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Friday, March 16, 2007
Referring to the idea that, like athletes, surgeons are engaged in demanding physical work, I wrote recently about having an "off-day." Another side of the same coin is having a tough day: as distinguished from not being on one's game, here I mean to describe what it's like to face an exceedingly difficult and danger-filled situation. Notwithstanding having one's faculties and wits gathered and finely honed, as in command of yourself as you can possibly be, it may test and demand everything you can bring to bear. All the antiperspirant in the world wouldn't suffice. I've been in war, when I feared daily for my life. It's not pleasant, but in some way you can get used to it. In my situation, at least, the odds were with me, so it wasn't too hard to ignore. Fearing for the life of someone in my charge, having to forge ahead knowing the next move could literally be fatal, while knowing I have no personal risk at all -- that's unique at least insofar as I can figure at the moment. Harder than being a soldier, a cop, a firefighter? Surely not. But distinctly different, I'd say. You're in the position of making that fatal move, as opposed to responding to one made at you. I've been in situations where I've failed to save a severely injured person. It feels terrible. I've not made a move that killed someone. But I could have.
On one occasion during my internship, I was holding retractors while a professor was trying to extirpate a large pelvic tumor. I don't remember the details -- probably the ensuing river of red washed them out of my brain. What I clearly recall, as if I were carrying the picture in my wallet, is the shock at how fast the field filled with blood. That's the way it is when the iliac vein is breached: it's big, it's flimsy, it doesn't hold a stitch very well. And it's connected immediately to the vena cava, the biggest and bluest of them all. Whenever you approach it -- as is the case with any big blood vessel -- you want to have wide access to it. You need "proximal and distal control," meaning the parts of the vein north and south of where you plan to work need to be readily available, cleared, and ready for clamping. Dissected out, maybe slung with rubber loops. With a big tumor blocking view, ain't no way. So the surgeon worked his way around the mass while, I'd have to assume, aware and worried about what lay beyond. Whether he lost his way, didn't anticipate the anatomic distortion, or just came up snake-eyes, I can't say. But when he lacerated the vein during dissection blood poured out like a prison break, and the tumor blocked any possibility of controlling the flow upstream. Blindly placing sutures, frantically replacing blood -- whatever was done, it didn't work. The patient bled to death in the operating room, one of the rare times I've seen it happen. Watching such a thing leaves one deeply affected.
I've been there. Working deeper into the pelvis when the view is distorted by a huge tumor, stuck to the sidewalls, the bladder. Forced to do something about a nearly undecipherable mass of indeterminate origin, causing obstruction in multiple parts of bowel stuck to it. Wanting a bailout way of avoiding opening the door to disaster, but finding none. "OK," I'll say. "We could get into big trouble here. Let's take a minute to get everything ready." I suggest to the anesthesiologist that he/she start another couple of IVs. Send blood to the blood bank and get them working on crossmatch. Be sure they've got a bunch of O-negative blood available (In a pinch, you can give it to anyone). Get the cell-saver in here. Open up some vascular clamps. Wait till it's all there. And, because when I want to focus everything I have, I like to open an emergency pack of silence, I tell everyone in the room to stop loose talk, and to shut off the music. (Subject for a future post? Music on the OR. I like it, usually. Except in deep and deepening shit.)
There are other disaster scenarios, but the iliac vein/pelvis thing is especially evocative for me, having seen what I saw those many years ago. I'm sure it's not unique to surgeons, or to physicians. In some things, our approach is shaped by the memory of a single impactful event. I'll say this: it has a way of marshaling all of one's faculties. As frightening as it is, in some measure it's also thrilling to experience oneself become so focused, literally to blot out everything else in the world, and like a living lens to direct all input to a single centimeter of space, to have time become meaningless and imperceptible. Perhaps paradoxically, despite sensing breathing speed up, aware of rising pulse rate and of drips of sweat sluicing down my sides -- even needing to pause for the ultimate cliche, the wiping of one's brow by a nurse (I've dripped sweat into the occasional wound -- and flushed it away with lots of saline) -- my hands don't shake. But yes, dissecting my way into the area as carefully and clear-headedly and patiently as I know how, at some level I'm scared as hell. And although while in the maelstrom there's confidence you can carry on as long as necessary (like sound and extraneous thought, physical discomfort shrinks into insensibility) when the tense part is over, physical exhaustion can well up with surprising suddenness and depth. Neck stiff, bent back and hyper-extended knees sorry and sore.
I guess there's a sense of accomplishment, but it's more like having dodged a bullet, of having lucked out. Knowing it easily could have gone in another direction, feeling like you never want to do that again, it's hard to feel pride. Only relief. As much as I believe that the way to handle complications is to avoid them in the first place, and as hard as I work to follow that path, the feeling -- even when pretty sure there was no option -- is one of second-guessing whether I missed an alternative to skating on such thin ice. I couldn't do it every day.
12 comments:
While I'm sure other professions have those types of disaster scenarios etched in their minds, only in a few fields like medicine and surgery does it affect actual life. So few non-doctors understand the additional stresses that are added as a result.
Thank you for these wonderful posts! They've helped me to remember the draining, hard work involved in anything truly worth-while (from my point of view and I'm sure my surgeon's point of view). Truly admirable people persevere.
P.S. I'm trying to find out if I can re-do the essay that I failed, and I'll learn the correct MLA format if it kills me.
- Lynn Price said...
Wow. Just...wow.
- SeaSpray said...
Wow! Excellent and informative post and I am printing this. Again - you are talking to me where I am at and while unnerving, I am also greatly reassured at understanding the precautions taken and the skill involved and how dedicated a surgeon is. I also remember your saying how a patient is never safer than when in the OR as everyone in there is focused on them and watching all vitals, etc.
I do believe that when that person bled out that it was their time. I don't pretend to know why it had to happen then, in the OR - or to understand the timing of anyone's departure to the other side - but, just that sometimes all you can do is your best and life just goes in another direction, literally.
Thank God for all the dedicated doctors - we need you - thank You. :)
- Greg P said...
There are many situations in medicines like this. Experience teaches you to take to heart past events you've had and you've heard about so that when you are beginning to travel in dangerous territory you have mental scripts that teach how to meticulously avoid trouble, and what you are going to do if they happen. When they're not obvious like a gushing blood vessel, the trick is to recognize when something very bad is going on.
When faced with someone very sick, I ask myself, "What's the worst thing this could be?"
- Bo... said...
This is a great post. I truly believe that the job of performing surgery on sick/injured/mangled people is probably the single most stressful one in the world. My experience comes from the ER, and I well remember the nights I helped tired and courageous docs sew people up while wading through rivers of blood. One night I entered an exam room to help a doc who was standing there quietly holding his finger on a spot on the top an old guy's head (the guy had slipped & fallen in a kitchen). I asked the doc why he was doing that and he replied: "Because he busted an artery." I scoffed and said: "Oh come now, doctor, it's just a small lac on the top of the head---surely it couldn't be an artery..." So the doc released the pressure from his finger and the resulting pulsating stream hit the ceiling. (So I shut my silly mouth and quickly set about gathering the equipment he'd need to fix the guy's head....)
- Bongi said...
the other day i walked past a colleague. he stopped me and simply said "first do no harm". i knew he had gotten into deep water during an operation. he is an excellent surgeon and fortunately got himself (and the patient) out again. the point is sometimes one stops half way through an operation and thinks why the hell did i study surgery? the thought that a decision you make now may be the difference between the patient living or duying is sometimes pretty huge.
this excellent post (once again) exactly captures the essence of it.
the other thing you touched on was the post adrenal rush exhaustion. i definitely experience it, almost exactly the way you describe it.
master blogger schwab has spoken.
- Bongi said...
greg, ofter in surgery there is not too much of a trick to recognising when something very bad is going on. some of the signs may be the anaesthetist swearing and screaming for the defib, the bleeding suddenly stopping without you getting control, the warm moist feel of blood through your clothes running down your leg, etc. the trick then is to do the right thing calmly and quickly even if others around you are losing it. i think neurological conditions generally kill slightly slower.
- Sid Schwab said...
Yeah. I think I may have referred to it already somewhere, but on one occasion during training, I noted the anesthesiologist had increased the tempo of his activity, following which he calmly leaned over the ether screen and said, "You guys might want to stop what you're doing and start some chest compressions..."
- SeaSpray said...
God Bless you all - really god bless you all! :)
I want to bake you all some cookies, fix you a food platter and give you a hug with a nice thank you note. There you go. You are not my docs but from your writing, I feel appreciation for what you do and even more for the docs that have and will be taking care of me. So, that is my cyber gift - from me - to you. :)
However, this girl at the moment is thinking "YIKES!", and is going to her happy place now. :)
It is a beautiful sunny day (snow all around) so, I am walking, Dr. Schwab - walking, walking and walking! As always, thanks for the insights.
I do know these things and I do believe that things work out the way they are supposed to. Sometimes through a more circuitous route than originally planned, but that they go as they should.
I don't know why I felt a momentary sense of panic regarding the OR after reading the last few comments. I want to know about this stuff. Maybe because today, I woke up with this real sense that the clock is ticking, which is good because I do want answers and I want to get this all over with, one way or the other.
I was someone who had to go through some infertility tests before finally conceiving and so, as you can imagine, was thrilled that I was going to finally, have a baby. However, I remember waking up one night - totally panicked - thinking "I am going to have a b-a-b-y. It's going to hurt. What if..." of course. I wasn't going to cancel the order, nor did I want to - but just had this moment of fear.
So,I guess I am having one of those moments - first time in weeks. fresh air does wonders. :)
- Sid Schwab said...
seaspray: these examples are so much the exception as to be not a lot more than good post fodder. In other words, in elective (meaning non-emergency) surgery, the chance of something really serious going wrong is incredibly small. Out of thousands of operations, I have only a handful of "good stories" of this kind, and none refer to your kind of situation. So keep on walkin', yes indeed you're a-walkin', but don't fret. It's only because this stuff is so exceptional that it's worth writing about!
- SeaSpray said...
Thanks Dr Schwab. I'm fine. I have actually been feeling good and feeling encouraged based on my own symptoms or lack of, post stent removal.
I think the waiting is getting to me a bit. Ha! Of course, knowing me - as much as I DO want to get this over with, when it finally does become time for the next test, I will be seriously tempted to go MIA. (I'm kidding!..or am I?)
Historically, I have been a patient who does well in the OR. If I do need to go down that road or through those doors, should I say - I know I will be well taken care of.
I don't think I can adequately articulate just how grateful I am to you for your well written posts regarding all the precautions taken to ensure the patient's safety, the skill of the surgeons and other OR staff. Intellectually,I have known this, but still reading these things as seen through your eyes and as based on your life's experience has helped immensely.
I just want you to know that for most of the time that I thought about possible impending surgery that I had put my focus on the the risk factors and then obsessed and viewed surgery from totally negative perspective. However, your informative posts have been one of the key catalysts for turning my attitude around for the better.
Who knows why those stupid little darts of fear sometimes penetrate and invade one's otherwise happy psyche?
You know your taking Trust post is still my favorite followed by your fairly recent one on going into the OR with a positive attitude. (sorry - name of that post escapes me) Surgeonsblog is most definitely one of the best blogs around and one of my top favorites. :)


