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Building a multi-storey car park is an enormous undertaking best left to professionals. You will need a car park designer, a full building crew, and a number of specialized engineers. It is a massive project, not something that car park owners can do on their own.
That is why hiring a professional firm like Multi Storey Parking Decks is the best way to approach car part construction, whether you are planning on building underground car parks, steel car park structures, or a simpler composite car park deck.
We are a dedicated team of car park design and construction professionals, working with clients across the UK to build and install every part of the multi-storey car park of your dreams.
We design bespoke car park layouts for clients, working from the car park layout to the final car park construction process. Our team of car park designers are the best in the business, with years of experience to prove it.
From car park layout to helping you through car park planning applications, our car park designers are experts in good car park design and helping clients realise their dreams.
Our permanent structures offer significant savings against many other companies, and we have a sister company that offers very reasonable maintenance costs on all new multi-storey car parks constructed by our design team.
Every one of the many multi-storey car parks we build meets local construction requirements and guidelines for every step of the process, from design to installation.
Our unique composition supporting columns are designed to resist all common physical stresses and meet foundation requirements, and the resulting car park environment has clear headroom, excellent performance, and a high level of safety and security coupled with cost-effectiveness for a long-lasting and low maintenance car park.
We have over 15 years of experience in the design and installation of multi-storey parking structures, creating thousands of extremely durable multi-deck car park structures in city centres and other locations across the entire UK.
If you are looking for a step up from on-street parking spaces, our car park structure design and construction services are exactly what you need. We will help you every step of the way, from design to installation to all the accessories needed for modern car parks - get in touch with our team today to start the process!
There are several different types of materials and constructions that can be used in the car park constructions that we offer. Let's take a look at some of the most popular options available from our multi-storey car parks team.
Kingspan Multideck is a high-performance, profiled, galvanised steel floor deck used to build composite car park deck floor systems. Because of its great span widths, durability, and strength, it is a suitable composite car park deck for use on raised deck and multi-storey car park projects.
Most car park owners choose some form of Kingspan Multideck steel frame for their car park construction. The most popular forms of steel floor decking for metal floor car park construction in the UK are Kingspan Multideck MD60 and MD80.
Because of its structurally efficient trapezoidal shape, which maximises span capacity up to 4.5m unpropped, MD60 is the original and most popular steel deck on the market. Kingspan Multideck MD60 uses less concrete than comparable steel decks due to its distinctive profile.
MD80 offers all of the benefits of MD60V2 but in a deeper profile, allowing for larger unpropped spans of up to 5.4m. Because of its distinct profile, it takes less concrete than any other steel decking product to reach any desired concrete slab thickness. This is ideal for car parks that want to minimise concrete use.
Because of its spanning capabilities and cost-effectiveness, MD80 is quickly becoming the preferred choice of trapezoidal composite steel car park deck flooring material for raised deck and multi-storey car park construction. It is also great for ramp features and anything where you need to clear span widths greater than usual, such as extra wide bays in your car parks.
The variety of steel gauge thicknesses available enables MD60 steel and MD80 steel to be inexpensively built to meet the particular clear span profile of your car park design. These are available with standard galvanising, but we can also offer additional protective coatings over the steel frame to maximise protection and increase the lifespan of your steel deck even further.
We can design car park floor plans for different flow plans, adjusting deck and ramp locations to match the ideal traffic flow for your location. A one-way flow vehicle pattern means cars can only move in one direction around a parking lot.
This car park design works best when paired with angled car parking bays because it provides for simple access and departure from the bays and allows cars to freely travel about the car park building.
Only when motorists become confused or ignore the one-way traffic pattern do problems occur. Car park owners should place visible signs and floor markers to reduce these accidents and ensure that each one-way ramp is clearly indicated.
Vehicles in two-way flow patterns might go in opposing directions around a parking lot. This is a popular alternative for congested parking lots since it provides for a higher flow rate, allowing vehicles to depart a lot faster and allowing other drivers to occupy their place.
This strategy, however, must be supplemented with 90-degree automobile parking bays, as angled parking bays might cause manoeuvring issues, resulting in hold-ups. Additional space is also required between the rows of parking spots to allow two vehicles travelling in opposing directions to pass each other safely.
As a result, this car park layout plan may provide fewer bays than a one-way flow vehicle pattern. A double ramp to the raised deck will be required for this style of car park flow system.
Steel frame and composite concrete flooring, which is a mix of profiled metal floor decking and a reinforced concrete slab, is the most commonly employed method for creating a raised deck car park.
Steel, as a material, has good tensile strength and is very lightweight, requiring less foundation than other building methods. This makes it simple and inexpensive to build the raised deck elements of a multi-storey car park.
Steel is incredibly robust and resistant to fire. It is a flexible material for designers, allowing all of the fundamental requirements of car park design to be addressed. Composite concrete flooring is made up of profiled steel decking sheets and mesh-reinforced concrete, offering a strong but relatively lightweight material for raised deck car park construction.
Steel and concrete function nicely together because their strengths balance each other out. They both respond to thermal changes in the same way, expanding and contracting as ambient temperatures rise or fall. Together, they give exceptional structural rigidity, fire performance, and load-bearing capabilities, as well as the lifetime of a parking structure.
An elastomeric waterproof coating will be put on top of the concrete slab to finish and waterproof the vehicle deck. This ensures that the surface of the deck remains weatherproof, protecting the concrete and steel of the deck structure from the environment.
Any ramp needed for the raised deck surface will be made from concrete, with a steel core inserted into any ramp that connects the upper deck levels of the car park. Ramp elements are a central part of the structural frame, supporting large parts of the car park deck along with the steel frame component.
Car parks must be protected from the impacts of the weather. The car park environment may be quite a harsh one, especially when corrosive or abrasive snow and ice removal procedures are used.
It is consequently advised that the upper deck of the parking garage be waterproofed with a typical bituminous membrane or a liquid-sprayed seamless coating.
It is also a good idea to treat other floors to avoid water penetration. It is critical to specify the correct products that are appropriate for the materials and ensure that installation and maintenance follow the supplier's guidelines completely.
To minimise water buildup on the slabs, proper falls and drainage must be provided on all floors and ramp elements of your car park, particularly around the entrance module. A lightweight steel canopy over the top parking deck is becoming more popular.
This provides additional protection to the top level of the parking garage, allowing users to park in all weather conditions. A vehicle park's visual appeal may be considerably boosted by having a roof that allows the car park to fit in with the urban surroundings. The long-term benefits of lower maintenance can greatly outweigh the initial cost of this method.
A multi-storey car park structure is more expensive on a per bay basis than a single-storey ground floor open parking lot. While there is not a single specific number, you should expect to budget around £10,000 per bay for your multi-deck car park. For a free quote, get in touch with our team today.
Let us break down the numbers for the cost of a multi-deck car park a little bit. Cost modelling for car parks can be complicated by land acquisition expenses, foundation concerns due to the ground underlying the site, and any unique planning constraints and consents.
Uncertainty about prices and dangers might mean that much-needed parking lots never get past the idea stage. A feasibility study may also reveal that the profits are insufficient to justify the investment. All of this uncertainty is part of why we recommend that you get in touch with us as early in the planning process as possible so we can help you work out the most cost-effective solutions.
Cost tends to be measured per space because this is the easiest way to understand how the expense will change for different sizes of car parks. That is not the only consideration that matters, however. A multi-deck car park will cost more than putting the same number of spaces all on the ground floor because the construction is more complex.
Load-bearing materials, ceiling heights, structural walls and more considerations besides these are essential for a multi-storey car park, while a single-level car park only has to worry about a durable floor surface and traditional foundations.
Stack parking systems are basic parking solutions that allow numerous cars to be parked in the footprint of a single vehicle, vertically stacking parking bays one on top of another. This allows for the most efficient use of vertical space in parking lots that would otherwise go unused.
Stack parking systems do this by stacking movable platforms one on top of the other. Vehicles may be parked on the platforms and stay stable when users lift them to allow additional vehicles to park below. There are multiple different types of stack parking systems that can be incorporated into a multi-deck car park.
A vehicle lift is the most basic configuration of a stack parking system, with two or more columns that work to move and support the parking platform. These are typically powered by internal hydraulic components and can accommodate two vehicles. Some are also movable, allowing for even more effective parking alternatives.
