text:
Text Size
Share »
May is National Stroke Awareness Month
Jerome H.
Monday, December 9, 2013
By: Heather Hayes
On April 19th of 2012 I decided to leave work a little early because it was a beautiful day and I wanted to plant some flowers. My son's father also got off work a little early. It was rare that he was home during daylight! My sweet, incredibly intelligent 4 (almost 5) year old was playing at the neighbors house with his sister who was 7 at the time.
She came running home and said "Jerome can't walk or talk!". I said "Oh, he is just being silly..." She said "NO! Something is wrong with him." His dad and my teenage son ran to the fence and there was my limp baby boy. My teenage son hopped the fence and scooped up his baby brother and handed him to dad. He brought him to our front porch where we stood him up and he fell over, twice. He could not talk. I immediately started asking him questions~ nothing. He drove him to the local ER, it was only 5 minutes away. They saw us pretty fast.
At first they thought he had a seizure and administered Dilantin. He had a reaction (rash) to that. They did some basic test and then decided to send him to Mission Hospital in Asheville. They did test all night and then the next day finally concluded he had a stroke. A STROKE!!!! I thought our world was over. I didn't know perfectly healthy, brilliant children had strokes.
My little man was paralyzed on the right side and his speech was garbled. Hour by hour he started to improve. Speech was getting better, walking but dragging his leg a little, not really able to use his right arm at all. He did not know who his sibling were. He did not remember that we had just been on vacation. He could not remember his favorite music (Adele and Mumford and Sons). He basically lost about 1.5 years of his life.
I would put my iPod on his ears while he was sleeping hoping he would remember something. I am a hobby photographer and take TONS of pictures, I would sit and show him picture~ nothing.
After a few days in the hospital he started to get worse. Crazy speech, almost totally paralyzed on that right side again. An MRI showed that he may have Moya Moya disease. Basically constricting of the arteries and would require brain surgery. Within hours he needed to be flown to Boston Children. After a few day at Boston Children's they ruled out the Moya Moya disease (THANK GOD) and chalked it up as a bad read on the MRI. We remained in Boston for a few days under the care of the Harvard Pediatric Stroke specialist and then were released to come home.
Fortunately we have AMAZING insurance and a really cool center nearby in Asheville, NC, where my son could get all his therapies and specialist appointments. Thank GOD we both have amazing jobs that were totally supportive through all of this. I took a few months off work and my job because making my son better. We were at appointment 4-5 days a week. Everyday we could see improvements in him.
Our Cardiologist here happen to do a echocardiogram at a check up and noticed a little "something" and referred us to an AMAZING doctor in Charlotte . This was just in December, 8 months after the stroke. This doctor in Charlotte did an aggressive bubble study and found a PFO, patent foramen ovale, that typically closes sometime after birth. This had to be how that mean 'ol clot got to my son's brain and in the same procedure, this amazing doctor fixed it with The GORE® HELEX® Septal Occluder.
My son started kindergarten right on time. Just 4 months (!!!) after having a stroke. He tests at and above grade level. Though he has to work a lot harder at everything he does. He is on aspirin as a blood thinner. He still has weakness in his right wrist and trouble finding some words, like if he sees a triangle~ he calls it a pyramid... but that's OK! Emotionally he battles some depression sometimes and melts down easy. We have removed all dyes and processed stuff from his diet and have seen a big difference in the frequency of the melt downs. We fought hard and were able to get him OT in school. His school has one on staff anyways. This way he did not have to miss too much school for OT.
Everyday I try to make someone aware that kids have strokes too!!! But there is hope if your child has a stroke~ believe me!
Display of the Faces of Stroke stories does not imply National Stroke Association's endorsement of any product, treatment, service or entity. National Stroke Association strongly recommends that people ask a healthcare professional about diagnosis and treatment questions before using any product, treatment or service. The views expressed through the stories reflect those of the authors and do not reflect the opinion of National Stroke Association.
Printer Friendly Version
1-800-STROKES1-800-787-65379707 E. Easter Lane, Suite BCentennial, CO firstname.lastname@example.com
© Copyright 2019
National Stroke Association, All Rights Reserved. Unauthorized Use is Prohibited.
About Us · Board · Press · Contact · Privacy Policy


text:
A few decades from now, Tony Stark will still be fighting the forces of evil, but the Mark LVII armor will look a tiny bit different to suit Stark's aging fighting form.
Moscow-based concept artist Arthur Gimaldinov devised this aging Avenger. When he's out of the suit, does old Tony Stark have a glowing liver to match his glowing heart?
Old Iron Man [CGHub via Design You Trust]

subset: commoncrawl


text:
This is a sample registry
Kelly & Andrew
Kelly Hampton and Andrew Sharritts' Honeymoon Registry
|This is a sample registry
"Well Wishes" From Our Family & Friends
|"Congratulations you guys! We are so glad to have met both of you and wish you only the best!"
- Tommy Barr and Corey Thomas
|"To the happiest and craziest couple we've ever met you two were truly made for each other and will bring each other much happiness and joy!! Much love,"
- James and Cynthia
- ~Magdiel Delgadillo
|"We wish you two a wonderful honeymoon and life together."
- Darin and Jenn
|"Hope you have a wonderful Honeymoon! Looking forward to hearing all about it."
- Don Davis
|"We can't think of a couple more suited for one another. You are both wonderful. Enjoy your honeymoon.
With love,
(On-bow, chicka, bow, bow-On)"
- Bill and Jacki
|"Best Wishes for a wonderful and exciting life together. Enjoy a honeymoon dinner and wine on us!!! Love"
- Marc &Wanda Frith
|"We wish the best for you as you share your lives in marriage. And remember to be "joyful in hope, patient in affliction, faithful in prayer." Romans 12:12"
- Rachelle and Tim Denison
|"Have a wonderful time in Beliz."
- Bob Hults
|"Congratulations as you embark on your life together. It is inspiring to have seen your love blossom over the years- you are such wonderful people and I am so glad you have found each other!"
- Anne Feuerborn and Brian Farrell
|"Congratulations! We wish you the best and know you two will one day be the last couple on the dance floor celebrating your anniversary:)"
- Joe and Lori
|"We are so happy to see two of our best friends find their partner in crime! Hope you two have a great time on your honeymoon! Love you guys!"
- Owen &Kindy
|"We hope you guys have a FABULOUS time in Belize! We love you guys!"
- Pam and Rod
|"I hope you have a fantastic honey moon! You are the cutest couple and I wish you the best!"
- Dave Sanders
|"Congratulations and Best Wishes for a wonderful life together!!"
- Love, Tommy and Adele Page
|"Our best wishes to you both. May you always be as happy as you are now. Wish we could be there. You will be a beautiful bride."
- Sue &Tommy Maynard
|"Best Wishes - We hope you can take time to relax with this gift. We are looking forward to your wedding next month and the opportunity to share in the festivities."
- Rick and Kathy Newton
|"I wanted something special for you both to start off your Honeymoon just right with all the romance you can possible have. Cheers to you with lots of love and kisses for the rest of your lives."
- Love Always &Forever - Mom-Valerie
Thank You for visiting our honeymoon bridal registry and wedding website. We decided to use this honeymoon bridal registry to allow us to pre plan all the wonderful things we want to do on our dream honeymoon. If you have any questions about how our honeymoon bridal registry works, please contact a honeymoon registry specialist at 858-433-1506 and they can help with our wedding registry list. Again, Thank You so much for using our honeymoon bridal registry and wedding website. Most of all, thank you for being part of our wedding and helping us have the romantic honeymoon and wedding we've always imagined.
This is a sample registry
Items cannot be purchased from a sample registry.
If you're looking for a specific couple please search for them here.