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The Washington State Department of Transportation finds the ubiquitous Web 2.0 app to be a real tweet when Web site traffic is high.
Photo: Twitter messages are used for everything from traffic alerts to ferry route changes
Government is slowly finding real-world purposes for Twitter, a free short messaging service that allows users to post updates (or "tweets") to twitter.com subscribers via Web browsers, mobile phones and instant messaging clients.
Police departments are posting tweets with crime updates, fire departments are tweeting the street addresses of structural fires and governors' offices are using Twitter to disseminate news releases. The Washington State Department of Transportation (WSDOT) updates its feed, http://twitter.com/wsdot, with traffic alerts and route changes for ferries.
But Twitter has a larger purpose for WSDOT: It helps continuity of operations, according to WSDOT spokesman Lloyd Brown.
"In an emergency, people will come to our Web site, [www.wsdot.wa.gov] en masse to the point that it overwhelms our servers -- we've had that happen during snowstorms and other major weather events," Brown said. Because the Web site is a popular source of traffic updates, sometimes it can't handle a sudden spike in page hits, he said. During an emergency, WSDOT is considering the option of posting a "neutered," bare-bones version of its Web site that contains a Web link to the Twitter feed.
"One of the things that we're considering if we get into an emergency situation like that, we can update Twitter and our blog with our handheld BlackBerry or iPhone or whatever we have. It's a continuity of operations opportunity for us," Brown said.
When WSDOT initially decided to log on to Twitter, the department wasn't thinking about continuity of operations, he said.
"But on July 31, three major traffic incidents nearly brought the Web site down - it's a very popular site for getting traffic information. Our Web guru started 'tweeting' on the situation, and suddenly the number of people who were following us went from 20 to 160." Ever since, WSDOT has been the spreading the word about its Twitter feed.
Visit Government Technology on Twitter.

subset: commoncrawl


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|What are some examples of a "Proof of Purchase" to provide when initiating an RMA?
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text:
Palmer United Party will have three senators in Canberra come July, but Greens senator Scott Ludlam has missed out on his bid for re-election.
PUP's Zhenya 'Dio' Wang, who works in the mining industry, has been elected to the Senate in the fifth spot for Western Australia.
But the result has been disputed, with both the WA Greens and Australian Sports Party lodging requests for a recount.
Senator Ludlam confirmed on Wednesday afternoon that the Greens have lodged a formal request for a recount, given there were only 14 votes between the Australian Christians and the Shooters and Fishers Party, with the tight result impacting on the flow of preferences.
''It appears they [PUP] have been elected on roughly half the vote of the Greens, and that is the sort of result our voting system throws up from time to time,'' Senator Ludlam told ABC radio earlier on Wednesday.
Despite early indications that he might get a Senate spot, Wayne Dropulich from the Australian Sports Party also missed out in WA.
The Australian Electoral Commission in WA plans to make a decision about the requests by 5pm AEST on Thursday. Until then the formal declaration of the results - which was due to occur on Wednesday - has been delayed.
While there is an automatic trigger for a recount in the lower house - if there is less than 100 votes between the top two candidates - there is no such trigger in the Senate.
The AEC WA understands that there has never been a recount at the Senate level.
Mr Wang is set to join PUP's Glenn Lazarus, who was also announced as a senator elect for Queensland on Wednesday, and Jacqui Lambie who has already been declared a senator for Tasmania.
According to Palmer United, Mr Wang ''plans to abolish the carbon tax and focus on downstream processing of Australian natural resources in Australia''.
Labor senator Louise Pratt, who has been a prominent advocate for gay and lesbian rights, has been re-elected in the sixth Senate spot for WA.
Defence Minister David Johnston was re-elected in the first spot, followed by Labor's Joe Bullock, Minister Assisting the Prime Minister for Women, Michaelia Cash, and the Liberal Party's Linda Reynolds.
PUP leader Clive Palmer is still awaiting a final result himself in the close contest for lower house seat Fairfax, with a recount due to begin on Thursday.
Mr Palmer said the Senate election results were a ''tremendous achievement in our election debut''.
"The Palmer United Party looks forward to working with the Abbott government to get Australia back on track."
The result leaves the Greens with nine senators after July when the Senate changes over – the same as their current number, thanks to the election of Janet Rice in Victoria.
The NSW and Queensland senate results were also announced on Wednesday.
In NSW, Assistant Treasurer Arthur Sinodinos made the cut in sixth spot, despite earlier concerns he might not be elected.
The Liberal Democratic Party's David Leyonhjelm was elected in fifth spot, after benefiting from the first position on the ballot paper.
Human Services Minister Marise Payne was re-elected in the first position, followed by Labor's Bob Carr, the Nationals' John 'Wacka' Williams and Labor's Doug Cameron.
In Queensland, the Coalition's Ian Macdonald gained the first spot, followed by Labor's Chris Ketter, the Coalition's James McGrath, Labor's Claire Moore, Mr Lazarus and the Coalition's Matthew Canavan.
As of July, the Senate will be be divided between the Coalition (33), Labor (26), the Greens (9), PUP (3) and five other independents/minor parties.
with AAP
Judith Ireland is a political reporter for the Sydney Morning Herald and The Age, based at Parliament House


