text:
US Geographic Distribution of rt-PA Utilization by Hospital for Acute Ischemic Stroke
Background and Purpose— Previously, we have estimated US national rates of recombinant tissue plasminogen activator (rt-PA) use to be 1.8% to 3.0% of all ischemic stroke patients. However, we hypothesized that the rate of rt-PA use may vary widely depending on regional variation, and that a large percentage of the US population likely does not have access to hospitals using rt-PA regularly. We describe the US geographic distribution of hospitals using rt-PA for acute ischemic stroke.
Method— This analysis used the MEDPAR database, which is a claims-based dataset that contains every fee-for-service Medicare-eligible hospital discharge in the US. Cases potentially eligible for rt-PA treatment based on diagnosis were defined as those with a hospital DRG code of 14, 15, or 559, and that also had an ICD-9 code of 433, 434, or 436. Thrombolysis use was defined as an ICD-9 code of 99.1. Study interval was July 1, 2005 to June 30, 2007. Hospital locations were mapped using ArcView software; population densities and regions of the US are based on US Census 2000.
Results— There were 4750 hospitals in the MEDPAR database, which included 495 186 ischemic stroke admissions during the study period. Of these hospitals, 64% had no reported treatments with rt-PA for ischemic stroke, and 0.9% reported >10% treatment rates within the MEDPAR dataset. Bed size, rural or underserved designation, and population density were significantly associated with reported rt-PA treatment rates, and remained significant in the multivariable regression. Approximately 162 million US citizens reside in counties containing a hospital reporting a ≥2.4% treatment rate within the MEDPAR dataset.
Conclusion— We report the first description of US hospital rt-PA treatment rates by hospital. Unfortunately, we found that 64% of US hospitals did not report giving rt-PA at all within the MEDPAR database within a 2-year period. These tended to be hospitals that were smaller (average bed size of 95), located in less densely populated areas, or located in the South or Midwest. In addition, 40% of the US population resides in counties without a hospital that administered rt-PA to at least 2.4% of ischemic stroke patients, although distinguishing transferred patients is problematic within administrative datasets. Such national-based resource-utilization data is important for planning at the local and national level, especially for such initiatives as telemedicine, to reach underserved areas.
Recombinant tissue plasminogen activator (rt-PA) was approved by the FDA in 1996 for the treatment of acute ischemic stroke.1 Despite its proven efficacy, however, rt-PA therapy has not been widely used among ischemic stroke patients. Studies have estimated that only 1.8% to 3.0% of all ischemic stroke patients in the United States are treated with rt-PA2,3⇓; the upper end of that range was not achieved until FY 2007. There are many reasons why rt-PA is not administered to more stroke patients, the most important of which is prehospital delays in presentation.4 Within the US population, only 8% of ischemic stroke patients present to an emergency department eligible for rt-PA.5 In addition, several important systems issues regarding the hospital of presentation affect whether a patient receives rt-PA, such as protocols for acute stroke patient triaging,6 stroke education for local EMS7,8⇓ and ED staff,9,10⇓ and 24-hour CT availability.11 If rt-PA-eligible acute stroke patients arrive at a hospital that is not fully prepared to treat with rt-PA, they may not receive thrombolytic therapy. This has been part of the impetus for the designation of Primary Stroke Centers by JCAHO, a program which has so far certified 546 hospitals across the United States as being capable of receiving hyper-acute stroke patients.12 Yet, despite this recent drive to improve hospital "stroke readiness" and quality of care, many hospitals have not made stroke a priority and have not participated in any stroke-related programs or initiatives.
Therefore, we hypothesized that rt-PA use varies widely by hospital and county region, and that a small number of hospitals may treat the majority of patients with thrombolytic therapy. This is supported by other reports of referral-based rt-PA usage rates of up to 15% for ischemic stroke in the literature,13 which contrast sharply with the national average.3 We suspected that a large percentage of the US population does not have access to hospitals that regularly use rt-PA. In the present analysis, we describe the geographic distribution of hospitals that use rt-PA for acute ischemic stroke in the United States, and we demonstrate the relationship of these hospitals to local population densities.
This analysis used the MEDPAR database, which is a claims-based dataset that contains every fee-for-service Medicare-eligible hospital discharge in the United States. Medicare-eligible patients consist of nearly all US residents that are ≥65 years old, all patients with end-stage renal disease or solid organ transplant, and all patients that have been totally disabled for more than 24 months. Medicare beneficiaries in managed care plans (roughly 15% of Medicare enrollment in 2005) are not captured in the MEDPAR data. Hospitalizations are categorized by Diagnosis Related Group (DRG), which describes the primary reason for admission as determined by billing personnel. The DRG is based on the primary and secondary International Classification of Diseases, version 9 (ICD-9) codes. Reimbursement to hospitals is based primarily on the DRG weights.
Cases potentially eligible for rt-PA treatment based on diagnosis were defined as patient visits with a hospital discharge code of 433, 434, or 436, within DRG 14 (intracranial hemorrhage or stroke with infarct), DRG 15 (nonspecific CVA and precerebral occlusion without infarct), and DRG 524 (transient cerebral ischemia). DRG 524, created in 2003, aims to identify TIA as distinct from DRG 14 and DRG 15. Patient visits with hemorrhagic stroke or TIA ICD-9 codes (430, 431, 432, and 435) were excluded because rt-PA administration is inappropriate for such cases. Cases who received thrombolysis were identified by the presence of ICD-9 procedure code 99.1: injection or infusion of thrombolytic agent (this could denote either intravenous or intra-arterial delivery). The study interval was 7/1/05 to 6/30/07. Hospital locations were mapped using ArcView GIS software; county population densities, in units of persons per square miles, were calculated based on US Census 2000 (obtained from the US Census Bureau website, www.census.gov). We drew a 20-mile radius around each hospital whose treatment rate was at or above the national average of rt-PA treatment within the database during the study period (2.4%, see Results). We chose 20 miles as the length of the radii based on a prior study that demonstrated this as a reasonable distance for emergency medical services coverage (Phillip Scott, MD, personal communication, 2009). Designation of hospitals in rural underserved versus urban areas, as well as population density data, was also obtained from the US Census. Hospitals were stratified by bed size as <50, 50 to 200, and >200 beds, and by location in a county with population density as <50, 50 to 500, and >500 persons per square mile. Region of the United States was defined as Northeast, West, South, and Midwest, according to state definitions on the US Census website. In accordance with HIPAA regulations for the MEDPAR database, no data that represent fewer than 10 claims are presented. An exemption for nonhuman research was obtained from our local Institutional Review Board, as we did not collect any identifying information.
The data were summarized by calculation of mean rt-PA treatments rates and 95% confidence limits for each stratum of bed size, population density, and regions in the United States. We then compared the rt-PA treatment rates among strata for each of these factors using negative binomial regression for each factor individually. Rates were defined as the ratio of the number of rt-PA–treated patients in each hospital to the total number of stroke admissions in each hospital resulting in an analysis weighted by stroke admissions. To assess the effect of each factor while controlling for each of the other factors, we also ran multivariable negative binomial regression models including all three factors.
There were 4750 hospitals in the MEDPAR database (Figure 1) within the United States. For reference, the population density by county is presented in Figure 2. The hospitals within the MEDPAR database reported 495 186 ischemic stroke admissions during the 2-year study period. Of these ischemic stroke admissions, 11 884 were reported to have received rt-PA, which amounted to 2.4% of all ischemic stroke admissions.
Hospitals that reported treating at or above the national average 2.4% treatment rate are mapped in Figure 3 and supplemental Figure I⇓⇓⇓, available online at http://stroke.ahajournals.org, with a 20-mile radius drawn around each hospital. More detailed maps of each region of the United States are available online only. Individual hospital reported treatment rates ranged from 0% to 23%. There were 3050 hospitals (64.2%) reporting no treatments with rt-PA for ischemic stroke, 893 hospitals (18.8%) reporting rt-PA rates greater than zero up to 2.4%, 762 hospitals (16.0%) reporting rt-PA rates between 2.4 and 10%, and 45 hospitals (0.9%) reporting >10% treatment rates (designated with yellow points on Figure 3). Based on county populations, approximately 162 million U.S. citizens (60% of the US population, based on 2000 Census data) reside in counties that have a hospital that reports a treatment rate >2.4%.
Hospitals that reported no rt-PA use were smaller hospitals with an average bed size of 95, compared with 359 for hospitals that reported treating at 10% or greater. The results of the univariate analysis for hospital-level predictors of rt-PA use are presented in the Table. All 3 variables analyzed, including bed size, rural or underserved designation, and population density were significantly associated with the reported rt-PA treatment rates and remained significant in the multivariable regression, although bed size was the most important factor.
We report the first description of US rt-PA treatment rates by hospital. As we hypothesized, we found a wide variation in the reported rates of hospital use of rt-PA for ischemic stroke within the MEDPAR dataset. More than half of US hospitals (62%) did not report giving rt-PA at all within the 2-year study period. These tended to be hospitals that were smaller (average bed size of 95), located in less densely populated areas, or located in the South or Midwest. In addition, 40% of the US population resided in counties without a hospital that reported administering rt-PA to at least 2.4% of its ischemic stroke patients.
We suspect that smaller or more rural hospitals lower rates of treatment is related primarily to volume of eligible patients arriving at these smaller hospitals. The percentage of ischemic stroke patients eligible for rt-PA is only 8% to 9% of all ischemic stroke,5 and for smaller hospitals this could mean only a few eligible cases a year. Just as with many surgical procedures, high-volume experienced centers are able to maintain highly efficient triaging and treatment of acute stroke patients, whereas lower volume centers constantly struggle to maintain vigilance for the potentially treatable patient. We note, however, that after controlling for the number of stroke admissions to individual hospitals in our analysis, bed size and population density were still independent factors, and therefore issues in addition to a hospital's volume of stroke patients likely affect hospital-specific rates of rt-PA usage. Also, patients that are treated at an outlying hospital, and then transferred to another hospital, are difficult to distinguish within administrative datasets. It is possible that some of the smaller hospitals that have no reported treatments did have some patients treated and transferred away; we are unable to detect such patients with the coding paradigm for acute stroke in 2005 to 2007.
These findings have important implications for stroke care in the United States. Such data could assist in identifying underserved, high-population-density areas that may benefit from professional and hospital education by national organizations, such as the American Hospital Association, the CDC, or the American Heart Association. The rural underserved areas, such as many of the western states, could be targeted with either helicopter-based stroke care or telemedicine. JCAHO primary stroke center certification and other national organizations with goals of improving rt-PA treatment rates and the quality of care for stroke patients will find these results useful for informing their initiatives.
This analysis has several limitations. First, we have previously demonstrated that the ICD-9 code 99.1 is not particularly sensitive for detecting rt-PA treatment.3 However, our prior analysis, which used pharmacy records compared to ICD-9 codes, dealt with data collected before the creation of DRG 559, which provides improved reimbursement for patients treated with rt-PA and requires the ICD-9 procedure code 99.1. We believe that this new incentive for proper coding of rt-PA treatment will improve the sensitivity of the 99.1 code, but this still needs to be shown.
A second limitation is the MEDPAR database itself, in that it does not include patients younger than 65 years of age, except for transplant and permanently disabled patients. Our previous study, mentioned above, found that this arbitrary age cut-off misses a substantial number of rt-PA treated patients.3 Because of this limitation, we have not presented actual percentages or raw numbers of treatments by hospital; instead, all data are presented relative to a pooled national average which carries the same limitation. We felt that this would still be useful for assessing public access to regularly-treating hospitals and identifying relatively underserved areas. Also, approximately 15% of Medicare beneficiaries are enrolled in managed care plans, and are not contained within the MEDPAR database; this could potentially bias our findings as well. It should also be noted that county-based population densities are probably not representative of the catchment areas of hospitals, which often cross county lines. The 20-mile radius to describe access to care is arbitrary; it is likely too big for a dense urban area, and too small for a rural region. However, it was thought to be a reasonable national compromise.
A final limitation is the fact that some patients are transferred to other hospitals after rt-PA administration, as mentioned above. In the study period, the ICD-9 code 99.1 could be used only for patients treated and admitted to the same hospital. Cases treated at one hospital and immediately transferred to another ("drip and ship" patients) did not receive the 99.1 code. Future studies may overcome this limitation, because in April of 2008 the CDC approved a new "V" code that denotes "treatment with thrombolytic therapy at another institution within the last 24 hours."14 Future studies will be able to use this new code to track "drip and ship" patients, which will allow more detailed resource utilization planning for urgent transfers.
In summary, we report a nationwide description of reported rates of rt-PA use by hospital. There were many hospitals that did not report any rt-PA treatments in the MEDPAR dataset during the 2-year study period. We found that smaller rural hospitals, and hospitals in the South and Midwest, were less likely to report giving rt-PA to stroke patients, although patients transferred away are difficult to track within administrative datasets. These data provide a national perspective regarding rt-PA use, and may help in planning resource utilization and strategies to increase the use of rt-PA overall.
Sources of Funding
This work was supported by a research grant from the Centers for Disease Control.
D.K. and O.A. served on a Speakers Bureau for Genentech (modest).
- Received April 21, 2009.
- Revision received July 14, 2009.
- Accepted August 11, 2009.
- ↵
- ↵
- ↵Kleindorfer DLC, White G, Curtis T, Brass L, Koroshetz W, Broderick JP. National us estimates of rt-PA use: ICD-9 codes substantially underestimate. Stroke. 2008; 39: 924–928.
- ↵CASPR. Prioritizing interventions to improve rates of thrombolysis for ischemic stroke. Neurology. 2005; 64: 654–659.
- ↵Kleindorfer D, Kissela B, Schneider A, Woo D, Khoury J, Miller R, Alwell K, Gebel J, Szaflarski J, Pancioli A, Jauch E, Moomaw C, Shukla R, Broderick JP. Eligibility for recombinant tissue plasminogen activator in acute ischemic stroke: A population-based study. Stroke. 2004; 35: e27–29.
- ↵
- ↵Abdullah AR, Smith EE, Biddinger PD, Kalenderian D, Schwamm LH. Advance hospital notification by EMS in acute stroke is associated with shorter door-to-computed tomography time and increased likelihood of administration of tissue-plasminogen activator. Prehosp Emerg Care. 2008; 12: 426–431.
- ↵
- ↵
- ↵Morgenstern LB, Staub L, Chan W, Wein TH, Bartholomew LK, King M, Felberg RA, Burgin WS, Groff J, Hickenbottom SL, Saldin K, Demchuk AM, Kalra A, Dhingra A, Grotta JC. Improving delivery of acute stroke therapy: the TLL Temple Foundation Stroke Project. Stroke. 2002; 33: 160–166.
- ↵
- ↵Www.Jointcommission.Org.
- ↵
- ↵National Center for Health Statistics. ICD-9-cm tabular addenda, October 1, 2008 (fy09). http://wwwcdcgov/nchs/datawh/ftpserv/ftpicd9/icdtab09addpdf, accessed 3/18/09. 2008:56.
Jump to
This Issue
Article Tools
- US Geographic Distribution of rt-PA Utilization by Hospital for Acute Ischemic StrokeDawn Kleindorfer, Yingying Xu, Charles J. Moomaw, Pooja Khatri, Opeolu Adeoye and Richard HornungStroke. 2009;40:3580-3584, originally published October 1, 2009https://doi.org/10.1161/STROKEAHA.109.554626
Citation Manager Formats
Share this Article
- US Geographic Distribution of rt-PA Utilization by Hospital for Acute Ischemic StrokeDawn Kleindorfer, Yingying Xu, Charles J. Moomaw, Pooja Khatri, Opeolu Adeoye and Richard HornungStroke. 2009;40:3580-3584, originally published October 1, 2009https://doi.org/10.1161/STROKEAHA.109.554626Permalink:


