text:
Mercury poisoning
fibromyalgia chronic fatigue chemical sensitivity autism
Amalgam Illness
Diagnosis and Treatment
A book on how to cure mercury poisoning
by Andrew Hall Cutler, PhD, PE
A wide variety of debilitating and supposedly incurable conditions may actually be due to chronic mercury poisoning. Mercury poisoning can be easily cured if it is recognized. These conditions are seldom cured because mercury poisoning is believed to be rare. It is not. It is quite common. Thus, many people suffer needlessly.
Many of today's "mystery syndromes" that physicians don't know how to treat at all - fibromyalgia, chronic fatigue, anorexia, recurrent depression - aren't mystery syndromes. They are just mercury poisoning. Treating them as mercury poisoning cures them, while the usual treatments are seldom effective in the long term.
This book gives practical guidance on how to tell if you really have chronic mercury poisoning or some other problem. If mercury poisoning is your problem, the book tells you how to get the mercury out of your body, and how to feel good while you do that.
Sections also explain how the scientific literature shows many people must be getting poisoned by their amalgam fillings, why such a regulatory blunder occurred, and how the debate between "mainstream" and "alternative" medicine makes it more difficult for you to get the medical help you need.
Most of the book is devoted to what you can do to treat the symptoms of amalgam illness while you get rid of your mercury. The treatment section gives step by step directions to figure out exactly what mercury is doing to you and how to fix it. You can feel better soon. This book tells you how.
Amalgam Illness: Diagnosis and Treatment was written by a research chemist who himself got mercury poisoning from his amalgam dental fillings. He found that there was no suitable educational material for either the patient or the physician. Knowing how much people can suffer from this condition, he wrote this book to help them get well fast.
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Don't waste any more time wondering whether you have a mercury problem, or what to do about it. Get Amalgam Illness: Diagnosis and Treatment, find out, and get well!
Amalgam Illness: Diagnosis
and Treatment
What you can do to get better
How your doctor can help
by Andrew Hall Cutler, PhD, PE
Amalgam Illness: Diagnosis and Treatment starts with a detailed explanation of why to consider amalgam illness to be something that some people must have by comparing the well known statistics for how much mercury people absorb from their fillings to the well known statistics of how sensitive different members of a population are to a given toxin. This is for people who really don't know if they believe in amalgam illness or not (the other material available is rather sensational and I can't blame anyone reading it for having questions) before going any further.
Amalgam Illness: Diagnosis and Treatment discusses how to deal with physicians if you think you have a controversial disease - especially if you have the great "luck" to be covered by a managed care plan.
A key section is devoted to diagnosis - how to tell if you actually have amalgam illness instead of something else. It is also possible to be mercury poisoned from something other than amalgam, and the testing and examination described here is diagnostic regardless of the source.
How to get the dental work done safely if you have decided amalgam fillings are the problem is briefly described - there is a robust industry of amalgam free dentists if you know how to look for them. The use of drugs and nutritional supplements to get the mercury out of your system is carefully presented- there are some important factors here that are not well described in the previous books on the subject and not all physicians who claim they know what to do actually give good advice.
Then comes what turns out to be the major section of the book - how to treat all the related health conditions amalgam illness can cause so as to relieve them while mercury detoxification proceeds. Since amalgam illness is not widely recognized in the medical community, most people with it get pretty sick before they get motivated to bounce around between doctors and eventually end up in front of one who tells them about it. So most victims have pretty serious, unpleasant health problems (like fibromyalgia or severe allergies) and they really need to make these STOP for the year or two it can take to get fully detoxed and let your body heal.
are extensive tables of what to use for different conditions,
a description of all the drugs and nutritional supplements
suggested in the book, and appendices covering things like
what the assorted clinical laboratory tests you might get
actually mean, what other helpful books are that you might
use, and supporting information like what the chelating agents
are and how they work.
This book
explains how the modern epidemic of disabling, incurable
chronic diseases is due to unrecognized mercury poisoning.
Many conditions, from Parkinson's disease and autism - widely
recognized as terrible afflictions - to those like chronic
fatigue and fibromyalgia which, though equally serious, are
disparaged as "Yuppie flu" can be undiagnosed mercury
poisoning. The book explains WHY mercury poisoning is so
widespread, yet seldom diagnosed. Proper diagnostic procedures
are given so that sick people can decide what is wrong rather
than trying random treatments. This book explains how to cure
chronic mercury poisoning, what to do to control the problems
it causes, and provides the real technical information needed
for diagnosis and treatment in a straightforward manner. This
down to earth book lets patients take care of themselves. It
also lets doctors who are not familiar with chronic mercury
intoxication treat it. The book is a practical guide to
getting well.
Mercury can cause a bewildering variety of problems. In fact, one of the major criticisms of amalgam illness is that it is cited as the cause of so many things. But, like the parable of the blind men and the elephant, mercury can indeed cause many diseases. Modern physicians are not trained to find the root cause of a sick person's problems. They are trained to translate what they see into latin, look it up in their textbook, and apply a cookbook treatment. With a toxin that poisons fundamental metabolic processes different people will experience different symptoms to start off, depending on their own individual biochemistry. As the poisoning becomes more and more serious, further symptoms surface and the modern doctor adds more diagnoses - a patient who starts with depression might later be considered to have hypothyroidism, allergies and asthma in addition. But no thought is given to why one person should develop more and more "diseases," when a single diagnosis - chronic mercury poisoning - could account for them all.
Some of the
"diseases" a modern physician might mistakenly misdiagnose
chronic mercury poisoning as are:
Addison's disease
Alzheimer's' disease
Amylotrophic lateral sclerosis
Ankylosing spondylitis
Anorexia nervosa
Irritable bowel syndrome
Juvenile arthritis
Learning disabilities
Attention deficit hyperactivity disorder
Lupus erythromatosus
Autoimmune disease
Manic depression
Bipolar disorder
Multiple chemical sensitivities
Borderline personality disorder
Multiple sclerosis
Myasthenia gravis
Obsessive-compulsive disorder
Chronic fatigue
Panic attacks
Parkinson's disease
Crohn's disease
Pervasive developmental disorder
Endocrine disorders
Rheumatoid arthritis
Environmental illness
Food allergies
Sleep disorders
Yeast syndrome
Amalgam Illness:
Diagnosis and Treatment is a practical
guide to getting well. It does not stop at saying you MIGHT
have mercury poisoning if you have one or more of these. It
tells you how to find out. Quantitative diagnostic procedures
are included so that you can decide whether your problems are
due to mercury poisoning or not.
Where to start if you think you have amalgam illness
How to use this book
What is in this book
Using other books
Using the internet
Medicine, controversy, and mercury
The mercury controversy and me
Scientific or dogmatic medicine?
Mainstream and alternative medicine
Physical versus mental illness
How can a doctor help you?
Why doctors should read this book
Discussion for physicians
The pressures of managed care
A warning to physicians and patients alike
worry about mercury poisoning?
Chronic mercury poisoning is widespread
Clinical Studies highlight a dichotomy
Flawed clinical trials fail to resolve the mercury issue.
Current levels of mercury exposure are known to poison people
Only people who are immune to mercury work with it
Sources of mercury exposure
Fish mercury is a small concern
Mercury exposure levels
Mercury poisoning doesn't get diagnosed properly
People at risk for mercury poisoning - but not from amalgam
What not to worry about
What mercury poisoning does to you
Description of chronic mercury poisoning
Complication by other toxins
How mercury hurts you
How your body handles mercury
Mercury shows up in sick people
Physiology in outline
The physiological effects of mercury intoxication
Copper metabolism
Do you
have it? How to diagnose mercury poisoning
What to do if you can't get medical help
First, do no harm.
How to diagnose chronic mercury poisoning
Diagnostic checklist for mercury intoxication
Counting procedure
Further discussion of diagnosis
Old (possibly unrecognized) exposure
Arsenic, cadmium, lead and copper
Copper versus mercury poisoning
What to
do about mercury poisoning
Day to day practicality
How to keep your life together during treatment
Short instructions to the doctor when amalgam illness is suspected
Outline: treatment for mercury tox
What to do in case of an adverse reaction to improper chelation protocol
The doctor's approach to the patient with chronic mercury poisoning
Dental treatment
Dental work details
Medical Treatment
Intravenous vitamin C
Testing table and suggestions
Amino acid analysis
Magnesium, potassium, copper and iron
Fatty acids
Oxidative stress
Heart pain (angina)
Digestive tract
Susceptibility to infection
Immune function
Liver metabolism
Sulfur metabolism
Hormone profile
Hormone interactions
Wilson's disease
Adrenal insufficiency
Sex hormones
Growth hormone
Brain function
Side effects and adverse reactions
Hospitals and avoiding harmful care
Psychiatric emergencies
What will happen - Prognosis
What to
take for mercury poisoning
Chelating agents
Pain relief (analgesics)
Anti-anxiety agents (anxiolytics)
Liver support
Digestive tract support
Anti-yeast (candida)
Manic depression (bipolar disorder)
Brain support
Immune support
Asthma/allergy suppression
Adrenal issues
Blood pressure
Hormones (endocrine system)
Achiness or fibromyalgia
Energy improvement
Anti-mercury supplements
Summary table of therapeutic agents
Descriptions of stuff you can take (Materia medica)
Useful books
Other references cited
Diagnostic tests - when to perform them and what they mean
Therapy with Prescription Medications
Prednisolone taper
Magnesium and vitamin C injections
How to get your medical records
Chelation Considerations
DMPS, DMSA, LA, BAL, PA and Cysteine structural formulae
Chelating agent pharmacokinetics
Mathematical background for diagnosis
Symptomatic diagnosis - accurate numeric procedure derived
The toxic threshold for mercury
Dental amalgam - major source of mercury exposure
Cutaneous absorption of mercury
Iatrogenic exposure to mercury
Iatrogenic self exposure to mercury
List of
Figure 1. Mercury comparison of poisoned dentists and students as measured
Figure 2. Mercury comparison of poisoned dentists and the general population
Figure 3. Mercury is metabolized differently by assorted types of people
Figure 4. How different parts of your brain control your hormones
Figure 5. Simplified figure of the important steroid hormones
Figure 6. Complete figure of steroid hormones made by your gonads and adrenal glands
Figure 7. Figure showing the metabolism of sulfur amino acids and related compounds
Figure 8. Simplified figure showing the metabolism and effects of essential fatty acids
Figure 9. Complete figure showing the metabolism and effects of essential fatty acids
Figure 10. Schematic illustration of cell membrane function
Figure 11. Phase 1 liver metabolism
Figure 12. Phase 2 liver metabolism
Figure 13. Blood sugar and brain energy after a meal
Figure 14. Blood sugar and brain energy when you haven't eaten for a while
Figure 15. Brain mercury and how you feel after amalgam removal
Figure 16. T3 and T4 levels on various forms of thyroid hormone
Figure 17. Normal relationship between ACTH and cortisol in healthy resting people
Figure 18. Normal relationship between T3 and T4 in healthy people
Figure 19. Normal relationship between free T4 and TSH in healthy people
Figure 20. Schematic illustration of how different anti-mercury drugs work in the body
Figure 21. Blood concentration of chelating agent for various administration schedules
Figure 22. Structure of various chelating agents and anti-mercury drugs
List of
Table 1. Average nonoccupational exposure to mercury
Table 2. The effect of the various hormones on the body
Table 3. Phase 2 metabolic pathways and how to affect them
Table 4. Effects of medicines and supplements on diagnostic tests
Table 5. Statistical tables for diagnosis based on standard assumptions
Table 6. Statistical tables for diagnosis based on conservative assumptions
Table 7. Common problems and possible treatments in mercury poisoning
Table 8. Summary table of therapeutic agents
Table 9. 24 hour urinary creatinine versus height and sex
Table 10. Correction factor table for testosterone measurements
Table 11. "One size fits all" short prednisolone taper
Table 12. Prednisolone tapers by body weight and initial mg/kg desired
Table 13. Mercury excretion on various chelation regimes
Table 14. Conversion table for comparison of different challenge test results
Table 15. Diagnostic probability table based on low population incidence
Table 16. Diagnostic probability table based on high population incidence
Table 17. Factors for exact diagnostic calculation from symptoms
Excerpt from the Book:
Medicine, Controversy and Mercury
This is not the first time in the history of modern medicine that a very obvious disease was belittled and ignored. Until recently it was believed that ulcers were entirely psychosomatic. Ulcer sufferers underwent prolonged treatment, were seldom cured, and often ended up under the surgeon's knife. After years of intense criticism and ridicule - about 20 years after the research was published - it has finally been accepted that most ulcers are due to helicobacter pylorii infection which can be easily cured with appropriate antibiotic therapy. At least by the medical schools and licensing boards. Yet it is still common to find physicians who still treat ulcers by prescribing acid suppressors - as if they resulted from too much stomach acid.
Cholesterol was held out as the root cause of atherosclerosis and coronary artery disease for about 30 years during which the correct evidence that elevated homocysteine played a major role was ridiculed and ignored.
Older physicians still remember when "there was no such thing as Epstein Barr Virus (mononucleosis)."
And who can forget Lyme disease? A housewife fell ill. Her arthritis and other symptoms were diagnosed as psychosomatic. When her husband and children came down with similar symptoms, this was regarded as some kind of projection of her psychosomatic complaint. She was eventually able to convince physicians that the only crazy thing was assuming that something psychosomatic could be contagious!
Chronic Fatigue Immune Deficiency Syndrome is still routinely considered a psychiatric disorder despite the repeated publication of physical and laboratory abnormalities always found in victims of it. When it can no longer be ignored, it is dismissed with a bit of namecalling - "Yuppie flu."
And in
less recent times, another form of mercury poisoning -
acrodynia - was endemic for 150 years until physicians
recognized mercury as the causal agent. The disease was
promptly eliminated by changing the formulation of certain
infant care products.
Excerpt from the Book:
Mainstream versus Alternative Medicine
It is common for two conflicting but legitimate segments of the medical community to be at odds as to the methods for diagnosing and treating certain conditions. Where there is more than one recommended method of diagnosis or therapy and none of them are used exclusively and uniformly by all physicians, a physician is acting ethically and in accordance with the law if he uses one of these approved methods, even if it later turns out to be the wrong one.
in controversial areas, the burden really is on the
patient to decide whether to accept the physician's diagnosis
and proposed treatment plan, or to seek another.
This is why patients' rights exist and are strongly protected
by law. So if you are getting diagnoses like "there is
nothing wrong," or "it's all in your head" and proposed
treatment plans like "try ignoring it and seeing if it goes
away," you have no obligation to accept these. If
you want another diagnosis or treatment plan, you have
to find another physician who follows different methods of
diagnosis and treatment for this kind of condition.
Excerpt from the Book:
What Mercury Poisoning Does to You
In an overall lifestyle sense, the fact that symptoms come and go leads to the victim having periods of weeks to years of being highly functional and productive, interspersed with periods of being nonproductive and having a hard time getting anything done. Life seems to progress in fits and starts. Great progress is made on projects which later get shelved for long periods. As the disease continues, the productive periods become shorter, fewer, and farther between.