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As I get closer to the end of my doctoral studies, I am left feeling both hopeless about the future of a consistently successful school reform model while at the same time feeling more informed about the realities of an opportunity gap that exists in our country. We have spent the last three years immersed in conversations about school reform and the achievement gap that has supposedly been plaguing many of our schools, especially those found in urban areas. What I have come to believe and understand over the course of the last few months is that issues plaguing our schools go way beyond an achievement gap and are actually rooted in the opportunity gap that has permeated our society and is perpetuated within the confines of our schools. Our emphasis has become so singularly focused on addressing the achievement gap that we have lost sight of the whole child and the opportunity gap that potentially faces our children before they attend formal schooling and after they graduate high school. It is my belief that our nation is filled with the "haves" and "have-nots," which are at the root of the opportunity gap, and our schools continue to sort individuals into these two categories regardless of whether they are attending a public school, independent school or charter school.
From the release of A Nation At Risk over twenty years ago to the roll out of the Common Core State Standards about four years ago to the emphasis on educator effectiveness over the last two years, the discussions in most school districts have been focused on accountability in an effort to close the achievement gap and give all children access to highly effective educators and schools. We have come to believe that our schools are not effectively preparing our children for college and careers beyond school and thus school reform has been anointed as the highest priority.
Unfortunately, what we know through extensive research is that no one approach to school reform has been proven to work consistently nor has one been successfully replicated in different contexts. Let's consider charter schools and their impact on the school reform movement over the last twenty years. Curto et. al. (2011) argue that certain charter school models, such as KIPP and Harlem Children Zone Promise Academy, are indicative of the fact that a "high quality" school is enough to potentially transform the state of poverty and racial inequality in the United States. The review argues that a high quality school alone offers higher social returns than community-based interventions because students in these "high quality" charter schools are showing slight academic gains, especially in the area of mathematics, over their counterparts in public schools.
Reading this review of data in isolation could easily sway private funders and urban communities to believe that opening a "high quality" charter school will solve many of their problems and successfully close the achievement gap. From my perspective, those beliefs would be wrong! First off, we know that reviews such as this one, where the focus is on a small number of schools and students, spotlight data that may not be trustworthy and cannot be easily generalized (Hill, et. al., 2006). Curto et. al. focused their review on the research of others (in Boston and New York) and then zeroed in on a small number of charter schools from within those studies but in the end, didn't accurately reflect all the information we know about these specific schools. For example, using the Harlem Children's Zone Promise Academy as an example of a "high quality" school and not emphasize all the wrap around services they provide their students and the surrounding community paints an incomplete picture. In fact, if anything, HCZ is a strong example of the idea that it does take a village to educate a child, which is the opposite argument this study was presenting. Furthermore, what we know about charter schools through several other studies (Bracey, 2005; Zimmer et. al, 2003; and Miron & Nelson, 2001) is that their results are mixed at best. In some cases they perform better than local public schools while in many other cases they perform at the same rates or worse than similar non-charter schools. Finally, when considering the Curto et. al. review we see that there is evidence suggesting that some charter schools are struggling to get their students through college, even though they may have closed the achievement gap during the elementary and middle school years. This struggle, post charter school, speaks to the opportunity gap that negatively impacts the "have-nots" in our society because although charter schools can control many variables while the children are in their buildings, they cannot effectively control what happens after children graduate.
In addition to the mixed data we have about the success of charter schools, which many would argue are the silver bullet in current school reform movement, we also know that some charters employ strategies and techniques that have not been proven to have long-lasting positive impacts on students, their performance or the surrounding communities. For example, there are charter schools that employ educators, in both teaching and leadership positions, who are products of the Teach For America program, which in itself has been a focal point of the school reform movement. Many of the educators who have been trained through the Teach For America program and end up in leadership positions would argue that improving schools and closing the achievement gap can be handled by charismatic leaders through mostly managerial solutions where they hold teachers accountable (Trujillo & Scott, 2013). Trujillo & Scott (2013) point out that TFAers who assume leadership positions rarely focus on the social and political inequalities impacting the school; these leaders also devote little time to collaborating with the community and the children's socio-emotional needs are not a priority. The focus in spaces led by these educators is test scores, which they see as the primary way to close the achievement gap while all the while ignoring the opportunity gap. If these leaders would dedicate time to connecting with both their students and the communities at large, I would argue that they would better understand the issues impacting the children and their families and they would appreciate that test scores are only one tiny piece of the puzzle in trying to address both the achievement and opportunity gaps.
Regrettably, there are some important voices missing from the school reform movement conversation – the voices of students and their families. The lack of emphasis on student voice and engaging the families and community is a theme that runs through many of the readings we have encountered during this course. Whether it was the reform movement in Philadelphia where all decisions were made behind closed doors and community input was minimal, if any, or the PSCI movement in Los Angeles where families and the surrounding community were often confused as to the goals of this initiative (Marsh et. al, 2012), the common thread is the lack of community voice and engagement as it relates to school reform. The silence doesn't end there though because the voices of the students are also rarely heard in the school reform movement. In some charter schools, students are expected to have little or no say in their educational experiences and little choice in how learning unfolds within the context of school (Goodman, 2013). This lack of student voice and disapproval on the part of the adults for much of what students may want to express could be contributing to an diminished sense of self, which could have detrimental long term affects and could further contribute to the opportunity gap. Research shows that increasing student voice within the context of school can actually serve as a catalyst to improve teaching, learning, the curriculum and the relationships between teachers and students (Soo Hoo, 1993). Why would student voice and increased community engagement not be a focal point in the school reform movement when we know that these voices not only inform our practices but may also transform them? Our children and their families have a strong sense of self, the community and the school and by giving them a voice in the school reform movement, we may not only expand our approaches to addressing the achievement gap but we may also start understanding the opportunity gap, which is THE gap we need to close if we want to make progress as a nation.


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These are all the Children's Chat posted in January, 2013.
Monday, 28
New Award Books!
The American Library Association Awards were announced this morning. Winners are:
Newbery Award: "The One and Only Ivan," by Katherine Applegate
Caldecott Award: "This is Not My Hat," by Jon Klassen
Theodor Seuss Geisel Award: "Up, Tall and High," by Ethan Long
There were 3 Newbery Honor Books:
"Splendors and Glooms," by Laura Amy Schlitz
"Three Times Lucky," by Sheila Turnage
"Bomb: the race to build - and steal - the world's most dangerous weapon," by Steve Sheinkin
Note: "Bomb" also won both the Sibert Medal for best Children's Informational Book and the YALSA Award for best Teen Nonfiction.
There were five Caldecott Honor Books:
"Creepy Carrots," by Aaron Reynolds
"Extra Yarn," by Mac Bennett
"Green," by Laura Vaccaro Seeger
"One Cool Friend," by Toni Buzzeo
"Sleep Like a Tiger," by Mary Logue
There were three Geisel Honor Books:
"Let's Go for a Drive," by Mo Willems
"Pete the Cat and His Four Groovy Buttons," by Eric Litwin
"Rabbit and Robot: the Sleepover," by Cece Bell
The Logan Library owns copies of all of these books. Please check the catalog for availability!
For a full list of the awards, go to ALA Youth Awards 2013
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text:
Crystal Kelley got paid $22,000 to have a baby. But that wasn't the only offer the 29-year-old Connecticut mother of two received. After an utrasound at 21-weeks revealed significant medical issues, the parents offered her $10,000 more if she agreed to an abortion.
The gross immorality of that second offer tells us that there is a lot wrong with the first arrangement. It is intolerable that our society continues to put up with an unregulated, free market in hiring cash-starved women to make babies.
The couple, which had two other children, "were very attentive," Kelley told NBC Connecticut. "They wanted to be involved in the pregnancy. [The biological mother] said she really felt like she was living through me in this pregnancy and she wished she could experience it."
But after the tests revealed complex heart problems, a cleft lift and palate and other issues, the would-be parents decided that the pregancy should be terminated. Kelley refused, even after the money was offered after she was told the parents would no longer adopt the baby.
Then things went from ethically bad to ethically despicable. According to a CNN report, Crystal Kelley then got a letter from an attorney named Douglas Fishman reminding her that her surrogacy contract required her to get an abortion in the case "of severe fetus abnormality." The lawyer told her that if she did not promptly get an abortion the no-longer-wannabe-parents would sue her to get back the money they'd paid along with the money they'd spent on Crystal's medical bills and legal fees.
This crummy story goes on and on (for those who are curious, Kelley did eventually give birth and was able to find another couple to adopt the child), but there is enough on the ethical plate to see that there is plenty wrong with commercial surrogacy if a woman can be bribed or bullied into an abortion.
Let's do the low hanging ethical fruit first.
No one can contract with a woman to have an abortion. Under any circumstances. For any reason. Never. A woman controls her body and no one can make her do anything she does not want to do in terms of medical intervention with her body no matter what she has said before, signed or promised. The lawyer who tried to coerce and threaten Crystal Kelley to have an abortion should be subject to loss of his license to practice law. Any surrogate agency which conveyed an offer of money to encourage an abortion is guilty of at best bribery and an attempt to crassly manipulate a vulnerable woman. And any surrogacy agency that sticks abortion language into its contracts is guilty of gross misconduct.
Now let's go for the broader moral lessons evident from this horrific tale.
Surrogacy for money is about money -- not love, or help, or altruism or doing good. Money is most attractive to those who need it most. Young single mothers with kids to feed and bills to pay and the rent in arrears are not likely to read the small print. If we are going to put up with markets in wombs, then the least we can do is mandate by law that the potential surrogate has her own lawyer that she picks but that is paid for by the couple who want to rent her womb.
In addition, we need legislation that makes it absolutely clear that if you hire a surrogate you will legally be bound to accept and raise any child that results. Would-be parents who use surrogates must understand that if a fetus is found to have problems, it is their responsibility, not the surrogate's, to resolve them. If you enter the genetic lottery via surrogacy, you have to live with the consequences: that is the only way to insure the interests of children made via surrogacy are protected.
Lastly, we need tighter control over those in the commercial surrogacy broker business. If Crystal Kelley's story is any indication, there are a lot of brokers out there who are far more interested in making an easy dollar then protecting the women whose wombs they offer for sale or the children who may result from surrogacy arrangements.
Technology has given us many new and valuable ways to make babies. The free market – complete with its shady middlemen and lawyers -- is not up to the task of deciding how best to use that technology.
Arthur Caplan, Ph.D., is the head of the Division of Medical Ethics at NYU Langone Medical Center.


