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Strack & Van Til Families Buy back 20 Stores at Bankruptcy hearing of Failed Mega Parent Company Central Grocers – July 11
The future of the Strack & Tan Til chain of 20 grocery stores is looking up, including their Rensselaer location, as the family partnership grocery company bought back sole ownership of the stores from a New Youk bankruptcy court on Tuesday July 11th. In 1997 the Stracks chain was sold to the mega grocery store company Central Grocers which in April was forced into bankruptcy by suppliers that it owed $225 millions and had not paid for any stock in several months, at that time.
Strack & Van Til President and Chief Executive Officer Jeff Strack said he, the Strack family, the Van Til family and a few others put in a successful bid for 20 Strack & Van Til stores and "We won!" he said.
U.S. Bankruptcy Court for the Northern District of Illinois Judge Pamela S. Hollis will have to approve the sale at a hearing next Tuesday July 18. Strack, who had long retained 10 percent of the Highland-based supermarket chain, said the new ownership group is called the Indiana Grocery Group. According to court records, the bankruptcy court was entertaining a bid for Strack & Van Til stores in Cedar Lake, Chesterton, Crown Point, East Chicago, Hammond, Highland, Hobart, Lowell, Munster, Rensselaer, St. John, Schererville, Valparaiso and Whiting, as well as for Town & Country Markets in Portage and Valparaiso, an Ultra Foods store on Broadway in Merrillville, a central bakery in Valparaiso and the corporate headquarters in Highland.
"The Strack and The Van Til families are excited for the opportunity to continue to serve the communities of NWI as we have for over 80 years," Strack said. "While this will be a new company, we will continue to have the same connection to NWI as Ernie Strack and Nick Van Til did when they started their partnership years ago. Our associates, vendor partners and most importantly our customers are why we continue to work so hard. They are the reasons we are here and we appreciate them and will work hard for them. When it comes down to it — we are Indiana Made."
Central Grocers, the failed former corporate owner of the Stracks chain produced the generic brand Centrella and is being liquidated by the bankruptcy court. At this time the future of their generic brand is unknown. If the Centrella brand would cease to exist it is also unknown what generic brand the Stracks chain will carry.
Story by Jasper County Online News.


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Further articles featuring Launderette on LondonTown.com
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subset: commoncrawl


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Cauliflower kuzhambu is really a very good combination with rice and chapathi and it tastes heavenly. Whenever, I buy cauliflower, I reserve half of the cauliflower to prepare Kuzhambu. Cauliflower florets soaked in this kulambu gravy will be tangy and very tasty. I finish most of the florets in the gravy. Tastes simply superb and the fact is, it is a super easy recipe! Rice, Cauliflower kuzhambu and simply a papad will make a good lunch combo.
|1 medium size
|1 medium size (finely chopped)
|2 medium size (finely chopped)
|Curry Leaf
|1 sprig
|Kuzhambu Podi
|4 heaped tsp
|one big marble size
|Mustard Seeds
|1/4 tsp
|to taste
|Cooking Oil
|5 tbsp or as required
Cooking Instructions:
Cut cauliflower into medium sized florets and add it to deep fry pan with a glass of water. Add 1/4 tsp of salt to it and heat in high flame for 3 to 4 minutes. Switch off the flame and let the florets to soak in it for few minutes and then drain the water.
Soak tamarind with little amount of water for 5 to 10 minutes. Then crush it gently with your hands to get thick tamarind water and discard the pulp.
Heat oil in a pressure cooker and add mustard seeds to it. When it starts to splutter, add onions and wait till it becomes transparent.
Add curry leaves now and following it add tomatoes. Now add enough amount of salt and let the tomatoes become mushy. At this time add Kuzhambu Powder and 3 to 4 cups of water and mix well so that no lumps are found ( Otherwise, mix Kuzhambu Powder and water separately in a bowl and mix well without any lumps and add this to the cooker ). Close the lid of the cooker and pressure cook it for 4 whistles in high flame.
Open the pressure cooker after the pressure is released, and the kuzhambu will be little watery at this stage. Now add cauliflower florets and tamarind water and mix well and again pressure cook it for one whistle. Once the pressure is released, open the cooker and bring it to boil ( if you find it still watery) to the kuzhambu consistency or to your desired consistency.
Cauliflower Kuzhambu is ready to serve! You can have this Cauliflower Kuzhambu with hot steamed rice and event with rotis and chapatis. I use the leftover Kuzhambu for the dinner as a side dish for Dosa too.


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The Rise of the Tenth
The Knights of Dawn
The Most Illustrious Order of Helm's Watchers the Holy Knights of the Dawn (known across the Sea of Fallen Stars simply as the Knights of Dawn) is a holy order of paladins, clerics and like minded do-gooders who come together to rid the land of evil wherever it dwells. The Knights count a great number of heroes among their number, none greater than Gwend, First Watcher and current leader of the Knights.
Shining paragons of good, there is no end to which a Knight will not go to vanquish the shadow of evil. It is said that one Knight could stand alone against the legions of the Abyss, and their hatred of the darkness alone would see them through unscathed.
The Cathedral of Helm
Nestled at the foot of High Seat, the southmost peak of the Aphrunn Mountains, stands the Cathedral of Helm. Carved from the living rock by dwarves from the Thay in the Age of Legends, the Cathedral serves as the mustering house of the Knights. There, they meet to discuss their latest exploits, and plan their next crusades against darkness.
It is to the Cathedral that people journey when a hag has taken residence near their village, or if their children are threatened by a wolf pack that seems too intelligent by far. Not every request can be answered, but every one is listened to.
Those whose desire to vanquish evil's shadow may well find a home beneath the vaulted ceilings of this great monument to the god of vigilance, if they be deemed pure and worthy.


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Eggplant Onion Dip
Courtesy of: MELT®
Total Time:
Don't let spinach or artichokes steal the dip spotlight! This eggplant dip is so creamy and delicious it will be a hit wherever you bring it. Just make sure to make a second batch to keep at home since there will definitely be none left.
Author: Erica Crockett, Melt Team
- 1 large eggplant, halved lengthwise
- 1 large Vidalia or other sweet onion, quartered and then wedges pulled apart
- 3 garlic cloves, halved
- 1 tablespoon Rich & Creamy Melt®, melted
- 1 ½ cups sour cream
- 2 tablespoons Tamari soy sauce
- 2 tablespoons Worchestershire sauce
- Heat the oven to 375.
- Arrange the eggplant, onion and garlic on a baking tray with a lip.
- Baste the vegetables on all sides with the melted Melt®.
- Roast the vegetables for 15 minutes.
- Remove the garlic to a small bowl and continue to bake the eggplant and onion, turning before returning the pan to the oven, for about another 15 to 20 minutes.
- Onion and eggplant should be browned and softened.
- Remove from the oven and transfer all vegetables to a plate.
- Allow to cool completely, or about 20 minutes.
- Scoop the insides of the eggplant out, discarding the skins.
- In a food processor, add the garlic and pulse.
- Then add the other vegetables and finely chop.
- Add the sour cream, soy sauce and Worchester sauce and blend until smooth.
- Place in the refrigerator until the dip solidifies a bit.
- Serve with bread, crackers or veggies.


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Joao de Camara, the leading dramatist of the day, one of whose pieces, Os Velhos, has been translated and staged abroad.
Its centres were the theatres of the Bairro Alto and Mouraria, and the numerous pieces staged there belong to low comedy.
This state would potentially become a haven for militants from Turkey who have staged a decades long guerrilla war for Kurdish autonomy.


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When we were asked to create a Japanese inspired bride's maid's dress, we have to say we were intrigued. It was such a unique idea and we were excited to work on it. Our customer sent us a lovely vintage silk crepe that was actually a scrap from a kimono. A beautiful floral in teal, cream, and purple.
Lauren also found a wonderful matching teal crepe for the contrasting fabric.
Our design features a crossover sleeveless bodice, a petal skirt, a wide belt, and an underskirt. The bodice also features three tucks around the neckline.
It was a great project, and we really enjoyed working on it!


text: Meditate -- Benefiting Louisiana Flood Relief Friday, September 30, 2016 7:30 PM 8:30 PM 19:30 20:30 Google Calendar ICS Join us for Friday night meditation with Kasey, where we will take time to gently stretch and move to prepare our bodies to sit before guided meditation, then finish with a lovely savasana. There is no set fee for this class. We will be accepting donations, either monetary (cash, check, or card) to benefit Louisiana Flood Relief. Sign up on our schedule page to reserve your spot.


