Champagne is included at the award ceremony obviously.
We have several meeting rooms that are fully equipped with all the facilities you may require. Combine your go-kart incentive with a meeting, a product or press presentation.
Price: 130 euros per person
Please note: at least 5 persons are required to book
A welcome with a drink and a snack
Explanation about the go-karts, corner- and driving techniques
1 training, 4 races, 1 final
Award ceremony with large trophies and champagne
After Race Drink with champagne
BBQ, Satay- or Javanese buffet
Drinks from the Dutch assortment. (beer, wine and soft drinks)
Bleekemolens Race Planet Amsterdam
Herwijk 10
Or let us arrange a transfer from your hotel or conference centre.
Bleekemolens Race Planet Amsterdam
Herwijk 10
or let us arrange a tranfer to your hotel.
Things to bring
-Printed voucher
Additional Info
The go-karts, safety and the environment
Anyone from 8 years and over (minimum height 1.40 m) can drive a go-kart. An individual heat takes 12 minutes. Kids from ages 8 to 16 drive in special karts and never at the same time with the adults. All go-karts are equipped with the latest safety measures like a roll-bar, an anti- whiplash seat and safety belts. Helmets and protective overalls are provided.
We really care about the environment. Many years ago we introduced go-karts that run on LPG, a clean kind of fuel. Next to that all of our go-karts are equipped with a catalytic converter. On top of that we participate in the Target Neutral Program. This program basically neutralizes our CO2 emissions.


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June 4, 2012
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Thelonious Martin – Mask/OFF [Audio x Download]
Thelonious Martin is back with a new freebie called "Mask/OFF". Check it out below.
Rhythm Roulette w/ Thelonious Martin [Video]
Mass Appeal links up with Thelonious Martin on this episode of Rhythm Roulette.
In this week's edition of Rhythm Roulette we met up with Thelonious Martin at A1 Records on Manhattan's Lower East Side. Hot off the heels of last week's release of Molotov, his joint album with Brooklyn's very own Saga, Martin took us to Virtue and Vice Studios in Williamsburg to show us how one of Chicago's finest producers chops up a sound he doesn't usually work with.
"I've been on record saying, I'm not a fan of disco….unfortunately", Martin told the crew at Mass Appeal.
TrackBlasters Radio: 22.02.17
Da Wednesday Underground Flava - Underground & Old School Tunes Non-Stop
Host: DJ P.R.
Heatrock after heatrock - you know the motto! Press play and enjoy.
Record Of The Day: Roc Marciano - Pray 4 Me
Scram Jones feat. Uncle Murda, Dave East & Styles P - NYC Driveby
Thelonious Martin - Boujee
Migos feat. Lil Uzi Vert - Bad And Boujee
DMX feat. Swizz Beatz - Bane Is Back
Raekwon - This Is What It Comes Too
Raekwon feat. G-Eazy - Purple Brick Road
The Council feat. Tha God Fahim - Valhalla Doctrine
R-Mean - Land Of The Free
R-Mean feat. Compton Menace - Not With It
Joey Bada$$ - Land Of The Free
Joey Bada$$ - Victory
Prodigy - Mafuckin U$A
J. Cole - High For Hours
**Record Of The Day**
Roc Marciano - Pray 4 Me
M-Dot feat. Method Man & Dominique Larue - Shine
DJ P.R.'s Top Ten: January/February 2017
2017 started off with loads of dope new music for our listening pleasure! Below are my favorite cuts and projects.
01. Raekwon feat. G-Eazy - Purple Brick Road | Stream / Buy
02. DJ Khaled feat. Beyonce & Jay-Z - Shining | Stream / Buy
03. SkyBlew & Pabzzz - Dreams, Toonami & Jazzier Days [EP] | Stream / Free Download
04. Saga & Thelonious Martin - Molotov [LP] | Stream / Buy
05. Nick Grant - Luxury Vintage Rap | Watch Video
06. Prodigy - Hegelian Dialectic (The Book Of Revelation) [LP] | Stream / Buy
07. Fat Joe & Remy Ma feat. Kent Jones - Swear To God | Stream / Buy
08. M-Dot - Ego And The Enemy [LP] | Stream / Buy
09. The Council feat. Tha God Fahim - Valhalla Doctrine | Stream / Free Download
TrackBlasters Radio: 17.02.17
Da Fat Friday Afternoon - The Official Soundtrack To Your Weekend
Host: DJ P.R.
Today's show includes dope new music from Joey Bada$$, Fat Joe x Remy Ma, Raekwon, iLL Brown, Oddisee, Saga x Thelonious Martin, SkyBlew and Homeboy Sandman.
