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Recipe: Kenny Lao's Rickshaw Dumplings
We recently ran a tour of Kenny Lao's kitchen in the East Village. Kenny, who owns Rickshaw Dumpling Bar in New York, cooks a mean dumpling and I felt like I was in great hands for my tutorial.
We worked together to write up a recipe — as Kenny says, dumplings are not an exact science — with the hope that you might give it a whirl. Wouldn't tonight would be a good night for dumplings?
Kenny suggests using ground turkey because it's a little healthier than pork but still flavorful. Try to get the meat ground fresh by the butcher, and if using turkey, specify dark-meat only (it's a little tastier.) Kenny says he overloads on ginger and cilantro so back off a bit on the amounts if either of those flavors are not your favorite.
Rickshaw Dumplings
Adapted from Kenny Lao
1/2 head of Napa cabbage
1 tablespoon salt
1 pound fresh ground turkey or other ground meat
1 bunch scallion, chopped
1 bunch cilantro leaves, chopped
1/4 cup soy sauce
3 tablespoons minced ginger
2 tablespoons sesame oil
2 teaspoons freshly ground pepper
2 eggs, beaten
2 packets round dumpling wrappers (most brands have 30-45 wrappers per package)
vegetable oil for frying
For the dipping sauce:
1/4 cup soy sauce
1/4 cup rice vinegar
1 tablespoon sesame oil
1 teaspoon sugar
1 teaspoon sriracha or other hot chili sauce
Cut the cabbage crosswise into thin strips. Toss in a large bowl with salt in a bowl and set aside for 5 minutes. Take handfuls and wring out the moisture. Dump out any remaining water in the bowl. Combine the cabbage with the turkey, scallion, cilantro, soy sauce, ginger, sesame oil, pepper and eggs. Mix well with a large spoon or, preferably, your clean hands.
Set yourself up in a spacious work area with the dumpling wrappers, a little bowl of water and a large cutting board or cookie sheet. Grab a helper or two. Lay out a dozen or so dumpling wrappers. Place about 1 tablespoon filling in the center of each wrapper. Dip your fingertip in the water and trace the outside edge of the wrapper with water. Fold the wrapper over to make a half circle and make a pleat at the top of the curve. Pinch in the sides then lift up the edges to meet the center, creating a pouch. Pinch the top together and bend out the sides slightly to curve.
Heat a skillet over high until very hot. Add 1 tablespoon oil (a little less if using a non-stick pan) and coat the sides. Place enough dumplings in a single layer to line the pan, then stand back and carefully pour in a 1/2 cup of water (enough to immerse the dumplings by 1/2-inch.) Cover and cook until the water is absorbed.
Holding the pan with a hot pad, place a large plate or platter as a cover on the pan and invert. Scrape the dumpling out with a spatula (careful of non-stick surfaces.)
Repeat with the remaining dumplings.
To make the dipping sauce, combine all ingredients in a small bowl.
Serve dumplings hot with the dipping sauce.
(Images: Sara Kate Gillingham-Ryan)
(Originally published January 26, 2009)
Per serving, based on 80 servings. (% daily value)
34 Comments
These look great! One question, though. Where's the ginger in the recipe? "Kenny says he overloads on ginger and cilantro," but I don't see ginger in the recipe... Am I just missing it?
Indeed! Ginger is there.
I don't like using wonton skins to make dumplings. It's much better to make dough and roll it out.
about how many dumplings did you end up making with this recipe?
I'm lazy and always use gyoza skins. I also use one of those dumpling maker thingymabobers. That said, I've never had anyone not like my grandmother's recipe for gyoza (not the same as these, obviously, but delicious!)
Comment on the recipe itself: It would be terribly helpful if the recipe gave some kind of indication how many dumplings it might actually make.
"2 packets round dumpling wrappers" is not as enlightening as "makes 24 dumplings" or however many "2 packets" of whatever brand of wrappers you may be using adds up to.
The amount of filling will yield about 80 dumplings, depending of course on how you fill them. Most packages of dumpling wrappers contain 30-45 wrappers. This information is now reflected in the recipe. Although, as Kenny says, it's definitely not a science.
Thanks for including photos of how he does the pleats! Even though I really don't like the way the photo gallery is set up--I don't like that the page reloads and I have to scroll down to find the next thumbnail I want--I looked at every photo! (I'm grateful it's on the same page though!)
Thanks for adding the ginger back to the recipe - I, like maryam, was confused.
These look great and I want to try them. Are there vegetarian filler options for my friends? Maybe diced mushrooms, carrots or other vegetables?
What if I wanted to freeze the uncooked dumplings for later consumption? Can I just toss them in a Ziploc bag, no extra steps necessary?
I work at a fund-raising marathon every year for a non-commercial radio station (wfmu) and listeners bring in 3 meals a day for the busy staff and volunteers. My favorite day for food is dumpling day when a long-time friend of the station brings a load of friends and family and they make us tons of dumplings in various flavors. They have made dumplings with huge shrimp, salmon, vegetarian ones (always), and other kinds, served with a soy sauce based dipping sauce and Thai hot chili sauce. They are so good!
My sister makes dumplings at home with (firm) tofu chopped in them instead of meat (no eggs). It's a lot of work rolling them all, so when I get a craving I often go to Rickshaw on 23rd. The chocolate dessert dumplings there are awesome!
We've made a pile of dumplings, frozen them on cookie sheets, then tossed them into ziplocs. We then pull out the number we'd like to eat, and, still frozen, toss 'em in a hot frying pan with a T or so of oil. After they've browned a little, I add a few Ts of water and put the lid on. In about 5-10 minutes, you'll have a delicious lunch (check to make sure you have enough water). I make salad and dipping sauce (soy, rice vinegar, sweet chili sauce, sesame oil, garlic, water) while they're cooking.
I made this recipe last night exactly as described in the recipe (minus the napa cabbage, forgot it while I was at the store). It was easy, fun and oh so delicious! My girlfriend and I were in dumpling heaven last night...thanks very much for the recipe and pictures!
I make something similar but no cilantro. Maybe I will add some next time to see what it tastes like.
I used pre-made dumpling wrappers, and I prefer their noodle-like texture. Homemade wrappers are too doughy for me.
I have a fear of frying - could you bake these?
Made these over the weekend for a potluck, needless to say there were no leftovers to bring home! They were absolutely delicious. A new favourite.
My Mom and I are getting together again in the next month to make some more for us to freeze!
I always shy away from making dumpling because I thought you either had to have a special type of steamer or be willing to pan fry them in a lot of oil. This recipe seems to offer the best of both worlds in terms of cooking technique--a slight pan sear and then immediate steam in the same skillet--and in terms of the dumplings themselves which look perfectly moist and have a beautiful golden brown color.
thanks for the tips!!
i always have trouble finding the wrappers...
This is very much like my family's recipe, except for the cilantro and the eggs. I have wrappers in the freezer ... maybe it's time to give them a thaw.
Loved your post about dumplings, which I made in the past, and turned out very ugly (although tasty)
I look forward to your stories about Brazil, my home country... Have fun wherever you are, and make sure you try "pao de queiijo" and "pasteis"
This looks really yummy! I'm still a little unclear as to how to fold the dumplings, I'll have to look for a youtube video, ha ha. Thanks for the recipe!
"Makes about 80". And I could eat about 80.
They do freeze beautifully. I've done as Violet222 says--freeze them on cookie sheets and then toss into a ziplock bag. Such a great thing to have as freezer stash and if you're going to go to the trouble of making them you might as well make extras.
Hi Porcine_dream
For the veggie option I have made a version of my own dumplings that is practically an exact template of the one above and I always used tofu instead of meat. I just stick it in an oscar as if I am shredding cabbage and add it in rather than meat and takes all the flavours and adds protein. My kids never even knew they weren't eating ground meat!!!
Great recipe, however the editing isn't the best as certain portions or amounts are omitted or not specified.
we have made these dumplings 5 or so times in the past year since they were first posted. they are really great and the filling is simple and fresh tasting. we freeze them too, make a huge batch its worth it. they are great for beefing up a lighter meal like soup or fried rice.
Oh man,
I have all the ingredients for this in my house. Right. Now.
I see dumplings in my future.