text:
Behind the Brand
Dermalogica story begins in 1986, the force of change in the industry started in Los Angeles, circa 1983. Jane Wurwand, a tenured, United Kingdom-trained skin therapist new to the American "esthetician" industry, recognized that continuing skin and body therapy education was practically non-existent in the United States. in 1986, Dermalogica was born. The vision was clear – a product line free of common irritants and ingredients that could cause breakouts (including lanolin, SD alcohol, mineral oil, artificial colors and fragrances) that would improve skin health, and were only available from qualified skin care professionals trained at The International Dermal Institute. We're far too interested in guiding you to a new level of skin health fitness! So, while our packaging may not be designed to color-coordinate with your bathroom, you can always be sure that we use ingredients that we know will work – our confidence founded by skin care professionals worldwide who use our products in their treatment rooms every day because they get results.

subset: commoncrawl


text:
I want to compare the date part of two
Date is just an instant in time. It only really "means" anything in terms of a date when you apply a calendar and time zone to it. As such, you should really be looking at
Calendar, if you want to stick within the standard Java API - you can create a
Calendar object with the right
Date and time zone, then set the time components to 0.
However, it would be nicer to use Joda Time to start with, and its
LocalDate type, which more accurately reflects what you're interested in.


text:
Beatitude Attitudes (2): Declaring Moral Bankruptcy
Intro – During a strike by British firefighters in January 1978, the British army assumed firefighting duties. So, when the cat of an elderly lady in London became trapped up a tree, she summoned an army unit. They came; they saw and they rescued, whereupon the grateful lady invited them all in for tea. A good time was had by all, and then the army went out, got into their vehicles and drove off, running over and killing the cat in the process. Rescuer turned failure. Just the feeling that Jesus feared His disciples might develop as they saw how tough things were about to get.
Which goes to prove that what looks like blessing may not be so. We can be and often are fooled and confused about true blessing. If the disciples had listened to the religionists of their day, they would have rejected Christ out of hand. But they chose Him. And tho they did not know it yet, hard times were coming as a result of that decision. Jesus is concerned that when adversity strikes, they may develop concern about whether or not they've made the right choice to leave all they've been taught and follow Him. Will they worry that the One they thought was their rescuer would get them killed? So here in the first part of Jesus' Sermon on the Plain, he is keen to assure them they have indeed chosen the way of blessing, tho it will not always look like it.
Note v. 20: "And he lifted up his eyes on his disciples." It is to His disciples that this sermon is particularly addressed. Jesus' ministry has caught the antagonistic scrutiny of the scribes and Pharisees – religious elite! And they are not happy campers. In particular, Jesus's message of repentance galled them. They are shocked that He is not impressed with their righteousness. Messiah? They expected Messiah would set up His kingdom with them at the center, but Jesus says, "You must repent," knowing they'll kill Him.
So, He prepares His followers for what is coming. They've signed on, but things are not going to be what they expect. They are swimming upstream against everything they've ever been taught. But He assures them, they are the truly blessed people. He's not telling them how to be blessed; He's assuring them they already are – despite what it is going to look like. This sermon contrasts the religious approach – I obey, therefore I am accepted; and the gospel approach – I am accepted in Jesus Christ, therefore I obey. Tho oppressed, believers are blessed.
The Pharisees thought they were blessed. They were buying God off. "If I do these things, God must accept me." Jesus looks His disciples right in the eyes and says, "No, you are are blessed. Despite being poor, hungry, and persecuted, you are blessed -- because your heart is toward God."
The word "blessed" suggests this interpretation. Many translate it "happy". Whole books assume it's about how to be happy. But that is much too shallow. "Blessed" translates the Greek work μακαριοσ (makarios). It applies to people who fear, trust and reverence God. Psa 1:1-2, "Blessed is the man who walks not in the counsel of the wicked, nor stands in the way of sinners, nor sits in the seat of scoffers; 2) but his delight is in the law of the LORD, and on his law he meditates day and night." The ultimate in blessing is found in Psa 32: 1) Blessed is the one whose transgression is forgiven, whose sin is covered. 2) Blessed is the man against whom the LORD counts no iniquity, and in whose spirit there is no deceit." Happiness is outside – dependent on circumstances; blessing is inside. It's about forgiveness and cleansing. Blessing is an inside job; that's why circumstances are irrelevant! To be blessed is to know God which renders all else immaterial.
Now, one other thing about blessing. Makarios specifically speaks of an already existing state of being. Jesus is not saying as many suppose, "Blessed are the people who do X because they will receive Y." He is not exhorting. He is saying, "Blessed are those who are mine even though they experience X, because they receive Y." Blessed people look at future reward.
Vv. 20-22 give four characteristics of those who are blessed – characteristics that the Pharisees and the world would mock as being signs of blessing. Vv. 24-26 Jesus contrasts these with the opposite of each – things the world holds precious. Jesus pronounces Woe on those. He is flying in the fact of human reason. Woe is a strong word. Jesus is saying, "Better you weren't born if these things characterize your life." The contrast is huge, so let's look at the first pair.
I. Blessed are the Poor
V. 20, "And he lifted up his eyes on his disciples, and said: "Blessed are you who are poor, for yours is the kingdom of God." It's a simple statement, but difficult to interpret. What exactly did Jesus mean?
The Poor – Some suggest Jesus is declaring a blessing on the physically poor. The impoverished. Those without material means. Most of the disciples were poor, and Jesus would be reminding them that it's not about how much money you have in the bank.
James 2:5 reminds us, "Listen, my beloved brothers, has not God chosen those who are poor in the world to be rich in faith and heirs of the kingdom, which he has promised to those who love him?" The physically poor are prime candidates for God's kingdom. In Luke 18 a rich ruler comes to Jesus seeking the kingdom. But confronted with the test of giving away his riches, he turned sadly away because "he was extremely rich." Jesus remarked, "How difficult it is for those who have wealth to enter the kingdom of God! 25 For it is easier for a camel to go through the eye of a needle than for a rich person to enter the kingdom of God" (Luke 18:24-25). The more we have, the more we have pulling us away from Jesus. Things keep people out of the kingdom. The poor have the advantage of less pulling away from God.
But the primary target of Jesus' comment is spiritual poverty. Several reasons. 1) First, if Jesus meant physical poverty, then every poor person would automatically inherit the kingdom of God and every rich person would automatically be eliminated. The Bible has believers both rich (like Abe, David, Zacchaeus) and poor. 2) We must always remember that God always looks on the heart. I Sam 16:7: For the LORD sees not as man sees: man looks on the outward appearance, but the LORD looks on the heart." It's what's inside that counts – Jesus' aim here is poverty of heart.
3) If doubt remains, the principle that Scripture to interprets Scripture nails this one. In Matthew's version Jesus says, "Blessed are the poor in spirit, for theirs is the kingdom of heaven" (Mt 5:3). Jesus clearly affirms the blessed are poor in spirit. Who are they? Very simple. Those who acknowledge they have nothing to bring to Christ; those who trust in Him alone as opposed to their own goodness. Poverty of spirit is humbling. That's why so few people come to Christ. They won't own their moral bankruptcy.
The apostles Jesus addresses had cut loose from all material moorings. They had left businesses, families and material security to follow him – exactly, by the way, the opposite of the teaching of the prosperity gospel preachers. They left all – but more importantly, they had given up all designs on their own ability to be accepted by God. Paul graphically described his own poverty of spirit in Phil 3:4-7, "If anyone else thinks he has reason for confidence in the flesh, I have more: 5 circumcised on the eighth day, of the people of Israel, of the tribe of Benjamin, a Hebrew of Hebrews; as to the law, a Pharisee; 6 as to zeal, a persecutor of the church; as to righteousness under the law, blameless. 7 But whatever gain I had, I counted as loss for the sake of Christ." Paul was a good Pharisee, but he realized to be accepted by God, he had to give up everything he had worked for all his life. All his goodness – negated as self-righteousness. He became poor in spirit and was blessed by gaining Christ!