Press play and enjoy. Happy Friday, ya'll!
Record Of The Day: Raekwon feat. G-Eazy - Purple Brick Road
Joey Bada$$ - Victory
Fat Joe & Remy Ma feat. Kent Jones - Swear To God
**Record Of The Day**
Raekwon feat. G-Eazy - Purple Brick Road
iLL Brown feat. Freddie Gibbs, BJ The Chicago Kid & G-Wiz - Friends
Oddisee feat. Toine - NNGE
Saga & Thelonious Martin - Mongolian Cashmere
SkyBlew & Pabzzz feat. Karina Nistal & AlgoRhythmic - How About Sunday
DJ Khaled feat. Beyonce & Jay-Z - Shining
**Homeboy Sandman & Peter Rosenberg's "LoveLife" Mixtape**
Homeboy Sandman - Unforgettable
Homeboy Sandman - Relapse
Homeboy Sandman - Couple Bars
Homeboy Sandman - Seam by Seam
Homeboy Sandman - Everyday Love
Homeboy Sandman - So Good
Homeboy Sandman - Imports
Homeboy Sandman - FU
Homeboy Sandman - You and Myself
Homeboy Sandman - The Pits and the Pedulum
Saga & Thelonious Martin – Molotov [Album Stream]
Saga and Thelonious Martin share their new collabo project, "Molotov". The album contains 12 tracks and features guest verses from Freddie Gibbs, Fashawn, The Mind and Rapper Big Pooh.
Press play below and hit iTunes for a download.
TrackBlasters Radio: 13.02.17
Da More Fire Monday - The Correct Flava To Start Your Week
Host: DJ P.R.
Today's show includes brand new bangers from the likes of Bugus, Saga x Thelonious Martin, Fat Joe x Remy Ma and DJ Khaled.
Press play and enjoy.
Record Of The Day: DJ Khaled feat. Beyonce & Jay-Z - Shining
Bugus - Knock On Wood
Saga & Thelonious Martin feat. Freddie Gibbs - Karma
Jim Jones feat. Axel Leon - Bando
Fat Joe & Remy Ma feat. The-Dream & Vindata - Heartbreak
**Record Of The Day**
DJ Khaled feat. Beyonce & Jay-Z - Shining
Big Sean feat. Jeremih - Light
SiR feat. Anderson .Paak & King Mez - New LA
Drake feat. PARTYNEXTDOOR - With You
**Bombyce February 2017 Mix**
Superprince - Down On Bitter End
Dave Allison - Ain't Nuthin' To It
Somethin' With Jazz (Session Victim Remix)
The Funk District - Time Will Tell
Repossessed (The Reflex Revision)
DJ ''S'' - Last Train To The Disco
Giovanni Damico - Tanzania
The Reflex - GTGIU
Doc Jam - Forever Together
Unomas feat. Saucy Lady - Nasty Girl (Dr Packer Remix)
Mike Woods - Hot Your Hot
His Dirty Secrets - Thug Life
Michael The Lion - Know This
JKriv - King Mashie
Hidden Jazz Quartet feat. Tim Hollingsworth - Raw & Cooked
Saga & Thelonious Martin feat. Freddie Gibbs – Karma [Audio]
The Brooklyn-meets-Chicago duo of Saga & Thelonious Martin keeps the fire coming with "Karma", a straight-up banger that serves as the final leak off their forthcoming album, "Molotov".
Backed by Martin's vocal sample-flipping instrumental, Saga sounds as motivated as ever to prove his detractors wrong. When he raps, "You can brush me off, but I'm-a put my brush on the canvas," he's not gritting his teeth or sounding bitter. Rather, it's almost as if you can hear him beating his chest, proud of his work so far and ready to continue showcasing his talents (which obviously run pretty deep).
And like the project's debut leak, "Yesterday" (feat. Fashawn), "Karma" also boasts a standout guest verse from Freddie Gibbs who shows up to spit a snarling verse. Gibbs addresses the legal issues he faced in Europe last year, which he ultimately triumphed over (as he says, "Sour lemon life, I smashed the f-cking lemonade").
"Karma" can now be streamed through all major streaming outlets, and is available for download as the third and final instant grat track off the iTunes pre-order for "Molotov", which drops next Friday (2/17) through all major digital retailers via Saga 718/EMPIRE. The album will be released on vinyl early 2nd quarter through Coalmine Records, just in time for the duo's European tour.