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So I have another picture up!
In other semi-related news, check out this person's artwork.
Rachel Rossman's Fine Art
Her art style is so cool...I'm breaking out the old watercolors in an attempt to duplicate her style. So far my offerings (one finished, one in the works) are less than stellar. *headdesk* But it's fun to be really loose and just slap the stuff out rather than worry incessantly about intricate shading. (Granted, I DO worry about intricate shading, but that's kind of pointless when it comes to watercolor.)
Anyway. I went out to Mike's to take care of his dog Crockett today...that dog cracks me up. His initial reaction was "OMIGOSH PEOPLE!!!!" and he really spazzed out. It was hilarious. I tried to teach him how to catch treats, but he's not quite understanding...he'll sit, and then before I can toss the treat he throws his head back and howls. Maybe he mixes up 'speak' and 'sit'...I dunno. He's a funny dog. XD
Javert was jealous when I got home--he spent at least five minutes sniffing my pant with an air of 'another dog? What? Why??" Don't worry, he got over it soon enough.
Oh, speaking of Javvie, he got a new chew toy. I shall have to post a picture of it--you remember the green ring? He was systematically shredding the green fuzz off and littering said fuzz all over the floor, so I was forced to throw the balding ring away. But today I got him a similar toy that looks like a tennis ball, but about 12 inches long.
It's weird, I know. I'll have to get a picture of it. Anyway, it has a regrettably intact, annoying squeaker. This may get tiresome after a few days. *headdesk*
Hmm, what else, what else...this music in my headphones is squelching my creativity. I should be miffed, but...it's Michael Buble. How can I stop listening to Michael Buble?? And it's 'Everything'...I love this song. *melts*
Ahem. Anyway. I'm going to stop babbling at you all and toddle off to bed, 'kay? Maybe tomorrow I can come up with something that has some substance. *headdesk*
Da Fox


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Last Wednesday was my last day to take my pump to the office with me. My last day to have to take TWO backpacks each day (one is my Pump In Style, and the other, my laptop). My last day to close my door because I don't want people suddenly stepping in. My last day to ever pump!!!
It's actually a bit sad yet not. It has been getting more difficult to bring it in and pump 4 or so ounces for a day!
Kevin makes up for it in the evenings and the early mornings. I noticed. Not only do I still feel a let down, I also notice that he's nursing more. So much for weaning. Hahahahaha!


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5 Essential Elements For Garage Roller Door Repair Perth
The German-made, three/4-horsepower Immediate Push 1042V001 garage door opener does not utilize a belt push or a series travel. In its place, the cell motor crawls alongside a stationary chain, which makes it extremely quiet. This garage door opener can be characteristic packed, while the wi-fi entry keypad is an additional-cost accessory.
Safety features. Make sure you buy a garage door opener by using a rolling code feature. This is becoming a reasonably typical attribute, and for good cause. It can make it Substantially more challenging for a possible burglar to obtain the code that will open the door.
This informative article has many difficulties. Be sure to enable enhance it or go over these problems around the speak website page. (Learn the way and when to eliminate these template messages)
The fantastic thing about wood, the durability of metal. Insulated metal development, fashioned to resemble the classy wood layouts of carriage home doors.
Extension springs depict a hazard to bystanders any time a spring, pulley, or cable breaks below rigidity. Metallic parts from extension spring systems can suddenly be released.
Safety Capabilities. All garage door openers offered given that 1993 have already been necessary to have a safety mechanism that stops and reverses a closing door when some item passes beneath it (therefore blocking a beam of sunshine over the opening).
Deciding the right garage door for your home is a whole lot like picking paint. It's a private choice that needs to suit your Way of life, personality and finances.
In fact, according to Transforming magazine, upgrading your garage door has become the top rated ranked house advancement assignments for return on expenditure, and permits you to recoup almost all of Everything you commit once you offer your house.
They're reliable and Safe and sound, assessments convey to us, but getting the right a single in your circumstance could be a little bit confusing. In this particular report we spell out the significant criteria and title the perfect garage door openers In line with opinions.
A garage door which has a damaged spring, or the incorrect strength spring, can slide. As the successful mass from the door will increase given that the garage door sections transfer within the horizontal to vertical door tracks, a falling garage door accelerates rapidly. A free falling garage door can cause severe personal injury or death.
To unlock the programming aspect utilize a remote that currently operates the device and push it the moment. Purple gentle goes sound.
Screw the observe hanger to stable framing (a ceiling joist or blocking), and loosely mount the monitor on the hanger. Repeat with the opposite horizontal observe. In shape the final door area in place, and take away any temporary nails.
Professional vs. Do-it-yourself Styles. Garage door brands make independent merchandise for Skilled installers and do-it-yourselfers. The only real main variance I have been in the position to see amongst them is that the Do-it-yourself designs, which happen to be what you discover at home advancement retailers, are much easier to fit in a car or truck.
A disadvantage of monolithic panel doors would be that the swing up arc of the door happens partly outdoors the garage. This means a motor vehicle need to prevent and park several read the article ft before the door to stay away from staying strike through the garage door when it is actually opened.


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Fr. Doug Smith
In Residence Priest
Email: email@example.com
Room: 332
Fr. Doug is locally sourced and educated. B.A., M.Th., and M.B.A. degrees make him a triple Domer. He has been a member of the Congregation of Holy Cross for more than 40 years.
He has worked at Notre Dame this time since August, 2007, after serving as a chaplain in the U.S. Navy. He left the Sea Services at the rank of commander and 15 years of service on both the blue and green sides in shore and sea billets, three of them as command chaplain. He had the good fortune of attending the Naval War College, 2001-02, earning a master's degree in National Security and Strategic Studies.
More recently, at Notre Dame, he worked in Campus Ministry and at Innovation Park before being selected to participate in the leadership development "Rotation Program" sponsored by the Executive Vice President. He currently serves the Enrollment Division as Director of Operations and Finance.
In occasional spare moments he operates the Roamin' Collard Brewery. He has an avocation for farming and so spends his vacation working during harvest season on a farm in central Montana.
While Fr. Doug is a valued member of our community, he serves no conduct, disciplinary, or formal leadership role in the hall other than offering the sacraments, pastoral care, and good conversation for us when he can. We are glad to welcome him to Walsh as our first ever In Residence Priest!


