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- Henry Maldonado
- Hesperia, CA
- United States
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What are the arguments for and against philosophy in high school?
Philosophy is seen as a dead science. However, how can we ignore the prevalence of philosophy in history. Whether it be the philosophy of science, language, or history, there has always been philosophical inquiry except near the middle of the twentieth century.
Should philosophy be taught at the high school level? Should there be a mandatory or elective class for philosophy? What are the merits of philosophy in High School? What are the draw back of teaching philosophy in high school?
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Sep 12 2012: I do believe that Philosophy should be implemented into the high school curriculum. It is beneficial to the students in the sense of all the skills they obtain, analytically, critically, and logically, in addition it promotes a certain freedom of expression and of thought. If philosophy was tied into other not so popular subjects such as math, history, and science I believe it would promote a growth in interest of these subjects that extend beyond the classroom. I myself am a senior at my high school and although we do cover philosophical movements in the language art classes we have I do not believe it is enough. The students of today are the innovators of tomorrow. How are we to, as a human race, grow and learn if we keep the next generation in the darkness that is so prevalent in society today; raised like calf for veal to the corporate fat cats? I believe that the only drawbacks are the tools given would not be used and that is the biggest travesty we all face in our daily lives, but it is a matter of free will, which we have in any condition to exercise.
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The Mason Jar Blender Trick: Do You Know About This?
Tips from The Kitchn
Sometimes there are kitchen tips that float around on the Internet for years before you bump into them. Sometimes those tips are potentially life-changing. Like this one: did you know that a standard mason jar can be used in place of the pitcher on most blenders? What the what?
If you unscrew the base from your blender pitcher, you'll see that the blade fits perfectly onto a standard (not wide-mouth) mason jar and the base screws on to hold it securely. Fit it onto the blender and blend away!
Watch a video demonstrating how this works!
There's a lot of to love about this easy trick. If you're blending a smoothie, you can drink directly from the jar or put on a lid and take it on the go. I also like the idea of making a few smoothie kits in jars and keeping them in the refrigerator for quick blending in the morning. You can also use jars for blending spices or nuts and even store them in the jar after blending. It basically turns your blender into a DIY Magic Bullet — and saves you from doing a few dishes. Win-win!
Have you ever tried this trick?
69 Comments
It's a great way to make things like baby food, though a warning should be that the glass isn't strengthened the way a real blender jug is and there's a risk of breaking. My father ended up at the hospital for stitches after a frozen pea v. mayonnaise jar incident when I was little.
How cool! Although the thought of flipping it makes me nervous. Probably easier when you don't think about it!
Very clever. I'm not sure I'm brave enough to attempt it. But the idea is so terrific!
Wholly mackerel that seems dangerous!
my mama used to do this all the time and i even remember her blender coming with a mason jar sized container. it may have been plastic. thinking magical things about pureeing beans and hummus from pre-made kits.
How do you get it off?
ApplesandOnions, there's no need to fear flipping it. Think of the blade section as the lid. You only flip it once the "lid" is on, so there's no danger of spilling.
The only potential "danger" comes from the pressure that can build up, since a regular blender container has airflow (it has a separate, loose-fitting lid) but the mason jar is completely sealed. It's not a huge issue, because mason jars are pretty sturdy, but take care taking off the blade section — the stuff inside can pop a bit, depending on what it is.
I did know this, although I've never tried an actual mason jar. I inherited a special jar from my grandfather's blender - a very small mason jar size made with thick glass like my blender jar and has measurements on it. I love it. It is great for making small batches of baby food, grinding herbs, blending sauces, and other small jobs. I usually make large batches of smoothies for the whole family, but I love the idea of premade kits for blending. I was also going to say - no fear in flipping or taking the jar off because the blade section acts as a lid.
Definitely seems dangerous considering how much thicker my glass blender jar is. But I'd be willing to reserve this for thawed ingredients only.
Ditto to what Trevor from Hamilton said. I added a photo to make it more clear that the blender base becomes a secure lid for the jar before you flip it.
I guess I don't see the point. Washing the blender pitcher takes about 10 seconds and you don't mess with removing the blade, etc. But, then again, I don't really get smoothies either. Maybe if I was a smoothie lover this would be a revelation.
Smoothies aside, this would be great for sauces/dressings that will be stored in the jar anyway.
I have a couple special vintage blender jars like this that I bought off ebay. They are called Osterizer Mini-Blend containers. They are thick glass with measurements and lids. I love them and don't worry about breakage because they are made for the blender.
When home blenders were a fairly new thing, most of them came with this "trick" outlined in the instruction manual. I guess in recent years the manufacturers are more concerned with the ability to sell you extra blender containers, and don't want you to know that most standard mason jars work just fine.
I have plastic jars designed to be used with the blender. Don't remember the last time I used my blender though
I do this almost every day. love it!
I will never get rid of my oster.
its not dangerous at all. the blade housing keeps all your liquids safely contained when you flip it upside down. no leaks at all.
don't be afraid...and there's fewer dishes to wash!
I've done this many times and I've never had a problem with the jar breaking. It's great for things you plan to store in the jar anyway--no mess transferring it to another container.
Ha, guessing that this does not work with a Ninja. I think I would be too terrified to try it anyway though.
I use mason jars for personalized shakes/blizzards with my niece and nephews. They can each put the candy pieces and flavors that they want into their jar, then I add ice cream and milk and blend each one.
Oh my gosh that is terrifying.
I have a tribest personal blender which actually comes with mason jars for storing and blending. Pretty nifty :)
Just seeing this post makes my skin crawl! My mom did this when I was little and our blender pitcher broke. The result was a giant gash in my little sister's arm and many, many stitches.
Just get a stick blender. Why risk this.
I do this every morning for my shake! I prep everything at night, stick it in the fridge, and blend it up when I wake up. I don't blend anything frozen though, so there's nothing in the jar to cause breakage.
My life will never be the same. I now feel complete with this new knowledge.
I've been doing this for ages, love this trick! Single servings of smoothies, and I can just drink it straight out of the jar! Perfect. Until reading these comments it'd never even occured to me that a mason jar would be unsafe on a blender.
I guess I've read too many tort cases with horror stories that started as a simple DIY-part to think this sounds like a good idea. Most blender carafes have thick glass or plastic with an area for hot liquids to vent for a reason.
I know these sorts of ideas get passed along from friend to friend all the time, but I think a blog with a bigger influence should be more careful to pass along potentially dangerous suggestions.
I think I'm going to opt out on this little trick.
If you're afraid, how about just throwing a dish towel over it when it's on?
I guess I have the only blender model that's too large to fit a mason jar :(
What Gingerk said.
My blender came with a jar, just for this purpose. No big deal, but if it's scary to you, don't do it, or throw a towel over it.
Watch it. as one poster said, a mason jar isn't tempered or strengthened glass. Blending something hot, or running the blender long enough to heat the air up inside will lend to the jar exploding.
I'm failing to understand how this simplifies blending at all. If you have to remove the blender blade and base to put on the jar why is there a benefit at all?
Ditto to Physics' comment--this post should include a warning not to blend any hot liquids this way! Pressure will build and your jar could explode.
That aside, it is a very cool trick.
I've used this for a few months, since my cat knocked over my blender pitcher while it was full of hot sauce and it shattered.
Buying a new blender in the next 4 months is out of the question for financial reasons. I used a mason jar to make my smoothies. It worked, but it's far from a perfect replacement.
It's harder to align the screw (screw lid and blade) to the jar and into the motor base. I have to push down gently to keep the blade from whirring impotently. So I'm putting my hand on the glass.
Sometimes I couldn't get to my smoothie while it was still cold. Once, I was so frustrated and tugged so hard I split the base.
So now it's REALLY messed up. If you have a pitcher, I'd use it.
I forgot about this...I used to make smoothies this way and take them to school in the morning. My friends used to laugh and laugh at my mason jar smoothies and mason jar coffee. This was before they were cool, so it looked funny. I was pretty eccentric back then, too. I never had any problem with the glass breaking. I used real mason jars for canning, not the ones pasta sauce is sold in. I love mason jars...so glad to see them everywhere. It means more people are re-usuing.
get a vitamix.