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Spontaneous Circulation
A Sweet Wide Complex Tachycardia
Spontaneous Circulation
Spontaneous Circulation focuses on advanced ECG interpretation, cardiac pharmacology, hemodynamic assessment and resuscitation, and managing acute coronary syndrome. It is devoted to translating the best evidence-based treatments from critical care, resuscitation, and trauma for bedside use in the emergency department.
Tuesday, November 12, 2013
A Sweet Wide Complex Tachycardia
A 29-year-old man with history of type 1 diabetes mellitus presents with two weeks of feeling ill that became worse over the previous two days. This included a productive cough, subjective fevers, and frequent vomiting. He reports no headache, chest pain, or abdominal pain. He has had financial problems after losing his job about a month earlier, and is currently living in a local motel. His brother brought him to the emergency department for evaluation after finding him in bed confused, with vomit on the floor.
He appeared ill, and was oriented only to self. Vital signs were blood pressure 78/43 mm Hg, pulse 146 bpm, respiratory rate 26 bpm, temperature 37.2°C, and SpO2 96%. A fingerstick glucose measurement read "high." Intravenous access was established, initial laboratory tests were sent, and fluid resuscitation was initiated with 2000 mL 0.9% saline. A 12-lead ECG was obtained.
Figure 1. Presenting ECG.
Given his extreme glucose level, his physician suspected severe diabetic ketoacidosis. The inciting cause was unclear, but the differential included inadequate insulin therapy, ingestion of alcohol or another substance that may have been an intentional overdose, myocardial ischemia, or infection.
We should begin with three questions with every ECG. Is the rate fast, slow, or normal? Is the QRS complex narrow or wide? Is the rhythm regular or irregular? The rate on this ECG is about 170 bpm, so he clearly has a fast tachyarrhythmia. The QRS is difficult to define exactly, but the high lateral leads (I, aVL, V6) allow the best estimate of about four small boxes or 160 ms. The first six seconds of the ECG is regular and transitions to atrial fibrillation.
This is a wide complex tachycardia (WCT). The QRS widens as the normal ventricular depolarization through the His-Purkinje system is either impaired or bypassed, and the ventricles rely on myocyte-to-myocyte currents for depolarization, which is much slower. The common causes of regular WCTs include ventricular tachycardia (VT), supraventricular tachycardia (SVT) with aberrant conduction, and pre-excitation tachycardia (especially WPW). Causes of aberrant conduction include bundle branch blocks (which may be preexisting or rate dependent), hyperkalemia, and sodium channel blocking drugs. The full differential is shown in Table 1.
Upwards of 90 percent of presentations of WCT have ventricular tachycardia as the underlying rhythm, especially in patients at more advanced age and those with structural heart disease. VT can be either monomorphic or polymorphic (PVT). Monomorphic VT is frequently associated with coronary artery disease, cardiac ischemia, cardiomyopathy, and valvular disorders. Non-ischemic VT manifests itself as PVT, and is usually associated with ischemia. The PVT may manifest Torsades de pointes with either congenital or acquired long QT syndrome.
SVT, sinus tachycardia, and pre-excitation syndromes usually present as a narrow complex tachycardia, but the QRS becomes widened and the patient can develop a regular WCT in aberrant conduction. (Read a discussion of SVT rhythms in Dr. Bruen's article, "Myocardial Infarction with Dual Culprit Lesions," at
.) Similarly, irregular narrow complex tachyarrhythmias such as atrial fibrillation with rapid ventricular response, multifocal tachycardia, and atrial flutter with variable conduction can present as irregular WCTs in the presence of aberrant conduction.
Differentiating between supraventricular and ventricular origin of the WCT is important for diagnosis and to guide ultimate therapy. Many different criteria have been developed; unfortunately, they lack the necessary sensitivity and specificity to be clinically useful in the acute setting. The American College of Cardiology's algorithm is among the most robust.
Despite all this, the acute management of all wide complex tachycardia depends on the hemodynamic stability of the patient. After recognizing the rhythm on cardiac monitor or 12-lead ECG, immediately assess the patient for signs of hypoperfusion and shock: hypotension, tachycardia, hypoxia, chest pain, shortness of breath, rales, mottling, cold extremities, altered mental status, etc. Immediate electrical cardioversion is required to restore adequate cardiac output in such hemodynamically unstable patients regardless of the specific WCT.
Our patient was hypotensive, and had altered mental status. The patient had no cardiac history, though no previous ECGs were available for review. He was electrically cardioverted (biphasic synchronized at 150 J), and a repeat ECG was obtained after cardioversion. (Figure 2.)
Figure 2.
ACC, AHA, and ESC guidelines for managing patients with supraventricular arrhythmias. (J Am Coll Cardiol 2003;42[8]:1493.