text:
Hospital Insurance
for Older People and the Disabled
In its examination of the adequacy of social security protection
for the aged and the totally disabled the Council came to the conclusion
that cash benefits alone are not enough. Monthly cash benefits,
if adequate, can meet regularly recurring expenses such as those
for food, clothing, and shelter, but monthly cash benefits are not
a practical way to meet the problem that the aged and disabled face
in the high and unpredictable costs of health care, costs that may
run into the thousands of dollars for some and amount to very little
for others. Security in old age and during disability requires the
combination of a cash benefit and insurance against a substantial
part of the costs of expensive illness.
The Council's Position in Brief
Essentially the problem is this: Incomes decrease sharply upon
old-age or disability retirement, but the incidence of costly illness
increases. During their working years, when ill health is less frequent,
employed workers can generally meet costs of current care for themselves
and their families--directly or through insurance out of their current
employment income, often through an employee benefit plan and with
the help of their employers. The situation of the aged and disabled
is quite different. Not only do they have the higher health costs
associated with old age and disability but their incomes are greatly
reduced because they are no longer working.
The solution, the Council believes,{12} is to
apply the method of contributory social insurance, which underlies
the present social security program, so that people can contribute
from earnings during their working years and have protection against
the costs of hospital and related services after age 65 and during
disability without having to pay contributions at the time when
income is generally curtailed. Contributory social insurance, the
Council believes, offers the only practical way of making sure that
almost everyone will have hospital protection in old age and during
periods of long-term total disability.
It is not proposed, however, that social insurance cover all the
costs of illness during old age and long-term total disability.The
American approach to income security has traditionally involved
a partnership of private effort and governmental measures. For example,
old-age, survivors, and disability insurance is supplemented by
employer and trade union plans, private insurance, and individual
savings and investments. All contribute to the common goal of personal
and economic independence. Backstopping this combination of measures
for individual self-support are the Federal-State public assistance
We believe this same pluralistic approach can be used effectively
in meeting the costs of illness during old age and disability. With
social security meeting just about all of the costs of hospitalization,
which, on the average, represent at least half the costs associated
with the more expensive illnesses, the person who is old or totally
disabled will be in a much better position than he is today to meet,
on his own and through private insurance, the costs of physician
services, drugs and the other elements of complete medical care.
Also with social security providing basic hospital protection, it
should be practicable to improve the Federal-State public assistance
programs to make them serve more effectively in meeting the health
costs for older and disabled people whose needs are not met in other
The Need for Protection Against the Cost of Hospitalization
Older people and disabled people have a special need for protection
against the cost of hospitalization and related services--they need
more care and they have less money to pay for it.
As one would expect, health care expenditures on the average are
much greater for people past 65 than for younger people. Total health
care expenditures for the aged, in fact, are twice as high, and
in the case of expenditures for hospitalization, the ratio is about
2.75 to 1. Older persons go to the hospital more often and have
to stay much longer than those under 65.
The cost of hospitalization affects practically all older people.
Of every ten persons who reach age 65, nine will be hospitalized
at least once during their remaining years and most will be hospitalized
two or more times. In the case of aged couples, the chances are
about even that the husband and wife will each be hospitalized two
or more times.
Not only is hospitalization a virtually universal occurrence among
older people but there is a high correlation between hospitalization
and large total medical expenses. Older people who are hospitalized
in a given year are the ones who have the big expenses. While medical
care costs for all aged couples averaged about $442 in 1962, the
medical expenses of aged couples with one or both members hospitalized
averaged $1,220; for non-married elderly people, average medical
expenses for the year were $270, whereas for those who were hospitalized,
the average was $1,038.{13} Both the averages
and the differentials would be even higher now.
Hospital expenses are a serious problem for the totally disabled
too. Like the aged, they too are hospitalized frequently and in
many cases their hospital stays are long. According to a survey
of workers found disabled under the social security disability provisions
{14} (conducted by the Social Security Administration
in 1960), about one out of five disability beneficiaries under social
security received care in short-stay hospitals in the Survey year;
and, excluding hospitalizations in long-term institutions, half
of those hospitalized were in the hospital for 3 weeks or more.{15}
The problem now faced by older people and the disabled is going
to become even more serious because health costs will undoubtedly
continue to rise, probably at a rate considerably in excess of any
increase in other prices. From 1953 to 1963 the percentage rise
in the consumer price index for medical care items was nearly three
times the increase in the over-all index; and the price index for
medical care items increased more than that for any other major
price-index component. Among the items that compose the medical
care segment of the index, hospitalization costs have risen at a
much faster rate than other components--hospital daily service charges
rose twice as much as medical care costs generally.
Health care has become so expensive that virtually no one, including
the relatively well-off person at the height of his earnings power,
can afford to pay the cost of major, prolonged illness unless he
has effective insurance. And the great majority of the aged and
disabled are neither well-off nor have adequate health insurance.
Older people have, on the average, only one-half as much income
as younger people living in family groups of the same size.{16}
About half of the aged social security beneficiaries have practically
nothing (less than $12.50 a month per person) in continuing retirement
income other than their social security benefits; and for all but
about one-fifth of the aged beneficiaries, benefits were the major
source of continuing retirement income.{17} (Only
15 percent of the aged, for example, have any income from private
pension plans and even for this 15 percent the amount from Social
Security is generally larger than the private pension.)
Totally disabled people also have comparatively low incomes although
they more often depend in part upon the earnings of a spouse.{18}
Many older people and people with long-term total disabilities must
therefore turn to their children and other relatives and to public
agencies for aid in meeting the costs of illnesses that require
In the 1960's we have seen a large and growing proportion of those
applying for public aid forced to do so only because they cannot
meet their health costs. Today over one-third of public assistance
expenditures for the aged are for health costs, and such costs have
become the most important single reason older people apply for public
The Role of Private Plans
The hospital insurance provisions we recommend would work in partnership
with private plans and individual voluntary effort as social security
now does in the field of cash benefits. With social security providing
basic protection against the costs of hospital care and related
services, and with improved cash benefits such as we recommend in
Part III of this report, many people aged 65 and over or disabled
who now cannot afford comprehensive private health insurance would
be able to afford the less expensive supplementary protection against
doctor bills and other health costs which, in combination with social
security, would furnish comprehensive coverage. Employers also would
find it more feasible to continue health protection for employees
into retirement if, instead of having the whole job to do, they
could build on the hospital insurance protection furnished under
social security. These private measures would be built upon the
hospital insurance base, just as the private life insurance and
retirement pensions and annuities that many people have today are
built upon the base of social Security cash benefits.
On the other hand, it is unrealistic to expect private voluntary
insurance alone to provide comprehensive protection for the great
majority of elderly people and totally disabled people. To a large
extent the problem of financing the cost of expensive illness among
people at the younger ages, who are largely dependent on current
earnings, is being met by private insurance organizations, but private
insurance cannot meet this problem for most of the aged at a price
they can afford to pay. Despite years of creative effort and hard
work by the voluntary insurance organizations, less than half of
the totally disabled and only a little over half of the elderly
have any kind of health insurance coverage and most of what they
do have is quite limited. The absolute number of older people without
any kind of protection at all is nearly as large as it was 5 years
The basic difficulty in relying exclusively on private insurance,
of course, has been that the costs of insurance are necessarily
high because the aged and the disabled need so much in the way of
health care that they cannot pay the costs of adequate insurance
from low retirement incomes. Then too, unlike working people, who
generally get group health insurance coverage through their place
of employment, the disabled and the elderly can ordinarily obtain
health insurance only on an individual or non-group basis. The marketing
and administrative costs associated with the individual handling
that is characteristic of non-group commercial health insurance
make individual coverage about 1.5 times as expensive, on the average,
as group coverage offering the same benefits. Because of this consideration,
together with the fact that hospital costs for the aged run about
2.75 times as much as those for younger people, the protection provided
to an aged person by an individually purchased commercial hospital
insurance policy costs about four times as much as comparable protection
furnished younger people on a group basis. And relatively few disabled
and retired workers have the benefit of contributions made toward
health insurance by employers.
As a result of these facts, most voluntary health insurance within
reach of the pocketbooks of the aged and the disabled is inadequate
in the amounts and types of service covered and in the duration
of benefits. In 1962 (the most recent year for which data are available)
only 10 to 15 percent of the total medical costs of the aged,for
example, was paid for by insurance. Moreover, as hospital costs
rise, those who have health insurance policies paying fixed dollar
amounts toward hospital care will find that the amounts cover an
increasingly smaller proportion of their hospital bills; those who
have policies which provide service benefits rather than fixed dollar
amounts will be faced with increased premiums.
In the case of Blue Cross, which ordinarily provides service benefits
without dollar limits, pressures are heavy to apply experience rating
more and more to the hi-risk older population in order to be able
to offer the young group rates that are more competitive with those
for commercial insurance policies. These pressures will continue
to apply in the future and the result will be additional increases
in Blue Cross premiums for the aged as they are required to pay
rates closer to the true value of their protection.
It is also true that most of the aged who now have some form of
health insurance are those who are still working, those in good
health, and those in the higher income group. To a very large extent
those who can be sold voluntary protection have already been sold.
For all these reasons, in the absence of social
insurance taking on a part of the job, the Council believes that
in all probability the great majority of older people and disabled
people will, for the foreseeable future, continue to be without
adequate protection against health care costs.
The Council believes that the extension of social insurance to
the costs of hospitalization for the elderly and the disabled will
make it possible for the private plans to perform a valuable complementary
role. Since hospital insurance protection will be provided without
further contributions during old age and disability, more of the
retirement dollar will become available for buying current protection
covering other parts of the medical bill, and, as indicated above,
employers will find it more feasible to carry over health protection
for their retired personnel.{19}
The Role of Public Assistance
There will be some disabled and elderly people who are without
the means to add other protection to their basic hospital insurance
or who have special needs such as the need for long-continuing custodial
care. Public assistance programs will, therefore, have an important
continuing role in meeting the total problem. Consequently, the
Council favors the improvement of the program for medical assistance
for the aged (MAA) and the medical care provisions of old-age assistance
and aid to the permanently and totally disabled to provide more
effectively for remaining needs after the proposed social insurance
program goes into effect. The enactment of hospital insurance provisions
for the aged and disabled will save the States some two-fifths of
their present medical expenditures for older people and place them
in a financial position to improve their medical assistance programs.
When the number of those who need help is reduced and when the remainder
do not need help with most of the costs of hospital care, because
of hospital insurance under social security and because of the spread
of effective supplementary protection, the way will be open in many
States for much needed improvements in medical assistance for the
smaller numbers of people who still need help.
There is abundant evidence, however, that the Federal-State programs
of public assistance, without a social insurance program to meet
a large part of the cost, cannot do the job of filling the gaps
left by private voluntary insurance. Many States either cannot or,
in the light of other financial priorities, will not, put up enough
money to meet the need. Despite the fact that the Federal Government
will pay, out of general revenues, from 50 percent to 80 per cent
of the cost of a State program to meet the health needs of the aged,
only a few States have developed adequate programs for the very
poor, and none has combined both comprehensive care and liberal
enough tests of income and assets to meet the health needs of more
than a small proportion of the retired aged in the State. Some have
no medical-assistance-for-the-aged program at all.
Under a grant-in-aid system the wealthier States are the ones most
likely to establish the better programs and most likely to get the
major share of Federal funds. Furthermore, States vary in their
willingness to apply their resources to a given purpose. As a result,an
approach that depends on State initiative cannot reasonably
be expected to lead to an adequate nationwide program.
In October 1964, 68 percent of Federal MAA funds went to five of
the wealthier States with only 31 percent of the country's aged.
For reasons explained in the introduction to this report, the Council
does not, in any event, favor placing a main reliance on assistance
in dealing with a problem which is faced by practically all the
aged and the disabled. Even an adequate assistance program would
have grave drawbacks for the recipient and for our society as a
whole when compared with the method of social insurance. The Council
believes that to the extent practicable the objective should be
to prevent dependency rather than alleviate it after it has occurred.
Yet in some circumstances assistance will continue to be necessary.
This is why the Council recommends that the Federal Government give
continuing support to improvements in the medical provisions of
assistance programs so that all the aged and all the disabled may
have their full medical needs met through a combination of social
security, private protection and savings, and, as a last resort,
for the unusual need and circumstance, through an improved and generally
available assistance plan.
Basic Elements of the Recommended Plan
The Council recommends that the core of protection be coverage of
the costs of hospital care, subject to a small deductible. Coverage
of three additional types of services, which can frequently take
the place of inpatient hospital care, is also recommended: (1) extended
care, following a hospital stay, in a hospital-operated or hospital-affiliated
facility capable of providing high quality convalescent and rehabilitative
services; (2) organized home nursing services which are medically
supervised and are provided by organizations staffed and equipped
to offer coordinated services sufficient so that an individual who
is confined at home, but not in need of round-the-clock services,
could receive substantially the full array of nursing services and
therapeutic services (not including those of a physician) needed
to care for him at home; and (3) subject to a small deductible,
hospital outpatient diagnostic services covering the full use of
the hospital's facilities and personnel but not covering the diagnostic
services of the patient's personal physician.
A major principle that guided the Council in developing its recommendations
is that health services should be tailored to the health needs of
the patient. Provision for the four types of benefits--hospital
care, extended care following the care given in the hospital, organized
home nursing care, and hospital outpatient diagnostic services--would
enable the older or disabled person, together with those who participate
in planning for his care, to have available the kinds of services,
and a level of care, most appropriate to his individual need. Particularly
for the aged, the next step in the care of a person who has been
hospitalized for a serious illness may be a period of medically
supervised treatment in an extended-care facility rather than continued
occupancy of a high-cost bed normally used by acutely ill hospital
patients. The benefit structure should cover a continuum of institutional
and home nursing services and should provide an appropriate level
of care for individuals who require convalescent care of somewhat
lesser degree of intensity than that provided for hospital inpatients.
The coverage of important alternatives to hospitalization would
help subordinate financial to medical considerations in decisions
shared in by the doctor, patient and institution on whether inpatient
hospital care or another form of care would be best for the patient.
The recommended benefits would give financial support to the provision
of institutional and non-institutional services at the most appropriate
level of intensity for patients who require care of extended duration.
Covering each of the stages of required care is conducive to careful
planning of the long-range treatment of those suffering serious
In the course of formulating the proposed hospital insurance provisions
for the aged and disabled, the Council was mindful of the increasing
interest that the community as a whole has demonstrated in seeing
to it that high quality health services are provided and that full
value is received for the health dollar. Reflecting this community
interest, many State and local hospital planning groups private
health cost prepayment organizations, and others have called attention
to the effects of inadequate planning of facilities, excess capacity,
inefficient operation, and unneeded services, any of which, whenever
they occur, can result in an increase in health costs far beyond
that attributable to medical and scientific achievements. The work
of these groups shows that there is real promise for an improvement
in the quality of care and at the same time improvement in the efficiency
with which the services are provided.
The Council believes this matter to be of such widespread concern
that it recommends the creation of a commission, its members to
be appointed by the President, composed of experts in the fields
of health care and hospital planning, of representatives of groups
and agencies purchasing health care on a large scale, and of the
general public, for the purpose of enhancing the effectiveness of
our hospitals throughout the country in the provision of high-quality
health care. The recommendations of such a commission would be of
benefit primarily to the population as a whole but would, of course,
also be of long-run importance to the hospital insurance program
for elderly and disabled people.
1. Inpatient Hospital Benefits
The proposed hospital insurance for people age 65 or over and
the disabled should cover a number of days sufficient to meet the
cost of inpatient hospital services for the full stay of almost
all beneficiaries.
The Council believes that the number of days for which inpatient
hospital benefits are paid should be enough to cover the full hospital
stays required in nearly all cases. Sixty days of coverage for each
spell of illness would accomplish this Purpose. Sixty days would
cover the full stay of all but about 3 to 5 percent of the stays
of older persons. Moreover, it is quite possible that with coverage
in extended-care facilities, such as we recommend, many of those
who would otherwise stay in acute general hospitals for over 60
days could be transferred to extended-care facilities.
The Council holds the view, which is shared by many experts on
hospital insurance, that the availability of hospital coverage for
substantially longer periods may, especially among the aged, result
in excessively long hospital stays and therefore unnecessary cost
to the program. We therefore believe that it is desirable to place
a limit on the number of covered days in the acute general hospital
and, at the same time, provide for extended care in less expensive
The Council believes that the proposed hospital insurance should
not include any provision under which beneficiaries would choose
among various combinations of benefits of the same actuarial value
but with a varying number of days and higher and lower deductibles.
The Council sees little gain in such a choice and, on the contrary,
believes that for most beneficiaries the need to make a choice would
be confusing and upsetting and that widespread dissatisfaction could
be expected among the large number who would later discover that
they would have been better off with a different choice. Any attempt
to meet this dissatisfaction by allowing people to change options
would significantly increase the cost of the program for the whole
group of contributors by giving an unfair advantage to those who
could anticipate the need for a specific type of protection.
2. Outpatient Hospital Diagnostic Services
Payment under the program should be made for the costs of outpatient
hospital diagnostic services furnished beneficiaries.
Recent progress in science and medicine has resulted in the development
of complex services and equipment for the more accurate and more
timely diagnosis of disease. Because of the cost of the equipment
and the need for specialized personnel to operate it, the hospital
has increasingly become a diagnostic center which is used when expensive
and complex tests are required. Providing for the payment of the
cost of expensive outpatient hospital diagnostic services should
help to encourage early diagnosis of disease by removing financial
barriers to the use of such services. Payment for outpatient hospital
diagnostic services would also help to support the efficient provision
of care by eliminating a financial incentive for hospital admissions
to obtain diagnostic services.
3. Deductibles
Hospitalized beneficiaries should pay a deductible equal to the
cost of one-half day of care--$20 at the program's beginning. In
the case of beneficiaries who are provided outpatient diagnostic
services, this deductible amount should be applied for each 30-day
period during which diagnostic services are provided.
The Council believes that beneficiaries who are hospitalized should
be required to pay a small amount toward the cost of their hospital
stay. Such a deductible amount might help to reduce unnecessary
hospital admissions. On the other hand, we would not favor a deductible
amount of substantial size since such a deductible might well deter
many beneficiaries from seeking needed care. In the Council's judgment
a deductible amount which is equal to about a half, or even three-fourths,
of the national average cost per patient day of hospital care would
not be so large as to represent a significant impediment to needed
care. Such a deductible amount–$20 to start--would, moreover, make
it possible to provide, within the funds available to the proposed
program, more extensive protection against catastrophic health costs
than would otherwise be possible.
Provision for a similar deductible amount in the outpatient diagnostic
benefit would limit coverage to diagnostic procedures with a significant
financial impact. It should also have the effect of excluding from
the coverage of the program the type of routine laboratory and other
