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A Developer.com Site
An Eweek.com Site
Is anyone here planning on going to Rubi Con?
People dont talk about anything. [Clarisse]
Oh, they must! [Guy]
No, not anything. They name a lot of cars or clothes or swimming pools mostly and say how swell! But they all say the same things and nobody says anything different from anyone else. And most of the time in the cafes they have the joke-boxes on and the same jokes most of the time, or the musical wall lit and all the colored patterns running up and down, but its only color and all abstract. And at the museums, have you ever been? All abstract. That\'s all there is now...\"
-A conversation with Clarrise McClellan and Guy Montag from Fahrenheit 451
i wont be attending it thats for sure... these are nothing better then star trek conventions if u ask me..
their are of course many gurus here but their are more idiots handing out versions of sub7 then anything really worth seeing their...
its nothing more then a real life chat room where people say 1337 and w33t and "may the force be with you"
just my 2 cents which many will find is only worth that
[shadow]i have a herd of 1337 sheep[/shadow]
Worth should be judged on quality... Not apperance... Anyone can sell you **** inside a pretty box.. The only real gift then is the box..
Uh , no.
Mankind have a great aversion to intellectual labor; but even supposing knowledge to be easily attainable, more people would be content to be ignorant than would take even a little trouble to acquire it.
- Samuel Johnson
hmmmm interesting NetSyn-I've never been to one :P
which is one reason why I'm going, and for the good fun that I'm expecting
I'm also looking forward to the lectures-there is a lecture going on almost every hour that I want to go to-some are at the same time :P
I might go. Depends on what is going on that weekend. I like walking around pretending I am a script kiddie. It is always an exciting time.
\"Ignorance is bliss....
but only for your enemy\"
-- souleman
haha-if you go, what will your name say?
mine will say cF_nM (der)......
Well RC4 is tommorow!
I'm extremely excited about it!
I'm skipping school ("college day") to go, so I hope it is good.
If you see me there, say something to me-cF_nM.
It's been 2 weeks now since RC4-I've just been too lazy to post about it sooner....
It kicked ass-I had a lot of fun, met some pretty kewl ppl, traded e-mails with some, met some stupid ppl, and I will admit that the network sucked anus due to the facct that we didn't have ANY internet access (unless you had a wireless card), but overall, I think it was worth it...
I was one of the few people who literally went the whole con without ANY sleep....
Some people that I talked with who claim didn't go without sleep were Triax, Psytek (dude with the cool ass clear rack mount system behind me), and another guy behind me (don't remember his name)....
I'm working on getting my pictures scanned, so I can post them here, and at the official RC4 site.....
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Muriel Frances Gerdom was born on Sept. 9, 1912 in Highlands, N.J. She moved to Havre de Grace in 1919. Her family was one of the first families to make the move from Sandy Hook Proving Ground in New Jersey to Aberdeen Proving Ground, where her father worked. She was the oldest of four children that Frank and Carrie Thompson had. Her siblings, Gertrude Daugherty and Leon Thompson, live in Wilmington, Del. Her brother, Francis Thompson, died in 2002.
Gerdom was married in 1930, to Earnest Gerdom, who died in 1967. They were childhood friends and lived next door to each other.
She has three daughters, Joyce Blake and Muriel Greenland, of Bel Air, and Barbara Shue of Churchville. She had a daughter, Doris, who passed away at 9 months old. She has one son, Earnest Gerdom Jr., of Chestertown.
She has seven grandchildren, Wanda Reed and her husband, David, of Lancaster, Pa., Keith Shue and his wife, Eva, of Port Deposit, Cindy Norris and her husband, Roy, of Joppa, Ralph Blake and his wife, Kathe, of Jarrettsville, Lloyd Shue and his wife, Lisa, of Bel Air, Jeff Blake and his wife, Margaret, of Havre de Grace, and Debbie Gagnon and her husband, David, of Adrian, Mich.
She has 13 great-grandchildren, and two great-great-grandchildren.
Gerdom has been attending Havre de Grace United Methodist since she was 5 years old. She taught Sunday school there for 38 years, and she reads her Bible every day.
She loves watching the Orioles on TV and rarely misses a game. She stays up until midnight some nights just to finish watching the game. She loves doing crossword puzzles to keep her mind sharp.
Her family and friends celebrated her birthday with a big birthday bash on Sept. 9. At the party, Harford County Executive David Craig surprised Gerdom with a Harford County Executive's Citation for her 100th birthday. More than 150 family and friends from six states came to celebrate such a special occasion.

subset: commoncrawl


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Fiesta Salsa
1 cup grape tomatoes, quartered
1 15-ounce can black beans, drained and rinsed
1 cup fresh or frozen corn kernels
4 scallions, minced (white and green parts)
½ cup chopped fresh mozzarella cheese
1 medium-size chile, seeded and diced
2 tablespoons lime juice
Salt and pepper to taste
Mix together all the ingredients in a large bowl.
Serve immediately, or store in the refrigerator for up to 3 days.
Flavors of Fiesta
by University of Illinois Extension
<- fold here


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Informed choiceIn my world the adjective 'informed' is often used in an attempt to declare that the person who is making the 'informed' choice/decision/refusal/whatever is intelligent, and has carefully considered options. My question is, often, who's kidding whom?
Informed decision
Informed refusal
A woman who wants to make an informed choice about who provides her care, and other aspects of the model of care, can only choose from what is available to her.
A woman who wants to make an informed decision, particularly about an aspect of natural, physiological birth, may say she does not want to be treated as the next number on the production line. She does not want standard care, whatever that is. She wants to be treated as an individual.
A woman who wants to make an informed refusal of, for example, pre-labour caesarean surgery for a baby presenting breech, can find herself up against a system that does not support or understand her intentions.
In the often complex and demanding journey that a woman takes in giving birth to and nurturing her baby, the information available can be only marginally relevant to the individual situation: the choices and decisions can appear as shades of grey, rather than good and bad. The constant juggling of the interests of the woman and her child, within the multiple contexts of a marriage, a family, a maternity service, and a community, can change the options for decisions in a moment. In fact, a woman who considers herself well informed, and who is intentional about proceeding with an unmedicated physiological birth, has very little choice when some person with authority says "We need to get your baby delivered now." A woman in labour who is confronted with even the suggestion that her baby's condition may be compromised, without whatever intervention is being offered, can suddenly find herself submitting to something that she would otherwise have avoided.
Health care, and especially maternity care, has changed in recent decades, from a "doctor-knows-best"-no-discussion model, with a hierarchical knowledge-based framework, to a system that attempts to include and respect the wishes and values of the patient/client. This is, I believe, to be encouraged in principle. But, in practice, I am often frustrated at the absence of an appropriate conversation about decisions or choices that need to be made.
At present the Melbourne Coroner's office is inquiring into the circumstances around the death of a baby whose mother intended to give birth at home. Newspaper reports of this inquiry highlight the fact that the mother had refused caesarean surgery a few days before she came into labour. In a news paper report of the proceedings, a medical specialist is reported to have said that:
the "inadequate, incomplete and at times misleading information" available, particularly on the internet, made it difficult for women to make an informed decision about their birth plans.There is little doubt from the reports that the mother believed she had made informed decisions. Yet, in the tragedy of loss of the life of a baby, it's easy to argue that there were seriously mistaken decisions that led to the events of that day.
Women who have had previous caesarean birth(s) may make choices and decisions about their carers, and their planned place of birth, early in their pregnancies. By way of contrast, women who find that their baby is presenting breech as they approach Term are suddenly confronted with a bewildering array of decisions. As they obtain information they become aware that there is no right way (eg elective caesarean) and wrong way. There is increased risk in breech birth, regardless of the actual method of birth. At each decision point, they can feel exposed and uninformed, even misled - but decisions must be made and there is no turning back. Each decision places the participants in a new context, which may lead to more decision-making.
A woman who had planned to give birth naturally in a hospital birth centre found that her baby was frank breech a couple of days after her due date. The special set of decision points that she encountered after the breech diagnosis were:
- attempt external cephalic version (ECV): the decision was made on Saturday that this baby was not suitable for ECV, and the mother was informed that she would be booked for a Caesarean on Monday.
- spontaneous onset of labour: Mother laboured at home Sunday night, and called her midwife for support around midnight.
- progress in labour: After several hours of established labour, the mother's cervix was dilated 6-7cm, and the presenting part was high. The decision was made to go to hospital. Labour continued strongly. The obstetrics registrar at the hospital agreed that progress was good, but advised a caesarean birth. The mother declined, and stated that she was intending to give birth vaginally. All maternal and fetal observations were within normal range.
- review of progress in labour: After several more hours of labour, full dilation of the cervix was confirmed, but no progress of the presenting part. Once again the mother was advised that she needed caesarean surgery, and this time she agreed. Her baby was born in good condition, and the hospital staff facilitated early skin to skin contact and breastfeeding in the recovery area of the OT.
In discussion a week after the birth, this woman commented to her midwife, "You know, it's a totally different outcome, having a caesarean birth after labour, knowing that I couldn't do any more myself, than if I had agreed to it the first or second time I was told I needed it."
The midwife agreed. The decision making process included an ongoing review of the progress of mother and baby through uncharted terrain. The decisions were made on the best information available. There was ultimately only one *choice* - for the woman to do it herself, or not. This is the only informed birth plan a woman can make, and follow through with.
related posts:
decision making for breech
breech vaginal birth
messages about breech births


