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- 07 Jan 2020
- 14 min
- 07 Jan 2020
- 14 min
Ashlea Broomfield interviews Vanita Parekh about the effects of psychoactive drugs on the ability to drive safely. Read the full article in Australian Prescriber.
Welcome to the Australian Prescriber Podcast. The Australian Prescriber, independent, peer-reviewed and free.
Welcome to the Australian Prescriber Podcast. I'm Dr Ashlea Broomfield, your host for this episode, and it's a pleasure to be speaking to Dr Vanita Parekh. Vanita is a sexual health and forensic medical doctor, and she works in the ACT at the Fitness to Drive Clinic as well as in forensic and sexual health. Welcome, Vanita.
Thank you very much, Ashlea.
Vanita, you've written an article in this edition of Australian Prescriber around drugs and driving. What sparked your interest to write such an article?
Due to the forensic work that I do, I realised that a lot of collisions were potentially preventable, and then I set up a Fitness to Drive Clinic. I think that we underestimate the importance of prescribed drugs in collisions, motor vehicle collisions.
Absolutely. And I think it's well known in the population that drinking and driving or taking drugs and driving isn't something that's at all legal or recommendable. However, it's probably less understood by patients and possibly even prescribers, the impact of pharmaceuticals.
Absolutely. And I think there's two factors that we need to consider. When we prescribe medication, we're prescribing it for an underlying medical condition. And both of those can impact the ability to drive safely. So we need to consider, can this medical condition affect the person's ability to drive safely, and can the medication that I'm going to be prescribing affect their ability to drive safely? And a very useful resource are the Fitness to Drive Medical Standards, which are available and are applicable all over Australia.
So this is bread and butter work of general practitioners, constantly assessing what are the likely implications of diagnoses or prescribing on a patient and their lives, and in particular, their fitness to drive assessment. And there's a little question at the end of at least the New South Wales licensing criteria where it says, is this person on multiple medications that can affect driving? And we have to tick yes or no. So how do we go about making that decision?
I think the basic principle that's very useful is, does this substance or medication I'm prescribing have psychoactive activity? So does it work on the central nervous system because any medication that has effects on the central nervous system can impair your ability to drive safely. And I think it's a really difficult issue for general practitioners in that you've got a therapeutic relationship, and this sits slightly outside that in terms of the ability to drive safely, but also that you have a regulatory function. And we can see quite clearly that a number of doctors are facing legal tribunals and courts around prescribing and the impact on being able to drive safely.
In the article, you mentioned that for a lot of sedating medications such as opiates in the context of opiate replacement therapy or benzodiazepines, for whatever indication, that generally tolerance can develop to their sedative effects. But that can take up to six weeks.
That's correct. It's very interesting when we look at the research behind that. Drugs are administered to people, and then they're put in a vehicle which is highly monitored and their driving behaviour is observed. And what we do know is that all of these sedating substances will have an impact generally within the first six to eight weeks. There are some things that you can do around, for instance, the sedating antidepressants to counteract that risk slightly, but I think it's really important that we explain to patients that this drug may have an effect on driving, and also that the pharmacist as well reinforcing that message of, not only drug interactions causing effects on driving and the ability to drive safely, but also the actual drug and the underlying condition.
That's an interesting phrase, isn't it? May affect your ability to drive, and it's this grey word that we can use, which is 'may,' not 'does' affect your ability to drive. How do we get it across to patients when they need to be most careful if they're taking these medications?
The reason that I use the term 'may' is because we're talking about an increasing crash risk. So we can't definitely say that this is going to cause you to have a collision. And I think you're absolutely right. It is a grey area, but we do need to be proactive about saying to patients, "this medication affects different parts of your brain and the parts that are involved in driving are all across your brain. So it's not just one particular aspect, but that you should, for the first six to eight weeks, be very aware that these medications can affect your ability to drive. And also, that if you're feeling sedated or sleepy, or you're feeling a bit fuzzy, then that may well be the drug working, but it also will have an effect on the ability to drive safely."