Given the hyperglycemia and presumed diabetic ketoacidosis, the assumed etiology of the WCT was hyperkalemia and acidosis. The peaked T-waves noted in the post-cardioversion ECG is consistent with hyperkalemia. He was given 3g calcium (10 mL of 10% calcium gluconate) to stabilize the myocardium and 150 mEq sodium bicarbonate (50 mL of 8.4% sodium bicarbonate) to facilitate the intracellular shift of potassium. An additional 1000 mL 0.9% saline bolus and 10 units insulin aspart IV were given. His chemistry panel eventually returned, which showed at presentation he had a glucose of 1120 mg/dl and a potassium of 6.6 mEq/L.
Adrogué created a formula to predict the potassium at admission in DKA. (Medicine 1986;63[3]:163.) K+ = 25.4 - (3.02 x pH) + (0.001 x glucose) + (0.028 x Anion Gap) It underpredicted the potassium in our case, but the paper is an excellent review of the mechanism of hyperkalemia in hyperglycemia.
Unfortunately, the patient's mental status did not improve significantly, and he ultimately required orotracheal intubation and mechanical ventilation for airway protection. He was admitted to the intensive care unit where he was treated with a standard DKA protocol. His anion gap had closed about 10 hours after admission, and he was transitioned from an insulin infusion to long-acting subcutaneous insulin. A repeat ECG at this time showed return of a normal sinus.
ECG following cardioversion.
Severe hyperkalemia causes progressive changes in the ECG. (Table 2.) Our patient was profoundly hypovolemic and tachycardic. Loss of the P waves and widening of the QRS complex led to a wide complex tachycardia. It would have been reasonable to closely monitor the patient and treat the underlying DKA and hyperkalemia if he had been hemodynamically stable. If regular, adenosine is a great way to manage WCT. It will not harm VT, and it will treat SVT with aberrancy, antidromic AVRT, and adenosine-sensitive RV outflow tract tachycardia (and you will think it was SVT). Even in stable patients, electricity is the safest way to convert any WCT if you can manage the airway as is done for procedural sedation. Immediate cardioversion is needed, however, with hemodynamic instability.
The patient ultimately did well. He was extubated within 24 hours, and had a normal mental status. He was able to report that he had been out of insulin for several weeks because he was unable to afford his medication. Serial measurements of cardiac Troponin I were negative. Urine toxicology was negative. He was discharged from the hospital on hospital day three.
ECG after correction of the hyperkalemia and acidosis.
Posted by Charles Bruen, MD at 1:44 PM
wide complex tachycardia, ECG, glucose, tachyarrhythmia, atrial fibrillation, His-Purkinje system


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Still aching all over from spending a hard weekend in the garden with Farmer Joe planting the last of the bare-rooted trees for the year (we only just snuck them in too - some were already at bud burst). Bare-rooted trees aren't very photogenic, looking an awful lot like sticks poking out of the ground at this time of year. So, until Spring brings us some leaves and blossoms, I'm happy to admire this beautiful Belgian garden, and remind myself that those big trees were little once too.
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The most popular doctorate is the Doctor of Philosophy or Ph.D. Ph.D.s and other study doctorates prepare graduate student to launch new plans that add to the common knowledge base of the field. Candidates for and holders of Ph.D.s often seek professions as professors and researchers, but many also go on to different roles in the charitable, public, and private sectors.
As a field of study, art history deals with understanding objects' art with their historical development in certain stylistic settings such as the design, style, format or genre among other contexts. A PhD in Art History will expose one into visual arts. It is a globally marketable course and available in several universities including the famous Khan Academy.
A landlocked country found in the Central Europe region with Hungarian as their official language. The country's mathematics and science approach are outstanding. It homes the world's first technology institute. It is here that the first steam engine in Europe was built back in 1722.
Budapest is the capital city of Hungary and the ninth largest in the European Union. As the largest in the country, it serves as a center for commercial and industrial activities among others. It has close to twenty institutions of higher learning within its borders.
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General Manager - TaxAl Futtaim Group
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Relevant offers
New Plymouth professional golfer Grant Moorhead is the first to admit the past six months have been a struggle.
"It's been a battle. I started the year well but lost my way with my swing," he said yesterday. "One thing led to another and it all caught up. I just have to work hard and get back on track."
Two weeks ago, Moorhead missed the cut at the New Zealand Open at the Clearwater course in Christchurch after rounds of eight-over 80 and four-over 76.
"I got beaten up by the wind," he said. "To be honest, I didn't play very well."