Tri and quad lifts save a lot of room in parking facilities. Unlike ordinary park lifts, which can only stack one car above the ground and handle a maximum of two vehicles, tri and quad lifts are mechanical lifts that can stack three to four vehicles on top of one another. These automatic parking systems are ideal for locations that have very limited space, such as airports, hotels, and car dealerships.
Car lofts, also known as suspended park lifts, are ideal for homeowners who wish to make use of empty attic space. These mechanical automobile parking systems are also ideal for people who wish to display one car while another is parked beneath. Vehicles can be suspended from overhead beams or by floor-based constructions in car lofts.
The pit parking system is another sort of mechanised parking system. These devices enable drivers to enter their vehicles autonomously from a cocoon-like enclosure. These methods do not necessitate the movement of additional vehicles from the bottom or top.
They are also usually built with a quiet mechanical structure. As a result, they are ideal for facilities that require drivers to be able to move their vehicles in and out by themselves.
Multi-story parking structures are commonly found at railway stations, airports, hospitals, and city centre locations. They are found in mixed-use buildings, retail centres, and entertainment complexes. Car parks should be clearly identified for potential users while still blending into the general urban architecture of the surrounding area.
Car park buildings are typically above-ground and permanent. However, there is an increasing need for temporary or demountable parking. Underground and basement parking is also employed, primarily in dense central urban areas where land prices are high enough to make this financially viable.
Multi-story parking garages are one-of-a-kind structures in which all aspects of the structure are generally visible to the public. There is little need for weather protection, and the top level is usually left exposed.
There are several different types of parking systems currently in use. Let's take a look at the most common types of car parks.
Parking garages, often known as multi-level parking structures, multi-storey car parks, or parking decks, are multi-story buildings intended solely for parking cars and other vehicles. They maximise vertical parking space use, allowing for greater car density.
Parking garages are typically located in metropolitan areas or places where there is a large need for parking, such as business districts, airports, or hospitals. They frequently have ramps or lifts for reaching multiple floors and can provide both covered and uncovered parking.
A single-level parking garage is one with only one floor - essentially just the ground level of a larger car park as a structure on its own.
Parking garages with numerous levels or stories are known as multilevel or multi-storey car parks. A multilevel parking garage can be designed in a variety of styles. A garage with ramps to travel from one floor to another is the most popular design. Parking garages that employ elevators to go from level to level are less prevalent.
There are also parking garages equipped with robotic devices that transport automobiles from one level to another. The ramps between the parking garage's floors may move up, down, or both ways to manipulate traffic flow patterns and give the smoothest parking experience possible. The top decks may be open or closed.
Underground parking garages are found beneath buildings or public areas. They are intended to maximise land use while maintaining visual appeal by concealing parking lots. Underground parking is frequent in heavily crowded regions or in buildings with limited surface space. These structures give shelter from the weather as well as secure parking.
Parking lots are open places intended for the parking of cars. They are frequently located near new buildings, commercial malls, recreational facilities, or public places. Parking lots can range in size from tiny lots with a few parking places to big lots with hundreds or even thousands of parking spaces.
They can be paved or unpaved or floored with any hard-wearing surface you prefer, and they can provide several parking options such as perpendicular parking, angled parking, or diagonal parking.
Smart Parking Systems employ technology to increase parking efficiency and user experience. Sensors or cameras are used in these systems to monitor parking space availability and to help cars find available spaces.
Mobile applications or digital displays may be used to deliver real-time information regarding parking availability, payment alternatives, and instructions. Smart parking solutions aim to minimise traffic congestion and improve the parking experience overall.
The needs of the clients must be examined by the whole design team at the start of the project. Before moving further with a thorough design, technical and financial feasibility studies should be completed to ensure the project's sustainability.
After the feasibility stage is completed, the entire brief should be evaluated and any required revisions agreed upon, taking into account initial and total life costs, service life, safety and security, and any other relevant criteria.
The particular usage of the parking deck, as well as the client's main objectives and preferences, should be clearly outlined in the brief. A car park can be used for a variety of purposes, such as providing parking for a specific building, a public car park created for profit, having a consistent pattern of usage, or experiencing high demand at various periods.
The type and variety of cars, trucks, and other vehicles that are expected to use the parking lot, as well as the possibility of any additional requirements for vehicles with non-standard dimensions, must be described in the plan. The possibility for future growth of the car park should also be considered.
In general, it is best not to design a multi-storey car park on your own but instead to hire a firm like Multi Storey Parking Decks that can help with every step of construction, from planning to installation.
A multi-storey car park is a large and expensive project, and it is worth hiring professional designers to ensure that the resultant composite car park deck is functional, safe, and secure. All of the materials used need to be durable to survive weather, heavy usage, and corrosion from de-icing salts, for example.
If you are interested in the car park construction solution options we offer, get in touch with us through the contact form on our website, and a member of our team will be happy to discuss options and ways to move forward with you.
We can help you find a suitable solution, no matter what your needs for your car park structure are; from a steel frame and concrete slab construction to a more complex solution, we can tailor all of our construction to your unique and specific needs.
No matter what stage you are at in your car park construction journey, we can help. For a free quote or just to explore some design and construction options with no obligations attached, simply use the contact form on our website to get in touch today.
From composite car park deck designs to parking ramp addons, multiple floor levels, touchless ticketing systems and more, we offer a one-stop solution for car park owners. No matter what sort of vehicles you are planning on parking in your parking deck, from cars to HGVs, our premium concrete car park construction services can be tailored to fit your unique individual needs perfectly.
All of the concrete and steel materials we use in car park structure construction are stable and resistant to de-icing salt, and we design our car parks for easy entry and clear flow patterns around the building. If you are interested in car park structure construction, get in touch with our team today to start the process.
We cover Stonefield (South Lanarkshire)


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Personal Injury Law covers injuries to the human body, such as broken bones, open wounds, spinal cord and brain injuries. Popular related categories are auto accidents and medical malpractice, which usually result in personal injuries and are legal specialities of their own. Personal injury law generally covers slip and falls, premises liability, dangerous products and other acts of negligence.
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COLUMBIA, S.C. (AP) — Zombies seem to be everywhere these days.
In the popular TV series "The Walking Dead," humans struggle to escape from a pack of zombies hungry for flesh. Prank alerts have warned of a zombie apocalypse on radio stations in a handful of states. And across the country, zombie wannabes in tattered clothes occasionally fill local parks, gurgling moans of the undead.
Are these just unhealthy obsessions with death and decay? To Clemson University professor Sarah Lauro, the phenomenon isn't harmful or a random fad, but part of a historical trend that mirrors a level of cultural dissatisfaction and economic upheaval.
Lauro, who teaches English at Clemson, studied zombies while working on her doctoral degree at the University of California at Davis. Lauro said she keeps track of zombie movies, television shows and video games, but her research focuses primarily on the concept of the "zombie walk," a mass gathering of people who, dressed in the clothes and makeup of the undead, stagger about and dance.
It's a fascination that, for Lauro, a self-described "chicken," seems unnatural. Disinterested in violent movies or games, Lauro said she finds herself now taking part in both in an attempt to further understand what makes zombie-lovers tick.
"I hate violence," she said. "I can't stand gore. So it's a labor, but I do it."
The zombie mob originated in 2003 in Toronto, Lauro said, and popularity escalated dramatically in the United States in 2005, alongside a rise in dissatisfaction with the war in Iraq.
"It was a way that the population was getting to exercise the fact that they felt like they hadn't been listened to by the Bush administration," Lauro said. "Nobody really wanted that war, and yet we were going to war anyway."
The mid- to late 2000s also saw an uptick in overall zombie popularity, perhaps prompted in part by the release of post-apocalyptic movies including "Dawn of the Dead" and "28 Days Later."
As of last year, Lauro said, zombie walks had been documented in 20 countries. The largest gathering drew more than 4,000 participants at the New Jersey Zombie Walk in Asbury Park, N.J., in October 2010, according to Guinness World Records.
"We are more interested in the zombie at times when as a culture we feel disempowered," Lauro said. "And the facts are there that, when we are experiencing economic crises, the vast population is feeling disempowered. … Either playing dead themselves … or watching a show like 'Walking Dead' provides a great variety of outlets for people."