diagnostic procedures that are customarily furnished in or through
the physician's office.
4. Services in Extended-Care Facilities
The cost of post-hospitalization extended-care services in facilities
which provide high-quality rehabilitative and convalescent services
should be covered so as to pay for a minimum number of days after
hospitalization in all cases, with additional days of extended-care
services being paid for if the patient has not used all of his inpatient
hospital coverage.
The services that would be covered would be those furnished to patients
in extended-care facilities which are under control of a hospital
or affiliated with a hospital and which are designed primarily to
render convalescent and rehabilitative services. Care in such a
facility will frequently represent, particularly among the aged,
the next appropriate step after the intensive care furnished in
a hospital and will make unnecessary the continued occupancy of
a high-cost bed normally used by acutely ill patients.
Services of this kind are essential in the over-all treatment of
many illnesses following their acute stage and prior to the time
a person can return to his home or transfer, in some instances,
to an essentially custodial institution. And, of course, extended-care
coverage, even for a limited duration, will also be of benefit to
many older patients with chronic or terminal illness who can be
transferred from intensive care in acute general hospitals.
Since the proposed program is designed primarily to support efforts
to cure and rehabilitate, and since "nursing home" care,
in many cases, is oriented not to curing or rehabilitating the patient
but to giving him custodial care, the Council does not propose the
coverage of care in nursing homes generally.
In order to provide an incentive for transferring a patient from
a hospital to an extended-care facility at an early point, when
such transfer is medically desirable, the Council believes that
coverage should be provided for 2 additional days of extended care,
if needed, for each day the patient's hospital stay is less than
60 days. A minimum of 30 days or so might be covered in all cases.
The Council recognizes that hospital-affiliated facilities which
provide post-acute convalescent and rehabilitative care do not exist
in many communities and that the services therefore may not be available
immediately to many of the beneficiaries who might need them. The
Council believes, however, that the coverage under the proposed
program will encourage the development of such facilities and that,
with the help of other programs designed to assist directly with
construction, such extended-care services can be made generally
available within a reasonable time.
5. Organized Home Nursing Services
Insurance coverage should be provided for organized home nursing
As a fourth element in the protection it proposes, the Council recommends
the coverage of organized home nursing services–that is, services
provided on a visiting basis in the patient's own home.
Coverage of medically supervised home nursing services provided
through qualified nonprofit or public agencies would encourage the
establishment of organized home care programs. Experience has shown
that such visiting programs can bring high-quality care to the patient
in his own home, thus avoiding the need for hospitalization altogether
in some cases or facilitating the discharge of patients not only
from hospitals but from extended-care facilities. The Council believes
that a substantial number of professional visits a year--in the
range of two to three hundred--should he covered in order to make
organized home nursing services a real alternative to institutionalization.
Organized home care services sometimes include the services of hospital
interns and residents-in-training. We believe that payment should
be made for their services when furnished but only if the services
provided are part of a professionally approved training program
for such individuals.
6. Payments on the Basis of Reasonable Cost
The extent of hospital insurance and related protection should
be specified in terms of the services covered rather than in terms
of fixed dollars, and covered services should be paid for on the
basis of the full reasonable cost of the services.
The Council recommends that protection should be in the form of
service benefits, with payments for covered services made directly
to the institution or organization furnishing the services rather
than payments of fixed dollar amounts to the beneficiary receiving
the services. Service benefits would provide more secure and reliable
protection for the patient and enable the program to promptly adjust
payment to hospitals in accordance with changes in hospital costs
resulting from the acquisition of new equipment, the adoption of
new health practices, and the general improvement of services. The
inpatient hospital benefits should cover all hospital services and
supplies ordinarily furnished by the hospital for necessary care
and treatment of its patients, except that accommodations more expensive
than semi-private accommodations would be paid for only if medically
necessary. Luxury items would not be included.
The hospital or other provider of service should be reimbursed for
the reasonable cost of services provided. Payment on a reasonable
cost basis would be in line with the recommendations of many expert
groups, including the American Hospital Association. The established
practices of most Blue Cross plans are generally in line with this
It is likely that no single formula for estimating the cost of services
will prove best under all circumstances, and provision should be
made to permit variations in hospital practices and services to
be taken into account.
7. Hospital Staff Review of Utilization
Hospitals should be required, as a condition of participation,
to establish professional staff committees to review the services
Procedures for medical staff review of hospital admissions, length
of stays, the medical necessity for services provided, and the efficient
use of services and facilities are coming into use in many hospitals,
and the experience with some of these procedures has been promising.
Procedures for the recertification of the continued need for service
by the attending physician have also been adopted in some hospitals.
The Council believes that all participating hospitals should be
required to have staff committees to review the utilization of services
and that consideration should be given to certification procedures.
The structure and responsibilities of the staff committee should
be left to the discretion of the hospital and its medical staff.
However, such committees should be required at least to conduct
sample reviews of hospital admissions among the beneficiaries of
the program and to review long-stay cases. The professional judgments
obtained through the use of such a staff committee would provide
a safeguard against the improper use of services.
8. Administration
The proposed hospital insurance provisions should be administered
by the same Federal agencies which administer the social security
program but in carrying out this responsibility the Federal Government
should use private and State agencies to the extent that these agencies
can contribute to efficient and effective operation.
The Council recommends that the Federal Government have over-all
responsibility for the operation of the proposed hospital insurance
program but that it use both qualified private organizations and
State agencies for the performance of certain functions where such
use would contribute to the efficiency of administration.
Many of the functions necessary to the administration of the proposed
hospital insurance provisions would require little, if any, additional
effort since they are now being successfully performed under the
social security program and would simultaneously serve the purposes
of the hospital insurance provisions and the existing cash benefit
provisions. These functions include the collection of contributions;
the maintenance of earnings records; the establishment of age, disability,
and the status of dependents; the determination of whether insured
status requirements for eligibility are met; and the maintenance
of current records of eligibles under the program.
The Council recommends, however, that the authority given to the
Federal administrator should be flexible enough to permit him to
determine whether or not to use the help of private and State agencies,
and to what extent. Included among the functions which might be
carried out by private agencies are those related to arranging for
hospitals and other providers of health services to participate
in the program and handling the payment of hospital bills covering
costs insured by the program. State agencies which license health
facilities could be used, for example, to assure that health facilities
desiring to participate in the program meet the requirements for
participation. The Government might find that functions such as
these could be carried out better, or at less cost, if instead of
performing them directly it arranged to have them performed by private
and public agencies with experience in similar functions.
9. The Basis of Eligibility for Benefits
Hospital insurance benefits should be provided for aged and disabled
beneficiaries of the social security program, and special provision
should be made for the next few years for those who have not met
the requirements of eligibility under the program.
In the long run, all people age 65 or over and all people with long-term
total disabilities who have worked long enough to become entitled
to monthly social security cash benefits will have paid hospital
insurance contributions as well as contributions for cash benefits
and will be entitled to both types of protection on the basis of
the insured status provisions of present law. The Council believes
that the hospital insurance benefits should also be available to
people who are age 65 or over, or who will be-come 65 in the next
few years, whether or not they have made significant contributions
toward hospital insurance and whether or not they are entitled to
social security cash benefits. Such persons have not had the opportunity
to gain protection by contributing to the hospital insurance program
but their need for such protection is equally great.
People who attain age 65 after a specified date should be required
to have a gradually increasing number of earnings credits under
social security, and the number required for eligibility for hospital
insurance should ultimately be the same as that required for social
security cash benefits.{20} The cost of the protection
provided under this provision should be met from general revenues,
as explained below in the recommendation on financing.
After consideration of all possible alternatives, the introduction
of hospital insurance by making it part of the ongoing social insurance
system seems to be highly desirable in social, economic and administrative
10. Financing
The proposed hospital insurance program should be financed by
a special earmarked contribution of 0.4 percent of covered earnings
from employees and from employers, and 0.5 percent from the self-employed,
with an 0.15 percent contribution from Federal general revenues
to cover the cost of benefits for those already retired or disabled.
The contributions for hospital insurance should be an earmarked
percentage of covered earnings, established as a new tax, separate
from the taxes in the Federal Insurance Contributions Act that support
the present social security cash benefits. The proceeds of this
new tax would be kept separate from the taxes which finance the
present social security program. These proceeds would be deposited
in a newly created hospital insurance trust fund separate from the
old-age and survivors insurance trust fund and the disability insurance
trust fund. However, the employment and earnings coverage and the
maximum on covered earnings to which the new tax would apply should
be the same as those to which the present social security taxes
apply so that the recordkeeping tasks of employers and the Government
would be largely unaffected by the establishment of a separate contribution
for hospital insurance.
Hospital insurance financing separate from that of old-age, survivors,
and disability insurance should allay any concern that the hospital
insurance program might in any way impinge upon the financial soundness
of the OASDI trust funds. Furthermore, identifying the contribution
as a hospital insurance contribution will tend to increase the contributor's
sense of financial responsibility for the benefits provided.
Several members of the Council, however, while believing in the
value of a separate trust fund, are of the opinion that it is not
necessary to have a new and separate tax either to allay possible
concern about the financial soundness of the social security program,
to maintain the identity of the hospital insurance financing, or,
in general, to accomplish the objectives of the proposal.
The contribution rates should be 0.4 percent of covered earnings
each for employees and employers and 0.5 percent for the self-employed.
{21} It is assumed that these contributions for
hospital insurance would go into effect at least 6 months earlier
than the first hospital insurance benefits were paid. For example,
if the plan were enacted in 1965, the contributions might go into
effect in January 1966 and benefits might first be paid in July
In addition to the earmarked contributions there would be a contribution
from Federal general revenues to meet the cost of hospital insurance
benefits for those already retired or disabled. The Government contribution
would be justified in terms of the health and welfare of the Nation's
aged and disabled and the reduction in general revenue costs that
will follow as social insurance reduces the need for public assistance.
It is proposed that the cost to the Government be met by annual
and automatic appropriations over a 50-year period. The Government's
cost on this basis is estimated to be 0.15 percent of covered payrolls.
The recommended contribution rates are designed to be sufficient
to cover the estimated costs of the proposed benefits both in the
short run and over the long run. Because sound financing depends
on the validity of the cost estimates used and this in turn depends
on the validity of the assumptions which underlie the estimates,
the Council believes it to be in order for this report to contain
a statement of the assumptions it has directed be used in making
the cost estimates.
As in the case of estimates of the cost of cash benefits under the
social security program, assumptions underlying hospital insurance
cost estimates can vary widely and still be reasonable. For hospital
insurance the range over which cost assumptions may vary and still
be reasonable is somewhat greater than for the cash benefits. For
this reason, we have taken great care to assure that the assumptions
used in estimating the costs err, if at all, on the conservative
Clearly, the cost of the proposed program, expressed in dollars,
will be an increasing cost. One important factor which will tend
to increase the cost of the program over time will be the rising
cost per day of hospitalization. Another factor tending to increase
costs will be the growing number of people who are eligible for
hospital insurance. A third factor is the increasing average age
of those who will be protected.
Since the income to the system will come from a percentage of covered
earnings, and since over the years it can be expected that more
and more people will be employed and that earnings levels will rise,
the income of the system will also increase. To take into account
both rising costs and rising income, the analysis of financing is
done in terms of costs as a percent of covered (taxable) earnings.
Thus, the Council's assumptions concerning future hospital costs
are stated in terms of the expected future relationship between
rising hospital costs and rising earnings--of how increases in hospital
costs will compare with increases in covered earnings (and therefore
with increases in contribution income).
Earnings reflect the increasing productivity of labor. Therefore,
on the average and over time, the general level of earnings will
increase much faster than the general price level. But in recent
years the reverse has been true in the case of hospital prices;
they have been increasing substantially faster than the general
level of earnings. Obviously, however, hospital costs cannot continue
indefinitely to rise faster than earnings; if they did, ultimately
no one could afford hospital care. Nevertheless, the financing of
the hospital insurance program must make allowance for the strong
likelihood that hospital costs will, for a time, continue to increase
faster than earnings. A reasonable assumption would be that the
differential between the rate of increase in hospital costs and
the rate of increase in earnings will get smaller and that eventually
hospital prices will increase at a somewhat lower rate than earnings
even though at a much higher rate than other prices.
Specifically, our assumption for the relatively short run is that
hospital costs will rise faster than earnings for 10 years after
the program begins operation, but not quite as fast thereafter.
The Council has assumed that until 1970 the differential between
hospital costs and earnings will continue to be the same as the
average over the last 10 years (2.7 percent) {22}
and that in the following 5 years the differential will average
half as much.{23}
The Council does not presume to have any firm basis for knowing
just how much hospital prices or other prices will rise in the distant
future. However, because of the comparatively large component of
labor costs which will always be present in health services and
because of the cost of increasing quality of care, the Council has
assumed that hospital costs will probably rise indefinitely considerably
faster than other prices. Therefore, the Council's assumption on
the relation of hospital costs to earnings is that after the first
10 years of the program's operation (during which hospital costs
are assumed to rise faster than earnings), hospital costs will rise
slightly less than earnings but substantially more than other prices.
(See Appendix B, for further discussion of the specific assumptions.)
The conservative nature of this assumption is made plain when one
considers the future price levels it implies. The over-all effect
of the assumed price rises, if the past relationship between earnings
and the general price level continues, is that in the next 75 years
hospital prices will have risen 710 percent while other prices will
have risen by about 110 percent.
Another factor that affects the financing of the system is the limitation
placed on the maximum amount of annual earnings subject to contributions
(the contribution base) and its relationship to increases in earnings
levels. As has been noted, income to the system tends to rise as
earnings rise. However, if over the long-run the maximum on earnings
which are taxed were fixed--that is, if the maximum did not rise
as earnings rise, there would be an increasingly inhibiting effect
on contribution income. More and more people would be paying contributions
on the maximum earnings covered, and increases in their earnings
would not be subject to the contribution rate.
The Council's assumption is that the contribution base will not
remain fixed. In the short run the Council recommends an increase
in the base in 1966 and 1968, primarily to take account of the past
rise in earnings levels. For the longer run, one of the assumptions
made in preparing cost estimates for hospital insurance is that
periodically there will be increases in the contribution base if
earnings rise. These increases are assumed because the base, which
under the cash-benefit provisions is also the maximum amount of
earnings creditable for benefits, must be kept generally in line
with changes in earnings levels if cash social security benefits
are to continue to have a reasonable relationship to the earnings
they are intended to replace and if social security contributions
are to vary with earnings.
The great bulk of the income from contribution base increases would
of course be used to raise cash benefits to keep them in line with
higher earnings levels. For example, if hospital insurance contributions
are about one-tenth of contributions under the old-age, survivors,
and disability insurance program (as the Council recommends) a little
over 90 percent of the income from any future increase in the contribution
base would go toward old-age, survivors,
and disability insurance and a little less than 10 percent toward
hospital insurance.
The Council's assumption is, then, that legislative action will
be taken from time to time to adjust the contribution base in line
with rising earnings. However, the Council recognizes that over
the short-run the increases which it expects in the contribution
base, beyond those adopted concurrently with hospital insurance,
may not occur as anticipated. The Council recommends, therefore,
that the contribution rates for hospital insurance be designed to
provide sufficient income to cover benefit expenditures even if,
for a number of years, no further increase in the base is enacted.
The contribution rates proposed by the Council are so designed.
In summary, the principles which the Council has followed in making
its recommendation for the contribution rates necessary to support
the proposed hospital insurance program are as follows: The Council
recommends that the income to the hospital insurance program be
large enough each year to cover benefit outgo with a prudent allowance
for increases in hospital costs as well as for the possibility that
the contribution base increases may lag behind rising earnings.
A contribution rate of 0.4 percent each for employee and employer
(0.5 percent for the self-employed) together with the 0.15 percent
from the Government would be sufficient not only to meet benefit
costs but also to build up substantial amounts in the hospital insurance
trust fund. The new trust fund would have a sizable balance from
the start, since contributions toward the program would be collected
6 months or so before benefits would be paid.
The recommended maximum amount of annual earnings tax-able would
be $6,000 in 1966 rising to $7,200 in 1968, a recommendation discussed
in Part I. While, as indicated above, it is contemplated that this
maximum would rise in the future, the recommended contribution schedule
would yield income in excess of outgo for at least the next 10 years
even if the base is not increased after 1968.
The following table summarizes the cost effect of the four types
of benefits proposed to be covered:
Conclusion: The Council finds that health costs represent
the greatest remaining threat to the economic security of our aged
and severely disabled citizens. The social insurance approach, the
Council believes, is singularly fitted to serve in dealing with
this threat. What is needed is an arrangement under which working
people, together with their employers, can contribute from earnings
during their working years and have insurance protection against
health costs in later years, without further contribution, when
their health costs will be high and their incomes low. Only social
insurance, as typified by the social security program, can assure
that such an arrangement will apply to practically everyone who
works for a living.
The Council has developed and presented in this report a plan under
which the major part of the costs incident to hospitalization and
related care in old age or during periods of total disability will
be paid for through the contributory social security program. The
plan will pay for these costs in a way which is in keeping with
the high standards of American health care. The plan will be responsive
to changing methods and improvements that are likely to occur in
health care in this country. The plan will accommodate the individual's
freedom of choice of health care facilities and will in no way interfere
with the private practice of medicine or with the independence of
our voluntary hospital system. The Council has included recommendations
which, if adopted, would assure that the proposed plan of hospital
insurance for older people and totally disabled people will be soundly
financed through its own contribution schedule and trust fund.
While neither private insurance nor public assistance, alone or
together, can meet the pressing need for hospital protection on
the part of the aged and disabled, the recommended plan contemplates
an important role for both. The hospital protection proposed to
be provided under the social security program will serve as a foundation
on which individuals can build private health insurance, just as
old. age, survivors, and disability insurance under social security
is serving as a base on which people build additional protection
through private means. With social security providing basic protection
against hospital and related costs, public assistance will assume
the role best suited for it--that of a program intended to help
the members of the relatively small group whose special needs and
circumstances are such that they are unable to meet their health
costs through social security or through private insurance or other
The Council is confident that the principles of social insurance
underlying its recommended plan for hospital insurance for the aged
and the totally disabled can be applied successfully as they have
been applied to social security cash benefits. Today's social security
program assures that the vast majority of older people and totally
disabled people will receive a regular monthly income to help them
meet the costs of day-to-day living. The proposed provisions for
hospital insurance will round out this security by removing the
greatest remaining obstacle to the financial independence of these
groups. With such provisions in effect, millions of our older citizens
will be able to look forward to their years of retirement without
the dread of overwhelming costs arising from serious illness.