One word "immersion blender". ok two words.
Haven't used my full sized blender in 3 years.
I can mix in a plastic cup.
Seriously, people. If you are so afraid of glass, use PLASTIC. There are tons of things that come in plastic quart jars, or pint jars, like mayo, salad dressing, etc. Get a grip and think a little.
I also fail to understand the reasoning behind the mason jars are not strong enough for this. They are made to be boiled in hot water while sealed, or in a PRESSURE canner, which has a small amount of water in the canner and the jars are stacked double high with pressurized hot air/steam surrounding them. Mine have never broken, but if you don't inspect them for cracks or chips, I suppose they could. You do have to exercise some common sense with these things.
Mason jars (actual mason jars manufactured specifically for home canning) are intentionally made of thick tempered glass to withstand the canning process. These are less likely to break when using with a blender base, unless they are already damaged. Re-used commercial glass jars, such as pickle jars, mayonnaise jars, jam jars, etc, are made of thin un-tempered glass that is NOT suitable for home canning. As such, using any of these jars will most likely lead to disaster. It's probably still smart not to blend anything hot (but it can be dangerous to do that in your regular blender too), but a frozen smoothie -ice, frozen fruit and all - should be safe.
Anjali Prasertong thanks for posting this. My magic bullet broke, and I'm going to get a regular sized blender and use my mason jars with it. I only use real mason jars and ball jars that are made for canning. I believe they are tempered and they are thicker glass than some of the ones that you buy already filled with food. I think it will be safe this way. It will be fun for my kids to prep their smoothies at night right in the jars.
I did this a few times for smoothies, my blender is now broken. :/ I had a really nice KitchenAid blender and now completely destroyed.
I tried this when I needed to make a small amount of salad dressing. Even though it looked secure and safe enough before I pressed the ON button, one tip of the blender blade scored a line around the inside of the jar and the jar broke right along the line. Oil and vinegar everywhere! I had to replace the blender blade, too, it was bent and discolored from the friction heat that built up as the blade scraped the glass.
Sticking to the manufacturer's recommendation now.
Bummed out! I was so excited to read this post until I went to the kitchen to look at my KitchenAid blender. The blade is permanently attached to the blender jar. Ugh!
I began married life with an Osterizer blender 48 years ago which came with the mini blend jars, and I have continued using that method all this time. Using a canning jar is safe and economical. Never use a mayonnaise jar or any commercial food jar. I can chop several items in several jars to have them in a convenient size for using throughout the week. There is nothing to be afraid of, and everything to gain. I gave my old blender to a son a few years ago and have continued this method with a newer KitchenAid blender. Use common sense, and you will be just fine. I don't recommend doing anything at high speed in small jars; use the little jars for chopping nuts, onions, veggies for salads.....that sort of thing. No hot liquids. Use a high quality canning jar like the Ball brand, and not a cheap knock-off from China.
Really, it is perfectly safe. I have an immersion blender for the larger, deep pot, and hot things. Start slow, and work your way up to high speed when it is called for.
I'm very curious, why is this so scary? Is it fear of touching the blade or fear of the glass breaking? I'm hoping everyone takes apart their blender after use for cleaning. While the blade is sharp, it's not sharper than most of my kitchen knives. As for the strength of the jar glass, I've accidentally dropped a few good Ball jars and it's rare that they break. I love this trick for smoothies, making individual portions of squash bisque, and dressings. It came in very handy when an old roommate broke the glass part of our old blender and we didn't have the money to order a new one!
I have been using a pint size Ball canning jar with my Oster blender to grind coffee beans for months now. I see absolutely no reason to buy another coffee grinder. The canning jar/blender method is wonderful for making salad dressings and smoothies as well. Canning jars made specifically for canning (Ball, Kerr, etc brands) are designed to withstand the high heat temperatures that are normally found in a large pot of boiling water. Having had such bad luck with immersion blenders, I'll take a canning jar and a blender any day.
Thank you so much! I inherited a beautiful, beehive-shaped blender from my great-aunt, and the glass cracked. I put it aside, hoping to find a replacement on E-bay. Now, I can fire it up again!
This is a great idea! I especially like the suggestion to prepare a few jars of smoothie ingredients and store them in the fridge.
That's how I made baby food for my kids, many moons ago. I would take leftover vegetables from dinner and put them in a half pint canning jar. Buzz in the blender and instant baby food! If we had chicken, I sometimes mixed chicken with vegetables. For some strange reason, my daughter loved chicken and carrots!
This also works well when you want to make a dressing that needs to be blended. You make the dressing in the container you refrigerate it in.
Not to criticize your method - very inventive. But, you really do need to try a burr grinder for your coffee. I bought a burr grinder and I have to tell you, it was life changing for me. The coffee made with fresh burr grind coffee is so much better than coffee made with buzz-grind coffee. The reason is that when you buzz coffee, you heat it up. And heating causes the release of the oils in coffee. The other reason is that coffee ground in a burr grinder is uniform, whereas in a buzz-grinder it ends up uneven.
Oh my goodness...Talk about clever. It never would have occurred to me to have tried this. Incredible....I mean this is so cool! Clever clever girl!
It is really great to know about it but where can I find it.
This is a great idea! I think the plastic mayo jars would be fine for those concerned about the glass. But, I think the tempered Ball jars are the way to go and just make sure your jar is big enough for the blades to clear any part of the glass. Thanks Anjali !
I learned this trick years ago from a Critical Care nurse I worked with. Use a little common sense, i.e., use only jars made for home canning -- Ball, Mason, Kerr, make sure the blender base and blade screw on correctly and nothing rubs against anything else, make sure you have the jar-blender base seated correctly on the motor, avoid trying this with hot foods because this set up has no vents to relieve the pressure. If you're still nervous, don't do it.
I used to put my salad dressing ingredients in the small size Ball jars, a variety of types, and keep them in the fridge. When I was ready to make the salad, I just took out the dressing I wanted, assembled the jar/blender base/motor and there was really well mixed dressing in literally seconds.
Like lots of folks have said, it's also great for getting your smoothies prepped the night before and keeping them in the fridge.
The number of people who seem afraid to handle their blender bases/blades makes me kind of scared to think what their blender bases are harboring since they apparently haven't cleaned them since they bought the blenders.
I had to come back...NO! NO! NO! on the hot stuff in unvented jars. I have a sippie container to make protein drinks and that sort of thing in. This morning, after heating my water for tea, I got the bright idea of pouring a little (less than 4 ounces) of the hot water in there to give it a good rinse before washing. Well, i closed the top over the drinking spout and before I had even shaken it, the top blew open. Foolishly, I thought, oh, that's vented it, and did give it a shake. Blew open again, on the upswing, and my kitchen window got a small hot water bath. So, if that's what happens with hot stuff in a "jar," you really don't want to use any kind of unvented container with hot foods on your blender.
Sorry to hear about your dad. Mayonnaise jars are not canning jars and should never be used with the blender (not that I haven't). Canning jars are the way to go. I make hot chocolate protein drinks every morning with hot coffee, powdered milk, pumpkin pie spice, and chocolate protein powder. My healthy mocha, lol.
susan.peabody.10 if you are using actual canning jars, there isn't an issue unless you put a CHUNK of something hard in there and expect the poor blender and jar to stand up to that. Ice cubes, frozen fruit, are not a problem. I've been doing this for 50 years and the only problem I ever had was not getting the lid on tight enough. I was in a hurry and didn't pay attention. Cleaning up the mess was lesson enough for me.
It can be very dangerous if not done right. The press build up that someone else talked about can make the jar explode, but if you just take the jar off and loosen and re-tighten the lid to relieve the pressure every 30 sec or so you will be fine no matter what you are blending.
You have to make sure that your Mason jar doesn't have any defects, like tiny chips in the rim. I had a wonderful blueberry smoothie going, but all of a sudden, the gasket on the jar got loose and was chewed up. I lost a great smoothie and decided not to use Mason Jars again. It leaked all over the counter and chewed up the gasket, before I even knew what had happened.