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There's a way you can help save California's state parks.
Would you be willing to pay more to to the DMV if it meant keeping the gates open at one of the state's treasures? That the idea being proposed by the California State Parks Foundation and voters could have a chance to weigh in on the idea.
Environmentalists want to collect enough signatures to put a measure on next year's November ballot that would increase vehicle registration fees to increase by $18 in the interest of state parks. The fee per vehicle would add up to about $500 million a year -- roughly double of what the state park budget is now. Commercial vehicles would be excluded.
It might not sound like such an attractive idea until you consider this: the increase means any driver with California plates would be allowed into state parks for free and the 100 parks stated to close under the budget shortfall could stay open.
How Your Car Could Save State Parks
DMV fee could keep gates open
There's a way you can help save California's state parks.


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Sensory Storytime
Event box
30 minutes. Geared for children at a preschool level. Wear comfortable clothes and be prepared to participate in these interactive storytimes with your child. After storytime, join us for 30 minutes of monitored social play that includes toys aimed at improving fine & gross motor skills.
These storytimes are ideal for children who are differently abled - they may be on the autism spectrum, have sensory processing issues, or feel overwhelmed by noises or crowds.
Due to the nature of this program, registration will be open to up to ten children and their families per storytime.
Sensory Storytime uses preschool-level books, songs, and activities to engage all five senses in developing emerging literacy, social interaction, and both gross and fine motor skills. Fidget toys and weighted pads will be made available, and children are encouraged to bring their favorite lovey, toy, or fidget.
If your child has difficulty sitting through a traditional storytime, this inclusive program of stories, songs, and activities may be just what you are looking for.
- Date:
- Tuesday, March 12, 2019 Show more dates
- Time:
- 10:30am - 11:00am
- Location:
- Small Meeting Room (A)
- Campus:
- Quakertown
- Categories:
- Sensory Storytime Storytime


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British Library April 2010 Birimingham Roadshow
Posted by gazjjohnson on 21 April, 2010
On the 20th April I travelled over to one of the stops on the British Library roadshow circuit. I was interested to hear about a number of developments, as well as catching up with a number of old friends and colleagues in the document supply field.
Future Developments BL Document Supply Service, Barry Smith
The theme of the day was looking at ideas that they can help with in times of fiscal crisis. He noted that the BL needs to generate revenue to support its wider goals, and this is what Document Supply services is about. He noted the biggest change is the major overall planned in their document supply services in the coming three years.
Background is more people are now in tertiary education than ever (estimated 140M+ globally as of 2006), and likewise more research than ever is being produced. Developing markets (India and China) exploding in terms of production. Creates an increased demand at the faculty level for the average number of articles read a year by academics 1977 (150 articles) by 2006 (271 articles). As a result the number of titles that are being subscribed to by unis has increased – more or less doubled in 10 years. However, hard times are ahead- current expenditure of £10M a year spent by BL on acquisitions cannot continue.
Discussed academic libraries' coping strategies (from a study conducted by Newcastle University) – plans how each will cope with the cuts. The largest portion by far said that 33% would respond by requesting more funding from their central bodies, but how realistic is this? Next on the list were cuts in book funds and serials funds. Staff cuts were above cutting Big Deals in 2009, but by 2010 these had risen dramatically in prominence. In US they protect acquisitions above staff. Notable that in the face of all this fiscal uncertainty that publishers remain bullish over increasing prices their prices; a deeply lamentable situation that a decade of open access has yet to impact upon.
A graph showing the demand on BLDSC for documents from m1973-2010 showed peak in requests in the period 1999/2000 (over 4M requests a year). Now this has dwindled to lowest point over this 30+ year period (less than 1.5M a year). Price vs cost of copies the current charge for an article is £5.40, but the cost to BL to supply is £6.64, thus there is expected to be a rise in the charge to libraries in the future. A project at the BL called Document Supply Futures is looking at manual activities to retrieve items and photocopy or scan. Increasing acquired digital content over physical held to reduce the manual processes need to distribute.
In the room only a few people (institutions) are already using Fileopen it seems (aside from Scotland). Barry noted that Adobe Digital Editions upgrades are built for Ebooks technologies not document supply, and this is major reason for the shift to Fileopen. Right now they are waiting for the tipping point to start planned withdrawal of ADE, but date as yet undecided. 36% of academic customers now on Fileopen, mostly in Scotland. Barry outlined the advantages of moving to Fileopen (I'm already convinced and we'll be running tests on it at Leicester in the coming months, with a plan to move to it for academic year 2010/11). Most experiences in the room with FO were good, some initial Mac problems, but these seem to have been resolved by the BL team now. Barry noted that they are trying to move to a point where you wouldn't even need a plug in to open Fileopen, but for now one is needed.
HE subscription model discussed – two year tie in – with the savings really beginning from August 2010 as transactional charges are frozen.
- Transactional model
- Aug 2009: £5.40 copies/£9.90 loans
- Aug 2010: £5.85 copies/£10.80 loans
- Subscription model
- Aug 2009: £4.95 copies/£9.90 loans
- Aug 2010: £4.95 copies/£9.90 loans
Development of the UK Research Reserve (UKRR), Pavan Ramrakha
In a rather brief talk Pavan gave an overview of this HEFCE funded partnership. With £9M over 5 years this aims to protect research info and free up 100km of shelving allowing collaborative collection management, and free up space for libraries. This allows disposal of material that is held by other members of the partnership as it will be supplied for free between them and the BL. 29 members are currently signed up to this, and membership is now closed. Since the start about 15km of space generated and 3% of the materials withdrawn have been deposited to the BL.
Within the membership supply is <24hrs and you can have branding on documents supplied, thus it appears as though the document comes from within your own institution. You can customise the coversheet with your local information.
EThOS a year in review, Barry Smith
For me one of the highlights of the event was to hear about where EThOS had reached. Barry explained that there was going to be a JISC/BL review of service in the coming year and we would have a chance to be involved in this. Currently there are 7,600 theses downloads a month vs 400 items a month for the old microfilm service (interestingly this is comparable to a mid-sized IR). He acknowledged the issues over summer 2009 where demand far outstripped capacity to digitise. Throughput dropped from 30 day to 90 day turnaround per item and the BL employed three shifts to get over the backlog. In terms of the age of theses being digitised – three quarters (73%) are post 1995. 69% of ETHOS users are from the UK, which is perhaps not a surprise when you realise that the site is neither indexed by Google nor promoted overseas. The BL fear is that this would increase demand beyond their capacity to digitise, although EThOS is hardly a secret I would say within the global academic community. There was also the issue that more traffic to the site would mean more pressure on their servers.
109 universities are involved (Oxford and Cambridge still notable hold-outs) and as of 2009 (Jan) 94 of these were by the subscription model. By Jan 2010 this had dropped to 72 using this university pays model, with the remainder switching over to the first user pays model. Barry acknowledged that there are concerns from those universities on the subscription model effectively paying for the theses in other institutions to be digitised as well as funding their own subscriptions & digitisations. He argued that many are unhappy with this state of affairs digitising stock that is not of interest to their core (local) audience.
Cost cuttings over the next four years in HE libraries means that participation in EThOS may well be seen as more of a luxury (although personally I suspect I would be hard-pressed to resource effective digitisation for the relatively small fee we pay), Many unis are also stopping loaning theses on the back of their involvement in EThOS. BL is seeking a way of making EThOS a more representative archive, rather than a patchwork. They also want to find a new way to fund it, in many respects they can't continue to expect Universities to bank roll digitisation the way they have done.
"Monetising" ETHoS is a way forward possibly was considered – charge non UK-HEI users was suggested but rejected as they could just use IRs to access the same files. Another suggestion was to give more information on who is requesting a thesis to the universities (status and affiliation) so they can make a value judgement and consider if it is a priority to digitise a thesis in response to a request. Discussions about asking for digital copy from authors, and noted that Leicester and Nottingham were among the few to do this in the room.
One thing that was a little shocking was how EThOS handles inappropriate levels of request (tens and hundreds) from single individuals. They do monitor this, somehow – they didn't go into depth, but they do not actually have a fair use policy for the service. I find this somewhat surprising for a major national service of EThOS' age. Barry cited a recent incident where a US woman requested 300 theses – their approach was to use Google Street view to look at her house, assess whether this looked academic and then ring her up. To me this hardly seems a robust or systematic approach, and it does seem that EThOS is now finally thinking about developing a proper fair use policy.
One thing I did take away from this talk is that I still have my doubts about how effectively EThOS is being run, but at least now the BL do seem to be beginning to acknowledge the myriad of concerns that I've heard throughout the HE community past couple of years.
A question from the floor was about the microfilm theses that for years the BL created – why were these now no longer loaned? Barry confirmed that while these could be consulted in the BL reading rooms, that yes they were no longer loaned. The staff who ran the British Thesis Service had been redeployed to work on EThOS and so there wasn't the capacity to send these. For now their non-loan status was set to continue.
Introduction to New BL Resource Management Platform, David Hughes
David showed off their resource navigator a tool which can help a library manage subscriptions as well as cost-per-articles statistics for e-subscriptions. It offers a federated search with customisable options and an integrated, knowledge base alerts the user where subs are available locally. Not clear why we would want to use this tool, no matter how customisable it was – when our local federated search (single search) tools are already set up.
Next he showed the A-Z manager a low maintenance way of tracking things you have licensed in a single database. Admin tools to make own site. One report allows you to identify where you are subscribing to journals from more than one source, and in terms of reviewing subscriptions I could see how this would be of value to my information (subject) librarian and Periodical team colleagues. No pricing or technological details were mentioned, so it wasn't clear if either of these two products comes with a price tag, nor the system requirements needed to run them
One Response to "British Library April 2010 Birimingham Roadshow"
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Doc, R-Phillies Win
Thursday's a day off so here's a chance to review some numbers:
**Road trip ended 4-2 against two teams that are headed for the playoffs. Included was one painful loss and one painful blown call by the umpires.
**The Phillies have now won the season series (4-3) from the Reds eight straight seasons.
**Phillies outscored Jay Bruce in the series, 11-6. Yep, Bruce drove in all the runs.
**Doc improved to 110-0 when given a lead of four or more runs. Has won six of last seven decisions, 3.00 ERA.
**Phillies are 58-38 in his starts.
**Wednesday's win means the Phillies are 10-3 in day games after starting 9-22.
**Leak, in his career vs. the Phillies, 26 runs in 27 innings.
**Since the All-Star Game, Phillies starters have a 3.39 ERA, second only to the Nationals in the NL.
**Same starters have issued the fewest walks (198) and recorded the most strikeouts (769) in the majors for the season.
**Eight series remain, three against teams with winning records (Washington twice, Atlanta once).
*Phillies Insider ranked #16 in August among MLB Pro blogs. At the end of July, #22. A big thank you!
Down On The Farm
Reading defeated visiting Trenton, 4-2, on back-to-back, 7th inning homers by C Tommy Joseph and RF Leandro Castro. DH Jake Fox also homered for the R-Phillies who took a 1-0 lead in the best-of-5 first-round playoffs. RHS Austin Hyatt, no decision, 2 run, 4 hits, 6.1 innings. RH Tyler Knigge (1-0), 1.2 innings, 0 runs, 2 hits, 2 strikeouts. Save for RH Justin Friend, 1 hit, 1 walk, 1 strikeout, 1 inning. Game 2 is Thursday night.
Williamsport ended its season with an 8-4 win over visiting Auburn. RF Cameron Perkins, 2 hits to lead the club in hitting, .304. 1B Chris Serritella, 2 hits; LF Larry Greene, 2 hits, including club-high 22nd double; finished at .272. SS Roman Quinn, set club records in runs (56) and stolen base (30) while hitting .281. RH Jeb Stefan (2-4) was the winner.
September 6, 1952: RHP Robin Roberts gives up six runs in eight innings but pitches all 17 inings as the Phillies rally for a 7-6 win over Boston, first game of a Saturday doubleheader. Roberts' line: 17 innings, 18 hits, 6 runs, 5 earned, 2 walks, 5 strikeouts. Second game is suspended after eight with the Phillies losing. It is completed the next day, a 3-1 loss.
Guess they didn't focus on pitch counts back then.
Alumni phlashbacks, pheatures and photos: www.phillies.com/alumni.
1 Comment
I looked up the boxscore for that 17 inning marathon that Robin Roberts won. Besides Roberts' his most unusual pitching line, I noted a couple of things. While none of the starters on either the Phillies or the Boston Braves were held hitless, the batting averages of Phillies star centerfielder Richie Ashburn and Braves' infielder Jack Dittmer took a hit that game. Both managed only 1 for 8 performances. Conversely, the best hitting performance of the day was enjoyed by Braves' outfielder Sid Gordon. He went 5 for 8 off Roberts, all singles. Gordon is not well known today, but the Brooklyn native had a fine career. He played from 1941 to 1955, missing '44 & '45 for World War Two military service and hit 202 home runs, batted .283 lifetime and made the 1948 & 1949 National League ALL-STAR TEAMS. He played most of his career with his hometown New York Giants