text:
Hundreds of adults and children celebrated a day of acceptance at EqualityFest Feb. 9 at Intuition Ale Works in Riverside.
One goal of the family-friendly festival was to highlight folks' awareness of efforts being made to pass an expanded Human Rights Ordinance providing protection to the LGBT community. In August, the Jacksonville City Council voted 10-9 against a bill to add discrimination protections for gays and lesbians.
The city's Director of Downtown Engagement Tony Allegretti and NPR "State of the Re-Union" host, poet and playwright Al Letson, a Northeast Florida resident, were the featured speakers. The bands Mama Blue, Tropic of Cancer, Shawn Lightfoot, Tough Junkie, Ritual Union and Real Job played. Proceeds benefited LGBT nonprofit youth services agency JASMYN.


text:
There is speculation that Tom Cable's job could be in danger should the Raiders suffer another blowout loss Sunday to the San Diego Chargers.
That's all it is at this point _ speculation. A lot of it by fans, a few off-hand references in the media.
It seems reasonable enough. The Raiders are coming up on their bye week. Al Davis fired his coach, Lane Kiffin, last season at the bye week. The bye week presents an opportunity for the interim coach to at least begin to get up to speed for the Raiders' post-bye game Nov. 15 at the Coliseum against Kansas City.
Cable is 6-13 as a head coach, slightly better than Kiffin's 5-15, and his losses have been much more one-sided _ nine of them by three touchdowns or more.
The heat is off Cable in terms of prosecution for the assault alleged by Randy Hanson, although an NFL sanction (more likely a fine than suspension) is still a possibility. Now comes an ESPN Outside the LInes report aired Sunday morning which says Cable has a history of violence toward women.
Cable issued statements through the Associated Press conceding he struck his first wife "with an open hand" in 1989 and has regretted it ever since and challenged ESPN for never contacting him initially for comment.
I've heard Davis is unhappy with the whole Hanson affair, given that he gave Cable his big chance to be an NFL coach and then the organization had to deal with an unwanted distraction.
Never mind the fact that Davis is the one responsible for putting Hanson in the mix in the first place, and that other distractions over the years have also been a great deal of his own making. It's doubtful he sees it that way. No telling what he thinks of this latest run of bad publicity. Coupled with another face-plant today, Davis could conceivably use it as "cause" for firing another coach.
That said, I don't see Cable being an in-season casualty. There is some sentiment within the building that he's been the best coach at dealing with the boss since Jon Gruden, although his team's on-field performance has never approached what Gruden delivered.
Whatever disagreements Cable has had with Davis, or problems with personnel, he's never leaked them to the media. He's held firm to the philosophies of the owner on offense and defense, which he says he agrees with due to his lifelong love for the franchise.
Kiffin antagonized Davis at every turn, hoping to get fired. Cable espouses traditions, rivalries and the kind of history which plays well upstairs. He made his most risky move against the Jets, benching JaMarcus Russell and taking a subtle but evident hard line regarding his inadequacies in the loss. It's a tightrope, to be sure, because Cable's job is tied to Russell's progress and no one believes Bruce Gradkowski or Charlie Frye could step in and suddenly deliver victories.
Still, unless Cable takes a "him or me' stance with Russell, and continues to try and build a team around him, he's not going anywhere this season.
That doesn't mean Cable has a free pass by any means. Only that he's probably going to last the season. He could end up a dead man walking, much like the final weeks of the reigns of Bill Callahan, Art Shell and Norv Turner.
One thing's for sure. Cable could really use a repeat of the kind of electricity the Raiders had on opening night against San Diego, this time followed by a win. And he needs to bag a few more wins along the way. Beating fellow lightweights such as the Chiefs, Redskins and Browns would be mandatory, coupled with a couple of unexpected victories along the way such as a high-profile Thanksgiving Day game against the Cowboys.
There's also potential upsets against teams such as Pittsburgh, Denver and Baltimore.
Tall orders to be sure. After the Jets game, frankly, it looks next to impossible.
Cable got his chance in large measure because of two wins to close the season against Houston and Tampa Bay, and I'll be the first to admit I thought winning those games earned him a shot at the job.
Davis apparently thought so as well, but closing with a rush over the last two games won't count for nearly as much this time around if it is preceded by a few more lackluster one-sided losses.