What I tend to see in people taking medications that could potentially impair their driving ability is that they overestimate their ability to drive on medication.
And I think that's absolutely right. And we know that people generally think they're quite a good driver and a safe driver. And one of the things is that they don't realise that they're impaired. And we have to look at other factors as well. So things like, with sedating agents, if somebody hasn't slept for 17 hours, their psychomotor performance or their performance in a motor vehicle is like that they're at 0.05. If you haven't slept for 24 hours, it might be that you perform with a 0.1 blood alcohol plus you might add alcohol into those substances.
So we have to make people aware of the response, not just to the sedating drug, but also to other factors like lack of sleep, concurrent alcohol use, other sedating agents. And again, the intermittent use of different sedatives will affect your ability to drive much more if you take those medications intermittently than if you're on a fairly consistent dose and you're taking it without adding in other sedating agents.
So, for example, someone who's on methadone, or Suboxone, for opiate replacement therapy and has been stabilised on therapy for at least two months, is likely to be less of a risk while driving than someone taking intermittent alprazolam.
That's correct. And the other aspect about stabilising people on opiate replacement, for instance, is making sure that they understand that if they are using any other substances on top of what you're prescribing, that will have an effect on driving. We need to work with our patients to talk about what it means while you're in that stabilisation period.
So when we talk about multiple medications that may affect driving, is the stabilisation period still six to eight weeks when we're looking at multiple medications? Or can it take longer than that?
It tends to be the six to eight weeks when you've got those combinations, but we've also got to think about the pharmacokinetic interactions as well. And that may well take more than the six to eight weeks, although generally that is a safe time period. One of the easy ways that you can look at is a drug interactions type tool as part of your prescribing and having a look at those interactions, and specifically when they have synergistic or additive effects. And the other thing to think about is, if possible, think about nocturnal prescribing, especially with the sedating antidepressants. So that will, in terms of as you're stabilising that patient, is likely to give you slightly less sedation during the day, but that might not always be possible.
So I think it's about warning patients about that. And we do know with, for instance, the tricyclic antidepressants that they can really affect your driving for the first six to eight weeks. But it also depends on what their driving history is like. So somebody who has an extensive driving history, for instance, have been a taxi driver for 20 years, or a police pursuit driver, something like that, they will have high levels of driving skills, but that may not actually be protective either. So we have to be really careful about how we talk to patients about that. But it's something that they might think, well, my skills would be fine because I do 150,000 km a year or something like that.
And so, where does the clinician come in? In what cases would the doctor be found liable versus the patient?
I think the key to this is about your documentation of the discussion that you have with the patient, that you have explained to them that this substance that you're giving them has potential effects on their ability to drive safely. If you're really concerned about patients, Appendix 9 in the latest Fitness to Drive Standards, which is around at the end, about page 163, have the contacts for your local driver licensing authority. And with all of them, there's a phone number and email address. So if you're not sure about that informing, the onus is actually on the driver. So providing you've had that discussion and you've documented the discussion about safe driving, the effects of these drugs, about a stabilisation period, we haven't got another mechanism to enforce that.
Will there be more of an effect on them if they've been told that they shouldn't drive on a medication and they're doing it similarly with elicit drugs or alcohol?
I think that's very individual. What I can say is that, if you have a collision, one of the first things your insurance companies will ask you is, are you on any drugs or are you on any medications? Did you drink alcohol? Did you take any illicit substances? And that, again, has got to be about disclosure from the person. So again, even at very low dose alcohol, it has adverse effects on your ability to drive. And unfortunately, the public perception is that as long as you're below 0.05, you're safe to drive. And it's not. It's a risk stratification. So the onus does come back on the patient.
There will be patients who will say, "absolutely, I'm not going to drive. I'm going to wait till I feel absolutely fine," and there will be people who will really be worried about it and make extra arrangements. However, you will also find that there'll be another group who will completely ignore your advice, and from the regulation point of view, and also from a medical legal protection point of view, documenting that you've had that discussion. Especially with medical conditions, one of the things that we do at the Fitness to Drive Clinic is that we actually show them the Fitness to Drive publication, the relevant section for them. And that can be a useful tool to use in general practice, although it doesn't really look at specific drugs.