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My January PAP smear came back normal. It hasn't been normal for 3 years. I have a strain of the HPV virus that can lead to cervical cancer, and we've been monitoring this situation every 4 months for the 3 years. We still need to monitor every 4 months until I get 3 normal PAPs, then I go back to annuals.
Do you suppose the chemo might have done it? I finished chemo in maybe late July, had an abnormal PAP in September, but now this normal.
One less DR to poke and prod me every 3 or 4 months would be great!!
Tuesday, January 30, 2007
Good News--Normal PAP
My January PAP smear came back normal. It hasn't been normal for 3 years. I have a strain of the HPV virus that can lead to cervical cancer, and we've been monitoring this situation every 4 months for the 3 years. We still need to monitor every 4 months until I get 3 normal PAPs, then I go back to annuals.
No Adult Day Program, For Now
Jim and I got down to the Day Program an hour before the director came in to "sign us up." We sat at a table with some participants to eat our breakfast, and it became abundantly clear to me that these were people with a very high state of dementia. If part of my objective is to get Jim socialized, this was not the place.
Part of this is because Jim has improved so remarkably in the last few weeks that he has "outgrown" the place. Even the director admitted that he was far more coherent today than he was last week when he visited for a few hours. We left Jim's application and his Dr's form with her, in case Jim should decline and we need to come back. She said she was happy he did not need the close supervision that place provides. (She also told us a story of how her mother, an alcoholic, went into liver failure and lived another 34 years, I think till she was in her 90s.)
So tomorrow we WILL look at the local Senior Center. Activities are provided there, but as we understand, no supervision. For now, he's in the dungeon and has promised not to bother me today. He already has his lunch; I made it this morning.
Adult Day Program Starts Today
Jim and I will be going for our blood tests this morning, and then off to Gilpin Hall for the Adult Day program. Jim will be riding the Paratransit home. He is concerned about that after a newspaper article this morning about how the system "abandoned" a disabled person for stood outside his DRs office for 6 hours waiting for the bus, until a stranger picked him up and took him home. I told him all he had to do was call me and I would come pick him up.
Liza drove him to his "light bulb" treatment today, and they talked about a Senior Center instead of an Adult Day Program. Jim came home asking about the difference and why I had chosen an Adult Day Program. I explained to him that I've been planning for this for a month now (while he balked and fought and had a cranky day at Eden Rock), and at the time the planning started he had demetia, could not ambulate well, and was occasionally incontinent. The Senior Centers won't take someone who is not independent because they don't have aides and nurses (as do the Adult Day Programs) and they don't monitor clients who "wander."
I told him we would go check out a nearby Senior Center after I take him to his light bulb treatment on Wednesday. He may be well enough at this point to use that instead of Gilpin Hall. And, of course, there would be a huge cost differential. Except for "special day trips" and "lunch" (which of course Jim would not get), the Senior Center are, I believe, virtually cost free.
Today, Jim did his laundry, made his own lunch, cleaned and cut up fruit we had bought on Sunday, made meat loafs for the freezer, and helped with dinner.
I was gone to physical therapy and having a pre-op EKG when the Hospice aide was here this morning, but Jim directed her activities and made himself a hot breakfast. On the days he will have to be out of here early for the Adult Day Program, she will make him a cold breakfast--cereal and the like. (How was it we got an aide who doesn't cook and who doesn't have any interest in learning to do so?) But her other job is as an EMT, so even though as a Hospice aide she cannot give medical care, it's nice to have her paying attention to his physical and mental condition.
I am really looking forward to my surgery next week. There is something wrong with this right expander implant, which has been in there almost a year now, and I want it OUT.
I got alot of my office cleaned up yesterday. I was shreading "to do" notes from 16 months ago. I still have a long row to hoe, but I made a huge dent in it. Within a couple of days, I should be all set up and ready to work-work.
My best to all, and my sympathies to Jess, who's brown tabby Earl today lost his brave battle with many serious physical conditions. Fly free Earl.
Sunday, January 28, 2007
Remarkable? Miraculous?
I'm not sure which adjective to use to describe the complete change in Jim's physical and mental status over the past couple weeks.
Yesterday, he got himself up; made the bed (as badly as he did before he got sick, but then he would seldom make it); emptied and cleaned the bedside commode; had set out his clothes the night before; shaved, brushed teeth, and washed up without assistance; put all dirty clothes in the laundry basket; tidied the bathroom and the family room; came to the kitchen and made his own breakfast of fried potatoes, a fried egg, toast, mixed fresh fruit, and juice; set his dishes in the sink; went out to his drinking club with a friend who picked him up; helped make up the list for grocery shopping today, etc; etc; etc.
He and I are both astonished with his change. He is walking the stairs regularly, although he does tire and go slower at the end of the day.
He started back on a diuretic (Aldactone 50mg) Friday, and we are both concerned it might slow or reverse this change, so we are watching closely. He does still get cold, but his blood pressure is back into a normal range. He says that the diuretic is starting to relieve some of the discomfort of the ascites.
(Note to self. Call the Hospice nurse to let her know of the medication change.)
This from a man who almost died in ICU in October. This is certainly not the road we thought we would be on in January.
Jim is starting to get psyched about his new schedule for this week: specifically the Adult Day Program. He seems to be looking forward to the independence of riding the Paratransit; getting out of the house for several hours each week; of making his own lunches the days he will be home; of being able to let me work.
We have decided to get his blood test on Tuesday as the DR originaly requested. I will drive him to the lab and then to Gilpin Hall (the Day program), instead of riding the Paratransit with him and cabbing home.
I spent an hour with the Hospice social worker today while Jim was out. She does seem, humm, inexperienced with counseling. When she was here with Jim and me last week, Jim complained about all the time I spend on "the cat board," meaning the Feline Diabetes Message Board (FDMB). I printed out and she read the FDMB threads from when I posted I had breast cancer and when I posted that Jim was in ICU with sepsis. She seemed to understand that the FCMB is not just some frivolous "chat room," but my support network. And that the people on the Board are my friends, not just some "Internet junkies."
She and I discussed how jealous Jim is of my time. We didn't come to any conclusions about that, except that Jim gets far more of my time now than he did before he got sick. She finally seemed to understand my need to get back to as "normal" as possible. She agreed that the Day program would be good for Jim.
She wants to come again next Saturday, and I am hoping she will be able to have a one-on-one with Jim. Jim had his normal "what might I gain from that" attitude when I told him about that. She said she could spend next Saturday again with me, and then talk with Jim the following Saturday, when I likely will be "knocked out" in bed post surgey.
Her regular full tine job is substance abuse counseling. She doesn't seem to believe it is possible for Jim to have given up drinking cold turkey and not have a craving to drink.
As for me, I am flying high and probably doing alot of typoing on 2 Percocets tonight. The pain pills, various creams and aloe, and a cold wheat bag and ice packs are not touching the pain I'm having in my right "breast." The more the pain goes on, the less likely I am to think it is a late-onset radiation burn, and more likely s reaction to the expaander implant. Hopefully, it is not an infection, but we'll find out when I get my pre-surgical CBC next week.
Jim is going to the grocery with me today. I think he is looking for more food alternatives. Last week he found a bag of roasted, unsalted peanuts, and has been scarfing them down. He also complained, once he saw the monthly grocery bills, that he wants to cut backk on the Boost, a protein drink he takes. I talked to the Hospice nurse about that; she said she would check whether they had any "donations" of Boost she could bring him. I also talked with the company that makes it, and was told they would send us some coupons monthly.
Things are going remarkably, miraculously well here.
Well, back to bed. With the Percocet, I can hardly hold my eyes open.
Our best to all!!
Saturday, January 27, 2007
Up Again in the Middle of the Night
I had to get up at 3 to test and shoot Ennis. We have gotten way off schedule and I'm trying to adjust back. He was a respectible 108 at +13.
Today was another busy day trying to get Jim arranged for next week's new schedule. He will get a Hospice Aide (Kira) every week day starting at 7am. She will help him clean up, make the bed, tidy the room, get him breakfast, set his meds in front of him, and clean the breakfast dishes.
Monday--Liza will take him to the dermatologist for his UV treatment. It already is working to reduce the itchiness of his excema. He will make his own lunch when he returns.
Tuesday--Adult Day Program from 9 to 3. The Paratransit bus is schduled to pick him up here at 8am. I will ride down with him the first time and bring a cab home. The bus will bring him home. He will take his food and fluids with him each time he goes, which I will set up the night before.
Wednesday--Another UV treatment, but Liza isn't available. I will drive him. He also will get a blood draw, which I will explain below. Again, he will make his own lunch.
Thursday--Adult Day program 9-3 by Paratransit.
Friday--Liza will drive him to the UV treatment and drop him at the Adult Day program. He will come home by bus at 4pm.
Jim thinks that on some Mondays and Wednesdays, Liza can drop him at his drinking club, and he can find someone to drive him home,
Jim had a blood draw yesterday, and the GI's office said that although his kidney values are improved, they still are bad. Their initial thought was to continue to withhold diuretics, until they found out that his ascites (fluid on the belly) is increasing. So he gets one-half dose of one of his diuretics. They wanted a repeat blood test on Tuesday, but I said we couldn't do that on his first day at the Adult Day Program. They agreed to a Wednesday blood draw, unless there is some way the Adult Day program can pull blood on Tuesday. God, I hope this diuretic doesn't set Jim back.
Today (Saturday) I am meeting again with the Hospice Social Worker in the afternoon. She wantd to see both of us, but I don't think a 3-way conversation is anything but hurtful at this time. Jim and I are struggling with "control" issues, and the social worker and the Chaplain last week seemed intent in picking at those sores. I think one-on-one is the type of help we need. While she is here, I have arranged for one of Jim's friends, Bill, to take him down to his drinking club. Jim will, of course, not have alcohol there; and he will have to limit his cranberry juice to 2 glasses. I have spoken to the bar manager about not serving him alcohol.
With this new schedule, I am planning to start back to work on Monday.
The morning aide is a hoot. She's a tall, tough, beautiful black woman who also is an EMT with a Pennsylvania firehouse. But she doesn't cook. I had to show her this morning how to make hot tea. This is true; I'm not exaggerating. She also was, with instruction, able to put together a bowl of cereal with a sliced banana and a bowl of mixed fruit. Lord help us when I ask her to make toast! Jim knows that on M/W/F that if he wants eggs and fried potatoes, he will have to cook them himself. There would be no time for that on T/Th because of the early bus pick-up.
We'll get this schedule down to a science, provided Jim does not balk at the Day Care facility. He plans to take a book and read for much of the day. And on Fridays, some of the guys there, including staff, have a 2 hour poker game.
Oh, and what about me? I've been sitting here with a hot flash for the last hour. My right "breast" really hurts; I just took a percocet. PT Bruiser thinks it is late onset radiation burn, but I'm no so sure. I think it's irritation from the expander implant. I will see the reconstructive surgeon next week to make sure that whatever it is won't be a problem for the final surgery. I want these expander implants out SO BADLY!!
My thoughts this week have been alot with some of the folks on the FDMB. Kris has decided not to get radiation for sweet Janie, and chemo is not an option with this cancer. Robin and Julie continue to grieve deeply over their losses of Peri and Smokey. Alice's 3 YO civie Sebastian has a urinary blockage.
It turned out that yesterday was the one-year anniversary of my announement on the FDMB of having breast cancer. I went back and read the resonses. What an absolutely wonderful group of very supportive people. Thank you Maxie, for taking me to that place. It is magic.
Thursday, January 25, 2007
Losing my Mind
and worried about my health.
Dr. Susan Love says that every woman has cancer cells in her breasts. Usually the precancerous In Situ stuff. Usually aggressive breast cancer gets "turned on" by stress. I truly believe that's what happened to me in the summer of 2005 when Max became diabetic and I put my heart and soul into treating him.
Because of that I have wanted to try to stay stress reduced. My GP has me on all sorts of antidepressants and anxiety meds, and I try to get as much rest as I can. I don't do well with the eating thing, but that'always been me.
Jim is testing my stress level. We have been fighting for 3 days. We have had visits from the Hospice Chaplain and Social Worker, and he has said some of the nastiest things about how I abandon him to go talk with my "cat friends," don't do anything he needs, just want to shuttle him off like cattle to Day Care so that I can get drunk all day. I can hardly wait for all my boyfriends to come into the conversation.
I am trying to get him set up with Day Care 2x week (Tuesday/Thursday) from 9-3, with Paratransit taking him both ways. I will ride down with him his first day and bring a taxi back. On Monday, Wednesday, Friday, as available, Liza will take him for his UV treatments and return him home, except on Friday when he will go from 12-4 to the Day Care and come home by Paratransit.
He will have a Hospice aide from 7am to 8:30 am every weekday. Whether he uses her or not, she will be responsible for making sure he gets up, his bed is made, his living space cleaned up, he gets breakfast, and the breakfast dishes are cleaned up.
I will take him to any other DR appointments and to UV treatments on the days Liza can't make it.
This schedule starts next week (except the aide starts today). Today I have to take him out for a blood draw, and he will go with me to PT. Friday, UV treatment and my PT, and later in the day a visit from the Hospice nurse.
I spent much of Tuesday and some of Wednesday trying to pay his bills and arrange his papers. I'm not doing it the way he would do it, so he keeps jumbling them back up and I have to rearrange again.
Monday, January 22, 2007
Increasingly Independent
Jim is absolutely amazing me. Ambulating well, little mental confusion, helping with chores, coming to the kitchen for meals.
Today he went to see his dermatologist for a semi-annual check up for skin cancer. He also has excema. He got a steroid shot from his GP 2.5 weeks ago, and it's just now starting to help. But when he scrathes, he develops bruises and even skin tears. The dermatologist understoof liver failure because her mom has had it from Hep C for 9 years. She said Jim couldn't have another cortisone shot this soon, and he shouldn't have a shot at all because his body can't properly process the drug.
Her idea was UVB treatments 3 times a week for 7 week. He stand nearly naked in this "tanning booth," and gets zapped by a bunch of UVB bulbs. The "dosage" will increase each visit. The has to keep his genitals covered (UVB exposure there, we were told, could cause penile cancer). So to get the maximum effect, he will be wearing tighty whities for the treatments.
He spent 3 hours today as a guest at the adult day program at Gilpin Hall. He didn't mind it once he found out he doesn't have to play the "stupid" reindeer games. At this point, he is the most highly mentally functional in the group. He found out he could get up and walk around for exercise, and that he can bring a book and sit in a recliner to read. (He also had to see his GP for a TB test shot, which will be read in two days. It's a requirement for the adult day programs.)
The problem, though, is that he wants to go only for about 3-4 hours at a time, 3 days a week. And h doesn't want to go until the afternoon. This doesn't work for me, bcause I do my best work-work in the mornings. And I need 5-6 hours uninterrupted. (And 5-6 hours costs the same as 3-4 hours.)
I told him I would give him his car keys, he could drive himself home, and try to figure it all out from there. He said to give him the car keys. Yeah, right.
The light bulb treatment is really throwing a wrench into scheduling.
Tomorrow, the pastor from Compassionate Care Hospice will visit us. The social worker also is trying to get an appointment for this week.
Jim is now refusing to have a Hospice aide come in at 7am to clean him up and fix him breakfast. He wants something around nine. BULLSHIT! By 9 he has already been antsy to be cleaned up and has already had breakfast. Again, he wants me to do it, not someone else.
I need to calm down and get a big white Board out to show him how scheduling is becoming complex and that he is throwing a wrench into it.
I also need to call Paratransit to get him scheduled for his first ride.
Friday, January 19, 2007
This Week's Update
I am now dragging Jim along to PT with me. PT Bruiser couldn't figure why I am all tightened up again, so she took at look at my chest. I have developed another late-onset radiation burn. CRAP! She recommended aloe, ibuprofen, and cold compresses. (Thanks, Steve, I have been using the cocoa butter.) It's been 50 days since my last radiation. PY Bruiser expressed surprise at such a late-onset burn. I am wondering whether I need to consult the plastic surgeon and whether he might want to delay my surgery. (NO!!!!)
We had Jim's blood drawn again today, and the GI guy will get the results tomorrow. Unfortunately, that DR is slow to respond and we may not find out the results until Monday. It has been a joy having Jim off diuretics. This morning he got right up when asked, headed straight in to shave and brush his teeth, made the bed, straightened the room, folded his laundry, and later helped me clean vegetables and cut up fruit and tend the fire.
I have been fallling asleep right after I finish cleaning up the dinner dishes, and Jim takes care of me, keeping me covered on the couch and taking me to bed when he's done for the night.
We've had a series of conversations about Adult Day Care. We are visiting another one tomorrow, and they invited Jim to stay (without me) for a couple of hours and have lunch with them. (I will have to take his lunch with us.) That sounds like a great approach to me. Jim has started to abandon the idea that I am trying to "warehouse" him and to embrace the idea that I need the uninterrupted time to take care of matters, including working. I've been having him come up to the kitchen for meals the last 3 or 4 times, and he is paying attention to how much effort it takes to prepare and clean up from a meal. (He had a broiled flounder filet tonight; thank you Robin so much for teaching me how to do that.) And he's been watching me do all sorts of other chores to keep him clean and comfortable, as well as my own chores, and I think he's finally getting the idea of how much effort this takes.
We haven't heard when Patrick will be back, and the way Jim is right now, we wouldn't really need Patrick every other night. But I hate to change Patrick to a different schedule and then not be able to get him back if and when the need arises. I wish Jim could be more accepting of the other caregivers.
I called the Delaware Breast Cancer Coalition this week to see whether they had any financial resources to help with Jim's night care. They don't, but the woman said she would call around to a couple other places to see whether they might be able to help. We burned through the $1,500 Cancer Center grant in only 10 nights.
I got to meet a member of the FDMB and her cat yesterday when she came over this way for a consult with a veterinary oncologist. What a joy it was to meet them, and see them interact, especially when the news so far from the onc was so surprisingly good. It looks like our spunky Princess Janiebird has many more happy and vocal days ahead of her!!
Monday, January 15, 2007
Why is Jim so Much Better??
It has to be the removal of the diuretics a week ago Saturday.
He's more mentally alert, sleeping less, ambulating without a walker (scary), calling the cats by their proper names. I took him out to see his bar buddies yesterday (water only), and he was thrilled. When we got home, I took him down to the dungeon, and went around the side of the house to get firewood. I came back with the wood and he was on the front porch, and Maxie was in the front yard! "What are you doing?" I asked. "I wanted to help bring in the wood."
He's been helping to tend the fire today, although I told him only under supervision. The one time he did it alone, he left the firescreen partially open.
I have been saying I want my Jim back. I'm starting to see signs of him again.
The down side of no diuretics is that he is starting to retain fluid again. Ascites--in the belly--and edema--in his feet and legs. The GI guy is keeping him off the diuretucs because his kidney values are so bad. He is not absorbing fluids at the cellular level.
We met with the Hospice nurse and social worker today. Pretty uneventful, except the nurse balked at doing in-home blood draws (an issue we specifically addressed with the intake nurse). We did get his Hospice-paid medications on Saturday and a Hospice-paid (rented) wheelchair and walker today. No bath aide, because she could not make it until noon, and that's too late for both of us. The Hospice is trying to get us onto a 7am schedule.
Last night's substitute private-duty aide was a disaster. An hour late because she was lost, phoned and woke us up, I had to talk her in and then her cell phone died when she was a few blocks away. Jim and I both were up 2 hours after she got here. I called today and cancelled all aides until Patrick gets back next week. With Jim doing so well, I can get a reasonable amount of rest if I'm with him overnight. Lily will miss me (she won't sleep in the dungeon).
I get to meet a member of the FDMB on Wednesday. Her Janie Cat has cancer and Kris is bringing her over to PA for a consult with a vet oncologist. I am working on finding a Jim-sitter (if he's not in Day Care), or I will take him along. He doesn't want to go, but I can't leave him alone for 3+ hours.
We go out tomorrow for my PT and to visit the alternative potential Adult Day Care. Maybe even go to the grocery. I told Jim he could ride in one of those scooters with the basket on the front, and he thinks that might be fun.