text:
Mebendazole oral
Name: Mebendazole oral
- Mebendazole oral how to use
- Mebendazole oral tablet
- Mebendazole oral used to treat
- Mebendazole oral is used to treat
- Mebendazole oral side effects
- Mebendazole oral serious side effects
- Mebendazole oral drug
- Mebendazole oral dosage
- Mebendazole oral missed dose
Mebendazole is used to treat intestinal worm infections such as pinworm, roundworm, and hookworm.
How to use Mebendazole Tablet, Chewable
Read the Patient Information Leaflet if available from your pharmacist before you start taking mebendazole and each time you get a refill. If you have any questions, ask your doctor or pharmacist.
This medication is taken by mouth and can be taken with or without food. It may be chewed, swallowed whole, or crushed and mixed with food.
Dosage is based on your medical condition and response to therapy.
For treatment of pinworm infections, the medication is usually given as a single dose. If necessary, a second treatment may be given in a few weeks. For other types of common worm infections (e.g., roundworm, hookworm), take mebendazole by mouth for 3 days, usually twice a day in the morning and in the evening, or as directed by your doctor. If necessary, a second treatment may be given in a few weeks. For other types of infections, follow your doctor's directions. Your doctor may order you to take this medication more often than twice a day and for longer than 3 days.
It is very important to continue taking this medication exactly as prescribed by your doctor. Do not skip any doses. Continue to take this medication until the full prescribed amount is finished, even if symptoms disappear. Stopping the medication too early may result in a return of the infection.
Inform your doctor if your condition persists or worsens.
Side Effects
Stomach/abdominal pain, vomiting, diarrhea, headache, dizziness, or drowsiness may occur. If any of these effects persist or worsen, tell your doctor or pharmacist promptly.
Remember that your doctor has prescribed this medication because he or she has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects.
Tell your doctor right away if any of these rare but very serious side effects occur: severe abdominal pain, easy bleeding/bruising, signs of serious infection (e.g., fever, persistent sore throat), unusual/extreme tiredness, seizures, weakness, dark or pinkish urine, yellowing eyes/skin.
A very serious allergic reaction to this drug is rare. However, seek immediate medical attention if you notice any symptoms of a serious allergic reaction, including: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing.
This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist.
In the US -
Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088 or at www.fda.gov/medwatch.
In Canada - Call your doctor for medical advice about side effects. You may report side effects to Health Canada at 1-866-234-2345.List Mebendazole Tablet, Chewable side effects by likelihood and severity.
Before taking mebendazole, tell your doctor or pharmacist if you are allergic to it; or if you have any other allergies. This product may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details.
Tell your doctor your medical history, especially of: low blood count (anemia), liver disease, intestinal problems (e.g., Crohn's disease, ulcerative colitis).
During pregnancy, this medication should be used only when clearly needed. Discuss the risks and benefits with your doctor.
This drug passes into breast milk. Consult your doctor before breast-feeding.
Drug interactions may change how your medications work or increase your risk for serious side effects. This document does not contain all possible drug interactions. Keep a list of all the products you use (including prescription/nonprescription drugs and herbal products) and share it with your doctor and pharmacist. Do not start, stop, or change the dosage of any medicines without your doctor's approval.
A product that may interact with this drug is: metronidazole.
If someone has overdosed and has serious symptoms such as passing out or trouble breathing, call 911. Otherwise, call a poison control center right away. US residents can call their local poison control center at 1-800-222-1222. Canada residents can call a provincial poison control center.
Do not share this medication with others.
If you are taking this medication for a long time, laboratory and/or medical tests (e.g., complete blood count, liver/kidney function tests) may be performed periodically to monitor your progress or check for side effects. Consult your doctor for more details.
Pinworm infections can easily spread to others. All family members in close contact with the patient should be treated to decrease the chance of spreading the infection.
Practice strict hygiene to prevent another infection. Wash hands frequently, especially after using the bathroom. Disinfect toilets daily. Change and launder undergarments, towels, and bedclothes daily.
Missed Dose
If you are taking more than one dose and miss a dose, take it as soon as you remember. If it is near the time of the next dose, skip the missed dose and resume your usual dosing schedule. Do not double the dose to catch up.
Store at room temperature away from light and moisture. Do not store in the bathroom. Keep all medications away from children and pets.
Do not flush medications down the toilet or pour them into a drain unless instructed to do so. Properly discard this product when it is expired or no longer needed. Consult your pharmacist or local waste disposal company.Information last revised August 2017. Copyright(c) 2017 First Databank, Inc.