Moorhead said the afternoon draw on the first day didn't help.
"The morning guys had it pretty good. The wind really picked up in the afternoon, up to 75kmh. We got the rough side of the draw, but that happens."
Last week, Moorhead played in the three final New Zealand PGA events of the year.
At Wednesday's Cambridge Pro-Am, he shot a four-over 76.
"Again I struggled. I had a few birdies, but a lot of bogeys and a double-bogey."
He found some overdue form in the Mt Maunganui Pro-Am on Friday with a three-under par 69 to finish second behind Wellington's Peter Spearman-Burn, who shot 67.
"I hit the ball a lot better and felt I'd turned the corner. It was really windy and I finished with a birdie."
At the weekend, Moorhead fired rounds of 74 and 69 in the Fairview Pro-Am at the Katikati course.
"I was ninth or 10th. It blew on both days but there were some good numbers shot. It's not an easy course, there's a tough stretch down the back nine," Moorhead said.
The Katikati event was won by fellow New Plymouth professional Dominic Barson with rounds of 67 and 68.
Moorhead finished the year fourth on the New Zealand Order of Merit.
"I'm pleased with that. The top five get a bit of status and that gets me a start at The Hills in February for the $600,000 NZ PGA Pro-Am championships. That's my main focus now."
Moorhead said he might play a few of the tier two Australian events early in the new year along with a new four-round event on the Charles Tour starting at the Manawatu course on January 20.
Taranaki's Murray Martin fired a four-over par 76 at the rain-shortened 2012 Asia-Pacific senior amateur golf championships in Hong Kong.
The three-round event was reduced to one round because of bad weather.
New Zealand finished second on 304 to Australia (301) in the teams event.
The leading individual score was a 73 by Australia's Denis Dale, with Frank Borren the best of the Kiwis with a 74.
Other New Zealand scores were Arthur Parkin (75), Michael Baltrop (79) and Andrew McKechnie (80).
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Assault at New Plymouth's Treehouse Bar and Bistro
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Flow-Rite Controls seeks a Western Regional Sales Manager to help us change the world by creating unique and useful solutions for our customers. Does the idea of joining an organization continuously growing revenue, people, and products appeal to you? Are you someone who is an inquisitive thinker, is willing to get your hands dirty, and likes to have fun in the process? Then we may be a perfect fit.
What you will be doing:
Responsible for the strategy, sales, and growth of their assigned territory, as well as, maintaining and expanding sales to Flow-Rite's existing customer base and developing new customers. Customer base includes a distributor network.
Western Territory: Alaska, Arizona, California, Colorado, Hawaii, Idaho, Montana, Nevada, New Mexico, Oregon, Texas, Utah, Washington, Wyoming and Canada: Alberta and British Columbia.
- Develop consultative and "trusted advisor" status among customers in your region.
- Coordinate training activities and presentations, new product launches, and marketing promotions with distributors in the region. Persuade distributors to invest in training and marketing to support overall company and region strategy.
- Train users on our product. Training includes webinars, group presentations, and installations.
- Assist in demo installations of our product, as well as troubleshooting our product in the field.
- Guide customers through our product offerings, ensuring distributors are well-versed in and fully comfortable selling our single point watering systems and accessories.
- Aggressively close/assist in closing new business with distributor base.
- Generate hot leads for distributors by prospecting, cold calling, and participating in tradeshows.
- Represent the company at conferences, tradeshows, sales meetings and networking events as necessary.
- Document all activity in our CRM.
- Prepare territory summaries and plans on a quarterly and annual basis.
- Work with all departments internally, including Engineering, Production, Quality, and Customer Service, to ensure customer needs are being met or exceeded.
- Willing and able to travel 60% to 80% within assigned territory (additional travel to tradeshows and corporate office).
The stuff you know:
- Bachelor's Degree in Business Administration or related field.
- CRM experience.
- 2+ years of Technical Sales experience.
- Extremely proficient in Microsoft Office (Word, Excel, PowerPoint, Outlook).
- Possess an outgoing, positive, professional demeanor.
- Highly team-oriented.
- High level of organizational competency.
- Outstanding written and verbal communication skills.
About Flow-Rite Controls: Flow-Rite Controls, one of "Michigan's 50 Companies to watch", is a privately held family owned, manufacturing company based in Byron Center, Michigan. Flow-Rite designs, manufactures, and markets fluid control devices for lead acid batteries, recreational boats, laboratory, and medical use. As a vertically integrated company, our capabilities include a full service engineering department, tool room, molding operation, warehousing, manufacturing, as well as sales and marketing teams. For more information about Flow-Rite, visit us on the web at: www.flow-rite.com.