Oh I love this so much!! I found your post earlier this month and have been doing for smoothies, salsa and salad dressing. Thank you so much!! :-)
This is an awesome idea! I make all our baby food and this sounds like a really convenient way to go. If canning jars can handle the heat and pressure of canning, they should be able to handle this...as long as you don't use hard chunks of stuff.
Holy. Crap.
This was a great post! Thanks! I immediately tried it and now make smoothies for breakfast every day. I love that I can keep popping jars in the dishwasher and don't have to clean the blender jug every day.
By the way, for anyone who, like me, was initially disappointed that their blender didn't fit 'standard' mason jars, try other size mason jars. My cheap B&D blender will only take old 'gem' size mason jars. Anyone who preserves will know what that means - just borrow a jar to try it.
I read about the fabulous-sounding blender jar idea two days ago. Yesterday I got a few canning jars out, ready to try with spices and a batch of pesto soon...it really would be perfect. This evening I got my KitchenAid Blender out to purée our tomato sauce with some grated Parmesan. Fortunately the quantity was large enough that I used the standard blender container. Very lucky I did, as I turned it on and the little metal twirling blade broke in half...if the glass jar had been used instead, the broken blade would have shattered the glass flinging glass and blade bits through me and throughout the kitchen. USING A GLASS JAR ON YOUR BLENDER IS VERY DANGEROUS! DON'T DO IT!
This trick works but here are the restrictions and why so many people damaged their blender or had the glass break...First off this trick really is for the Oster blenders..any other blenders wont seal properly..It may look like it does but it doesnt...So there you are taking a risk...Second it needs to be real canning jars!! Not reused jars!! Those wont hold up but canning jars are made just like the blender jars are...However..Dont put hot stuff in the jar and then put it on the blender base..Your asking for trouble..Steam cant escape...Heat the contents after youve mixed it up...Also dont take a jar from the freezer and mix stuff up...Its very unlikey it will shatter but you have a slighlty higher chance...Just common sense.
So you know the Oster blenders where made specifically to be used with the canning jars...One of the canning jar companies would also sell Oster machines and parts and visa versa...They work great and are safe...
Again..Osters only or youll end up with blades stuck to jars or blades scraping jars..Oh and make sure its the right size jars...There are only 2 types that work (dont remember the types) one is larger than the other but both have the same size mouths but other jars appear tp be the same size when they arent..Usually the jar companies can tell you wich of their jars will work...Oster probably wont as they make more $ selling jars..
I am loving this idea - brilliant!


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Before your Kaleidoscope visit, guide your students through some creative thinking exercises. The goal is to lead them to open-ended, no-wrong answer type thinking.
One such exercise is to identify an ordinary object. Then have your students imagine uses for it that are atypical and not necessarily useful! An example would be to imagine what a shoe could become. Possibilities include a doorstop, bird house, paper weight, dog toy, doll bed, or a telephone! OR two shoes could become ear muffs, or a clapper, or bookends.
Another exercise is to have your students create a word or phrase using letters and numbers. Some people choose to do this with their license plates. Examples include: "cre8" (create), "1derful" (wonderful), or "4tune" (fortune). OR have your students make note of standard license plates they have seen and then create funny sentences out of the letters. Examples: SLT could become "Slimy Leafy Tree" or QBO could become "Quick Big Ox".
Creative thinking often involves carefully examining what exists in order to make it new. Have your students work with partners to identify an object. One person is blindfolded and will be listening to clues from the non-blindfolded person who describes in detail the identified object. When the object is identified, they trade places and select a new object.
Jokes involve creative thinking. A joke is often funny because of the surprise outcome or play on words in the punch line. Your students likely know some jokes or they might want to make some up. Some riddles that might get the joke part of your brain started include:
Why do bees hum?
They forgot the words!
Where do sheep get their hair cut?
At the baa baa shop!
What did one potato chip say to the the other?
Want to take a dip?
Kaleidoscope uses materials from Hallmark that have been identified as discard. Much of the creativity at Kaleidoscope results from your children's ability to use those materials in ways that were not their original purpose. Reusing materials is a healthy thing to do for our planet. Have your students share with each other things that they do in their family that reuses materials.


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Reblogged from samit.
There are a few words in English we use to describe what we do to feed and clothe ourselves. Work…labor…job…career…vocation. But they are all very different things.
Work and labor…honorable and good. I think of Mike Rowe and Dirty Jobs and how he celebrates the people who actually do stuff. They may or may not love what they do, but at least they like it and are contributing to keeping the world functioning on a pragmatic level. Career—I dunno. Careerism always struck me as somewhat stagnant…you get a career as a whatever and keep doing it until you get the gold watch (or the pink slip). Again, it works for a lot of people.
A vocation is from Latin—vocare—to call. So a vocation is a calling. Something that the world tells you is the perfect thing for you to do, for any number of reasons. My wife has been called to teach math. She can't not do it. But when something else calls her, she'll answer and go do that."
— So You Want My Job: Outdoor Shop Owner
Reblogged from greenfortomorrow.


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Australian cricketers touring India for the Test series have been warned to be careful about their intake of supplements in the wake of the recent drugs saga mainly affecting rugby clubs. Michael Clarke's team is midway through a four-match series in India and trailing 0-2 after a demoralising innings defeat in Hyderabad.
Though cricket was not being pinpointed in the Australian Crime Commission report released last month, the touring team management was not taking any chances. The players have been asked to show the touring medico exactly what they are ingesting in India. "I had a chat to the guys when we started the tour. They've shown me anything that they were taking and it's all absolutely fine," Australian team doctor Peter Brukner said. "Most of them are not taking anything anyway but a few are taking protein shakes and things like that, which are all pretty straightforward," he was quoted as saying by 'Sydney Morning Herald'. (Also see: Skipper Clarke takes wife to Taj) Read more
Courtesy : sports.ndtv.com


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Rookie Tricks And Tips For Enjoying The Acoustic Guitar
Precisely what a fantastic expertise electric guitar taking pleasure in is. Many individuals have wished to learn how to play the guitar. For anyone who is ready to stop yearning for this and to get it done, then the following advice are suitable for yourself. Look at this article for further particulars on getting involved in the electric guitar.
Don't believe that you ought to discover it simultaneously. You'll easily be productive if you're taking your time and energy and rehearse regularly. Save your time for training every day and you'll shortly see upgrades inside your instrument taking pleasure in abilities.
Tend not to concern with finding out how to strum. Even though it is anything you will probably have to learn how to do, there's simply no wrong or correct path to consider over it. Whenever you exercise and alter like a guitarist, you will gradually start to get it before long.
By no means ignore the value of spending some time to listen to tightly to what you're taking pleasure in. An excellent ears will need you very substantially. To help develop your ear, choose easy tracks and make an effort to enjoy all of them with no written music as well as other helps. You'll rapidly separate tunes and guitar chords in no time.
Choose the best top quality electric guitar that will match your allowance. Don't waste dollars by trading a unique volume by yourself initial guitar while you could quit onto it. Take a look at several options to discover what appears comfortable. Uncover methods to tune your electric guitar and it properly updated.
Push you to ultimately discover interesting things. Many individuals focus on one factor. They practice the identical track till they've already it lower correctly. Positively playing that music for the pals may be amazing once, but you need to department out. Don't give a lot of emphasis one track. Keep understanding and working out a new challenge.
Uncover the available strings and initiate out positively playing easy music. Recall the only remarks because which will make staring at the guitar chords and scales simpler at another time. Although it's wise to test some factor challenging from time to time, stick with positively playing fundamental music for that first a couple of several weeks and workout every single day.
If you're learning to play the guitar, most commonly it is advisable to begin basically. Commence with easy tunes instead of trying to expert fancy licks or sophisticated tunes. Kids' tracks might appear wacky, nonetheless they will aid you to hone your abilities quickly.
Training playing daily. When you, try to workout playing the guitar getting involved in about one hour every day. Whenever you process, you'll certainly get accustomed to diverse finger roles, and you will have the ability to recall the guitar chords a lot more very easily. Giving yourself an chance to experience every single day could make you an enhanced instrument player.