Wasn't this recipe already posted earlier this year? I searched for it literally two days ago and it kept saying error, page not found. But I distinctly remember making the recipe for the Rickshaw Dumplings this past winter....
@lkguge - I think that this was on Serious Eats, because I made (and enjoyed) these as well.
I just made these yesterday. Pretty labor intensive and time consuming, but they made a ton, so I put half into the freezer for later. And they were pretty yummy. My SO inhaled a whole plate.
I loooove dumplings!!
Here's my recipe for Chicken and Shitake Gyoza:
And for those of you concerned about how many it makes... who cares? You can freeze and use leftover filling in quite a few ways. Saute it and break it up for delicious fried rice or add a little starch to it, form it into meatballs, and make a quick soup with vegetables, chicken stock, and ginger.
I am glad to see a recipe for meat eaters there are also some with tofu fillings that I love also. Hubby loves my gyoza (dumplings). We use tamari sauce made only from soy beans, no wheat and great flavor. I add a can of Bacon Spam to our gyoza! A lot of fat and salt so I mix it with pork and cabbage, grated carrots, minced scallions, no cilantro, no eggs, no added salt. The Spam holds it together so eggs aren't needed. It adds so much flavor and the meat does not end up like a big clump but a nice tender bite. We don't eat a lot of them at a time and so we don't worry about fat. I learned to make them from my Japanese mamas but the Spam was my idea. : ) Try it, I'm sure you will like it.
Made these again for the umpteenth time. And they are amazing. This time I made a huge batch of about 120 dumplings! And froze them on a baking sheet and then storing them in a freezer container now.
I forgot to make a lunch for myself today, so as I was running out the door I put a couple in a tupperware. I was a little worried to microwave the frozen dumplings... but they were still amazing! I put a little bit of water in there to steam them up in the microwave. 30 sec intervals for maybe a total of 2 .5 - 3 minutes.
I know this was 4 years ago but... I've never seen directions on a bag of frozen dumplings that had really different directions for making them as pot-stickers. o.O


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Posts tagged Jersey Shore
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Because I can't have any love affairs in my parent-infested house, pop culture fills my lustful voids. The pop culture love triangle that consists of me, the TiVo and my computer is a complicated one in which my loyalties are often fickle. Just when the pop-c world does me so right, buttering me up with lineups like "Breaking Bad," "Mad Men," "Modern Family" and my guiltiest of pleasures, "New Girl," it turns around and Chris Browns me in the face with all its brainless smut….So when I say pop culture and I have a love affair, let's leave it at friends-with-benefits, the 'benefits' being the quality TV, film and music products that, remarkably, are still out there amidst the skewers of Kardashian butt meat.
From what you've gathered about me thus far, it's probably clear that I'm not the type who died over the "Grey's Anatomy" musical episode or watches every season of "The Real Housewives." I enjoy good things, with the very rare shitty thing thrown in there. I watch "The Bachelor" only to cruelly make fun of people whose lives are significantly more depressing than mine and to see Chris Harrison flex his pecs as he pops out of nowhere to gesture to the final rose. Unlike the rest of the world, I'm not exactly disturbed by Snooki's pregnancy, because while I hope her offspring isn't born with five limbs or BAIDS (Baby-AIDS), I do hope its birth leads to the cancellation of "Jersey Shore." I said it.
I can't, however, understand my mother's taste in television, and the fact that I'm somehow forced to endure a week-long lineup of shitty shows (Perhaps there are minute traces of crushed Rohypnol in my dinner). Her taste is truly inexplicable, in that she'll swoop in and change "It's Always Sunny" and "The Colbert Report" to the local news if I don't have my head on a swivel. Allow me to walk you through the pop-torture.
Sunday: GCB
Because this show just premiered, my mom hasn't successfully conned me into watching it yet. I've been down this road before when I was 15 with Desperate Housewives—I will not do it again with a show about an Elf-woman with a southern twang that deals out a deluge of religious innuendos mixed with boob jokes. I'd rather let Rooney Mara give me bangs.
Monday: The Voice, Smash, The Bachelor
This night is a train wreck. So many crying and singing girls in one sitting, and way too much of Christina's bloated face and ten-inch cleavage on the screen threatening to swallow Adam Levine's tiny, douchey pea-head. "The Bachelor" provides moments of abundantly necessary comic relief, but it doesn't outweigh the discomfort of trying to detach Carson Daly from "TRL" while watching a singing show judged by Jabba-the-Hut in sunglasses.
Tuesday: Glee, Dancing With The Stars (Starts soon, joyous)
As a music lover, there's nothing I love to do more than watch Lea Michele's horse mouth (Maybe this is why she's so sensitive about horse-drawn carriages in NYC) cover great songs in hyperbolic musical theater style, or hear them performed by a wedding band as knock-kneed, washed-up celebrities stumble around trying to revive their careers and trick their partners to fall in love with them.
It appears that this is a real commercial. But I digress.
Wednesday: American Idol
More competitive amateur singing and teeth-grindingly unbearable celebrity judges! A night when there is actually some quality TV on, and I'm stuck listening to Jennifer Lopez quack about being from the block and other "singing" nonsense while Steven Tyler tries to maintain lucidity and keep from getting a juvenile-activated erection. Then suffer through eight Jennifer Lopez Kohl's commercials. Definitely preferable to "Modern Family." Absolutely.
Thursday: Grey's Anatomy, Private Practice
Just when you think the week is almost over, you have to watch the same hour of nonsensical medi-drama twice in a row. Every time I visit a hospital, I try to lurk the doctors' conversations and read their body language to pick up on any cues about intern squabbles, PTSD from ambulance explosions, or patient-doctor love affairs; no such findings thus far. I find the McDreamy-McSteamy-McPunchme shtick as clever as a Kathy Griffin stand-up routine, and can't wait for the storyline that kills off Meredith once and for all. Whiny bitch.
Friday: Roomies sleeping on the couch.
Saturday: Roomies sleeping on the couch.
This lineup is painful, but it could obviously be worse, riddled with E!-fueled Kardashian Kock-slaps all week, or shows like "Whitney"; I've tried to obscure these really intellectually-offensive ones from my mom's radar, because I truly think I'd rather have a slumber party with Tyra Banks than have her find out about them and add them to her weekly regimen. For now, I guess reality competition shows and lots of singing are the way to go.


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What I need to know about Bowel Control
On this page:
- What is a bowel control problem?
- Who gets bowel control problems?
- What is the gastrointestinal (GI) tract?
- How does bowel control work?
- What causes bowel control problems?
- What do I tell my doctor about my bowel control problem?
- How is the cause of a bowel control problem diagnosed?
- How are bowel control problems treated?
- Eating, Diet, and Nutrition
- Keeping a Food Diary
- Examples of Foods That Have Fiber
- How do I cope with my bowel control problem?
- What should I do about anal discomfort?
- Points to Remember
- Hope through Research
- Pronunciation Guide
- For More Information
- Acknowledgments
What is a bowel control problem?
You have a bowel control problem if you accidentally pass solid or liquid stool or mucus from your rectum.* Bowel control problems include being unable to hold a bowel movement until you reach a toilet and passing stool into your underwear without being aware of it happening. Stool, also called feces, is solid waste that is passed as a bowel movement and includes undigested food, bacteria, mucus, and dead cells. Mucus is a clear liquid that coats and protects tissues in your digestive system.
*See the Pronunciation Guide for tips on how to say the underlined words.
A bowel control problem—also called fecal incontinence—can be upsetting and embarrassing. Most people with a bowel control problem feel ashamed and try to hide the problem. They may not want to leave the house for fear of losing bowel control in public. They may withdraw from friends and family.
Bowel control problems are often caused by a medical issue and can be treated. If you have a bowel control problem, don't be afraid to talk about it with your doctor. Your doctor may be able to help.
Who gets bowel control problems?
Bowel control problems affect about 18 million U.S. adults—one out of every 12 people. People of any age can have bowel control problems, though they are more common in older adults. Slightly more women than men have bowel control problems. If you have any of the following, you may be more likely to have a bowel control problem:
- diarrhea, which is passing loose, watery stools three or more times a day
- urgency, or feeling you have very little time to get to the toilet for a bowel movement
- a disease or injury that damages your nervous system
- poor overall health from multiple chronic, or long lasting, illnesses
- a difficult childbirth with injuries to your pelvic floor—the muscles, ligaments, and tissues that support your uterus, vagina, bladder, and rectum
What is the gastrointestinal (GI) tract?