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NCI Inc. has promoted J. Greg Hanson to senior vice president and general manager of its Air Force and Technology Services Group.
Hanson has more than 30 years of leadership experience in the federal defense and civilian sectors, as well as in industry and academia, according to a Feb. 14 company announcement.
Before joining NCI, he was chief operating officer at Criterion Systems, responsible for all business operations. Previously, Hanson served as the first assistant sergeant at arms and CIO in the U.S. Senate.
He also served as CTO at Universal Systems & Technology, where he managed the Transportation Security Administration's first support contract and assisted the newly formed CIO office as the TSA was being organized.
Hanson retired from the Air Force as chief software engineer in 1997.
He holds a Ph.D. in Computer Sciences from the University of Central Florida, M.S. in Information Systems from the U.S. Air Force Institute of Technology, and B.S. from the U.S. Air Force Academy.
NCI Inc., of Reston, Va., ranks No. 50 on Washington Technology's 2011 Top 100 list of the largest federal government contractors.
About the Author
David Hubler is the former print managing editor for GCN and senior editor for Washington Technology. He is freelance writer living in Annandale, Va.
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6:30 pm
Joanne Weir's Cooking Confidence "Argentina Remembered" Craving the bold flavors she tasted in Argentina, Joanne shows her student Leigh how to give grilled skirt steak a boost with a fresh and zesty chimichurri sauce. And potatoes get the double treatment of roasting and grilling becoming twice as flavorful. Recipes: Gazpacho Salad, Grilled Skirt Steak with Chimichurri, Roasted and Grilled Potatoes. D
7:00 pm
Ask This Old House "Laying Sod in the Backyard/Installing A Wireless Thermostat" Landscape contractor Roger Cook helps a homeowner lay sod in his backyard. Then, Roger, along with host Kevin O'Connor, plumbing and heating expert Richard Trethewey, and general contractor Tom Silva, asks, "What is it?" Afterward, Tom shares a tip about finding measurements without doing math. And Richard installs a wireless thermostat to control a heating system. D
7:30 pm
Rick Steves' Europe "Sevilla" In the flamboyant city of Carmen and Don Juan, Rick finds that bullfighting is still politically correct and little girls dream of growing up to become flamenco dancers. He finds the city's soul in its lacy Moorish palace, massive cathedral, lavish royal tombs, labyrinthine Jewish Quarter and the people-filled streets.G
8:00 pm
Rudy Maxa's World "Korea" Rudy samples cosmopolitan Seoul and the tranquility of temples tucked into lush mountains.G
8:30 pm
Lidia's Italy In America "New York Italian Style" In this episode, Lidia shares three delicious recipes that she picked up on Arthur Avenue and in Little Italy, New York. Zucchini and Eggplant Parmigiana, Roberto's Chicken Piccante and Skillet Cauliflower Torrisi are all the very core of Italian American comfort food. She also visits the Maugeri Farms in southern New Jersey and the Migliorelli food stand in Union Square Market in New York City to see what kind of traditions these Italian American families are passing down to generations to come. D
9:00 pm
Cook's Country from America's Test Kitchen "Southern Classics" Bridget shows Chris how to make the ultimate Gumbo. Then, Jack challenges Chris to a tasting of long-grain white rice. And finally, Julia updates a lost recipe and shows Chris how to make Lane Cake. D
9:30 pm
Joanne Weir's Cooking Class "Provencal Roasted Lamb & White Bean Salad" Joanne shows her student Geoff how to cook a hearty one-pot main course and introduces him to new flavor combinations. Recipes: (1) POT ROASTED LEG OF LAMB WITH GARLIC AND OLIVES, (2) WHITE BEAN SALAD WITH PEPPERS, GOAT CHEESE AND MINT. Student: Student: Geoff Rubendall - Civil Engineer. D
10:00 pm
Taste This! "Fish Tail" On this episode Chef Joe joins David Burke at his newest restaurant, Fish Tail. Fish Tail is located on the Upper East Side and specializes in seafood. The restaurant features a Raw Bar, Sushi Bar, and any other seafood dish you can imagine. D
10:30 pm
Rick Steves' Europe "Sevilla" In the flamboyant city of Carmen and Don Juan, Rick finds that bullfighting is still politically correct and little girls dream of growing up to become flamenco dancers. He finds the city's soul in its lacy Moorish palace, massive cathedral, lavish royal tombs, labyrinthine Jewish Quarter and the people-filled streets.G
11:00 pm
Destinos: An Introduction to Spanish "Seremos Cuatro" This episode covers phrases used when making travel arrangements. Juan talks to Pati about their marriage and its future.G
11:30 pm
Destinos: An Introduction to Spanish "Una Promesa Y Una Sonrisa" This episode features words for popular sports, Aztec and Mayan artifacts in Mexico's National Museum of Anthropology.G


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Bay Area Hospital strives to improve the health of our community every day.
Bay Area Hospital is a tobacco-free campus.
We provide some of the most advanced and compassionate care in the region.
Whether you are receiving care or visiting a loved one, our goal is to make your stay with us a positive one.
Bay Area Hospital offers a wide variety of support groups and programs to improve the health of our community.
We are continually looking for opportunities to improve our organization and keep our community informed.
Preconception planning — Make sure your body is ready for the demands of pregnancy.
If you''ve decided to get pregnant, you might be emotionally prepared to have a baby — but is your body ready for the task ahead?
To help ensure a healthy pregnancy, schedule a preconception appointment with your health care provider as soon as you begin thinking about pregnancy. A preconception appointment is especially important if you''re in your 30s or 40s or you have any chronic health conditions or special concerns. Be ready to answer questions like these.
If you''ve been taking birth control pills, ovulation is possible as soon as two weeks after you stop taking the pill — although it takes longer for some women. You don''t need to take a pill-free break before trying to conceive. However, it''ll be somewhat easier to estimate when you ovulated and when your baby is due if you have at least one normal period before conceiving. If you plan to wait a few months, use a backup form of birth control while your menstrual cycle gets back to normal.
If you''ve been using certain types of long-term birth control — such as progestin implants or injections — your return to fertility might take somewhat longer. Still, most women conceive within 12 months of stopping any type of reversible birth control.
Infections such as chickenpox (varicella), German measles (rubella) and hepatitis B can be dangerous for an unborn baby. If your immunizations aren''t complete or you''re not sure if you''re immune to certain infections, your preconception care might include one or more vaccines — preferably at least one month before you try to conceive.
If you have a chronic medical condition — such as diabetes, asthma or high blood pressure — make sure it''s under control before you conceive. In some cases, your health care provider might recommend adjusting your medication or other treatments before pregnancy. Your health care provider also will explain any special care you might need during pregnancy.
Tell your health care provider about any medications, herbs or supplements you''re taking. Depending on the product, your health care provider might recommend changing doses, switching to something else or stopping the product before you conceive.
This is also the time to start taking prenatal vitamins. Why so early? The baby''s neural tube — which becomes the brain and spinal cord — develops during the first month of pregnancy, possibly before you even know that you''re pregnant. Taking prenatal vitamins before conception helps prevent neural tube defects.
Sexually transmitted infections such as gonorrhea, syphilis and chlamydia can interfere with your ability to conceive. These infections also pose risks to both mother and baby during pregnancy. If you''re at risk of a sexually transmitted infection — or you think you or your partner might have an infection — ask your health care provider about preconception screening and treatment.
Sometimes family medical history — either your history or your partner''s — increases the risk of having a child who has certain medical conditions or birth defects. If genetic conditions are a concern, your health care provider might refer you to a genetic counselor for a preconception assessment.
After 35, the risk of fertility problems, pregnancy loss and certain chromosomal conditions increases. Some pregnancy-related complications, such as gestational diabetes, are more common in older mothers as well. Your health care provider can help you put these risks into perspective, as well as develop a plan to give your baby the best start.
Your health care provider will ask about previous pregnancies. Be sure to mention any complications you might have had, such as high blood pressure, gestational diabetes, preterm labor, premature birth or birth defects.
If you had a previous pregnancy involving a neural tube defect, your health care provider will likely recommend a higher daily dose of folic acid than what''s found in most prenatal vitamins.
If you have any concerns or fears about another pregnancy, share them with your health care provider. He or she will help you understand the best ways to boost your chances of a healthy pregnancy.
Healthy lifestyle choices during pregnancy are essential. For example:
If possible, ask your partner to attend the preconception visit with you. Your partner''s health and lifestyle — including family medical history and risk factors for infections or birth defects — are important because they can affect both you and the baby.