But, Lauro pointed out, the display of dissatisfaction isn't always a conscious expression of that feeling of frustration.
"If you were to ask the participants, I don't think that all of them are very cognizant of what they're saying when they put on the zombie makeup and participate," she said. "To me, it's such an obvious allegory. We feel like, in one way, we're dead."


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Test Overview
An echocardiogram (also called an echo) is a type of ultrasound test that uses high-pitched sound waves that are sent through a device called a transducer. The device picks up echoes of the sound waves as they bounce off the different parts of your heart. These echoes are turned into moving pictures of your heart that can be seen on a video screen.
The different types of echocardiograms are:
- Transthoracic echocardiogram (TTE). This is the most common type. Views of the heart are obtained by moving the transducer to different locations on your chest or abdominal wall.
- Stress echocardiogram. During this test, an echocardiogram is done both before and after your heart is stressed either by having you exercise or by injecting a medicine that makes your heart beat harder and faster. A stress echocardiogram is usually done to find out if you might have decreased blood flow to your heart (coronary artery disease).
- Doppler echocardiogram. This test is used to look at how blood flows through the heart chambers, heart valves, and blood vessels. The movement of the blood reflects sound waves to a transducer. The ultrasound computer then measures the direction and speed of the blood flowing through your heart and blood vessels. Doppler measurements may be displayed in black and white or in color.
- Transesophageal echocardiogram (TEE). For this test, the probe is passed down the esophagus instead of being moved over the outside of the chest wall. TEE shows clearer pictures of your heart, because the probe is located closer to the heart and because the lungs and bones of the chest wall do not block the sound waves produced by the probe. A sedative and an anesthetic applied to the throat are used to make you comfortable during this test.
Echo can be used as part of a stress test and with an electrocardiogram (EKG or ECG) to help your doctor learn more about your heart.
Why It Is Done
Transthoracic echocardiogram (TTE)
This test is done to:
- Look for the cause of abnormal heart sounds (murmurs or clicks), an enlarged heart, unexplained chest pain or pressure, shortness of breath, or irregular heartbeats.
- Check the thickness and movement of the heart wall.
- Look at the heart valves and check how well they work.
- See how well an artificial heart valve is working.
- Measure the size and shape of the heart's chambers.
- Check the ability of your heart chambers to pump blood (cardiac performance). During an echocardiogram, your doctor can calculate how much blood your heart is pumping during each heartbeat (ejection fraction). You might have a low ejection fraction if you have heart failure.
- Detect a disease that affects the heart muscle and the way it pumps, such as cardiomyopathy.
- Look for blood clots and tumors inside the heart.
A transthoracic echocardiogram may also be used to:
- Look for congenital heart defects or to check the effectiveness of previous surgery to repair a congenital heart defect.
- Check how well your heart works after a heart attack.
- Identify the specific cause of heart failure.
- Look for a collection of fluid around the heart (pericardial effusion).
- Look for a thickening of the lining (pericardium) around the heart.
Stress echocardiogram
A stress echo may be done to:
- Identify and monitor reduced blood flow to heart muscle (ischemia). This is usually more apparent after some form of stress, such as exercise or medicine.
Doppler echocardiogram
A Doppler echocardiogram can be done during a transthoracic echocardiogram (TTE), a transesophageal echocardiogram (TEE), or a stress echocardiogram to:
- Measure the speed at which blood travels through the heart.
- Measure the blood pressure and speed of blood flow through the heart valves.
Transesophageal echocardiogram (TEE)
Transesophageal echocardiogram (TEE) may be done to:
- Monitor heart function during surgery.
- Check how well an artificial heart valve works.
- Look for masses or blood clots in the upper left chamber (left atrium) of the heart.
- Identify abnormal blood flow between the chambers of the heart (cardiac shunt).
- Help find out if you have endocarditis, which is an infection of the heart's valves or its inner lining (endocardium).
- Guide procedures done during cardiac catheterization.
- Help find out if you have a tear in the aorta (aortic dissection).
How To Prepare
Transthoracic echocardiogram (TTE) and Doppler echocardiogram
You do not need any special preparation for a transthoracic or Doppler echocardiogram.
Stress echocardiogram
Do not eat heavily for a few hours before a stress echo to help prevent nausea. You may feel nauseated if you exercise with a full stomach or from the injection of dobutamine.
Wear flat, comfortable shoes (no bedroom slippers or sandals) and loose, lightweight shorts or sweatpants for an exercise stress echo.
Ask your doctor whether you should take your regular medicines as usual. Tell your doctor if you take insulin.
Transesophageal echocardiogram (TEE)
Do not eat or drink for at least 6 hours before the TEE.
If you have dentures or dental prostheses, you may need to remove them before the test.
If you have medical problems involving the throat, esophagus, or stomach, tell your doctor before getting this test.
Before a TEE, you will be given a sedative. You will not be able to drive for at least 12 hours after the procedure. Be sure to make arrangements in advance for someone to pick you up after the test.
Before an echocardiogram, you may be asked to sign a consent form that says you understand the risks of the test and agree to have it done.
Talk to your doctor about any concerns you have regarding the need for the test, its risks, how it will be done, or what the results will mean. To help you understand the importance of this test, fill out the medical test information form( What is a PDF document? ).
How It Is Done
An echocardiogram may be done in a hospital, clinic, or doctor's office. It can also be done at your bedside in the hospital.
You will need to remove any jewelry and clothes above your waist (you may be allowed to keep on your underwear if it does not interfere with the test). You may be given a cloth or paper covering to use during the test.
A transthoracic echocardiogram (TTE), Doppler echocardiogram, and stress echocardiogram are performed by a specially trained ultrasound technician. A transesophageal echocardiogram (TEE) is performed by a cardiologist with the help of assistants.
You may receive an IV so you can get medicine during the test. The IV can be used to give you a contrast material, which helps your doctor check your heart function. A contrast material may be used if it is difficult to get good views of your heart. A good view might be hard to get because of certain conditions such as obesity or chronic lung disease.
Transthoracic echocardiogram (TTE) and Doppler echocardiogram
You will lie on your back or on your left side on a bed or table. Small pads or patches (electrodes) will be taped to your arms and legs to record your heart rate during the test. To learn more, see Electrocardiogram.
A small amount of gel will be rubbed on the left side of your chest to help pick up the sound waves. A small instrument (transducer) that looks like a microphone is pressed firmly against your chest and moved slowly back and forth. This instrument sends sound waves into the chest and picks up the echoes as they reflect off different parts of the heart. The echoes are sent to a video monitor that records pictures of your heart for later viewing and evaluation. The room is usually darkened to help the technician see the pictures on the monitor.
At times you will be asked to hold very still, breathe in and out very slowly, hold your breath, or lie on your left side. The transducer is usually moved to different areas on your chest that provide specific views of your heart.
The test usually takes from 30 to 60 minutes. When the test is over, the gel is wiped off and the electrodes are removed.
Exercise stress echocardiogram
An echo without activity or stress will be done before you start exercising. This is called the baseline, and after it is established you will exercise for a specific amount of time. You will either walk on a treadmill or pedal a stationary bicycle while being monitored by an EKG machine. To learn more, see Exercise Electrocardiogram.
You will then lie on a bed or table, and another echocardiogram will be done. At times you will be asked to hold very still, breathe in and out very slowly, hold your breath, or lie on your left side. The transducer is usually moved to different areas on your chest that provide specific views of your heart.
An exercise stress echo takes about 30 to 60 minutes.
Dobutamine stress echocardiogram
Sometimes medicine called dobutamine is used instead of exercise to stress your heart. For this test, you will lie on your back or left side on a bed or exam table, and a baseline echocardiogram will be done. EKG electrodes will be taped to your arms and legs to record your heart rate during the test.
Next, the technician cleans the site on your arm where the medicine will be injected, and an intravenous (IV) line will be placed in a vein in your arm.
After the IV is started, you will be given dobutamine, which increases your heart rate and causes your heart to work harder. Echocardiogram images will be taken while you receive the dobutamine. Your peak heart rate is reached in about 15 minutes. At times you will be asked to hold very still, breathe in and out very slowly, hold your breath, or lie on your left side. After your peak heart rate is reached, the medicine will be stopped and your heart rate will return to normal (in about 1 to 3 minutes). More echocardiogram images will be taken when your heart rate returns to normal.