There are emotional changes in mercury poisoning. Depression slowly sets in. Victims feel fatigued and listless. They lack motivation - even for crucial tasks. They lose interest in their surroundings and in their own life. They do not enjoy life, or experience happiness or joy. They experience constant fear e. g. of losing their job. They may be very tense. They feel hopeless. They have a sense of impending doom. Every small problem is discouraging. Minor difficulties seem overwhelming and insurmountable.
The altered emotional state of a mercury intoxicated person leads to impaired interpersonal relationships. They become increasingly irritable and sensitive, reacting strongly to relatively innocent remarks. They may not be able to take orders, instructions, or suggestions without losing their temper. They resent criticism and may interpret innocent remarks critically. They may have an exaggerated response to stimulation and become fearful or anxious and nervous. They may project their fears and anxieties onto others, making inappropriate criticisms or attacks. They become shy and avoid dealing with strangers. While timid, they may unexpectedly lose self control with strangers. They may wish to visit with friends and family extensively, often wishing to engage in long, repetitive conversations, then withdraw for prolonged periods of time. They withdraw more and more from social contacts.
Intelligence gradually deteriorates. Previously bright persons become dull and slow in thinking. They suffer from a progressive decline specifically affecting short term memory as well as the faculties for logical reasoning. Thus their ability to do things like balance the checkbook, do math, or play chess suffers. They lose the ability to concentrate. Memory problems may be more from distractability and inability to concentrate and pay enough attention to get things INTO their memory than an actual failure to remember things (thus they may complain of memory problems but do well on memory tests). They cease being motivated towards their work or other tasks. Thoughts become heavy, repetitive and pedantic. Creative thinking becomes progressively more difficult, eventually becoming impossible. They become unable to select the right words to convey their meaning, and make stylistic and grammatical errors. Their ability to express themselves declines progressively.
There is a distinctive cognitive symptom of being unable to think clearly without great effort. The best description for people who have not experienced it is of a hangover without pain. People who have experienced it will recognize the term "brain fog" as entirely descriptive.
As the victim's level of intoxication waxes and wanes they go through periods of life when they do or do not dream. Dreaming may be in black and white.
Early physical symptoms include dizziness, tinnitus (ringing in the ears), insomnia, daytime drowsiness, loss of appetite, a tendency towards diarrhea - often alternating with constipation, cold hands and feet, a tendency towards sweating (some people have the opposite symptom and do not sweat at all), flushing or reddening of the skin - particularly on the face and neck. Some people blush frequently, but others do not blush at all. Asthma is a symptom of chronic mercury poisoning. Digestive disturbances are also common.
The skin becomes dry, athlete's foot and toenail fungus progress, and the insides of the ankles, particularly behind the ankle bone and a bit above it become dry, itchy, flaky and peel. This often becomes painful and annoying enough to keep the victim up at night. Even after fungus and yeast infection has been eliminated hyperkeratosis, often with papular erythema and itching are common.
The hair becomes thinner, dryer, duller, less strongly colored, slower growing, and more brittle.
The biological clock is disturbed. Waking up late and staying up late is more common than being an "early bird." Try as they might, the mercury poisoned person simply cannot control their circadian rhythm.
Victims may become photophobic and find bright light uncomfortable and unpleasant. There may be visual disturbances, including alterations in color perception leading to reduced sensitivity to the color red, or color blindness. The ability to focus on distant objects may be sporadically impaired. Peripheral vision may be reduced in the most severe cases.
The hands and feet often become distinctly cold. This can occur suddenly and is most distinctive when combined with sweating. Later in more severe poisoning they may also tingle or lose feeling.
The effects of mercury on the mouth are receding, sometimes spongy gums that bleed easily and teeth that are 'loose' in their sockets and can be wiggled very slightly. It also causes excessive salivation and unusually bad breath.
Mercury interferes with the sense of smell which becomes less acute, and later with hearing, in which perception of sounds does not diminish as notably as the patient's ability to understand and interpret them - e. g. to understand speech directed at them even though they hear it clearly.
Victims often experience discomfort that feels like a "tight band around their head." They may also experience sharp points of discomfort in their ear canals at bedtime.
Mercury also interferes with the body's ability to regulate temperature. Victims may alternate between being hot and cold when the temperature isn't changing, or have to wear more clothes than other people, or have more difficulty than other people in staying comfortable while the temperature changes. Temperature disregulation also leads to 'night sweats.'
Excerpt from the Book:
Overview of Treatment
Amalgam illness is analogous to a war. Your enemy, mercury, captured a beachhead in your teeth and fortified it with amalgam. Then it launched an attack. House to house. Organ to organ. Cell to cell. Slowly capturing your body. You win the war with a surgical strike. Dental surgery. Drill out those fillings. Removing your amalgam declares an armistice. Fighting stops, but the mercury atoms are still dug in wherever they reached. Chelation sends clean up squads off to round up the enemy and escort them out. Meanwhile the surviving cells in your body get to work and to repair the war damage. Supplementation is like disaster relief - it makes the process go a lot faster.
There are two goals to treatment. First, get rid of the mercury. Second, control symptoms so you can be comfortable and productive during the prolonged period when mercury is removed and healing takes place. In order to control your symptoms it is necessary to identify the metabolic defects mercury is causing for you.
In your ongoing battle to control symptoms while the mercury comes out and your body repairs all the damage, you need to take a straightforward, common sense approach.
Know yourself. If you react to everything, go slow, start with small doses of things, be patient. Don't be any more aggressive than your body and your psyche can tolerate.
Start with the problems that are causing other problems.
If your digestion is not working, get your guts fixed up since this will take a load off your liver and let you get helpful supplements and medicines into you.
Make sure your hormones are working right. Treat your body, not numbers on a lab report.
Solve the other troublesome problems, and find solutions that work for you.
It is very common for mercury poisoned people to have been treated for depression, and for most MD's to diagnose them as "just depressed." While depression is often present it is not the cause of the problem. It should be treated to reduce suffering. The underlying problems causing it must be identified and treated too - just treating depression is like continuing to give painkillers day after day for a broken arm instead of setting it and putting it in a cast.
Excerpt from the Book:
What to Expect - Prognosis
Both you and your doctor need to know how long it takes before you get well, and what do you expect along the way.
Using a proper protocol, e. g. DMSA every 3-4 hours on alternate weeks: 2-6 months to feel better. Then DMSA + LA every 3-4 hours 3 or 4 days every week or two to clear the brain and internal organs, 2-6 months to feel better. Continue supplements and diet control with continuing DMSA + LA chelation while healing takes place, another 4-30 months to good physical and mental health. Total time: 1 to 4 years if you stick with the program.
The big determiner of how long it takes is the DMSA+LA phase. That depends on how seriously poisoned you got.
You feel depressed, tired, icky. You are moderately poisoned. 6-11 months of DMSA+LA treatment will be required. You will FEEL cured immediately if you take the right supplements and medicines, but you have to chelate to get rid of the mercury.
You are starting to get stuff like chronic fatigue, fibromyalgia, environmental sensitivities, severe allergies or asthma, emotional disturbances. 14-25 months of DMSA-LA will be required. You will feel MUCH better with the proper supplements and medicines and be able to get on with life pretty quickly.
You have multiple chemical sensitivities, chronic fatigue syndrome, serious emotional disturbances. You really are not able to participate in life. You are very seriously poisoned. You will need 20-36 months of DMSA+LA to get well. You will need proper supplements and medications to be at all functional and will need to pay careful attention to continuing them and adjusting them for 2-3 years until you are detoxed enough that your health isn't coming out of a pill bottle.
If you continue to chelate with DMSA+LA for 6 months to a year after you are sure you are well you will remove more mercury from your brain and greatly reduce the chances of future problems, neurological disease, or premature aging.
If you follow a standard "alternative medicine" or "witch doctor" protocol, e. g. DMSA every other day or DMPS injections monthly: you will get worse for 6 months to one year, then slowly get better for another several years - but behavioral and coordination problems are exacerbated by this therapy and emotional symptoms are not alleviated. There is also a substantial risk of psychiatric illness. Total time: a year of misery, 5 years to feel better, but you never will be completely well.
If you drill out your fillings then do nothing: about the same thing will happen as with the "witch doctor" protocol, but without the side effects, expense, or risk of insanity.
What people have to say about
Amalgam Illness: Diagnosis and Treatment
What reviewers have to say
Illness: Diagnosis and Treatment provides practical
tools for use in trying to sort out a health problem. Himself
and amalgam victim, Cutler describes the weird world of an
amalgam patient in a very initiated way. Mercury and other
heavy metals take up residence in the active site of liver
enzymes where some essential substance is supposed to be
sitting. The enzymes stop detoxifying pollutants and naturally
occurring toxins and the victim becomes more sensitive to air
quality, foods and chemicals. ... A chelating agent ... has
two or more thiol groups in the same molecule which hold onto
the mercury more tightly and is more likely to be able to move
it out of the body safely. ... The objective of the suggested
treatment is to minimize the redistribution of mercury, and to
get it out of the system. (Heavy Metal Bulletin, volume 5 number
3 August 1999)
What readers have to say
This book will give you the ammunition you will need to successfully recover from amalgam illness. It will also help you avoid making bad decisions about treatment. Patient-friendly and detailed, it is a blueprint which points you in the right direction for each symptom and area of suffering. Do not proceed without this surprisingly thorough book.
Chicago, Illinois
This is the book you need! Andrew Cutler has written an exceptional and enlightening book on the devastating health affects caused by amalgam fillings in your teeth. No one ever speaks as knowingly as those with experience. The author, himself a victim of mercury poisoning and a respected research scientist offers a clear, concise description of the physical and neurological destruction mercury causes in the human body. Clearly explained in language the patient can understand, yet the book is medically and scientifically detailed enough to belong in every physician's library.
Do you know that dental amalgams - commonly referred to as silver fillings - are composed of 50% mercury? Despite what you may have been told, the mercury is not safely locked into the filling once it hardens. Mercury migrates from the tooth into your body and brain via several pathways, which are thoroughly explained in this book. If you have amalgam fillings in your teeth and find yourself plagued with a host of illnesses or symptoms your physician cannot resolve this book is a must read. Dr. Cutler has created a much needed and valuable resource for the victims of mercury poisoning. Finding a doctor knowledgeable on chronic mercury poisoning from amalgams is very difficult if not next to impossible. This book will arm you with the knowledge and information you need to make sure your doctor is following a protocol that will help you recover, rather than one that might harm your health even further.
This book will also enlighten the medical and dental professions; and of even more importance to you personally, it will put you on the path to recovering your health. As a recovering victim of mercury poisoning myself, I have read many books on this subject. Not having a background in medicine or biology some of them were next to impossible for me to wade through as I searched for a cause of my illness; Dr. Cutler's book is straightforward and to the point. Some books were easy to understand, but did not offer the depth of scientific information presented by Dr. Cutler. I am deeply indebted to Dr. Cutler for providing such a candid, well researched, enlightening, and thoroughly comprehensive resource. I have had the pleasure of referring this book to many other victims of this most preventable illness; all agree this book is the most helpful resource available.
My doctor was so impressed with this book she ordered it before I left her office. Doctors are as much in the dark about this illness as are we, the victims of chronic mercury poisoning. This book is a real eye opener and will save you years of trudging from doctor to doctor as I did in search of the cause of my failing health. When all the while the cause of my illness was truly just beneath my nose. If you have amalgam fillings in your teeth and are plagued with chronic health problems you will find the solution in the scientific research and unriddling answers found in this book. Dr. Cutler has definitively revealed the mystery behind a host of illnesses caused by amalgam, along with invaluable knowledge on how you can recover.
In gratitude for this inspiring book I'd like to quote, Henry Wadsworth Longfellow:
of great men all remind us
We can make our lives sublime,
And, departing leave behind us
Footprints on the sands of time.
Andrew Cutler left one giant footprint in his stride, offering help and hope to those of us suffering the devastating effects of chronic mercury poisoning. Thank you for this book, Andy.
Linda Godsey
Houston, Texas
This book is an excellent resource for people who are having a health problem & their doctor does not have a clue. The book empowers you, the patient to work with your doctor and get the care you need. It gives you information on effective medical treatments your "health plan doctor" might not be aware of. It tells you how to use scientific fundamentals to interpret clinical laboratory tests to find the problem(s) so you can guide your busy doctor to fix it.
As an introduction, Dr.Cutler guide you thorough the maze of the internal politics of modern medicine in finding the physician willing to help you. Then he presents compelling scientific evidence that a large number of people may have a mercury poisoning and describes the current bureaucratic catch-22 preventing the proper regulation of mercury in health care products.
Chronic mercury poisoning is described and a rigorous diagnostic procedure is presented so you can determine whether you DO have a problem with mercury, and if not what might be affecting your health.
Straightforward practical advice is given on how to get rid of the mercury with a minimum of side effect. Working through the details of the treatment section allows you to identify the nutritional supplements and medications you will need to start feeling better soon.
This book is a roadmap for your return to health if you are among the millions of people unknowingly exposed to more mercury than your body can handle.
Attila Hethely
Irvine, California
I had a history of depression and other health problems. Then my mouth started to come apart - bleeding gums and all kinds of problems that had an oral surgeon ready cut. I was on my way to losing my teeth just like my sister had.
Luckily I heard about amalgam (mercury) poisoning before the surgeon got to me. In 1993 I replaced my fillings and crowns with mercury free materials. My buccal pockets and gums healed immediately and the oral surgeon was forced to remove me from his list.
Over the next seven years despite having eliminated mercury exposure from my mouth, I developed chronic fatigue syndrome (CFIDS), candida overgrowth, Hashimoto's thyroiditis, and was even diagnosed with multiple sclerosis (MS) by brain MRI. Later, a spinal tap showed that I did not have multiple sclerosis, but I continued to suffer from symptoms of the disease, like numbness and tingling of the arms and legs, rapid heartbeat, and head tremors and twitches. I didn't know that those disorders were related to the mercury in my body that had leached from my teeth and into my body and brain.
