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Wednesday, July 06, 2011
Why I Believe the SOLT Statement
Let me explain how the church works and why I believe the SOLT statement. First of all, the church authorities keep files on their clergy. Every complaint is filed away and not only kept, but kept private. It is kept private for all sorts of good reasons. First of all, no one should be convicted of wrong doing based on a private (and often anonymous complaint) Secondly, no one should be convicted of wrong doing simply because they might have fouled up and made a little mistake. Thirdly, wrong doing for a priest may not be criminal and while he might be a bad priest, he may not have done anything that bad. Catholics may lament what he's done, and he may have hurt people, but it may not be something he can be prosecuted for--or for that matter even disciplined by the church for.
When the church (and other authorities) keep these files they do so to keep an eye on things. Usually there is far more than meets the eye, and far more than they can disclose publicly for legal reasons and for reasons of discretion, fairness to the accused and the desire not to cause scandal and outrage amongst the faithful. I happen to know of several cases where the priest or religious were finally caught and brought to trial or disciplined by the church authorities and the thing they were disciplined for was only the tip of the iceberg. However, due to legal and disciplinary procedures, they were only tried on the particular case. People in the know, however, realized that the particular man had a great fat file back in the offices of all sorts of other complaints, hints, problems and red flags which on their own may not have been criminal or worth disciplining, but taken together made them know the man was guilty.
I knew an Anglican priest, for example, who worked as a spiritual director for private boarding schools. He used to turn up and stay overnight and enjoyed spending time with the boys when they were getting ready for bed, showering and changing. He would play tennis with them and shower with them afterward. Everybody knew that old Father so and so liked watching the boys get naked. There were complaints. He hung around the boys too much. People were uncomfortable. The files got fatter and the rumors were rampant. Still, hanging around boys changing at school isn't criminal. It's just not nice. Then he finally fell into further temptation and committed a sex act on a teenager. Then the police prosecuted. They questioned a friend of mine who knew the priest and said, "Father, believe us. We would not be prosecuting on just one accusation. We'd let the priest off with a warning. We're prosecuting because there are so many other stories and rumors and unsavory things happening,
However, they could not go public on any of the other stuff they had on him because it was circumstantial, rumors, complaints or simply not criminal even though it was creepy. I've known dioceses and schools and religious orders that have behaved like this too. They've kept the rumors and complaints under wraps because they honestly can't do much about it until the whole thing explodes. Once it does, they already know enough to take action.
To the public (who don't know all the details, and mustn't know all the details for the sake of fairness of procedure and the reputation of third parties) it sometimes seems like an accusation out of the blue, or an accusation of an innocent party. This is what happens, and if anything, the church has been guilty of holding off too long when there has been wrongdoing. She often did so for very good pastoral reasons, and then was accused of a cover up. Now perhaps the pendulum is swinging the other way and some people who are innocent are being accused.
That may be the case, but in Corapi's case there is just too much that is fishy for him to be innocent. His refusal to co operate with the investigation, his living on his own outside of community or church discipline, his payment of $100,000 to keep the woman (and other employees) quiet, his running a for profit enterprise that has brought him great wealth, his refusal to obey his religious superiors and most of all his public renunciation of his priestly ministry---all this is too much.
One can give the benefit of the doubt only so far. Still, this is not for me to condemn the man. My opinion is that he is guilty as charged, but if I am wrong and he is proved innocent then praise God and I'll eat humble pie. Even if I think he is guilty, I still feel compassion for him and remind myself and everyone that we are all sinners and let's offer up a prayer for him for he is our brother.
UPDATE: Some have asked why SOLT didn't rein in Fr Corapi years ago. Again, we don't know the facts, we don't know what went on behind closed doors. It is very possible that SOLT and the bishops had a file on John Corapi that was getting bigger and bigger every year, but that they really couldn't do very much. Everyone thinks that 'obedience' in the church is a cut and dried military sort of obedience. The religious superior or bishop says, "Jump" and his inferiors say "How high?". I'm afraid in today's church this just ain't so. Instead religious superiors and bishops favor 'consultation' and 'seek to do what is best for each person in their care.' This is admirable and probably pays off in the long run, but what we don't have is instant obedience and the ability to rein someone in if need be. This is especially true if the man in question is canny and aware of the battlefield and ready to fight for his 'rights' and position.
I know of a diocesan priest, for example, who is notoriously bad tempered. He is a bully and an autocrat. He is arbitrary in his judgments, rude and arrogant. He also lives high off the parish. He wields the parish credit card with incredible indulgence. The parish has bought him a posh rectory and he has all the luxuries he wants. Nobody reins him in because nobody can. He's smart enough that he does everything according to the rule book. He never breaks diocesan financial regulations, keeps track of everything, watches his back and says all the right things to all the right people. He's corrupt and venal and disagreeable and there ain't nothin' nobody can do about it. If the Bishop were to command this fellow to give up his big wealthy parish and move to Snotville he'd probably refuse to go and take his case all the way to Rome where (you guessed it) he has some buddies in the right office who will take care of him.
These are the realities and saying that SOLT should have reined in Fr Corapi years ago is easy to say, but hard to do.
40 comments:
- Anonymous11:28 PM
I have worked as an Internal Affairs investigator and this sounds similar to the way police officers are treated. IAD investigators are routinely criticized for what is seen as unfair treatment of officers, but the department at large rarely knows the whole story.ReplyDelete
Father, I agree. Like cmalexander I've worked in investigation and although I have a deep devotion to the Priesthood, what SOLT says, what Fr. Corapi has said about himself in recent weeks, etc...yeah...he doesn't come out looking good.ReplyDelete
As much as I WANT to believe Fr. Corapi, I can't, because he provides too much testimony against himself and renders himself without crediblity in the face of both the accusations and his own Order's response to him.
An innocent person is obedient to their own chosen authorities; an innocent person does not make direct pre-emptive strikes, and an innocent person does not mince words - Fr. Corapi minced words, slandered his accuser before the charges were public, and attacked his Superiors on all sides.
The fact is, were I his attorney, I would have ordered his silence, for by his actions and statements, Fr. Corapi has rendered himself indefensible.
It pains me to say it...I love him, I love his explanation of the Faith, his Catechesis.
But He has been taken in by the Enemy and is the embodiment, now, of the goal of Screwtape Letters. If only CS Lewis were his Spiritual Director....if only he reviewed his own work and took his own advice to heart....
It is in dangerously bad taste (and perhaps even potentially sinful) to make judgements about people's culpability in certain instances. Best left to those who are commissioned by their authority to do that (bishops, superiors of religious communities, legal authorities).ReplyDelete
We CAN sit in judgment of those who build cults of personality around themselves. Big egos are fraught with danger.
Father, I wish, hope and pray that you are wrong about Fr. Corapi, but I fear that isn't the case.ReplyDelete
- Anonymous8:37 AM
This story will run and run. Whatever we think we know, we are not in possession of the full facts and nor should we be.ReplyDelete
I never followed Fr. Corapi but many did. He may well have brought souls to God. We cannot deny that many out found great comfort and solace in his ministry.
There are those who will continue to support him and refuse to believe anything other than good about this man. They must be confused and hurt and probably in turmoil. They need our prayers.
As for the statement by SOLT. Sometimes it is best to keep a dignified silence on such serious matters. Being that they are a Religious Order. One has to wonder why they did not apply a little damage limitation and reign Fr. Corapi in before things really got out of hand. Or was it a question of 'Give him enough rope and he will hang himself'. Hang himself he did. There are no winners here. Once again this scandal will reflect badly on The Catholic Church and most especially its Priesthood.
- Anonymous10:41 AM
Regarding the question of whether SOLT should have "kept a dignified silence": it seems like they did for quite some time. Fr. Corapi has been so public in his statements recently that I don't see how SOLT really had any choice but to say something like this.ReplyDelete
As for reigning Corapi in, I imagine that there's a certain amount of discussion in certain quarters about how to keep something like this from happening again in the future.
In their defense (based on no actual expertise, but anyway...), they are a relatively young order, and it looks like they were experimenting with their rule initially. By the time it became apparent that something was amiss with Corapi, he may have been a big enough name that they were having trouble doing anything about the situation. (It does seem like they had been trying to persuade him to come back to living in community, without success.)