text:
Ross Lynch & Marc Meyers Speak On Their Film, "My Friend Dahmer"
Jeffrey Dahmer murdered 17 men and boys in the Midwest United States between 1978 and 1991 before being captured and incarcerated. He would become one of America's most infamous serial killers. Directed by Marc Meyers, "My Friend Dahmer" is the story before that story. Jeff Dahmer (Ross Lynch) is an awkward teenager struggling to make it through high school with a family life in ruins. He collects roadkill, fixates on a neighborhood jogger and copes with his unstable mother (Anne Heche) and well-intentioned father. He begins to act out at school, and his goofball antics win over a group of band-nerds who form The Dahmer Fan Club, headed by Derf Backderf. But this camaraderie can't mask his growing depravity. Approaching graduation, Jeff spirals further out of control, inching ever closer to madness.


text:
West Ham 2 Norwich 1: Controversial decisions hand hosts victory
West Ham United ended a run of four league games without a win thanks to a 2-1 victory over Norwich City.
Last Updated: 01/01/13 6:55pm
The hosts took the lead through a third-minute Mark Noble penalty that was awarded by referee Mark Clattenburg for Ryan Bennett's negligible pull on Winston Reid.
They doubled their lead 23 minutes later through Joey O'Brien's opportunist close-range strike, despite the fact that Norwich's Alexander Tettey was grounded in the build-up with a head injury.
Russell Martin handed Norwich last-gasp hope with an injury-time consolation, but they couldn't force an equaliser and have now lost their last four league games.
The result sees Sam Allardyce's side leapfrog Norwich into 11th place, with Chris Hughton's out-of-form team now 12th.
The hosts were given a perfect start by Clattenburg, whose decision to penalise Bennett for tussling with Reid allowed Noble to send Mark Bunn the wrong way with a well-struck right-foot shot.
Although they then took control of the game, they were lucky to stay ahead when, after a rare foray forward, Norwich's Robert Snodgrass struck the foot of the post with a sublime free-kick from 25 yards.
The visitors then had another refereeing decision go against them when a penalty appeal was waved away, despite a clear handball in the West Ham box from Reid.
And they then fell 2-0 behind, once again in controversial circumstances. With Tettey down on the floor, Sebastien Bassong failed to fully clear Noble's near-post cross and O'Brien sidefooted home the rebound.
The goal sapped Norwich's confidence and West Ham took complete control of the game, with only Mark Bunn keeping the score at 2-0 courtesy of fine saves from Matt Taylor and Jack Collison.
However, the visitors improved markedly after the break and both teams created numerous half-chances as the tempo increased and the game opened up.
Substitute Elliott Bennett delivered a superb cross for Martin to sweep home at the near post in injury time, but West Ham held on for a deserved and much-needed victory.