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960 74th Street SW
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5 agents found
Allen & Harris, HelensburghTel: 01436 594005 Local call rate
Allen & Harris was founded in 1966 when Mike Allen went into partnership with D.R. Harris. They opened their first office in Didcot and today we have over 40 offices covering the West & South West of England, South Wales and Central Scotland. As part of the Sequence Group, last year we sold over £3.8bn worth of properties, handling tens of thousands of moves and we currently manage over 7,000 properties, so when it comes to buying, selling, renting or letting weve got lots of experience.
Clyde Property, HelensburghTel: 01436 594002 Local call rate
Clyde Property is Scotland's leading owner-driven estate agency. We are committed to maximizing the value of your home, and to achieve this we implement a number of working practices that set us apart from other estate agencies.read more
Clyde Property, HelensburghTel: 01436 594003 Local call rate
Clyde Letting is committed to ensuring you maximise the income you receive from your rental property through active management, and by continuously assessing trends that dictate rental values. Our valuations are based on fact, tenant demand and 25 years of experience we have built up in securing our position as Scotland's largest letting agent.read more
McArthur Stanton, HelensburghBuying: 01436 594008 Local call rateLetting: 01436 594009 Local call rate
McArthur Stanton is the largest wholly-based legal firm in the Dumbarton and Helensburgh locality. A long-established legal firm dating back to 1847, we were known in Helensburgh as Maclachlan Stanton and Co., and in Dumbarton as McArthur Brown Ritchie and Co. We amalgamated in 1985 to become McArthur Stanton.
Property Bureau, HelensburghBuying: 01436 594006 Local call rateLetting: 01436 594007 Local call rate
Property Bureau is independently owned and one of the fastest growing property companies in central Scotland. . They employ some of the most respected and well known professionals in the industry and have a highly motivated team who share their passion and enthusiasm for the business. Offering honest, professional advice they know what it takes to provide you with the best service in the market today.
Raeburn Hope Solicitors & Letting Agents, HelensburghTel: 01436 594010 Local call rate
We have a thriving lettings department specialising in the management of residential properties in Helensburgh and surrounding areas. Whether youre a private or corporate landlord, or a Buy to Let Landlord with one property or a large portfolio, you need to know your property is in safe hands. We endeavour to help minimise your stress levels whilst maximising the return on your investment.
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Skilled Drupal full Stack developer needed for maintaining/updating enterprise level sites
该项目收到36 来自天才威客的竞标,平均竞标价格为$31 USD / hour。为像这样的项目获取免费报价
项目预算$25 - $50 USD / hour
Since this is going to be a project working on existing sites, there is no definitive specs. We are looking for hourly based support. There will be continuous ongoing work in which case we will need 40 hours per week. Please note that we are looking for developers within the $25 to $35 hourly rates.
By the way, we are only looking for developers in the American continent timezones. Developers from other parts of the world - please do not apply.
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The Center for the Study of Information Resources of Wuhan University (CSIR), as a key university-based national research institute of humanities and social sciences of the Ministry of Education, China, is the only selected one in the field of library and information science. On the basis of the original Library Science and Information Research Institute of Wuhan University that was established in 1984, the CSIR was structured in a new style after its reform of February, 1999.The Director is responsible under the leadership of the university President.
The goal of the CSIR is to collect social resources from home and abroad, to innovate academic research mechanisms, to make great academic achievements through undertaking important scientific research projects and to make itself a leading information resources research CSIR in China, and an influential and famous one in the world.
So far the CSIR has set up four research labs in total, including Information Economy and Information Resource Planning Research Lab, Information Resource Management and Service Research Lab, Information Organization and Data Mining Lab, and Information Systems Research Lab. The CSIR also employs over 20 full-time and part-time researchers.
Since its official establishment in 2000, the CSIR has been always aiming at the research, consultancy and training of great academic and practical issues of social economy informatization with a focus on the organization, management, development and utilization of information resources, and have been making great achievements.
In the years of 2004 and 2008, CSIR has been rated as an excellent key research base during the assessment of the Ministry of Education, China. After two term construction as a key research base, the center has become the "211", "985" Project platform, and the core and support for nurturing the "Chinese Memory and Digital Preservation" Collaborative Innovation Center. The Center has joined iSchools, the coalition of global leading information schools, and has been developing into a leading information resources center in China and having greater impact and higher visibility in the international information communities. . Professor Ma, Feicheng is currently serving as the Director of the CSIR, with Professor Hu, Changping and Professor Li,Gang as the Vice Directors.