I pray for Fr. Corapi, and for his many detractors. I have no knowledge to bring regarding any assertions, much less any investigations. From my own viewing of Fr. Corapi's teachings on EWTN, I have taken much that was good. We all have our weaknesses and our failings. I forgive Fr. Corapi, and I forgive also those who leaped to judgment. I hope the latter will indulge in a good deal of prayer, for their own good.ReplyDelete
- Anonymous11:11 AM
Father Longenecker, I am happy that you are at peace with your opinion that Father Corapi is guilty as charged. On the other hand I am greatly troubled by your account of the Anglican priest who was allowed to coninne to lust after the boys and no one put a stop to this until he raped a teenager. All simply because his behaviour was not criminal, just "not nice."ReplyDelete
Even after centuries of scandals and abuses, sexual and other, by bishops, cardinals and priests, we are still trying accused religious with ancient ways. We still do not have in place within the church, some sort of court or system, made up of legally knowledgeable people who can consistently and fairly try accused priests. Instead we are pretty much left to judge for ourselves, as you have, whether the accused is guilty or not.
SOLT has not acted reponsible and with dignity. Instead they have issued a "hit and run" rambling, vindictive and hurtful release full of "most likely" opinions.
Father Corapi has been a dedicated teacher of the Catechism of the Catholic Church. He has taught the catechism as it is written without fear of offending anyone. Could it be possible that he in doing so, has stepped on some big toes?
Hundreds of thousands have benefited from his teachings, and many lukewarm catholics have returned to the catholic church because of his teachings.
As for the "priests housekeeper's" comment, that those who have listened to Father Corapi's sermons are "confused, hurt and in trumoil," I disagee. We are intelligent people who love to listen to the word of God being taught as He meant it to be taught and as Father Corapi has been blessed to teach it.
I for one refuse to stand in judgement of Father Corapi. Let's pray for all involved and let God be his judge.
Ruth, the story of the Anglican priest is disturbing, but I should clarify that he did not rape anyone, but was involved in a lesser sex act which was consensual, but the teenager was under age.ReplyDelete
As to his other behaviors, what he was doing was creepy and wrong, but not illegal. It was therefore impossible to act against him in any way other than a warning. He had received such warnings, and clearly thought himself above them.
As to Fr Corapi, I have expressed my opinion. There are too many disconcerting things about his behaviors and response to think him innocent. However, if he is and I am wrong, I will rejoice.
Sounds like SOLT should have moved in with Father Corapi. His house and yard apparently had enough room for a whole community....ReplyDelete
"Su casa, nuestra casa!"
Seriously, I don't know how better to rein somebody in than to keep 'em company. Lots of company. :) Send out your monks and nuns in twos and threes, just like in the olden days.
"That may be the case, but in Corapi's case there is just too much that is fishy for him to be innocent. His refusal to co operate with the investigation, his living on his own outside of community or church discipline, his payment of $100,000 to keep the woman (and other employees) quiet, his running a for profit enterprise that has brought him great wealth, his refusal to obey his religious superiors and most of all his public renunciation of his priestly ministry---all this is too much."ReplyDelete
None of this proves Fr. Corapi's guilt or innocence. How do we know that SOLT aren't just trying to cover their own butts? The way that they SOLT leadership waited to release the statement after Father Corapi defended himself publicly is highly suspicious to me. I have been a victim of being scapegoated by higher ups within a Catholic university so I'm not so quick to judge or assume that Father Corapi is guilty of the accusations.
And through all of this we must remember that God works through broken vessels. A person can do much good, and still not be a good person. Doing good and wonderful works does not indicate holiness. Sometimes we forget these "small" truths.ReplyDelete
- Anonymous2:03 PM
Re: "Why I Believe the SOLT Statement"ReplyDelete
Well what does the SOLT statement say? The key sentence:
"SOLT's fact-finding team has acquired information from Fr. Corapi's e-mails, various witnesses, and public sources that, together, state that, during his years of public ministry:"
Is this a finding of guilt? Did SOLT actually see Corapi's e-mails or is SOLT relying on hearsay? Do all the witnesses agree or are they divided in testimony? Are the public sources accurate and unified or in dispute?
Trial by blog is a curious thing. Personally I would prefer trial by Canon Law.
God bless
Richard W Comerford
> I know of a diocesan priest, for example, who is notoriously bad tempered. He is a bully and an autocrat. He is arbitrary in his judgments, rude and arrogant. He also lives high off the parish. He wields the parish credit card with incredible indulgence. The parish has bought him a posh rectory and he has all the luxuries he wants. Nobody reins him in because nobody can. He's smart enough that he does everything according to the rule book. He never breaks diocesan financial regulations, keeps track of everything, watches his back and says all the right things to all the right people. He's corrupt and venal and disagreeable and there ain't nothin' nobody can do about it. If the Bishop were to command this fellow to give up his big wealthy parish and move to Snotville he'd probably refuse to go and take his case all the way to RomeReplyDelete
This makes me somewhat less enthusiastic about throwing money in the basket on Sunday morning.
- Anonymous3:18 PM
I have read the books and pamphlets of the late Fr. Maciel. I have listended to the sermons of Fr. Corapi. Does their human failings in sins of the flesh make their prior works incorrect or bad? That is, if St. Augustine was reverse in his life, wrote the Summa first and then had an immoral life, would the Summa be any less a great religious book? Do you understand my question, Father? How do we reconcile prior good works with current immoral behavior.ReplyDelete
- Anonymous3:31 PM
"I'm afraid in today's church this just ain't so. Instead religious superiors and bishops favor 'consultation' and 'seek to do what is best for each person in their care.'"ReplyDelete
Father, this doesn't seem to me an excuse for SOLT's neglicence. Rather an admission of their own
It takes two to tango and your words confirm that you think (and I agree with you) that this tango has been danced by the SOLT in every step and that they have been accessory to father Corapi's sins. Which is even worse because of his past history and their duties towards him.
Thank you again for clarifying so many things about this. I cannot help but wonder that if the Casey Anthony case had not captured the media and so many Americans, to the point of every other piece of news being relegated to a few sound bites, Fr. Corapi's sad story might have hit the front pages and the TV news with yet another "scandal" of the Catholic Church priesthood!
I'm sorry, Father, I can't agree. The Anglican priest who was watching boys in the shower should have been removed before he could hurt anybody. The autocratic priest should be removed from the position where he could be a stumbling block for souls. No one should be considered to have a right to be a priest; it is a privilege. In today's environment, legalities will not, and should not, serve as an excuse for the failure to exercise common sense.ReplyDelete
Look what happened when SOLT pulled the trigger when they did. The reaction was nothing short of hysteria. Can you imagine what the reaction would have been if they had acted any earlier?ReplyDelete
"This makes me somewhat less enthusiastic about throwing money in the basket on Sunday morning."ReplyDelete
This kind of thinking makes me crazy! Do you give back to God what is God's because you love Him and want to serve Him or do you give to show your approval for the priest?
It is possible to disagree with--even seek the removal of--a priest without resorting to withholding money we owe--that's right, OWE--to God and His Church.
" . . . the story of the Anglican priest is disturbing, but I should clarify that he did not rape anyone, but was involved in a lesser sex act which was consensual, but the teenager was under age."ReplyDelete
Father, anytime there is sexual contact between an adult and an under age person, it is NOT consensual. The adult has the power and the teenager does not. You clearly do not understand what sexual abuse really is. Adult sexual abusers "groom" the young person, sometimes for months, even years, before making their move. This can look like consensual sex but it most certainly is not.
Your blog post was good - that comment was off the mark. Read up on the subject, please. You are a good priest - reading up on this subject will make you a better and more understanding one. God bless you!
Jack, the Anglican priest I'm talking about--it was 25 years ago. Nowadays nobody with any sense is anywhere near shower rooms with kids. Back then it was different. Most people didn't think there was anything wrong with gang showers. Today, however, it would be treated differently and the guy would have been called on it.ReplyDelete
The autocratic priest? What are you going to do--pull him from his parish just because people don't like his style? That wouldn't be fair.
Two points that make you sound dumb:ReplyDelete
1) we know for an absolute fact that Matt Sprinkle tried selling a rosary of Corapi's for $5000 on eBay. We do not know the veracity of his claim against Corapi, but that speaks ill of his character.
2) We know for an absolute fact that the former bishop over SOLT said there was no vow of poverty. This contradicts the SOLT statement explicitly. Their claim to all of his money came right after we won a cool $3 million in the lawsuit. That's beyond suspicious.
The two *facts* above are damaging. The two *implications* deducted from those facts are DAMNING.