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For the longest time I was afraid to start eating more once I started focusing on building lean muscle.
I heard people say that I had to eat more to build muscle and it was very hard because I was only taking in around 1700 calories per day. I was afraid to eat more than that cause I had used this number to lose the weight I needed to. I lost 96 pounds because of it along with exercise. I have increased my calories over time and now am eating 3,000 per day. I am 6'4, 210 pounds. I also have noticed my body becoming more and more muscular and defined. I wonder sometimes if I should be eating even more but my goal is to build lean muscle so 3,000 is pretty much ideal in my opinion. Im currently lifting an hour per day, 6 days per week along with 4 days of cardio per week. When I do cardio I go for 20-30 minutes after lifting.
People just have to come to the conclusion that you must eat. Good healthy foods of course. Carbs are very important. I guess carbs are your workers? If you don't have enough workers you can't build a physique. Protein are your bricks. Too little won't build shit and too many will be wasted.
P.S. Everyone should be eating sweet potatoes and whole wheat pasta.


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Internet Video Voices
Although traditionally associated with mediums like radio and television, voice overs are now becoming even more numerous, and proving quite useful, in the realm of Internet marketing. Many company web pages offer brief audio clips explaining the purpose of their business or assisting users with specific troubleshooting quandaries. Many internet voice overs are used specifically for commercial purposes in advertisements. Audio clips on the 'net may be accompanied by videos and images, or simply used as standalone audio. A successful audio presence on a company's website can be ensured by the selection of a top-notch voice professional. The experts featured at Voices.com are dedicated to offering voice talent that is both easy on the ears and fitting for any given company's specific needs.
Showing 1-10 of 11860 Voice Actors
Christopher Poirier
Chris Poirier - Witty, Deadpan, Dry, Tell-It-Like-It-Is
Angeli Fitch
Angeli Fitch - Hair Product - Generation X/Middle Age - Believable, Casual, Cheerful, Soft-Sell, Friendly, Approachable, Bubbly, Authentic, Confident, High-Energy
Mike Drew
Toby Ricketts
Toby Ricketts - General Voice Reel July 2012
Conversational Everyman Internet / Online narration demo - BOBBY DOUGHNUTS
Showing 1-10 of 11860 Voice Actors


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Timmi's reviews
Samsung 45mm f/1.8 NX9 out of 10 points and recommendedLight, good build, very sharp, very practical view angle for general photographymanual focus by wire: no tactile feedback, no indication of where you are (if past target and reached closest or infinity)
A camera cannot be better than the lens that is on it, no matter how good or expensive the body is. And the Samsung 45mm lens yields images that are sharp and pretty darn close to perfect. It is among the best consumer lenses out there. It is not to be confused with the other 45mm lens produced, the 2d/3d. This is the "normal" lens.reviewed November 1st, 2014 (purchased for $200)
It focuses very well, images are very sharp. Auto-fucus works flawlessly. I use it on an NX20, and auto-focus is dependent on both the lens and the camera's auto-focus system; your results may vary depending on whether you have an older camera model or a more recent one.
Build: The lens seems to be very well built. There are no loose parts, the control ring turns smoothly, buttons work as they should. It mates well with the camera: not snug that you have to push it in, not loose that there is any tilting play. However, once locked into place, there is a little bit of turning play (where you can turn the lens' mount in relation to the camera just a little bit), but this is not something that would affect sharpness or image clarity. Mating the surfaces, and a good snug fit, is important - but the width of the tabs, so the lens doesn't rotate even slightly when you try, would have enhanced the owner's impression of quality.
Don't try this at home, but I've already dropped the ensemble a couple of times, and no damage to the lens (or the camera). In all fairness, I had a lens cap on it, which, being pushed into the threaded opening, absorbed some of the impact, but still, it this lens is not as fragile as one would fear of a lens with a plastic body.
iFn Control: like all Samsung iFn lenses, pushing the iFn button gives you immediate access to the main functions you want to change on the fly while doing your creative photography. Your Samsung camera menu, under iFn Customizing allows you to choose up to 5 out of 6 of the following features you want to appear in your sliding iFn menu: Aperture, Shutter speed, EV, ISO, WB, iZoom - the ones you have access to depend on what your mode-dial is set on (ie: P, A, S, M). This is with 2014 firmware on Samsung NX20 and the 45mm respectively. The lens has the usual switch for selecting AF and MF modes. In AF, it works as it should according to your preference settings in your camera, where you determined how you want the AF to work, ie. whether you want just auto-focus, or auto-focus with the possibility of manual override, etc.
Manual focus: the same control ring is used for the iFn menu and manual focus/MF override. Turning the focus ring gives absolutely no tactile feedback, and nothing tells you if you should turn clockwise or counter-clockwise to focus closer or farther. There is also no indication whether you have reached infinity or the closest focus: you can just keep on turning and turning, not sure where the focus is at in the scheme of things. If I am trying to photograph a small bug on a thin branch, for example, where the camera's focus system only picks up other objects in the background with auto-focus, I don't know if I am turning the ring too fast, too slow, if I have overshot the right point and should continue turning or if I should turn back the opposite way. Although technically it works flawlessly, manual focus can be a bit frustrating in sutuations like my bug on a branch. The manual focus ring is much more convenient when you are using a wide-open aperture, with a very shallow depth of field, and you just need to make fine quick adjustments - for example to bring a subject's eyes into focus, where the camera may have locked focus not exactly at the depth you wanted.
Bokeh: Bokeh is simply a side-effect of larger openings, where it becomes impossible to have everything in focus at all distances. Surprisingly, although at f1.8 the DoF is as shallow as one would expect, background defocus is not as marked as one would think. There are no huge spheres being produced in the background as with some vintage lenses or as we see from a Leica $10,000 lens - rather, focus drops off predictably as the distance increases from the focused pane. Yet the subject still "pops" out from the background. For example, shooting my dog or daughter, they are in very sharp focus, and look to separate and stand out from the background, but a background where you can still make out some fuzzy shapes. The background blur is not as significant as one might hope - although this lays testament to just how phenominally good the optics design and execution are, it might not be what eveyone would hope for (ie: less-good design for more blur).
Despite the turn-forever manual focus ring, this is an outstanding lens, which is right up there with some of the best lenses available for much more money. This lens allows my Samsung NX20 to perform at it's utmost, and I'm certain it will do the same for more recent NX cameras. It has been permanently on the camera now, as I prefer it to any of my other NX lenses. the only lens I could see replacing this one, is Samsung's new, but (understandably) much more costly $1200, 16-50mm S-series f2-2.8 zoom lens. I also own a vintage Minolta Rokkor 50mm f1.4 lens, with a modified-for-NX lens mount, that I no longer use now that I have this 45mm. At f1.8 the depth of field for portrait and street is so shallow already, that I no longer see the point to use the vintage lens (unless I would be out to do night-photography with manual focus).