As these tips have proven you, you will find a quantity of stuff that can help you to definitely play correctly. You can understand a new challenge when taking pleasure in instrument. Help make your recommendations formerly pointed out part of your toolkit, and keep on develop your expertise. You'll be able to only improve with more experience, so carry on with such suggestions.


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Your message will get a nice workout! * Wide-mouth sizes are easy to fill * Great for walks and runs * USA made, BPA free.
Bend the liquid-filled plastic Safety Glow Bracelet and it brightly glows for 6-10 hours * Fits around children's wrists to wear as a bracelet * Helps make kids more visible at night * For children 6 years and up * Place your own personal message on this bright gift.
Popular on the playground for playing a game * Great for handing out with your personalized message at athletic events. Comes in a variety of attractive accent colors.
Bracelets are perfect for communicating your vital message for any good cause or event * Present them to walk or run participants, clients who visit your facility or students at school * They come in a variety of colors with your customized debossed message * Bands are; lead-, PVC-, and latex-free, and compliant with FDA standards.
Neon colors. They're all attractively priced for your high volume promotions. All with soft erasers. #2 standard. Can be used for breast cancer awareness month merchandise.
Help your promotions soar!
• These flying discs are great for both adults and kids for giving hours of fun and exercise!
• Choose from a wide selection of vibrant colors.
• Makes a great promotional gift for a outdoor company picnic
With the big 6-can capacity! * Front slip pocket * Striped poly web shoulder strap reinforced with rivets * Waterproof liner, holds ice.
Hand out this fun football while reminding kids to play safely. Include your 5-line personalized message. Can be used for breast cancer awareness month merchandise.
Squeeze this fun design and watch them change color! Eye-catching and fun to hold and squeeze. Relaxed way for your message to be seen.
Soft, vinyl ball glows in the dark ensuring your personal message will be seen!
The earth-smart way to shop! Safer for the environment than polyester and nylon bags. Water-resistant polypropylene. Strong and lightweight. Reusable and hand washable. 10" gusset with matching bottom insert.
Draws attention to your school name by any measure! * Changes color with the heat of your hand; red to orange, orange to yellow, blue to light blue, green to yellow, violet to pink * Wooden ruler
Pencil sharpener features a translucent red case with white flip-top lid that opens to reveal dual sharpener slots-one for standard pencils, one for wider ones or crayons. Stainless steel blades. Top removes to empty shavings. Add your personalized message.
Mini multi-tasker! 3 LED bulbs. Push button on/off. Metallic barrel. Attached split ring. Batteries included. Laser-engraved.
Essential protective item! * One-way valve * Storage pouch with split keyring * One size fits all * Single use only.
Great gift for safety seminars and promotions! * 3-in-1 pocket helper includes a sturdy metal key ring, built-in flashlight and safety whistle * Includes batteries.
Pencils are attractively priced for high volume promotions. All with soft erasers. #2 standard.
Glow up your message with a pencil that can always be located in the dark. The eraser glows as well! Great for kids.
Keys won't be lost in water! * Floats in water * Great for boaters * Soft foam material inside, slick outside * Beaded key chain.
We make personalized imprinted items easily accessible. The first element of our personalized imprinted items is the items themselves. We understand that different businesses need to utilize different products. This is why; we offer such a wide array of products ready to be imprinted. Brand recognition is an imperative element of marketing. By placing your custom logo on a backpack, gym bag, computer bag, etc. You spread the message of your business. Our personalized imprinted items make this an extremely cost effective business move.
Personalized imprinted items give your business creative options. Every company can handpick personalized imprinted items, which are likely to target their main clientele. For example, if you're a vitamin company, a personalized imprinted gym bag is a much better option than a computer backpack. Our personalized imprinted items give your business the tools to promote a business (itself) in the best possible way. Now that the different items, which can be personalized, have been explained, it is important to understand the messages.
Our personalized imprinted items can go far beyond a custom logo. If your company has a certain slogan, this is a great option for imprinting. This message can be something new, or something that has made your company recognizable for years. With personalized imprinted items, the personalized (personalization) factor puts the power completely in the hands of your business.


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|By PR Newswire
Article Rating:
|November 17, 2012 02:04 PM EST
BASKING RIDGE, N.J., Nov.17, 2012 /PRNewswire/ -- Working through this weekend, Verizon employees continue to make solid progress restoring voice, data, Internet and TV services for consumers, businesses and government clients in New Jersey, Long Island, New York City and other parts of the New York metropolitan area.
(Photo: http://photos.prnewswire.com/prnh/20121117/NY15631 )
To date, the repair crews have completed 433,000 post-Sandy repairs across the company's Mid-Atlantic and Northeast regions, and more than 1.6 million customers affected by power outages have had their FiOS services restored.
(NOTE: To view or embed videos of Verizon's restoral and community outreach efforts after Hurricane Sandy, visit the video catalog at http://vz.to/sandyvideos.)
Restoration and Redeployment:
- Verizon employees continue to work round-the-clock to restore voice, data, Internet and TV service to thousands of customers daily.
- The company continues to bolster its work force in New Jersey, Long Island and the New York City area. Early Saturday morning (Nov. 17), a contingent of Verizon technicians from the Tampa, Fla. area left to work for the next several weeks on Long Island. They're joining employees from Virginia to Massachusetts in the massive restoral effort in the most-affected areas, replacing poles and restringing cables, and bringing back service for customers.
- The company has extended call-center hours and employee work shifts to better meet customers' service needs.
- Verizon continues to coordinate with commercial power companies and local authorities in New York and New Jersey to resolve restoral challenges caused by downed power lines, trees and other debris. For example, Verizon repair managers established a process to proactively communicate with local officials in dozens of the hardest-hit communities in the two states to identify issues and to ensure efficient and effective coordination of service restoral with power companies.
- Even in areas where power has been restored to key facilities and customers' homes or businesses, Verizon may need to repair or replace damaged equipment – such as flooded electronics in switching offices, and broken poles and downed lines in neighborhoods – to bring back service for customers.
- At its communications hubs at 140 West St. and 104 Broad St. in lower Manhattan, Verizon is using the latest technologies, such as infrared cameras, to detect damage and to repair and restore the cable vaults in those locations. (NOTE: Click here to view The Verge's in-depth video and photo report on our restoral efforts in lower Manhattan. [Video courtesy of The Verge / Vox Media])
Customer Care, Repairs and Replacements:
- Verizon is providing credits for landline customers who have reported an out-of-service condition related to Hurricane Sandy.
- Customers may suspend their Verizon landline services free of charge if they're currently unable to live in their home or operate their small business as a result of Sandy.
- Verizon technical support will help customers determine if their equipment such as set-top boxes or home broadband routers is operable or needs replacement. Troubleshooting tips are also available for customers at www.verizon.com/outage.
- The company will repair or replace any consumer or small-business Verizon equipment damaged by Sandy, without charge. This includes FiOS set-top boxes, FiOS broadband routers, optical network terminals and High Speed Internet (DSL) broadband routers.
Supporting Emergency Responders and Communities:
- Many Verizon FiOS and Verizon Wireless stores in the region are offering people without power the ability to charge their wireless devices. To find a nearby store, visit http://vz.to/charge. People should bring their own device chargers and call a store first to ensure it's open.
- Verizon's emergency fleet of vehicles and self-contained emergency inflatable-air shelters continues to assist public-safety and disaster-recovery organizations in parts of New York and New Jersey. These mobile stations provide organizations with communications, Internet and video capabilities in particularly hard-hit areas where such services may not currently be available. In addition, the Verizon vehicle at 92-24 Rockaway Beach in Queens is open to the public from 9 a.m. to 5 p.m. for free calls, device charging and Internet access. Also, Verizon customers can speak with company representatives about their Verizon communications services at a mobile office trailer located in Nickerson Park (880 Lido Blvd.) in Lido Beach, Nassau County.
- Verizon employees, Verizon Wireless customers and the Verizon Foundation have pledged nearly $6 million to date to support Hurricane Sandy relief and rebuilding efforts. Customers can still make a $10 donation by texting REDCROSS to 90999, and those who would like to give more can donate up to $50 via text. In addition, more than 7,200 Verizon employees have donated to the American Red Cross and Salvation Army through the Verizon Foundation's matching gifts program; the foundation has matched those donations two-for-one. For more on the Verizon Foundation's Sandy support, click here.