Our love to Robin and Glen on their loss of Peri. They are still in such pain.
Saturday, January 13, 2007
Too Much Change...
...and it's very upsetting to Jim. I really wish Patrick had not been taken out of the picture. Jim wants to cancel all overnight care until Patrick returns. I tried to do that this afternoon, but the scheduling woman, who is trying to watch my back big time, said I wouldn't be able to do a full week and a half without help or sleep. Of course, she is absolutely right. She said she would keep the "temps" on the schedule and that I could cancel each day as needed, without their 48 hour cancellation fee.
Jim HATED day care at Eden Rock. No need to go into details, but he insists he's not going back there without a court order! There's another place--further away--that we will go visit next week. He has promised to have a better attitude about another place.
We signed Jim into Compassionate Care Hospice today. I have a really good feeling about these folks. He will get an aide 5 days a week (and the same person each time, we're told) and a nurse twice a week. Also available are a social worker, a chaplain, and a massage therapist. They also will be providing him a quad cane (one of those with 4 feet) and a wheelchair. The intake nurse ordered refills of all his liver meds today. They cover meds for his liver diagnosis, without cost to us.
The aide is a CNA, and will make him breakfast as well as clean him and the room up. Right now she's scheduled for 9am, but we're on the wait list for 7am so that he can get to day care on the days he goes.
I saw my breast surgeon Thursday--everything OK--a 6 month follow-up. She said my continuing pain from radiation might last another 6 months. (That reminded me and I just took a Percocet. I can only do that once every 2 days while the overnight aide is here.) I had asked for another scrip for physical therapy, but left the office without it. When I called back today, and asked for an undated scrip, the office manager cam back with a message from the DR--if I don't restart my PT NOW, I will have a permanent disability in my right shoulder.
I called the PT office, and with some wrangling, got 3 visit next week with PT Bruiser. Jim will have to go with me (if he's not in day care), and PT Bruiser is OK with that. I just don't want to hassle with finding sitters, but I have got to get the cording in my arm (scar tissue) resolved. I can raise my right arm only to about a 45 degree angle without pain. That's my primary arm.
So life goes on, a day at a time. Hopefully Jim will soon settle into a Hospice aide/day care schedule that he is comfortable with.
I forgot to mention that Jim saw the GI Guy on Wednesday. Jim's kidney values are such now that he does qualify for the transplant list, although he's not interested. The DRs are withholding his diuretics because they take too much fluid out of his cellular system and put too much stress on his kidneys. As a result, there is fluid retention (ascites) coming back in his belly.
And I was pleased with the Hospice today, when they said they would not have a problem covering pericentisis for him. That's where a radiologist or GI DR uses an ultrasound to locate the fluid and a huge needle attached to vacuum bottles to draw the fluid out of his belly. Jim's had it done 3 times so far. The last time, in ICU, I think they took 8 liters of fluid out, but that was when he was on IV antibiotics, so they were pumping huge amounts of fluid into him.
This Hospice also said that putting Jim onto the transplant list does not constitute "heroic" measures, and would not cause him to be kicked out of Hospice. (Another Hospice told me that getting on the list was cause for discharge, because that is aggressive treatment.) The nurse said just being on the list is a hope, not a reality, but that if he were to be on the list and called for a transplant, we would have to discharge him from Hospice before the surgery. These people do talk my language!!
My best to all, and I'm sending good thought for Alice's Sebastian and Kris's Janie. (These are folks on the FDMB, so my cat friends will know what I am talking about.)
Off to bed. I only have 5 hours before the overnight person leaves.
Tuesday, January 09, 2007
New Breast Imaging Technology
Called Breast Specific Gamma Imaging (BSGI). See this link. Downside: "Once an abnormality is seen on BSGI, there is currently no good way to find it in order to do an accurate biopsy. More studies are needed to further develop this technology."
Patrick is going to be unavailable for 2 weeks. He's going out of town for training for his daytime job. Tomorrow night will be Rebecca. Sharon, the agency owner, is bringing Rebecca by during the day to introduce her to Jim. Hopefully, that will smooth the way for him to accept her.
I hate to throw this Patrick chaos onto Jim in the same week that we change to hospice and he starts Day Care. Patrick was going to be one of our "anchors" for the other transitions. Damn!!
Final surgery one month from today.
Prayers and thoughts please for Robin and her sweet Peri, who has just been diagnosed with cancer. The grief on the FDMB for Robin and Peri is overwhelming.
Update: Robin and Glen's Pericles has peacefully crossed the bridge.
Monday, January 08, 2007
Jim has Really low BP
Yesterday morning, it was something like 62/56. After exercise, maybe 76/63.
The GP is really worried and has me withholding both diuretics and the lactulose and asking me to fill Jim with protein. GP said he would consult by phone with the GI guy today.
No diuretics means Jim's belly is swelling (ascites). With no lactulose, he is becoming more and more confused. He is sleeping something like 18 hours a day.
But at the same time, he can be really sharp and strong. Yesterday, while his cousin was visiting, he got pissed that I kept harping on his lack of exercise, and he took off on his walker, up both flights of stairs, and ended up in my bedroom recliner watching the Eagles football game for about 1/2 hour.
I am livid with his home health care case manager. The GP called her Friday because he wants to have the PICC line removed. On Sunday, the GP said he hadn't heard back from her. I called her this am, and she said she had just left a message on the GP's office machine. I offered her the GP's cell phone number. She said she doesn't like to call DRs on their cells. "And, besides, I didn't work this weekend."
Getting them out. Getting Hospice in.
In fact, I'm so pissed right now that I'm getting off line and calling this case manager's supervisor. Enough is enough.
Saturday, January 06, 2007
A Good Night and Day
After our adventure out to the DR and Day Care yesterday, both of us were pooped. Jim had had no nap. We ordered in a cheese steak and fries (yes, not allowed on his diet, but you need a real life on occasion), and then fell into bed ~8pm. He only got up one time during the night and did no wandering.
His BP this morning was 80/60, so the DR ordered no diuretics today. The DR also ordered no lactulose, but it was too late for that; he didn't forewarn me he might withhold that. He also said to increase Jim's protein intake so we had chicken parmesan for lunch and will have pork tenderloin for dinner. With Boost, a protein drink.
Jim had a pleasant visit with 2 club friends this morning, and I got a chance to rest and read. Tomorrow, Liza is coming to clean the house and Jim cousin is coming in the afternoon, so I have 2 chances to get to the grocery stores. I need to make another run to Trader Joe's for low salt stuff.
It looks like Jim's first Day Care day might be Wednesday or Thursday. Hopes and prayers that he likes this place!!
Patrick is in tonight. We are now completely on the every other night schedule (holidays aside).
Friday, January 05, 2007
Jim's Visits Today
Jim's GP was relatively happy with his condition. Somehow, after feeling so bad the last couple of days, Jim rallied and used his walker to get around today (not the wheelchair) and he seemed more mentally "there." However, my slight increase in the lactulose has pushed Jim's sodium back down a bit by dehydrating him, so the DR recommended no lactulose for 2 days. I told him I already had withheld for 1.5 days because I had seen the increased and looser bowel movements. I think the DR was impressed that I was knowledgeable enough about the meds to adjust to symptoms.
The DR wants to know Jim's BP tomorrow and if it's still as low as it "normally is (like 100/60), hold his 2 diuretics for the day. The DR wants to get the systolic up to 110. That usually only happens when Jim exercises extensively.
The DR also wants the PICC line pulled. He said that Jim's need for blood draws is diminishing and the risk/reward of the PICC line has changed. He does not want Jim to end up with an infection. We couldn't change his mind. The DR is going to call the Home Health Care Agency to remove the PICC line. After that, Jim will surely be discharged from HHC.
Then we stopped at Eden Rock, the Assisted Living Facility that does Adult Day Care. Jim was impressed, I think. It is a small place--24 residents and 3 day care clients. It has two levels for activities, and an elevator to get between the two. It's on a 4.5 acre lot, so there's lots of outdoor spaces and they grow alot of their own food in a huge garden that the residents help to tend. The place has no problem if Jim is on Hospice; a couple of their residents are on the same Hospice we will be joining.
I was amazed at the reduced level of ambulation of most of the residents at the facility. Alot of wheelchairs. I don't want Jim in a wheelchair; the walker is going to give him more exercise. However, we didn't see folks in wheelchairs parked in the hall staring at their hands. The residents are fairly alert, and they mostly went back to their rooms/suites after lunch. There were 3 in the front lobby folding cloth napkins for the dining room as we left; the head nurse said they gather there to try to overhear what's going on at the nurse's station.
I also was concerned that the facility doesn't seem to have "aides" roaming the common areas. I am really concerned about Jim being a fall risk. More and more he is abandoning his walker and trying to get from Point A to Point B by holding onto stable and sometimes not stable items.
There also weren't "quiet" spots where Jim could recline or lay down for his afternoon naps. But maybe that's a good thing. If he's awake more during the day, he may sleep better at night.
I was told there is one day care client (in a wheelchair) who comes to the facility by Paratransit, which Jim already is signed up for. The Paratransit driver wheels the client up into the facility. That amazed me, because I had been told it was a curb to curb service. Jim seemed to think that would work for him, once he got used to the place. I told him I would take him or pick him up the first few times.
Jim and I are going to sit down and check out when we want him to go during the month of January. We have the facility's activity schedule, and our own calendar with DR appointment for him and me, so we should be able to mark all of this out tonight. I hope to get him started there at least by Thursday, because I will be out of the house for 3 hours for an appointment with my breast surgeon.
And they will take him on weekend days as well as weekdays. So there may be times we do a Saturday or Sunday so that I can do chores outside the home more easily. This could be a Godsend, provided he likes it as much when he's staying there as he did on today's visit.
I even see the possibility of releasing/reducing Patrick if Jim likes this place and wants to increase his time there (I'm presently planning only 3 weekdays a week). If Jim comes home ready to sleep a full night, with only a couple of toileting times, I might be able to take over more of the night care.
We also were told that if they have a space (which they don't right now), they also can do overnight respite care. I didn't ask the price for that. But, if they had the space, that might have been a great alternative for when I am in and recovering from my final surgery (if I didn't already have my brother on the hook).
Gotta go. Jim is watching the "bonus footage" on a DVD, and I have to change the choice around every 5 minutes. (Even in his mentally clear days, Jim couldn't figure out the DVD remote. Heck, I screw it up myself every one in a while.)
Bye Ya!
Thursday, January 04, 2007
DR visits
Saw the radiation oncologist this am. He didn't seem too concerned about the inflamation and pain in my right "breast" because the burn is healed. He did disagree with Dr. Boob trying to further expand that side this afternoon. I return to him in 6 months. (Left Jim alone with strict instructions not to get out of bed except to use the bedside commode.)
Saw Dr. Boob this afternoon. (A Transitions volunteer watched him.) Dr. Boob didn't want to expand the right side either, because with the inflammation, it already was larger than the left. He did a fill on the left to make them the same size. I had to sign a consent for the use of silicon implants in the final surgery. He said he would make a four inch incision on the outside of each "breast" to remove the expander implant and put in the permanent ones. I will not have surgical drains (YEAH!).
We talked about the nipples. I told him I wanted "low beams." He said it's almost surgically impossible to do high beams. He said that the nipples might seem high beam at first, but that they flatten over time. The whole approach for creating nipples is something like a french knot. The surgeon will gather up a bunch of skin and form it into a mound. Later, there is a tattooing process to make the nipples a "normal" color.
The last couple of days Jim's appetite has been off and he's had alot of abdominal gas (with cramps). I didn't give him lactulose this morning. I just put him to bed (4:30 pm) with a Prevacid. Looks like it might be another night without dinner.
He sees his GP tomorrow and we are going to have the PICC line fight, I am sure. Then we go to visit the Adult Day Care. Jim said he hopes that works out for him so that he can go outside and sit on a bench and I can work. Jim also spoke today with the clinical director of Compassionate Care Hospice. He felt alot better about the organization, and after we hung up, he said "OK, you win. We'll use them."
If and when we ever hear from Jim's case manager at St. Francis Home Health (she didn't show up today, instead another nurse was sent), we will have some idea of the timing for going to into Hospice. I still hope that after we see Jim's GP tomorrow and his GI guy on Tuesday we will be closer to understanding what it means to go into Hospice (in terms of what kind of "aggressive" treatment we would be sacrificing). We aren't giving up on Jim having quality of life, and that is the one thing the clinical director stressed to him today--they are 100% behind that. She actually said: "We don't want you lying in a hospital room somewhere. We want you out enjoying yourself at Delaware Park." (Which is a race track, slots gambling place that we would never go to, but we got the point.)
The thing is, I don't see much "aggressive, potentially curative" treatment for end-stage liver disease other than a transplant. And the GI guy already told us Jim is not sick enough for a transplant, and Jim didn't want to do the advance testing for when he did get sick enough. The things he's been through already--sepsis with IV antibiotics and low platelet count with blood transfusions--this Hospice said they would support as care to make Jim comfortable.
Anyway, again sorry to drone on.
A Wandering Husband
Jim is driving me nuts with his wandering. I bought an audio monitor so I could hear him, but he manages to get up from the bed or couch without his walker and take a stroll into the (hard) tile-floored powder room without me hearing a sound. He can even take these wanders with me in the same bed. Why he won't call my name I don't know. I even tried to set up a "baby gate" by blocking his access out of the bed with the wheelchair, and he managed to move that, get into and out of the bathroom, and sit back on the end of the bed without me hearing him. We had quite a squabble tonight about his "neediness" without asking for help.
I've been on the Internet trying to find a motion detector or personal alarm. I found a great Alzheimer's site for products, but with my damned dial-up networking, I couldn't get into the catalog. Had to order a land-based catalog.
I have 2 DRs tomorrow for myself. At 7:30 am is the radiation oncologist. After I recovered from the radiation burn, my skin felt good for about a week. Now the scar tissue is really forming on the right side and I feel like I am wearing a sports bra 3 sizes too small. I would love to take Percocet for the pain, but it knocks me out, and I can't be knocked out unless Patrick is here. So I only get a Percocet one time every 2 days.
No I take that back. I just went to take 2 Ibuprofen. Where is my head? Hope the IBU don't knock me out so much I don't make the appt. Oh, well, if I do, no big deal. This is a large office with a small client list. I can get in somewhere else on their schedule in a heartbeat. I also am concerned that I will be leaving Jim alone for 45 minutes.
Then at 2:30, I see Dr. Boob, the reconstructive surgeon. It's our final "meet" before surgery. He wants to put another 60ccs in each expander (although with the pain and swelling on my right side I'm not sure we are going there), so that he has some "extra skin" for the implant surgery on February 9. Jack, the fellow from the DE Hospice visiting (Transitions) program is supposed to be here at 2 to sit with Jim while I am gone.
I got a written notice from Dr. Boob's office about my surgery. It's not going to be in one of the surgicenters. It will be (again) in the Wilmington hospital OR, so I get to see all the same ole nurses and aides I have grown so fond of. (I always get a new permanent marker when I have to write YES and NO on my surgical sites. This time, they both will be YES.) Dr. Boob's office promises that the surgery will continue to be outpatient, and that I should be released around 6pm that day. I am thinking about taking a bus or cab there for my 1:30 check-in, and trying to find a friend to pick me up ~6. The hospital will not allow me to take a cab home. My brother Dave will be here, but his main job that day is to watch Jim. I may rethink that; I may ask Patrick's agency to send someone in for 3 hours to watch and feed Jim while my brother gathers me up from recovery and discharge.
I haven't been able to get back to PT since early last week, and the cording in my arms is driving me crazy. Maybe PT Bruiser could make a home visit? I don't think I qualify because it's not my immobility, but maybe she can work something out.
I am so sorry I ramble on. But this is like journaling for me, and very cathartic.
Best to all!
Wednesday, January 03, 2007
An Accidental Omelet
I can't believe that after 54 years on this planet, I finally learned how to make an omelet. And completely by accident.
I was making Jim scrambled egg beaters with a little cheese in them. Just as I had poured the egg beaters into the 9" teflon frying pan and sprinkled the cheese on top, Jim called me for a bathroom run. I put the lid on the pan and moved it off the heated burner and went down to the dungeon. When I got back up to the kitchen, I had a PERFECT fluffy, nicely browned omelet.
I've done it three times since, with PERFECT results. I am so proud of myself.
Slowly, things are looking up a bit. I increased Jim's lactulose from 15cc to 20cc twice a day, and it seems to have helped his cognition without having too much additional laxative action. (I told Jim's GP about this after I did it, and he had no argument.) Jim also has an eczema on his back and chest that I am treating with Benedryl and hydrocortosine cream (per the DR). His blood pressure continues to be way low, and he had Patrick wake me last night with the news Jim wasn't feeling well. I could not register a BP on him. We did some exercises together for about 10 minutes and he felt well enough to go back to sleep, with a BP of 82/60. We also exercised today.
We may have a show down with the home health agency tomorrow. They are supposed to come in to draw blood. The nurse said she is ready to discharge Jim, after showing me tomorrow how to do the sterile change of his PICC line dressing. I am not comfortable with that. I am an accountant, not a nurse. I have been flushing the lines, and that's getting hard enough. (The nurse from the company that provides the line maintenance supplies said it sounds like the IV line is becoming clogged and that I should flush both lines with heparin--a blood thinner--twice a day.)
I called Medicare to explain my discomfort with the situation. I was told that the DR discharges the patient, not the agency. So when I spoke to the DR yesterday, I told him that he may need to have another conversation with Jim about Hospice. He also said he did not want Jim discharged from home health until at least he sees the results of the Thursday blood draw on Friday. He said that Jim may be stable enough to remove the PICC line, which the home health nurse could do. I'm not comfortable with that either. I want that PICC line to stay in because Jim's veins are still collapsed and a veinous blood draw would continue to be difficult and painful. If Jim goes into Hospice, they would not approve the insertion of a PICC line, but they would maintain one that is already in.
Jim's badly bruised hands are starting to heal up some. Places that were bright purple 2 weeks ago are a pale lavender now. One of the home health nurses said that it is because he is off the prednisone. She said that was what was causing the bruising. Funny, I thought it was his liver disease/platelet count.
We have arranged with Patrick and his agency that instead of using him 4 nights a week, we will use him 7 nights over 2 weeks--every other night. That way (unless there is a holiday week), I won't have to take care of Jim more than one night in a row, and we won't have to pay for Patrick more than one night in a row.
I also found some time today to call around about Adult Day Care, and I've found an assisted living facility that takes in a few people every day for that service. Because the day care people are "mixed" with the assisted living population, for activities and meals, the facility does not qualify for state licensing as an Adult Day Care. I gave the director all the bad news about Jim--that he needs assistance on his walker, that he needs assistance toileting, that he can sleep quite a bit during the day and for that I would prefer him in a recliner or bed, and that he is mentally confused and physically weak with all the weight he has lost. It didn't seem to scare her off. I did also explain that he generally is not combative in his dementia.
We are going to visit this place on Friday, after Jim's GP appointment. The director said they could fit Jim in 3 days a week. She also said I could pack his lunch so that he remains on very low sodium and they would feed it to him. And the best news is it's only $75 for 8 hours, 1/2 of what we are paying for Patrick's 8 hours. This IS going to happen because I need to get him out of the house so that I can work. He also needs to get out of the dungeon, get some ambulation, and some socialization.
Hopefully, if Jim grows stronger with the increased ambulation, I can set it up so that the state's handicapped transportation van (Paratransit, which Jim already is signed up for) will take him there and bring him home. That way, I won't have to spend the--maybe--1.5 hours a day it would take to transport and transfer him. The only thing is that the Paratransit will only assist Jim onto and out of the van, either using the steps or through the lift, from the curb. They will not take him from the house to the van, or from the facility to the van. Maybe this facility can send someone out to the curb to bring him in and take him out.