A dobutamine stress echo takes about an hour.
Transesophageal echocardiogram (TEE)
Before a TEE, your throat may be numbed with an anesthetic spray, gargle, or lozenge to relax your gag reflex and to ease insertion of the probe. Shortly before the procedure begins, an IV line will be placed in a vein in your arm. Medicine to decrease saliva and stomach secretions may be given through the IV. A pain medicine and sedative will be given to you through the IV in your arm during the procedure. You should feel relaxed and drowsy but still alert enough to cooperate.
Your heart rate, breathing rate, and blood pressure will be monitored throughout the procedure. Also, a small device used to measure the amount of oxygen in your blood (pulse oximeter) may be attached to your finger or earlobe.
You will be asked to lie on your left side with your head tilted slightly forward. A mouth guard may be inserted to protect your teeth from the probe. Then the lubricated tip of the probe will be guided into your mouth while your doctor gently presses your tongue out of the way. You may be asked to swallow to help move the tube along. It may be helpful to remember that the instrument is no thicker than many foods you swallow. When the probe is in your esophagus, it will be moved down gently to the level of your upper right heart chamber (atrium), and ultrasound images will be taken. You will not feel or hear the sound waves during the test.
During the procedure, try not to swallow unless requested. An assistant may remove the saliva from your mouth with a suction device, or you can just let the saliva drain from the side of your mouth. A transesophageal echo is generally painless, though you may feel nauseated and uncomfortable while the probe is in your throat.
The test takes about 2 hours. The probe will be in place in your esophagus for about 10 to 20 minutes.
How It Feels
Transthoracic echocardiogram (TTE) and Doppler echocardiogram
You will not have pain from the echocardiogram. Gel is put on your chest for the ultrasound. It may feel cool. The handheld ultrasound device is pressed firmly against your chest, but it does not cause pain. You will not hear or feel the sound waves.
You may feel uncomfortable from lying still or from the transducer pressing on your chest. If you need to take a break, tell the technician.
Most people do not experience any discomfort from ultrasound tests. But if you have severe difficulty breathing or cannot lie flat for a long exam, you may not be able to have an entire echo study. Talk to your doctor or the technician performing your echo about any concerns you have.
Dobutamine stress echocardiogram
- You may have a brief, sharp pain when the intravenous (IV) needle is placed in a vein in your arm.
- If medicine to stress your heart is used, you may have symptoms of mild nausea, headache, dizziness, flushing, or angina (such as chest pain or pressure). These symptoms only last a few minutes.
Transesophageal echocardiogram (TEE)
During the test
- You may notice a brief, sharp pain when the intravenous (IV) needle is placed in a vein in your arm.
- The anesthetic sprayed into your throat may taste bitter and will make your tongue and throat feel numb and swollen. Some people report that they feel as if they cannot breathe at times because of the probe in their throat, but this is a false sensation caused by the anesthetic. There is always plenty of breathing space around the probe in your mouth and throat. Remember to relax and take slow, deep breaths.
- You may gag and feel nauseous, bloated, or have mild belly cramps when the probe is moved. If the discomfort is severe, alert your doctor with an agreed-upon signal or a tap on the arm. Even though you won't be able to talk during the procedure, you can still communicate.
- The IV medicines will make you feel sleepy. Other side effects—such as heavy eyelids, trouble speaking, a dry mouth, or blurred vision—may last for several hours after the test. You probably will not be able to remember much of the test.
After the test
- You may have a tickling, dry throat; slight hoarseness; or a mild sore throat. These symptoms may last for 2 to 3 days. Throat lozenges and warm saltwater gargles can help relieve these symptoms. Throat lozenges can be used by people age 4 or older. And most people can gargle at age 8 and older.
- Do not drink alcohol for 24 hours.
- Contact your doctor immediately if you have:
- Difficulty swallowing or talking.
- Shortness of breath or a fast heartbeat.
- Chest pain.
An echocardiogram is safe, because the test uses only sound waves to evaluate your heart. These high-frequency sound waves have not been shown to have any harmful effects.
If contrast material is used, there is a slight risk of having an allergic reaction. Most reactions can be controlled using medicine.
Transthoracic echocardiogram (TTE) and Doppler echocardiogram
There are no known risks from a transthoracic or Doppler echocardiogram. During a transthoracic echo, the technician may have to press hard on your chest with the transducer. Tell the technician if you feel any pain or discomfort.
Stress echocardiogram
A stress echocardiogram can cause dizziness, low blood pressure, shortness of breath, nausea, irregular heartbeats, and heart attack.
Transesophageal echocardiogram (TEE)
A transesophageal echocardiogram (TEE) can sometimes cause:
- Nausea.
- Mouth and throat discomfort.
- Minor bleeding.
- Trouble breathing.
- Slow or abnormal heartbeats.
Insertion of the probe may tear or puncture your esophagus. This is rare.
This test is not recommended if you have:
- Recently had radiation treatment to your neck or chest.
- Serious problems with your esophagus, such as a very narrow esophagus, dilated (engorged) veins in the esophagus that could rupture and bleed (esophageal varices), or severe arthritis of your neck.
- Trouble swallowing.
- A bleeding disorder, such as hemophilia.
An echocardiogram is a type of ultrasound test that uses high-pitched sound waves that are sent through a device called a transducer. The device picks up echoes of the sound waves as they bounce off the different parts of your heart. These echoes are turned into moving pictures of your heart that can be seen on a video screen.
Results are usually available within one day. If the test is done by a cardiologist, the results may be available immediately after the test.
Normal: |
The heart chambers and walls of the heart are of normal size and thickness, and they move normally. |
Heart valves are working normally, with no leaks or narrowing. There is no sign of infection. |
The amount of blood pumped from the left ventricle with each heartbeat (ejection fraction) is normal. |
There is no excess fluid in the sac surrounding the heart, and the lining around the heart is not thickened. |
There are no tumors and blood clots in the heart chambers. |
Abnormal: |
Heart chambers are too big. The walls of the heart are thicker or thinner than normal. A thin heart wall may mean poor blood flow to the heart muscle or an old heart attack. A thin, bulging area of the heart wall may indicate a bulge in the ventricle (ventricular aneurysm). The heart muscle walls do not move normally because of a decreased blood supply from narrowed coronary arteries. |
One or more heart valves do not open or close properly (are leaking) or do not look normal. Signs of infection are present. |
The amount of blood pumped from the left ventricle with each heartbeat (ejection fraction) is lower than normal. |
There is fluid around the heart (pericardial effusion). The lining around the heart is too thick. |
A tumor or blood clot may be found in the heart. |
What Affects the Test
You may not be able to have the test or the results may not be helpful if you are:
- Overweight, have a thick chest or large breasts, or have lung disease, such as chronic obstructive pulmonary disease (COPD). In these situations, other heart tests may be done.
- Not able to lie still during the test.
- Not able to stand having a probe in your throat during a transesophageal echo (TEE).
What To Think About
You can help decide if this test is right for you. Talk with your doctor to make that decision. For more information, see Heart Tests: When Do You Need Them?
Other Works Consulted
- Cheitlin MD, et al. (2003). ACC/AHA/ASE 2003 guideline update for the clinical application of echocardiography: Summary article: A report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (ACC/AHA/ASE Committee to Update the 1997 Guidelines for the Clinical Application of Echocardiography). Circulation, 108(9): 1146–1162. Available online: http://circ.ahajournals.org/cgi/reprint/108/9/1146.
- Douglas PS, et al. (2008). ACCF/ASE/ACEP/AHA/ASNC/SCAI/SCCT/SCMR 2008 Appropriateness Criteria for Stress Echocardiography: A Report of the American College of Cardiology Foundation Appropriateness Criteria Task Force, American Society of Echocardiography, American College of Emergency Physicians, American Heart Association, American Society of Nuclear Cardiology, Society for Cardiovascular Angiography and Interventions, Society of Cardiovascular Computed Tomography, and Society for Cardiovascular Magnetic Resonance: endorsed by the Heart Rhythm Society and the Society of Critical Care Medicine. Circulation, 117(11): 1478–1497. Available online: http://circ.ahajournals.org/cgi/reprint/CIRCULATIONAHA.107.189097.