In order to have Christ, Paul had to learn that even his Sunday best would never do. It was based in self-righteousness and would never do. Bob Newhart says, "I was an accountant. I wasn't a very good accountant. I always felt if you got within two or three buck of it, that was close enough." We would never go to a bank that got within 2 or 3 bucks, would we? We would never accept clothing that was only 1 or 2 sizes off. But we think God will accept anything over 50%. But, of course, He cannot. He can only accept those who realize they fall short of His glory. Our goodness will never do.
The Rich – Now, flip the coin. V. 24, "But woe to you who are rich, for you have received your consolation." Who are the rich? Not the physically wealthy. If so, no rich people could be saved. And we know that contemporaries of Jesus, like Nicodemus and Joseph of Arimathaea were believers. In fact, Jesus' disciples included some women of wealth. Luke 8:3 was, "Joanna, the wife of Chuza, Herod's household manager, and Susanna, and many others, who provided for them out of their means." So it is not simply wealthy people that Jesus is talking about here.
Others have suggested that when Jesus says "rich" He is targeting anyone whose is focused on money – whether they have it or not! He's talking to those whose god is money. But while it is true that the idol of material things keeps many from Christ, that is not Jesus' main point in this verse. So who?
Remember, the "rich" contrast to the "poor", and we've already seen that those are the poor in spirit – those who have given up personal merit as a way to God. The opposite of that – the rich – would, therefore, be those who are rich in good deeds -- those who think they can buy God's favor with their goodness. They believe they have enough moral capital to buy God off.
This perfectly describes the Pharisees. They think they are rich toward God. They believe they put God under obligation to them by their actions. They think that Messiah, when he comes, will honor them for their moral rectitude. They have the whole population of Palestine revering their piety. That is the rich that Jesus is talking about – those who are morally wealthy in their own eyes, but whose hearts as black as sin.
Jesus saved some of His harshest words for those antagonists. His last sermon in Matt 23, aimed at Pharisees, is hard reading. He says in vv. 27-28, "Woe to you, scribes and Pharisees, hypocrites! For you are like whitewashed tombs, which outwardly appear beautiful (outward moral compliance), but within are full of dead people's bones and all uncleanness (hearts of sin and treachery). 28 So you also outwardly appear righteous to others, but within you are full of hypocrisy and lawlessness." Man, that's heavy artillery aimed squarely at those were rich in their own goodness.
The sum total of these two verses is this: "You who are poor in spirit, who have discarded any pretense that your righteousness could find acceptance with God, who have declared moral bankruptcy and repented of your sins –-- yours is the kingdom of God – RIGHT NOW. It is my rule in your hearts now and in heaven later. You own it all; it's yours. But you who insist on your own righteousness have all you are ever going to get right now. Your consolation is the reverence of men that you have cultivated, but that will last only in this life; you have no credibility with God and no hope of being part of His kingdom glory." Jesus' message to all who are enamored of their own goodness is, "Enjoy it now because that's all there is." A few years of being revered by men followed by an eternity of unremitting regret.
It was this very spirit that Jesus condemned in His comments to the church at Laodicea in Rev 3:17, "For you say, I am rich, I have prospered, and I need nothing (that is, I'm good with God), not realizing that you are wretched, pitiable, poor, blind, and naked." That's describing anyone who thinks, "I'm getting in because I'm better than the next guy."
A missionary to India was talking to an Indian – a Hindu who was so steeped in the idea of good works that he could not grasp the idea of salvation as a free gift. His own religion required that he walk 900 miles to Delhi on his knees to appease his gods. "Free" did not compute with him. He wanted his own moral wealth to offer God. Years passed and on the day that the missionary was leaving to return home, the man brought him a gift – a beautiful pearl. He explained that his own son lost his life retrieving it from the bottom of the sea. This missionary recoiled. "Thank you, my friend, but I can't possibly take something so valuable. But I'd be happy to pay you for it." At that the man was offended and upset. He said, "Don't you realize? This pearl is priceless to me. Nothing you could offer could satisfy its value. It's already been paid for by the life of my son." And with his own words, the light came on. He suddenly saw the priceless value of the salvation the missionary had been teaching him about. He saw how utterly impossible it was that any good works could be acceptable to God in place of the sacrifice of his own son. He realize you can't buy the gift of salvation; you can only accept it.
How about you? Is it religion, or relationship? If you have any thought of buying your way in by your works, give it up. Do it now. Wait not another minute. Declare bankruptcy. Repent of your sins and pride. Throw your good intentions in the trash where they belong and accept the righteousness of Jesus. It is humbling. But blessing comes to the impoverished in spirit. Repent your sins. And when you do, the kingdom of God is yours. Now – and forever. Don't wait. Let's pray.


text:
Limited Spots Remain for Aiming to Inspire Health Sporting Clays Fundraiser
- July 18, 2013
Proceeds to Fund New Outreach Specialty Clinic
Only 22 of 100 limited spots remain for hunting and firearm enthusiasts to participate in Brookings Health System Foundation's fourth annual Aiming to Inspire Health sporting clays fundraiser. The event will be held Thursday, Aug. 15 from 4 to 7:30 p.m. at Medary Creek Hunt Club, rural Aurora, S.D. It is presented by First Bank & Trust.
Interested individuals are encouraged to register by the early bird deadline of July 27 for a chance to win a prize valued at $200. Openings will not be guaranteed the day of the event. Registration fees are $55 per adult or $210 per four-person team. Fees for the youth, under 16, category are $35 per individual or $130 per team. Shooters will be grouped in teams of four at the event. Individuals who do not shoot but would still like to contribute may sponsor a shooting team.
Registration fee includes a meal and ammunition. In addition, dog breeder Rod Brandenburger will provide free hunting dog demonstrations, including obedience, bird/game pointing, tracking and retriever training.
$100 Scheels gift cards will go to the top youth and adult individual shooters; a $75 Scheels gift card will be awarded to each member of the top team. Over $300 in prizes from Kjergaard Sports will be awarded to shooters who quality for the ghost clay drawing.
Proceeds from the 2013 event will help fund needed equipment for the new outreach specialty clinic at Brookings Health System's hospital. The clinic will occupy remodeled space from the former nursing home, Brookview Manor.
Other event sponsors include Avera Medical Group Brookings, Larson Manufacturing, Mansheim State Farm, Helsper & Mahlke, P.C., Clark Drew Construction, Falcon Plastics, Sodexo Food Services, Horty Elving Architects, Sanford Health Brookings Clinic, HyVee, Twin City Fan, Rude's Home Furnishings, Cubby's Sports Bar & Grill, Banner Associates, Clites Electric, Kerry's Sprinklers, Omnicare, Eide Bailly, Pheasant Restaurant, The Exchange, Bankstar Financial, Outlaw Graphics, Back in Motion Chiropractic, Muth Electric, Heartland Vet Clinic, Kreiser's Inc., Earthbend and Courtesy Plumbing.
The event is also supported by in kind contributions from Runnings, Dacotah Bank, Central Business, Minuteman Press and Brookings Radio.
To sponsor the event or to register to participate in the event, contact Foundation Development Officer Barb Anderson at (605) 696-8855 or email@example.com. A registration form is available online at www.brookingshealth.org/foundation.
About Brookings Health System Foundation
Brookings Health System Foundation works to cultivate philanthropic gifts to support charity health care for those less fortunate; health and wellness education; facility, equipment, and technology upgrades; and other needs as they arise at Brookings Health System. For more information about Brookings Health System Foundation or how you may contribute, please contact Foundation Officer Barb Anderson at (605) 696-8855 or firstname.lastname@example.com.
About Brookings Health System
Brookings Health System, located in Brookings, South Dakota, includes a 49-bed hospital, the 79-bed The Neighborhoods at Brookview nursing home, and Brookhaven Estates apartments. It is a non-profit, city-owned facility that offers the community a full range of inpatient, outpatient, and extended care services. The emergency room is staffed 24 hours a day and provides around the clock medical-nursing care for patient needs ranging from minor injuries to life threatening crises. For more information about the services offered at Brookings Health System, please call (605) 696-9000 or visit us on the Web at brookingshealth.org.