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As many of you will be aware, next year will see the celebration of 300 years of Chippendale. This tercentenary will not only celebrate the lifetime of Thomas Chippendale but also his legacy and influence throughout the years.
The centrepiece of these celebrations will undoubtedly be the important exhibition at Leeds Museum – but alongside this will be many other events going on throughout the country.
To keep up to date with these events, the Chippendale300 website has been developed with our partners to provide an up to date calendar of what is happening, when and where. Take a look and be sure to bookmark the page as it will be regularly updated throughout 2017 / 2018.
To view the Chippendale300 website, click here – www.chippendale300.co.uk


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In my mad dash to build up a stock for my bomb of a craft fair this past weekend, I came up with this new design for a headband and whipped up four of them:
They are made using fabric, felt, ribbon, and embroidery thread. This design takes a little more time than my others because the fabric is hand-stitched together. It didn't turn out exactly as I had envisioned it to (do they ever?), but the headbands did receive some good "reviews" at the craft fair. Many women and girls commented on how cute they were, and how they haven't seen headbands like these before. Would you believe that one woman, after looking at these headbands, turned to the other one next to her and said, "These are so cute. I need to figure out how to make these myself. So and so would love this." Right in front of me. Seriously?!
Unfortunately, I had no sales with these items and I'm questioning whether I have them priced too high. I priced them at $12, mainly because they require different supplies than the others, and more time. What do you think? Is the pricing off?
Tuesday, November 1, 2011
New Headband Design
Labels: craft fair, fabrics, headbands, pricing
4 comments:
Stick to your price. Your extra time and supplies should be compensated, and you shouldn't judge by just one craft show, especially one that didn't go all that well for anyone, as I gather. It is good that you got some great feedback on them!ReplyDelete
Thanks for the feedback, Shell!ReplyDelete
It's true. You know what it is worth based on how much time/supplies you put into it. Stick to your gut. They are super cute!ReplyDelete
Thanks, Beth!ReplyDelete
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text:
60 Photos of Banksys New Art Hotel, Walled Off
Banksy has opened a hotel of his own in Palestine and no, its not a joke. Walled Off is a legit art hotel complete with fully functioning ensuite facilities; artist-decorated rooms, a palatial presidential suite, scary budget rooms that look like barracks, an independently operated gallery and a museum. Operated by the local community, its meant to offer a warm welcome to everyone from all sides of the conflict and across the world.
Visit ifitshipitshere.com
Related Books
Materialized by
laura sweet
Related Objects