Customers can contact Verizon online at www.verizon.com/outage to report any wireline service-related issues; or call 1-800-VERIZON (1-800-837-4966). Please note that hold times will be longer than normal due to higher calling volumes. For prior Hurricane Sandy updates, click here.
For more information on Verizon Wireless efforts related to Hurricane Sandy, visit the Emergency Information Center.
Verizon Enterprise Solutions updates are available at www.verizonbusiness.com/info/hurricane.
Verizon Communications Inc. (NYSE, Nasdaq: VZ), headquartered in New York, is a global leader in delivering broadband and other wireless and wireline communications services to consumer, business, government and wholesale customers. Verizon Wireless operates America's most reliable wireless network, with nearly 96 million retail customers nationwide. Verizon also provides converged communications, information and entertainment services over America's most advanced fiber-optic network, and delivers integrated business solutions to customers in more than 150 countries, including all of the Fortune 500. A Dow 30 company with $111 billion in 2011 revenues, Verizon employs a diverse workforce of 184,500. For more information, visit www.verizon.com.
VERIZON'S ONLINE NEWS CENTER: Verizon news releases, executive speeches and biographies, media contacts, high-quality video and images, and other information are available at Verizon's News Center on the World Wide Web at www.verizon.com/news. To receive news releases by email, visit the News Center and register for customized automatic delivery of Verizon news releases.
SOURCE Verizon
- Using Docker For a Complex "Internet of Things" Application
- WebRTC Summit Names Peter Dunkley "Summit Chair" At @ThingsExpo
- Internet Of @ThingsExpo Interview with Distrix: Transporting Data and IoT
- In 2014 Big Data Investments Will Account for Nearly $30 Billion - Eventually Accounting for $76 Billion by 2020 End
- @ThingsExpo Reaches 5,000 IoT Twitter Followers in Five Months
- @ThingsExpo Launches Monthly "Internet of Things" Newsletter
- Ten Answers Regarding Mobile App Testing
- The New IBM-Apple Partnership
- Scott Jenson's Google #IoT Session @ThingsExpo
- Top Citrix Partner Appcore Named "Exhibitor" of Cloud Expo Silcon Valley
- @ThingsExpo Debuts Internet Of Things Newsletter
- The Impact of the Internet of Things
- Using Docker For a Complex "Internet of Things" Application
- WebRTC Summit Names Peter Dunkley "Summit Chair" At @ThingsExpo
- Stay Current on the Internet of Things
- The Fourth Digital Wave: The Age of Application Intelligence
- Internet Of @ThingsExpo Interview with Distrix: Transporting Data and IoT
- In 2014 Big Data Investments Will Account for Nearly $30 Billion - Eventually Accounting for $76 Billion by 2020 End
- CORRECTING and REPLACING Android and the Open Automotive Alliance Shift into the Next Gear
- How to Monitor Swift/iOS8 Applications for Crashes and Performance Issues
- @ThingsExpo Reaches 5,000 IoT Twitter Followers in Five Months
- Oracle Buys MICROS Systems
- Facebook Plays Short and Long Game with WhatsApp and Oculus Rift | Part 1
- Book Review: Learning Mobile App Development
- Where Are RIA Technologies Headed in 2008?
- Dolphin Announces Open API With Over 50 Add-ons Including Dropbox and Wikipedia
- Should RIM BlackBerries Be Rented?
- Has the Technology Bounceback Begun?
- Cloud People: A Who's Who of Cloud Computing
- "Mobile Web 2.0" – How Web 2.0 Impacts Mobility & Digital Convergence
- Trump's Apprentice Runner-Up Rebecca Jarvis Has $150,000 Job Offer From SYS-CON Media
- Cloud Expo New York Call for Papers Now Open
- Ringback Tones
- Microsoft and Sprint Collaborate on Mobile Search
- i-Technology Blog: Zero-Cost Telephony, the 6-Ton Elephant in the Telco Room
- Mobile Music Gets Boost From New W600 "Walkman Phone"


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Henrico Police are looking for a suspect who scammed an 86-year-old woman out of thousands of dollars.
Warrants are outstanding for 33-year-old Alicia Mae Tyler. She is wanted for grand larceny and obtaining money by false pretenses.
Police say Tyler convinced an 86-year-old woman, in the 5300 block of Windingbrook Road in Henrico, to write her a check for home improvements on December 21, 2012. The improvements were never started, but police say Tyler cashed the check anyway.
Tyler is described as a white female, 5' 7", and 150 pounds. Her last known address is on Burnt Tree Way in Madison, VA. She has been known to stay in hotels and motels in the Henrico and Richmond area.
If you have any information on where Tyler is, contact Henrico Police at (804) 501-5000 or Crime Stoppers at (804) 780-1000.
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PhotoShop - Realistic Blood
Well here you will be taught how add realistic
blood to a pic.
1) Open the picture that you want to blood
to. This is the one i used
3) Now go to ur tool bar and pick the color burn
tool (left pic) and the smudge tool (right pic).
Well we be using these alot.
4) Ok now with the smudge too, pick a brush size
that is about 1/4 the width of your blood spot.
Now start smudging. Try to make the blood like
as though its dripping. Keep doing this until
satisfied with what you have. This is what i have
so far.
5) Ok now use the burn tool to darken the blood
where the cut runs deeper. Heres what Idid.
6) Now to get a look as though the blood is on
her face we well texturize the blood. Go to
FILTER > TEXTURE > TEXTURIZE and this box
will pop up. Use the setting i have here.
7) And now your done. here is what my final result
looks like


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Posts tagged Child Photography
Posts tagged Child Photography
0 notes &
I had the pleasure of meeting Shea and her family for a mini session she won in the silent auction at the Watauga Elementary School Fall Carnival. We went to my new favorite fall/holiday spot for families downtown, at the Trinity Park downtown Fort Worth. Can you see the colors behind them? It took until the week of Thanksgiving, but we got some fall color! Oh, and can you see? We had a lot of fun that day!
More coming after I show the rest to Shea and help her put together her order. ;)
Celebrate what defines you.
If you would like to get on the email list to find out about other mini sessions and other specials throughout the year before the public, sign up here. I know how crowded inboxes get with notifications of everything, so don't be afraid of having constant emails from me—I won't let that happen.
Oh yeah! All photos and written content on RTC PhotoWork blog are copyright to RTC PhotoWork. None of these photos are to be printed or posted anywhere, whether in part or in whole, unless given the express permission of RTC PhotoWork. Please contact me at email@example.com for permission if you would like to repost any images or content.
0 notes &
Spring/Easter Mini Sessions are here! Now is your chance to have a family session with RTC PhotoWork!
6 notes &
On the Sixth Day of Christmas, RTC PhotoWork gave to you…
A free holiday video to share with your friends! If you have had a session this year, send me an email to get a holiday slide show to download, email, or share online with your friends and family. It will include favorites from your session, and a simple message from you (1 other style available). Email me at email@example.com before noon Monday to get your complimentary slide show!
Make sure to follow RTC PhotoWork on Facebook for some Facebook-only Days of Christmas, and check out the Third Day of Christmas for a fun game to play with the family! Day Four was the beginning of an awesome gift card deal running through today (Wednesday, so hurry!), and the Fifth Day was a cute Christmas printable. Don't forget to email me photos of your Christmas tree and other holiday decorations! At the end of this week, I will feature photos you have taken for a change!
If you or someone you know is expecting and is interested, contact me using the contact form or send me an email. The first weeks are so important! For more information on when to have a newborn session, read this blog post. Through the end of the year, anyone who refers a newborn client to me will receive double the referral points to put toward a complimentary session or products! The client you refer will get $50 off the newborn session as well!
Oh yeah! All photos and written content on RTC PhotoWork blog are copyright to RTC PhotoWork. None of these photos are to be printed or posted anywhere, whether in part or in whole, unless given the express permission of RTC PhotoWork. Please contact me at email@example.com for permission if you would like to repost any images or content.