- Douglas PS, et al. (2010). ACCF/ASE/AHA/ASNC/HFSA/HRS/SCAI/SCCM/SCCT/SCMR 2011 appropriate use criteria for echocardiography. Journal of the American College of Cardiology, 57(9): 1126–1166.
- Fischbach F, Dunning MB III (2015). A Manual of Laboratory and Diagnostic Tests, 9th ed. Philadelphia: Wolters Kluwer Health.
- Lai WW, et al. (2006). Guidelines and standards for performance of a pediatric echocardiogram: A report from the Task Force of the Pediatric Council of the American Society of Echocardiography. Journal of the American Society of Echocardiography, 19(12): 1413–1430.
- Mulvagh SL, et al. (2008). American Society of Echocardiography consensus statement on the clinical applications of ultrasonic contrast agents in echocardiography. Journal of the American Society of Echocardiography, 21(11): 1179–1201.
Current as of: April 9, 2019
Author: Healthwise Staff
Medical Review:Rakesh K. Pai, MD – Cardiology, Electrophysiology & E. Gregory Thompson, MD – Internal Medicine & Martin J. Gabica, MD – Family Medicine & Adam Husney, MD – Family Medicine & George J. Philippides, MD, FACC – Cardiology
This information does not replace the advice of a doctor. Healthwise, Incorporated, disclaims any warranty or liability for your use of this information. Your use of this information means that you agree to the Terms of Use. Learn how we develop our content.


text:
By that logic, I guess seeing dead pink elephants is a euphemism for "the hangover to end all hangovers."
Of course, there are degrees of hangovers, as anyone who's woken up next to a minstrel monkey in Prague can attest. Here I've compiled a handy reference guide to help you decipher what might have happened last night.
If you see this:
If you see this:
If you see this:
And finally, if you see this:
Jessica, Georgia F., Emily H., Candace & Travis, Victoria, James E., & Yvonne W., here's to a sweetly "wreck-less" new year.
- Related Wreckage: Wasted Cakes


text:
Enlarge Image
Copyright Info
The Lodz Ghetto is indicated in white in the upper centre of the map.
When Nazi Germany invaded Poland, they incorporated Lodz into the Greater German Reich. They renamed the city Litzmannstadt in honour of a German general, Karl Litzmann, who had led German forces in the area in 1914.
The Lodz Ghetto was the second largest WWII ghetto for Jews and Roma in German-occupied Poland. Over 180, 000 people were crowded into an area of 4.13 kilometers. in Baluty and the Old Town area. It was the most impoverished part of the city. The ghetto was officially sealed off from the rest of the city on May 1, 1940.
Erwin Thiem, Plan von Litzmannstadt (Litzmannstadt: Buchhandlung S. Seibelt, 1942); Sutnik, Maia-Mari. Memory Unearthed: The Lodz Ghetto Photographs of Henryk Ross. Exhibition Catalogue. Toronto: Art Gallery of Ontario, 2015, pg. 202; Jan Van Pelt, Robert. Lodz and Ghetto Litzmannstadt Promised Land and Croaking Hole of Europe. Toronto: Art Gallery of Ontario, 2015, pg. 44


text:
Tuesday, March 24, 2009
Have a Ball!
Tuesday, March 24, 2009
No, seriously. Have a ball:
"Look at all the extra care the baker took in crafting this lovely...round...spherical...ball-like thing for your birthday! That random capitalization and uncrossed 't' really add to the post-modernistic feel, too, don't you think?
"Plus, the pink dots add [jazz hands] pizazz!"
Angie C, you spin me right 'round.
70 comments | Post a Comment
- Kara said...
How do you cut it? Hmmmm...
- March 24, 2009 at 9:33 AM
- Amanda said...
What is that? What is it sitting in inside the box? Could there be any more ashtrays on that table?
Yikes. - March 24, 2009 at 9:33 AM
Not to mention the full ashtray and pack of smokes really class it up.
- March 24, 2009 at 9:35 AM
What was this supposed to be?
- March 24, 2009 at 9:39 AM
- Doublebanker said...
I want the "center of the earth" slice!!!
Daily Gif Blog
DB - March 24, 2009 at 9:43 AM
What is is sitting on??? Is it a white towel????
- March 24, 2009 at 9:43 AM
- Tracy O said...
Oh, Lordy, I am picturing the jazz hands coming out of the sides of this cake (with really long skinny fingers)!!!
Tracy O - March 24, 2009 at 9:45 AM
- HorribleLicensePlates said...
Your birlhday is not usually celebrated with cake... at least where I come from.
- March 24, 2009 at 9:46 AM
- Becky said...
What's up with the tissue paper or stuff in the box with the cake? And is that really a professional cake?!?
- March 24, 2009 at 9:46 AM
- Christina said...
Did they get their money back? I can't imagine getting something that looked like that, and actually agreeing to pay for it. Catastrophe!!
- March 24, 2009 at 9:46 AM
I see plenty of ashtrays and some cigarettes....but perhaps the person who ordered the cake smoked too much of something else and specifically told them "Don't capitalize the B on birthday and don't cross the t".
Okay...probably not, but I tried. - March 24, 2009 at 9:49 AM
- Kate said...
i don't think they're pink dots. I think they're pink mentos. Which makes my stomach turn considering that taste combo. Buttercream icing + strawberry mentos...yuck.
- March 24, 2009 at 9:49 AM
I think the cigarettes and ashtrays laying around speak volumes....nuff said.
- March 24, 2009 at 9:50 AM
- rae said...
why did they have to rip the box top off I wonder??? I guess maybe they were REALLY excited...
- March 24, 2009 at 9:54 AM
- Feisty Irish Wench said...
It looks a bit like a cake that started out as a single breast, but last minute the customer called frantically screeching "stop the breasts!" at the very last second before anatomical details were added. Someone clearly missed the class on cake basics. Trim the peaks, flip over the top layer cake for a lovely, even finish and level writing surface. But boob shaped cakes are just so much more entertaining right?
- March 24, 2009 at 9:55 AM
I was thinking that all the ashtrays and the cigarettes added a nice backdrop for the cake. AND...it's a good thing it's in a box...the frosting would have slid into those ashes. EWWW!
- March 24, 2009 at 10:00 AM
- Audrey said...
I especially love how the lid of the cake box is torn off, like they couldn't get to that cake soon enough!!!
- March 24, 2009 at 10:01 AM
Oh Magic,inexplicable ball 'o cake from the land of Walmartamier or disgruntledgrocerystorebaker-shire please I have but three questions for you:
1. Why are you here? Did someone summon your Magnificent presence or where you mearly called into service by mistake?
2. Would you think me less than a lady if I was to try to fit your entire glorious, squishy, cakeiness into my mouth at once? While you may be the size of my entire head, this only tempts me more.
3. Can we do that now? - March 24, 2009 at 10:01 AM
- Kris said...
Looks like the Wilton Giant Cupcake pan, which the decorator couldn't figure out how to write on. It also doesn't fit in a standard cake box, since it's too tall. It's also rather narrow around the base.
- March 24, 2009 at 10:14 AM
Angie (from over at www.HalfAssedKitchen.com) - March 24, 2009 at 10:40 AM
I'm a bit grossed out thinking of the ashes in that ashtray getting on the cake. Having said that...have you ever seen someone go pick up a cake from the baker's display case and NOT have said baker write anything on it? Maybe they think, "hey, I can do it with a tube of store bought gel all by myself." But, that doesn't really make any sense here because this cake is obviously some sort of special order...soooo that means that the skillful baker who cracked this one out, also showed off their handwriting skillz, in black. Yeah, that's about right.
- March 24, 2009 at 10:46 AM
- Sharon said...
Wreck ball. White tissue paper. Torn pink cardboard. Is that a shoe box? I want to see a receipt.
- March 24, 2009 at 10:59 AM
- Unknown said...
Did someone drop the ball on this design? Get it? LOL
~Amy B - March 24, 2009 at 11:03 AM
Today is my birthday!
- March 24, 2009 at 11:42 AM
- Susie said...
Ooh, ooh, can I lick the frosting off all the tissue paper stuffed around it? Can I, can I?
- March 24, 2009 at 11:48 AM
- the ginabean said...
I want one.
- March 24, 2009 at 11:55 AM
- sendingtheclowns said...
Cara said...