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Very Urgent: New Durpal Theme from Existing Theme/Fireworks
Budget $30-250 USD
I need this completed ASAP and will make a full escrow payment upon selection. I'm going to make a full payment so that you are comfortable sending me the complete theme as soon as you are done, before I even give you feedback. I'm hoping that the first version will be very close to what we need and I'll install it on the site immediately for my client.
This is so urgent because another freelancer I work with off of GAF went on vacation before finishing and this project is now seriously past due for me.
I'm posting this for one day only and will award this job as soon as I see a bid I like. Hopefully this won't take the full 24 hours. I'm expecting that I'll have this completed within 12-18 hours. If you do a good job, there should only be a few minor changes that will be done sometime Monday or Tuesday and we should be done and if you are successful with this, I should have some other projects for you in the future where the deadline isn't as crazy.
Here is the project:
I have a Macromedia Fireweorks that has a website layout that I need turned into a Drupal Theme.
The layout is inspired by the Forest Floor theme from [url removed, login to view] [url removed, login to view]
I'm attaching the layered PNG file that can be edited with Fireworks for your review. The file I'm attaching is 1920x900. But the layout is targeted for 1024x768. (I wasn't able to attach the layered file - it was too big. Instead, I've attached it as Full Size [url removed, login to view] so you can at least see what it looks like)
The background should be centered so that on screens 1024 wide, only the middle 1024 will display. I've attached a cropped version of the layout (JPG) to give you an idea of what I'm looking for at 1024.
Content Areas
- Header: I'll leave it to your judgment to determine how to breakup the header area and what elements will be part of the background image and what elements (if any) will be placed ontop of the background.
- Primary Links: The menu area will nee to be linked to Drupal's primary links so that it is dynamic. The text in the Fireworks file is just to illustrate where it will go and those images will not be incorporated into the final theme. Fonts should be Verdana/Arial/Helvetica/Sans-serif. The font color should be white but when should turn to light green on mouse over.
- Main Content: Nothing special here. I'll describe what I'm looking for on the fonts in a moment.
- Right Sidebar: This should actually be divided into two content areas, which will be the right side bar and action items.
- Action Items: This is the top part of the right side bar and blocks in this area do not need to have any special formatting.
- Right Sidebar: I will want blocks in the lower of the two right sidebar areas to be formatted like the second block in my PNG file. The graphics for this are not in the layered PNG file. This formatting comes from a modified version of the Contrast theme and the only changes were to the CSS and to the background images. I will provide you the code that was used to generate this.
- Footer: The area under the bottom rule line will be a footer. The default size should be a lot smaller than what is shown in the PNG but it should be able to expand if necessary. The 1024 JPG shows a better example of what the default size should be.
I'll need formatting configured for H1, H2, and H3 as well as standard elements such as P, TD, UL, etc.
I'm going to want to go with Verdana, Arial, Helvetica, Sans-Serif for the headings and Arial, Helvetica, Sans-Serif for the body. The body should be black and 12 pt. The H1 and H3 headings should be the dark green color that I've used. The H2 heading should be the light green. Please do something with the font-size; font-weight; and font-style as appropriate for each heading as well as many of the other commonly used page elements. I'll trust your judgment and we can make changes later if necessary.
Awarded to:
Hi, I have gone through the requirement. I will do it within 1 day. Please see PM. Thanks.
6 freelancers are bidding on average $203 for this job
Hi, I would like to finish it within the time and with all the things asked by you. Please let me know. thanks
Hello, PS Infotech is a 100% Export Oriented Software Company has bulk of out customers are in Europe and USA. We have got talented software engineers from leading MNCs covering the area like PHP/MySql, Ajax, Joomla More