text:
The aggressive in your face type of political engagement doesn't work anymore, right?
I mean, one could argue that it's never worked, but that's beside the point.
The point is, that this issue of engagement, (how we go about it, etc) is vital. It's vital if we're ever going to convince our fellow Americans that Liberty is the best avenue for success.
One of the best ways to figure out this issue is to discuss it amongst ourselves.
Which is why I love doing interviews here on The Political Informer. You get to see how other politically active young people engage with a diverse set of ideas.
Whether it's dealing with trolls, learning how to interact at family get togethers without causing a political ruckus, or just talking with democrats you come across online.
Reading how other people do it is key to getting a broader understanding.
So in the next few weeks I'll be putting out more interviews with this kind of focus in them.
If we're going to change America for the better, we need to learn from each other and get on the same page.
Now, let's get to Avery's interview.
As always you should definitely follow her on twitter and read her columns at OUTSET.
Interview with Avery Jesmer
1. Tell us a little about yourself, who are you, what do you, etc?
My name is Avery, and I consider myself to think a little bit outside of the box.
I write for two publications, OUTSET, and FFL of America. My "day job," is attending a public high school, which frankly, in my opinion, has no educational merit and is absurd for me to be forced to attend.
I spend my nights plastering the internet with thoughts such as those, and political and cultural opinions in general.
I'm a freshman at said merit-less high school, and my interests lie mainly in the political realm.
2. How do you engage with differing views? Are you cautious, aggressive, etc?
Living in a very far left state, and having a presence on the international web, I interact with people of opposing and differing views quite often.
I notice quite a lot in the field of discussion, a lot of people come across as very rude.
I try my hardest to approach discussion with others in a manner which will be beneficial to all parties involved… this manner is generally more on the assertive side, as I always try to steer away from that ultra-aggressive, Rush Limbaugh sort of approach (don't get me wrong, Rush is a great guy, I just don't think the red-faced attitude is a good thing to have towards others all the time.)
3. How do you deal with trolls?
Trolls: the most vicious, inconsiderate, toxic people who roam the Internet.
As far as dealing with them is concerned, I generally stick to the non-intervention strategy.
Trolls will always be there, and they'll always try to get a rise out of you, so I think the best thing is to just not respond, take pictures of the funny ones and post them, and laugh about it.
Usually, interacting with them just makes the problem worse, because they turn something that's civil and make it a very hostile environment to discuss things in.
4. What first comes to mind when you hear "acceptance"?
When I hear the word "acceptance," I think of being considerate to someone else's circumstances, and trying to put yourself in their shoes, rather than immediately passing a judgment about them.
I also think of acknowledging the fact that people are different, and not everyone's going to be who we necessarily want them to be, and not having a cow about it.
5. What would you say most politically minded people need to work on when engaging with others?
Oh gosh, people have a lot to work on as far as engaging with others is concerned (myself included…) I think that avoiding name-calling at all costs is necessary (trust me, that's something I constantly have to hold myself back from doing.)
6. How hard is it to keep a conversation with a liberal civil?
I find it pretty difficult to keep a conversation with a liberal civil, because conversation is a two way street.
I walk into a discussion with someone with the intention of gaining some knowledge, and hoping that the other party in the discussion will also learn something… Unfortunately, in order for that to actually happen, the other party has to walk in with that same attitude.
This almost never happens.
Liberals aren't the only ones who have inefficient and pointless banter, many conservatives do it too.
I think that the best way to keep discussion civil is to walk away when it becomes hostile.
7. How do you deal with that obnoxious political uncle (or any other relative) during family dinners?
Sometimes I feel like I AM the obnoxious political uncle at family dinner… When my relatives ask me what I've been doing, I have to refrain from saying, "attempting to eradicate statism in America and restore our freedoms," because then that one liberal relative gets feisty with me and talks about how much Sarah Palin sucks and how much Obama rocks (wrong and wrong.)


text:
When financial times hit hard you have limited options on how to regain your financial integrity. And because bad things sometimes happen to good people.
We offer a federally regulated debt relief program that eliminates the burden of paying ongoing interest and reduces the principal balances owed to your selected participating creditors. Given such an arrangement — you are obviously able to save money and time and regain peace of mind that you are doing what is best for yourself and your family. We do not judge – we help!
When hard times hit you have limited options – actually three:
First is the pay for life plan, which is the never-ending treadmill you are on now with your creditors directly; please look at your credit card statement and see how much your debt will cost you on the minimum payment schedule – or, how much you must pay each month to pay off debt within three years – that is what your debt is really going to cost you directly with your creditors! These calculations are required to be printed on your credit card statements pursuant to the Federal 2009 Credit Card Accountability, Affordability, and Disclosure Act so that your creditors could not lie to you any more about how much your debt was really costing you!
Second is the Consumer Credit Counseling agencies you see advertised on TV or internet usually posing as not-for-profits or quasi-religious affiliations. It is important to realize that they do not represent you, but rather the credit card and banking community that supports them. Moreover, they don't do anything you can't do yourself anyway – they only offer a reduced interest rate on the full principal balances; — and your monthly payment usually increases– what?! They will also typically charge you a fee for each debt enrolled into their program – and, they get what is called a "fairshare contribution"– which is a fancy expression for a "kickback" from your creditors for each dollar that flows from you through them to your creditors. To make matters worse, since they are from the same "lodge" as the credit card and banking community, they report to the service bureaus that you are in their program – which reflects negatively — much as a Chapter 13 bankruptcy would affect you. That's bad.
The best option is Financial Integrity Group, LLC offering debt resolution as we get you out of debt in half the time and for half the money compared to the other options; please see the Forensic Accounting Report via this link http://www.americanfaircreditcouncil.org/press/regan-report-press-release/ and direct your attention to page 18 showing that you can expect to realize $4.56 in benefit for each dollar in fees paid – and page 32 which compares your various options illustrating that our debt settlement solution saves you more money and time than any other.
Stand tall and firm – realize your rights. FIG can help, because knowledge is power! Please call the Financial Integrity Group, LLC toll free at (844) 330-6813 for your free consultation now. Thank you for letting us provide our service toward regaining your financial integrity–with Assurance, Dignity & Knowledge!


text: Because he stated that the pedal is on the floor and it had to be pulled back up by hand. I turn 57 tomorrow and even though I am not a mechanic by trade I have been around the block many times with hydraulic clutch issues. If nothing else, I have learned that when the slave fails it will usually leak and it can be pumped up by foot a few times before it is dead for good. A failed master seldom leaks but falls (or sticks) to the floor and can be pulled back up by hand but is still useless unless you bleed it and then after that it will work for a short period if at all. It there is fluid loss there might be some other things going on instead of the slave or master. Speaking for the type 85, B3 and B4 (BTDT with these) you might loose fluid through the hose between the master and slave or lose it through bad grommets under the reservoir. If the reservoir starts to get low you will get air into the clutch system before the braking system. Please note that it does not have to get low enough to cause the light to come on. Air in the system will make the master fail. Add fluid and bleed it and it will work just fine until the fluid gets low again. Just my 2 cents (or is that a nickel now?) And I hope this helped explain my insanity. ----- Original Message ----- From: "Ianita Shirley Carnay-Reyes" <d13m4 at hotmail.com> To: <a4 at audifans.com> Sent: Monday, May 26, 2008 5:28 AM Subject: Re: [A4] A4 Digest, Vol 55, Issue 8 Just curious...any specific reason for advising: 'depress the cluch by hand' ? > >> > On Sun, May 25, 2008 at 9:58 AM, Tom Love <theloves at localaccess.com>> > wrote:> >> >> I have been through a few MC failures in the past and have never found> >> fluid> >> leaks. Slave cylinder, yes. Why don't you get under the car and have> >> someone> >> depress the clutch pedal by hand while you watch to see if there is any> >> movement below?> >>> >> _________________________________________________________________ E-mail for the greater good. Join the i'm Initiative from Microsoft. http://im.live.com/Messenger/IM/Join/Default.aspx?source=EML_WL_ GreaterGood _______________________________________________ A4 mailing list A4 at audifans.com http://www.audifans.com/mailman/listinfo/a4 -- No virus found in this incoming message. Checked by AVG. Version: 7.5.524 / Virus Database: 269.24.1/1465 - Release Date: 5/25/2008 1:22 PM


text:
Happy Hanukkah: Games & Party Ideas
Stock up on party supplies from Windy City Novelties to make sure your Hanukkah celebration this year is a big hit!
Recently added item(s)
You have no items in your shopping cart.
Stock up on party supplies from Windy City Novelties to make sure your Hanukkah celebration this year is a big hit!
Add some festive flair this Hanukkah season by ditching the traditional menorah and making a DIY menorah that captures the beauty of the Festival of Lights.
Whether it's a company holiday party or an Ugly Christmas Sweater Party, you can make your party attire look fun and festive when you add the right holiday party accessories!
Stay indoors and warm on a cold winter's night, or add a little fun to a boring weekend with a Pizza Party! Invite friends over for a night of pizza making and pizzazz with the help of these party tips.
Throw your little one a winter wonderland celebration based off the popular Disney animated film, Frozen. Use these tips and ideas to help put together the best Frozen party of all time!
Partake in some holiday cheers this holiday season by inviting friends over for a Holiday Cocktail Party! Use these tips to put together a very merry event!
Invite friends and family members over for a fun and more casual holiday party. Use this helpful party guide for planning your Ugly Sweater Party.
Add some light up fun to your holiday cocktail parties this Winter season with our Top 10 list of LED Drinkware
Outfit your home, office space, classrooms, and more with Winter Wonderland decorations for this year's holiday season
Some unique and common snow day activities for the next time winter weather strikes and school's are closed


text:
Friday, September 25, 2015
Formerly Feral Friday
9 comments:
Hi ya, Sharpie! It's nice to meet'cha. We're glad that the giants found you after you were left behind because being on your own in a pile of junk wouldn't be very good.ReplyDelete
Concatulations Sharpie!!!ReplyDelete
Nice to meet you, Sharpie! It sounds like you are having lots of adventures for such a little kitty!ReplyDelete
Hi Sharpie, nice to meet ya!ReplyDelete
Okay, that last sentence made our biped cry....We're very glad you're safe now, Sharpie. We're sad that your litter mates and biological mom are not so fortunate, but at least you have hit the jackpot with your forever home. :-)ReplyDelete
Awww Sharpie, I'm so glad you got rescued by those kind giants! You are gonna enjoy a very happy new life with your new family :-)ReplyDelete
You are gonna love those giants sweet Sharpie!ReplyDelete
Sharpie, you got rescued by some really awesome giants! Your new fambly is the bestest of the best!ReplyDelete
Sharpie, you are just the cutest mini-kitcat!!!! We're so glad you're with your new family now! You have won the jackpot!!!ReplyDelete
Yours sincerely,
Margaret Thatcher