The GI tract is a series of hollow organs joined in a long, twisting tube from your mouth to your anus—the opening where stool leaves your body. The lower GI tract consists of your large intestine—which includes your colon and rectum—and anus. Your intestines are sometimes called your bowel.
Your body digests food as it moves through the GI tract. The leftover waste from the digested food enters your large intestine as liquid. Your large intestine absorbs water and changes the liquid to stool. Stool passes from your colon to your rectum where it is stored before a bowel movement. Stool moves from your rectum to your anus and out of your body.
How does bowel control work?
Bowel control relies on the muscles and nerves of your anus and rectum working together to
- hold stool in your rectum
- let you know when your rectum is full
- release stool when you're ready
Ringlike muscles called sphincters close tightly around your anus to hold stool in your rectum until you're ready to release the stool. Pelvic floor muscles support your rectum and a woman's vagina and also help with bowel control.
What causes bowel control problems?
Bowel control problems can have many causes. Some common causes are
- diarrhea
- constipation
- muscle damage or weakness
- nerve damage
- loss of stretch in the rectum
- childbirth by vaginal delivery
- hemorrhoids and rectal prolapse
- rectocele
- inactivity
Diarrhea. Diarrhea causes bowel control problems because loose stool fills your rectum more quickly than your rectum can stretch to hold the stool. This rapid filling can make it harder to reach the bathroom in time.
Constipation. You might be surprised to learn that constipation, a condition in which an adult has fewer than three bowel movements a week or a child has fewer than two bowel movements a week, can lead to bowel control problems. Constipation causes large, hard stools to stretch your rectum and relax your internal sphincters. Then, watery stool can leak out around the hard stool.
The type of constipation that is most likely to lead to a bowel control problem happens when a person squeezes the sphincters and pelvic floor muscles by mistake instead of relaxing them. For example, if you have pain when you have a bowel movement, you may unconsciously learn to squeeze these muscles to delay the bowel movement and avoid pain.
Muscle damage or weakness. If the sphincter muscles are damaged or weakened, they may not be strong enough to keep the anus closed, and stool can leak out. The sphincter muscles can be damaged by
- trauma
- childbirth injuries
- cancer surgery
- surgery to remove hemorrhoids, which are swollen blood vessels in and around your anus and lower rectum
Nerve damage. If the nerves that control your sphincters are damaged, the muscles can't work the way they should. Damage to the nerves that sense stool in your rectum can make it hard to know when you need to use the bathroom.
Nerves can be damaged by
- childbirth
- a long-term habit of straining to pass stool
- stroke
- spinal cord injury
- diseases that affect the nerves, such as diabetes and multiple sclerosis
Brain injuries from stroke, head trauma, or certain diseases can also cause bowel control problems.
Loss of stretch in the rectum. If your rectum is scarred or inflamed, it becomes stiff and can't stretch as much to hold stool. If your rectum gets too full, stool can leak out. Radiation treatment for rectal cancer or other pelvic cancers can cause scarring of the rectum. Inflammatory bowel diseases—chronic disorders that cause irritation and sores on the lining of the digestive system— can cause the rectal wall to become stiff.
Childbirth by vaginal delivery. Childbirth sometimes causes injuries to the muscles and nerves in the pelvic floor. The risk is greater if
- forceps are used to help deliver the baby
- the doctor makes a cut, called an episiotomy, in the vaginal area to prevent the baby's head from tearing the vagina during birth
Bowel control problems related to childbirth may appear soon after delivery or many years later.
Hemorrhoids and rectal prolapse. External hemorrhoids, which develop under the skin around your anus, can prevent your anal sphincter muscles from closing completely. Rectal prolapse, a condition that causes your rectum to drop down through your anus, can also prevent the anal sphincter muscles from closing well enough to prevent leakage. Small amounts of mucus or liquid stool can then leak through your anus.
Rectocele. If you are a woman, you can have rectocele, a condition that causes your rectum to protrude through your vagina. Rectocele can happen when the thin layer of muscles separating your rectum from your vagina becomes weak. Stool may stay in your rectum because the rectocele makes it harder to push stool out. More research is needed to be sure rectocele increases the risk of bowel control problems.
Inactivity. If you are inactive, especially if you spend many hours a day sitting or lying down, you may be keeping a large amount of stool in your rectum. Liquid stool can then leak around the more solid stool. Frail, older adults are most likely to develop constipation-related bowel control problems for this reason.
What do I tell my doctor about my bowel control problem?
You may be embarrassed to talk about your bowel control problem, but your doctor will not be shocked or surprised. The more details and examples you can give about your problem, the better your doctor will be able to help you. You should be prepared to tell your doctor
- when your bowel control problem started
- whether you leak liquid or solid stool
- if you have hemorrhoids that bulge through your anus when you lift things or at other times and if the hemorrhoids pull back in by themselves or have to be pushed in with a finger
- if the problem is worse after eating or if any specific foods seem to make the problem worse
- if you aren't able to control passing gas
Your doctor will probably also ask you questions like these:
- How often do you have a bowel control problem?
- Do you leak a little bit of stool or do you lose complete control of your bowel?
- Do you feel a strong urge to have a bowel movement or do you lose control without warning?
- Is your bowel control worse when you have diarrhea or constipation?
- How is your bowel control problem affecting your daily life?
You may want to keep a stool diary for several weeks before visiting your doctor so you can answer these questions. A stool diary is a chart for recording daily bowel movement details. You can find a sample stool diary on the Bowel Control Awareness Campaign website at www.bowelcontrol.nih.gov.
How is the cause of a bowel control problem diagnosed?
To diagnose what is causing your bowel control problem, your doctor will take your medical history, including asking the questions listed in "What do I tell my doctor about my bowel control problem?" Your doctor may refer you to a specialist who will perform a physical exam and may suggest one or more of the following tests:
- anal manometry
- anal ultrasound
- magnetic resonance imaging (MRI)
- defecography
- flexible sigmoidoscopy or colonoscopy
- anal electromyography (EMG)
Anal manometry. Anal manometry uses pressure sensors and a balloon that can be inflated in your rectum to check how sensitive your rectum is and how well it works. Anal manometry also checks the tightness of the muscles around your anus. To prepare for this test, you should use an enema and not eat anything 2 hours before the test. An enema involves flushing water or a laxative into your anus using a special squirt bottle. A laxative is medicine that loosens stool and increases bowel movements. For this test, a thin tube with a balloon on its tip and pressure sensors below the balloon is put into your anus. Once the balloon reaches the rectum and the pressure sensors are in the anus, the tube is slowly pulled out to measure muscle tone and contractions. No sedative is needed for this test, which takes about 30 minutes.
Anal ultrasound. Ultrasound uses a tool, called a transducer, that bounces safe, painless sound waves off your organs to create an image of their structure. An anal ultrasound is specific to the anus and rectum. The procedure is performed in a doctor's office, outpatient center, or hospital by a specially trained technician, and the images are interpreted by a radiologist—a doctor who specializes in medical imaging. A sedative is not needed. The images can show the structure of your anal sphincter muscles.
MRI. MRI machines use radio waves and magnets to produce detailed pictures of your internal organs and soft tissues without using x rays. The procedure is performed in an outpatient center or hospital by a specially trained technician, and the images are interpreted by a radiologist. A sedative is not needed, though you may be given medicine to help you relax if you have a fear of confined spaces. An MRI may include the injection of special dye, called contrast medium. With most MRI machines, you lie on a table that slides into a tunnel-shaped device that may be open ended or closed at one end; some newer machines are designed to allow you to lie in a more open space. MRIs can show problems with your anal sphincter muscles. MRIs can provide more information than anal ultrasound, especially about the external anal sphincter.
Defecography. This x ray of the area around your anus and rectum shows whether you have problems with
- pushing stool out of your body
- the functioning of your anus and rectum
- squeezing and relaxing your rectal muscles
The test can also show changes in the structure of your anus or rectum. To prepare for the test, you perform two enemas. You can't eat anything for 2 hours before the test. During the test, the doctor fills your rectum with a soft paste that shows up on x rays and feels like stool. You sit on a toilet inside an x-ray machine. The doctor will ask you to first pull in and squeeze your sphincter muscles to prevent leakage and then to strain as if you're having a bowel movement. The radiologist studies the x rays to look for problems with your rectum, anus, and pelvic floor muscles.