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Visit our sister site elizasmarket.com for products featuring the work of our favourite illustrators.Click here to visit Elizasmarket.com
Love this book? Recommend it to your friends! Fill in their details below and we will send them an email on your behalf. If you wish to include a message please fill in the message box! Go recommend!
In the land of Darhan, promises are bound by magic, tied into knots, and worn with pride. Those who break them are physically scarred, cast out into the desert, and stalked by vengeful shadows of their treachery. Fifteen-year-old Raim, the best young fighter ever to train for the elite Yun guard, has worn a simple knot around his wrist for as long as he can remember. He doesn't know where it came from and barely thinks about it at all. But on the most important day of his life, when Raim agrees to give his life as a warrior to the future king, that knot bursts into flames and sears a dark mark into his skin. Now scarred as an oathbreaker, Raim has two options: run or die. Praise:
The Oathbreaker's Shadow by Amy McCulloch was nominated for the Branford Boase Award in 2014.The Oathbreaker's Shadow by Amy McCulloch has not been rated for age or fabulousness yet on TheBookseekers. There are currently no reviews for this book on this site. Click on the + buttons to include your own ratings!
The Oathbreaker's Shadow was written by Amy McCulloch. It was written for young readers to enjoy.
Genres: fantasy


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The public lands of recreation and wildlife of the woods of Salem is on the turn of endangerment. A residential development and a new Lowes/Walmart is slated to clear the woods, blasting glaciers and ending bike trails in the area north of Highland Ave, east of Lynn, reaching from Spring Pond to Marlborough Road. Lowes will be situated near Walmart, on the same street as One Way Lumber, Home Depot, and Target where these types of stores already exist. This new development effects nearby residents of Lynn, Salem and Peabody. Bicyclists, Nature Hikers, nearby residents and kids from these camps will no longer be able to enjoy the woods: from Camp Lions, Camp Fire and the Boys and Girls Camp. The wildlife will no longer exist in this green space. We've spotted deer, vultures, bats, fox... heard the sounds of coyote, woodpeckers, owls, different types of little birds and see many little animals roam the woods. City woods also provide a healthy supply of oxygen to breath from, circulating clean air into congested polluted city grids. We will not have public green land left anymore in these congested cities. For many years people have petitioned and constantly been fighting to saving these woods and the Salem/Highland Woods on the other side of Highland Ave.
Be free and advocate for the conservation of public lands. Your voice can make a difference. Send a letter to these reps below, asking them to enforce the
Congressman John F. Tierney
Congressman John F. Tierney
Senator Fred Barry - email@example.com
State Representative John D. Keenan - firstname.lastname@example.com
Kimberley Driscoll, Mayor of Salem - email@example.com
Conservation Commission of the City of Salem - email@example.com
Department of Planning and Community Development of Salem.....and don't forget to thank them too.
Feel Free to copy this message with your added thoughts.
Public Meeting April 15th - Salem
All members of the public are encouraged to attend Salem's public meeting
on April 15th - 7 PM
120 Washington St. (third floor)
The evening's agenda is attached. (Click on Image below to enlarge)
If you are unable to attend, please feel free to mail or email comments you would like to pass along to the Board members, at this email, or mailing address below.
Danielle McKnight
Staff Planner
Department of Planning and Community Development
City Hall Annex
And maybe this is something The Historical Commission of Salem may have interest in overseeing sustaining the historical view from the top of the hills looking over Spring Pond and the woods.


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Recent Visitors to Jerry's Broad Street Deli
- 9/03/2014
A Deli food lover from Newark, NJ tried it, liked it, and rated it . They liked the food, liked the service, and liked the ambiance.
Write a review!
1 review of Jerry's Broad Street Deli, first by you?
Suggest Edits
- Tags
- Website


text:
The darker aspect of the Goddess can be a rather strange and unsettling figure who has been inhabiting a corner of our minds since the beginning of time. Within written memory, she was merged in ancient Greek drama and literature, she appeared in fairy tales, myths and songs; and she has also made herself known amongst the pages of sacred text, such as the Bible.
According to Linda Schierse Leonard, in her book Meeting the Madwoman: Empowering the Feminine Spirit, the Dark Goddess frightens yet fascinates us, threatens and intimidates us. She can destroy and transform us. Through dreams and traumatic experiences, we are reminded of her energetic presence. If left in the shadows of our subconscious, she weaves havoc. We need to acknowledge her and learn how to use of her energy constructively in our lives.
But there is more to this aspect of the Goddess than what we often care to acknowledge.
We live in a society that is extremely cut off from our roots, from nature, and from the very essence of what it means to "be human". Our overly sanitised existence embraces "protection" against the elements with our reliance upon central heating and air conditioning. We are "fed" the opinions (or more often, speculation) of others to prevent our own free thinking. If we speak out against popular opinion, we are shunned.
More than just being the "shadow" or neglected side of ourselves, the Dark Goddess is also the primordial aspect of Deity who actually birthed us. It is through her touch that we are awaken from the "force fed" slumber that we have been subconsciously accepting.
By awakening the "darkness" within our own souls, we can cast aside those rose-tinted glasses and see things for what they truly are. Through her guidence and drawing upon her strength and power (that is often feared), we find the courage to stand up and voice our own "truth" - to stand in our own "power".
Just as the "shadow" self is still very much a part of us, only that, according to Jungian psychoanalysts, it is that part which we tend to ignore, disown or even neglect, so too is the Dark Goddess a part of the Goddess (the Divine Feminine) as a whole. It is only our fragile human conditioning that has shunned this aspect of the Divine Feminine - and that is because she speaks and represents the "truth" our fragile ego wishes to ignore.
To me all aspects of the Goddess are equally important because when their associated myths are properly understood, there is no actual distinction between "dark" and "light". This division has only occurred through what we are "willing" to acknowledge.
In embracing the Dark Goddess we are embracing our own power ... and that is what this weekend's workshop is all about.