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Unjust Draconian Measures Taken Against Mental Health Non-Profits
NM Capitol Report | A view from the New Mexico state capitol
State didn?t have to halt Medicaid payments to providers | New Mexico In Depth
Group decries ?witch hunt? against New Mexico behavioral health providers - The Santa Fe New Mexican: Local News
The damage being caused is immeasurable and will take a generation or more to heal. This is not the way to go about Medicaid reform. The targeted agencies themselves are instruments of change in New Mexico. You can help!
Sign here:
Get others to sign to. We don't have much time!
Life can only be understood backwards; but it must be lived forwards.
- Soren Kierkegaard
KDBC 4 CBS: N.M. State audit could put thousands of mentally ill patients at risk
Please take a few seconds to sign the petition. 10000 signatures are needed and there is limited time to make this happen.
Life can only be understood backwards; but it must be lived forwards.
- Soren Kierkegaard
Please we need your help. Texas can once again lead the way....
Tilted Axis Writes
Earlier this year, Secretary Sidonie Squier, Secretary of the New Mexico Human Services Department (HSD), via a no-bid "emergency" contract, paid 3 million dollars to a Boston-based consultant, "Public Consulting Group" (PCG), to perform an audit of15 vital safety net behavioral health providers in the State of New Mexico.
The PCG audit did not apply to any for-profit or state-run Behavioral Health providers, only to non-profit agencies. These non-profit agencies make up nearly 90% of the Behavioral Health capacity in the State of New Mexico, providing essential services to thousands of New Mexicans impacted by behavioral and mental health issues.
The PCG audit found a 100% failure rate, which in practice declared almost 90% of the Behavioral Health industry in New Mexico to be criminals, and as such the results have been sent directly to the Attorney General. All government payments to these agencies, approximately 80% or more of their revenue, has been immediately frozen; which in turn has put the services these companies provide to thousands of New Mexicans into jeopardy.
This action was all taken under a veil of secrecy and emergency. Neither PCG's audit methodology, nor the audit results have been released to anyone; not to the public nor to the providers in question.
We should ask ourselves what is more likely.
A - The secret PCG algorithm is correct in finding a 100% failure rate, and is correct that 90% of the Behavioral Health providers in New Mexico are criminals.
B - The secret PCG algorithm is flawed and 90% of the behavioral health providers in New Mexico are not criminals, but are in fact victims.
There are good reasons to question such unprecedented results.
The providers indicted by the PCG audit regularly receive audits from state, federal, and private organizations. The providers in question have been subject to up to 30 days of audits in the past year alone. In other words, the providers in question have spent over 15% of available work days participating in audits. None of these audits found the criminal results that the Boston firm PCG was able to find; yet they all audited the same time period and activities. In fact, public records show that many of these audits have resulted in these providers receiving an exemplary rating; a process that can take years to achieve. Audits by Optum Health during this time period for these providers resulted in scores anywhere from 90-100%.
Why were the PCG audit results so different from all of the other audits that have taken place over the past 3 years? Could it be a problem with the algorithms that PCG uses to determine fraud and overbilling?
In 2012 the same Boston firm, PCG, made similar promises to the government of North Carolina. North Carolina was promised $36 million in recoupment, including claims of fraud. After the dust settled, only $3 million in overpayments were recouped, and no evidence of fraud was found (WRAL News, July 26, 2012)
If PCG's algorithm was that wrong in North Carolina, is it plausible that it could be equally wrong in New Mexico? Is it coincidence that PCG found another $36 million dollars of overpayment in New Mexico just as they did in North Carolina?
Given these facts, which are the only facts we have as the results of the audit remain a State secret, it seems far more likely that the New Mexican's that make up the Behavioral Health industry in New Mexico are the victims in the situation rather than the criminals they have been made out to be by HSD and PCG.
At the end of the day, the New Mexicans that make up the Behavioral Health providers in question have spent their lives dedicated to providing treatment and counseling to those in need. Whether it is after a loved one passes away, or when someone is addicted to drugs or alcohol. Whether it is a child with thoughts of suicide, or young adults that have been admitted to the corrections system. Whether it is providing life skills education to the mentally handicapped, or treating a child that is a member of an abusive home.
These are the essential services that are in question. These are the New Mexicans that work on the front lines trying to prevent the next Columbine, Sandyhook, Gabby Giffords, or movie theatre tragedies from happening here in New Mexico. Are they perfect? No, of course not. Is the Medicaid system perfect? No, of course not. But these providers deserve our respect and admiration, and at a minimum the benefit of the doubt, just as we respect and admire the firefighters and policemen that serve our local communities. They are not criminals, and the public and this paper should not assume as much in its coverage of the issue.
The New Mexico Attorney General should immediately approve all letters of good cause that these providers submit, which would allow government funding for essential Behavioral Health services to resume.
Secretary Sidonie Squier and Human Services Department should lift the veil of secrecy by immediately releasing the PCG audit results and methodology. This would allow public review of the data in question and allow the providers in question to address the charges they face.
In this situation, sunlight truly is the best disinfectant. The facts must be known to identify the problems, and the problems must be identified to create solutions. And when all of this is done together, as a community, we will emerge out of the other side stronger and more united.
» Audit faults former executive's benefits | ABQ Journal
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Life can only be understood backwards; but it must be lived forwards.
- Soren Kierkegaard
Along with other nonprofits in New Mexico offering behavioral health services, we now face our 4th week of payment holds imposed by HSD, results of the audit remain undisclosed, and we continue to be denied due process or the opportunity to take corrective action if needed.
Worse yet, we have been publicly branded as criminals and are being told by HSD that our life's work will be handed over to Arizona companies. These companies have not been properly vetted, do not have the credentials to provide services in New Mexico, and they are strangers to our communities, the New Mexico system and the people we serve. The transition plan is poorly constructed and will decimate our behavioral health system. New Mexico is paying these companies over $17 million of taxpayer money.
Eighteen years ago, when I was pregnant with my youngest child, my husband Shannon and I started TeamBuilders in Tucumcari. Using the spark of a $10,000 planning grant, we mobilized others to meet the needs of young people impacted by grief, trauma, violence, mental illness and addiction.
Today, TeamBuilders is a designated Children's Core Service Agency serving 23 historically under-served counties and 15 Native American communities throughout New Mexico. In the past year we served 6,750 of our state's most vulnerable children and their families, including many children in state custody. We employ over 650 staff and foster parents who heroically work 24/7, responding to crises in homes, schools and detention facilities. We come together to help our communities in times of natural disasters and critical need.
TeamBuilders regularly receives over 30 days of audits per year from state, federal and private entities. None of these audits identified the concerns claimed by the HSD audit. In fact, during the same review period, our agency achieved "exemplary status" for all of our children's Medicaid programs by CYFD Licensing and Certification Authority; international awards of excellence in our evidence-based multi-systemic therapy program (top 1 percent); and grades of over 95 percent for audits conducted by OptumHealth.
Naturally, we have a lot of questions:
We question Optum's new algorhythmic software, put to widespread use before it was tested.
We question the agency selection criteria.
We question Public Consulting Group's 24-point audit tool and the fact that not meeting one of the 24 criteria – a 96 percent compliance rate – constituted failure.
We question why there was no examination of the instrument, the process or the larger system when all 15 agencies failed.
We question Public Consulting Group, which has made a business of promising millions in Medicaid/Medicare recoupment and delivering only a small fraction of the savings.
We question a department that takes drastic action under a veil of secrecy and urgency without seeking first to understand.
And we question a system that could allow this to happen to people and organizations who, for decades, have cared for thousands of New Mexicans with the greatest needs.
Through multiple state administrations, many iterations of managed care, a web of competing regulations and increased demands to do more and more with less and less, the nonprofit providers have remained steadfast in our commitment. We have been the constant. We have been the instruments of change for important initiatives.
Now we are facing annihilation at the hands of a government we have been faithful to.
We welcome an impartial review by the Attorney General's Office. If this is indeed a legitimate process, we also implore HSD to utilize its discretion to provide an immediate release of funding without contingencies while the investigation takes place.
We are committed to identifying and resolving all concerns, while maintaining continuity of care. Time is of the essence.
And, please, help me explain to my daughter who leaves for college next month, why we must trust this process.
Life can only be understood backwards; but it must be lived forwards.
- Soren Kierkegaard
Court asked to restore mental health funding
State stops federal money to major local care providers
By Todd G. Dickson
Las Cruces Bulletin
The fate of mental health services for at least 5,000 people in southern New Mexico now lies with a federal judge who heard arguments Wednesday, July 17, from eight of 15 behavioral health providers that the state suspended funding to due to the findings of a controversial audit.
Among the eight asking for a temporary restraining order (TRO) from presiding federal Judge Christine Armijo are Southwest Counseling Center(SCC), which provides services to 3,000 people, and Families & Youth Inc. (FYI), which provides behavioral health services to more than 1,800 people.
They are the two largest local providers among 15 of the state's largest nonprofit mental health companies that the state Human Services Department (HSD) is withholding funding from following a Boston-based audit firm's claim they engaged in fraudulent practices involving Medicaid and Medicare funds.
Public Consulting Group
(PCG), the Boston-based company contracted by HSD, claims to have found $36 million in Medicaid overpayments to 15 New Mexico mental health and drug abuse providers as well as other acts of fraud between 2008 and 2012.
Some of the audit claims include staff not keeping "line of sight" observation of suicidal patients, company CEOs and family members being richly compensated, provider administrators giving contracts to businesses they or family members had a financial stake in and that there was double billing, over billing or billing for services not rendered.
"The audits have uncovered systemic problems in billing for services, many willful, some through poor business practices," the audit summary states.
HSD officials say they are required by federal regulations to withhold funding in the light of such findings, but there are conflicting statements from federal regulators about how much latitude is given to the state to work with providers so services aren't interrupted.
State Human Services Secretary Sidonie Squier said providers would be brought in from Arizona to avoid disruption of services.
The affected providers are crying foul, saying they have not been given the chance to respond to the audit's claims – or even been given specific information about which of the claims belong to which provider.
Closures and furloughs
FYI CEO Jose Frietze said Armijo didn't give a ruling on the TRO immediately after arguments, but that legal counsel expectsthe judge to act on the request, hopefully by Friday, July 19. A favorable ruling by Friday couldn't cut it any closer for SCC Executive Director Roque Garcia, who said SCC may have to close its doors because it only has enough money to pay its workers through Friday.
Both Frietze and Garcia say the audit was highly unorthodox in the way the information was compiled, and they resent being accused of criminal actions without a chance to answer specific claims. Frietze said PCG didn't even hold an exit interview – a common audit practice in which auditor findings are announced with immediate actions to be taken for serious concerns.
"We're all being painted with the same brush," Garcia said. "We're all considered guilty and we're telling them, 'Tell us what it is we did.'" As for "golden parachutes" to provider CEOs, that isn't the case in southern New Mexico, Garcia said.
Frietze said it is quite possible that many of the audit findings will be just human error, possibly even caused by OptumHealth, the company hired by the state Mental Health Collaborative – headed by Squier – to manage payments to providers. Both Garcia and Frietze said OptumHealth changed its billing systems and requirements frequently.
When OptumHealth got the state contract in 2009, "they had no idea how to handle the billings," Frietze said.
"We have the emails that show things such as OptumHealth telling us, the providers, to put all the billings under one person's ID code – now that's fraud," he said. "If there's any fraud to be found, it's because Optum ordered it." Both Frietze and Garcia doubt PCG's audit claims will be proven because the company – which makes its money on a commission basis for finding fraud and recieving a percentage of recovered funds – has a history of its claims being disproven in North Carolina. FYI's youth group homes, multi-systemic therapy, problematic sexual behavior treatment, foster care and outpatient care programs are impacted by the state's withholding of federal money, Frietze said. For those programs, workers will begin taking oneday- a-week furloughs beginning Friday, July 19. "We're going to do everything we can to keep our services open," he said.
Garcia said the combination of the explosive audit findings, the abrupt suspension of payments and the quick hiring of out-of-state providers "doesn't pass the smell test."
"I just don't understand how we can haveclean audits every other year – not only good audits, but excellent audits – and then we fail one audit and we're out of business," Garcia said.
Frietze said the accused providers needed only fail one of the 24-point audit, another unusual practice by the PCG firm.
Lawmakers angered
Providers aren't the only with unanswered questions. Squier recently walked out on a legislative mental health subcommittee amid tough questions. State Sen. Mary Kay Papen said the record shows that it was Squier who was rude and made unsubstantiated statements, such as branding all the providers as criminals.
Papen said she is concerned about uncovering fraud that takes money away from needed services for people with mental illness, but she doesn't see how bringing in out-of-state providers amid disruption to those services helps anyone.
"Are they actually saying there is no one in the state of New Mexico who can do this?," Papen said. "This is very serious business, no question. But we still have an obligation to take care of the most fragile people in this system."
The same day as a federal judge was hearing arguments in Albuquerque, Squier was again being called before legislators to explain her actions – this time the powerful Legislative Finance Committee, of which Papen is a member. Paper said Squier will again face tough questions about why the usual procurement procedures were sidestepped in these events under the guise of it being "an emergency."
"This has all been handled very punitively," Papen said. "There's a big difference between errors and fraud. … Where was OptumHealth all this time? Where was HSD?"
This is very serious business, no question. But we still have an obligation to take care of the most fragile peoplein this system.
MARY KAY PAPEN, state senator
Life can only be understood backwards; but it must be lived forwards.
- Soren Kierkegaard
Cash-starved NM agencies file emergency court appeal
July 31, 2013 by Dennis Grantham, Editor-in-Chief SHARE ON FACEBOOK SHARE ON LINKEDIN SHARE ON TWITTER SHARE ON GOOGLE MORE SHARING SERVICES | REPRINTS
Facing ouster, CEOs ask to see New Mexico's fraud allegations before agencies are taken over
Eight of 15 New Mexico behavioral health agencies whose Medicaid payments have been held since June 24 based on "credible allegations of fraud" by state Human Services Department (HSD) Secretary Sidonie Squier have appealed a July 25 decision by federal Judge Christina Armijo to the Tenth Circuit Court. Last week, Armijo denied the agencies' request for a temporary restraining order that would have forced New Mexico to reinstate their funding and make available the details of an audit that is said to document millions in waste, fraud, and abuse.
Armijo's decision stated that the agencies' request for a temporary restraining order was denied because "plaintiffs have failed to fulfill their heavy burden to establish that they are entitled to the extraordinary remedy" that the TRO and a resumption of payments to them would provide. While Armijo noted that the agencies made a "substantial" case in support of two of the four points necessary to win such an order, she ultimately ruled against the agencies on all four points in the brief containing her decision.
However, in emergency appeal documents filed with the US Tenth Circuit Court on July 29, plaintiffs' attorney Patric Hooper argued that "something is very rotten in the State of New Mexico's Medicaid program." In the appeal, Hooper stated that since the agencies' initial July 3 filing in Armijo's court, HSD's payment stoppage—affecting $ 7 million in 2013 claims so far— has "made it virtually impossible for the organizations to continue to provide services." It also has forced the closure of one agency and the impending closure of several more.
In the appeal, Hooper alleges that the agencies are being driven out of business. Their vulnerability to cash-flow problems "gave HSD the chance to commandeer their programs by installing five handpicked Arizona organizations to take over Plaintiffs' businesses." At the same time, the appeal argues that the agencies continue to suffer harm as referrals dry up, employees are laid off, and the details of alleged fraud remain hidden from view or from reply. To date, he says that none of the agencies have been given "any meaningful notice or opportunity to discuss any of the specific allegations against them." ...
Cash-starved NM agencies file emergency court appeal
Life can only be understood backwards; but it must be lived forwards.
- Soren Kierkegaard
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Classic Novels' First Covers
Ever wonder what your favorite book looked like when it was first published? While many classics — The Great Gatsby, Catch-22 — have retained their iconic, original covers over the years, others have changed with the times. As a follow up to last week's roundup of famous magazines' first covers, we've compiled 20 beautiful, surprising, or otherwise notable first covers of classic novels that we'd never seen before. See a surprisingly minimalist The Age of Innocence, a painful-looking The Sound and the Fury, the design that preceded A Clockwork Orange's famous '70s cover, and many more, in chronological order after the jump.
Lewis Carroll, Alice's Adventures in Wonderland, 1865