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Designer Steven Lagos in Myanmar
November 21, 2014
More than 30 years after the launch of LAGOS, Steven Lagos' jewelry remains a classic. While the Caviar beads and two-tone silver creations are recognizable from a distance, we rarely get to see where Lagos' designs originate, in many cases locales inspired by his travels. Lagos recently ventured to Southeast Asia, more precisely, to Myanmar, also known as Burma. Major Buddhist pilgrimage sites, such as the gold leaf-covered Shwedagon Pagoda and the Golden Rock, are inspirational to many. Now, take a look at Myanmar from the eyes of Steven Lagos.
NM: Which cities did you visit during your trip to Myanmar?
SL: Yangon (formerly Rangoon) and the surrounding area and Mt. Kyaiktiyo, where the Golden Rock is.
NM: Tell us a bit about the culture in the streets as opposed to the lifestyle of the monks in the temples.
SL: It's a very spiritual place. There's such a sense of optimism. The locals are so kind and welcoming. They love Americans. The monks are holy men and revered in society. They are the center of the community, and you can feel their energy. They were very nice and welcoming, but in a more reserved and peaceful way. Everyone is super-friendly.
NM: The use of gold and gemstones is very different throughout Southeast Asia. What struck you the most?
SL: I am always fascinated by the importance of gems and jewelry throughout the world. Every culture has its own style and jewelry and traditions. Jewels have been a part of their culture for a very long time. Everything is encrusted with gold and gems and is super-ornate and detailed.
NM: Name a must‐visit place in Myanmar.
SL: It would be impossible to pick one. The Golden Rock was amazing. The Shwedagon Pagoda has so much energy you can feel it. All the temples and the people. I did not get to Mandalay bay this trip , and I hear that's amazing, too . Next time!
NM: Where to eat:
SL: Local restaurants serving local foods. There is a heavy Indian and
Thai influence. We had a great guide who helped us navigate the local food scene. When I went, there was no Western-style tourist business or infrastructure – very little Western influence at all. It is culturally pure and genuine and very raw. That was the appeal for me.
NM: Where to shop:
SL: Bogyoke Aung San Market is a fantastic bazaar located in central Yangon. It's really beautiful with colonial architecture and cobblestone streets filled with antiques, Burmese handicraft and jewelry, art galleries and clothing stores. Spend the whole day and you still can't see everything.
NM: Favorite souvenir:
SL: I bought a large antique teak carving of the life of Buddha on a previous visit. It's 3 and a half by 14 feet long.
NM: Where to stay:
SL: Golden Rock Hotel in Kyaiktiyo . It's at the top of the mountain, and you have to hike up or hire a team of four men to carry you in a sleigh. You need to hire a Sherpa to carry your belongings. It's a pilgrimage – very raw, naturally beautiful and off the beaten track.
NM: What aesthetic elements from Myanmar are you taking back home as inspiration for your work?
SL: I love the ornate detail, the Eastern "line" and design sense. The use of gems has become a focus in my work since this trip. I am developing a collection of gem-encrusted statement earrings for next year that were conceived in Myanmar. Stay tuned…


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Coach, I Don't Need No Stinkin' Coach
If you're an Olympic gymnast or a Little League baseball player coaching is as natural as orange slices at soccer practice. It's clear that to go from being a Lego-crazy 8-year-old boy into one that hit and field, you're going to need some guidance. On the other end of the spectrum, how are you going to bring home the gold without help? For everything else in the middle should you be on your own? I submit not.
I learned to surf at 39, I took a class from Girl in the Curl to go from landlubber to surfer. I surfed alone and with my beginner friends for about a year until I went to Kelea Surf in Costa Rica. All of the sudden I went from this to this:
Crazy time. I'll be honest, I went back home and went back to surfing knee-high and maybe waist-high waves again. Without a coach I went back to my comfort level – which was certainly not having a monster wall of water chasing me! To get back to that level and stay there, I'm going to need help.
To go from one level to the next in any endeavor takes help. I count my coaching among the very best investments I've made in my life and my business. Each of my coaches, Marla Tabaka, Susan Baroncini-Moe and Chuck Bowen have been invaluable and I know I would have been stuck settling for underachievement.
Where do you need skills?
Where do you need encouragement?
Where do you want to play with the big boys?
Ready for bigwaves? It's time for business coaching [TWEET THIS]
You're not supposed to already know this stuff. Go out and get it!
Micky DemingNovember 25, 2014 at 10:29 pm
Wow! Combining financial savvy and surfing… You are speaking our language!