And need to be addressed. I await your next post with bated breath, Father.
Dear Daniel, I'm afraid I have no idea who Matt Sprinkle is, nor do I know the details of the vow or promise of poverty for SOLT members.ReplyDelete
I do know that all Catholic priests are supposed to live in 'apostolic simplicity' and obedience to their superior.
It seems Fr Corapi didn't.
- Anonymous8:10 PM
Corapi's statement is carefully crafted to look like he is rebutting SOLT's accusations, but he does nothing of the kind. Anyone with a brain can see right through this. This is very evasive and vague. He doesn't directly respond to any of the accusations. Looks like the response of a guilty person.ReplyDelete
1. He doesn't deny the millions he has and the many luxurious possessions, which is a gross violation of the promise of poverty. He merely says he was financially independent. That still doesn't give him an excuse for his excesses and breaking the promise of poverty.
2. He evades the sexual impropriety accusations by limiting his response to one woman. He avoids the charges of cohabitation, sexting and having a more recent mistress completely. Very slick.
3. He says the reason for the payoff in the non-disclosure agreement was not to silence anyone, which is dubious at best. He does not deny that he paid or offered the $100,000.
4. His explanation about his resignation is lame and rings hollow. He could have had a fair process and given his side of the story if he had released the witnesses from the non-disclosure agreement. He purposely ruined the process and stallled the investigation himself.
5. Then he immediately gets back to business marketing mode, gives a false impression of what his choices are and promotes himself.
6. He doesn't address the grave charges of sacramental impropriety, he does not address the drunk driving incident of 1999, which is public record.
Perhaps SOLT will feel compelled to release the emails and sexting records, as well as his real estate titles and records of his other luxurious merchandise. He is declared not fit for ministry, but his followers ignore the obvious and blindly follow him over the cliff. He is taking his followers for fools and continues to play them like a fiddle.
The comment from All Numbers has been posted pretty much everywhere. Busy fingers.ReplyDelete
I agree with you Fr. Longenecker -- although, like you, I would be happy if he were found innocent after all. His refusal to return to his community after being told to is, for me, the most telling bit. Mother Theresa founded an order but she didn't throw the old one to the winds to do so -- she had a long and in many cases disagreeable time of it. The Franciscan Friars of the Renewal went through a long period of leaving their Capuchin order to form a new one. It's not bad to leave one religious community for another, or to found another. But just chucking the whole thing and claiming everyone is out to get you is either a lie or a delusion. It's a sad mess.
I'm sure you are right about SOLT. It is no easy thing to rein someone in if he has been off the path for a long time. The longer and further off the path one gets, the harder it is to turn back. Fr. Corapi could return tomorrow and I would be glad, just as I'm glad when anyone comes back to the Church. But right now he's choosing life as a sheep dog over life as a priest of Christ. I am less than impressed.
- Anonymous12:22 AM
Before I became a Catholic, I attended an Anglican church with a corrupt priest. Letters were written by numerous parishioners over a period of nearly ten years. The bishop was very aware of the priest's actions, even went as far as to interview parishioners that had concerns, but nothing was ever done about him. Our family finally decided we couldn't continue to attend a church with such a corrupt "shepherd to the sheep". We loved our parish and our church family and it was extremely difficult for us to leave. But God used that experience to draw me to the Catholic Church. I felt very much like Joseph in the Old Testament (Genesis 50); he meant it for evil, but God meant it for good.ReplyDelete
I learned from that experience I would never put my priest on a pedestal or expect perfection of him. Perhaps I became a cynic, but I refuse to give my complete trust to my priest. I honor him as the authority placed over me by God, but he is a mere man and is prone to sin. I put my trust in Christ's Church, because the Holy Spirit guides it. That's the beauty of our Catholic faith; man (or the gates of hell) cannot destroy His Church.
I also learned that I must pray for my priest, along with all the clergy. It is our duty as parishioners to pray for those in authority over us; the Scriptures command us and our Catholic faith compels us. The clergy endure pressures and temptations that are unknown to most of us and they desperately need our prayers. I can't expect God to work in their lives if I don't ask Him to do so.
St. Michael, defend them in battle and be their defense against wickedness and the snares of the devil. Amen.
One reason to believe SOLT's statement is that it is embarrassing to SOLT: it's an admission that, for whatever reason, they were not able to rein in Corapi.ReplyDelete
That's why the metaphor "throwing him under the bus" doesn't work: They're not sacrificing him to save their own reputation; they're exposing their own failure in the process of exposing his apparent wrongdoing. That shows some fortitude.
"The comment from All Numbers has been posted pretty much everywhere. Busy fingers."ReplyDelete
I've been everywhere and only saw it first here, so I hope that's not a problem for you. ;) Whoever it is, he/she made extremely valid points. Great analysis of Corapi's latest blog post. Spot on.
Two thoughts come to mind as I read this:ReplyDelete
1. I'm as shocked as anyone by what appears to be corroborating evidence of wrongdoing by John Corapi. HOWEVER, his statement from today(?) made me wonder if we've made numerous assumptions that're out in left field.
Noone on the internet seems to truthfully know what SOLT and Fr Corapi had agreed upon prior to this mess. It's always possible that SOLT, themselves, have violated some statute--and therefore Corapi's rights--with this investigative team. While we're all thinking he SHOULD have lots of accountability to them, even this article comments that often, the modern Church has much less pull with members than we think.
We may ultimately wind up watching SOLT get egg all over their faces by trying to prod Corapi into coming to heel by canonical means..when they should be using civil law instead. His would not be the first occasion that Church officials wound up mangling someone's life by means of failing to use normal procedural methods. Unusual yes. But his ministry had never been "normal". I can't imagine why anyone would be shocked that this could be VERY complicated.
2. In the case of the pastor/priest the article mentions, I think it plausible that the Church needs to be a bit less reticent. If a man takes a vow or promise of poverty, but Joe Public can tell that he's not living thus, there're means by which such a thing can be proven and addressed. It may not appear to be the kindest thing to do, but a financial audit by an accountant, the IRS, or an independent investigative team might discern worthwhile proof of wrongdoing. I understand that such a thing might appear quite nasty, but in all seriousness, I'd say the man inflicts scandal upon the community by his actions. Seems to me the diocese might even be culpable of neglect before God if the bishop or his staff don't take action.
When someone does something not entirely ethical or moral with money, there's almost always some trace left somewhere. In some cases, it might be a simple matter of discerning one single mistake to unravel the deck of cards.
I cannot help but feel that spending time on this subject doesn't help anyone.ReplyDelete
Let me start by saying I am not a catholic although that is the church I went to as a child. I am a Christian however, through and through. I have enjoyed EWTN for a few years now and especially Fr. Corapi. While we differ on certain theological points(this is not about our differences)I like his style and no-nonsense approach to Christianity. He ruffled a lot of feathers by not being "politically Correct" and his "Tell it like it is"point of view. I am sure he angered many "special interest"groups as well as people in his own order/Church. That being said there are many who would love to silence him, period. We already know that the enemy attacks those who are against him and he does it in many ways. Is he truly innocent? Only God and Fr. Corapi knows that answer. Is SOLT acting poorly in their investigation? No. In my opinion they are doing exactly what should be done in these cases. The reason the RCC got in such hot water in the past sex scandals was due to it's Inaction. To get angry because they have learned a lesson on how to handle these cases in ridiculous. Let them do what they must do to either find him guilty or clear his name. Will this damage his reputation? Yes but what is worse, besmirching his reputation or getting yet MORE lawsuits and accusations from a Main stream media that already has it's gun sights on ALL Chritianity and especially the RCC. What we as followers of the Lord jesus Christ should do is to pray for him, Not judge him. We are Christians, yes but we are also very much human. We are not infallible. Only God is perfect, we are not. We MUST forgive him if he in fact is guilty. That is one thing we must do. Thanks for allowing me to add my opinion to this tragic matter.ReplyDelete
- Anonymous9:12 AM
For the sake of his own wellbeing and the scandal he is causing the Catholic community, Corapi needs to exit public life immediately and undergo therapy. We are watching this man fall into a deep hole as well as wound the Body of Christ. People who are close to him must intervene or this will end in tragedy.ReplyDelete
Who knows what the truth of the matter is. I saw Fr. C in person last fall and was underwhelmed (which in itself was a disappointment since I have enjoyed his preaching). I thought the stories he told by way of examples from his life were prurient and inappropriate given his status as a priest. Frankly, he talked about himself too darn much.ReplyDelete
Now, I must say that I don't care if he is guilty. I decided already that I would never listen to him again. He has abandoned his priesthood, but seems to still want to set himself up as a pastor over and against the bishops (black sheepdog, indeed). He wants to be a "pastor" without any of the accompanying duties or with any authority over him.