text:
The sweetness of the salmon is really brought out by the natural sweetness of the yams but balances well with the lemon garlic sauce.Enjoy
- Yield
- 2 People
- 2 Salmon Filets
- 2 Tablespoons Lemon Zest
- Fresh Rosemary
- Fresh Thyme
- 1/2 Cup Olive Oil
- Kosher Salt/Pepper
- 2 Yams
- 2 tablespoons mollasses
- 3/4 Stick of Butter
- 1/4 Cup of Cream
- Garlic salt or powder
- Onion powder
- Kosher salt/Pepper
- Sauce
- 2 Heads of Roasted Garlic
- 1 1/2 Lemons
- 1 Stick of Butter
- Kosher salt/Pepper
- 2 leafs of Collard Greens
- 1 Cup Vegetable or Canola Oil
- Kosher Salt/Pepper
- 1.Salmon Marinate the salmon in a zip lock bag with the lemon zest, fresh rosemary, fresh thyme and olive oil.Hold the salt and pepper until you put the salmon into oven.Let the salmon marinate for 2-24 hours.Remove rosemary and thyme sprigs and season with salt and pep.Cook on 350 for 7 minutes and finish under broiler for 1 minute in a half. 2.Yams Peel and cut the yams into quarters and place in a pot of cold water on high.Once to a boil lower the temp to achieve a slight boil.Cook until fork tender but still with a little bite to them.Strain, place back in pot and cook on medium heat for one minute to release a little more moister.Add the butter and cream.Slightly mash with fork or potato masher.Once butter is melted add the molasses and seasonings.Make sure the seasoning is just right.Cover and keep on low 3.Sauce Get two heads of roasted garlic and mash cloves.Combine with melted butter in pot and whisk until smooth.Squeeze lemon juice and season.Whisk, taste and serve hot. 4.Collard Greens Pour the vegetable or canola oil in a pan and heat up.Get your collard greens and cut them into 2 inch pieces, pat dry with paper towel before placing in oil.Once excess moisture is removed from greens place in oil but be VERY careful because oil will splatter.Fry until crispy and place in a bowl.Season immediately with salt and pep. 5.Plating Place yams in the center of plate and the salmon directly ontop.Put fried greens ontop of salmon and pile high to give nice look.Drizzle sauce around the dish and enjoy.


text:
I've been texting this girl for a few days and asked her to meet up (didn't mention it was a date, just grabbing drinks) in the near future and she said yes.
Since she's so busy, we haven't been able to establish a time and date yet.
I found out that she won't be able to chat much this weekend due to studies and other commitments so I was wondering if I should text her saying 'hope you have a good weekend', etc.
My concern is that this may be a dead giveaway that I like her, I come off as too desperate, etc. I do like her but I don't want to start off with her thinking that I am since I just want to get to know her first to make sure there's a connection (we have met in the past a few times).
Any advice or tips would be greatly appreciated.
Most Helpful Girl
I think you're really asking if you should talk to her or play hard to get, is that a correct assessment?00|00|0
No. I don't play hard to get or games for that matter. I just didn't want to appear clingy or desperate sending her a message and scare her off/ruin my chances.
Anyway, this question is redundant. I left for the day and left my phone at home.
Since I'm OCD and have to select a best answer for every question, here ya go.


text:
Norton Bridge Golf Club contact details
01785 761117
website is nortonbridgegolfclub.webs.com
and they are on Facebook and Twitter
This year Stone Festival introduces its first Footgolf event, hosted by Norton Bridge Golf Club
Footgolf is played on a golf course using a size 5 football. The object of the game is to get the ball into the hole using only your feet in the fewest number of shots possible.
Footgolf is a very 'addictive' sport - it combines the best of football and golf, two of the most popular sports in the world.
The beauty of the game lies in your being able to strategically combine skill and precision every time you play footgolf.
And, of course, it is open to everyone.
You can play Footgolf at Norton Bridge Golf Club, Eccleshall Road, Stone, ST15 0NS
To book a tee time call 01785 761117 and quote "Stone Festival" to get discounted rate of £4.50 per person,
Footgolf is available anytime from 4pm on any day during the Festival period of Sunday 4th and Sunday 11th June.
Come along, keep score and see how you compare with your friends and family!
And pop into the bar afterwards to celebrate / commiserate (as applicable!)


text:
Traveling Luck for Florence Ferry (historical), Alabama, United States
Where is Florence Ferry (historical)?What's around Florence Ferry (historical)?
Wikipedia near Florence Ferry (historical)
Where to stay near Florence Ferry (historical)
The timezone in Florence Ferry (historical) is America/Rankin_Inlet
Sunrise at 06:55 and Sunset at 17:08. It's light
Latitude. 34.7828°, Longitude. -87.6689° , Elevation. 128m
Weather near Florence Ferry (historical); Report from Muscle Shoals, North West Alabama Regional Airport, AL 10.6km away
Weather :
Temperature: 11°C / 52°F
Wind: 4.6km/h South/Southeast
Cloud: Few at 6000ft Broken at 7500ft Solid Overcast at 10000ft
Weather :
Temperature: 11°C / 52°F
Wind: 4.6km/h South/Southeast
Cloud: Few at 6000ft Broken at 7500ft Solid Overcast at 10000ft
Satellite map around Florence Ferry (historical)
Loading map of Florence Ferry (historical) and it's surroudings
Geographic features & Photographs around Florence Ferry (historical), in Alabama, United States
- church;
- a building for public Christian worship.
- Grace Episcopal Church (1.6km)
- Saint Paul African Methodist Episcopal Church (2.2km)
- Saint Mark Baptist Church (2.3km)
- Second Cumberland Presbyterian Church (2.4km)
- Tabernacle Baptist Church (2.5km)
- Greater Saint Paul African Methodist Episcopal Church (2.6km)
- Tennessee Valley Community Church (2.6km)
- Seventh Day Adventist Church (2.6km)
- Oakdale United Methodist Church (2.7km)
- First Presbyterian Church (2.7km)
- First Baptist Church (2.9km)
- Highland Methodist Church (2.9km)
- Calvary Temple Church (2.9km)
- Local Feature;
- A Nearby feature worthy of being marked on a map..
- Florence Ferry (historical) (0km)
- Florence State Dock (0.7km)
- Florence Landing (historical) (0.9km)
- Church of God of Prophecy (1.3km)
- Muscle Shoals Reservation (1.4km)
- Revival Tabernacle (1.4km)
- Southern Boulevard Church of Christ (2.3km)
- East Alabama Street Church of Christ (historical) (2.5km)
- York Terrace Church of God (2.7km)
- Church of Christ (2.8km)
- Antioch Presbyterian Church (historical) (3km)
- populated place;
- a city, town, village, or other agglomeration of buildings where people live and work.
- North Port (historical) (0.9km)
- South Florence (0.9km)
- Cliff Haven (0.9km)
- East Sheffield (2km)
- Florence (2.6km)
- Canaan (historical) (2.8km)
- school;
- building(s) where instruction in one or more branches of knowledge takes place.
- Urrell Slater High School (2.6km)
- Florence High School (historical) (2.7km)
- Florence Synodical Female College (historical) (2.8km)
- Wilson Middle School (2.9km)
- tower;
- a high conspicuous structure, typically much higher than its diameter.
- WOWL Radio Tower (0.7km)
- WSHF-AM (Sheffield) (1.2km)
- WXOR-AM (Florence) (2.1km)
- WJOI Radio Tower (2.1km)
Accommodation around Florence Ferry (historical)
- park;
- an area, often of forested land, maintained as a place of beauty, or for recreation.
- McFarland Park (1.4km)
- Tri Cities Park (1.9km)
- York Terrace Park (2.4km)
- Wilson Park (2.9km)
- section of populated place;
- a neighborhood or part of a larger town or city.
- Easton (subdivision) (1.6km)
- River Oaks (subdivision) (2.2km)
- Sheffield Heights (subdivision) (2.6km)
- building(s);
- a structure built for permanent use, as a house, factory, etc..
- Lauderdale County Courthouse (2.4km)
- Florence City Hall (2.5km)
- Handy Museum (2.6km)
- hospital;
- a building in which sick or injured, especially those confined to bed, are medically treated.
- Eliza Coffee Memorial Hospital (2.4km)
- River Bend Center for Mental Health (2.5km)
- mountain;
- an elevation standing high above the surrounding area with small summit area, steep slopes and local relief of 300m or more.
- Waumanona Mound (1.1km)
- River Hill (1.7km)
- cemetery;
- a burial place or ground.
- Murphy-Kemper-Cockburn Cemetery (1.9km)
- Oakwood Cemetery (2km)
- flat;
- a small level or nearly level area.
- McFarland Bottoms (2km)
- cliff(s);
- a high, steep to perpendicular slope overlooking a waterbody or lower area.
- York Bluffs (1.6km)
- island;
- a tract of land, smaller than a continent, surrounded by water at high water.
- Patton Island (2.7km)
- bridge;
- a structure erected across an obstacle such as a stream, road, etc., in order to carry roads, railroads, and pedestrians across.
- O'Neal Bridge (0.4km)
- post office;
- a public building in which mail is received, sorted and distributed.
- bay;
- a coastal indentation between two capes or headlands, larger than a cove but smaller than a gulf.
- O'Neal Harbor (1km)
- stream;
- a body of running water moving to a lower level in a channel on land.
- Sweetwater Creek (2.6km)
Wikipedia entries close to
Florence Ferry (historical)
- Sheffield (Alabama) city city j
- Wilson Dam (Alabama) hydroelectri
- Muscle Shoals (Alabama) city city i
- Florence (Alabama) city city h
- Tuscumbia, Alabama city city o
- Northwest Alabama Regional Airport airport airport
- Underwood-Petersville, Alabama city city o
- St. Florian, Alabama city city o
- Key Cave National Wildlife Refuge city city o
- Lauderdale County (Alabama) adm2nd adm2nd
- Killen, Alabama city city o
- Leighton, Alabama city city o
- Colbert County adm2nd adm2nd
- Zip City, Alabama
- Littleville, Alabama city city o
- Wheeler Dam hydroelectri
Airports close to Florence Ferry (historical)
Redstone aaf(HUA), Redstone, Usa (115km)
Mc kellar sipes rgnl(MKL), Jackson, Usa (183.1km)
Columbus afb(CBM), Colombus, Usa (184.5km)
Birmingham international(BHM), Birmingham, Usa (202.9km)
Nashville international(BNA), Nashville, Usa (218.7km)


text:
Hosting a new exhibit, artist Nikki Wickersham, (Lindsay Price) and her husband George Wickersham, (David Jones) are called out to Maine to sort through his father's belongings after he dies. Arriving there to find they've inherited an island with a large mansion on it, they quickly learn of an old story surrounding the house about it being haunted through the years, yet friends Margie Mancuso, (Sadie LeBlanc) and Peter Hughes, (Niall Matter) convince them to stay there anyway. While working on a special project, a series of strange events around the house has them convinced that the house has indeed a spirit roused by a secret from the past, and they work to rid it from their house before it strikes them as well.
Please enter captcha to continue to video.
If the above stream is offline (saying We are sorry!),
please click on the "Refresh Link" to get a new streaming link. Don't worry it'll just take a second.