Flexible sigmoidoscopy or colonoscopy. These tests are similar, but a colonoscopy is used to view your rectum and entire colon, while a flexible sigmoidoscopy is used to view just your rectum and lower colon. These tests are performed at a hospital or outpatient center by a gastroenterologist—a doctor who specializes in digestive diseases. For both tests, a doctor will give you written bowel prep instructions to follow at home. You may be asked to follow a clear liquid diet for 1 to 3 days before either test. The night before the test, you may need to take a laxative. One or more enemas may be needed the night before and about 2 hours before the test.
In most cases, you will be given a light sedative, and possibly pain medicine, to help you relax during a flexible sigmoidoscopy. A sedative is used for colonoscopy. For either test, you will lie on a table while the doctor inserts a flexible tube into your anus. A small camera on the tube sends a video image of your bowel lining to a computer screen. The test can show problems in your lower GI tract that may be causing your bowel control problem. The doctor may also perform a biopsy, a procedure that involves taking a piece of tissue from the bowel lining for examination with a microscope. You won't feel the biopsy. A pathologist—a doctor who specializes in diagnosing diseases—examines the tissue in a lab to confirm the diagnosis.
You may have cramping or bloating during the first hour after these tests. You're not allowed to drive for 24 hours after a colonoscopy or flexible sigmoidoscopy to allow the sedative time to wear off. Before the test, you should make plans for a ride home. You should recover fully by the next day and be able to go back to your normal diet.
Anal EMG. Anal EMG checks the health of your pelvic floor muscles and the nerves that control your muscles. The doctor inserts a very thin needle wire through your skin into your muscle. The wire on the needle picks up the electrical activity given off by the muscles. The electrical activity is shown as images on a screen or sounds through a speaker. Another type of anal EMG uses stainless steel plates attached to the sides of a plastic plug instead of a needle. The plug is put in your anus to measure the electrical activity of your external anal sphincter and other pelvic floor muscles. The test can show if there is damage to the nerves that control the external sphincter or pelvic floor muscles by measuring the average electrical activity when you
- relax quietly
- squeeze to prevent a bowel movement
- strain to have a bowel movement
How are bowel control problems treated?
Treatment for bowel control problems may include one or more of the following:
- eating, diet, and nutrition
- medicines
- bowel training
- pelvic floor exercises and biofeedback
- surgery
- electrical stimulation
Eating, Diet, and Nutrition
Changes in your diet that may improve your bowel control problem include
- Eating the right amount of fiber. Fiber can help with diarrhea and constipation. Fiber is found in fruits, vegetables, whole grains, and beans. Fiber supplements sold in a pharmacy or health food store are another common source of fiber to treat bowel control problems. The Academy of Nutrition and Dietetics recommends getting 20 to 35 grams of fiber a day for adults and "age plus five" grams for children. A 7-year-old child, for example, should get "7 plus five," or 12, grams of fiber a day. Fiber should be added to your diet slowly to avoid bloating.
- Getting plenty to drink. Drinking eight 8-ounce glasses of liquid a day may help prevent constipation. Water is a good choice. You should avoid drinks with caffeine, alcohol, milk, or carbonation if they give you diarrhea.
Keeping a Food Diary
A food diary can help you identify foods that cause diarrhea and increase the risk of a bowel control problem. Write down what you eat, how much you eat, and when you lose bowel control. After a few days, you may begin to see a link between certain foods and your bowel control problem. Your symptoms may improve if you eat less of foods linked to your bowel control problem. Discuss your food diary with your doctor.
Common foods and drinks linked to diarrhea and bowel control problems include
- dairy products, such as milk, cheese, or ice cream
- foods and drinks containing caffeine, such as coffee, tea, or chocolate
- cured or smoked meats such as sausage, ham, or turkey
- spicy foods
- alcoholic drinks
- fruits such as apples, peaches, or pears
- fatty or greasy foods
- sweeteners in diet drinks and sugarless gum and candy
Examples of Foods That Have Fiber
|Beans, cereals, and breads
|½ cup of beans (navy, pinto, kidney, etc.), cooked
|6.2–9.6 grams
|½ cup of shredded wheat, ready-to-eat cereal
|2.7–3.8 grams
|⅓ cup of 100% bran, ready-to-eat cereal
|9.1 grams
|1 small oat bran muffin
|3.0 grams
|1 whole-wheat English muffin
|4.4 grams
|1 small apple, with skin
|3.6 grams
|1 medium pear, with skin
|5.5 grams
|½ cup of raspberries
|4.0 grams
|½ cup of stewed prunes
|3.8 grams
|½ cup of winter squash, cooked
|2.9 grams
|1 medium sweet potato, baked in skin
|3.8 grams
|½ cup of green peas, cooked
|3.5–4.4 grams
|1 small potato, baked, with skin
|3.0 grams
|½ cup of mixed vegetables, cooked
|4.0 grams
|½ cup of broccoli, cooked
|2.6–2.8 grams
|½ cup of greens (spinach, collards, turnip greens), cooked
|2.5–3.5 grams
If diarrhea is causing your bowel control problem, medicine may help. Your doctor may suggest using bulk laxatives to help you make more solid stools that are easier to control. Your doctor may also suggest antidiarrheal medicines that slow down your bowels and help control the problem.
Bowel Training
Training yourself to have bowel movements at certain times during the day—such as after meals—may help. Developing a regular pattern may take a while, so don't give up if it doesn't work right away.
Pelvic Floor Exercises and Biofeedback
Exercises that strengthen your pelvic floor muscles can help with bowel control. To do pelvic floor exercises, you squeeze and relax these muscles 50 to 100 times a day. The trick is finding the right muscles to squeeze. Your doctor can help make sure you're doing the exercises the right way. Biofeedback therapy may also help you learn to do the exercises correctly. Biofeedback therapy is painless and uses a machine to let you know when you are squeezing the right muscles. You practice what you learn at home. Success with pelvic floor exercises depends on what is causing your bowel control problem, how severe the problem is, and your motivation and ability to follow your doctor's recommendations.
Depending on the reason for your bowel control problem or how severe it is, your doctor may recommend surgery. Surgery options include
- Sphincteroplasty, which involves sewing back together the separated ends of a sphincter muscle torn by childbirth or another injury and is the most common type of surgery for bowel control problems
- Artificial anal sphincter, which is a procedure to place an inflatable cuff around your anus and implant a small pump beneath your skin to inflate or deflate the cuff
- Nonabsorbable bulking agent, which is injected into the wall of your anus to bulk up the tissue around your anus, making the opening of your anus narrower so your sphincters are able to close better
- Bowel diversion, which is an operation that reroutes the normal movement of stool out of the body when part of the bowel is removed; colostomy or ileostomy are the types of bowel diversion used to treat bowel control problems
Electrical Stimulation
Electrical stimulation involves placing wires in the sacral nerves to your anus and rectum and constantly stimulating the nerves with electrical pulses. Electrical stimulation is also called sacral nerve stimulation or neuromodulation. The sacral nerves connect to the part of your spine in the hip area. A battery-operated stimulator is placed under your skin. Based on your response, the doctor can adjust the amount of stimulation so it works best for you. You can turn the stimulator on or off at any time.
How do I cope with my bowel control problem?
There are steps you can take to manage your bowel control problem. Try these everyday tips:
- Carry a bag with cleanup supplies and a change of clothes with you when leaving the house.
- Find public restrooms before you need one.
- Use the toilet before leaving home.
- Wear disposable underwear or absorbent pads inserted in your underwear.
- If you lose bowel control often, use a fecal deodorant—a pill that you chew or swallow to reduce the smell of stool and gas. These pills are available without a prescription. Your doctor can help you choose which type is best for you.
You should be aware that eating causes contractions in your large intestine that push stool towards your rectum. The rectum also contracts for 30 to 60 minutes after eating. Both of these events make it more likely that you will pass gas and have a bowel movement soon after eating. This activity may increase if you are anxious. You might want to avoid eating in restaurants or at social events, or you may want to take antidiarrheal medicines before eating in these situations.