EVERYBODY should JUST. SHUT. UP.ReplyDelete
Pray for the fallen.
Pray for the fact that God allows bad to happen so he can bring about greater glory.
I do not believe believe many things esp of secular news bit as we are suppose to livw with as little as possible as christians it seems John Corapi owns many items unbecoming to a priest let alone a christian Catholic....when he defends a pretty large pleasure boatand 100,000,000,000 dollors of land,sportscares ext so says the Catholic news agency...when i am told by my Church, poverty is what we are to imitate as in CHRIST in a nasty cave with the sober of donkeys for a bed and a man who preaches incarnation...we are lied to by the Church? No by a fallen man...much like Lucifer. but we are not his Judge CHRIST THE ONE HE INSULTS WILL BEReplyDelete
When I heard Fr. Corapi last summer in San Antonio, I left with two clear but distinct feelings.ReplyDelete
First, I felt disappointed because there was no coherent topic to the four talks (5 if you count his homily). They sounded like the ramblings of a confused old man.
Second, I felt a sense of fear that something was not right in his life, and that a torrent was soon to come. When all of the news broke last spring, and reading all the updates, I was not in the least bit surprised. In fact, I expected it.
Here's the reason why: much of his talk was about himself, the great works he had done, and how others were persecuting him. It sounded to me that he had become too caught up in his celebrity. He also talked at some length about how people had accused him of sexual impropriety because he had friends who were women (and likewise, asked if he was gay because he had friends who were men). I left with the sense that he was hiding something.
All of this was sheer intuition, and I pushed the thoughts away, said a prayer in hope that my thoughts were way off, but feared they might be true. And now, it looks as if it has happened.
I know a lot of people are asking, "Where do we go from here?" and "Should we continue to use his material?"
Yes and no. We must remember to separate the man from the message. His message of salvation is one we all must hear. He needs to hear it himself. But his personal story will no longer have the effect it once had, except on Fr. Corapi himself. In my opinion, it is OK to use his material that preaches the truth, and to cast away that which preaches himself. But that should be the case.
In the meantime, while he is still alive, we should still pray.
It always makes me cringe every time there is a new "scandal" minor or mayor, from a prominent Catholic figure, and the damage it does to Mother Church. On a related note, I find Corapi's new "black sheepdog" imagery disturbing and rather creepy, and the "fire sale" of his products at his website is tasteless, and makes him look more like a businessman than a priest. In my humble opinion, I think Bishops, and Superiors of religious orders, have to be very careful as to how much "free reign" they give particular priests to go around setting their own agendas, traveling by themselves, speaking frequently to large crowds, getting money, etc. For the sake of their souls! Unfortunately, given our fallen nature, I can see how someone in that position can easily fall into the sin of Pride, which is after all, the "original" sin, and the door for all other sins. It is partly our fault that we sometimes treat charismatic priests like Rock Stars and we confuse the messenger with the message. This is what happened to "Father" Alberto Cutie in my community, and the reaction of many of his "followers" was very similar: denial, followed by rationalization, and blaming the Church Hierarchy. It is all a consequence of the V.I.P. (Very Important Priest) syndrome. We need to pray really hard for our priests, that they may be more like Jesus, and always practice the virtues of humility, obedience, and POVERTY. In omnibus caritas.ReplyDelete


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subset: commoncrawl


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Phase II Overview
You are here
All proposals that have been recommended for time by the NTACx and that involve either facility instruments or queue-mode non-facility instruments must go through Phase II. The deadlines for the Phase II process are advertised each semester on the "special instructions" page.
Note that failure to submit a defined program by the Phase II deadline will result in the progam being canceled. Extensions are granted only in exceptional circumstances and only if requested prior to the deadline.
Data extracted from successful Phase I proposals are used to construct a skeletal description of each observation whose details must be defined or further refined in Phase II. Retrieval instructions for the Phase II skeletons are given in an announcement email from the Observatory. The skeletons are retrieved from a remote-access database located at the Observatory. The user may save programs locally as XML files, although the completed observations must be returned to the Observatory by storing them into the database. Observations are defined using the Observing Tool (OT) for all facility (and other selected) instruments. Visiting instrument observations must also go through a Phase II process using the OT.
After completion of the detailed OT definition, the observations are returned to the National Gemini Office or Gemini Observatory for checking. For established instruments, the National Gemini Offices provide the first level of Phase II support (except for US PIs for which the Observatory staff does this). For new instruments or modes, and for higher-level queries, Gemini Observatory staff provide Phase II support - support staff are listed on the queue and classical schedule web pages.
After checking by NGO staff the Gemini Contact Scientist (CS) is notified that the observations are ready for final checks. The CS carries out a final verification before setting the observation status to "Ready", which prompts the Active Observing Database to notify the investigators that their observation is now a candidate for scheduling. (If there is a problem with the observation definition, then the observations are returned to the National Office for further iterations with the investigators). Once in this database the observations are available to be executed.
Queue investigators cannot change observations in the Active Observing Database; any requests for subsequent changes to observation details must be made via their CS. On-site (classical) observers may access their observations in the Active Observing Database directly using the OT.
Modification of approved queue programs must be made via the queue change request process. An overview of the queue planning and execution is available. The status of queue programs ia available from the queue summary and database snapshots links on the queue and schedules page.
Additional news about changes to science operations software can be found at the Science Software Blog.


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The Original Chinese Pony Puzzle - Trade Card
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text:
Michael R. Widner
Stifel Nicolaus
We see a lot to like here, and while we say that about several of the agency REITs, Capstead Mortgage (CMO) has moved a bit higher on our near-term favorites list. While some investors may be put off by the slightly sub-10% yield, we expect the dividend has bottomed, we see potential for dividend recovery in 2Q'13 and beyond, and we like the price at an 8% discount to book.
The biggest uncertainty in our outlook is that we find it difficult to predict the prepayment behavior of highly seasoned current reset adjustable-rate mortgages (ARMs), which is a focus in CMO's portfolio. But that's an uncertainty we're increasingly comfortable with, as we also value the protection they provide (relative to fixed-rate [mortgages] or longer-duration ARMs) in the event of a material steepening or surprise rising of the yield curve.
Our current expectation is for [prepay] speeds to peak in January based on the October peak in refinancing applications. We're not expecting a big drop in speeds in Q1 based on refi applications remaining elevated and mortgage rates remaining near trough levels. But so far, the curve steepening, applications slowing, and mortgage rates ticking a bit higher are at least steps in the right direction.
We maintain our Buy rating on the shares with a $14.50 target price based on 1.07 times estimated current book value of $13.50.
Capstead has been grinding along with a short-duration approach, which we see as about the best protection an agency REIT can have against interest rate uncertainty.
Nathan Isbee
Stifel Nicolaus
SuperValu, one of the largest grocery store operators in the U.S. with 2,400 stores, announced the sale of five grocery brands encompassing 877 stores for $3.3 billion, $100 million cash and $3.2 billion of debt to a Cerberus-led investor consortium that includes Kimco Realty (KIM). The consortium will also conduct a tender offer for up to 30% of SuperValu's common stock. KIM will own an approximate 15% interest in the investor group.
The consortium is acquiring five of the strongest SuperValu's brands in more dense, infill markets, with stronger demographics; Albertsons ([in] Nevada, Northwest U.S., and Southern Calif.), Acme (Del., Md., N.J., and Pa.), Jewel-Osco (Chicago), Shaw's and Star Market (Boston and New England).
KIM is joining the same group of investors, who in 2006 purchased 661 "non-core/underperforming" Albertsons stores in the SuperValu led acquisition of Albertsons. The group sold stores, closed underperforming stores, and improved operations at remaining stores. KIM has received $245 million in distributions from its original $51 million investment representing pre-tax income of $180 million.
KIM has a long successful history of investing in troubled retailers, including Montgomery Ward, Venture, Ames, Service Merchandise, Albertsons and Hechinger to unlock the value of the real estate controlled by these retailers and generate a profitable return for shareholders.