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Helix has a new album out now called A HEAVY MENTAL CHRISTMAS and I had the opportunity to ask founding member/lead singer Brian Vollmer a few questions…..
12 Questions with Brian Vollmer of Helix
HMA — Helix has a brand new album out called A HEAVY MENTAL CHRISTMAS, please tell us about the new record.
Brian Vollmer — The idea for the CD came about while I was out to dinner with Mitch Lafon of Brave Words and Bloody Knuckles when we played in Montreal last summer. When I bounced the idea off Gord Prior (my business/writing partner) he took the idea to Wal-Mart, and from there to the recording studio.
HMA — The Trans-Siberian Orchestra has enjoyed great success with Christmas themed Rock operas since 1996 and Twisted Sister has also released a highly successful Christmas Rock record and DVD in the last couple of years. Did those bands' success with this concept influence you to follow the same idea?
BV — Personally, I think it's a great idea! Yes. Really though, the idea has been around since Bing Crosby, etc. One of my favorite CDs of all time is James Brown's Christmas CD.
With our CD we've tried to keep the "Christmas Spirit" in the tracks as well as the Helix "sound". On the surface the songs sound very simple, but if you listen closely to what the guitars, bass, and drums are doing and compare that to the original songs, there's a hellva lot going on. Paul McCartney's original " Wonderful Christmas Time" for instance, really doesn't even have a rhythm section. Gord says the original rhythm is based on "wishes and bubbles". The John Lennon song "Happy Christmas (War is Over)" is another example of a song which we've stripped down and presented as a metal power ballad of sorts. I'm singing John's part and Yoko's part. At first I didn't even want to touch the song (John Lennon is sacred in my eyes) but when I heard the final result I was happy with what I heard. Ditto for every song on the CD.
HMA — A HEAVY MENTAL CHRISTMAS is available through your website, PlanetHelix.com, and will be available for purchase at Wal-Mart stores throughout Canada. Is there distribution set up for the U.S. and Europe? Are there any plans to tap into the downloading market through sites like iTunes, CD Baby, etc.?
BV — Usually we distribute outside of North America through mail order companies or through the Planet Helix website. I like to keep control over whatever I do. Anytime you give away rights to press to someone else you're taking the chance you'll never see any money from them. Take the case of Sanctuary, on our last CD "The Power of Rock and Roll". Universal bought them out shortly after, and no one from Universal has even bothered to contact me or send me a statement since. It's almost been two years now!
HMA — Helix regularly gigs across Canada, any plans to tour in support of the new album in Europe and, most importantly, down here in the States?
BV — It's hard to tour Europe because of the overhead costs. We did however play Sweden Rock Festival in 2005 and hope to return again in 2009. The States is another situation entirely. Clubs are a dead end deal; fall fairs, concerts, or tours are the way to go if you can get them. I would rather play one gig in a concert situation in the States than 20 shitty bars. Next August we're booked to play in Des Moines, Iowa for a flood relief concert. That will be a high profile gig just like when we played last summer at South Texas Rock Festival, which drew 30,000 fans over 3 days.
HMA — PlanetHelix.com is your official website and it's really a great hub for fans of the band and the music. You regularly update the website with plenty of news and information but you also keep it interactive: people can come and listen to all the Helix albums, they can purchase CDs and merchandise, and you keep an open line of communication with the fans. When I discovered PlanetHelix a few years ago, I was psyched to see that you could listen to every album. Not many bands are willing to do that. How important is it to have that connection and communication with the fans?
BV — Everything. It's the grassroots following that has kept us going all these years. I spend a large part of every day just sending emails to fans and keeping in touch with people in the business.
HMA — In December 2005, you published your autobiography, Gimme An R!, and there was a lot of critical acclaim. I read a lot of reviews on Rock websites and I noticed a lot of positive comments from people like Sebastian Bach so I bought my copy in the Fall of 2006. I've read it about 8 times and I always marvel at how personal it is, you really get into detail about your life and all the highs and lows of being in a Rock band. How has the response been almost 3 years after the book's release?
BV – The book still sells. I was standing at the merchandise booth the other night and someone bought 5 at once! Since I've written it a lot more has happened to us, so who knows? Maybe book # 2 isn't too far in the future! The nice thing about the book is that when you cram 30 years of your life into a couple of hundred pages it all sounds so fucking exciting! LOL. In reality there's a lot of boring days in between.
HMA — You've made Gimme An R! available for purchase through the website along with other Helix items like hats, t-shirts, DVDs, and CDs and it's been a success. How has having a good online store changed the way you do business? I'm sure it's still a lot of hard work but I'll bet it's a lot easier than depending on others to keep products in the retail racks.
BV — I do my own merchandise and publicity. In regards to the merchandise I try to come out with different t-shirts on a regular basis as well as a few Helix collectables, like the Heavy Metal Christmas coffee mugs. It all helps fund the next Helix project. The biggest reason I don't let other people run the merchandise however is because there isn't enough money to go around for a "3rd slice of the pie".
HMA — I noticed that BREAKING LOOSE and WHITE LACE & BLACK LEATHER are sold out at PlanetHelix. Is there any chance that you might produce another pressing and make them available again? They are great albums!
BV — Yes, but right now it's not a priority for me. Maybe later next year.
HMA — What do you think of the Hard Rock/Heavy Metal scene today?
BV — I worry about young bands having a venue to develop their skills as performers and to make money to finance their recording. Back in the day we had a healthy bar circuit where we could cut our teeth as performers and get a taste of "the life". Nowadays bands do not enjoy the same luxury and music is suffering as a result. Regardless, there are still some great bands coming out, ie. Airbourne.
HMA — If Helix were starting out today, how do you think the band would do?
BV — Fucking terrific.
HMA — What is you all-time favorite album? Why?
BV — Love it to Death by Alice Cooper. It's a great rock album.
HMA — Is there anything you'd like to say to the fans?
BV — Thank you for all the support. Please check out our new Christmas CD A HEAVY MENTAL CHRISTMAS and look for brand new Helix material in 2009.
*** Special thanks to Brian for taking the time to answer my questions and thanks to Nick from Two Side Moon Promotions for setting everything up.