text:
A major winter storm that blanketed the GTA Tuesday night made for a slower-than-usual morning commute.
Heavy snow started falling at around 7 p.m. bringing more than 20 centimetres of snow to most areas of the GTA.
- Full Toronto forecast here
- Toronto Storm Centre: Latest closures and travel details
- Toronto winter storm: GO Transit, UP Express modify Wednesday schedules
- Heavy snow blankets Toronto during major March storm
- School buses cancelled, most classes open at GTA schools
- Students get snow day schooling on Twitter (again)
As of 6:30 a.m. the city reported that all arterial roads had been plowed with salting continuing throughout the morning. Plowing of local roads will continue throughout the day.
Commuters who spoke to CBC News this morning said most roads were in good shape, though the drive in was slower than usual.
Toronto police Const. Clint Stibbe told CBC News there were a few collisions this morning, most outside of the city.
"We need to make sure everybody takes their time and they can get to and from work quite safely," he said.
School buses were cancelled in Toronto and most other parts of the GTA, but schools remained open Wednesday.
There were no major problems on the TTC during the morning rush.
At Pearson airport, the snow caused about 80 departing and 160 arriving flights to be cancelled Wednesday morning.
GO Transit and the UP Express, meanwhile, altered their schedules to cope with the weather.
Main system gone but check out the current radar and these snow squall streamers tickling the #GTA @CBCToronto pic.twitter.com/2YsTliWO12—
To encourage thoughtful and respectful conversations, first and last names will appear with each submission to CBC/Radio-Canada's online communities (except in children and youth-oriented communities). Pseudonyms will no longer be permitted.
By submitting a comment, you accept that CBC has the right to reproduce and publish that comment in whole or in part, in any manner CBC chooses. Please note that CBC does not endorse the opinions expressed in comments. Comments on this story are moderated according to our Submission Guidelines. Comments are welcome while open. We reserve the right to close comments at any time.
Note: The CBC does not necessarily endorse any of the views posted. By submitting your comments, you acknowledge that CBC has the right to reproduce, broadcast and publicize those comments or any part thereof in any manner whatsoever. Please note that comments are moderated and published according to our submission guidelines.


text:
Can't you just see this pink and white butterfly hand painted ornament sparkle on your tree? I painted the pink and white butterfly on a three inch gold glass ornament. The ornament also has flower petals hand painted around the butterfly. The butterfly has a trail hand painted through the flowers. Butterfly, trail, and flower petals are decorated with delicate ultra fine transparent glitter and 4 mm Swarovski crystals.
Ornaments are also available in other colors and styles: yellow butterfly, purple butterflies, and gold dragonflies. Please see my other listings for samples however, not all options are shown, so please contact me for inquiries, special request and custom items (small additional fee).
Each ornament is a unique hand painted piece and will not be a duplicate. Ornaments are wrapped in tissue paper and packaged in a traditional white take-out style box perfect for gifting. Within the United States they will ship USPS Priority Mail (2-3 days) or UPS packed in many layers for protection. All shipments outside the United States may travel USPS First Class International Mail.To see more items from my shop, please visit: http://familyfootprintsdesignschristmasandholiday.thecraftstar.com/
1 Available
First Item $5.00 USD
Additional Items $3.00 USD
US Made
759 Views


text:
Birthday Freebies,Coupons & Deals Round-Up| Lots Of Stores Want To Help You Celebrate
Birthday Freebies, Coupon & Deals Round-Up
Here is a list of stores and restaurants that offer Birthday Freebies, Coupons & Deals. We will keep adding to the list as we find more offers.
American Eagle: Sign up for AE Rewards and get 15% off the month of your birthday at AE or Aerie, Free Aerie Bras (buy 5 Bras Get the 6th Free) and access to members-only sales and events.
Applebees: Sign up for Applebee's emails and you'll get FREE dessert on your birthday.
Aveda: Free birthday gift .Become a member of Aveda.com and get an exclusive offer on your birthday every year.
Benihana: Join the Chef's Table and you'll receive a $30 Benihana gift certificate to use during your birthday month
Bob Evans: Sign your kids up for the birthday club and they'll get a FREE kids' meal on their birthday. Valid for ages 12 & under
Boston Market: Join the V.I.P. club and receive a special coupon on your birthday
Buca di Beppo: Join the e-Club and get a free appetizer just for signing up, a free brownie on your birthday and a free dessert of your choice on your anniversary.
Buffalo Wild Wings Grill & Bar: Join the Buffalo Circle and get a coupon for a FREE dessert on your birthday
Burger King: Sign your kids up for Club BK and they'll get a FREE kids' meal on their birthday
Cheeseburger in Paradise Bar & Grill: Join the Board Member Club and get exclusive offers and fun stuff on your birthday.
Chili's: Sign up for the email club and receive a welcome coupon as well as a birthday coupon and subsequently a club membership anniversary coupon.
Chuck E Cheese's: Join the email club and receive coupon offers, free tokens for your kid's birthday and more.
Ryan's Buffet: Join the e-Club and get a coupon for a Buy 1 Get 1 Free buffet meal just for joining plus a coupon on your birthday.
CVS: Register your CVS ExtraCare card online and you'll receive an $3 Extra Bucks via email on your birthday.
Culver's: Join the e-Club and receive coupons and a special offer on your birthday. For kids its usually a FREE Scoop of Icecream
Dairy Queen: Join the Blizzard FanClub and get a coupon for a FREE 16 fl. oz. Blizzard Treat with the purchase of another 16 fl. oz. Blizzard Treat plus an extra special coupon on your birthday and anniversary.
Dave and Buster's: Sign up for the rewards program and $10 in free game play will be emailed to you; plus get $5 in free game play on your birthday.
Del Taco: Join the Raving Fan e-Club and get a coupon for 2 free chicken tacos at sign-up and a coupon for a free premium shake on your birthday.
Denny's: Sign up for Denny's Rewards and get a FREE Grand Slam on your birthday.
Dunkin' Donuts: Sign up for Dunkin' Perks and get a free medium beverage upon sign-up and another free medium beverage on your birthday.
Golden Corral:FREE meal to Birthday Club members (kids and adults )during month of birthday
Hallmark: Sign up and receive 20% Off Any One Item Coupon
IHOP: Sign up for the Pancake Revolution and receive a free meal upon signing up and a free meal on your birthday.
Joe's Crabshack: Sign up for Joe Mail and get a coupon for a FREE appetizer with the purchase of any adult entree upon sign-up; you'll receive this same coupon on your birthday as well.
Kmart: Sign up you your kids for the Kmart Birthday Club and they'll receive $5 Birthday bucks, a birthday crown, a Happy Birthday certificate AND a birthday fun pack!
Little Tikes: You can sign up for the Birthday Bonus Program and you'll receive special discounts, promotions and offers approximately 30 days before child's birthday.
Longhorn Steakhouse: Sign up for the the Western Hospitality club and receive special offers plus a coupon for a free dessert on your birthday.
McAlister's Deli: Sign up for deligrams and receive a coupon when you sign up and on your birthday.
Melting Pot: Become a member of Club Fondue, you'll receive on your birthday a complimentary box of Signature Chocolate-Covered Strawberries with the purchase of any Big Night Out, Four-Course Classic or the combination of any two individual entrees and a cheese fondue.
O'Charley's: Join the e-Club and receive a special offer just for signing up and special birthday offer.
Old Navy: Sign up for Old Navy emails and you'll snag a coupon upon sign-up and a special birthday treat.
On the Border Mexican Grill & Cantina: Join Club Cantina and get a coupon for a free Dip Trio or Brownie Sundae on your birthday.
Outback Steakhouse: Join Outback Rewards and get a FREE Aussie-tizer with the purchase of 2 entrees at sign-up and something special on your birthday. Note that this program is ending in August 2013.
Panera Bread: Get a MyPanera card from a Panera associate, register the card online, and you'll start to receive special discounts, freebies and a birthday reward!
Papa Murphy's: Join the e-Club and you'll get coupons for pizzas, appetizers, salads and desserts and FREE cookie dough on your birthday.
PF Chang's: Sign up for Warrior Rewards for special rewards throughout the year.
Pizza Hut: Sign up for the Hut Lovers Email Program and receive FREE Cinnamon Sticks or Breadsticks with your online order during your birthday month.
Qdoba Mexican Grill: Sign up for the e-Club and receive a gift on your birthday.
Quiznos: Sign up for the Q-Club and receive a coupon for $2 off a regular or large sub plus get a coupon for a free cookie on your birthday.
Red Lobster: Join the Fresh Catch Club and get a special birthday surprise.
Red Robin: Join the Red Robin e-Club and get a gift for signing up and a FREE burger on your birthday.
Starbucks: Get a FREE Handcrafted beverage or one free food item of your choice on your birthday
Steak n' Shake: Sign up for the e-Club to get coupons plus free dinner for "birthday club" kids.
Texas Roadhouse: Join the e-Club and get delicious gifts and other fun stuff!
T.G.I. Friday's: Sign up for the Give Me More Stripes Guest Recognition Program and you'll snag a coupon for a FREE dessert or appetizer upon sign-up, an $8 coupon good for free food when you spend $100 or more on food, and a special treat on your birthday (typically a coupon for a free dessert).
Toys R Us: Sign up your kids 10 and under for Geoffrey's Birthday Club and you'll snag a free party planner with a special offer, a birthday greeting card and gift, an in-store celebration (including a birthday crown, a balloon, and an in-store announcement), and even a birthday call from Geoffrey.
ULTA Beauty Store: Sign up for the Ulta Rewards program for special offers throughout the year and on your birthday.


text:
Stephen Belafonte has been spotted getting some comfort food as he put on a brave face following news Mel B has filed for divorce.
The music producer was seen picking up some grub at Serafina Sunset in West Hollywood on Monday night, as it was reported his wife recently filed divorce papers and listed their date of separation as December 28, following a decade of marriage .
He was seen carrying a bag from the eatery - known for its thin-crust pizza and homemade pasta - and getting into a waiting car.
According to the court documents, obtained by People magazine, Mel has asked for joint legal and physical custody of their daughter, Madison Brown Belfonte, five.
Mel, 41, cited "irreconcilable differences" and is requesting for spousal support to Stephen to be terminated.
The pair wed in 2007 following a whirlwind romance.
The split will come as a shock to many, as America's Got Talent host Mel recently praised Stephen on Instagram .
"My baby boo @stephenthinks11. We have been through everything that would normally tear couples apart and we have come out on the other side stronger," she wrote.
"You loved me before I even [knew] how to really love myself. You are my world, honey… Let's not forget you are a bit of a d**khead too."
While Stephen also gushed about being a "lucky husband" less than two months ago.
"When you get a facetime call from the super sexy and talented star @officialmelb from the longest running Broadway show @chicagomusical and you realise how lucky of a hubby I am!! Don't get it twisted people I'm no chop liver either!! #luckyhubby #tubesteakfordinner #sexywife," he shared.
However, just a week ago she posted a telling quote to her 816,000 followers that read: "You have you to be at your strongest when you're feeling at your weakest."
Mel and Stephen were close friends for years before getting romantically involved after meeting on the set of a film called Talk.
Speaking about their friendship in the past, the AGT judge told the Daily Telegraph: "Stephen and I never had a romantic relationship in all those years, so it was quite a shock when it happened.
"One night, we'd been out and he just kissed me. I thought, what was that?"
Mirror Celebs has contacted a representative for Mel B for comment.