Albertson's LLC, a majority-owned Cerberus company run by Robert Miller, will operate the newly acquired grocery locations. Albertson's LLC currently operates 190 Albertsons stores and two Super Savers in eight states.
The new management team will first look to improve the performance of the stores, which have been undermanaged and undercapitalized for many years. While the traditional grocer model is facing strong competition on many fronts, there is likely a lot of low-hanging fruit which management will look to harvest.
James Milam
Sandler O'Neill Partners
LTC Properties Inc.'s (LTC) surprise announcement of a nearly $100 million investment in an assisted-living and memory-care portfolio should be immediately accretive and continues to orient the company toward private pay communities.
LTC announced several acquisitions, most of which are expected to close before year end. (We note the potential change of tax law in 2013 as a possible motivation for the seller, who we believe had agreed to sell this portfolio to Care Investment Trust, CVTR, in a transaction that failed to close earlier this fall).
The company will acquire three assisted-living facilities with 202 units and three memory-care facilities with 136 units from Juniper Communities for $94 million ($278,000/unit). The properties are located in Colorado (two), New Jersey (three) and Pennsylvania (one) and will be leased to Juniper for 15 years (with two five-year renewal options) at a 7.0% initial cash yield (8.1% GAAP) with 1.5% increases in each of the first two years and 2.25% thereafter. $82 million is expected to close by year-end, with the remainder closing in 2013 after receiving approval for a $6.8 million HUD loan assumption (3.75% interest rate maturing in 2051).
LTC will also provide a $5.1 million two-year bridge loan on a fourth [assisted-living facility] at a 7.0% initial yield. The company also announced a construction loan to fund the development of a $10.6 million 106-unit ($100,000 loan to cost/unit) skilled-nursing replacement facility in Wisconsin that will be leased to Fundamental, for which LTC will have a purchase option one year after the certificate of occupancy is received, with the property to be added to an existing master lease with Fundamental at the escalated loan rate (9.0% initially with annual steps of 25 basis points).
We are not changing our 2012 estimate, but we are increasing our 2013 estimate of normalized funds from operations (FFO) by $0.04 to $2.44. Our 2012 normalized adjusted FFO estimate is unchanged, but we are increasing our 2013 estimate by $0.03 to $2.37, respectively. Our revised estimates assume the new investments are funded initially with the line of credit, but that LTC issues $75 million of unsecured debt in 1Q13 to refinance this balance.
We forecast the company's net debt plus preferreds to adjusted EBITDA to rise to 3.7 times from 3.0 times at 3Q12 following the completion of these transactions, still a very reasonable level in our view.
Our price target of $36 represents 15.2 times our 2013 estimate of adjusted FFO and a pro forma 2013 dividend yield of 5.3%. LTC is improving the private pay percentage of its portfolio through investing in assisted-living and memory-care facilities, while continuing to improve the quality and age of its skilled-nursing portfolio through acquiring newer facilities and building replacement properties.
In addition, the renovation and expansion projects within its portfolio should contribute to accelerating earnings growth in the second half of '13 and beyond. The company remains committed to a strong balance sheet and pays a well-covered dividend that we expect to continue growing. Though the issue with the company's largest tenant, Assisted Living Concepts (ALC), carries some headline risk, we believe LTC will be able to successfully manage this exposure to a satisfactory outcome. With the stock trading at 14.2 times our 2013 estimates of adjusted FFO versus 16.4 times for the other health-care REITs we cover, we are maintaining our buy rating.
R.J. Milligan
Raymond James & Associates
We reiterate our Outperform rating on shares of National Retail Properties (NNN). We believe National Retail's stable portfolio and well-covered dividend (5.0% yield) provide investors with a very attractive risk/reward opportunity. In addition, we believe we could see further upward estimate revisions as the company continues to acquire, thereby taking advantage of the large spread between cap rates and interest rates.
National Retail Properties reported 3Q12 FFO per share of $0.52, which included $9.6 million ($0.09 per share) of one-time items. Excluding these items, recurring 3Q12 FFO per share of $0.43 was a penny shy of our estimate and consensus of $0.44. Investment portfolio occupancy was 97.9% at the end of the quarter, down 30 basis points sequentially but up 70 basis points from the year-ago quarter.
The company acquired 30 properties for $139.6 million during the quarter at an average 8.65% cap rate. Despite an extremely competitive market for net-lease assets, investments yields have continued to surpass our expectations due to management's ability to source off-market transactions through existing relationships.
[Through late 2012], National Retail has acquired 124 properties for $452.6 million (at an average 8.5% yield), with management now expecting acquisitions totaling $500 million for the full year (up from prior guidance of $300 million to $350 million). For 2013, management is anticipating acquisitions totaling $200 million, with the timing tilted toward the second half of the year. We believe (and management indicated as much on the call) that investment activity in the coming year could exceed that goal, which could result in upward revisions to earnings estimates.
Management increased its 2012 FFO per share guidance from $1.67-$1.72 to $1.71-$1.73. Management also issued 2013 FFO per share guidance of $1.77-$1.81 (below consensus, however only assumes $200 million in acquisitions). We are revising our 2012 and 2013 FFO per share estimates to $1.72 and $1.81 from $1.73 and $1.80, respectively. We are also introducing a 2014 FFO per share estimate of $1.89. Our model assumes acquisitions of $250 million and dispositions of $50 million in 2013.
Valuation: We believe that the market should view National Retail Properties' cash flows as positioned between equities and fixed income given the long-term structure of the tenant leases, and therefore we think the dividend discount model is the most appropriate methodology for valuing the stock.
NNN is trading at a 7% premium to our dividend discount model value of $29.59, which assumes an 8.5% cost of capital and a 3.0% dividend growth rate. However, in this low-yield environment, we view the stock's 5.0% yield as very attractive (compared to 10-year Treasuries yielding 1.7%). Our new price target of $33 (from $31) is based on the stock trading at about 18.2 times our 2013 FFO per share estimate, in line with the current 2012 FFO multiple. [The company's] leverage is holding about flat at 8 times, which we expect to remain the same going forward.
Maintain Buy.


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Anna, Elsa, Kristoff, Olaf and Sven leave Arendelle to travel to an ancient, autumn-bound forest of an enchanted land. They set out to find the origin of Elsa's powers in order to save their kingdom.
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|Mirza Asad Ullah Ghalib
Ghalib (Urdu: غالب; Hindi: ग़ालिब) born Mirza Asadullah Baig Khan (Urdu/Persian: مرزا اسد اللہ بیگ خان), on 27 December 1797 – died 15 February 1869), was a classical Urdu and Persian poet from the Mughal Empire during British colonial rule. He used his pen-names of Ghalib (Urdu and Persian: غالب, ġhālib means "dominant") and Asad (Urdu and Persian: اسد, Asad means "lion"). His honorific was Dabir-ul-Mulk, Najm-ud-Daula. Most notably, he wrote several ghazals during his life, which have since been interpreted and sung in many different ways by different people. Ghalib, the last great poet of the Mughal Era, is considered to be one of the most popular and influential poets of the Urdu language. Ghalib today remains popular not only in India and Pakistan but also amongst Diasporas communities around the world.
Urdu Adab feels pride presenting you the poetry of Ghalib, the most greatest poet of Urdu. In the following "Hay Aarmeedgi Main Nikohish Baja Mujhay" (Urdu: ہے آرمیدگی میں نکوہش بجا مجھے), an Urdu Ghazal (غزل) of Ghalib is presented. We hope it will satisfy yours great taste of Urdu poetry. Your comments will be waited for.


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Private In-Home and Online History Tutoring in Matteson, IL
Receive personally tailored History lessons from exceptional tutors in a one-on-one setting. We help you connect with in-home and online tutoring that offers flexible scheduling and your choice of locations.
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At Varsity Tutors, we're committed to connecting you to top tutors capable of delivering an outstanding experience. That's why we provide a 100% tutor satisfaction guarantee.


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Make even easier work of straightening thick or very curly hair with the larger plates on the ghd V gold max styler. With all the heat and styling capabilities of the ghd gold classic styler, this max size makes styling quicker and easier when you've an abundance of hair. Smoother gold plates glide effortlessly through the hair to make straightening longer and thicker hair even quicker and easier, while their contoured edges help to create perfect curls and waves, all with a high shine, salon-style finish.
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text:
Botulinum toxin is made from a type of bacteria. It is a toxin that affects nerves. An injection puts this toxin into muscle. There, it blocks the release of the chemical signal from the nerves to muscles. This will decrease the muscle contraction.