text:
Recent searches
Popular Searches
Search Suggestions
We bring the classic British greenhouse to The Shoppes at Marina Bay Sands, Singapore, with a new bespoke space hosting The Belt Bag – a belted tote influenced by our iconic Trench.
A rainbow of limited-edition colours with archival Equestrian Knight embroidery. In-store monogramming services are available to customise your Belt Bag.
21 June – 8 July, 10:30 – 23:00


text:
Feb. 26, 2010
BOSTON, MA-The University of Massachusetts Dartmouth's track and field team had a few good performances at the Open New England Championships at the Boston University Track and Tennis Center Friday.
For the men, freshman Kaylin Miranda (Brighton, MA/O'Bryant HS), placed eighth in the long jump at 21 feet, eight inches. At 1000 meters, junior Eric Nygaard (Medway, MA/Medway HS) finished in 2:32.32, the second fastest time in school history and only 28/100ths of a second off the school record. Senior Matt Lemanski (East Longmeadow, MA/East Longmeadow HS) finished in 2:36.81, and sophomore Kevin Gilmore (Hanson, MA/Whitman-Hanson HS) ran 5000 meters in a personal best time of 15:20.98. For the women, junior Linee Mello-Frost (New Bedford, MA/New Bedford HS) ran the 55 meter hurdles in 8.73 seconds.
"It was certainly impressive that Kaylin was able to place as a freshman," said UMass Dartmouth Head Coach Steve Gardiner. "Eric just missed the school record, and he turned in a really solid performance, and it was good to have Kevin Gilmore get a personal best. Overall, it was a good effort."
The Corsairs will return to action Saturday, with junior Jermai Harrison (Brockton, MA/Brockton HS) and sophomore Robert Yarbough (Fall River, MA/Durfee HS) competing in the shot put.


text:
MicroNet Template – Events
Farmers Market
Name: Farmers Market
Date: July 21, 2018
Time: 9:00 AM - 1:00 PM PDT
Event Description:
Each Saturday, California farmers bring fresh produce to sell at the Dana Point Farmers Market from 9:00am to 1:00pm. Craft vendors join in on the fun every first Saturday of the month as well.
The Dana Point Farmers Market is located in La Plaza Park on Pacific Coast Highway near the Clock Tower.


text:
SAUDIA offers its valuable customers four classes of travel in most of its aircraft; First Class, Business Class, and Guest Class.
Customer satisfaction is a top priority both in the air and on the ground, beginning with reservations, check-in, boarding, in-flight service, deplaning, baggage handling and assistance upon arrival.
This is the type of customer care that we want to provide you with, as manifested in our slogan "A New Era..."
SAUDIA First Suite
First Class
Business Class
Guest Class


text:
There's a "heart attack risk in dieting", according to the Daily Express, while The Daily Telegraph reported that a "breakfast egg can raise heart disease risk". Neither of these over-the-top headlines clearly represented the research on which they were based.
The news stems from a large, long-term Swedish study of women aged 30 to 49, looking at their diets and whether they developed cardiovascular disease. Researchers wanted to understand the long-term effects of low-carbohydrate, high-protein diets. They found that proportional decreases in carbohydrate intake and increases in protein intake were associated with a small increase in the risk of cardiovascular disease such as heart attack and stroke.
This sort of study can provide useful estimates about a link, but there are some important limitations, such as the need to account for other lifestyle choices and the fact that eating habits were only established once, at the start of the study.
While the media coverage mostly focused on the Atkins diet, it is important to note that this study was not assessing women who followed any particular diet. Despite some drawbacks, this research supports existing advice to follow a balanced diet in order to stay healthy.
Where did the story come from?
The study was carried out by researchers from the University of Athens Medical School and other institutions from the US, Scandinavia and Europe. It was funded by grants from the Swedish Cancer Society and the Swedish Research Council. The study was published in the peer-reviewed medical journal BMJ and is an open access article.
This study was picked up by a variety of papers, which mostly ran attention-grabbing headlines about the ill-effects of the well-known Atkins diet. Although the study did not focus specifically on the Atkins diet, low-carbohydrate and high-protein intake (characteristic of the Atkins diet) was studied. The Telegraph's headline of a "breakfast egg can raise heart disease risk" is misleading because an occasional eggy breakfast alone is unlikely to lead to poor heart health, and is not what this study examined. The Telegraph's headline is particularly baffling, because the paper's news story goes on to state that "this latest study is not principally about eggs".
What kind of research was this?
This was a prospective cohort study looking at the long-term consequences for cardiovascular health of low-carbohydrate diets, generally involving a high-protein intake.
Results from prospective studies are usually considered to be more robust than retrospective studies, which either use data that was collected in the past for another purpose, or ask participants to remember what has happened to them in the past. In this study, the researchers used data collected as part of the Swedish Women's Lifestyle and Health Cohort. The original aim of this particular cohort is not reported but is likely to have been designed to look at how various lifestyle factors affect health outcomes.
What did the research involve?
Between 1991 and 1992 the Swedish Women's Lifestyle and Health Cohort recruited 43,396 women aged 30 to 49 years old, with no history of cardiovascular disease, from the Uppsala region of Sweden. They completed an extensive health and lifestyle questionnaire that included questions about dietary intake. The women recorded their dietary intake (how often they ate and the amount they consumed) of about 80 food items and drinks for the six-month period before entering the study. The food item groups were vegetables, legumes, fruits and nuts, dairy products, cereals, meat and meat products, fish and seafood, potatoes, eggs, sugars and sweets. The researchers translated the women's self-reported food consumption into nutrient and energy intake.
The women were followed for an average of 15.7 years, and the researchers used national Swedish registries to identify hospital discharge information and reported deaths to look for first diagnoses of cardiovascular diseases (as recorded by recognised disease classification codes). These included reports of:
- heart disease
- stroke (due to a blood clot or bleed
- subarachnoid haemorrhage (bleeding in the outer layers of the brain)
- peripheral artery disease (narrowing of the arteries in the legs)
The researchers estimated the intakes of protein and carbohydrates for each women and assigned her a score from 1 (very low protein intake) to 10 (very high protein intake). Conversely, carbohydrate intake was scored as 1 (very high intake) to 10 (very low intake). Scores were analysed separately by adding them together to give a low-carbohydrate, high-protein score ranging from 2 to 20. They looked at how this related to new diagnoses of cardiovascular disease, adjusting for various other cardiovascular risk factors that could confound the analyses, such as smoking, blood pressure and fat intake.
What were the basic results?
A total of 1,270 cardiovascular events were identified as happening to the 43,396 women over about 15 years, and these broke down as:
- heart disease (703 events)
- stroke (any type, 364 events)
- subarachnoid haemorrhage (121 events)
- peripheral artery disease (82 events)
The researchers' analysis found that both high-protein and low-carbohydrate scores were significantly associated with an increased rate of these cardiovascular events. A one-tenth (one point) increase in protein intake was associated with a 4% increase in the risk of any new cardiovascular events (rate ratio 1.04, 95% confidence interval 1.02 to 1.06). A one-tenth decrease in carbohydrate intake was associated with a (borderline significant) 4% increase in the risk of any new cardiovascular event (rate ratio 1.04, 95% confidence interval 1.0 to 1.08). A two-unit increase in a composite low-carbohydrate, high-protein score was associated with a 5% increase in the risk of any new cardiovascular event (rate ratio 1.05, 95% confidence interval 1.2 to 1.08).
Researchers also found a reduced risk of cardiovascular disease with increasing levels of education and physical activity. Risk of cardiovascular disease was increased with tobacco smoking and a history of high blood pressure.
How did the researchers interpret the results?
The researchers concluded that "low-carbohydrate, high-protein diets, used on a regular basis and without consideration of the nature of carbohydrates or the source of proteins, are associated with increased risk of cardiovascular disease". They estimated that a 20g decrease in daily carbohydrate intake and a 5g increase in daily protein intake would lead to a 5% increased risk of cardiovascular disease.
This large study provides some evidence of a link between low-carbohydrate, high-protein diets and increased risk of cardiovascular events such as strokes. However, there are some limitations to this study:
- The women's diet was only assessed once, at the beginning of the study. This assessment included the women's diet in the previous six months, but may not reflect the average intake of different food groups over longer periods.
- The women reported their own dietary intake. Self-reporting like this can make the results less reliable and could have led to incorrect categorisation of women according to their protein and carbohydrate intake.
- Although the researchers attempted to adjust their results for other factors that may have contributed to cardiovascular events, this type of study may not have taken into account all contributing factors. For example, the women's cholesterol levels were not assessed.
- Limited information is given on how the researchers determined which women had existing cardiovascular disease at the start of the study. The research may therefore have included women with existing disease.
- Because this was a study that only included women, its findings can't be applied to men. However, this doesn't mean that men shouldn't be concerned about their diet.
The focus of the media coverage upon the Atkins diet is because the dietary pattern in the study mimicked some of the Atkins diet's recommendations of a low-carbohydrate, high-protein diet. However, it is important to note that this study was not assessing women who followed any particular diet. Consequently, some of the headlines are misleading. The Telegraph's warning that a "breakfast egg can raise heart disease risk" is simply inaccurate as it implies that those eating a healthy diet including eggs may be at risk of poor heart health. This is simply not the case.
Despite its limitations, this study supports existing advice to follow a healthy balanced diet for optimal health.
Analysis by Bazian
Edited by NHS Website
Links to the headlines
Daily Express, 27 June 2012
Atkins-style diet warning: Low-carb, high-protein diet linked to greater risk of heart disease and strokes
The Mirror, 27 June 2012
Breakfast egg 'can raise heart disease risk'
The Daily Telegraph, 27 June 2012
Links to the science
Lagiou P, Sandin S, Lof M, et al.
Low carbohydrate-high protein diet and incidence of cardiovascular diseases in Swedish women: prospective cohort study
Published online June 27 2012


text:
Mocking laughter of an italian male recorded with Neumann tlm 103.
This sound has not been commented on yet, be the first to comment!
Please log in to comment
Share url:
920 x 245
481 x 86
375 x 30
We use cookies to ensure you get the best experience on our website. By browsing our site you agree to our use of cookies.
For more information check out our cookies policy.