In those seven years following my amalgam removal, mercury levels in my urine and blood dropped from "off the charts" to near zero. But the symptoms were worsening. Constant pressure in the brain, numbness and tingling in the extremities, rapid heart beat, complete constipation, high cholesterol, high H-Pylori titers, low thyroid, low blood pressure, chronic fatigue, brain fog, cognitive/memory problems documented by neuropsychological testing, and on and on. I was so sick that I could no longer work.
Then I finally learned about the metabolism of mercury. Dr. Cutler's book explains how once in my brain, the mercury just wasn't going to come out by itself. And mercury in the brain doesn't only cause neurological symptoms - but since the brain controls hormones and the immune system, everything in the body can be effected from having mercury in the brain. And everything WAS coming apart!
Dr. Cutler's book doesn't stop after telling you how terribly poisoned you could be by dental fillings; it actually tells you how to get the mercury out of your brain and get well. Dr. Cutler not only studied American medical journals to formulate this protocol, but overseas medical journals as well. He shows you how to safely remove mercury from your body and brain using alpha lipoic acid, an over-the-counter antioxidant.
The most important things to remember about chelating with lipoic acid are to (1) go slowly and (2) to take the doses (25 mg to 120 mg according to tolerance) every 3 to 4 hours around the clock. Dr. Cutler explains how this method keeps the blood levels of lipoic acid stable in order to move the Hg from the brain and eliminate it, not merely redistribute it to other places.
Most of the neurological symptoms I've suffered from are gone now. They don't come and go; they are just gone. The rapid heart beat stopped, along with the numbness and tingling of the extremities, and the tremor and twitches in my head. My blood pressure has come up from 70/40 to 120/80 - perfectly normal. My cholesterol has dropped from 305 to 240. My facial color is no longer ghastly white, but rather a normal and natural color. H-Pylori titers (a bacteria associated with peptic ulcers and cancer) have gone from 6 plus to 1.37 without medication.
I'm thrilled I found a way to improve these stubborn health problems that refused to budge with any other means. Believe me, I had tried everything. If you want toget well from CFIDS, candida, MS, and other neurological problems please don't overlook this book, Amalgam Illness: Diagnosis and Treatment. Then follow the directions for how to get well safely!
Anne Marquez, Ph. D.
Rohnert Park, California
This book contains a wealth of information for anyone who is or suspects they might be suffering from mercury poisoning and for any health practitioners who are trying to help patients who have mercury poisoning. It provides excellent advice on how to start feeling better right away and how to recover from mercury poisoning while carrying on with one's life. The information is accessible to lay people but technical information is introduced as necessary. If you are suffering from any of the conditions mentioned on this webside, you would do well to start your search for a cure by reading this book.
Rosemary Carter, Ph. D.
Crescent Valley, British Columbia
Dr. Cutler is the most wonderful technical writer I have ever read. He takes a very complicated chemical reaction and breaks it down to a level easy enough for almost any layman to understand. A must read for anyone with a child that might have any heavy metal poisoning or anyone that might be poisoned by heavy metal themselves.
Dr. Cutler gives detailed step by step directions to identify
possible exposures, diagnosis, and treatments of heavy metal
poisoning unlike any other author I have read. He not only
details the causes and effects brilliantly, he inspires the
reader to get help if it is indicated.
He takes a wonderfully unique look at what could be an epidemic in the United States. This book explains the what, wheres, and hows of Mercury and heavy metal poisonings.
I highly recommend this book to anyone and everyone that might
be suffering from Mercury or Lead poisoning.
Dr. Cutler is such an awesome writer on such a complicated subject. Thank you!
Lisa Wilson
College Park, Maryland
I wish this book was available in 1996 when I first discovered that I had amalgam illness. I could have avoided some mistakes with regards to "challenge tests" and "intra-muscular DMPS chelation".
The book has some highly detailed material on a wide range of health issues. For the first time, I was able to understand the exact mechanics of my severe hypoglycemia. "First low blood sugar (hypoglycemia) occors due to low cortisol. Then adrenaline shoots up to mobolize glucose. Since adrenaline can't do this very well without adequate cortisol, vast tidal waves of it wash over you and the 'psychiatric' symptoms occur...If your body has too much insulin floating around, it can't get rid of the stuff so there is insulin making your cells suck up blood sugar and keeping it low." ...This book will play a valuable role in my quest for health.
Anonymous reviwer
Dr. Cutler's book Amalgam Illness: Diagnosis and Treatment is really awesome. I was a little leery of the...price but WOW, you DO get your money's worth. First, it is 200 pages, 8" x 11" paper with very little white space. It's full of information. And he has managed to pull off a very difficult trick of putting in a ton of practical information, thoroughly covering the subject of mercury toxicity and chelation and doing so in an easy to read format. It covers what mercury does to all the different organs, how to diagnosis it, and what your options are for treating it. If I had read this in the beginning I wouldn't have been so confused and fumbling around for months trying to figure out the mysterious world of chelation! Now it doesn't seem like this big scary thing at all. He covers many medications and supplements as well.
Karen deFelice
Dr. Cutler tells it like it is. No cover-ups here like the one from the .... How do I know? My wife is extremely ill from dental amalgam poisoning for more than 20 years. She is seriously chronically poisoned. After so much lying from dentists and ignorance from medical doctors, here comes a good book that sheds light to one of the most insidious forms of sickness, mercury poisoning! Even after all mercury amalgams are replaced by safe composites, the next nightmare comes when trying to figure out how to get rid of the mercury already inside your brain, nervous system, kidneys, blood, etc from an already debilitated and compromised body.
Dr. Cutler says on page 54: "First, do no harm. Note: the DMPS challenge is not a legitimate diagnostic test since over half the population will give a positive result but most of them do not appear to have amalgam illness. In addition there is a high incidence of adverse drug reactions during it, including permanent disability and death. It should never be used. DMSA challenge tests that involve the administration of 500 mg - 3g of DMSA as a single dose are also dangerous and not diagnostic."
Dr. Cutler says on page 89: "Therapeutic approaches currently offered by some practitioners but which should NEVER be used include: DMPS by injection except when oral administration is contraindicated and dosage is low, DMPS or DMSA on any schedule not involving frequent administration of equal doses for at least several days in a row, EDTA chelation, or penicillamine in any form. Supplementary cysteine, glutathione, or a "high sulfur" diet, or chlorella should NOT be used. All of these "therapies" will be VERY HARMFUL to you."
Dr. Cutler says in page 90: "For most people the proper chelation protocol using DMSA and LA (Lipoic Acid) is: . Starting 4 days after the last filling is replaced, 50-100 mg DMSA every 4 hours (including getting up at night to take a dose) for 2-6 months, until urine mercury is reduced 80%. . Then DMSA 50-100 mg + LA (Lipoic Acid) 50-200 mg every 3-4 hours (including getting up at night to take a dose) for about 3 days per week. When you feel all better, keep going for a few months. You may need to do this anywhere from 6 to 36 months depending on how sick you were to start and how hard your body holds on to the mercury. . It is important to keep taking your supplements and medicines during the whole time you are chelating."
Thanks Dr. Cutler. .....
Kenneth Southwell
Spring Hill, Florida
Andrew Cutler is a health care consultant in the Seattle area. He has a PhD in chemistry from Princeton, a BS in physics from the University of California, is a patent agent and a registered professional chemical engineer. His research has led to a number of publications in chemistry, chemical engineering and space related journals.
He also has engaged in extensive self study in biochemistry
and medicine due to assorted health problems coalescing into a
devastating "mystery syndrome" his doctors were not able to
cure - or even diagnose - for quite some time. After being
able to work with his doctor to get better he decided to
expand his professional activities to include writing about
health topics.
I wrote this book because I became seriously ill while most doctors told me there was nothing wrong. After an "environmental medicine" doctor suggested I had amalgam illness I had to read lots of medical literature to figure out what was going on and what to do about it. I got better after having my fillings replaced and taking appropriate chelating agents. I also know a lot of other people to whom this happened.
I was very lucky when I got sick. Not lucky to get sick! That was a terrible experience! But I was lucky to have received exactly the right education before I needed it - close enough to medicine to be able to read physician's textbooks, but not close enough to share all the myths and be sure of the things "everyone knows." I was lucky to have had some business experience so I viewed physicians as professional service providers and knew how to get the services I needed from them. I had the right political experience to realize I could get lots of valuable information by just talking to enough people, but that certain things had to be learned by reading books.
I didn't only learn how to get better. I also learned how much people suffer from this terrible condition. I learned how poorly understood mercury poisoning is. I wrote this book so that other people don't have to do all their own detective work when they get sick. So that people could start with the best information I could find. So that future victims of mercury poisoning won't have to suffer unnecessarily because nobody really knows what to do. I wrote this book to help you get well.
Sometimes it takes the doctors a while to figure out what is causing a disease. Until recently it was believed that ulcers were entirely psychosomatic. Ulcer sufferers underwent prolonged treatment, were seldom cured, and often ended up under the surgeon's knife. It is now known that most ulcers are due to helicobacter pylorii infection, and ulcers easily cured.
Lyme disease is a fascinating story. A housewife fell ill. Her symptoms were considered psychosomatic. When her husband and children came down with similar problems, this was regarded as some kind of projection of her psychosomatic complaint. She was eventually able to convince a physician that the only crazy thing was assuming that something psychosomatic could be contagious! Once the doctor gave the whole family medicine they all got better.
Chronic Fatigue Immune Deficiency Syndrome is still routinely considered a psychiatric disorder despite the repeated publication of physical and laboratory abnormalities always found in victims of it. People who realize it's not "Yuppie flu" find treatments that help them get better. A lot of these are covered in this book since CFIDS is often caused by unrecognized mercury poisoning and I had a terrible time with it myself.
In less recent times, another form of mercury poisoning - acrodynia, or pink disease in babies - was endemic for 150 years until physicians recognized mercury as the causal agent. The disease was eliminated and all the babies got better by changing the formulation of infant care products that used to include mercury.
This book is the kind of book you'd expect a chemist to write - one that is mechanistic, interrelated, and views the body as a complex chemical factory to be measured and controlled by adding a bit of the right reagent over here, taking something out over there, and sprinkling on "magic pixie dust" where needed. This isn't the only way to understand things. It is just the way I knew how to explain them.
Progress in medicine is sometimes slow due to people's natural tendency to hold on to the old theories they learned in school. Medical school professors can be a bit dogmatic about the need to adhere to the theories they lecture on so authoritatively. It takes a while for what ordinary doctors see day after day in their clinics to get applied creatively to making people better, and even longer for this information to make it back into medical school lectures. I hope I have given you the best of both worlds in this book - a description of what actually happens to real people when they encounter mercury, instead of the theoretical response the average man is expected to have from what happens to little mice and rats in medical school experiments. I wanted to help you get well NOW. The professors can change their lectures later.
written this book according to a modern paradigm of medicine.
This new paradigm consists of viewing the human body as a
system where biochemistry leads to metabolism which in turn
becomes physiology. The new paradigm is to see illness as a
slow progression from health to death rather than the sudden
onset of a "disease" once a certain number of symptoms occur.
The new paradigm lets you use the best of both mainstream and
alternative medicine to get well.
Amalgam Illness: Diagnosis and Treatment presents a wealth of information on mercury poisoning such as you might have gotten from dental amalgam fillings, laboratory accidents, occupational exposure to mercury, exposure to mercury preservatives in health care products such as eye care products and contraceptives, etc. The book discusses how to tell if you have mercury poisoning, what to do about it, how to get help, and how to deal with physicians. Much of this information is covered several times at different levels so that you can find the amount of detail that best suits you. The book is straightforward and factual. Amalgam Illness: Diagnosis and Treatment is a tool for solving intractable health problems.
Amalgam Illness: Diagnosis and Treatment need not be read cover to cover or in any particular order. Figures and tables have been included to rapidly convey how the different symptoms are interrelated and how different medicines and nutritional supplements can be used.
Amalgam Illness: Diagnosis and Treatment is intentionally very broad. A large number of supplements and medicines are discussed. Thus there will be SOMETHING that each individual person's metabolism tolerates, and SOMETHING that each physician is familiar and comfortable with. This book gives you the options you need - you decide what to use.
Amalgam Illness: Diagnosis and Treatment discusses methods to diagnose and treat some of the physiological and metabolic dysfunctions which are a part of chronic fatigue, fibromyalgia, and environmental illness. Some of the information will be helpful even if mercury isn't the root of your problems.
Amalgam Illness: Diagnosis and Treatment is written as a straightforward reference book for you, not as super sophisticated research treatise for medical school professors. Everyday terms have been used when possible. Thus "low thyroid" instead of "hypothyroid," "poisoned" instead of "intoxicated," etc. Where medical words need to be used, they are explained.
Instead of a very long list of esoteric and obscure references, there is a short list of helpful and interesting books and papers that explains what they are so you can decide if they would help you.
This book covers:
how to find and work with good doctors;
the effects of chronic mercury poisoning, and how mercury causes these effects;
how to diagnose chronic mercury poisoning;
how to treat chronic mercury poisoning;
scientific evidence that a lot of people are mercury poisoned.
Amalgam Illness: Diagnosis and Treatment is especially valuable because some physicians are not yet familiar with the diagnosis and treatment of chronic mercury poisoning. Their textbooks state that there is no suitable biological index for the amount of mercury in the target organ, the brain, but do not explain what tests to use in place of the old fashioned ones that miss 2 cases out of 3. Worse, the textbooks offer no guidance on how to cure chronic mercury poisoning or control symptoms during treatment. This book gives your physician the information they need to help you.
the medical textbooks aren't up to date on chronic mercury
poisoning yet, the burden is on you, the patient, to decide
whether to accept a physician's diagnosis and proposed
treatment plan, or to seek another. If you are getting
diagnoses like "there is nothing wrong," or "it's all in your
head" and proposed treatment plans like "try ignoring it and
seeing if it goes away," this is the right book for you. Don't
suffer silently. Read Amalgam Illness: Diagnosis and
Treatment and get well.
Useful mercury related web sites
of mercury poisoning
More discussion of mercury poisoning
Medical consequences of mercury poisoning
Dangers of DMPS injections for mercury detox
Listserver for people chelating themselves
Listserver for people chelating autistic, ADHD children
or back to
links in this page