(1) "...that doesn't really make any sense..."
Honey, NONE of it makes any sense.
That's not what they were going for with this.
(2) "...this cake is obviously some sort of special order..."
Yeah! That's so obvious.
(3) "..that means that the skillful baker who cracked this one out, also showed off their handwriting skillz, in black."
Okay--I will agree with you on this one. I see a frat house full of inebriated (and possibly high), sugar-craving party animals who simply wanted to do something SPECIAL for their Bud on his birthday. Why the tissue paper? Why the pink box? (Why the half-of-a-basketball shape?) Who cares? What I want to know is why all the fighting over who gets to open the box (evidenced by the torn cardboard), when no one has even bothered to cut the damn thing yet? STILL admiring the script???
("Dude, get away from the cake--I need more pictures! This is AWEsome!") - March 24, 2009 at 11:57 AM
- wishfulpinking said...
I really wish we knew what it was this person ordered.
"Hello! I'd like a cake."
"Done. Wait...sorry, this is my first day. I feel like I'm supposed to ask for details. Umm. Let's see, here. Well, do you want it to be flat?"
"HA! Good one. Do I want it to be flat. It's funny because it's cake. What other shape could it be?"
"Haha! Oh yeah, make that baby round."
Love your blog! Can't wait for the book! - March 24, 2009 at 12:04 PM
The pink dots look like pink Smarties to me. Not MUCH of an improvement on pink Mentos, but an imporvement none the less.
My 6 year old son could write Happy Birthday better than this example of penmanship AND I'd bet he'd get all the right grammatical necessities in place, too! - March 24, 2009 at 12:08 PM
How sad. As someone who makes round cakes w/out the help from a Wilton pan, I'm totally disgusted.
- March 24, 2009 at 12:10 PM
- Rosie_Kate said...
That's seriously professional??? Wow. Just. Wow. I mean, I wouldn't be surprised if one of my cakes turned out that way, but a baker? Amazing.
- March 24, 2009 at 12:19 PM
- Heidi D said...
I think those might be M&M's. I can't believe a professional baker did that. Who put's tissue paper in the cake box? I call shenanigans!
- March 24, 2009 at 12:21 PM
I like the way they just ripped the lid off the box... they must have really anxious to get to that cake. Maybe all the smoking gave them the munchies!
- March 24, 2009 at 12:49 PM
At least he could have given this 'Birlday' ball a nicer colour, don't you think?
Nice thing though that tissues were given with the cake, that saves money! - March 24, 2009 at 12:56 PM
The ashtrays look more disgusting to me than the cake. But that aint saying much!
- March 24, 2009 at 1:19 PM
- Katie said...
Happy Birlhday!
- March 24, 2009 at 1:35 PM
I am just glad there is no navel and no baby emerging from this one!
- March 24, 2009 at 1:40 PM
So much is wrong here.... it makes my head hurt so I am going to stop trying to figure it out now.
- March 24, 2009 at 2:15 PM
- laura beth said...
this has really inspired me.. all my life I wanted to own a bakery and I never thought I would be good enough ... seeing that someone got paid for this has made me realize I could do it too... and possibly just as well... I can't wait... Thanks Cake Wrecks for making my dreams come true
rainbows and sunshine
oh and flowers too - March 24, 2009 at 2:20 PM
There are no less than 3 ashtrays on that table. Let's face it...none of these people can actually taste anything anyway, so it doesn't matter what the pink things on the cake are.
I had trouble concentrating on the cake because the whole atmosphere around it was so......ewwww. - March 24, 2009 at 2:25 PM
- Patrick said...
Judging by the ashtrays, I know exactly what this cake was supposed to be:
It's a bowling ball! The pink circles were supposed to be finger holes (fail).
I think this cake stems from a simple misunderstanding. "Do you want a square cake?- No, I want it round." - March 24, 2009 at 2:46 PM
- Kisa 'Yuki' J. said...
My 5 year old could decorate a cake better. o.O - March 24, 2009 at 2:51 PM
I gotz it!
Happy birlday -> Happy b-IRL-day!
It's obviously a cake for a an internet junkie who is off for one day of RL, as a generous and well-meaning gesture from his/her fellow nerds. See? At least the inscription makes perfect sense now. - March 24, 2009 at 3:22 PM
- Unknown said...
I'm thinking tumor.
- March 24, 2009 at 3:27 PM
First of all professional just means they charged money for it. That's all. And as for the tissue paper. Did they seriously think that was going to keep the cake from being ruined?
Gawrsh!Hyuck! if we just put this this tissue type paper in the box then all that icing and stuff will be right dern safe, Hyuck! - March 24, 2009 at 3:31 PM
I like the little tissue paper nest, but it looks like there is a chunk of styrofoam on the lower left side. To hold the cake up? To indicate cake flavor? To indicate cake texture? To add more mystery to the whyness of this cake?
WV: Joyinnor--there was no joyinnor happiness at this party; the cake rolled away. - March 24, 2009 at 3:55 PM
- Unknown said...
Did the creator think the super-long Y tails would jazz it up?
"They won't notice this is actually paper mache! Everyone will think it's too breathtaking to devour!"
Yes... breathtaking... - March 24, 2009 at 4:34 PM
- Dodi said...
a crowning baby's head would just about complete this experience.
- March 24, 2009 at 4:36 PM
- bigSIS said...
I have to remember to never, ever, ever put pictures of my cake where you could ever, ever find them. I have some winners but there are few, a few that make this one look lovely. Hahahahaha.
- March 24, 2009 at 4:39 PM
It's EPCOT, people! Big round white golf ball thingy, you know - EPCOT!
- March 24, 2009 at 4:47 PM
This is astounding. There's so many things that are magical about the surrounding area (ashtrays, random hand in the top left, torn box) that the cake has to really work to not get lost in the clutter. Luckily it's, um, unique enough to stand out.
- March 24, 2009 at 5:00 PM
- Missy Carvin said...
OK, apparently, we've all missed the great cultural signifigance of this cake. It's not a half-basketball nor is it an aborted attempt at a boob cake. It's OBVIOUSLY a celebration of the great 5th grade igloo-building project. You know, with sugar cubes and stuff. And that's not tissue paper surrounding the cake. It's powdered sugar mounds, representing the 4 entrances of the um, igloo, and the er, 4 elements of earth and wind and...
Not buying it? Me neither. It just seemed a little less sad than a boob-shaped birlday cake. - March 24, 2009 at 5:04 PM
Check out the smokes...must be a bowling ball! They could have used the pink dot things to make the finger holes....
- March 24, 2009 at 5:56 PM
- Scritzy said...
Maybe you're supposed to look into it and see your future.
- March 24, 2009 at 6:11 PM
- Melissa (& Billy) said...
A bombe that is a bomb? XD
- March 24, 2009 at 6:29 PM
- g said...
I so wish I had your focus. Lots of those cakes look YUMMY.
- March 24, 2009 at 6:42 PM
- smiles :) said...
Jenn, I L.O.V.E. this blog- whenever I get frustrated or stressed about something, I click on your page and voila- I feel so much better! :) Even when I start out in a good mood, seeing atrocious cakes makes me even happier! You rock! ;) Keep it up!
~Serena :) - March 24, 2009 at 7:13 PM
Wow. It could be a big ball of happiness... but maybe it should hold a cleaning fairy. Those ashtrays are gross! Cake no longer appealing!
- March 24, 2009 at 7:48 PM
- Unknown said...
i read you every day and today happened to be my birthday... it was like you and your happy birlday ball-cake was talking to me! :)
- March 24, 2009 at 8:04 PM
Maybe it'll hatch and a happy Birl will pop out?
Gotta get me one of those happy Birls. - March 24, 2009 at 8:39 PM
- Sharon said...
Upon returning to read comments and looking at it again, it makes me crave a Hostess Sno-ball.
- March 24, 2009 at 10:46 PM
- Hyena Overlord said...
mmmm pink smarties
- March 24, 2009 at 11:09 PM
At least it's not a pregnant lady's stomach.... *shiver up spine*.
- March 24, 2009 at 11:38 PM
When I see this, I think it's a gag cake... you know, one of those ones with the balloon in the middle of it, and covered over with whipped creme so that when the birthday boy goes to cut the cake, the knife hits the balloon and it explodes and puts icing all over him.