What should I do about anal discomfort?
The skin around your anus is delicate and sensitive. Constipation and diarrhea or contact between skin and stool can cause pain or itching. Here are some things you can do to relieve discomfort:
Wash with water. Gently wash the anal area with water, but not soap, after a bowel movement. Soap can dry out and irritate your skin, and so can rubbing with dry toilet paper. Alcohol-free wipes are a better choice.
Air dry. Let the area air dry after washing. If you don't have time, gently pat yourself dry with a clean cloth.
Use a moisture-barrier cream. Use a cream that contains ingredients such as dimethicone—a type of silicone—that form a barrier between your skin and stool. Clean and dry the area before you apply the cream. Ask your doctor what kind of cream to use.
Try nonmedicated powders. Plain talcum powder or cornstarch may help relieve pain or itching.
Use wicking pads or disposable underwear. If you use pads or disposable underwear worn in close contact with your skin, make sure they have a wicking layer. The wicking layer protects your skin by pulling moisture away from your skin and into the pad.
Wear clothes and underwear that allow air to flow. Tight clothes and plastic or rubber underwear that block air can make skin problems worse. Clothes and underwear that allow air to flow help skin stay dry.
Change soiled underwear as soon as you can.
Points to Remember
- You have a bowel control problem if you accidentally pass solid or liquid stool or mucus from your rectum. Bowel control problems include being unable to hold a bowel movement until you reach a toilet and passing stool into your underwear without being aware of it happening.
- People of any age can have a bowel control problem.
- Bowel control problems can have many causes. Some common causes are
- diarrhea
- constipation
- muscle damage or weakness
- nerve damage
- loss of stretch in the rectum
- childbirth by vaginal delivery
- hemorrhoids and rectal prolapse
- rectocele
- inactivity
- Treatment for bowel control problems may include one or more of the following:
- eating, diet, and nutrition
- medicines
- bowel training
- pelvic floor exercises and biofeedback
- surgery
- electrical stimulation
Hope through Research
The National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) and other components of the National Institutes of Health (NIH) conduct and support research into many kinds of digestive disorders, including bowel control problems. The Behavioral Therapy of Obstetric Sphincter Tears (BOOST), funded under NIH clinical trial number NCT01166399, surveys women who suffered a tear of the anal sphincters during childbirth to determine the incidence of bowel control problems in this population.
The NIDDK is sponsoring a study of biofeedback for bowel control problems, funded under NIH clinical trial number NCT00124904. The aims of the study are to compare biofeedback with alternative therapies, identify which patients are most likely to benefit, and assess the effect of treatment on quality of life.
Adaptive Behaviors among Women with Bowel Incontinence: The ABBI Trial, funded under NIH clinical trial number NCT00729144, focuses on the validation of a tool to measure behaviors women use to reduce symptoms of bowel control problems. The tool, called the Adaptation Index, was developed with input from investigators of the Pelvic Floor Disorders Network and refined through focus groups and is being validated in women with urinary incontinence and pelvic organ prolapse.
Clinical trials are research studies involving people. Clinical trials look at safe and effective new ways to prevent, detect, or treat disease. Researchers also use clinical trials to look at other aspects of care, such as improving the quality of life for people with chronic illnesses. To learn more about clinical trials, why they matter, and how to participate, visit the NIH Clinical Research Trials and You website at www.nih.gov/health/clinicaltrials. For information about current studies, visit www.ClinicalTrials.gov.
Pronunciation Guide
anal manometry (AY-nuhl) (muh-NOM-uh-tree)
anus (AY-nuhss)
biofeedback (BY-oh-FEED-bak)
colonoscopy (KOH-lon-OSS-kuh-pee)
constipation (KON-stih-PAY-shuhn)
defecography (DEF-uh-KOG-ruh-fee)
diabetes (DY-uh-BEE-teez)
diarrhea (DY-uh-REE-uh)
electromyography (ee-LEK-troh-my-OG-ruh-fee)
enema (EN-uh-muh)
episiotomy (eh-PIZ-ee-OT-uh-mee)
fecal incontinence (FEE-kuhl) (in-KON-tih-nenss)
flexible sigmoidoscopy (FLEK-suh-buhl) (SIG-moy-DOSS-kuh-pee)
gastroenterologist (GASS-troh-EN-tur-OL-uh-jist)
hemorrhoids (HEM-uh-roydz)
inflammatory (in-FLAM-uh-toh-ree)
intestine (in-TESS-tin)
laxative (LAK-suh-tiv)
multiple sclerosis (MUHL-tih-puhl)(sklee-ROH-siss)
neuromodulation (NOOR-oh-mod-yoo-LEY-shuhn)
pathologist (pa-THOL-uh-jist)
radiation (RAY-dee-AY-shuhn)
radiologist (RAY-dee-OL-uh-jist)
rectal prolapse (REK-tuhl) (proh-LAPS)
rectocele (REK-toh-seel)
rectum (REK-tuhm)
sacral nerve stimulation (SAY-kruhl) (nurv) (STIM-yoo-LAY-shuhn)
sphincters (SFINGK-turs)
sphincteroplasty (SFINGK-tur-oh-PLASS-tee)
uterus (YOO-tuhr-uhss)
vagina (vuh-JY-nuh)
vaginal (VAJ-ih-nuhl)
For More Information
American Academy of Family Physicians
P.O. Box 11210
Shawnee Mission, KS 66207–1210
Phone: 1–800–274–2237 or 913–906–6000
Email: firstname.lastname@example.com
Internet: www.aafp.org
American College of Gastroenterology
6400 Goldsboro Road, Suite 200
Bethesda, MD 20817
Phone: 301–263–9000
Email: email@example.com
Internet: www.acg.gi.org
American Gastroenterological Association
4930 Del Ray Avenue
Bethesda, MD 20814
Phone: 301–654–2055
Fax: 301–654–5920
Email: firstname.lastname@example.com
Internet: www.gastro.org
American Neurogastroenterology and
Motility Society
45685 Harmony Lane
Belleville, MI 48111
Phone: 734–699–1130
Fax: 734–699–1136
Email: email@example.com
Internet: www.motilitysociety.org
International Foundation for Functional
Gastrointestinal Disorders
P.O. Box 170864
Milwaukee, WI 53217–8076
Phone: 1–888–964–2001 or 414–964–1799
Fax: 414–964–7176
Email: firstname.lastname@example.com
Internet: www.iffgd.org
Pelvic Floor Disorders Network
Data Coordinating Center
6110 Executive Boulevard, Suite 420
Rockville, MD 20852
Phone: 301–230–4645
Fax: 301–230–4647
Internet: http://pfdn.rti.org
The Simon Foundation for Continence
P.O. Box 815
Wilmette, IL 60091
Phone: 1–800–23–SIMON (1–800–237–4666) or 847–864–3913
Fax: 847–864–9758
Internet: www.simonfoundation.org
Voices for PFD
American Urogynecologic Society Foundation
2025 M Street NW, Suite 800
Washington, D.C. 20036
Phone: 202–367–1167
Fax: 202–367–2167
Email: firstname.lastname@example.com
Internet: www.voicesforpfd.org
Publications produced by the Clearinghouse are carefully reviewed by both NIDDK scientists and outside experts. This publication was originally reviewed by Satish Rao, M.D., University of Iowa College of Medicine; William E. Whitehead, Ph.D., University of North Carolina Center for Functional GI and Motility Disorders; and Nancy Norton, International Foundation for Functional Gastrointestinal Disorders.
The Bowel Control Awareness Campaign
The National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) Bowel Control Awareness Campaign provides current, science-based information about the symptoms, diagnosis, and treatment of bowel control problems, also known as fecal incontinence. The Awareness Campaign is an initiative of the National Digestive Diseases Information Clearinghouse, a service of the NIDDK.
Download this publication and learn more about the Awareness Campaign at www.bowelcontrol.nih.gov.
National Digestive Diseases Information Clearinghouse
2 Information Way
Bethesda, MD 20892–3570
Phone: 1–800–891–5389
Fax: 703–738–4929
Email: firstname.lastname@example.com
Internet: www.digestive.niddk.nih.gov
The National Digestive Diseases Information Clearinghouse (NDDIC) is a service of the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK). The NIDDK is part of the National Institutes of Health of the U.S. Department of Health and Human Services. Established in 1980, the Clearinghouse provides information about digestive diseases to people with digestive disorders and to their families, health care professionals, and the public. The NDDIC answers inquiries, develops and distributes publications, and works closely with professional and patient organizations and Government agencies to coordinate resources about digestive diseases.