Botulinum toxin is used for cosmetic and medical reasons. The injection process is often called botox injection, although any brand of the botulinum toxin may be used.
Reasons for Procedure
The injection is FDA approved to treat:
- Cervical dystonia—abnormal spasms of neck muscles
- Blepharospasm—spasm of eyelid muscles
- Strabismus —crossed eyes
- Hyperhidrosis —excessive sweating
- Chronic migraines
The injection has also been used to treat other conditions, such as:
- Tension headaches
- Achalasia —spasm of esophageal muscles that cause problems swallowing
- Spasmodic dysphonia
- Muscle spasms due to cerebral palsy
- Spasticity associated with multiple sclerosis
- Spasticity in leg and arm muscles due to brain injury/stroke
- Focal limb dystonias
- Incontinence due to bladder problems
- Anal sphincter disorders
- Peripheral nerve pain
- Temporomandibular disorder (jaw disorder)
Possible Complications
Complications are rare. When they occur, they are often temporary and mild. Side effects are related to the site of injection. For example, if injections take place near the eyes, there may be complications with the eyelids or brow line.
Temporary issues may include:
- Redness
- Bruising
- Stinging around the injection sites
The following are less common reactions. They are generally mild and do not last long.
- Nausea
- Fatigue
- Flu -like symptoms
- Headache
Other complications that may occur include:
- Excessive weakness of the muscle around the eyes—can cause drooping of the eyelids or obstruction of vision
- Difficulty swallowing—can occur in people receiving injections in their neck
- Compensatory hyperhidrosis—people being treated for hyperhidrosis may develop increased sweat production at another area of the body
- Excessive weakness or wasting in certain muscles—the injection may slow any improvement in the muscle
- Neck weakness in people with long, thin necks
- Risk of the botulinum toxin spreading beyond the injection area—may cause botulism symptoms, including difficulty breathing and death in severe cases. Children with cerebral palsy may be at a higher risk for this side effect.
- This procedure may worsen nerve or muscle disorders, such as:
The toxin can also interact with medications such as antibiotics. Tell your doctor about all of the medications that you are taking.
You should not have botox if you:
- Have an infection or inflammation in the area where botox will be injected
- Are sensitive to the ingredients in botox
- Are pregnant or breastfeeding
What to Expect
Most often, none is given. Some people may prefer to have the area numbed for comfort. In this case, a topical anesthetic may be used.
Description of the Procedure
A thin needle will be used. The toxin will be injected through the skin into the targeted muscle. You will often need several injections in a small area.
After Procedure
Remember to:
- Remain upright for several hours
- Avoid alcohol
How Long Will It Take?
The time needed will depend on the number of sites involved. It is often less than 20 minutes.
Will It Hurt?
You may have some minimal discomfort.
Post-procedure Care
Normal activities may be resumed after the procedure.
The toxin temporarily weakens targeted muscles. The treatment lasts up to 4 months. With repeated use, the effects may last longer.
Call Your Doctor
Contact your doctor if your recovery is not progressing as expected or you develop complications, such as:
- Difficulty breathing
- Difficulty swallowing
- Difficulty speaking
- Severe lower eyelid droop or obstructed vision
- Excessive weakness around the injection site
- Rash or any other sign of an allergic reaction
If you think you have an emergency, call for medical help right away.
Revision Information
- Reviewer: EBSCO Medical Review Board Rimas Lukas, MD
- Review Date: 03/2018 -
- Update Date: 02/12/2016 -


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Butter Dips Biscuit Recipe
Butter Dips Biscuit Recipe – only 6 simple ingredients! You probably have them in your pantry right now! No-kneading at all! Just mix dough together and pat down in pan. Ready in under 15 minutes!
I changed these up a little last night and added some garlic powder to the butter and Italian seasoning to the dough. It was great with our lasagna. Give these a try next time you realize that you don't have any crescent rolls in the fridge – you'll be glad you did!
Butter Dips
- 1/4 cup unsalted butter
- 1-1/4 cup flour
- 2 tsp sugar
- 2 tsp baking powder
- 1 tsp kosher salt
- 2/3 to 1 cup buttermilk or milk
- Heat the oven to 450°F. Cut the butter into pieces and place them in a 8-inch square microwave safe baking dish. Put the dish in the microwave and melt the butter. You can also put the baking dish in the oven to melt the butter as it pre-heats. (The dish in the microwave is just faster.)
- While the butter is melting, whisk the flour, sugar, baking powder, and salt together in a large mixing bowl. Stir in 2/3 cup buttermilk; continue to add more buttermilk until a loose dough forms. (I used about 2-3 Tbsp more than the 2/3 cup)
- Remove baking dish from the microwave/oven and press biscuit dough in the pan over the melted butter (It helps to put a little flour on top of the dough or your fingers). Using a knife, cut the biscuits into 12 squares. Bake for 12-15 minutes until golden.


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An heirloom piece made to be passed down for generations, Applejack the Rocking Horse will ignite your child's imagination for a lifetime of memories.
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Promotion codes cannot be used for sale item purchases.
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text:
Hepatic encephalopathy is a problem with the brain that is caused by liver disease. The problem may be temporary or permanent.
A liver with disease cannot filter the harmful items in blood. These toxins build up in the blood, which reaches the brain and affects the brain's ability to work properly.
Risk Factors
Factors that increase your chance of hepatic encephalopathy include:
- Severe cirrhosis , especially after shunt surgery
- Hepatitis—infectious or autoimmune
In people with chronic liver disease it may be triggered by:
- Certain conditions that affect the levels of fluids and electrolytes such as hyponatremia and hyperkalemia
- Gastrointestinal bleeding
- Infections
- Certain medications such as sedatives and anti-epileptics
- Kidney failure
- Constipation
In the early stages, you may not notice any symptoms. As the condition progresses, symptoms may include:
- Changes in behavior and personality
- Shortened attention span
- Depression or anxiety
- Difficulty sleeping
- Tiredness
- Forgetfulness
- Disorientation
- Slurred speech
- Uncontrolled movements, particularly a flapping tremor of the hands
- Confusion
- Loss of consciousness
If you have liver problems and any of the above symptoms, call your doctor right away.
You will be asked about your symptoms and medical history. A physical exam will be done. The condition of your nervous system will also be assessed.
Your liver and kidney function may be assessed. This can be done with:
- Liver function tests
- Kidney function tests
- Imaging tests of the liver
Your brain and nervous system may be assessed. This can be done with:
- Images of the brain with MRI scan or CT scan
- Electroencephalogram (EEG) to look at brain waves for evidence of encephalopathy and/or seizures
- Lumbar puncture to look for other causes of the encephalopathy
Hospitalization and Emergency Care
The initial treatment will focus on treating and trying to reverse the underlying problems. If possible, toxins in your blood will be removed or neutralized.
Medications may be used to:
- Neutralize toxins in the intestine, such as ammonia
- Remove blood from the intestines
- Reduce ammonia production by intestinal bacteria
- Treat the condition that started the encephalopathy
- Reduce recurrence
Dietary Restrictions
Changes in your diet may be recommended. Tube feeding may be needed to supply nutrients, especially in the case of coma.
If this condition is due to liver failure, you may need a liver transplant .
To help reduce your chance of hepatic encephalopathy:
- Get early treatment for liver problems.
- If you have a disease such as cirrhosis, see your doctor regularly.
- Follow your doctor's instructions regarding medications. Avoid overdosing.
- Avoid being exposed to poisons or toxins.
- Avoid excessive use of alcohol.
- Do not use illicit drugs.
Revision Information
- Reviewer: EBSCO Medical Review Board Rimas Lukas, MD
- Review Date: 03/2018 -
- Update Date: 03/05/2014 -


text: Friday, February 08, 2013 IHS Loan Repayment Program Accepting Applications The Indian Health Service (IHS) is accepting applications for its Loan Repayment Program (LRP). This program offers health care professionals, including physical therapists, the opportunity to pay off qualified student loans to meet the staffing needs of Indian health programs. There is an estimated $20 million available for awards during Fiscal Year 2013. The LRP awards up to $20,000 per year in exchange for a minimum 2-year service obligation, plus 20% of federal income tax on the award (see payments and examples). Applications are accepted and evaluated monthly until funds are exhausted. February 15 is the first award cycle deadline. August 16 is the last award cycle deadline. Visit the LRP website for more information, eligibility requirements, and to apply.