7 notes &
That's right. A free session with RTC PhotoWork.
What do you need to do to enter?
1. Like RTC PhotoWork on Facebook. (Yes, I will check.)
2. Post a status tagging RTC PhotoWork saying any of the following (Make sure to use the @ before typing RTC PhotoWork so that it tags the page):
1 note &
RTC PhotoWork, RTC PhotoWorks, RTC Photography, RTC Photo…Which is it? Where did the name come from? Why not Tamara Curry Photography?
For the record, it is RTC PhotoWork (no "s"). It comes from an old AIM (AOL Instant Messenger for those of you too young to know of it) screen name I had. If you read "RTC" out loud kind of phonetically, you read "artsy." I love art and have a strict definition, so I didn't dare call myself artistic back in the day. Instead, being artistically inclined, I defined myself as "artsy." Some time later I talked with a friend of how I would love to open an art gallery, and when I searched for a name for that dream, I came back to "RTC." Except I liked it read letter by letter.


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Turboprop Mallards Subject of Emergency AD
An emergency AD issued Friday requires that before further flight operators perform a "detailed visual inspection to detect repairs, cracking or corrosion" of the wing spars and other structural components in Frakes Aviation turboprop-converted Mallard seaplanes. The directive follows the December 19 fatal crash of a Chalk's Ocean Airways' turboprop-converted Mallard when the right wing separated from the fuselage on takeoff. All 18 passengers and two pilots were killed in the accident. Although the cause of the crash has not yet been determined, preliminary indications revealed fatigue cracks in the wing spar and skin and a broken z-stringer that likely led to wing failure. The AD is an "interim action" while Frakes Aviation of Cleburne, Texas, develops a non-destructive inspection procedure that is expected to be required in a superseding AD.
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Welcome To CruiseCritic.com | Stay on CruiseCritic.com Go to Cruise Critic UK Close X
Hop aboard one of Boston's most exciting and informative sightseeing excursions -- a trolley Tour!
Ellen S
3 reviews
Have been to Boston Many times and just wanted to ride around town. The narration was great.
Provider: Celebrity Cruises
4 reviews
Took the superducks hop-on hop-off tour which cost $31 per person. Excellent tour (these buses have a panoramic view of the city compared to the Old town trolley tours that RCL sales on-board). You can buy the tickets as soon as you disembark at the pier
Provider: Independent Operator
1 review
Horrible set up and the operators were arguing with each other. We were made to line up with about 200 other passengers and sorted into groups of about 30. It took 40 minutes to get onto a trolley and then the large families with small children took the best seats next to the windows. No pictures for us! Also, this tour does not stop so if you want a decent picture or anything, you are our of luck anyway. It said in the description that you will see the USS Constitution...yes, but you will only see the masts and sails as you drive by! Would not recommend this tour.
Provider: Royal Caribbean International
1 review
Very knowledgeable tour guides that knew alot of the Boston history. I think there were 8 stops where you could get off and on all day. Highly recommend city tours and if you have a coupon you can save 16 dollars per person over the other trolley tours.
Provider: Independent Operator
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Skip to content
and found 172 items
Matches found in Motorcycle Products
Marc Abbott,
14 May 2012 10:23
TCX has released a range of new colour options for its X-Street sneaker, which will be available in UK dealers from this month. Originally launched in a black waterproof version earlier this year, blue waterproof has now been added, along with new non-waterproof colours in navy, denim and white. Female colours are blue and grey with pink detail and a ...
Marc Abbott,
20 January 2012 09:40
British firm Avon have just released this video of their new 3D Ultra sports tyre. It's chock-full of info on the new rubber's construction. Here's the lowdown…
Marc Abbott,
01 December 2011 10:27
White Diamond Metals Polish is fast beginning to rule some of our lives at MCN. Here's a video (albeit a very America video; that's where this stuff originated) showing just how effective it is at bringing dull metals to a blindingly bright finish…
Marc Abbott,
06 July 2011 17:33
This week's MCN has details of the new Knox Pod glove, featuring the firm's Boa-lacing, dial closure system. Here's a flashy presentation of Knox's 'hand armour' gloves to explain how what technology they're packing.
Marc Abbott,
06 July 2011 14:45
UK firm Moto Legends Distribution is proud to offer brand new exhausts for older Ducatis, from a time when Italian twins were brittle thoroughbreds that would short if as much as a drop of rain touched them. To buy the firm's GPR exhausts for your 916, 900SS, 748, etc, take a look at: www.gpr-motorcycle-exhausts.co.uk/g/49/Ducati-Exhausts.html
Marc Abbott,
01 July 2011 09:07
The MCN Shop currently has top of the range Arai RX7-GP helmets at £399.00 – that's a whopping £240 off the RRP of £639.99. You can choose from Okada, Hayden, Edwards, Haga and Harada replicas. To take advantage of this fantastic offer, click here
Marc Abbott,
06 June 2011 13:40
Arai have launched this new Mick Doohan/Isle of Man TT replica to celebrate the 500GP star's visit to the Island this year. His famous red, blue and white striped helmet with Koala on the back is iconic – and Aldo Drudi (Rossi's helmet designer) has designed a limited edition helmet incorporating the TT logo, plus 'Three Legs of Man' details ...
Dan Aspel,
11 February 2011 10:55
Nexx Helmets are producing the first Hugo Boss themed lid for worldwide sale. Designed to fit with a "dynamic masculine lifestyle", this "exclusive" helmet from the Portuguese manufacturer has been certified by EU safety regulations and will soon be submitted for DOT approval for sale in the US and Brazil. Save £££s on motorcycle helmets Boss fans can find the ...
Trevor Franklin,
02 February 2011 10:44
Aftermarket suspension specialist Ohlins has released details of a new range of over the counter motocross suspension that, until now, has only been available to top flight race teams. Save cash on motorcycle suspension Heading up the list are premium replacement 48mm front fork units with a starting price of £2414. Like all the Swedish company's suspension, the forks feature ...
13 December 2010 16:57
Q. I have a 1999 Suzuki Bandit 1200 which has gone through three different chains so far. The most recent chain, fitted in April 2010, was an SGX Gold X-ring and it looks ready to snap any time now. Save cash on motorcycle chains The bike is my commuter, so it's not ridden hard. I've run a laser pen down ...
Save money by comparing quotes. It's quick and easy
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I downloaded and installed M-Audio MIDISPORT 6.1.0..zip (9.95 MB, 2651 views) and my two good old blue midisport uno's are working fine in Windows 7. Thanks to the M-audio tech-staff. Whooah.
I downloaded and installed M-Audio MIDISPORT 6.1.0..zip (9.95 MB, 2651 views) and my two good old blue midisport uno's are working fine in Windows 7. Thanks to the M-audio tech-staff. Whooah.
I use the new Propellerhead Record + Reason. So double up happiness here.
Midisport uno works well on my Windows 7 64 bit system as well. I did not have anti virus software running while I did this installation, and everything went smoothly. I didn't check to see if there were known issues with that before I ran the executable but as anti virus software commonly interferes with the installation of certain components, I turned it off.
I use Pro Tools LE version 8.0.4 with a July 7th 2010 release date. The first time I opened it and went to midi setup after performing the installation, the device was there. After the initial midi setup, I added a midi track and everything functioned smoothly. If I run into any bugs, I'll add them with steps to reproduce in the appropriate forum section.
I'm grateful to be able to use my uno still - many thanks to whoever worked on this build!
Please help! I got the same blue midisport uno and windows 7 (starter). The problem is I cannot find driver for it. The one I got (when I was buyin m-audio) refuses to work. Writes "computer's operatin system is not supported..."
Pls. What should I do?
Hello Miss_x-j
What you need to do is download the Beta Win 7 driver version 6.1.0 for the MidiSport Uno from here:
and install it on your machine instead.
From your comments, it doesn't sound like the previous driver version you tried to install was actually installed, but it might be best to just check that the driver is not listed under Install/Uninstall programs in the Win 7 Control Panel. If it is, I would recommend you uninstall this version before installing the new Win 7 Beta driver just to be safe.