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"it is entertaining, romantic, comic, full of fantasy and full of life !!" It has been a long time since I watched a movie with a relaxed mind due to my busy schedule . I was just browsing through the … Continue reading
Tag Archives: Reviews
Jimmy Shergill : the stunning "Saheb"
The powerful Saheb has not only got a hit movie series but has also shown his talent as a powerful actor who can set the stage on fire with his superb acting skills. His body language and his dialogue delivery … Continue reading
The Tree of life (2011) – Reviewed and Decoded
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subset: commoncrawl


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Observational - The Identification, Validation and Implemention of Prognostic and/or Predictive Biomarkers for Adjuvant Chemotherapy in Early Stage Non-Small Cell Lung Cancer (NSCLC)
I. Validation of the 15-gene prognostic and predictive messenger (m) ribonucleic acid (RNA)
signature on Lung Adjuvant Cisplatin Evaluation (LACE)-Bio formalin-fixed, paraffin-embedded
tissue (FFPE) tumor samples.
II. Exploratory evaluation of the prognostic and predictive values of known potential
oncogenic mutations using LACE-Bio FFPE tumor samples.
III. Exploratory evaluation of the prognostic and predictive values of gene copy variations
using LACE-Bio FFPE tumor samples.
IV. Exploratory identification and evaluation of prognostic and predictive value of novel
genomic aberrations discovered by Next Generation Sequencing on LACE-Bio tumor samples.
Archived RNA and DNA samples are analyzed for gene expression, mutations, and variations by
reverse transcriptase (RT)-polymerase chain reaction (qPCR), mass spectrometry (MassARRAY),
molecular inversion probe assay, and microarray assays. Results are then compared with
patients' clinical outcomes.
Endpoint Classification: Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Diagnostic
Validation of the 15-gene prognostic and predictive mRNA signature by quantitative Nuclease Protection Assay (qNPA) assay and NanoString assay
Post-RNA extraction from tissue
Lesley Seymour
Principal Investigator
NCIC Clinical Trials Group
United States: Institutional Review Board
May 2012