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Kishi Bashi @ Cedar Cultural Center
Kishi Bashi @ Cedar Cultural Center
August 3rd, 2012
An air of anticipation hung over the Cedar on Friday night. K Ishibashi, also known as Kishi Bashi, former violinist for of Montreal, was set to take the stage after an opening set from Tall Tall Trees. Mike Savino, vocalist, banjo player, and guitarist of Tall Tall Trees, took the stage alone on this tour playing music off of his new psychedelic folk rock and roll album, "moment", with solely himself, his banjo, and some looping gear. But Savino performed beyond the crowd's expectations, delivering the full feel of the rock songs with his limited amount of instruments and hands. Kishi Bashi joined Tall Tall Trees for Savino's last song, entering the stage in a suit coat, tucked-in button down shirt, and black denim pants. When he returned to the stage shortly after to play his own set, however, he'd added a large peacock plume clipped to the left side of his lapel. And with total confidence, he jumped into the music. A seemingly quiet and modest man looping and looping lines from his violin and voice until he had built something you would never know could be done by one man – and then he sang over it. Savino of Tall Tall Trees shared the stage with Ishibashi for most of his set, and the two absolutely ran away with the music. Building rhythms and harmonies entirely separate from the material on Kishi Bashi's albums, it seemed more like a jam session between friends, but the result was just perfect enough to become those same songs from the albums. Whoops and hollers abounded as the duo whipped out trick after trick. So much so that when it came to "It All Began With A Burst", the crowd was already so excited we immediately began clapping – until Ishibashi stopped the song and, laughing, asked us to stop so he could hear his own tempo, permitting us to begin again when he added the beat in. To cap off the spectacle, Kishi Bashi came back on stage for his encore, and surprised the audience by jumping into a rap song whose subject material is not appropriate for this review…. But it was still met with laughs and cheers. Finally, he ended with the eagerly awaited "Manchester" off of both the recent LP, 151a, and his debut EP, Room for Dream. As far as anticipation goes, I'm confident that everybody's expectations were greatly surpassed. I would highly recommend seeing Kishi Bashi to any and all types of music lovers. It's certainly an experience to remember.
Written by Alex Dziura, Radio K volunteer
Tags: kishi bashi k ishibashi cedar cultural center the cedar review


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Blind Vampire Settles in Forks
Posted: Sat Nov 26, 2011 11:38 pm
Hi, everyone. I hope this is, or will be again, an active list. I just had a look, with the help of my screenreader, at 'Don't Irritate the Volturi", and the ranking system. I like the one "in love with fur". I've always been in love with fur, even though I haven't officially reached that rank. So, where is everyone? Waiting for 'Breaking Dawn' to come out? I'm reading the book in Braille. It's like all the others. I can't put it down.
Well, that's all for now.
Well, that's all for now.


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Kylie Jenner was born in Los Angeles, California and raised in Calabasas. She is the youngest daughter of 1976 Summer Olympics decathlon winner Bruce and Kris Jenner. She has an older sister, Kendall. Through her mother, she has three older half-sisters: Kourtney, Kim, and Khloé, and one older half-brother Rob. From her father, she has three older half-brothers: Burt, Brandon, and Brody, and an older half-sister, Casey Jenner. Her mother is of Dutch, English, and Scottish ancestry. Jenner attended Sierra Canyon School, where she was a member of the cheerleading team. In 2012, Kylie decided homeschooling would be a better option and enrolled in an at-home education program, which she will graduate from with a high school diploma in 2015.
Born: August 10, 1997, Los Angeles, California, United States
Height: 5' 6" (1.68 m)
Full name: Kylie Kristen Jenner
Education: Sierra Canyon School
Siblings: Kendall Jenner, Kim Kardashian, Khloé Kardashian
Parents: Kris Jenner, Bruce Jenner


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Ahead of the public release of the special counsel's report, Attorney General William Barr on Thursday laid out what he said was the "bottom line:" No collusion between the Trump campaign and Russian government hackers.
Special counsel Robert Mueller's report revealed that President Donald Trump tried to seize control of the Russia probe and force Mueller's removal to stop him from investigating potential obstruction of justice by the president.
Chet Coppock was a fixture on local television and a pioneer of sports talk radio with his "Coppock on Sports" show on WMAQ-AM in Chicago. He died Wednesday following a car accident.
By tracking the types, frequency and intensity of frog mating calls, experts hope to gauge the success of conservation efforts in an area commonly referred to as the city's dumping ground.
Days after agreeing to pay a $100,000 fine to help settle claims that it discriminated against customers, the Suburban Express bus line is facing more issues stemming from its consent decree with the state.
Before you dig in and start planting, give your garden some tender, loving care. The team from the Organic Gardener helps us prepare our soil for spring planting.
Data released Thursday show that the Chicago metropolitan area lost an estimated 22,068 residents from 2017 to 2018, but remains home to nearly 9.5 million people.
Before she became the longest-serving White House adviser ever, Valerie Jarrett was a shy, bullied girl. She tells us about her new memoir, "Finding My Voice."
Through a collection of cultural observations, critical analysis and hormone-tinged memories, John Corbett's new book makes the case that the 1970s was a musical decade unlike any other.
As a redacted version of special counsel Robert Mueller's report was finally released Thursday, President Donald Trump resorted to bluster, broadsides and falsehoods to try, once more, to frame the moment as a political victory.
What's in the redacted version of the Mueller report, and what it could all mean for the president.
Watch the April 18, 2019 full episode of "Chicago Tonight."
Rock 'n' roll and human survival go hand-in-hand in a new production at Victory Gardens Theater. We meet some of the creative team behind the show.
Three very different productions that recently opened on Chicago stages serve as a powerful reminder of the dramatically varied ways in which the language of dance can be spoken.
After two years of waiting, the Mueller report is now out. And Illinois gets a mention.


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Texas House lawmakers on Tuesday approved major changes to the state's high school curriculum that would allow students to graduate without having to take Algebra II or other advanced math and science classes and would slash the number of standardized tests they'd have to pass from 15 to five.
The bill, which was sponsored by Rep. Jimmie Don Aycock, a Killeen Republican who chairs the chamber's Public Education Committee, is designed to give more flexibility to students who want to focus on vocational training that would better prepare them for high-paying jobs that don't require a college degree. It passed 145-2, and now heads to the state Senate.
The measure would supplant a 2007 Texas law that created curriculum standards known as "4x4," which mandate that students take four years each of math, science, English and social studies. Instead, it would let them earn a "foundation" diploma without taking so many core courses, thus allowing more space for career-training electives.
The latest news from around North Texas.
As the House slogged through 165 proposed amendments to the bill over nine hours, debate centered on the Algebra II exemption, which proponents contend is too difficult for some students.
"I just don't believe everybody needs Algebra II," Aycock said on the House floor. "I know there are people in this room who disagree with that, but I don't believe it should be the determining factor in a student's future."
Critics, including many higher education leaders, say the bill would essentially lower the bar for students by enabling them to graduate without really challenging themselves. They point to studies that show a correlation between being able to pass Algebra II and succeeding in college and beyond. Others say the legislation would erode college attendance gains minority and low-income students have made in part because of the current, demanding curriculum.
Under the bill, though, students could earn "distinguished" degrees by completing Algebra II and other upper-level math and science courses which would qualify them for automatic admission to any Texas state university -- just as all those who graduate in the top 10 percent of their classes now do. Those who don't earn distinguished degrees wouldn't qualify for automatic admission.
Rep. Mark Strama, D-Austin, introduced an unsuccessful amendment that would have made the distinguished degree curriculum the state's default, thus forcing students to opt out of that track instead of opting into it. He said it would ensure more students take college prep courses.
"Having higher expectations makes a difference," Strama said. Agreeing was Houston Democratic Rep. Sylvester Turner, who told the House, "If you set a low bar, a lot of kids are going to go for the low bar."
"I would rather say to kids, `I know you can do it, I know you can jump the high bar,"' he said. "And life is not easy. Kids need to learn that right now, in school."
Joe Deshotel, D-Beaumont, countered, saying that making high school too hard would increase the dropout rate. "Do you agree that we should not set a bar so high that many kids will not try?" he asked.
Many smaller modifications were approved, but Aycock opposed major changes, including one to create a special course on "adult responsibility" that would have taught students to resolve conflict in ways other than fighting.
"Many of our students are not prepared for adult life," said Rep. Ruth Jones McClendon, a San Antonio Democrat who offered the amendment. She argued that teaching anger management could prevent youngsters' future arrests -- but the measure was defeated.
Tuesday was a dramatic departure from 2009, when efforts to make school curriculum as demanding as possible dominated the legislative session. That's when lawmakers voted to require that every student pass 15 standardized tests to graduate high school. Aycock said that today, "15 is too many."
His bill only requires students to pass exams in English reading and writing, Algebra I, biology and U.S. History.
Some don't want testing rolled back, including the powerful Texas Association of Business. The lobbying group opposes any move to ease curriculum standards since it claims current ones are already not demanding enough to prepare high school graduates for either college or the modern job market.
Aycock's legislation also calls for a school accountability rating system based on letter grades A through F, rather than the current scale that ranges from "Exemplary" to "Academically Unacceptable." The new system would judge schools on three factors: their financial well-being, interaction with the community and students' academic performance.
An especially passionate moment came when Rep. Harold Dutton, D-Houston, offered a failed proposal that school districts only be rated based on the performance of their male, African-American students, so that schools will be forced to do a better job educating that group. He said black male students "are at the bottom. They are at the absolute bottom."
"And if we design something that moves them, everyone in this state will move. Every group of students will improve," Dutton said.