This publication is not copyrighted. The Clearinghouse encourages users of this publication to duplicate and distribute as many copies as desired.
This publication may contain information about medications and, when taken as prescribed, the conditions they treat. When prepared, this publication included the most current information available. For updates or for questions about any medications, contact the U.S. Food and Drug Administration toll-free at 1–888–INFO–FDA (1–888–463–6332) or visit www.fda.gov. Consult your health care provider for more information.
NIH Publication No. 13–6513
December 2012
Page last updated January 18, 2013


text:
Mia. 17. Ravenclaw. Avid Reader. Communication + Management Major.
This is my book tumblr blog as well as my personal blog because I found it hard to manage two blogs at the same time. My personal life seems to be tied up with books and reading.
DISCLAIMER: All pictures, graphics, videos and music featured in this blog are copyrighted by their respective copyright owners unless otherwise stated.
HW at the end of the school year
Used books are everything
(via imgTumble)


text:
Senior All-Star Game slated for tonight
By Ronnie Gallagher
SPENCER — North Rowan's Oshon West and West Rowan's Shay Steele gave Rowan County basketball fans plenty of thrills and highlights last season.
The two reigning county players of the year get to do it one more time.
The second annual Rowan County Senior All-Star doubleheader will be played tonight at North Rowan.
The girls game will begin at 6:30 p.m. with the boys to follow at 8.
Tickets are $7 at the door.
The girls game will be for Breast Cancer Awareness, while the boys will benefit Autism Awareness.
The all-star event is the brainchild of North Rowan boys coach Andrew Mitchell. In its first year, there was an overwhelming response that turned into a packed house.
In tonight's boys' Blue-White game, there will be plenty of familiar names besides West.
The Blue team will be led by North's all-county stars West and T.J. Bates, along with Kihrey Ellis. Also on the team are Tyler Petty of Salisbury, Tyler L'Hommedieu of East Rowan, Rameiq Howard of Carson and Jack Gallagher of West Rowan. Statesville's Austin St. John, Marquise Williams and Marquis Willis are also on the Blue team.
The White team is loaded with North Rowan and Statesville seniors: Malik Ford, Devon Tate and Brandon Nelson of the Cavaliers and Breon Borders, Josh Gaither and Jaquan Warren of Statesville.
Other members are Buster Hillie and Keion Adams of Salisbury, D.J. Love of Carson and Josh Medlin of South Rowan.
The boys game should be a thriller. Mitchell watched three practices this week and has been impressed with the athleticism. Some of the players have made the workouts their personal dunk contest.
"It should be an exciting game," he said. "I've seen some highlight dunks and some nice 3-point shooters."
Steele, who is headed to Morehead State, is the only all-county girl playing. Carson's Kelly Dulkoski and West's Alison Sobataka are out of town. Most of the East Rowan seniors are tied up with spring sports. Carson's Allison Blackwell declined.
There will be three North girls — Taylor Sells, Amber Carter and Kayla Smith. Salisbury will bring Patreece Lattimore, Da'Terria Connor, Vashti Usry and Danielle Harmon. Carson's Paris Parks will play.
Mitchell decided to make it a celebrity game and he got the biggest name in Rowan girls history to suit up. Shayla Fields, the leading scorer in county history, boys or girls, is playing. Bubbles Phifer has committed, along with Sherree Gillespie, Brittany Powell and Quon Cuthbertson. West's Rashonda Mayfield and North's Sophilia Hipps could play.
"This is a chance to play one more time loose and free," Mitchell said. "It should be a lot of fun."


text:
Saturday, September 11, 2010
Single Girl Complete
A king-size quilt, in fact. Like, to use on a real bed. It will keep us warm when we are sleeping. Yes, it's true: I have made something that is not only pretty, but useful as well. What a great feeling.
So, details: The fabric is mostly Cherish Nature (so I'm calling this quilt "Nature Girl"), but there is some Neptune, Al Fresco, and a few other odds and ends thrown in. If you intend to make the Single Girl pattern, you really do need 36 different prints—I had initially hoped to get away with fewer, but this quilt achieves its randomness in a highly organized, structured way, requiring all 36 prints. The quilt back is pieced as well. (And became even more pieced than I had originally intended when the back ended up being too small for the long-arm due to a measuring error.) It was quilted by the talented ladies at my local quilt shop.
Of course, because I must torture myself by second-guessing every design decision I have ever made, I'm questioning my choice of the "bubbles" quilting pattern. I'm thinking the circles-over-circles might be just a little too ... circle-happy. Also, I wasn't thinking about the fact that the pieced rings aren't perfect circles (they're more squared off), while the bubbles in the quilting are perfectly round. But I chose the bubbles because I wanted to do something other than stippling. I like stippling, but since there's so much of it out there right now, I figured if I could do something different, I should. The only other pattern that caught my eye was a swirly one, and I didn't think that would work with the minimalist, modern aesthetic I was going for. And you know what? Now that I'm talking through my reasoning for the choice, I'm feeling a little better about the bubbles. Ah, blog, you are serving your purpose already.
Now I just need to get going on some shams and throw pillows. And maybe some curtains. And some artwork. Oh yeah, and I still have to bind this puppy. Nooooo problem.
21 comments:
Your quilt is so gorgeous! Totally worth all the hours you put into it. : ) I'm a Mama, fabric lover and quilter too... a new follower.ReplyDelete
Love it here as well(aviva_hadas on flickr). How hard was it to piece?ReplyDelete
Adrianne, I've been following your blog for a while now, I love it! Thanks for reading.ReplyDelete
This was my first time with curved piecing, but it was not nearly as difficult as I expected. Some of my rings aren't quite touching each other, but that was the only real problem I had (and it's a forgiving design, so that issue isn't very noticeable). The worst part of making this pattern was templating and cutting out all the pieces! It took FOREVER for a quilt this size and got really tedious. I also recommend keeping all those pieces very organized while cutting and piecing, or you will lose your mind.
Came from flickr. Love the pattern--love the quilting. Wow.ReplyDelete
Congratulations! It is stunning! I'm hoping to get to that pattern next year:)ReplyDelete
What a fantastic color combo! I've admired the pattern for a long time but never had the guts to do it--this makes me want to! The quilting is incredible, too--I love the bubbles!ReplyDelete
(came from flickr. my quilting blog is at http://www.realphotography.com/traci)
I think the bubbles are wonderful and I appreciate how you came to the decision! WHat a wonderful quilt! And hooray for making one that will fit on a bed (I'm just in the process of making one myself!)ReplyDelete
Your quilt is gorgeous! And i love the bubble quilting.ReplyDelete
I made a DS quilt for my sister (also king size!), and if her patterns weren't all based on templates I would add a single girl to my to do list! I just don't like all of the work of using templates. :(
this quilt is stunning. the circle quilting looks great across the top, i think it works well with the patchwork pattern. great job~ReplyDelete
this is an incredible quilt, just love your color combinations, what a great achievement. Do you think it would be easier to paper piece this pattern?ReplyDelete
Victoria Girl - that's a good question. Paper piecing would allow you to skip all the template-making and painstaking cutting of the pieces, which was a pain. But it would be hard to organize the pieces the way the pattern recommends if you paper-piece. Plus you'd have to make all those paper patterns and tear out the paper. So I'm not sure it would be that much easier. I guess it depends on how comfortable you are with paper piecing.ReplyDelete
I love this quilt! I have been wanting to make one too--ever since I quilted the one my sister-in-law made! She used the same fabrics as in the pattern I think, but I have to say, I like yours even better! So, so cute! Congrats on finishing a big one!ReplyDelete
I don't know where I've been, but I just stumbled across your blog today ... and I've been reading for an hour! Your work is brilliant, and your talent is evident. Adding you to my Google Reader now!ReplyDelete
Awesome quilt! And I adore the bubble quilting too.ReplyDelete
Great quilt, indeed. I'm glad I linked over to check out your blog :)ReplyDelete
Just learning to quilt....and I think the bubbles on the circles with the blue fabric make it look like a quiet pond. Very Beautiful.ReplyDelete
talk it out, blog it out, stitch it out. all good.ReplyDelete
and a bonus: your quilt is wonderful!
your quilt is amazing! i love the circles in the quilting. i think it was a great choice! your color selection (where i always get hung up when thinking of attempting the single girl) is fantastic!ReplyDelete
- sweetfeNovember 13, 2011 at 1:26 PM
It is really beautiful!ReplyDelete
for some reason I just found this today, and I love your quilt. I have had this pattern for about a year, read through it a few times, and even made all my templates. I have about 18 fabrics I like so far, but I have been too afraid to start. It IS such a big project!ReplyDelete
I'll keep looking at your pictures, and perhaps get unstuck!