text:
ideaChef goes to... Sweden
It took several months to bring to life, but in less than a month ideaChef was presented and is being noticed in Europe.
Only Engaged Innovation Teams Succeed
Engagement of teams is a must-have when addressing the key issues related to sustainable innovation programs.
Day 2 at FEI EMEA 2015
Last month we were at FEI EMEA 2015 in Vienna, Austria. By the end of Day 1, everybody was excited and 'getting connected' with the ChiefHumourOfficer.com team. These were great moments to relax and start networking. It was the first time we would meet some Twitter and LinkedIn contacts, finally we would get to really know them.
Continue to innovate with the best
According to Innovation Union Scoreboard 2014, the EU and all EU Member States have become more innovative in recent years. The overall ranking within the EU remains relatively stable, with Sweden at the top, labeled as "Innovation Leaders" with their innovation performance well above that of the EU average.
So CONTINUE TO GROW decided to fly over to Stockholm to find out why.
LET`S 2014 Conference takeaways in the light of new European Industrial Renaissance
CONTINUE TO GROW participated at the LET`S Key Enabling Industrial Technologies Conference (29 SEPT to 1 OCT 2014) held in Bologna, Italy.
Paving the Path for Innovation Purpose and Closing the Alignment Gap
Defining the organizational purpose and promoting organizational alignment are two key factors for creating a culture that supports innovation.
Have you already read the article?
CONTINUE TO GROW Corporate Video
CONTINUE TO GROW supports organisations with their roadmap for change, providing critical support services and products to boost the innovation effort.
New content together with a corporate video was published.
CONTINUE TO GROW 1st Anniversary
One year ago CONTINUE TO GROW was launched with a different market approach and business model. Thank you to all of you who believe in our project, your continuous support is very critical for the next steps!
New Release of the Innovation Journey
This new version of CONTINUE TO GROW innovation self-assessment tool got a fresh look and a tutorial video. Free coaching is now available for completing the journey with our comprehensive support.
NEWSLETTER July 2014
Please access here the original newsletter
This is a post with the content of our Newsletter July 2014.


text:
Emerging markets currently represent about 70% of the world's population, but only about 36% of the global GDP. However these economies are growing much faster than the developed economies. (Read: 3 Consumer Staples ETFs for the Shaky Market)
By 2020, the combined GDP of emerging economies is projected to overtake that of the developed economies. As these countries grow, more people see rise in disposable incomes and spending capacities.
According to a McKinsey report--by 2025, the consumption class in the emerging markets will grow to 4.2 billion people and the consumption will reach $30 trillion--about half of the global total. As a result, the emerging markets consumers will become dominant players on the global economic scene.
The emerging markets consumer market also looks very attractive due to positive demographic trends in these countries. The median age in the emerging countries is much lower compared with most developed countries and with growing incomes, many people join the ranks of middle class every day. (Read: Spending is Surging: Stock Up on These ETFs)
Rapidly growing middle class in emerging markets will ensure the growth of consumer focused companies in these regions. Further many of the governments are also taking policy measures to encourage domestic growth while seeking to reduce the dependence on exports.
The investors can access these markets through a number of ETFs, both multi-country and country-specific ones. The broad based emerging market funds are typically dominated by large cap multinational companies. On the other hand, there are some emerging markets consumer ETFs designed specifically to benefit from the rapid growth of the smaller, domestically focused companies.
In this article we present the ETFs that provide broader exposure to emerging markets consumers. (Read:Buy These Emerging Asia ETFs to Beat China, India)
EGShares Emerging Markets Consumer ETF (ECON - Free Report)
ECON tracks the Dow Jones Emerging Markets Consumer Titans 30 Index, which measures the performance of 30 leading emerging market companies in the Consumer Goods and Consumer Services industries.
The fund made its debut in September 2010 and currently holds $468.4 million in AUM, invested in 30 securities. It charges 85 basis points for annual expenses.
Top country weighting are South Africa (19%), Mexico (18%), Brazil (17%) and India (11%). Beverages (16%), Food & Drug Retailers (14%) and Food Producers (13%) occupy the top three spots in terms of sector exposure.
Emerging markets consumers do prefer their familiar local and regional brands in comparison to developed world brands. The companies that this ETF invests in derive most of their revenues from the emerging markets sales.
MSCI Emerging Markets Consumer Discretionary Sector ETF (EMDI)
EMDI tracks the MSCI Emerging Markets Consumer Discretionary Index. Incorporated in February 2012, this ETF now has $2.5 million in assets, invested in 81 holdings.
The fund invests mostly in Consumer Discretionary stocks, which currently comprise 99.8% of the fund. It is heavily tilted towards South Korea (32%), while South Africa (18%), China (10%) round out the top three. EMDI charges 69 basis points in expenses per year.
EGShares Emerging Markets Domestic Demand ETF (EMDD)
EMDD, the latest product in this space, tracks the price and yield performance of the INDXX Emerging Markets Domestic Demand Index. The index is comprised of companies that are expected to benefit most from the organic growth within emerging economies.
Financials (25%), Technology (14%) and Energy (13%) are the top sectors while Mexico (25%), China (15%) and India (14%) occupy the top spots in terms of country exposure. The fund charges 85 basis points in expenses per year.
Want the latest recommendations from Zacks Investment Research? Today, you can download 7 Best Stocks for the Next 30 Days. Click to get this free report >>
Can America Become an Energy Superpower?


text:
The HTV112 MKII is a 1x12 speaker cabinet perfectly matched to complement the HT Venue Series MK II amps. Since the launch in 2010, Blackstar's HT Venue has become one of the world's best-selling tube amp lines. HT Venue MkII refines this award-winning line and elevates it to a new level of performance.
Blackstar HTV112 Mark II Guitar Amplifier Cabinet Features
MSRP: $9.82 Save: $4.33 (44%)
MSRP: $6.06 Save: $2.11 (35%)
MSRP: $17.20 Save: $6.21 (36%)
MSRP: $29.99 Save: $5.00 (17%)
MSRP: $25.31 Save: $11.36 (45%)
MSRP: $39.99 Save: $18.00 (45%)
What started as a simple string and pedal sales catalog has grown exponentially over the past thirty years. The early days were a time where catalogs didn't have much of a presence in the industry, but what began as a college dorm room operation grew rapidly. In 1986 we moved to a full product offering and 64-page catalog, which over the years has grown to 162 pages. Join the AMS family and get your free catalog now!
Copyright © 1996-2019 American Musical Supply, Inc. All rights reserved. American Musical Supply reserves the right to correct pricing and/or product specifications in the event of typographical errors found in our print catalog or on our website. If a product is listed at an incorrect price due to such errors or because of inaccurate information received from a supplier, American Musical Supply shall have the right to refuse or cancel any orders placed, whether or not the order has been confirmed and your credit card charged. If your credit card has already been charged for the purchase and your order is canceled, American Musical Supply will issue a credit to your credit card account in the amount of the charge.


text:
BRENTWOOD, Tenn. – Tennessee Tech senior Syrym Abdukhalikov has been named adidas® Ohio Valley Conference Male Athlete of the Week in tennis.
Abdukhalikov went 2-0 at No. 1 singles and 2-0 at the No. 1 doubles spot last week as Tennessee Tech picked up a pair of road conference wins.
Against Morehead State, he won a tie-breaker in the second set then clinched a win in the third set for the deciding point to win the match. He teamed with Alejandro Augusto to pick up a pair of doubles wins.
Abdukhalikov owns a 4-0 OVC singles mark and a 4-0 league
doubles record. Overall, Abdukhalikov is 9-2 in singles play, and
5-6 in doubles.
The Golden Eagles host Jacksonville State Wednesday at 1 p.m., then wrap up the home portion of their schedule with a pair of matches this weekend. On Saturday, SIUE visits and on Sunday Tech will recognize Abdukhalikov for Senior Day when the Golden Eagles entertain Eastern Illinois. Both weekend matches begin at 12 noon.


text:
We all look forward to seeing the Coca Cola truck with the fairy lights twinkling as bright as Santa's eyes. It spells the beginning of Christmas, in the same way as settling down to a festive meal with family and friends at Toby does.
So to make Christmas extra special this year, we've teamed up with Coca Cola to offer you the chance to win £100 in Amazon vouchers… how's that for a Christmas treat?!
Next time you head to your local Toby you'll see an impressive cardboard cutout of the famous Coca Cola truck. All you have to do to win the vouchers is take a selfie in front of it using the hashtag #tobytruckselfie. Don't forget to tag us in using @tobycarvery! We'll select a new winner each week up until 24th December.
We don't think you ever need an excuse to bring the family to Toby but if ever you needed one, here it is!


text:
Custom Wedding Hanger in cherry finish - personalized wedding hangers. These make beautiful gifts for brides, bridesmaids and grooms!
Fits up to characters (letters a-z, periods, "&" sign, and hearts are allowed. No other punctuation, accents, numbers or special characters please. Hearts count as 3 characters.)
Hanger features a CHERRY finish. Color may vary slightly from the photos due to natural differences in the wood. Hanger measures 17" at the widest part. Wire is silver in color.
Some suggestions for your text:
- bride
- mrs. lastname
- groom
- bridesmaid
- Name♥Name
- Initial♥Initial
- first name
- true love
- i do
Production & Shipping:
Our hangers are made to order just for you and usually leave our studio within 2 weeks. Rush shipping available at checkout.
Most Popular
You Might Like...