- March 25, 2009 at 12:05 AM
Do you think they have enough ashtrays?
- March 25, 2009 at 9:23 AM
Lol- I made a cake for my son that looked kinda' like that when he was 8 and in the throws of Pokemon fever. He wanted a Pokeball cake. I baked it in two parts in a steel mixing bowl and put the two halves together. As I recall he wanted green frosting. I skipped the writing, and it was a crazy mess (sans cigarettes) but it made him happy. Sorry I don't have a wrecky photo to share.
- March 26, 2009 at 12:01 AM
how did you do it>>?? The Society to Save Endangered Species was formed by Fred Smilek and two of his colleagues; Charlie Mack & Jonathan Korny. Fred Smilek stays active in raising awareness for this cause. [www.fredjsmilek.com]
- March 26, 2009 at 2:50 PM
inspired from maybe? - March 27, 2009 at 2:33 AM
it's the wilton cupcake pan gone very wrong. i don't know why it's surrounded by tissue paper though. maybe they hid more camels in the cake box as a "surprise gift".
- March 27, 2009 at 11:04 AM
- Unknown said...
What do you do when you show up at the bakery and the cake looks like this? Demand a refund and return home with cake? No cake isn't really an option...
Anyway. If you do have a bad luck story involving a cake, enter it at YourFatChance.com for a chance to win a free vacation. I entered, but I can't win since I work there... but wish I could. Who wouldn't want a free 1 week vacation?! - March 27, 2009 at 4:48 PM
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A Cake Wreck is any cake that is unintentionally sad, silly, creepy, inappropriate - you name it. A Wreck is not necessarily a poorly-made cake; it's simply one I find funny, for any of a number of reasons. Anyone who has ever smeared frosting on a baked good has made a Wreck at one time or another, so I'm not here to vilify decorators: Cake Wrecks is just about finding the funny in unexpected, sugar-filled places.
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Diamine Refills Coral Bottled Ink 80mL
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It is a good policy to review your life insurance every year. If you have paid your premiums on time, the policy will still be there, most likely without any material changes since you purchased it. However, if major changes have occurred in your life, your life insurance policy may need adjustments or no longer suit your needs.
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Beneficiary Checkup
Your beneficiaries are the people who will receive the death benefits from your life insurance. If major changes have occurred in your life during the past year, such as marriage, divorce, or the birth of a child, you may want to change how your life insurance proceeds will be distributed. For example, if you named a sibling as your beneficiary, then later got married and neglected to change the beneficiary, your sibling would receive the life insurance benefits in the event of your death instead of your spouse.
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Filed Under: Life Insurance | Tagged With: Life Insurance


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by Adoption Choices of Colorado | Apr 3, 2020 | Blog
Last week, we discussed the importance of sleep and its benefits during pregnancy. This week, we are continuing our discussion about sleep during your unplanned pregnancy. Let's break down what causes lack of sleep during pregnancy, sleeping positions to avoid and...by Adoption Choices of Colorado | Mar 27, 2020 | Blog
Here at Adoption Choices of Colorado, we love being conversation starters. We're advocates who answer any and all questions, even the silly and obscure ones. In large, we aim to provide meaningful resources and means of support during your unplanned pregnancy. This...by Adoption Choices of Colorado | Mar 20, 2020 | Blog
Lately, we've been discussing self-care, nutrition and exercising. This week, we're continuing that discussion. Exercising during your unplanned pregnancy will be the third and final part of our series. Be sure to check out our previous blog posts if you've missed the...by Adoption Choices of Colorado | Mar 2, 2020 | Blog
In our last blog, we discussed what kind of exercises you should and shouldn't be doing during your unplanned pregnancy, ways to find classes and tips on staying motivated. We also included other resources if you have questions or need help. It is a good place to...by Adoption Choices of Colorado | Feb 24, 2020 | Blog
Your Tattoos and Body Piercings While Pregnant As a soon-to-be birth mom, you know your life is about to change. But by how much? One question running through your head is, "Will being pregnant alter any tattoos or piercings I have?" Unfortunately, there's no...
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2801 Youngfield Street, Suite 320, Golden, CO. 80401
The State of Colorado requires 16 hours of face-to face training for all families adopting domestically.
We require that this is completed prior to the placement of a child in your home. The cost of this class is $1250 per weekend and is scheduled with our office. The Agency offers these trainings once a month.
Included in this training are guest speakers and a newborn trainer.
2022/2023 Training Dates Available
Please contact us for more information and to reserve your spot in a class.
Todd Bright-Frare joined the Adoption Surrogacy Choices of Colorado team in 2018 as a Home Study Provider. Todd has wanted to adopt since he was a young boy. Probably from watching too many Brady Bunch re-runs. Todd has an MA in Marriage and Family Therapy; with a focus in Teen and Young adults with dependences; and End of Life counseling. Todd has two adult daughters; one is a nurse in New Orleans; and one is with Parks and Rec. here in Colorado. Todd and his husband Will were able to step closer to being the "Bradys" when they adopted their 2nd son recently. Todd spends most of his time chasing after his two grade schoolers, his Peloton bike, working on their 19th century home, Hiking 14ers with his family, and the dogs; and camping all over Colorado.
Nicole is thrilled to transition into the Paralegal role within the Adoption Choices team! With pervious adoption experience she understands the importance of working with people in a more intimate capacity. It takes all members of the triad to help assist with a positive adoption experience on all ends–both Expecting Parents and Hopeful Adoptive Parents. With a BA in Women's Studies, she brings patience, strong interpersonal and communication skills, and the ability to empathize without judgment. Nicole is a Chicago Native and just relocated out to Colorado in February 2021. Outside of work, she enjoys, traveling as much as possible, attending concerts, cheering on her Chicago sports teams, hiking and enjoying the views of the beautiful Colorado Rockies. Nicole aspires to always be hands on and helping in any way that she can, by creating a supportive environment for others around her.
Stephanie joined the Adoption Choices family in 2014 as the Child Placement Supervisor. Her love for adoption began in first grade when she made friends with twins adopted from Vietnam. Her heart grew strong over the years for adopted children and ultimately led her to graduate school where she continued her focus to her dream of working in the adoption field. Stephanie earned a Master of Social Work degree from the University of Denver in 2001. Over the past 15 years, Stephanie has worked as a pregnancy counselor and as an adoptive parent counselor for foster care, international adoption and domestic adoption, writing hundreds of home studies for families, and helping build their forever families. Stephanie is married and has three boys ages 12, 9, and 5. Together with her family she enjoys riding bike, playing games, watching her three sons compete in their various sporting and musical activities and go on vacations.
Christy Ikeler, is our Executive Director and Birth Parent Director. Christy has been with Adoption Choices Team for 18 years, since opening the doors in 2002! Christy has a true passion for what she does and her true love is working with and helping each birth parent. Whether she is up all night on the phone talking with them, taking them to doctors appointments, out for their favorite treat, providing counseling or at the hospital during labor and delivery, Christy is very involved every step of the way. She has a contagious laugh and a spunky personality that our birth moms all can bond with and relate to. As an adoptive parent herself, adoption holds a very special place in her heart and she can relate on every level with both birth parents and adoptive parents. In her free time Christy loves spending time with her daughter, gardening, baking and taking vacations with her family. Christy is an excellent leader for our team at Adoption Choices and is truly one of a kind!! As Executive Director, Christy spends time with the staff, birth parents and adoptive families in order to ensure that the agency is running smoothly. She has placed a huge emphasis on community outreach and programs for birth parents. Christy loves the opportunity to lead the agency into a brighter future.
Ms. Mackenzie has built a successful counseling career over the past 20 years, supporting mothers and families, people of all ages and genders, students, community professionals and fellow clinicians. Liv values a diverse professional focus, including the entrepreneurial life of a sole proprietor, the evaluative process of certifying foster/adoptive homes, the insightful and mindful one-on-one one work with enthusiastic clients, and serving as an advocate for underserved populations. Liv is a Licensed Professional Counselor and holds a BA in Pre-Law and Economics from American University, an MA in Counseling from Adams University and a certificate in Human Resource Management from Villanova University. Away from work you will find Liv spending time in nature, biking to the farmer's market and adventuring with her family.