text:
Have you found your dream home yet?
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The historic quarter of the Andalusian capital shows us a legacy of monuments that are the product of its Arab past and its position as a prosperous port facing the Americas. Buildings declared World Heritage Sites, districts with a strong popular flavour and festivals of International Tourist Interest mark its character.
Seville has witnessed the passage of the most diverse civilisations. Hispalis was founded by the Tartessans and next to it, the Romans built the remarkable city of Italica. The long Muslim rule, from the year 711 till 1248, left indelible marks in this city. The Seville's splendour came with the Discovery of America. During the 16th and 17th centuries, its port was one of the most important in Spain, having the monopoly on trade with the overseas colonies.
The historic quarter has an interesting collection of historic buildings like the Gothic Cathedral, built on top of the Almohad Mosque of Seville. Of this Arab inheritance the old minaret - today the famous Giralda -and the Patio de los Naranjos are preserved. Inside we will discover the tomb of Christopher Colombus.
Next to these are the Reales Alcázares. Its walls enclose various rooms, luxurious salons and romantic courtyards. The Archive of the Indies leads us to Spanish renaissance art. It is one of the most important documentation center in existence relating to the conquest of America. On the banks of the Guadalquivir we find the Torre del Oro, of Arab origin, which dates back to the 13th century and was part of the ancient walls.
Two festivals, deeply rooted in the Sevillian character and introduce us respectively to their devotion and their folklore. Sevillian Easter unites art and tradition for several days when decorated Baroque carvings tour the streets amid public fervour. For its part, the April Fair leaves behind processional solemnity for colour and joy. Parades of carriages and regional costumes are rounded off with open-air parties.
The capital of Andalusia has its own special magic. Visit the Santa Cruz neighbourhood, with its whitewashed houses, barred windows and interior patios filled with flowers. Stroll through Triana and Plaza de España square, savour a delicious plate of fried fish on the banks of the Guadalquivir River and take in a fascinating flamenco show in any of the city's tablaos (flamenco clubs). These are just a few of the options that await you in Seville.
Central Europe is eager to welcome you to discover its treasures!
The Rhine, one of Europe's great rivers, brings to mind wine and beautiful landscapes.
The fascinating countries of the Black Sea region straddle the transition between Europe and Asia.


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The OAH: Vol. 17, October 2000
|1 of 24
This page
10. "HEAR" TODAY, GONE TOMORROW! Once the hearing time and date has passed, the hearing cannot be reset by just a telephone call, so do not call the Office of Administrative Hearings (OAH) and ask for a hearing. Read the Notice of Hearing for the date, place, and time of the scheduled hearing. In most cases, the hearing will be held in Phoenix, Arizona. The OAH also maintains a Tucson office. Periodically , there are cases (primarily Child Protective Services and Registrar of Contractors) that are heard in other venues (Flagstaff, Kingman, Lake Havasu, Prescott, Show Low, Sierra Vista, and Yuma). 9. "HEY ROCKY, WATCH ME PULL A RABBIT OUT OF MY HAT!" Do not come to the hearing and apologize that you do not have any of the important documents or evidence that you wish the Administrative Law Judge to consider. This is the parties' day to be heard, so come to the hearing prepared. If a party comes to the hearing unprepared and informs the TOP TEN THINGS NOT TO DO AT AN ADMINISTRATIVE HEARING Official Newsletter of the Arizona Office of Administrative Hearings The OAH Vol. 17 Questions: 1. Attentiveness of ALJ 2. Effectiveness in explaining the hearing process 3. ALJ's use of clear and neutral language 4. Impartiality 5. Effectiveness in dealing with the issues of the case 6. Sufficient space 7. Freedom from distractions 8. Questions responded to promptly and completely 9. Treated courteously Evaluations of OAH Services Note: The four major groups of respondents are: Represented private party; unrepresented private party; counsel for a private party; and counsel for the agency. The respondents fill out the evaluations immediately after the hearing and the evaluations are not disclosed to the ALJ involved. October 2000 The Office of Administrative Hearings (OAH) began operations on January 1, 1996. Administrative Hearings previously provided by regulatory agencies (except those specifically exempted) are now transferred to the OAH for independent proceedings. Our statutory mandate is to "ensure that the public receives fair and independent administrative hearings." The process of unifying the administrative hearings function in OAH-style agencies began in 1961 with California. The current states having adopted the model, with year of inception are: Arizona (1996), California (1961), Colorado (1976), Florida (1974), Georgia (1995), Illinois (1997), Iowa (1986), Kansas (1998), Louisiana (1996), Maryland (1990), Massachusetts (1974), Michigan (1996), Minnesota (1976), Missouri (1965), New Jersey (1979), North Carolina (1986), North Dakota (1991), Oregon (1999), South Carolina (1994), South Dakota (1994), Tennessee (1975), Texas (1991), Washington (1981), Wisconsin (1978) and Wyoming (1987). Mission Statement: We will contribute to the quality of life in the State of Arizona by fairly and impartially hearing the contested matters of our fellow citizens arising out of state regulation. Top Ten (continued page 2) Office of Administrative Hearings 1400 West Washington, Suite 101 Phoenix, Arizona 85007 www.azoah.com Lewis Kowal, Administrative Law Judge This publication is available in alternative formats. The OAH is an equal opportunity employer. Jane Dee Hull Governor Cliff J. Vanell Director Director's note: OAH is committed to fairness and making hearings accessible to all. This article is the third in what we at OAH plan to be a series of informational articles to educate the public and parties who appear before us about the hearing process and how to better present their cases. The current article is derived from David Letterman's Top Ten List and, although there is some humor injected, the topics are serious and intended to provide useful information. This and previous articles are available on OAH's website at www. azoah.com All Responses 1st Quarter 0 50 100 150 200 250 300 350 400 Question 1 Question 2 Question 3 Question 4 Question 5 Question 6 Question 7 Question 8 Question 9 Excellent Good Average Poor Administrative Law Judge that documents, photographs, and other items exist but were not brought to the hearing, it is as if such items do not exist. Judges need to review evidence. Representations that such evidence exists, without bringing it to the hearing, are not going to be helpful to a party's case. When a party brings exhibits to the hearing, copies should be brought for the Judge and for the other party. 8. "MY DOG ATE MY WITNESS." Do not show up at the hearing and inform the Adminis-trative Law Judge that ten witnesses could have been brought to the hearing "who would testify that … ." If witnesses would be helpful to a party's case, a party should ensure their appear-ance at the hearing so the Judge can observe them and listen to their testimony. Parties may subpoena witnesses in accor-dance with OAH Rule 2-19-113. If a witness cannot physically be present, a party may file a request to have a witness appear telephonically. If you wish to proceed in that manner, see OAH Rule 2-19-114. 7. "TABLE FOR TWO?" Do not bring any snacks, chewing gum, chewing tobacco, food, or beverages into the hearing room. Pitchers containing water are made available in the hearing room for use by the parties, witnesses, and observers. All food items, other than bottled water, are to remain outside the hearing room Unrepresented Responses 1st Quarter 0 50 100 150 200 250 Question 1 Question 2 Question 3 Question 4 Question 5 Question 6 Question 7 Question 8 Question 9 Excellent Good Average Poor Agency Response to Recommended Decisions July 1 - September 30, 2000 1234 13 61 34 11 0 200 400 600 800 1000 1200 1400 Agency accepts w ithout modif ication Agency amends findings of facts/conclusions of law only Agency amends recommended order only Agency rejects the recommended decision ALJ Decision Certified as Final Upon Agency Inaction cases Agency accepts w ithout modification 90% Agency amends findings of facts/conclus ions of law only 1% Agency rejects the recommended decision 3% ALJ decision certi fied as final upon agency inaction Agency amends recommended order 1% only 5% 2,378 Cases Filed July 1, 2000 - September 30, 2000 *Note: Appealable Agency Actions are agency actions taken before an opportunity for a hearing. A typical example would be the denial of a license. A party is entitled to a hearing before the OAH before the action becomes final. Contested Cases involve actions yet to be determined by an agency. An example would be proposed discipline on a professional license with the possibility of suspension or revocation. Parties are entitled to a hearing before the OAH prior to the agency acting. page 2 page 3 1st Q FY 2001 1st Q FY 2001 1st Q FY 2001 1st Quarter Statistics At A Glance Acceptance Rate: ALJ findings of fact and conclusions of law were accepted in 96.5% of all recommended decisions acted upon by the agencies.