Micky Deming recently posted…Are You Financially Savvy? You Need 20/20/20 Vision
Chuck BowenNovember 27, 2014 at 9:50 pm
Amen Emily. Seeking out those proverbial "monster waves" to continually conquer is crucial to the motivation and ultimate success of us entrepreneurs. Nice blog!
And, thanks so much for being such joy to coach. YOU are the real deal!
~ Chuck


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"Love is born in a glance, and matures in a smile." ~ Brazilian proverb
Most people enjoy being in love, because falling in love is a euphoric ride. You are exhilarated when you fall for someone and the feeling is returned. And you can't stop thinking of them, wanting to spend every moment together, as if you can't get enough.
We hope this feeling will never end, and when it starts to dissipate we worry. Life is not like the fairy tales, movies, nor romance novels. Love has seasons that change as the relationship, life, and family changes. But just because love between two people changes, it doesn't mean it's gone.
Relationships are always evolving. While change is hard, it doesn't have to mean something is wrong. Join me in exploring how love and marriages evolve and how we can think about the new seasons with more smiles.
Identify Your Season of Love
Helen Fisher, anthropologist and author of Why We Love, shares her thoughts on how love changes so that our species can survive. With a team of scientists, Fisher scans the brains of people who have recently fallen in love. Through her research, she discovers that certain areas of the brain light up when we are falling in love.
Fisher concludes that all animals and humans feel romantic love in the reward center of their brains. In other words, love is much more complex than having a positive feeling, it is a "fundamental mating drive."
Through her work, she identifies three interlocking drives that primitively speaking help keep families alive. Fisher explains that "drives" evolved to motivate us to reach different goals:
- Lust: "to seek an array of sexual partners"
- Romantic Passion: "to choose one partner to dote upon"
- Attachment: "to remain emotionally engaged with him or her long enough to rear a child together"
Fisher goes on to explore whether or not these drives (or seasons) can occur at the same time. Do you identify with one or more of the above relationship goals?
Twenty years ago on spring break, I was interested in talking to many young men. But by the end of the trip, I had picked one young man that I hoped to spend more time getting to know. We stayed in this romantic love season until some time after our wedding.
Love Changes and Relationship Patterns Emerge
You gradually start to see your spouse as they are. While you were once blinded by passion and able to overlook their faults, you are now living with their strengths and weaknesses every day.
And predictable patterns of interaction emerge when tension and conflict rise. Depending on how you think about the differences, you may start feeling less attracted and more distant. Since the "romantic love hormones can only last 12-24 months" into a new relationship, how do you deal with these relationship patterns, negativity, and worry?
"We've become addicted to the hormone rush fueled by the media hype and don't know what to do when it's over, except to find someone new." ~ Susana, Hubpages.com
As you pick a mate to spend the rest of your life with, the hormones that once attracted you are starting to slow down. So it's not physiologically possible to stay on the high of falling in love. But many people are distraught that the romantic feelings have gone.
Emotional Distance or Intimacy Evolves
While you can't return to the original feeling state, you can work on how you think and interact with your spouse. Many people become so negative about their partner and their relationship, that they want to leave the relationship "seeking happiness." But others want to find out how to be less negative and develop a new level of openness with their mate. Love's changing season becomes an opportunity to grow your friendship and intimacy by growing yourself.
Instead of trying to get your spouse to meet your needs better, it is seeing them as separate from you emotionally that makes it easier to get close to them. If you are always thinking that they don't care for you or want something from you, then you will keep your distance.
Everyone feels distant sometimes. When you can focus less on blaming your partner and more on identifying when you feel distant, you can begin to reclaim your happiness. When you become less defined by what your partner does or doesn't do, you are free to be yourself. Your partner is also free to be him or herself. It is through this "growing up" stage of marriage that emotional intimacy is found, as it's easier to get close to each other again.
Which opportunity will you take: Is marriage's changing seasons an opportunity for growth and intimacy? Or is it an opportunity to leave the marriage?
Subscribe via Email, and you will receive my "Journal for Self-Discovery: 15 Questions to Increase Emotional Intimacy." Learn how to take your happiness back without distancing emotionally.
Photo Credit: "In Love" by Hartwig HKD


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Fijit Friends Newbies Singing ToysW5859 0746775061043
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This fun and adorable toy is made to sing after being squeezed by its owner. Collect multiple Fijit Friends Newbies Singing Toys to form the ultimate choir!
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- Reward your Fijit Friends Newbies Singing Toy by petting and tickling it.
- The more your singing toy is nurtured, the better at singing it becomes.
- Collect multiple Newbies to watch them sing duets and interact with each other.
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