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9:30 pm
Simply Ming "Jamie Bissonnette & Breaking Down A Chicken" On this episode of SIMPLY MING, Ming shows you one of his top techniques for a home cook to master, breaking down a chicken. "Buying a whole bird is so much cheaper than chicken parts", says Ming. With the help of Boston Chef Jamie Bissonnette, a nose to tail specialist, Ming shows viewers how much more mileage you can get out of a whole bird. D
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Taste of Louisiana with Chef John Folse & Co.: Our Food Heritage "Famous African-Americans" Louisiana is home to many famous African-Americans. Tiwanna Simpson introduces us to "King" Oliver, Mahalia Jackson, Fats Domino and Louis Armstrong. In West Africa, chicken was a festive dish served to honored guests. D
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Rick Steves' Europe "European Travel Skills, Part 3" As Rick brings his 3,000-mile trek to its finish, he reinforces the skill he calls the most rewarding of all - connecting with the locals, not forgetting essential skills such as eating and sleeping well and packing light. Part 3 of 3G
11:00 pm
Engaging with Literature: A Workshop for Teachers, Grades 3-5 "Workshop 7. Many Students: Many Voices and Abilities" Each student has an individual perspective to share with the world. In this session, you will learn about ways to celebrate their uniqueness, providing an atmosphere in the classroom in which each student plays a respected and respectful role in conversations surrounding literature. You will see how background, reading levels, language acquisition levels, and other personal characteristics allow for the formulation of multiple perspectives that add significantly to a group. D