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Just a sweet Oneshot of Bella and Edward during Eclipse. Mostly sweet conversational fluff.
Bella is a healthy 16 year old girl that has recently moved to Forks. As she lives her new life in a new town, things begin to happen. Bella is falling down more and she's walking a bit strangely. What does Bella have? And does this affect Edward and Bella's blooming relationship?
Edward's POV during the attempted suicide and the following nights, as he and Bella rebuild their relationship. A companion scene to the last few chapters of NM.

Au-Human One Shot
What if the Twilight characters were not as they seemed?
From day one we've known that all of the Cullens hate Bella's 1953 Chevy pickup truck. It doesn't go over 60 miles per hour, it has been hit by Tyler's van, and it previously belonged to a werewolf. The Cullen's are willing to go to any length to make sure that Bella finally has a new vehilce.
Psychologist Edward Cullen is holding an experiment. Bella becomes a participant in the study, and finds that she's closer to him than she ever dreamed. BxE fic. All-human. LEMONs later on. Also A x J & Em x R.
He died. She was Devastated. In a desperate attempt to join her late husband, Bella's life is turned upside-down as she realizes that everything she thought she knew was all wrong. In the battle for power, protection and control, the fate of her one true love rests in her hands as she fights to save him from more than just himself.
Extended from One-shot. Formerly titled Probably Wouldn't Be This Way and, later, Second Chance at Forever. Rated R for Dark Themes/Violence/Slight Sexual Content.
Life has dealt Edward and Bella their fair share of problems, but just as they begin to get their marriage back on track tragedy strikes. What happens when the only love you have ever known may be taken away? Will the guilt and memories tear you apart or is there something left worth fighting for?
Ever since Bella and Edward were kids, they have always despied eachother. What happens when they are locked in a classroom together for one whole weekend. Will the hate for eachother increase or will they become friends and possibly even more then friends?
"We always long for the forbidden things, and desire is what denies us."
This is a story for all the true Edward fans. A fleshed out, accurate portrayal of Edward's thoughts, emotions, and development during Twilight. I know that Stephenie Meyer began doing this with "Midnight Sun", but she never finished, and I had my own ideas for what Edward was thinking during the book.
Enjoy, and review!
After college, best friends Bella, Rosalie and Alice have a run-in with their past. . .and maybe their future? A farcical, romantic comedy with a healthy dose of angst. Nominated for Best Romance & Best Edward Characterization (Incomplete) at the Twilight Awards.
Art meets lust in Forks. This is - hell, I don't know really. Mostly AU-Human I think, it's not out there enough to be crackfic, although it'll have its moments. Edward is a sensitive soul and budding poet, and Bella has a very special weakness for his poetry. It's trying to be a romantic comedy, but the smut keeps taking over...
The story of the complete Cullen family (including Nessie) starting a new life again in Forks. They will be starting the same school and everything. Will new found tensions break up the close family as they restart a life that made them as close as they are now? How had Forks changed after a century?
Thanks to my betas CoyoteGurlNikki and imprinted_one. You guys are awesome!
Everyone has a breaking point, and it's best to find it before it finds you. When a new lethal threat is unleashed on the vampire community, it will spark a war they haven't seen since the south. Lives will be lost, blood will be shed and ties will be severed. Can the war be survived? Or will it drive them all over the edge.
E/B alternate universe. The Cullens stayed in Alaska for three more years than in the books, so Bella spends the end of her junior year in Forks without Edward. How will she deal with her inevitable feelings for him when she's already dating Jacob and mostly happy with her life?
Bella and Edward share a Christmas filled with sacrifice, hope, and love. Inspired by O' Henry's classic Christmas story.
Written for Twilighters Anonymous Podcast's Christmas One-Shot Challenge.
Bella, Alice, and Rosalie make up a list of 10 things to do their freshman year in college that include things like 'falling in love' and 'a one night stand'. What happens when they meet three wonderful guys? BxE. AxJ. RxEm.
After two years of being together Edward decides its time to make Bella his wife. Bella, on the other hand, feels like something is missing from the relationship. Could it be the lack of raw passion, or the developing romantic feelings for Edward's beautiful sister, Alice that's holding her back?
Rated NC-17 for language and lots of lemons. AU/AH and slightly OOC. Canon and non canon pairings: BxE, BxJ, BxA.
I hadn't thought it was telling me something, but in that moment, I knew that I needed him, and that he was the one I was destined to be with.
An alternative possibility to the night Edward changed Bella. Vaguely a song-fic to the song This is for Keeps by The Spill Canvas.
Edward has gone missing, but he sends Bella an absurd number of flowers in his place. Bella is less than pleased and makes it her mission to find him. One shot.
A game children use to play that Professor Masen now wants to play with Bella. Call this "Teaching A Lesson" part two.
Part of my series, "Smut, Please". Enjoy.
What all were the schemes of Bella when Edward tried not to touch her on their honeymoon? Read on for the trials and tribulations of a wife lusting after her vampire husband...
Vote for this story at the Twilight Awards! http://twilightawards.this-paradise.com/?page_id=105
All publicly recognizable characters, settings, etc. are the intellectual property of their respective owners. The original characters and plot are the property of Stephenie Meyer. No copyright infringement is intended.