text:
|( 10 upvotes )
|Allez cui5ine!
|Motifake Chef, where 'Today's mystery ingredient' is ALWAYS Timmay
|How did you know Morimoto was my favorite? 5 extra helpings!
|( 44 upvotes )
|An advantage that, in the end, we will lose.
|haha that would have been great
|thanks :) although the text isn't mine... I just found it fitted very well with that particular scene
fav'd...very nice dude
|best 2 out of 3?
|yep xD
|.. You can run if you like, you'll ju5t die tired.
|nice 5aid
|( 32 upvotes )
|Nice to see that someone else appreciates "SAFETY LAST!" (1923), a silent film starring comedian Harold Lloyd (1893–1971) who did his own stunts, like Buster Keaton (1895–1966).
|( 16 upvotes )
|( 33 upvotes )
|I'd give you 5 commie but thats not a 2 seater. :-Þ
|5 casualties for you!
Misc info


text:
Puerto Rican singer performs at Mount Everett 'Dia de Carnaval'
SHEFFIELD -- Charlotte Anstett, a junior at Mount Everett Regional High School, took these photos at a recent performance at the school by Melissa Otero. Anstett regularly takes photos for school events.
Otero, a singer and songwriter from Puerto Rico, shared her songs in both English and Spanish with the school as part its "Dia de Carnaval" celebration. Two of Otero's current singles, "Angels and Demons" and "Closer," have been featured on the Lifetime TV show "Dance Moms," and in the video game Rock Band.
Otero performed two shows, one for the elementary students, and one for grades 7 through 12.
Her performance was brought to the school by grants from the New Marlborough Cultural Council and the Alford-Egremont Cultural Council. Students of the World Languages Department also held Latin American mask-making contests, and the cafeteria staff prepared a festive lunch of burritos and taco salad for the celebration.i
If you'd like to leave a comment (or a tip or a question) about this story with the editors, please email us. We also welcome letters to the editor for publication; you can do that by filling out our letters form and submitting it to the newsroom.


text:
Stars of Armenian descent consisting of Cher as well as the Kardashians provided their assistance today to "The Assurance," a duration dramatization focused around the massacre of Christian Armenians throughout World war in just what is currently Turkey.
" The Assurance," out in UNITED STATE cinemas on April 21, stars Oscar Isaac as an Armenian clinical pupil as well as Christian Bundle as an American international reporter, both of which love the exact same female.
Their love triangular unravels as the Footrest Realm's entrance right into the battle is adhered to by the 1915 massacre of Christian Armenians.
" Many individuals, when challenged with a duration movie, they often tend to ask that concern 'why is this still pertinent?'" Bundle informed Reuters at Wednesday's red rug best in L.a.
" You just have to check out the information to see regretfully exactly how pertinent this tale still is," he included.
Terry George, that routed 2004 Oscar-nominated historic dramatization "Resort Rwanda," claimed capturing "The Assurance" accompanied information of Yazidi evacuees besieged by Islamic militants in north Iraq as well as the mass exodus of Syrians trying to take off the war-torn nation for Europe.
" As we were firing, we were enjoying the exact same occasions in the exact same place – individuals under siege in the hills as well as sinking in the Mediterranean," George claimed.
The nature as well as range of the massacre of Christian Armenians stays a controversial problem.
Turkey approves that numerous Armenians passed away in partial battling start in 1915, however rejects that up to 1.5 million were eliminated which this made up an act of genocide, a term made use of by numerous International parliaments as well as western chroniclers.
Vocalist Cher, whose dad was Armenian- American, signed up with truth TELEVISION celebrities Kim as well as Kourtney Kardashian at the best.
" There is something regarding individuals when they do not see other individuals as people, after that they externalize and after that they could do anything to them," Cher claimed regarding the massacre.
" Westworld" starlet Angela Sarafyan, that plays Isaac's other half in the movie as well as is of Armenian descent, explained the duty as really individual.
" My great-great-grandparents ran away to Syria, Aleppo to make it through as well as to begin a household as well as today, individuals from Syria, Aleppo leave to various other areas so they could live," she claimed.
" One hundred years have actually passed which is still taking place," she included.


text:
One hurt in road accident at Abul Fazal Enclave-Kalindi Kunj road, according to an eyewitness. AR Rahman Saifi said accident took place with supporters of a political party getting hurt. It took place near a hotel at 9:40pm on Sunday, he said. This is not the first incident in overcrowded …Read More »
Jamia girl hosteller hurt as speeding e-rickshaw turns turtle at Tikona Park
A girl hosteller of Jamia Millia Islamia and two school students were hurt when a speeding e-rickshaw coming from Jamia going towards Okhla Vihar turned turtle at Tikona Park. The accident led to traffic snarl with several residents rushing to help the girl and other passengers. Passers-by and those who …Read More »
After finding a woman stuck in Okhla jam and crying, RJ Naved releases must watch video that has gone viral
Traffic jam is nothing new in Okhla as residents battle it every day. But what turned out to be something new was a video by RJ Naved carrying a message for Okhla residents on gridlock. In a less than 2-minute meaningful video, RJ Naved, who is resident of Okhla, makes …Read More »
Pedestrian Fahmida killed after being hit by rogue biker in Okhla
Pedestrian Fahmida killed after being hit by rogue biker in Okhla. Another road accident took place in Abul Fazal Enclave at 6 pm on Wednesday, according to sources. Fahmida Khatoon, 40, a resident of Jamia Nagar, was hit by a bike on Abul Fazal Road when she was getting down …Read More »


text:
Chocolate - 100 Essential Recipes
Format: Hardback Author: Spruce
Free Click & Collect
Check availability in your local store
Free Delivery Available
- Free Standard over £20
- Standard delivery £2.99
- Next working day £4.99
Product Information
Details:
 Everyone's favourite treat - chocolate can be sweet, gooey, crunchy or bitter and this fabulous book will give you endless inspiration that is guaranteed to make you happy. This comprehensive collection is the only book you will need to create an astonishing array of chocolatey treats.

 Sections are devoted to cakes and bakes, cookies, desserts, hot puddings and sweet tr
Stress-Free Returns
Subject to exceptions, we are happy to exchange or refund your purchase within 28 days of delivery. You can return items by post or to one of our stores.Go to full returns information
Together Rewards
5 points for every pound you spend
Rewards Points PLUS Great Prices - YES! We're proud to give even more back to you and reward all Together Rewards Card members with 5 points for every £1 spent, along with exclusive offers, bonus points promotions, member exclusive gifts and more! Interested? Order a card with your purchase and once you've registered and linked your Card, you'll receive 50 FREE points (worth 50p) and you'll receive Reward Vouchers every 3 months to spend on anything you like in-store and online! Click here to find out how to get your Together Card.


text:
I got Menudo for the first time a while back at a solid Mexican place here in northern Indiana--it was a little restaurant set-up within a Supermercado. Delicious. Definitely a powerful beefy broth with tripe and whatever else going on in there, with herbs and tortillas and condiments on the side.
Next, I try a different place a town or two away. Had good rap on Yelp for the town. SImilar supermercado and restaurant set-up, and the place was very busy, but admittedly not predominately with Hispanics. Anyway, the menudo tasted fishy--the broth, that is, tasted pretty much all the way to being like a fish stock. Is that normally one of the menudo styles? The protein seemed to be only tripe.


text:
After a lifetime of private creative writing, I was seized by a subject too important to hide in my journal or a letter to friends. Since my first lengthy stay in Amsterdam in 2001, I have been visiting and researching, writing and speaking about the Holocaust and resistance there. Living in a house where Jewish people were hidden inspired my novel, An Address in Amsterdam, published in October 2016 by She Writes Press. It's about a young Jewish woman who joins the underground.
To develop my craft as a writer to be worthy of this topic, I earned my MFA at Vermont College of Fine Arts in 2005. Since then, I have published poetry in literary journals as well as gaining recognition for my essay, "Freeing the Hidden Camp," in The Journal's contest.
The Vermont Humanities Council Speakers' Bureau sponsors my presentation of "Anne Frank's Neighbors: What Did They Do?," which explores the many shades of grey in Nazi-occupied Amsterdam, and the wrenching choices which confronted good people. In my earlier writing life, I also wrote a nonfiction book in 1987 (Women MBAs: A Foot in the Door, G.K. Hall), and contributed a chapter to Ourselves Growing Older (Simon and Schuster).
I have been a resident at the Vermont Studio Center and a graduate assistant at Vermont College of Fine Arts' MFA program. To keep on learning, I attend writing conferences such as The Muse and the Marketplace, the Associated Writing Programs, Write Angles, and the International Women's Writing Guild. For more than thirty years, I have studied with Deena Metzger, the author of the invaluable Writing for Your Life.
Since 1982, my other work has been as a facilitator bringing people together for a purpose, which I still enjoy after more than thirty years working throughout the US and elsewhere. A gardener and passionate reader, I live with my longtime partner, astronomer Joanna Rankin, in Burlington, Vermont.