The Beta 6.1.0 driver worked fine for me when installed on the HP MINI netbook which has an Intel N450 1.66 GHz processor, 2GB memory and Win 7 Starter installed.
Hope this helps. If you need further help on installing just let me know.
Regards Alan_T


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"A lot of people get rigid as they get older because they think they should be 'wise'. But the child in us, the source of playfulness and joy – that's the source of all the loveliest things in life. The most creative people have this childlike facility to play. I do. But one or two of my friends think of me a little bit as 'not grown up'. And I realise how trapped they are in the need to be grown up – which I've never felt."
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Surgical Hospitals Fight to Hold Their Ground
By Kelly M. Pyrek
The victor in a David vs. Goliath battle between small specialty surgical hospitals and large tertiary community hospitals could be determined by a piece of legislation currently circulating in Congress as of presstime. On July 12, 2001, Congressmembers Jerry Kleczka (D-Wis.) and Pete Stark (D-Calif.) introduced HR 2490, "The Hospital Investment Act of 2001," which would close the loophole contained in current conflict-of-interest laws exempting physician self-referrals to hospitals in which they have ownership interest. These laws, commonly called Stark I and Stark II, ban physician referral of Medicare patients to physician-owned auxiliary services.
"The bill would prohibit physician ownership or investment in hospitals and virtually all of these specialty hospitals have physician ownership to some extent," explains Randy Fenninger, a Washington, D.C.-based lobbyist. After the bill was introduced, Fenninger was hired by the American Surgical Hospital Association (ASHA) to engage lawmakers in discussions about the benefits of specialty hospitals. He intends to work closely with the Federated Ambulatory Surgery Association (FASA)'s lobbyist and the American Association of Ambulatory Surgery Centers (AAASC) lobbyists to ensure the surgical hospital's side of the debate is heard by the General Accounting Office (GAO) and others that will influence the outcome of HR 2490.
"Whether it's a minority stake or complete ownership, HR 2490 intends to stop physician ownership activity," Fenninger says. "The bill is of real concern to existing surgical hospitals and to physicians interested in this alternative."
Surgical hospitals, sometimes called "boutique" hospitals for their appeal to the well-heeled patient, carve out a niche in a specialty such as orthopedics, neurosurgery or cardiovascular services -- the lucrative "bones, brains and hearts trade." The hospitals tend to be profitable because they often belong to national chains and command dominance in certain markets, or they are part of a joint venture between physicians and healthcare systems. They are attractive to investors and insurers because costs are generally lower than those of full-service facilities. There are approximately 100 specialty surgical hospitals in operation, according to ASHA.
Fenninger says HR 2490 was introduced because of a debate in Milwaukee involving several healthcare systems and the development of physician-owned specialty hospitals.
"The same hospitals you think would be opposed to it are also organizing these for-profit physician specialty arrangements in their own systems," Fenninger says. That's the deal in Milwaukee where you have two large not-for-profit, tertiary healthcare systems partnering with cardiothoracic surgeons to develop these specialty hospitals. Any time one of these opens up, the local hospital system complains but it's like the pot calling the kettle black; they see the advantages of creating a surgical hospital for themselves, for their doctors, for their patients and for their position in the marketplace. There is no limit to the hypocrisy."
If HR 2490 passes, Fenninger says everyone stands to lose, and not just the physician-owned specialty hospitals that would have to radically change the way they are organized and governed.
"Surgical hospitals believe strongly that physician participation is critical to the success of the facility and the quality of services provided," Fenninger says. "They say it doesn't work unless the doctors are active participants in the venture. However, one could argue that the ultimate loser would be the patient whose healthcare choices are narrowed again. The winners are the institutions that maintain status quo; in most communities it's the tertiary-care hospital that controls the medical marketplace. There's always reasons why a specialty hospital develops in a particular community, and the biggest ones are usually physician and/or patient dissatisfaction with the local hospital. If hospital administrators did their jobs and had happy patients and physicians, the chances of having to ever deal with a specialty hospital would be remote. Specialty hospitals are a response to displeasure within the community."
Fenninger points to a current fight in Columbus, Ohio where a healthcare system closed a facility and displaced 18 surgeons. "I guess they are supposed to go on welfare," Fenninger says. "Their response was, 'We need to work, so we'll organize a specialty hospital and do our surgery there.' Now the system wants to deny hospital privileges to anyone participating in this venture. There are doctors who want to use the specialty surgical hospital and surgeons who need access to a main hospital, and everyone is denied access."
It's a battle unfolding everywhere. In Arizona, where outpatient surgery was born 30 years ago, debate rages over a general hospital in Phoenix wanting to become a surgical hospital. Critics say Phoenix Memorial Hospital is jettisoning its low-paying emergency department for higher-paying cases performed in a boutique hospital which is not required to see everyone who walks through the facility door nor required to provide emergency medical care. There's a long list of criticisms levied against surgical hospitals, including the diversion to their facilities of insured patients from acute-care hospitals, which have traditionally used this income to offset the cost of caring for uninsured patients. The metropolitan Phoenix region has several specialty hospitals, including the Arizona Surgical Hospital, the Arizona Heart Hospital and a handful of facilities either on the drawing board or waiting in the wings.
"The big hospitals don't like the competition with which specialty surgical hospitals threaten them," says John Rex-Waller, CEO of National Surgical Hospitals. National, a surgical hospital management company with 12 freestanding facilities across the country, plans to construct a new facility in Arizona later this year. "They are trying to put an albatross around the neck of specialty hospitals and it's an anticompetitive tactic. Federal bills like HR 2490 and state legislation are more arrows in the quiver; big hospitals are gathering all the ammunition they can as they try to fight against specialty hospitals. It's getting aggressive."
One way states have attempted to control hospital development is through certificates of need (CON), to document the need for additional healthcare services in the community. About 30 states restrict the development of surgical hospitals through CON laws.
"In states where a CON requirement exists you generally need the big hospitals' blessing to get any beds or ORs, and they're not going to give that," Rex-Waller says. "In a CON state, the big hospitals will protect their turf to the extent they can. In other markets where there are for-profit hospitals, the competition has been very good for the market because those hospitals generally improve the level of their services to attract doctors and to keep cases. Critics of specialty hospitals say these facilities are skimming off the cream and taking all the good cases; therefore the not-for-profit community hospital will fold, there won't be emergency services, there won't be any hospital in town save for those money-grubbing doctors, and there won't be any healthcare in the community. The threat of increasing taxes to support the community hospital is always something that's trotted out. A surgical hospital has never forced another hospital to close; all you had was improved competition that was good for everyone."
Rex-Waller says the CON requirement was a way to "limit the medical arms race" in the 1970s and 1980s. "The free-market forces showed that CON didn't really help and that you get better healthcare and improved prices when you allow the market to have its way," he adds.
If the arguments sound familiar, that's because they are based on recent history, Rex-Waller says.
"Critics of specialty hospitals may have huge legislative, political, marketing and lobbying clout but I don't think there's any validity to their criticism," he emphasizes. "Look at the reaction hospitals had to surgery centers in the 1970s and 1980s. Now the ambulatory surgery centers are competing against the hospitals for outpatient cases. It's the same argument now as it was then: not only are these facilities taking the best cases they are performing surgery in unsafe facilities. When surgery centers came along, hospitals said, 'We're going to crush you, you'll never get a managed-care contract.' That didn't happen. And hospitals didn't close because of surgery centers. Now, hospitals recognize the efficiencies inherent in surgery centers and are building them, too. Hospitals have climbed on the outpatient surgery bandwagon because it's a more efficient way to do surgery. Hospitals are again trying to crush surgical hospitals but they won't succeed; surgical hospitals will out-service the big general acute-care hospitals. The physicians will demand these facilities, hospitals will give in reluctantly and set up specialty hospitals of their own -- which they are doing already."
Rex-Waller says healthcare systems that don't recognize the need for surgical hospitals are dinosaurs courting extinction. He says the rules they created are the rules by which they will die slowly.