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This week's article is great for poets and song writers. It is also a wonderful article for those who don't have a clue what it takes to turn a phrase in a way that touches and moves the reader in a new way. Using examples from Shakespeare, Glenn offers encouragement for those who want to express themselves through creative phrasing.
Here is the beginning of the article:
I love to study phrases. Songwriters and poets have my utmost respect because they can take a limited number of words and still bring about an incredible emotional response. In three and a half minutes they can pull you into a world that is memorable and connects on multiple levels.
To read the entire article, click here:
You must be a 500 member to access this article. For more information on all of the fabulous benefits you receive with a FaithWriters 500 membership, visit this page:
The Phrase Turner 4/27/09
For Platinum 500 Members -- articles to help you hone your skills and Glenn Hascall's Ultimate Writing Guide
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Screens Dayton Oregon – Service, Replacement & Installation
Kraft Screens is your top choice for screens, servicing customers in Dayton and nearby areas. We offer good-looking and durable high quality aluminum frames and bring you professional on-site service. We have a wide selection of only the finest materials, some with a lifetime guarantee. You will find the screen you need to work with your current decor.
Kraft Screens has been servicing Residential and Commercial customers throughout the greater Portland, Vancouver, and Salem areas since 1995. Kraft Screens is the largest screening and shading company in the Portland Metro Area. We Here at Kraft Screens values every customer and strives to set industry standards for prompt, professional service with complete customer satisfaction.


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ALBANY, N.Y. – I'll see your chowda, and raise you a cheesecake.
Massachusetts Gov. Deval Patrick is betting chips, pies and bowls of New England clam chowder that his Patriots will win Super Bowl XLVI. New York Gov. Andrew Cuomo is putting bagels, yogurt and cheesecake on the line in support of the Giants.
The bet for Sunday's NFL championship game highlights regional cuisine that this year will be donated to local food banks.
If the Giants lose Sunday's game, Cuomo will send 46 cases of New York-made yogurt, 46 dozen bagels from Manhattan's Ess-a-Bagel and 46 cheesecakes from Junior's in Brooklyn to a Massachusetts food bank.
If the Patriots lose, Patrick will send 46 pies from The Pie Ladies in Centerville, 46 cases of chips made in Needham Heights and clam chowder from Boston-based Legal Seafoods.


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We're alway looking for suggestions, and we're happy to hear from you!
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WQED Multimedia is a 501(c)(3) nonprofit organization.


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T1 Sonar systems provide a small, but clear intelligence circle that will reveal any naval units within its range. The T1 Sonar system is almost the same acrossed the board. The only difference is HP UEF 600, Cybran 400, Aeon/Seraphim 500. Other than that they are all the same. They all upgrade into their tech 2 counterparts giving them a better intelligence range and more health. Because they are so cheap you should have one ASAP on all water maps. they can be used to detect underwater ACUs and that is often what happens early game on maps like The wilderness when the ACU has taken heavy damage.
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If you would like to donate directly to Oregon Firearms Federation PAC and join the fight against this yet one more stepping stone to disarm the public then please CLICK HERE and go to their page. You will find a link near the bottom of the informational page where you can donate. This is a tax deductible donation and your donation to OFF and your purchase from Battle Brew Coffee Company will be put to work.


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Back when it was announced that Jonah Hill was championing a remake of the 80s cop series "21 Jump Street" (which launched a certain global superstar you might have heard of**), it was tough to get a read on exactly how Hill would approach the story of baby-faced cops forced to work undercover in high schools.
Well, now we know - so long as you don't mind potty language.
The first trailer for "21 Jump Street," starring Hill, Channing Tatum, Rob Riggle, and Nick Offerman, is out, but it's red-band for content meaning you should only click below if you have headphones handy.
U.S. & World
As for the tone? We joked about making the first "Superbad Boys" snark about it, but tell us that isn't at least remotely accurate.
It does look like fun, though, doesn't it?
And, yes, that's Dave Franco playing a drug dealer in a drug-themed comedy. Way to carve out your own niche, pal. What's next? Hosting the Teen Choice Awards with Emmy Rossum?
** - Peter DeLuise


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Photo Credit: George S. Patton's picture is courtesy of Association des Musées de la Bataille des Ardennes. Photographic illustrations of George S. Patton are copyright © by their respective holders. The images are published with permission or as allowed by the copyright law's fair use or quotation provisions. If any copyright holder objects to an image being included, please notify us and it will be removed immediately.
Disclaimer: This information about George S. Patton is derived from astrological interpretation of George S. Patton's date, time, and place of birth.


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Ken Clark dies of heart attack at 46
Ken Clark, one of the top all-time rushers at Nebraska who went on to play for the Indianapolis Colts, has died. He was 46.
Article continues below ...
His cousin, Stephanie Clark of Omaha, confirmed Clark's death. She said he died of a heart attack in Minneapolis on Saturday.
Clark was a two-time All-Big Eight running back for the Cornhuskers, rushing for more than 1,000 yards both his junior and senior seasons.
His career highlight came in 1988, when he ran for 256 yards and three touchdowns in a win over Heisman Trophy winner Barry Sanders and Oklahoma State. His three-year rushing total of 3,037 yards ranks seventh on Nebraska's career chart.
Clark appeared in 34 games with the Colts from 1990-92.


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Follow RFF News on your cell phone. Text follow rff to 40404 you will receive txt messages with RFF News
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lol I watched it last night on TV. It was great I loved seeing all my TV Stars. But seeing the TAR Team was the best. Oh and I loved seeing Don Rickles..what age is he 80-82?
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Islam is promoted as being a "religion of peace". But when the teachings of their "holy" book, the Qur'an are examined, there is much more teaching violence and maiming of those who do not submit to the worldview started by Muhammad.
This 20-page booklet lists scores of verses taken from the English translation of the Qur'an that instruct Muslims to kill or maim non-Muslim "infidels", especially Jews and Christians. Also included are additional comments showing how these verses and others like them have been instrumental in the deaths of millions of people around the world.
These verses are taken from the English translation of the Qur'an done by Usama Dakdok, a Christian raised in Egypt, who now leads "The Straightway of Grace Ministry" to reach out to Muslim people in the United States, which also prepares Christians to reach Muslims with the Gospel.
This order is for five copies of this book.
Order just one copy of the book for $3.00