text:
Nearby points of interest
Distance: 0.00mi
Distance: 0.12mi
Distance: 0.30mi
Distance: 0.46mi
Distance: 0.00mi
Distance: 0.12mi
Distance: 0.30mi
Distance: 0.46mi
Nearby points of interest
Distance: 0.00mi
Distance: 0.12mi
Distance: 0.30mi
Distance: 0.46mi
Distance: 0.00mi
Distance: 0.12mi
Distance: 0.30mi
Distance: 0.46mi
About Gertrude's - Baltimore
Gertrude's Restaurant, located inside the Baltimore Museum of Art (BMA), is where John Shields celebrates Chesapeake cuisine using local foods, in a warm and stylish setting.
Chef & owner John Shields, a Baltimore native who is a cookbook author and television cooking show host, named the restaurant after his grandmother, Gertrude Cleary, who taught him to cook as a child. Gertrude's dishes up a sophisticated regional menu of Chesapeake foods and traditions for lunch, dinner, and brunch using local, organic ingredients whenever possible.
The restaurant's interior, inspired by life on the Eastern Shore of the Chesapeake Bay, is beautiful & elegant yet comfortable. The wall of floor-to-ceiling windows overlooking the museum's Sculpture Garden floods the open & airy dining room with natural light. During the warmer months, additional seats are available on the terrace surrounding a fountain and reflecting pool.
Baltimore, MD 21218
Dining Style:
Casual Elegant
American, Comfort Food, Seafood
Hours of Operation:
Tuesday - Friday: 11:30am - 9:00pm
Saturday: 10:30am - 9:00pm
Sunday: 10:30am - 8:00pm
Brunch Menu served on Saturday and Sunday until 3pm
Light Fare Menu on Saturday and Sunday from 3pm - 5pm
Cross Street:
N. Charles St.
Dress Code:
Smart Casual
Price Range:
$30 and under
Payment Options
AMEX, Diners Club, Discover, MasterCard, Visa
Phone Number:
(410) 889-3399
On Friday nights listen to mellow jazz with Gary Thomas & Friends at Gertrude's from 6 to 8pm, while you enjoy dinner or cocktails in a beautiful and relaxing setting.
And the Dottie Tim Jazz Duo plays here on Sundays during our popular brunch, from 11:30 am till 2:30 pm.
In addition to birthday parties, anniversary celebrations and corporate affairs, Gertrude's hosts many wedding receptions, rehearsal dinners, and "day after" brunches throughout the year, for groups as small as 20 guests, and as large as 150. You may visit our web site, www.gertrudesbaltimore.com, for more info, or contact John Gilligan at email@example.com (or tel. 410.889.3399 x105).
Parking Details:
There is a parking lot for over 40 cars, operated by the BMA; payment is required to use the BMA's lot. There is also plenty of on-street parking directly in front; parking meters are in effect during our operating hours.
Executive Chef:
Doug Wetzel
Bar Dining, Beer, Entertainment, Full Bar, Non-Smoking, Outdoor dining, View, Weekend Brunch, Wheelchair Access, Wine
Restaurant Photos
Send a Gift Card
Buy now and send it instantly by email, or print a card to give in person.
Private Dining
Celebrations at Gertrude's dazzle the senses. With our view of the Baltimore Museum of Art's sculpture garden, outdoor terrace, tenting capabilities and beautiful star-lit ceiling, Gertrude's will make your event truly memorable--be it a corporate function, garden party, storybook wedding, or other
Gertrude's - Baltimore Ratings and Reviews
Gertrude is always a great place to find. We took my son's girlfriend there for her birthday. We had a great waiter, Richard. The food was excellent. She loved her crab cake. The restaurant made her birthday extra special when the dessert was provided. We love the atmosphere. There was also live music...exceptional touch.
We were seated at the exact time of our reservation. I had asked for a table along the exterior of the area as the noise level is much lower than in the middle of the dining room & this was done. The crab cake entree and seafood gumbo were excellent. The accompanying California Chardonnay was perfect with the food. We were not rushed and the pace of lunch was perfect. We had time for coffee & lots of good exercise.
I can't think of a better way to spend a cold winter afternoon than a morning in the museum & lunch at Gertrude's afterwards.
Service and food were both excellent! The portion sizes were a little unbalanced with some diners receiving significantly more food with their entrees than others, but that's not much to quibble about! The cozy atmosphere and strategically placed tables make this spot a great option for date night. Overall, my group of six all left very full and satisfied!
Had an exceptionally pleasant meal and experience. Our server was great - efficient and personable. We ordered from the Retaurant Week menu and can't wait to come back to order from the regular menu. I am especially pleased to see such variety in vegan and vegetarian options.
This was a great Restaurant Week experience. Unlike some of the trendier options, the portions are substantial so you don't leave hungry. The wine pairings were also a good deal -- three full glasses for $15. My only complaint was that there was a little too much time between courses; the restaurant seemed understaffed.
Have been here twice. Both times the food was very good but the service not so much. We were seated and a waiter arrived to take a drink order. Drinks arrived. 10-15 minutes later, a young lady, not our waiter, showed up and asked if we wanted to order any appetizers. So we ordered from her. 10 minutes later, our waiter reappeared and asked if we wanted to order appetizers! A third server delivered our appetizers. Took at least 15 minutes before our waiter appeared to take our dinner order and he didn't seem quite sure if our dinner order was already in. The 3rd server again delivered our food (he seemed very nice). Didn't see our waiter for awhile. Flagged down the young lady who had taken our app order to ask for ketchup and more iced tea. Our waiter did show back up to take the dessert order. But then no one delivered the check. 20 minutes after we finished dessert we flagged down a 4th person and asked for our check. I know restaurants do "team" serving instead of 1 wait staff to a table, but it doesn't always work.
So even though we enjoy the food at Gertrude's, considering that both times we visited, we had to flag down wait staff AND the wait staff seems confused or unorganized as to who is responsible for what, not sure we will return.
This was my first time at Gertrude's. I'll need to return many more times to try so many of the other menu items. The crab cake and fried oysters were so fresh and flavorful. The biscuits reminded me of those made in Alabama. The cheesecake and the panna cotta were unique and so very good. Service was exceptional. The server was knowledgeable about menu items. If you're in Baltimore, visit Gertrudes.
I love going to the BMA and then to Gertrude's-such a perfect treat! It was birthday and our server was attentive and friendly without being intrusive. The food was very good, plentiful (without being gluttonus) and interesting. The lavender pancetta was fabulous and I almost never get dessert. Also, my husband's a vegetarian and they have plenty of real options. We had a great time and I was recommend Gertrude's!
Enjoyed a proper Caesar salad and the best root vegetable soup you can imagine. Then, for dessert, a rich, warm, buttery bread pudding with housemade peanut brittle on the side and whipped cream. Coffee was excellent, moderately strong but mellow (Zeke's), and the attentive waitperson topped it off. My companion had the crab soup, which she proclaimed excellent. Very, very satisfying experience.
The restaurant was just right for two friends getting together, from the warm greeting to the good food and great and attentive service. The crab cakes were very good, tasty and sufficient, and the vegetables were also good as was the little corn bread muffins.
We had a wonderful lunch at Gertrude's last week! We had a 12:15 reservation and were seated within 5 minutes. Our waiter was friendly and efficient. There are many delicious offerings on the menu at lunchtime and it was hard to decide what to get! After ordering we noticed that tables around us had bread baskets. We asked for one and it helped tide us over until the food arrived. Our cheeseburger and turkey burgers were delicious. My husband ordered crab quiche and salad and he loved it. The atmosphere was pretty as it was decorated for the holidays. I can't wait to return to Gertrude's to try some of the other dishes.
We eat at Gertrude's often because the food and service are excellent. They use local ingredients so everything is fresh. In summer you can eat on the patio overlooking the Baltimore Museum of Art sculpture garden, a unique ambience. The restaurant is elegantly decorated and quiet. On Wednesdays the wine is half price!
We enjoyed: delicious crabcakes, good wine recommendations from the waiter, prompt service but no feeling of being rushed, helpful modification of one of the desserts. Only issue: very slow service to the one of our party who wanted a cocktail before the meal. Overall a very pleasant experience.
Great selection for brunch and very fine (but small) desserts. Crap cakes are wonderful & priced high since they contain crab & not just breadcrumbs. Terrific that they offer at least 4 different styles & sauces. Only disappointment was the fruit salad --- pears were hard as bricks & the apples chunks were too big.
This is my favorite restaurant in Baltimore. It's location at the Baltimore Museum of Art is lovely. It's not only fantastic for an every day lunch or dinner, it is perfect for any special occasion. In 2013, we held our wedding reception here. The owners helped us plan a customized celebration with an exquisite menu and open bar. The food at Gertrudes is exceptional and consistently delicious with some unique "Eastern Shore" favorites. We highly recommend Gertrudes. It will soon become your favorite dining spot as well!
The food is always good with locally sourced ingredients. Our server Ronny was excellent. Because of its being in the museum garden, Gertrude's is one of the most beautiful dining spots in the city. The owner and head chef John Shields is nationally known for his Chesapeake coastal cuisine. It is one of our go-to restaurants for lunch or dinner.
We have always enjoyed our dinners at Gertrude's but not so tonight. First, we had two parties of eight with tables that were not close but not an issue.
The issue was that the second table of seven was seated 20 minutes after our table, but they were served their food and finished before our table (about 25 minutes before we were finished?). We asked our waiter at one point where he had been and he responded that he had other tables to serve! Three if us ordered the fried chicken, but after a period of time our waiter showed up and stated the fried chicken had been sold out. He then acted totally confused as to who had ordered the chicken. When our food was served, several of the dishes were just warm. One person complained that his item was cold. The waiter came back and said the chef says it is suppose to be cold. This was a special Christmas Dinner of our church group. I don't want to think that the questionable service we received was attributable to the fact six members at our table were black. In any event, We did not receive the quality service we are accustomed to having at Gertrude's.
Please sign in to record your input. Thanks!
Report this review as inappropriate?
If you believe this review should be removed from OpenTable, please let us know and someone will investigate.


text:
- Article by Online Editor
Hum is an open-plan work system designed for individual focus, collaborative tasks, and everything in between.
Designed with an understanding of how people work, the system allows users to work alone and collaboratively.
An adaptable design that can be configured for tight workspaces and open-plan offices, Hum is designed to help improve performance and encourage successful office-wide interactions.


text:
For information, upcoming dates, and how to apply for these workshops, please visit: Vernon L. Smith High School Workshops at the Chapman University Website
For over a decade, the Vernon L. Smith High School Workshop in Experimental Economics has offered students the opportunity to approach economics from a perspective that is both modern and traditional. Students are treated to hands-on demonstrations of economic dynamics in the form of innovative economic experiments which leverage the latest in computer technology to immerse participants in the environments and institutions that are merely described in textbooks and traditional lectures. At the same time, though, these experiments help to frame the wisdom of venerable economic thinkers that are typically given short shrift in modern economics classrooms – in particular, the works of Adam Smith, David Hume, and Friedrich Hayek.
Daily, the one-week summer workshop is broken into three primary components: experiment, debriefing lecture, and discussion. Group coursework allows students to further explore the implications of the economic principles described.
The workshop week begins by establishing the distinction between impersonal and personal exchange. Students explore impersonal exchange by partipating in several experiments including the oral double auction (an experiment which illustrates the concept of comparative advantage and exchange), the asset market bubble experiment, and several single-seller auctions. Personal exchange is illuminated through examples of normal- and extensive-form games.
Students report leaving the workshops with a far richer understanding of the broad reach of modern economic methods and the historical context in which new research proceeds today. Even students who have already been exposed to traditional courses in economics leave the workshops with a new appreciation of the power of economic ideas, old and new, to help make sense of their own lives and the lives of others. "Awesome!" and "Thank you!" resound loud and clear in workshop feedback!
Past Workshops
2017 Workshop
2016 Workshop
2015 Workshop
2014 Workshop
2013 Workshops
2012 Workshops
2011 Workshops
2010 Workshops
Vernon L. Smith High School Workshop in the news, July 28, 2010
2009 Workshops