Jen joined the Adoption Choices family in 2017 but her journey into the adoption world really began from day #1. As an adoptee, Jen has experienced the life of adoption first-hand. She understands and relates to birthparents and adoptive parents, while always advocating for each baby lovingly considered for adoptive placement.
Jen has had a heart for adoption for as long as she can remember. Empowered by a supportive family, Jen confidently embraced being adopted, becoming an ambassador for adoption. In high school, she was invited to speak on an adoption panel that presented the adoption option to pregnant teens in surrounding high schools. She was also invited to train as a peer counselor, which unofficially began her career in the social work field and officially ignited her passion for building relationships and helping others.
Jen has a Bachelor of Science in Psychology. Her professional background includes advocating for children in care of the state, implementing case plans, integrating families, and working with foster and adoptive parents. She has experience providing home studies for prospective parents wishing to adopt. Jen also has experience working with at-risk children and families in the public school system, providing counseling and small groups, administering grant programs and conducting trust development training in high school physical education classes.
Jen has a true passion for building relationships with each birth parent and providing hands-on support every step of the way. She has a heart for mentorship and growing leaders. In her free time, Jen loves hiding out in the mountains with her favorite people (and pets). She enjoys making, baking, and adventuring. Jen is dedicated to mindful living and making a positive impact on others. She loves the opportunity to be fulfilling her purpose with the dedicated and caring team at Adoption Choices.
Catherine A. Madsen, joined the Adoption Choices family as legal counsel in 2013. Catherine is responsible for providing legal guidance to the Agency, training and updating staff on developments in adoption law and legislation, and program development. Catherine
graduated from the University of Colorado Law School in 2006 and began her legal career as a Guardian ad litem (GAL) representing abused and neglected children in the child welfare system. Catherine continues to do this work and finds her experience working in public child welfare to be an asset in working in the adoption arena and Adoption Choices' Fresh Start program. Prior to law school, Catherine attained a master's degree in Counseling Psychology from Lesley University in Cambridge, Massachusetts. She completed her clinical training in a community trauma intervention where she counseled child and adult victims of domestic violence, physical and sexual abuse, rape, violent crime, and homicide bereavement. She later went on to serve as a victim-witness advocate for the Middlesex County District Attorney's Office Child Abuse Unit in Cambridge, Massachusetts where she counseled and advocated for child victims of physical and sexual abuse and criminal neglect. Catherine is a National Association of Counsel for Children (NACC) Board Certified Child Welfare Law Specialist (CWLS). Catherine has appeared before both the Colorado Court of Appeals and Colorado Supreme Court in cases pertaining to child welfare and adoption. She is also an active member of Jefferson County Juvenile Court's Best Practices Committee and is a selected committee member of two-state sponsored pilot programs aiming to improve outcomes in child welfare proceedings
Virginia Frank is an adoption attorney accredited since 1991 with the American Academy of Adoption Attorneys. Ms. Frank is a leader in the field of private adoption and has completed over 4,000 adoptions in her career. Ms. Frank has a law degree from Oklahoma City University and a BA in both Political Science and Communications from the University of Oklahoma.
Cassidie has been with Adoption Choices since 2015, she has her bachelors in Interdisciplinary Affairs with concentrations in both Sociology and Business Management. Cassidie has additional training in Victim Advocacy, foster care and has been working in women's services for over 10 years. Cassidie has always had a heart for adoption and it was her career dream to work in adoption. She started off doing volunteer work for advocacy programs, adoption organizations and worked in High Risk Maternal Fetal Medicine through the University of Colorado Hospital and Children's Hospital of Colorado. Cassidie is also blessed to have personally experienced an adoption of her own in 2012, completing her family of five! Cassidie loves what she does as a case worker from initial phone calls, meetings, doctor appointments, interaction with the adoptive families to delivery and counseling. Cassidie has a passion for those in need and strives to help make a difference in the lives of the people she meets. She is a firm believer in being kind, compassionate and open minded in all situations. "Unless you've walked in their shoes, there's no place for judgment. A kind word or compliment can go a long way!" The bittersweet moments in adoption reminds Cassidie each and every time, why she loves what she does!
Our office is located off of I-70 and Youngfield Street.
If you are arriving from westbound I-70:
If you are arriving from eastbound I-70:
Finding our office inside the building:
If you have parked in the front of the building-once in the main door take the hallway to the left and go to the end of the hall. Turn right and Adoption Choices of Colorado is the first office on the right-suite 126.
If you have parked in the back of the building- once in the main door take the hallway to the right to the end of the hall. Turn right and Adoption Choices of Colorado is the first office on the right- suite 126.


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There is a strap for everyone and every occasion. With vivid color and quickly interchangeable, this Lime Green rubber band will be the perfect accessory for your Connected watch. This accessory is compatible only with the TAG Heuer Connected Calibre E3. It is not compatible with previous versions of Connected watches.
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You've got your comfy pants and your credit card – now, it's time to knock out your holiday shopping.
There's no doubt online shopping is convenient… but it does come with a fair share of risk, too. Identity theft can happen just as quickly as you can click, "Add to cart." Fortunately, there are ways to reduce your risk. Follow these expert tips to shop a little smarter this season. (And don't forget that coupon code!)
- Do your research. Read online reviews to see what kinds of experience customers have had with that store or seller. Look for seals and badges that confirm the site is trustworthy, such as Norton Secured, McAfee Secure, TRUSTe, BBB Accredited Business, and Trustwave. Consumer Reports also offers independent ratings and reviews for online shopping websites.
- Only shop on reputable sites. Any page that lets you enter credit card information should start with https:// and include a locked padlock icon in the address bar. If you download a mobile app to shop, make sure it's legitimately run by the retailer – criminals can lace copycat apps with malicious malware that could charge your card without your consent.
- Be skeptical about "too-good-to-be-true" deals. An email from an unfamiliar sender with a "special offer" sounds tempting… but it could infect your computer with viruses or malware. Don't click on links or open attachments from individuals or businesses you don't know or that seem out of character from someone you do know. Similarly, if an unfamiliar website offers a rock-bottom deal, resist the urge to jump on it. The site might only exist to snag your personal info.
- Choose to complete your transaction through a secure site or app. Digital wallets such as PayPal, Apple Pay, Google Pay, or Venmo can increase the security of your transaction. These sites give merchants a unique, one-time code that's only good for that one purchase. That way, if someone tries to intercept your payment information, they can't see your credit card or bank details.
- Avoid making purchases using a public Wi-Fi connection or shared computer. Open connections can give hackers direct access to your personal information. The big concern with public Wi-Fi is that your information could be available to anyone on the network. Also avoid using public computers in places like libraries or hotels—they can often store your personal information for anyone to see. If you must shop using public Wi-Fi, use a VPN for extra security. Read more in this post about 5 things to avoid when using public wi-fi.
- Choose strong passwords. Don't re-use passwords to log in to different systems—that can leave you open to a "credential stuffing" attack. That's when hackers take a compromised email/password combo for one system (for example, an online store) and "stuff" it into a more valuable one (like your bank account). Password managers can help you keep logins straight, but make sure they're set up securely. Get tips for choosing a strong password from the National Cyber Awareness System.
- Activate your device's built-in firewalls. Also consider investing in separate security software and updating it frequently.
- Update your browser(s). Browsers need to be updated just like security software does. Regularly check for browser updates—older versions could have security gaps that leave you vulnerable to identity theft.
- Check your credit card's purchase activity frequently. During the holiday shopping frenzy, it's worth checking your credit card transaction activity every week or so. Doing so lets you spot and dispute any fraudulent charges ASAP. Some cards also let you set up a spending alert so you're aware of any large purchases instantly.
- Ship to a secure location. If you won't be home to accept the delivery, consider shipping to a secure locker or alternate address (like your office). Read more tips to prevent "porch pirates" from swiping your deliveries.
Take a minute to think through what you'd need to do if someone stole your identity. You might need to contact credit bureaus, your bank or even the Social Security office or DMV. Maybe you'd have to take time off work to get it all done.
If someone steals your identity, it takes time – and money – to straighten things out. That's where Identity Theft Recovery Coverage from ERIE can help.
Talk to your local ERIE agent to learn more about what's included and how to add it to your homeowners insurance policy.
*Amanda Prischak and Abby Badach Doyle contributed to this story. This was originally published in 2016. It was updated with new information in 2019.
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