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Another case where BIG government stopped innovation. READ MORE
This has just gone too far. READ MORE
And we thought unlimited data cost a lot… READ MORE
Hopefully, this is a wake-up call… READ MORE
This is a pretty tough pill to swallow… READ MORE
Compliance with federal regulations = $1.9 Trillion per year. READ MORE
The FCC halted the cell phone from being developed… READ MORE
This is a classic example of how crony capitalism operates. READ MORE
The federal regulatory state is insane! READ MORE
These are just ridiculous… READ MORE


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Well, who doesn't like to screw with their co-workers!?
To set the stage, there is a type of fireworks called a BOOBIE-TRAP, a
little firecracker with strings on both ends, when pulled sharply,
explodes with the sound of a BLACK CAT firecracker.
Now, if you
take fishing line(nearly invisible) and extend each end of the TRAP,
you can position it to explode, oh I don't know, next to the driver's side window? Now this does not make sense to you now, unless you know what I did for many years--Police Patrolman(in a very, very rural area).
Both the city officer and the Sheriff's patrol office had to check the
security of all businesses late at night. This was very routine and VERY
boring. Well enter ME!
First, after the deputy had called in
the building he had just checked(in code so that criminals could not
come in behind him and rob the place), I would hurry out into the county
to the same building and string up the Boobie-trap.
just to add a little spice to night, since we did not have 911, I would
get the clerk at the all night convenience store to call in and say
that she had just driven past the rigged building and thought she saw
someone trying to break in. Since she would call the Jailer at the
Sheriff's office, in those days, there was not Caller ID(you have to
cover all the bases).
Of course the unsuspecting deputy would
rush to the building, expecting the worse. If the Trap was at window
height, he may temporarily loose control of the steering wheel(since
that deputy has passed away, yes I caused you to dent the right fender
of your patrol car--sorry).
The most fun was to put it at ankle height around the dark side of the building. I can claim that I made one guy pee his pants.
If I had patrolled in a larger city, I would not have been so mischievous.
Well, actually that's not true. I worked in Newnan and had many more uniformed victims!
Oh, and in closing, SAD FACT #927: Boobie Traps seldom involve Boobies!
Friday, February 17, 2012
Posted by GLIDER LARRY at 4:58 PM
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A stationery query
Always a sucker for nice stationery - this could be a very trivial question for many of you, but I'll ask it anyway.
I use a DeskFax filofax (smaller than A4 but bigger than A5) for my coaching clients. This size apparently has been discontinued and I can no longer get the paper refills (life can be tough!).
So I now need to look for an alternative way to capture my client notes. I'd rather not just use an A4 pad (although a divider for each client in a file, is one option) but just wondered if anyone uses anything interesting or creative? I clearly need the Christmas break because my brain can't operate with anything more serious than this.
But I am curious, and I do need to find a solution; who better to ask....any thoughts?
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sharongreenSubmitted on 18 December, 2016 - 16:41
Andonella I love making notes in lovely books and I go to Paperchase and use their books to record my client notes for example http://www.paperchase.co.uk/stationery/notebooks/dream-a5-linen-casebound.html is a good example.
I also like Bureau Direct Having a nice notebook makes me happy so I tend to pick ones up when I see ones that resonate with me. They always come in handy over time.
Have a great, creative Christmas break.
ChrisScott (not verified)Submitted on 14 February, 2017 - 10:45
Did someone say stationery? I did float the idea of changing my title from Director to Head of Post It Notes - the response in the room seemed to suggest I stay as Director...
I keep my pad deliberately small, for me it just allows me to keep my thinking sharp and my then when i want to use my pad for creativity... i switch to an A3 sketch pad (or the whiteboard wall in the office)
I'm far too late now to respond really, but who could ignore stationery?!


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A royal wolf is a majestic creature created from the moon herself when she had taken physical form on earth. The moon had fallen in love and through their love produced the first werewolves of the world.
To be a royal wolf, one was pure wolf. They are identified by their sapphire blue eyes just as the moon had and to be either white as the moon when it is full, or pure black as the moon was during a new moon. No other wolves would have this kind of coloring.
Over time, several noble wolves that came to exist became jealous of the power the royal had over all wolves. They yearned and sought for that power. In a moment, they destroyed all the royals and rejoiced that they had taken what they wanted.
Unknowing to them, a single royal survived. The royal was whisked away and hidden from the world to be raised not knowing their own past or the destiny that will take hold in the future...
Nina Lunnen hadn't expected what had happened to her seemingly perfect life with her loving family. No way she would have become an orphan or taken in like she had been. She thought she'd always have her family, now they were gone forever. She didn't think she'd ever be happy again...
Daemon had always had the pick of any female he wanted and usually had bedded them all. Now a girl is brought to his home and he thought he'd be happy about it till he was caught in her bed with his number one female he bedded. His world turns upside down for him as he no longer can have anyone he wants as a part of him wants this new girl. Can he overcome his own arrogance that seems to be a hinder now and continue to be what he has been or is he screwed?
This isn't just your average coming of age young adult story. This is one of its own where nothing usually is as it seems.
***Warning: There is some content that some readers may find disturbing, but there really isn't anything too graphic. Just know that you are warned.***
- boys
- clare
- daemon
- danger
- derek
- discovery
- lane
- louis
- mate
- nat
- nick
- nina
- royal
- shane
- werewolves
Alexia-8 Apr 25, 2017
I've lost my twin. It hurts daily. Mostly when you go to talk to them and they aren't there.
allyssambates Feb 19, 2016
I have two older brothers and one younger but I wish I had a twin brother like that would be awesome
lillysantiago5074 Feb 28, 2016
Ok a lot different start from most werewolf stories I've read. Love it; its different and wants you to keep reading. But, I'm surprised_isn't she even a bit curious to the crazy argument she had heard earlier, or no?
Lizziereads14 Sep 02, 2016
I would cry so much I just hugged my twin and was crying and he looked at me like I was crazy
allyssambates Feb 19, 2016
Where I live after winter when it reaches 40°F people start wearing shorts
Clumsily_Falling Feb 10, 2016
I was first chair in middle school omg the memories 😭😭😭


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Easter Sunday
April 7, 1985Dearest Family,
We would have really liked having you all with us today but that is not always possible. Grandma was here as was Mie Young and Mary Virginia and a friend of hers, the choir director at Port William church. Mie Young had asked to bring a girlfriend who was going to be staying at the college as she had to work but she got cold feet about coming as she didn't know us so we sent her dinner back with Mie Young.
It was really nasty weather raining before sunrise services but Grandma still went. This turned to snow and sleet and eventually the sun came out. The church was well filled for the worship service at 10:30 – some people there we hadn't seen for years – the whole Rupp family and all the Jim Curtis family – Jonda McGraw's baby boy was baptized. There has been alot of sickness in both families (Mrs. Rupp and the whole Curtis tribe)
All the services were well attended from Maundy Thursday communion on. I did go to Wilmington's Good Friday services instead of New Vienna as Mary Va. and Mie Young were singing with the Wilmington College Chamber Singers there. Our church's new Sunday School class put on a program Friday night and it was very well done – Young Adults which was sorely needed.
Glad to hear that Wendy is enjoying her visit with the Kings. We were amazed to hear of homesickness last Monday until she said "April Fool" – she sounded like she really meant it so put on a good act. Sounds like the pool is making quite a hit with her as well as her new little friends "Catherine and Roberta" – quite a coincidence. Guess that the Easter bunny found her in Phoenix.
Dad has quite a few things planted in the garden already and the wet weather is helping the peas, etc. Wish that we could share some of the moisture with the Floridians as they need it so badly.
Yes, we did have a great trip to Mexico -- another happy experience with Elderhostel . . . . and the weather was great. We would not go out of our way to go to Cancun again, for too touristy. Our two week stay in Oaxaca was in a hotel right on the square . . . with the state capitol across the street from us.
[Love, etc.]


text:
I am back from my trip, I have a little catching up to do. I liked how all the Pinniped posts went up right at midnight each day--I want to try to keep that schedule.
Monday, June 22, 2009
2 comments:
- SHELDON KALNITSKY, FTC & WAVESHIELD said...
Hi I am Sheldon Kalnitsky, It is nice to see your postings, all attracts me very much.
I think your are now cool and enjoyed ur vacations.
View my blog i have great postings about space station.
If possible add my blog in your blog for the user benefits.
We do hope that our blogs serves all people from young to old for know their current news on space staion, and shuttle news.
Sheldon Kalnitsky
- June 22, 2009 at 9:43 PM
- SHELDON KALNITSKY, FTC & WAVESHIELD said...
My blog is http://spacestation-shuttle.blogspot.com/.
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- June 22, 2009 at 9:45 PM
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