* ALJ decisions, including recommended orders, were accepted without modification in 91.95% of all recom-mended decisions acted upon by the agencies. 82.4% of all agency modification was of the order only (i.e. penalty assessed). Appeals to Superior Court: The appeal rate was 3.358%, defined as appeals taken (53) over hearings concluded (1578). Rehearings: The rehearing rate was .697%, defined as rehearings sched-uled (11) over hearings concluded (1578). Completion Rate: The completion rate was 66.36%, defined as cases completed (1578) over new cases filed (2378). Continuance: The average length of a first time continuance based on a sample of cases (first hearing setting and first continuance both occurred in the 1st quarter) was 42 days. The frequency of continuance, defined as the number of continuances granted (207) over the total number of cases first scheduled (1557), expressed as a percent, was 13.29%. The ratio of first settings (1557) to continued settings on the calendar (235) was 1 to 0.15. Dispositions: Hearings conducted: 66%; vacated prior to hearing: 32%; hearings withdrawn by agency: 2%. Contrary Recommendations and Agency Response: 25.8% of recommendations were contrary to the original agency action where agency took a position. Agency acceptance of contrary recommendations was 84.1%. Top Ten continued from page 1 * 1% of ALJ recommended decisions were certified as final by the OAH due to agency inaction. Accountancy ADA Administration Admin. Parking Agriculture Ag. Emply. Rel. Bd. AHCCCS Appraisal AZ Commission on the Arts Attorney General Arizona Works Banking Behavioral Health Ex. Building/Fire Safety Charter Schools Chiropractic Community Colleges Cosmetology Dental Economic Security Economic Security-CPS Education Environ. Quality Funeral Gaming Health Services Insurance Land Liquor Lottery Maricopa Cty. Housing Medical Examiners Naturopathic Nursing Osteopathic Parks Peace Ofc. Standards Pest Control Physical Therapy Podiatry Psychologist Examiners Public Safety - CW Public Safety - Trans Public Safety - Adult CC Pvt. Post. Ed. Racing Radiation Regulatory Registrar of Contr. Real Estate Revenue School - Deaf & Blind Secretary of State Technical Registration Water Qual. App. Bd. Water Resources Weights and Measures 1 70 0 24 0 2 52 24 3 29 1 0 1 0 400 4 0 15 04 61 00 1637 000061 36 04042 15 04 61 00 1637 000061 36 04042 1 70 0 24 0 2 52 24 3 29 101 0 40040 0 011 4 30 4 0 316 22 25 015047 0 0 1 1 4 3 0 4 0 316 22 25 0150 4 7 Average Time Between Selected Events - Appealable Agency Actions v. Contested Cases*, July 1 - September 30, 2000 7.77 1.32 20.15 43 5.52 1 10.4 52.55 0 10 20 30 40 50 60 Request for Hearing to Scheduling Scheduling to First Hearing Date Conclusion of Hearing to ALJ Decision ALJ Decision to Agency Action Days AAA CC at all times. During the hearing, recesses occur, at which time snacks or drinks may be obtained. A one hour lunch recess is generally taken but can be extended, at the Judge's discretion. Listen to the Judge as to the time when the hearing will resume. If the Judge informs the parties that there will be a fifteen minute recess, that means be back in the hearing room within fifteen minutes. Do not expect the Judge to wait longer than the fifteen minutes to reconvene the hearing. 6. "EXTRA, EXTRA, READ ALL ABOUT IT!" Each Judge has discretion as to what to permit at each hearing. Generally, however, prepared testimony that is written by a party or witness will not be allowed to be read into the record during the hearing. An Administrative Law Judge cannot discern the truthful-ness of a witness if a party is reading a statement rather than testifying from the party's own knowledge. If that were to occur, the person might as well just submit the document and have the Judge read it without taking up valuable hearing time. Documents can be offered as exhibits to be admitted into the evidentiary record for consideration by the Judge. Also, when appropriate, docu-ments can be used to refresh a person's recollection as to specific details. 5. "CURB YOUR ELEPHANT." Copies of original items or documents may be brought to the hearing room to be used as evidence. Once a hearing is concluded and there is a final administrative deci-sion, the matter is subject to appeal. The courts will not accept large items to be part of the record on appeal. In order to avoid a problem with submission of the record to a court, such large objects will not be admitted into evidence at a hearing before the OAH. Generally, only items that can fit within an 8 ½" x 11" folder will be admitted into evidence. Do not expect that large items such as blueprints, doors, bricks, etc. will be admitted into the evidentiary record. Although large items will not be admitted, such items may be utilized at the hearing as demonstrative evidence. That means that they can be viewed by the parties, witnesses, and the Judge, and testimony, may be presented concerning such items. However, parties should expect to leave the hearing room with any large items that are brought into the hearing room. 4. "AND NOW FOR SOMETHING COMPLETELY DIFFERENT..." Read the OAH pamphlet that accompanied the Notice of Hearing because it contains important information as to the procedures followed by the OAH. Additionally, parties and members of the public are encouraged to visit the OAH's website at www.azoah.com to learn more about the OAH and the Administrative Law Judge who will be presiding over a particular matter. Review the procedures set forth in the OAH's administrative rules. The rules provide information as to when continuance requests should be filed and what information the Judge may consider. Also, the parties may wish to attend another OAH hearing to observe the Administrative Law Judge or become familiar with the hearing process. 3. "HEY GOOD BUDDY!" Be respectful of the administra-tive process, and address the Administra-tive Law Judge as "Your Honor" , "Judge", or "Mr. or Ms…." but do not address the Judge by his or her first name or as a "hearing officer". 2. "WELL...ISN'T THAT SPECIAL?" Do not come to the hearing expecting to get loud or overly emotional. The hearing is a time to have the parties air their differences before a neutral third party, the Administrative Law Judge. It is inappropriate to use profanity, yell, or become disruptive. Acting in that manner does not accomplish anything except the possibility of being admonished for not behaving appropriately. A person who is unruly or disruptive to the hearing process may be removed from the hearing room if he or she does not maintain proper decorum. See OAH Rule 2-19-120. If a party or witness is removed from the hearing room because of unruly behavior, the hearing will proceed in that person's absence. All parties disagree to some extent on the facts and/or the applicable law. If they agreed, then there would be no need for the hearing. Parties can air their differing views through the calm presentation of witnesses' testimony and the submission of items into evidence. Getting loud does not sway a Judge. Being respectful and courteous to the Judge as well as to the other participants in the hearing makes for a more pleasant and productive hearing. 1. "SAY GOODNIGHT, GRACIE." Hearings are held Monday to Friday during normal business hours of 8:00 a.m. through 5:00 p.m. Do not assume that the hearing will continue past 5:00 p.m. even if witnesses and parties have come from out of town. If a hearing does not conclude at the end of the business day, the hearing will likely be rescheduled for a further hearing date.
Object Description
|OAH, The
|Arizona. Office of Administratiive Hearings.
|Arizona. Office of Administratiive Hearings--Periodicals; Administrative procedure--Arizona--Periodicals; Administrative courts--Arizona--Periodicals;
|Browse Topic
Government and politics
|This title contains one or more publications. Official Newsletter of the Arizona Office of Administrative Hearings.
|Arizona. Office of Administratiive Hearings.
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|Arizona State Library, Archives and Public Records--Law and Research Library.


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