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- North America
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Traveling Luck for Robins Plaza Shopping Center Georgia, United States
The timezone in Robins Plaza Shopping Center is America/Iqaluit
Morning Sunrise at 08:25 and Evening Sunset at 18:29. It's Dark
Rough GPS position Latitude. 32.6322°, Longitude. -83.6397°
Morning Sunrise at 08:25 and Evening Sunset at 18:29. It's Dark
Rough GPS position Latitude. 32.6322°, Longitude. -83.6397°
Weather near Robins Plaza Shopping Center Last report from Warner Robins Air Force Base, GA 5.9km awayTemperature: 6°C / 43°F
Wind: 4.6km/h North
Cloud: Few at 1400ft Few at 2000ft Scattered at 2500ft Solid Overcast at 3000ft
Satellite map of Robins Plaza Shopping Center and it's surroudings...
Geographic features & Photographs around Robins Plaza Shopping Center in Georgia, United States
school building(s) where instruction in one or more branches of knowledge takes place.
- Northside Junior High School (0.7km)
- Northside High School (1.3km)
- Tabor Junior High School (1.5km)
- Parkwood School (1.6km)
- Miller Elementary School (2.4km)
- West Side School (2.5km)
- Oak Ridge School (historical) (2.6km)
- R W Lindsey School (3km)
- Evergreen Baptist School (3.2km)
- Elberta School (3.6km)
- Northside Elementary School (3.9km)
- Sacred Heart School (4km)
- Rumble School (4.1km)
- Thomas School (4.2km)
- Warner Robins High School (4.4km)
- Shirley Hills School (4.4km)
church a building for public Christian worship.
- First Assembly of God Church (0.8km)
- Green Acres Baptist Church (1.1km)
- All Saints Church (2km)
- Central Baptist Church (2.3km)
- Trinity United Methodist Church (2.3km)
- Warner Robins Alliance Church (2.6km)
- Oak Ridge Church (2.6km)
- Northview United Methodist Church (3km)
- Evergreen Baptist Church (3.2km)
- First United Methodist Church (3.6km)
- First Baptist Church (3.6km)
- Shirley Hills Baptist Church (3.8km)
- Sacred Heart Catholic Church (4km)
- Springfield Church (4.2km)
- Westminster Presbyterian Church (4.3km)
section of populated place a neighborhood or part of a larger town or city.
- Hunters Ridge (subdivision) (1.1km)
- Honey Ridge Plantation (subdivision) (1.7km)
- Fox Meadow Estates (subdivision) (1.8km)
- Danes Meadow (subdivision) (2.2km)
- Mason Subdivision (subdivision) (2.5km)
- Shirley Hills Estates (subdivision) (3.9km)
Local Feature A Nearby feature worthy of being marked on a map..
- Robins Plaza Shopping Center (0km)
- Houston Mall Shopping Center (1.8km)
- Williams Plaza Shopping Center (2.3km)
- International City Speedway (3.2km)
- Watson Central Shopping Center (3.3km)
- The Church of Jesus Christ of Latter Day Saints (3.3km)
Accommodation around Robins Plaza Shopping Center
Days Inn Suite 215 Margie Dr 215 Margie Dr, Warner Robins
Super 8 Warner Robins Ga 105 Woodcrest Blvd, Warner Robins
Ramada Conference Center Warner Robins 2024 Watson Blvd, Warner Robins
park an area, often of forested land, maintained as a place of beauty, or for recreation.
- Bill Peavy Memorial Park (1.6km)
- Sewell Circle Park (2.2km)
- Briarcliff Park (2.8km)
- Alex Ferguson Memorial Park (3.8km)
- Dry Lake Park (3.8km)
populated place a city, town, village, or other agglomeration of buildings where people live and work.
- Echo Glen (2.9km)
- Wrights Mill (3.6km)
- Crestwood Estates (4.1km)
- Fairview Estates (4.5km)
tower a high conspicuous structure, typically much higher than its diameter.
- WZQB-AM (Warner Robins) (1km)
- WPPR-FM (Warner Robins) (1km)
- WCOP-AM (Warner Robins) (2.6km)
- WZQB-AM (Warner Robins) (3.9km)
building(s) a structure built for permanent use, as a house, factory, etc..
- Fire Station Number 4 (3.3km)
- Warner Robins City Hall (4.3km)
post office a public building in which mail is received, sorted and distributed.
- Warner Robins Post Office (3.6km)
cemetery a burial place or ground.
- Magnolia Park Cemetery (3.3km)
hospital a building in which sick or injured, especially those confined to bed, are medically treated.
- Houston Medical Center (2.5km)
Wikipedia entries close to Robins Plaza Shopping Center
- Warner Robins, Georgia city o city
- Centerville, Georgia city o city
- Robins Air Force Base airport airport
- Middle Georgia Regional Airport airport airport
- Byron, Georgia city o city
- Perry, Georgia city o city
- Ocmulgee National Monument archaeologic
- Macon (Georgia) city f city
- Payne, Georgia city o city
- Fort Valley, Georgia city o city
- Jeffersonville, Georgia city o city
- Battle of Griswoldville military landmark
- Marshallville, Georgia city o city
- Roberta, Georgia city o city
- Danville, Georgia city o city
- Cochran, Georgia city o city
Airports close to Robins Plaza Shopping CenterRobins afb(WRB), Macon, Usa (5.9km)
Middle georgia rgnl(MCN), Macon, Usa (8.7km)
Emanuel co(SBO), Santa barbara, Usa (154km)
Lawson aaf(LSF), Fort benning, Usa (169.5km)
The william b hartsfield atlanta international(ATL), Atlanta, Usa (171.8km)


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Deals on products Kabir Alachra likes
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Diesel Kory 2 Pack Trunks
Kory 2 Pack Boxer Trunks Premium, soft stretch boxer trunks by Diesel with a prominent panelled design and contrast stitching to front and legs. These cotton mix boxer trunks come in two contrasting colours with signature branding to the waistband. Mens underwear > Soft stretch > Elastic waistband > Signature branding > 94% cotton 6% elastane > Machine washable Black/White XXL


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Tomorrow is last day to order from the retirement list, so get in quick if you are interested in great discounted product. Hostess code is 9EZ6R763 - SHOP NOW. Do not use hostess code if your order is over $300.
From Tuesday you can order from the new catalogue and one of the things everyone always look forward to are the new in colours. This year they are Strawberry Slush, Pistacio Pudding, Baked Brown Sugar, Coastal Cabana and Crisp Cataloupe. I made a couple of cards today with 3 of these colours.
All 3 cards have the same layout but different colours. I used Whisper White cardstock, Baked Brown Sugar, Pistacio Pudding and Strawberry Slush cardstock and ink. The stamp set used is Apothecary Art, I used the Hearts A Flutter framelits, the itty bitty punches and a small circle punch as well as some kitchen twine.
Contact me, if you would like a copy of the new catalogue, host a workshop or place an order. Remember you can shop online and use hostess code 9EZ6R763. Do not use hostess code if your order is over $300.
New classes are coming soon - Christmas card class will be in August


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Name: Susan Summers
Committee: Weekend Transport
Number of years volunteering: 25
What memory stands out most when you think of your time at the Festival?
So many memories it's difficult to pick one! I would say one of the ones that stands out for me is being able to meet Pete Seeger when he was headlining the main stage on Sunday night at the 1989 festival. I was driving the shuttle the Sunday night when he got off stage and drove him back to Gage Towers where he was staying. He was a lovely man who was as real in person as he was on stage, and I was touched by his graciousness and authenticity, in his music and in his life. Being graced by his presence was a special memory.
Why do you volunteer for the Festival? What inspires you?
I like to contribute to and support things I love. I have volunteered with many friends over the years so it is fun to be together every year. I enjoy meeting new people and the performers through my shuttle committee role. I am inspired by people who give all of themselves to the festival – many people doing overnight shifts. It's still amazing to me that the festival is run mostly by 1400+ volunteers and that it works as well as it does each year.
What's your favourite part of the Festival?
Another difficult decision! I love the evening main stage concerts as the sun is setting, the lanterns come out and everyone is in their happy place, listening to great music and sitting together with their family and friends, in a huge community that represents the best of humanity: hope, trust, peace, love, and community.
What advice would you give to new volunteers?
Do it! Find the committee that best suits your interests and passions. Give your heart and yourself to the festival – feel free to let the music, the community, and the beautiful setting of the festival heal you and offer you abundant blessings!