With our patients, I think it's useful to give them an example. So something like I've explained the medication that you're going on to, I've discussed that it might have effects on driving, and I've written that down in your clinical file. If you now go on to have a collision, then I have gone through that process with you. And maybe framing it in those terms of that you have had that discussion and explanation, and that you have advised them that there's going to be a period of stabilisation.
Is there anything you wanted to add before we wrap up?
I think that having a look at a drug compendium and looking specifically at the effects on driving can assist you. If you have applications on your computer for electronic prescribing, most will flag interactions with you. And I think it's about having a very honest and open discussion with your patient about the effects of any substance that you prescribe and the effects on driving, but also the underlying medical condition.
That's unfortunately all the time we've got for this episode. Thanks for joining us today, Vanita.
Thank you very much, Ashlea.
The views of the hosts and guests on the podcasts are their own, and may not represent Australian Prescriber or NPS MedicineWise. I'm Ashlea Broomfield. Thanks for joining us today on the Australian Prescriber Podcast.


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Adoption Process
To be eligible to adopt one of Renegade Paws Rescue's dogs, you will need to be at least 21 years old.
If you would like to learn more about one of our rescue dogs, please fill out our online application. Just click on the link to the appropriate form to access the application. Completing the online application is the first step and will provide us with the initial information we need but does not obligate you in any way.
An adoption coordinator will contact you, Please understand that we are a volunteer based organization; therefore, a RPR team member will contact you as soon as possible.
If applicable, we'll call your veterinarian to ensure that your current/previous pets have been spayed/neutered, vaccinated, and well cared for. For renters, we'll check with your landlord to verify applicable pet policies, and whether there are any size or breed restrictions.
Once you have spoken to an adoption coordinator about the pet you are interested in, and if you would like to continue with the adoption process, arrangements will be made for you to meet the pet.
After you have met the dog of your choice, your home visit will be scheduled. The purpose of the home visit is to ensure that the rescue animal will be living in a safe environment. RPR reviews applications in the order in which they are received. We focus on matching the right animal to the right family to ensure successful adoptions. Our goal is to place these wonderful pets into homes where they will be safe and loved forever. We require adopters to meet our adoptable pets in person, and therefore give preference to applicants in the Savannah GA area.
Adoption Fees
The adoption fees help cover the medical, transport, supply, and other animal expenses associated with rescuing our animals. The expenses for each rescued animal almost always exceed our adoption fee for them. Please note that adoption fees are not tax-deductible. We take cash or online payments. A receipt will be given.
Cost as related to animal's profile is as follows:
Dogs (over 1 year): $200
Puppies : $250
Senior Dogs: $150
What is included in your adoption?
All dogs get microchipped with lifetime registration, spayed or neutered, as well as all vaccinations needed as part of the adoption fee. This includes bordetella vaccination (kennel cough), DA2PP vaccinations, and rabies vaccination. They also get heartworm tested, heartworm preventative and flea treatment.
Please Note
All of our animals are being fostered in private homes. If you are interested in meeting an adoptable animal, please fill out the Adoption Application and you will be contacted within 24-48 hours by a volunteer or staff member.

subset: commoncrawl


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Playground Equipment
Good Hope Baptist Church, Cary has playground equipment they would like to donate to another church. It would have to be removed it from the ground and transported to their church. The playground is 20 feet around. Call the church if interested at 919.467.8526. (Click on the images below to enlarge the picture.)
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Happy new year……y'all. *chuckles* I won't get bored of this for a while.
So I'm back in big bad Accra, blogging like I said I would. It's 2015 baby! Despite despising the hype, there is something exciting about a new year starting. Something refreshing. So I hope you've all written down some goals. I hope you have a new focus for the year. I hope you've consulted with God on what His will is for you henceforth. I hope you've started on a new foot mentally and so on….