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Workers' Compensation, Personal Injury and Criminal Defense Law Firm in Arvada, CO Serving to Protect Your Interests
Compassionate advocacy and knowledgeable legal counsel
The Elliott Law Offices, P.C. is one of the leading workers' compensation firms in Colorado. We pride ourselves in focusing on personal development of your case. You are not just a number or statistic to us. You're a valuable client — a client residing in the greater Denver area, which we have been servicing since 1984. Whether it is an injury you have suffered, either on the job or elsewhere, our doors are open for you with the promise to work hard through all your tough times to get the compensation to which you are entitled. Your best interests are important. You are important.
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Monday, December 28
Two Terrific Leftover Turkey Sandwich Recipes
Me: Nope. Too much like Thanksgiving. I'll go with the Southwest sandwich.
Me: But cranberry sauce won't be around much longer; habanero Gouda cheese is around all year.
Me: No, no. Too much like Thanksgiving.
Me: I'm just gonna post both; that way, people can decide for themselves.
Jeff: Who are you talking to?
Turkey, Cranberry, and Gruyere Sandwich with Sage Mustard
This Turkey, Cranberry, and Gruyere Sandwich with Sage Mustard is all about opposites attracting: toasty, fragrant rye bread and moist, savory turkey; tart cranberry sauce and mild Gruyere cheese; earthy sage and tangy mustard. Somehow, they all come together in perfect harmony.
Southwest Turkey Sandwich with Habanero Gouda
This spicy Southwest Turkey Sandwich was inspired by our recent visit to Winchester Farms. Winchester Farms, which is located about 75 minutes from San Diego, is owned and operated by Jules Wesselink, who was born and raised in Haarlem, Holland. Jules has been operating his own dairies in California since the 1950's, so he knows how to make Gouda cheese.
Winchester Farms's Gouda cheese is exceptional. They offer numerous varieties ranging from mild to sharp and include stand-out flavors like garlic Gouda and habanero Gouda. The fiery habanero Gouda is the secret to my Southwest Turkey Sandwich. With its tender texture and bold flavor, you don't need much else to make this sandwich shine. Although I do highly recommend pairing it with some salty tortilla chips and a cold Dos Equis.
Turkey, Cranberry, and Gruyere Sandwich with Sage Mustard
Makes 1 sandwich
Print recipe only here.
2 slices rye bread
2 teaspoons spicy golden mustard
1 large sage leaf
3-4 thick slices of turkey meat
1 ounce Gruyere cheese, thinly sliced
1 tablespoon cranberry sauce
1. Lightly toast the bread. Mix the mayo and sage together, and spread on both slices of toast.
2.Heat turkey in a skillet on the stove top for several minutes, until warmed through. Add to the sandwich. Add turkey, cheese, and cranberry sauce. Slice in half, and eat immediately.
Southwest Turkey Sandwich
Makes 1 sandwich
Print recipe only here.
2 slices multi-grain sourdough bread or bread of your choice
1 tablespoon mayo
1 tablespoon chopped fresh cilantro
3-4 thick slices of turkey meat
1 ounce habanero Gouda cheese or other hot, spicy cheese, thinly sliced
3 small slices of fresh tomato
1. Lightly toast the bread. Spread both slices with mayo, and top with cilantro.
2. Heat turkey in a skillet on the stove top for several minutes, until warmed through. Add to the sandwich. Top with cheese and tomato. Eat immediately.
You might also like these sandwiches from Food Blogga:
Frittata Sandwich
Pork Tenderloin Sandwich
Turkey Burger with Apples, Gruyere, and Sage Mayo
Turkey and Prosciutto Sandwich with Gorgonzola and Arugula
Here are more terrific turkey sandwiches:
Turkey-Apple Salad Melt Panini recipe at Panini Happy
My Favorite Turkey Sandwich recipe at Food For My Family
Skinny Turkey Cuban Sandwich recipe at Gina's WW Recipes
Chipotle Turkey Salad Sandwich recipe at Simply Recipes
24 comments:
- Rosa's Yummy Yums said...
What mouthwatering sandwiches!
Best wishes for 2010!
- December 28, 2009 at 10:37 AM
- ♥Sugar♥Plum♥Fairy♥ said...
Hearty sandwhiches..infact for lunch or dinner or breakfast....
And Susan ,can i please ask u for a fav????
would love to ask for i really i need helppppppppppp and a precious vote ..hop on here for details
or hop strait below...puleeze...pinky promise please.....
...a few moments of ur time
before 1st jan...
and thanx a ton!!!!
and yeah wishing ya a rocking new year
- December 28, 2009 at 11:28 AM
- ® said...
I love your blog! :D
Feliz 2010!
Vinni/ Brasil
- December 28, 2009 at 1:39 PM
- Kathy - Panini Happy said...
What a coincidence - my husband just bought some of that habanero Gouda at the farmers market a few weeks ago! We enjoyed it grated in an omelet with leftover christmas ham and bell peppers. Hope you had a great Christmas!
- December 28, 2009 at 2:25 PM
- Abby said...
Would you believe that my family doesn't eat cranberry sauce? I don't think I've ever seen it at Thanksgiving OR Christmas!
But I love fruit spreads with poultry so I may just have to make it for MYSELF. At a non-holiday. Like Thursday?
- December 28, 2009 at 2:35 PM
- Kelly B. said...
YUM! Both of those sandwiches look awesome!
- December 28, 2009 at 3:25 PM
- Cooking with Michele said...
That "too much like Thanksgiving" feeling is the reason I never make turkey for Christmas, but opt instead of a whole tenderloin with my simple blender bearnaise sauce. Seems like we never have ANY beef left over for a sandwich!
- December 28, 2009 at 3:52 PM
- Patsyk said...
The only reason to have turkey is for to make sandwiches with the leftovers! I'll take one of each!
- December 28, 2009 at 6:18 PM
- Ivy said...
Both sandwiches sound delicious. Best wishes for the New Year.
- December 29, 2009 at 1:18 AM
- The Teacher Cooks said...
Just what I needed now is new ideas for sandwiches. These are perfect! Thanks
- December 29, 2009 at 5:06 AM
- T.W. Barritt at Culinary Types said...
Always glad to find a new recipe that uses Gouda! I have become a recent convert to the joy and creativity of sandwich making. I love of dash of cranberry sauce on a sandwich, and for me, pure heaven is the addition of a little stuffing as well!
- December 29, 2009 at 5:14 AM
- Deeba PAB said...
You bring the best into and out of sandwiches Susan. Both these are seriously good! Love the cranberry sauce! YUM!!
- December 29, 2009 at 5:34 AM
- Susan from Food Blogga said...
rosa-Happy New Year to you as well!
vanilla-I'll come check it out.
amehlia-Thank you!
kathy-That is funny! It's amazing, isn't it?
abby-No cranberry sauce?! I eat it by the spoonful!
kelly-Thank you so much!
michele-My sister-in-law makes a mean beef tenderloin for Xmas Day too! Delicious!
patsy-Well said!
ivy-Happy New Year, my friend!
teachercooks-Glad to be of service! :)
tw-I know what you mean; Gouda is underappreciated.
deeba-Thanks, my dear!
- December 29, 2009 at 6:23 AM
- Tasty Eats At Home said...
I had to re-read the first few lines of the conversation to "get it". :) So funny! These do look yummy!
- December 29, 2009 at 6:41 AM
- Valerie Harrison (bellini) said...
I'd have no problem with having both, maybe even at the same time Susan.
- December 29, 2009 at 8:57 AM
- Tracy said...
Great recipe sandwiches specially with ingredients that we have on hand! Thanks!
Tracy, Velocity Fulfillment
- December 29, 2009 at 10:22 AM
- Christine said...
Two beautiful sandwiches, Susan. I'm so glad you talked yourself into posting them both :)
Wishing you and Jeff a very Happy New Year!
- December 29, 2009 at 11:04 AM
- Sophie said...
I so love the classic first sandwich,...it screams: EAT ME!!!
- December 29, 2009 at 2:23 PM
- Lisa Johnson said...
Those sandwiches look great! Unfortunately I didn't get to bring any turkey home after Christmas dinner. No leftover turkey! All the best to you in 2010 Susan! Happy Holidays. ; )
- December 30, 2009 at 11:22 AM
- Kate/Kajal said...
For me its gotta be the second one ! How i wish i could have that now :)
Wishing you a fabulous 2010 !
- December 31, 2009 at 3:09 AM
- Cookie baker Lynn said...
I'm so glad you posted the cranberry one because that one totally gets my vote.
Best wishes for a wonderful New Year!
- December 31, 2009 at 10:01 AM
- Johanna GGG said...
mmmm I would eat these without turkey or maybe with some leftover nut roast - I would also find it hard to decide between the two - both excellent
hope you have a great 2010
- January 1, 2010 at 4:19 AM
- Susan from Food Blogga said...
val-Not a bad idea.
tracy-Glad you like them!
christine-Me too!
sophie-That's a good thing to scream. ;)
anlai-No leftovers?! Happy New Year!
kate-Happy New Year!
lynn-I love tart cranberry sauce too.
johanna-I have never eaten that but would love to try it.
- January 4, 2010 at 9:28 AM
- Jeanne said...
Mmmm, I'm liking the sound of the spicy sandwich with the cold Dos Equis... although the sage mayo is soooo tempting!
- January 12, 2010 at 7:45 AM


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JJ Stretch Jeans - Distressed Black
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|Men's size chart
|Inseam - when adding to cart, please select which inseam length required
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All clothing products will have a size description attached for ensure your select the best fit.
We will answer all emails about sizing. We want to get it right and have many customers all over the world that we have dressed.
However if you purchase something and it doesn't fit then return it with in 14 days and we will refund it.
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Return shipping is payable by the purchaser/customer not Doubs Clothing (company purchased from) Customer is liable for all return shipping costs.
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