text: Thursday, March 07, 2013 Additional Functional Limitation Reporting Case Scenarios Now Available APTA has created 4 additional case scenarios to help physical therapists comply with functional limitation reporting requirements under Medicare. Each scenario includes a description of the patient and data and documentation requirements that physical therapists must meet at the initial evaluation, 10th visit, and discharge. Examples of charge forms for the 3 visits and a summary of reporting also are available for each scenario. The new scenarios are: multiple sclerosis, establishing a maintenance plan/no function change; diabetic foot ulcer, functional limitations; diabetic foot ulcer, no limitation; and neck pain. More case scenarios will be posted in the near future. Functional limitation reporting on claim forms began January 1. A testing period is in effect until July 1. After July 1, claims submitted without the appropriate G-codes and modifiers will be returned unpaid. Comments I would like to see some scenarios related to acute care patients in observation status. I would like to know which, if any, functional assessments you recommend for use in the acute setting with such patients as well. Examples of acute observation cases I would love see include: TIA with no deficits, UTI with a general decline in mobility, and a Rotator Cuff Repair referred for a one time treatment to teach pendulum exercises. Thank You. Posted by Bonnie Fakhri on 3/8/2013 12:45 PM I agree with Bonnie's request regarding scenarios related to observation patients in acute care. In particular are we setting our goals for the immediate course of therapy which is to identify the next most appropirate level of care, or what their goal would be when they are done with that course of care which could occur in home care, OP, SNF, rehab, etc. Most patients we see one time and recommend a discharge setting. A few patients we may see twice in an attempt to get them to a level where they can go home. Thank you. Posted by Mary McLaughlin -> =OT[B on 3/8/2013 5:51 PM In the newly added scenario for neck pain, why is there 8th day reporting rather than 10th day? Posted by Jo Brothers -> >GUcE on 3/9/2013 10:25 AM The progress note is done at the 8th visit in the neck pain case; this is in compliance with Medicare regulations which require that the progress note be done at a minimum of every 10 visits. Posted by APTA Staff on 3/11/2013 9:27 AM I would like to see some scenarios related to Pelvic Physical Therapy. Posted by Susan Shibley -> @LU\E on 3/13/2013 9:48 PM I also woudl like some examples for the Observation patient. Some of the diagnoses we may see in observation are the results of falls, TIA, generalize malaise with change in mental status I really really appreciate the examples on the back and neck Posted by Nancy Morasso-Reger -> =JXZ< on 4/5/2013 4:11 PM I would like to see some examples for lymph edema patients Posted by Patricia Martinez -> ALRaC on 4/18/2013 10:41 AM


text:
Cerumen is the soft yellow wax made by glands in your ear canal. It is more commonly known as earwax. Cerumen impaction is a buildup of earwax that becomes wedged in, blocking the ear canal.
Cerumen impaction is usually caused by:
- An inability of the ear to naturally clear itself of cerumen due to hardening
- Putting objects into your ears that push the cerumen deeper into the ear canal
Risk Factors
Cerumen impaction is more common in older adults. It can cause hearing loss.
Other factors that may increase your chance of cerumen impaction include:
- Trying to remove cerumen with a cotton-tipped swab
- A twisted, narrow, or complicated ear canal
- Ears that overproduce or make thick cerumen
- Dense hair growth in the ear canal
- Hearing aid or ear plug use
- Skin conditions such as eczema or seborra
- Intellectual disability
Symptoms may include:
- Itchy ear
- Pain in the ear
- Ringing in the ear— tinnitus
- Hearing loss
- Hearing aid feedback or malfunction
You will be asked about your symptoms and medical history. A physical exam will be done. An ear exam will be done to look for impacted cerumen.
Treatment involves removal of the earwax from the ear canal. Cerumen can be removed by:
Using one of several instruments, including:
- Curette—This is a surgical instrument shaped like a scoop.
- Suction—When the cerumen is loosened, the earwax will be vacuumed.
- Flushing—The impacted cerumen may be rinsed using flushing equipment.
- Ceruminolytic agents—A ceruminolytic agent may be prescribed. This is a liquid-like solution used in the ear to soften the earwax and ease removal.
Earwax moves out of your ear naturally. Earwax should not be removed by you. In fact, continuously trying to clean your ear of cerumen by using a cotton swab, for example, can damage your ear. By trying to remove earwax, you can:
- Damage your eardrum—the membrane that vibrates and transmits sound to the middle ear
- Make yourself more prone to otitis externa —an infection or inflammation of the skin that lines the ear canal
- Injure the ear canal
- Cause the cerumen to become more impacted and more difficult to remove
To help reduce your chance of cerumen impaction:
- Do not clean your ears with anything more than a soapy washcloth on the outer rim of your ear.
- Do not use cotton-tipped swabs to clean anywhere inside your ears.
- Use medications as advised by your doctor to help prevent the buildup of earwax.
- If you are concerned about earwax, see your doctor. Do not attempt to remove the earwax by yourself.
- Schedule regular visits to remove earwax buildup as advised by your doctor.
Revision Information
- Reviewer: EBSCO Medical Review Board Michael Woods, MD FAAP
- Review Date: 09/2018 -
- Update Date: 09/11/2014 -


text:
The buying pressure in the bitcoin market holds above the monthly resistance level, bulls devoured some short-lived selling pressure and we are now sitting in between support and resistance levels.Bitcoin Schmitcoin
A Canadian drug dealer has been ordered to forfeit about 281.41 bitcoin after it was found that he used the cryptocurrency to fund his illegal activities. It's been reported as Canada's largest-ever bitcoin forfeiture.Jimmy Aki
The crypto payment platform Bitrefill has introduced Thor Turbo, an upgrade expected to speed up the process for users connecting to its Lightning node.Jimmy Aki
Bolt-A-Thon, a virtual Lightning Network hackathon and conference kicks off today to help gather contributors from all over the world and propel Bitcoin's vital Layer 2 solution.Bitcoin Magazine
Over the years, Bitcoin has gained a reputation for having a "toxic" community of users around it. But there is a logical reason that some Bitcoin users get extremely angry at certain members of the greater crypto asset community.Batman 1966 TV Series Classic TV Series 2 The Penguin Action Figure
The software firm DataLight has predicted that Bitcoin will become the world's top payment system within the next decade if it maintains its current growth rate.Batman The Dark Knight Rises Movie Masters Collector Catwoman Figure
Binance has announced that it will launch Binance Singapore this month, a fiat-to-crypto exchange with support for the Singaporean Dollar (SGD).Landon Manning
Viennese cryptocurrency brokerage platform Bitpanda has received a license to operate as a payment service provider in Austria.CAPTAIN ACTION KATO,GREEN HORNET'S VALET; 11 Figure 1998, KB Toys Exclusive
Bitcoin means different things to different people. But what is Bitcoin, in the most basic sense?Bitcoin Magazine
Here are the best ways to store bitcoin securely in bitcoin wallets.Bitcoin Magazine
Bitcoin mining is the process of validating transactions by including them in the blocks that form the Bitcoin blockchain.DIAMOND SELECT SPIDER-MAN X-MEN AVENGERS MARVEL 20 CM ACTION FIGURE
Fundamentally, bitcoins derive their value just as anything else does: because people want them.Marvel Legends Exclusive Magik Action Figure
Bitcoin crossed the $5,000 price range this week, but things are different than when it did so in 2017.8btc
In its latest crypto ratings, the CCID proved that, yet again, its rankings aren't worth paying attention to and are far from objective — at least, that's one opinion.GI Joe 25th Seal sea air land lt torpedo lieutenant
The U.S. Securities and Exchange Commission (SEC) has published an investment contract framework for digital assets, which is intended to give crypto companies more specific guidance as to whether a cryptocurrency is a security.Colin Harper
The price of bitcoin surged above $5,000 for the first time in 2019 and many investors now believe that the bull market is coming back. However, that may not be the case.Marvel Legends Invincible Iron man 6 inch Sealed New BAF Okoye
QuadrigaCX monitor Ernst & Young suspects that the exchange's late CEO may have been financing personal expenditures with company funds. It is now recommends that assets in his estate be placed under a preservation order.Colin Harper
Bitcoin has managed to break the immediate bearish market structure. At the moment we are testing a break of the descending trendline as we also approach the monthly resistance level in the $4,800s.Bitcoin Schmitcoin
The San Juan Mercantile Bank & Trust International, a Puerto Rican bank offering both fiat and digital asset custody and settlement services, is now operational.Landon Manning
The peer-to-peer bitcoin marketplace Paxful announced that it's introducing AI-powered identity verification to help improve know-your-customer (KYC) and anti-money laundering (AML) procedures.MARVEL UNIVERSE VENOM (25 CM) 10 TOY BIZ NEUF 1997 SPIDER-MAN
Startup life is full of snakes and ladders, but in the blockchain market there are currently more snakes.MARVEL - THE AMAZING SPIDERMAN - SPIDERMAN FIGURE 30cm (SCENE LIGHT FIGURE)
The Tokyo-based cryptocurrency exchange Coincheck has launched a Bitcoin over-the-counter (OTC) trading service, 15 months after it lost $532 million in XEM through a hack.Jimmy Aki
The Pakistani government will now regulate local cryptocurrency firms under new legislation, reportedly based on recommendations from the international Financial Action Task Force.1996 Todd McFarlane Spawn The Maxx Bonus White Isz Ultra Action Figures
Bitcoin developer Felix Weis presented a successful demonstration of his Lightning-enabled plugin for a Bitcoin ATM.Marvel Legends Web Swinging Spider-man Movie MOSC Sealed New Toy Biz Series 3
A Chinese security service provider has issued a warning that a large number of crypto exchanges have been targeted by the North Korean hacker group Lazarus.DC Super Hero Collection 67 cosmlc boy
Cryptomining manufacturer Bitmain has revealed the release date for its next-generation Antminer S17 series, in time for the anticipated bull run leading up to next year's bitcoin "halving."Jimmy Aki
"Making Bitcoin technology widely accessible is a key component of our roadmap. Today, with the integration of the Lightning Network, we have taken yet another step in this direction," said Zebpay's CEO Ajeet Khurana.DC DIRECT BATMAN ARKHAM KNIGHT SERIES 1 BATMAN COMICS ACTION FIGURE


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photo 1 of 164
Takanori Gomi
TRAINING: A good combination of running, lifting weights, and sparring.