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Health minister warns against bed soresDominica News Online - Thursday, January 3rd, 2013 at 11:00 AM
Nurses have been given a stern warning from their boss about the issue of bed sores at the Princess Margaret Hospital.
Health Minister Julius Timothy, has said no patient at the country's main hospital should suffer from these sores.
Bed sores, also known as pressure ulcers are skin lesions which can be caused by friction, humidity, temperature, continence, medication, shearing forces, age and unrelieved pressure.
Timothy said in an interview with the media recently, that when he took up office, several patients at PMH suffered from bed sores.
"They don't get bed sores at Green Hill, they don't get bed sores at the Infirmary, and they should not get bed sores at the hospital. They can come from home with their bed sores but we must cure them," Timothy stressed.
According to Timothy nurses and ward aids have been trained to move even the heaviest persons and hence bed sores should not be an issue.
"Once people get bed sores it shows a lack of care. It shows that we do not do our jobs carefully," he said.
He pointed out that recently patients were bed sore free, but warned "it is happening again".
The health minister noted that when it comes to health, care is important. "You can train people, you can do everything possible but with health it involves care. You (medical professionals) cannot just say you are working for a salary…" he added.
He also said the right attitude on the job is essential to the quality of service.
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68 Comments
That means no salary increases for the health care workers. Is he supporting Parry that they are only 20% productive. And is the minister also implying that the hospital has the man power, equipments and materials etc. Oh no,nhe did not say so. The minister better lock himself in one of the hospital seatless, flood toilets and just stay there! Taking a page from austrie.
Why does DNO have the minister's article near archiving. By tomorrow it will not be on the front page. There are other articles which came after.
i totally agree my dad went in there for a week with no bed sores and got out with three praise God my mom got it cured in a week,he had one previously from there stayed ther for couple months just took him home on xmas hoklidays and it was cured while he spent 5months at the hospital it couldnt be treated.
Mr. Timothy, i am so glad that you are speaking out of patients care and concern. Which tells me someone must have express their concern to your office. I hope your words will company some action. Because l am very troubled by the kind care some patients are getting in the
of care patients
All over the world is the same chat. The chances of landing a good job is small and your dream job is minimal. We always accuse people in professions of doing it for the money. The silly question is how many of us work for free and when was the last time we volunteered a few hours to help our community? Pawol a bosh se pa met. Tim what have you done for Da lately?
Decubitus ulcers can be lessen by applying corn starch to the patients cotton bed sheets, re-positioning every two hours, jelly pressure pillows for the hips in heavy patients, and keeping incontinent patients clean and dry at all times and their sheet free of kinks. Finally to the minister before judging the nurses, why not train a few nursing assistants to assist with care and let the nurses handle the designation according to the work load and point of care needed.
I can understand the minister is concerned, but he should know better than that. That is not an topic for the media. He need to go to those concern and discuss the problem and find ways to solve the problem. Coming an express himself on DNQ doesn't prove he is doing a good job. Maybe he should think of getting some air mattress for those who cannot reposition themselves.
Another sign of everything in this country is moving in the wrong direction. It is totally unacceptable that patients at the PMH should be getting bedsores at the PMH. This situation undermines confidence in the hospital. The management of the hospitaL SHOULD TAKE ALL THE NECESSARY MEASURES to eradicate this. And the Minister must hold them accountable.
those nurses in that hospital just working for a pay most of them dont care those the people that are in the hospital makin it worst most of these nurses are very young so that explains it all. Nursing and teaching is a job that is guaranteed after graduating frm DSC so that says we hav a lot of unwanted nurses that are nurses…i kno someone who died frm very very bad bed sores in the hospital and wen she left home all she had was a bad toe
I think the minister need to educate himself a bit more on the cause of decubiti. There are a wide range of reasons pts suffer from "bed sore", some of which are not under the control of any health care provider. So to say that there should be no bedsore in a hospital is a bit reckless!
Va resident RN January 4, 2013
To develop a bed sore in a medical facility is unthinkable,if it occured rarely that is different.,but for several patients to develop bed sores in the same institution at about the same time raises many Questions . the 1st of which
is Where has COMPASSIONATE CARE GONE and what are the clinical supervisors doing about rounding on the floors/wards/?.The 2nd is DO the present nurses have the equipment to do their work OR simply put demonstrates a laissez faire attitude
Do we know the condition on these PTs prior to admission? A person who is malnourished with decrease albumin has a high risk of developing skin breaks! There are manny underling condition which will predispose an individual to bed sores! People who are at the end off life will have horrible bed sores and not even the most advanced hospital in the USA can't stop them, so how can the minister say there should be " no bed sore " ? I know because for the last 20 yrs I have been working in some very good ICUs in North America !
Mr. Timothy is right for his concern of the patients but many times the bed sores are caused by the type of mattress that on the patient's bed. For example my sister for bed ridden for over three years she had an air mattress thanks God she never had a bed sore but was positioned four times a day.
While we say that families should and can assist (100% agree) but even while some patients who have
developed bed sores are hospitalized…the nurses should use their descretion in allowing the family members which are willing to stay on, over the visiting time allowed, to help manage these patients because it is surely a big task for the nurses and ward aids alone to move and care these patients was they would like to, especially when the wards are usually overcrowded on a daily basis
Here he goes again! Julie garcon stick to financing and accounting.
The song careless whisper by george M and Wharm
has a line"ignorance is kind."
Look like Timothy is idle that'sthe function of the head of the units as you do not have a clue as to the physiopatholgy of bed sores. Here you go wanting to bully people who know more than and what you may never know for the rest of ur life.
Man do like ur former boss should be doing go throw stones in the sea in Marigot's bay.
Hmmmmmmmmmmm, not only here he goes again you know!! I say HERE THEY GO AGAIN!!!!!!!!!! Yet again there is a minister of government ACCUSING the working people of being SLACK!!!!!!!!!!! Yet again, laying them blame at the feet of the working people as they have with the problems in other areas of the economy. Every time there is a problem with performance, they seem to throw that blame at the feet of the people rather than at the feet of government and its leadership. Wow!!!!!!!! No one is speaking out in their defence…….amazing!!!!!!!
Although my better half who is an RN agrees with Tim.Also the hospital where she works have all the equipments to turn the patients at ease. Notwithstanding the patients at Green Hill and Infirmary, maybe many of them can move around, and are there not because of any illness, but just aging.When they are really sick and are unable to move,of course we all know,,, PMH.
I am not saying the nurses should give their second best.
Finally a statement on what has indeed killed a number of persons even if there would be no official statistics on this. I went through the death of a family member who was admitted to the hospital, was neglected and was sent back home after a while full of bed sores. An "egg-foam" mattress was bought to aid in her recovery at home but the sores had been too advanced for a recovery. In no-time she was back in the hospital and died a few days later.
Neglect, neglect, neglect…and our case was definitely highlighted for Mr Timothy because he knew her very well.
Whilst I agree to some extent,I wonder if Mr. Timothy ever met with Pmh nurses to discus the issue,before publishing it as a news item to the media!Want to make it seem like nurses aren't doing their jobs entirely.Charade allu them ministers like.Whilst it is true that bedridden patients should be turned at least once or twice on every shift,it can be quite impossible most times when you have a 19-bed capacity ward with 27 patients and 6 beds in the center of the ward!Is that for allu to check.There can only be so much two nurses can do when the work-load is so overwhelming.So quit acting like nurses just sit around doing nothing and allowing patients to get bed sores.Most times when nurses need the assistance from the orderlies,they are always busy because all wards are always so over-filled.Patients themselves take pity on nurses.Mr. Timothy just sitting on his big,black office chair behind statistics and not facing reality.Patients can't be turned as often when all big shot who are admitted to pmh have to get their own private nurse…nurses they have to take from the same over-crowded wards,leaving two nurses to kill themselves.So…turning patients every 4hrs,when there are up to 10 bed-ridden patients on a ward,along with 17 others,is only a fantasy.
from reading your comment i can tell that you are a nurse. while i understand what you have just said, i have heard nurses in coversations and i don't think that its the over filled wards that prevent them from turning the patients but rather their don't care atttudes. 70% of nurses only care about the salary at the end of the month. the prefer to sit and gossip abou the patients illness and who visited them, what state the underwear the family brought is in and how many children the patient has and how often they visist him…. zor por kor paway!!!
If only we lived in that fantasy world you speak of I would support you but we all have been to PMH at some point in time to see with our own eyes how unfortunately the majority of nurses now do not take the time to attend to patients (especially the bed-ridden ones).
As soon as you enter the wards you almost always find nurses at the front sitting (not doing anything constructive like admin work…). Sorry to generalize but to the few good nurses out there we see you doing your jobs (keep it up).
This is what I was thinking. Why not address it privately, instead of making a blanket public statement like this. Even though it may be true, but this can have irreparable damage to the image of the hospital… and Dominica as a whole. But he's correct, this is an indication of gross neglect…
Exactly my point!I do not disagree,if something is wrong,it should not be ignored but addressed,but don't't make public statements like that,as if you sending words.Find yourself to PMH and meet with nurses to address the issue.Why should a nurse have to read such statements on DNO from her "Boss"?I wonder if he realizes that it will bring a poor reflection way back to him as the health minister.People all over the world are reading these news articles and he is making out PMH to be the worst hospital just by these strong words.Shame
I wonder where you work nurse…..Cuz the person did not say that all patients are bed ridden. I know that all patients require vital signs, medications, baths, investigations to be done and the list goes on. So picture 2 or 3 nurses on a ward with 27 patients, yes the patients who require turns will be turned but not every 2 hours eh! BE REALISTIC, nurses are not machines!!!
Finally, Timtim has made me believe that he is still competent. Great words of encouragement to the public that you are working. I love our nurses and thankful for their selfless service but that bad attitude that has permeated the healthcare system need to be put in check. Those who don't comply, found wanting or wants to work simply for the salary needs to go find a job elsewhere where such perks come with the environment.
Assertive, NOT Agressive!
What salary nuh by the way?When Nurses go for loans at the banks,the banks teller are always left shocked,with their jaws dropping,finding it hard to believe the embarassing figures they see on the nurse's salary slips!Some employees of Clear Harbour even get paid better than nurses.When a nurse receives a measly $2167 and they still have to deduct about $190 for taxes and S.S,the rest is for morgage,bills,vehicle,kid etc,month end is never a joyous moment for a nurse na.So I want to see which nurse in Dca who is working just for the salary.Stupes
Tickle us Shamless January 4, 2013
Ya ! Wait until they are fired you'll replace dem with Haitian & Chinese nurses? hahahahaaha.
Good luck on dat one.Fire al Natives and replace dem with the aforementioned. They the Admin will not lose power those they employ from foreign will vote dem in.Similar case in Antigua D/cans replace Antiguian workers D/cans become employed vote for the PIP to solidify the party's stay in power.Yhen you have conflict, hate amongst caribbean national. Good luck one caribbean.
It is not only at the Princess Hospital that insufficient health care of the sick is being metted out. It is presently happening also at the Portsmouth hospital for I can testify to that. I have a friend who have been ill at her home for years and with no bed sores. Since being admitted at the Portsmouth hospital sometine in June within a week she got bed sores and has been in the hospital for over six months now since the bed sores became an issue for the family she has remained hospitalized. Take a close look at patient care at the Portsmouth hospital also Mr. Minister.
Mr. Timothy I agree with you 101% no patient should suffer with bed sores after being admitted in a hospital. They were taken there with no bed sores why should they get it while under the care of nurses, aids and doctors. Good move protect the safety and welfare of the patients.
The issue with bed sores has been a recurring problem recently. Persons coming into the hsopital with NO bedsores, after two to three days, have bed sores. And makes it worse, the manner in which the patients are moved, turned or ventilated by the aides and nurses leaves alot to worry about. The patients are lifted and toseed and turned like a bag of potatoes. This is not hearsay but direct evidence. Something needs to be done. I do not always agree with this Minister but he is right on the ball with this one.
@ yes……Do you know how many patients a nurse is assigned to in america? ONEEE……YES ONE!! Do you know what the nurses has to do for the 27 patients, cuz if it was your mother on one of the beds, you would want a nurse at her beck and call right? So think of 27 patients wanting the same thing from 2 or 3 nurses! All you Dominicans too WICKED!!!
Very true, bed sores can be avoided, care care care, and patients must be changed regularly and nothing wet should be under them….bed sores start very small with a litle bruise and that should be noticed right away..they have all the good ointments and even petroleum jelly is good..