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Emotional trauma is a condition that may cause severe mental and physical stress, and over time, could lead to chronic stress. This could eventually affect your circulatory system, respiratory system, immune system, and your digestive system. Traumatizing events can take a serious toll on those involved.
An emotional trauma contains three common elements:
a) It was unexpected.
b) The person was unprepared.
c) There was nothing the person could do to prevent it from happening.
Considering all of this information, you can easily understand how an emotional trauma can affect your behavior. Life is the survival of pain. No one else has ever felt your pain, exactly like you. You can learn to focus your pain for change, and allow your pain to start working for you!
Key #1 -- Pain passes. Remember this. Your pain is only for a season, so use it as a bridge to change and promotion. "I (the Lord) will instruct you and teach you in the way you should go; I will guide you with My eye" (Psalm 32:8).
After my divorce, God granted me such peace, I immediately wanted to reach out to people whose hearts had been broken and torn apart. I realized there were so many people that needed the healing that I had received from God. I could see the brokenness, the confusion, and the hopelessness in their eyes. I had a strong desire to tell them how to survive an emotional trauma! That's why I started writing my book -- Soaring on Angels' Wings.
Key #2 -- Draw close to God in your trial. Run to Him! As you pray for God's peace and comfort, you will "get yourself back," only better, because you have drawn closer to God in your trial. This is an important key to survival. Be consistent in your prayer time. When you are emotionally traumatized, your thinking ability can become "blurred" and Satan can easily find an open door into your life, unless you are reading the word of God and confessing His healing power in your life.
Key #3 -- You need spiritual support to survive! Be sure you have faithful prayer partners and trusted friends to pray with you and for you on a daily basis. I believe that God will send the right person into your life that will be a strong encourager and support to you at this particular time.
Key #4 -- Do not isolate yourself! You may feel like hiding from the world at this time, but this is a number one strategy of Satan! If he can keep you isolated, he will attempt to torment you with negative thoughts that are designed to destroy you. Do not allow this to happen!
Keep your trust in God. This is a very important key to surviving an emotional trauma. Every answer you need to all of your questions is God's word, the Holy Bible. Place your life in His hands. He is the One who can give you the inner peace and joy that you so desperately long to have during this heart-wrenching trial.
My dear friend, there is hope. Don't give up. I am living proof that you can survive. I experienced emotional trauma during my painful divorce -- but more importantly, I have experienced great healing -- and I know it can happen for you. God's healing touch is for everyone! My main mission is to give you the solutions, the answers, that you are so desperately searching for at this time in your life.
"When the righteous cry for help, the Lord hears, and delivers them out of all their distress and troubles" (Psalm 34:17 Amplified).
You are not alone. You are not the only one who has walked this road. There are those of us who have not only survived an emotional trauma, but we have overcome, and we are continuing our journey in victory! With God, all things are possible! I encourage you -- do not bring your past into your future! Stop talking about your past and start talking about your future! It's time to move on and become all that God has created you to be.
"You have turned my mourning into dancing for me; You have put off my sackcloth and girded me with gladness" (Psalm 30:11 Amplified). You can survive an emotional trauma and live in victory and freedom. All things are possible with God!
~ Rebecca


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Origami Daily - 072: Viking Helmet (By Suhas) - TCGames [HD]
Welcome to the tcgames daily origami series. In this tutorial, I will show you how to make an origami Viking Helmet. Enjoy :D! Model: Viking Helmet! Designed By: Suhas Tips: Take care of your folds at the beginning, and the rest should be fairly easy if you follow the tutorial exactly. Making careful folds, and making sure everything is properly aligned will allow you to get best results for the final product. This rule is something that should probably be kept in mind when making any origami model. Other than that, have fun!
Length: 15:54


text: I'm sitting here trying to write this blog post but I'm so distracted because I CAN'T STOP watching footage from the royal wedding!!! Anyone with me?!?! Meghan Markle is just gorgeous and living a real life fairytale. *Sigh* The dress, the vows, the choir, all the heart eyes for everything!


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Coming on April 1st from Universal is the recent theatrical train wreck, The Truth About Charlie. The special edition DVD will include the original movie, Charade (that Charlie was based on), commentary from Jonathan Demme, deleted scenes, and a "Making of The Truth About Charlie" featurette.
The Truth About Charlie / 15 Jan 2003 12:00 AM PST


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Yes, I think GM should be punished more severely for knowing their ignition switches were faulty. Companies should pay a very hefty price for knowingly selling defective products leading all the way to the loss of their business licenses. We would not accept buying a chocolate cake that tasted like salmon, so why should we be accepting of buying a car that has a broken ignition.
Anytime consumers buy an industrial product such as an automobile, they are doing so in good faith that the company has taken every precaution to ensure the safety of the product. This is all the more true in the case of a car, which has tremendous potential to injury or kill the user. GM has massively failed to hold up their end of this bargain, and for this they should be punished severely.
Any company who knowingly allows a defective item that could put humans in danger should be punished to the full extent of the law. If the company doesn't know and discovers, they need to contact customers immediately. GM knew they were installing faulty switches and just kept silent. They need to have maximum punishement.
Yes, GM should be held accountable for allowing a faulty ignition switch to be installed in their vehicles. It is my belief that allowing GM to only recall their faulty equipment and replace it is not impactful enough. Many accidents and deaths have been caused by these ignition switches and what of these individuals who have lost loved ones. These loses are senseless and should have been prevented with adequate quality control. Fines and accountability should be at the core of the punishment handed to GM.


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Clear Acrylic Wall Mount Literature Display with Holes 3.5 x 5
ADI-LHP-355H - Overall size is 3 1/2 wide x 5 tall x .200 deep x .100 material thickness. Clear Acrylic Wall Mount Literature Display with Holes. Features mounting holes on the top back panel. Perfect for photographs, recipe cards, product information sheets and much more. Vertical/Portrait Format. Made in the USA with real acrylic for beautiful clarity.


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I would like to keep my local files in sync with my remote files, including the .htaccess. But it I put
- Code: Select all
ExpiresActive On
ExpiresDefault "modification"
The RewriteEngine lines do not give any error. How can I make the local server accept the Expires line as well?


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On Saturday, May 13, the United States Postal Service celebrates the 25th year of the Stamp Out Hunger Postal Food Drive.
Acord Food Pantry is one of the organizations benefiting from the drive.
Please place non-perishable, unexpired food by your mailbox by 8:30 a.m. on May 13 and a letter carrier will pick it up.
Our most wanted items include canned meat (chicken, shrimp, salmon), cereal, jelly, baked beans, meals in a can, healthy snacks, canned fruit and 100 percent juice.
We welcome donations of gluten free and low sodium items for clients on restricted diets. In addition, our clients enjoy receiving coffee, baking mixes, condiments, cooking oil and personal care items. Please check expiration dates as Acord cannot accept outdated items.
Food will be brought to Acord to be sorted and stocked by volunteers. The Acord Food Pantry in Hamilton has provided food assistance to residents of Hamilton, Wenham, Ipswich and several nearby communities since 1991. A non-denominational, non-profit grassroots organization staffed by more than 100 local volunteers, Acord is a partner of the Greater Boston Food Bank (GBFB) and the North Shore United Way, and a member of the North Shore Hunger Network.


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I have a serious love of camo. I blame it on my dad being in the army when I was a child. Clearly it's all his fault that I turned into a tomboy, right? Ha! I have several different pairs of camo pants and I usually wear them with gray tops so when I saw this combo I knew I had to try it. And I love it!
I had all the pieces in my closet already so I just had to put it together. This is the perfect Saturday errand running outfit for me- casual, comfortable, and trendy! I'm totally sold on camo and brown now.
1. Camo Skinny Pants: Gap (sold out)- OPTION 1 & OPTION 2; bought for $24.99 on clearance
2. Brown Tank: Merona for Target Favorite Tank- HERE; bought for $7 on sale
3. Dark Denim Jacket: Old Navy- HERE; bought for $19.99 on sale with coupon
4. Khaki Floral Statement Necklace: Walmart (only available in store); OPTION 1 & OPTION 2; bought for $5
5. Brown Combat Boots: Kohl's (last season)- OPTION 1 & OPTION 2; bought for $12.99 on final clearance
I can definitely see this being a regular outfit in my wardrobe. I love it!
You can catch up on all the posts in my 31 day series HERE.


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Advanced Search
(Actual Dupatta, Mojdi, Safa can vary from picture shown.We accept only bare feet size for mojdi and make final mojdi 1-2 inches bigger.)
Color: Royal Blue
Fabric: Giccha Silk
Royal Blue Giccha Silk Kurta is designed with resham work. Comes with a matching bottom. Actual product colors, patterns and designs may slightly vary.


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Library News »02/22/2013
Let's Talk About It, Idaho! Barbara Meldrum to lead discussion of "Home Below Hell's Canyon"
The fourth in the five-part Let's Talk About It, Idaho! series will be held Tuesday, February 26 at 7pm in the 1912 Center. Barbara Meldrum, Professor Emerita of English at the University of Idaho, will lead a discussion of Grace E. Jordan's "Home Below Hell's Canyon." In her autobiography, Jordan describes life on a remote sheep ranch in the 1930s in the Snake River Canyon south of Lewiston. Grace, her husband, Len, and their three children moved to the gorge during the Depression and become self-sufficient. Their lives were centered around family, hard work and common sense in a landscape many would consider extreme. Len Jordan would later become an Idaho governor and U.S. senator.
The book talks call attention to Idaho history as an historical milestone begins, the state's territorial sesquicentennial year. The theme of this year's readings and discussions, "Idaho at 150 – Sesquicentennial Days," explores life in early Idaho and the challenges faced by people settling and developing the state. The University of Idaho Library is partnering with the Moscow Public Library to provide the talks, which bring adult readers together with humanities scholars to discuss fine literature.
The remaining program in the five part series is scheduled for March 20 when Ron McFarland will discuss We Sagebrush Folks by Annie Pike Greenwood. The programs begin at 7pm and are open to the public.