"Hospitals often are stuck in their commitments to large size and capacity as opposed to efficiency," Rex-Waller says. "They like being big, and it's a legacy of cost-based reimbursement. They think, 'When you build a bigger wing you get paid more, so why wouldn't you build another one?' Now hospitals suffer through overcapacity, a model that no longer works. Different pieces of the hospital have been leaving the mother ship for years, such as imaging; you don't need beds for this, so take them out. You don't need beds for outpatient surgery, dialysis, eye care ... take it all out and what you should be left with, and granted this is going 20 years ahead, is an acute-care hospital that only cares for incredibly sick patients who need a wide range of services. A straightforward hip replacement is not a big deal; let's get those, and all of the ancillary services, out of the hospital and let's drive the cost down for those kinds of surgeries."
As hospitals struggle with the unbundling of acute-care services, they also struggle with the demand for emergency services in the community and the growing need for critical care. Fenninger believes this dilemma "shouldn't be laid at the doorstep of surgical hospitals."
"Some states require hospitals to have emergency rooms, and many states don't," Fenninger says. "Many hospitals, including specialty surgical hospitals, don't have ERs because emergency services are provided elsewhere in the region and there's no need for duplication. In states that require an ER, all ASHA-member surgical hospitals have ERs. They are licensed like everyone else; whatever other facilities have to do to get a license, ASHA-member hospitals have to do the same. Even if not required, some specialty surgical hospitals will install an ER because that may be the best way to serve the community's medical needs."
Fenninger says critics are misinformed about state licensing and federal requirements. "They say surgical hospitals don't have the responsibilities of the federal Emergency Medical Treatment and Active Labor Act (EMTALA), don't have to deal with uncompensated care; it's true that if you don't have an ER, EMTALA is not an issue for you. The presence or absence of surgical hospitals will not deal with problems associated with EMTALA, which is problematic on its own. If surgical hospitals disappeared, big hospitals would still have EMTALA problems. They just want to share the misery."
He adds a common misconception is that surgical hospitals are licensed differently than other hospitals. Many states do not classify surgical hospitals separately from other hospitals, so many times these facilities must be licensed under the general hospital licensing statute.
"It does depend on the state," Fenninger admits. "Some states offer a specialty facility license; for example, in Arizona, that specialty license is designed for psychiatric facilities or inpatient rehabilitation. You can squeeze a surgical hospital into that license category; it's one way to avoid meeting the ER requirement because these specialty facilities don't need an ER. In Arizona, some facilities have opted not to put themselves into that bucket."
In response to HR 2490, Congressman William Thomas (R-Calif.) and the Ways and Means Committee in the House of Representatives has requested the GAO to study how specialty surgical hospitals fit into the healthcare delivery framework. According to industry experts Scott Becker and Nicholas Harned, authors of the white paper, "Surgical and Specialty Hospitals: A Legal Primer," the GAO will determine:
- The financial impact of specialty hospitals on full-service hospitals within their market
- Whether or not the presence of specialty surgical hospitals increases utilization in a market
- If specialty hospitals exacerbate the growing shortage of healthcare professionals that could lead to closures of units associated with full-service hospitals
- If ownership in specialty hospitals creates incentives for physicians to under- or overutilize services based on financial rewards
- If specialty hospitals could provide better, more cost-efficient care than the hospitals they replace or with which they compete
Fenninger says his strategy is to keep Congress from taking any action until the GAO report is complete later this year. The complexity of the issue, along with an election-associated break for Congress, may give lobbyists the time they seek. Utilization issues, referrals and kick-backs could be closely scrutinized by the GAO.
"The question is, if you build a surgical hospital, does utilization go up in some way it shouldn't?" Fenninger says. "Say you are a one-hospital town and you have insufficient operating space; you're going to show lower utilization rates. If you build capacity, your rates would go up. Where surgery is concerned, utilization rates at best are misleading and at worst are absolutely fraudulent. They're not a good way to gauge what kind of healthcare the community needs. If surgeons in a surgical hospital were trying to do unnecessary surgery just to make money, they would be foiled by state checks and balances against those kinds of problems. If you are a licensed hospital and you let your physicians do unnecessary surgery, your license is at risk and your surgeons risk malpractice. The presence of a hospital can change utilization in a community because it adds to capacity. Before jumping on the too-many-surgeries bandwagon, look at controls on surgical utilization, especially on the kind of surgery the government and insurance pays for. There are too many controls to prevent hospitals from cheating in a significant way."
The GAO also may examine current fair share laws, such as the one introduced in Oklahoma designed to prevent surgical hospitals from "cherry-picking" preferred private-pay patients. Under this kind of law, all new healthcare providers must provide at least one-third of its services to Medicare, Medicaid or indigent patients. Facilities that do not reach this 30 percent threshold must pay an assessment fee equal to the difference, up to 30 percent of the facility's total gross revenue.
But no matter what parameters are placed on specialty surgical hospitals, there's no denying the next several years could bring a significant amount of development of these facilities as patients discover their convenience and quality of service.
Proponents of surgical hospitals say they provide physicians with an environment that promotes "high-touch, high-tech" specialty care without hospital bureaucracy. Physicians say they also enjoy greater efficiency within a facility geared to their practice needs. Surgical hospitals' competitive returns on investment can be a boon to physicians' bottom lines, and these specialty facilities enable physicians to capture additional revenue streams including inpatient surgery, radiology/imaging or physical therapy. Full-service hospitals are increasingly faced with physician migration to specialty hospitals and must decide if they want to beat them or join them. If a group of talented yet disgruntled physicians is making noise about leaving, some hospitals may make a counter offer to build their own specialty facility to keep these sought-after professionals on board.
"Hospitals will use whatever tools they have to protect their franchises," Fenninger says. "The next phase is to go after physician ownership of ambulatory surgery centers. If you outlaw physician ownership, much of the drive for these surgical hospitals and ambulatory surgery centers will disappear. A few companies will try to do them without physicians but what's the point if the physicians aren't on board? The surgical hospital would disappear."
But not without a tough fight from patients, Fenninger and Rex-Waller believe. They say specialty surgical hospitals deliver healthcare in a customer-oriented environment that is friendlier, more personalized and far more patient-driven.
"Patient feedback about our surgical hospitals has been incredible," Rex-Waller says, adding that healthcare consumers are demanding more control, more personal attention, a better value and a less institutional environment. "If we can get the managed-care contracts we need, we will out-service everybody. If people say surgical hospitals are like ambulatory surgery centers, I take that as a huge compliment. If it's like a surgery center then we have done our job well because people view it as a friendly, open, non-institutional center."
Fenninger says his camp is "getting some traction" on its pro-surgical hospital message. He says the next few months could be dicey, as Congress will finish its legislative work in September and October and then break for the November elections. "If they don't act on this bill, it dies and will have to be reintroduced in the next Congress. In the meantime, the GAO will do its work. This issue could come back in January or February; by then we could have the GAO report and a new Congress can introduce whatever legislation they'd like."
While healthcare organizations are still choosing sides, Fenninger thinks the debate will encourage healthcare professionals and consumers to think about new options surgical hospitals pose. "I am concerned, however, about the American Hospital Association (AHA) deciding to weigh in opposition to these hospitals and try to strike back through Medicare. If they somehow get a Medicare rule that makes it difficult to do something, small specialty hospitals are at a significant disadvantage."
Fenninger continues, "The opposition is fairly fractured right now. What we have not seen is an association like the AHA taking on the issue in a major way. Their board may decide they need to develop policy on this issue, get control and try to put surgical hospitals out of business. If they do that, the nature of this fight will change significantly. They are very powerful and well organized, with lots of money and lots of lobbyists. The more surgical hospitals grow, the more of a target they become. If the GAO report comes out critical of surgical hospitals, I expect to see more opposition and support for legislation like HR 2490."
Fenninger says, however, that surgical hospitals have a lot of fight left in them. "I would ask big, full-service hospitals why smaller specialty hospitals are so successful. What are they doing that you're not? You'll get a lot of hemming and hawing. If you have happy doctors and patients you don't have to worry about the competition."
Fenninger points out the irony of the situation. "The AHA's own members are developing these same specialty facilities. The AHA must balance the irritation of some members with the satisfaction of others. They are probably trying to read the tea leaves. It's to my advantage as a lobbyist that they are paralyzed right now."


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Get ready for iOS 8
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