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Refreshed and reposed after a break for Christmas, we're back this morning with a double dose of Non-League Videos Of The Week. We have a couple of matches from the Blue Square Premier coming up a little later this morning, but we are starting off with five of Boxing Day's matches from the Blue Square South. Leaders Woking have pulled clear at the top of the table, and they attracted a crowd of over three thousand people for their match against Farnborough, but the chasing pack were also in action and we have derby matches between Chelmsford City and Thurrock, Bromley and Tonbridge Angels, Dover Athletic and Eastbourne Borough and Welling United and Dartford. As ever, our thanks go to those that record, edit and upload these matches.
You can follow Twohundredpercent on Twitter by clicking here.


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Here you will find the dates for our information and education days as well as social events. For more details, click on an event name or contact one of our trustees
Please send any comments or suggestions to the webmaster
Badminton Sessions on Saturdays at 5:30.
For More information Download here.
© downsyndrome OK 2019. Registered Charity no. 1099580.


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Being an Example
- "The prophet Brigham Young said: 'We should never permit ourselves to do anything that we are not willing to see our children do. We should set them an example that we wish them to imitate.' Each of us can start today by being that good example" (Mary N. Cook, "Be an Example of the Believers," Oct. 2010 general conference).
- "In today's world replete with temptations, 'holding fast' can be challenging, as Satan in his conniving ways tries to pull us away from God's ways. If we have one hand on the rod and one hand in the world, we put our children and youth in danger of losing their way on the path. If our example is confusing, then in Jacob's words we lose 'the confidence of [our] children, because of [our] bad examples' " ("Be an Example of the Believers").
- "Hypocrisy is terribly destructive, not only to the hypocrite but also to those who observe or know of his or her conduct, especially children. It is faith destroying, whereas honor is the rich soil in which the seed of faith thrives" (D. Todd Christofferson, "Reflections on a Consecrated Life," Oct. 2010 general conference).
- "We do not need to be perfect—just honest and sincere. Children want to feel as one with us. When a parent says, 'We can do it! We can read the scriptures daily as a family,' the children will follow!" (Rosemary M. Wixom, "Stay on the Path," Oct. 2010 general conference).
Counsel to Parents
- "Each of us can reach out to hold on to the children. We can stop, kneel down, and look into their eyes and feel of their innate desire to follow the Savior. Take hold of their hands. Walk with them. It is our chance to anchor them on the path of faith" (Rosemary M. Wixom, "Stay on the Path," Oct. 2010 general conference).
- "Parents, obtain a personal copy of [For the Strength of Youth] and read it often. Live the standards yourself. Have thoughtful gospel conversations with youth that will help them develop their own desire to live and discover for themselves the meaning and purpose of the standards" (Mary N. Cook, "Be an Example of the Believers," Oct. 2010 general conference).
- "Parents of these magnificent young men and women, we charge you with the sacred responsibility of teaching your children the doctrines of the holy priesthood. Your children must learn at an early age of the blessing of having the Lord's eternal priesthood and what they must do individually to qualify for these blessings" (L. Tom Perry, "The Priesthood of Aaron," Oct. 2010 general conference).
Family Scripture Study and Prayer
- "Like [Lucy Mack Smith], we must show our children and youth how to strengthen their faith and testimony of Jesus Christ by strengthening our own through studying the scriptures and through prayer, personally as well as with them" (Mary N. Cook, "Be an Example of the Believers," Oct. 2010 general conference).
- "When our intent is to hold tight to the word of God, our reading of the scriptures can be just one verse at a time. It's never too late to begin. You can start now" (Rosemary M. Wixom, "Stay on the Path," Oct. 2010 general conference).
Family Home Evening
- "We build deep and loving family relationships by doing simple things together, like family dinner and family home evening and by just having fun together. In family relationships love is really spelled t-i-m-e, time. Taking time for each other is the key for harmony at home" (Dieter F. Uchtdorf, "Of Things That Matter Most," Oct. 2010 general conference).
Guidance for Standards
- "We must model that which is virtuous and lovely by our personal media choices. We must take care that the media we invite into our homes does not dull the sensitivity to the Spirit, harm relationships with our family and friends, or reveal personal priorities that are inconsistent with gospel principles. By example we can help our children understand that spending long periods of time using the Internet, social media, and cell phones; playing video games; or watching television keeps us from productive activities and valuable interactions with others" (Mary N. Cook, "Be an Example of the Believers," Oct. 2010 general conference).
- "We also model that which is virtuous and lovely by our dress and appearance. As a covenant people we have the responsibility to care for, protect, and properly clothe our bodies. We must help our children and youth understand that we respect our bodies as temples and as gifts from God. We set the example by refusing to purchase or wear immodest clothing that is too tight, too sheer, or revealing in any other manner" ("Be an Example of the Believers").
- "It's so important for husbands and wives to be united when making parenting decisions. If either parent doesn't feel good about something, then permission should not be granted. If either feels uncomfortable about a movie, a television show, a video game, a party, a dress, a swimsuit, or an Internet activity, have the courage to support each other and say no" (Larry R. Lawrence, "Courageous Parenting," Oct. 2010 general conference).
- "Courageous parenting does not always involve saying no. Parents also need courage to say yes to the counsel of modern-day prophets. Our Church leaders have counseled us to establish righteous patterns in our homes. Consider five fundamental practices that have the power to fortify our youth: family prayer, family scripture study, family home evening, family dinner together, and regular one-on-one interviews with each child" ("Courageous Parenting").
- "It takes courage to gather children from whatever they're doing and kneel together as a family. It takes courage to turn off the television and the computer and to guide your family through the pages of the scriptures every day. It takes courage to turn down other invitations on Monday night so that you can reserve that evening for your family. It takes courage and willpower to avoid overscheduling so that your family can be home for dinner" ("Courageous Parenting").
- "One of the most effective ways we can influence our sons and daughters is to counsel with them in private interviews. By listening closely, we can discover the desires of their hearts, help them set righteous goals, and also share with them the spiritual impressions that we have received about them. Counseling requires courage" ("Courageous Parenting").
- "Pornography will always repel the Spirit of Christ and will interrupt the communications between our Heavenly Father and His children and disrupt the tender relationship between husband and wife" (Boyd K. Packer, "Cleansing the Inner Vessel," Oct. 2010 general conference).
- "We raise an alarm and warn members of the Church to wake up and understand what is going on. Parents, be alert, ever watchful that this wickedness might threaten your family circle" ("Cleansing the Inner Vessel").
Protecting Family
- "An ever-present danger to the family is the onslaught of evil forces that seem to come from every direction. While our primary effort must be to seek light and truth, we would be wise to black out from our homes the lethal bombs that destroy spiritual development and growth. Pornography, in particular, is a weapon of mass moral destruction. Its impact is at the forefront in eroding moral values. Some TV programs and Internet sites are equally lethal. These evil forces remove light and hope from the world. The level of decadence is accelerating. If we do not black out evil from our homes and lives, do not be surprised if devastating moral explosions shatter the peace which is the reward for righteous living. Our responsibility is to be in the world but not of the world" (Quentin L. Cook, "Let There Be Light," Oct. 2010 general conference).
- "In addition, we need to greatly increase religious observance in the home. Weekly family home evening and daily family prayer and scripture study are essential. We need to introduce into our homes content that is 'virtuous, lovely, or of good report or praiseworthy.' If we make of our homes holy places that shelter us from evil, we will be protected from the adverse consequences that the scriptures have foretold" ("Let There Be Light").
- "Challenges and temptations are coming at our teenagers with the speed and power of a freight train. As we are reminded in the family proclamation, parents are responsible for the protection of their children. That means spiritually as well as physically" (Larry R. Lawrence, "Courageous Parenting," Oct. 2010 general conference).
- "As Latter-day Saints, we need to do our best to preserve light and protect our families and communities from this assault on morality and religious freedom" ("Let There Be Light").
- "If life and its rushed pace and many stresses have made it difficult for you to feel like rejoicing, then perhaps now is a good time to refocus on what matters most. . . . It is good advice to slow down a little, steady the course, and focus on the essentials when experiencing adverse conditions" (Dieter F. Uchtdorf, "Of Things That Matter Most," Oct. 2010 general conference).
- "Since 'no other success can compensate for failure' here, we must place high priority on our families. We build deep and loving family relationships by doing simple things together, like family dinner and family home evening and by just having fun together. In family relationships love is really spelled t-i-m-e, time. Taking time for each other is the key for harmony at home. We talk with, rather than about, each other. We learn from each other, and we appreciate our differences as well as our commonalities. We establish a divine bond with each other as we approach God together through family prayer, gospel study, and Sunday worship" ("Of Things That Matter Most").
Teaching Children
- "The world will teach our children if we do not, and children are capable of learning all the world will teach them at a very young age. What we want them to know five years from now needs to be part of our conversation with them today" (Rosemary M. Wixom, "Stay on the Path," Oct. 2010 general conference).
- "Teach them in every circumstance; let every dilemma, every consequence, every trial that they may face provide an opportunity to teach them how to hold on to gospel truths" ("Stay on the Path").