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Seeding the future
At Otisville State Correctional Facility, a New York State prison, growing fresh produce for the dining hall teaches inmates skills by having them work on a cutting-edge hydroponic garden experiment.
At A Glance: Otisville State Correctional Facility in New York
•David Schor, foodservice administrator
•Introduced hydroponics in 2005
•Start-up cost was $3,000
•Annual savings on lettuce: $1,500-$1,800
•Grennhouse capacity: 650 lettuce plants
•Dining hall seating capacity: 228
•Daily meal cost per inmate: $2.07
Otisville State Correctional Facility in upstate New York is saving money and stabilizing its supply of fresh produce through an expanding hydroponics program. David Schor, Otisville's foodservice administrator, believes hydroponics and corrections are "a perfect match" because of savings in labor cost and utility bills, plus the educational and rehabilitative value for inmates.
Hydroponics involves growing plants using mineral nutrient solutions instead of soil. Hydroponics can be done in a limited space, and hydroponically grown crops such as lettuce can be packaged and sold while still alive, greatly extending freshness.
We can do this: Schor, who came to Otisville 21 years ago, introduced hydroponics in 2005. The institution already had a horticulture program in place, growing tomatoes, cucumbers, peppers, zucchini, squash and some basil, for about 10 years.
"Outside my mess hall I had a fenced-in area, about 1,800 square feet, and I decided to convert it into raised-bed gardens," Schor recalls. After doing so, the prison's horticulture instructor told him he'd met someone teaching hydroponics at a federal facility in Pennsylvania.
"I was able to contact the guy," Schor says, "and took a ride out there, six hours one way. We took a look and decided, 'Hey, we can do this.'"
Schor and his staff proceeded to convert a 17-ft.-by-30-ft. greenhouse to hydroponics. The cost of getting the project off the ground was not high. "Considering we had a used greenhouse, our original start-up cost for the equipment, fertilizer, seed and everything else was about $3,000." He continues to grow some produce in the raised-bed garden, "but there's a limited growing season."
Schor had been growing tomatoes in the greenhouse, but space had become an issue, and tomatoes are not on his menu. Thus, the decision was made to grow only lettuce. Two or three inmates work between six and eight hours a day, five days a week, on the lettuce crop. Otisville puts lettuce on the menu once a week for salad, and the hydroponic garden covers it completely.
The institution was paying its primary produce supplier about $12 a case for year-round lettuce. "But there are times when there are lettuce shortages, whether it's drought, an early frost, or too much water," Schor points out, so supplies could be intermittent. Other produce items go out to bid every two weeks. The prison budgets $2.07 for three meals per inmate per day.
The greenhouse is spacious enough to grow 650 lettuce plants at the same time. Yield-per-acre calculations are difficult, according to Schor. "You can't really compare. The yield per acre is difficult only because most places where you're growing something per acre, you're growing on a seasonal basis. What I'm able to do is grow (year-round) in a smaller space, using a tenth of the water and half the fertilizer. I don't have a dollar figure, but there's a savings."
Additional benefits: Hydroponics grow fast: from seed to a full head of romaine takes only about 30 days. The shelf life on the hydroponic lettuce is generally three to four weeks. "That's what's amazing about it," says Schor. "When you buy romaine, iceberg or any of those lettuces in a store, the roots have been removed. In about six or seven days that lettuce starts to turn brown."
When Otisville's inmates harvest their hydroponic lettuce, on the other hand, they leave the roots attached and place what they pick into an airtight bag. Most of the time it is used in one to two weeks. The lettuce is stored in the kitchen's regular walk-in cooler.
Savings from his entire farming program, he says, are tough to nail down, but Schor recently calculated that the hydroponics program saves the department between $1,500 and $1,800 a year. Inmates working on the hydroponic crop are paid from 22 cents to 38 cents per hour.
"We've learned a whole lot," says Schor. "When I started this I knew basically nothing about hydroponics. We've made mistakes. We lost power one day in the middle of the winter because of a problem with our furnace and our whole system froze."
While heat is a cost connected to the program, Schor points out that this was an expense that predated hydroponics. "We took a greenhouse that wasn't being used at all for a viable product before. We just had ornamental plants growing in there, and we were heating and lighting it anyway. So this represented no additional cost to the facility at all."
Savings continue to accrue. When the program kicked off, Schor was paying about $70 for 5,000 lettuce seeds.
With a new supplier, he's paying $30 for about 24,000 seeds.
Beyond the dollars of savings and the lettuce itself, the program offers yet another benefit, namely "teaching these inmates a trade," Schor says. "It's very educational for them. I have a guy from the Dominican Republic who is constantly trying new things. He already told me that when he goes back to the Dominican Republic this is what he wants to do. I feel a strong sense of accomplishment. Not only am I saving the state money and giving the inmates a good product—and they do appreciate that—I'm also teaching them a trade that they can actually use on the outside." The prison already offers a foodservice training program, as well.
Not surprisingly, Schor calls hydroponics "the way of the future," for several reasons. "First of all, you're able to grow year-round. Second, it's what we call a controlled soil-less environment; you're able to control the amount of water and fertilizer. Light is supplied by powerful metal halide bulbs.
"You can grow your plants a lot closer together because there is no competition for light, water or fertilizer," he continues. In addition, the hydroponic crops grow without the use of pesticides.
The future: Schor and his staff are experimenting with growing various kinds of produce hydroponically to see how well they do. Produce that he has grown on a limited basis so far include tomatoes, cucumbers, peppers, eggplant, snow peas, and most recently, watercress. "I'm hoping that the hydroponic program can be expanded," says Schor.


text: I'm convinced that Judge Palermo has sipped from the Fountain of Youth. This month he completes his 40th year (!!) with the Court. He was sworn in January of 1971 and was the first magistrate judge appointed. He really is an inspiration. Check out the article below from his swearing in and a picture (below) from his swearing in..


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Blogs written by and for ACA Members.
Find our member blogs by member name here!
One of the main things I teach my students in my Professional Readiness and Ethics classes is the concept of client retention. Here are some points that I feel are critical:• Admit clients when they are in crisis. Job loss, eviction, arrest, domestic dispute, illness, injury, financial trouble, and other crises tend to motivate clients to enter and stay in treatment. • Develop referral sources that have contact with clients in crisis—employers, police, lawyers, probation officers, social services, domestic violence shelters, mental health centers, medical clinics, and churches.
• Reduce waiting times and expedite intake. Schedule first appointments the same day the client contacts you or the next day if possible. At the very least, provide telephone or drop-in support while they wait. • Promote innovative and flexible approaches that seek to expand the variety of clients eligible for your services rather than retaining stringent admission criteria. For example, rather than excluding clients with co-occurring disorders, modify your program so that you can treat dual diagnosis clients in an integrated fashion.• De-emphasize the "medical", "pathological", "disease" appearance or approach to treatment. While professionalism and reimbursement of services is very important, it is equally important to exhibit a welcoming atmosphere that builds rapport and reduces stigma.• Provide evening as well as day-time appointments, individual sessions as well as group and family sessions.• Provide individualized treatment planning as indicated by unique treatment goals, methods, modalities, intensity and duration of treatment.• Develop group sessions that cover "real life" topics, everyday skills such as assertiveness, discipline techniques for parents, self-esteem building exercises, money management, problem-solving/decision-making skills, etc.• Increase family/significant other involvement in treatment. A parent (usually the mother) or a female relative is usually the best support person. Include at least two sessions with significant others.• Take a "first things first" approach by: o Allowing clients to talk about immediate concerns or areas of competence and successo Showing clients how their immediate concerns and plans can be resolved and achieved by staying in treatmento Asking open-ended questions and seeking the client's honest reaction to being in counselingo Being a good listener and seeking first to understand (then, and only then, to be understood)• Structure the first few individual counseling sessions with the primary goal of developing a relationship of mutual trust and respect, with motivation to comply with treatment as a secondary goal; discuss how the client feels about being in counseling (embarrassed, ashamed, anxious, proud, stigmatized, etc.)• Develop mutual trust and respect with clients by earning it; set limits respectfully; be considerate; make them want to come back; identify with them as a person and a professional• Be empathic and nonjudgmental while demonstrating unconditional acceptance; use confrontation while observing cultural sensitivity and diversity• Maintain a hopeful, positive, solution-oriented, "can-do" attitude toward clients instead of a "we'll get 'em when they've hit rock bottom" approach. Convey this empowering stance to clients by encouraging them and noticing even the smallest changes• Identify the clients' low income, minority status, lack of education/ability, family obligations, and other obstacles associated with treatment dropout; adjust your approach accordingly• Since effective counseling for different cultural groups is more closely related to shared attitudes and values and is less about shared ethnicity, develop an awareness and understanding of the values of different ethnic groups and non-judgmentally incorporate these values into treatment.• Be attentive and remember details; be trustworthy and dependable; don't be pretentious or try to impress with big words or "psycho-babble"• Ask clients for honest feedback at the end of each session; for example, ask, "On a scale of one to ten with one being 'useless' and 10 being 'very helpful', how was this session for you?"• When a client misses an appointment without notice, immediately call or email the client and be persistent until they either return for services or withdraw; if the client does withdraw, ask why and document and document reasons for program evaluation purposes• If a client attending group has a slip or relapse, don't terminate their treatment; schedule individual sessions to address relapse prevention; then have the client return to group • And, finally, be a "salesperson"; find out exactly what each client wants and what steps they could take to get what they want; then, sell them on the idea that they can get what they want by achieving their treatment goals (which incorporate these desired outcomes).
Barbara Jordan is a counselor, counselor educator, author, trainer, and leadership coach. For more information go to www.AdvantEdgeSuccessCoaching.com.
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