When and why did you start training for fighting? I was baseball pitcher until I was a senior in Jr. High School. When I stopped playing baseball, I got this lost and empty feeling. Maybe it was because I wasn't satisfied with not participating in sports, which I was always very active in before. When I was feeling down and low, I watched a boxing match. At the end of the fight, the winning boxer smiled and said, "I can still fight, I still have strength left in me." I was intrigued by this boxer, wondering what was going on with this man; how can anyone have energy left after such a furious fight? All of sudden, I felt that this is the path I should take. That's why I joined Sagamihara Yonekura Boxing Gym right after my High School was selected and set to go. I ended up leaving High School after one year, since then I was desperate to make a living as a fighter.
What ranks and titles have you held? PRIDE Grand Prix 2005 Champion, the first PRIDE Lightweight Champion, the fifth Shooto Welterweight Champion
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Color Orange CopyOur satchel handbags are great for those who like to add a bit of personality to their bags. Our designed handbags are made from leather and features a designed front and a zippered closure. Inside the bag, you can find cell phone and privacy compartments as well as a separate zippered hidden pocket for added security.Made from 100% genuine leather.Measures approximately 8"(w) x 6"(h) x 3.5"(d).Twin handstraps measuring 9" in length.Design printed on one side. Other side is plain leather.
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Supplement Forms/Alternate Names
- Phytostanols
- Sitostanol
- Campestanol
- Stigmastanol
- 5-Alpha-Stanols
- Stanol esters
- Sterols
- Sterol esters
- Phytosterols
Principal Proposed Uses
Stanols are substances that occur naturally in various plants. Their cholesterol-lowering effects were first observed in animals in the 1950s. Since then, a substantial amount of research suggests that plant stanols (usually modified into stanol esters) can help to lower cholesterol in individuals with normal or mildly to moderately elevated levels. Stanols are available in margarine spreads, salad dressings, and dietary supplement tablets.
Related substances called sterols or phytosterols (such as beta-sitosterol) and sterol esters appear to lower cholesterol in much the same manner as stanols. 9,20,22,54,55,57-60
( Note : Use of beta-sitosterol for conditions other than high cholesterol is discussed in the beta-sitosterol article.)
Sterols are found in most plant foods. Stanols occur naturally in wood pulp, tall oil (a by-product of paper manufacturing), and soybean oil, and can also be manufactured from the sterols found in many foods. Stanol and sterol esters are manufactured by processing stanols or sterols with fatty acids from vegetable oils. 3 Stanol/sterols and their esters are added to margarine spreads and salad dressings and are also available as dietary supplement tablets.
Therapeutic Dosages
Typical dosages of stanol/sterols and their esters to improve cholesterol profile range from 2.7 to 5.1 g per day. 4,74 One study suggests that using stanol products once a day may be as effective as dividing up your intake throughout the day. 5 It may take up to 3 months to show a substantial decrease in total cholesterol values. 6
Therapeutic Uses
Strong evidence tells us that stanol/sterols and their ester forms can significantly improve cholesterol profile 7-20,36,54-56,58-67,70,74,75
There are no other known medicinal uses of stanols or stanol esters. Phytosterols do offer additional potential benefits, but these are discussed in the Beta-sitosterol article.
What Is the Scientific Evidence for Stanols/Sterols?
Because they are structurally similar to cholesterol, stanols (and sterols) can displace cholesterol from the "packages" that deliver cholesterol for absorption from the intestines to the bloodstream. 22 This displaced cholesterol is then excreted from the body. This action not only interferes with the absorption of cholesterol from food, it has the additional (and probably more important) effect of removing cholesterol from substances made in the liver that are recycled through the digestive tract.
Numerous double-blind, placebo-controlled studies, ranging in length from 30 days to 12 months and involving a total of more than 1,000 people, have found that sterol/stanols and their esters are effective for improving cholesterol profile. 17,23-36,54-56,58-67,70,71,74-77 The combined results suggest that these substances can reduce total cholesterol and LDL ("bad") cholesterol by about 10% to 15%. They do not, however, have much of an effect on HDL ("good") cholesterol, nor on triglycerides.
For example, in a double-blind, placebo-controlled study, 153 people with mildly elevated cholesterol were given sitostanol esters in margarine (at 1.8 or 2.6 g of sitostanol per day), or margarine without sitostanol ester, for a total of one year. 39 The results in the treated group receiving 2.6 g per day showed improvements in total cholesterol by 10.2% and LDL cholesterol by 14.1%—significantly better than the results in the control group. Neither triglycerides nor HDL cholesterol levels were affected.
Fish oil too has been shown to have a favorable effect on fats in the blood, in particular triglycerides. A study investigating the possible benefit of combining sterols with fish oil found that together they significantly lowered total cholesterol, LDL-cholesterol, and triglycerides, and raised HDL-cholesterol in subjects with undesirable cholesterol profiles. 78
Even people already taking standard medications to improve cholesterol profile (specifically, drugs in the statin family) appear to benefit when they additionally use stanols/sterols. 42,43,57,73,75 According to one study, if you are on statins and start taking sterol ester margarine as well, your cholesterol will improve to the same effect as if you doubled the statin dose. 57
Stanols or sterols also appear to be safe and effective for improving cholesterol profile in people with type 2 (adult-onset) diabetes . 40,41,62
Safety Issues
Sterols are presumed safe because they are found in many foods. Stanols are also considered safe, but for a different reason: they are not absorbed. 44,45,68 No adverse effects have been reported in any of the studies on lowering cholesterol, with the exception of one study that reported mild gastrointestinal complaints in a few preschool children. 46 In addition, no toxic signs were observed in rats given stanol esters for 13 weeks at levels comparable to or exceeding those recommended for lowering cholesterol. 47
Although concerns have been expressed that stanol esters might impair absorption of the fat-soluble vitamins A , D , and E , this does not seem to occur at the dosages required to lower cholesterol. 48 Stanol esters might interfere with absorption of alpha- and beta-carotene , 49,50,53 although some studies have found no such effect. 51,52 Evidence is also conflicting whether sterols or sterol esters impair nutrient absorption. 69,72 Until more is learned, it may be reasonable for people using stanol or sterol products to take a multivitamin/multimineral tablet .
Revision Information
- Reviewer: EBSCO CAM Review Board
- Review Date: 12/2015 -
- Update Date: 12/15/2015 -