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|National Famine Memorial, Murrisk, County Mayo, Ireland.
If you have Irish ancestors who travelled to North America at the time of the Great Famine, during the year which is known as 'Black 47', you may find this to be a useful research tool.
I created this document as a spreadsheet and have arranged the information alphabetically by surname and then forename. When you are searching, peruse the entire range of names within a particular surname in order to locate siblings. To make searching easier I have posted each page of the spreadsheet in its full size.
The information included is from an 1847 register of children who stayed in the Catholic Orphanage of Québec prior to being adopted or returned to family in Ireland, or sent to family in Canada or the United States. The orphanage was under the operation of La Société des Dames Catholiques de Québec, Catholic nuns who operated both an orphanage and a school.
The following information is included in the spreadsheet:
REGISTRATION NUMBER: each landed person was assigned a number for administrative purposes.
DATE OF ENTRY (or administration): you will notice that sometimes the dates are not the same for members of the same family. The date listed is not necessarily the date on which they landed at Gross Île, but rather the date on which they were processed. Also, some children were returned to the orphanage at a later date by the person(s) who adopted them and so the date is an administrative date.
FATHER'S NAME: father's first name.
MOTHER'S NAME: mother's name. Most of the mothers named on the list appear with their maiden name.
PARISH: Under this heading you will find the Irish parish of origin, in other words where the child is from.
COUNTY: Under this heading you will find the Irish county of origin. For the most part the county names are Irish; however there are a couple of exceptions. For example, in October of 1847 the McCrae sisters landed at Gross Île. Ellen, aged 12, and her sister Anne, aged 10, are listed as coming from the County of Loughelsh. There is no county Loughelsh; however, the name of the ship on which they sailed, the Eliza, may provide us with a clue. The Eliza sailed from County Mayo in 1847, so Mayo may be their county of origin. The other possibility is that they are not Irish at all, but may be Scottish, given their surname and the fact that "Loughelsh" might be "Lochalsh" Scotland.
Also, Queens County is the county now known as Laois, and Kings County is the county now known as Offaly.
VESSEL: The name of the ship on which they sailed.
ADOPTED BY: The name of the person or persons by whom the child was adopted. You will note there are some cases in which siblings were adopted by the same person. More often than not siblings were separated and adopted by different individuals; however, in some cases the children did end up in the same town. Many of the surnames are French-Canadian, but you will notice Irish surnames in the list of adoptive parents. In some cases the only notation is 'Person in...' preceding a town name.
LOCATION: The name of the town in which the adoptive parents lived, and presumably where the child ended up living. In some cases you will notice only a street address and in these cases the town may be assumed to be Québec City. You will also notice that many of the children were adopted by persons living in locales such as Rimouski, Nicolet, and Lotbiniere. Some entries list the location as Upper Canada. Prior to the Canadian Confederation of 1867, this is the name for the area which is now known as the province of Ontario.
DECEASED: I created a distinct column for purposes of clarity about those who were deceased, because this information is not usually noted in the same place throughout the register. Included here is the date of death for children who never made it out of the orphanage. The register notes some as simply "died" and gives no date of death.
REMARKS: I created a distinct column for remarks also for purposes of clarity. Some of these remarks are noted in the register under the child's name; some appear next to their age, and so on. The remarks are very interesting, and some are quite shocking. For example 5 year old Anne Connelly is noted simply as "disappeared". Other remarks provide information about such things as the whereabouts of the birth parents, the profession of the adoptive parent, and notes about any money that the child was carrying with them at the time. In some cases the nuns kept in touch with their young charges, so for some of the children you will find information about who they married or when they died after they left the orphanage.
*Notes: The question marks which appear in my spreadsheet appeared in the register, so I have included them here. The spellings are original to the register. Anything which I have added, but which is not included in the original register, appears in square brackets.
For more information about the quarantine station and immigration to Gross Île Québec visit my blog post: The Great Famine: Did your ancestors land at Grosse-Île, and then go to the United States?


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Frostwolves second Rag kill
Well, I was worried yesterday when we made the group for Ragnaros. We didn't have enough for 25 man so we just did one 10 man.
So the group makeup was:
Tanks - Hwired, Belinia
DPS - Sevros, Roshii, Moopie, Faithless, Ayelena
Healers - Targetme, Shnaptim, Yuda
I was worried that there wouldn't be enough DPS. But I am pleased because they must be better than us because they one shot it!!!
So from Rag, Belinia got the Tier helm, Yuda got Ko'gun, Hammer of the Firelord, and Fish got Casque of Flame from Baleroc. From Domo Faith got Stinger of the Flaming Scorpion from Domo, and Hwired got Tier Shoulders.
So Roshii and Moo said they were lucky because most of the meteors followed them. And they basically pinged it back and forth at the front. So that was good.
Faith said that if her dps wasn't good enough she would sit out after one go, but looks like they didn't need to do that!
I forgot to mention on Wednesday I got Smoldering Censer of Purity. I actually took the ring from Shannox initially but when that staff dropped I gave the ring to the next person.
So next week, I think the group should include Caedis, and Manbull and Biship. Let's hope that it goes alright. I still think we need a core of people to be doing it to ensure that the kill is smooth.