I've decided to do a mini 'Living Back Home' series, for those flirting with the idea of coming to live in Accra, Ghana or another African city. I really should have done this during my first first year here but to be honest it would have been a lot of angry ranting rather than a balanced perspective on life in GH. If you have any questions or specific topics you'd like me to address don't hesitate to reach out and I will happily cover them in a post or two.


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Return to Calendar
Event Details – July 04, 2020
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|Deadline: June 22, 2020 7:00 PM
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|End Date: July 05, 2020 3:38 PM
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Events Offered: Barrel Racing, Pole Bending, Thread the needle, Goat Tying, Breakaway Roping, Team Roping(must enter with a partner), Steer Riding
Cleaver Kids: Cleaver Kids Course with Dummy Roping Saturday: 9:30 am Sunday: 8:30 am
Concession: Available on site
|Event PDF:
East Central Regional Web Page
Horse Event - Rodeo informational poster
EC Horse Rodeo Rules
|Region: East Central
|Who can apply: Cleaver Kids , All Members
For more information contact: Email: email@example.com


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Don't Ruin Your Workers Comp Claim: Avoid Doing These Things
If you are injured while working, you may think that a workers compensation payment is a given. However, there are still some things that you can do to hurt the process and potentially make your approval more difficult. Here are some things to avoid.
Behaving Resentfully Towards Your Boss
It's important to maintain a good working relationship with your boss during this process. Even if you are upset about the situation, don't get hostile with an employer; their cooperation is key to corroborating your story. The employer has an opportunity to dispute your claim's validity, if they wish, and this can complicate the situation a lot.
Blasting Your Activities on Social Media
You may wish to be less active on social media while your claim is being evaluated. This is especially true if you have any friends on Facebook who are also coworkers or bosses. If these people see that you were out having fun, they may wonder why you can't be at work. The evidence may be passed along to the insurance company.
Telling Too Much to Coworkers
Along the same lines, it's a good idea to be guarded about your personal life at the time of your injury. Any information that you pass along to coworkers could potentially come up in discussions about your injury.
Refusing Work Without Good Cause
Another faux pas that some people make is not showing up for work if they are assigned an alternative position. If you are medically able to accept replacement work, you must do so as a part of your workers compensation process. Otherwise, you may be disqualified from getting assistance.
Missing Medical Treatments
The workers compensation review team may want to see that you are following up on your medical treatments correctly. For instance, if you were recommended to get surgery or to attend physical therapy for several weeks, and you fail to do so, the workers compensation evaluator might decide that you are responsible for your injury not healing, which could jeopardize your payments.
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The Role of Social Media in Cancer Recovery
Geer, Kristin M.
MetadataShow full item record
This study investigates the role of social media during cancer treatment and recovery. Qualitative research methods were used, which included semi-structured, in-depth interviews with 20 cancer survivors. Findings indicate cancer patients are motivated to use social media as a therapeutic tool for coping and managing emotions during their illness. Cancer patients use both social networking sites and blog sites during treatment and recovery, but prefer to use blog posts to discuss their illness. Data shows cancer patients use social media to seek and share information with family and friends, other cancer patients, and even health care providers. Further, participants report positive benefits from social media conversations about faith and spirituality during their illness. Results also suggest social media use during illness can lead to posttraumatic growth in cancer survivors, leading to deeper meaning and understanding. This study has implications for future patients, patient caregivers, health care providers, communication practitioners, and cancer organizations. Future cancer communication campaigns should seek to promote the use of social media by cancer patients to improve their quality of life.


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Please move the slider up or down to friends into maybe more then click friends into maybe more. Please select your interests and click next Next. A bit of fun Serious stuff. Not long. Search for: Win free bets — and maybe more — thanks to Friends With Benefits. Paddy Power is giving you mxybe chance to win some no strings attached prizes! Int her support comes from an unexpected place; I liked this choice. Caela Carter did an exceptional job painting a portrait of Greece: I like the messy books.
I like when we are privy to ALL the parts of the characters. These books are near and dear to me because they are truly representative of real life. People can surprise maye I applaud Carter for thrusting us into this unsteady friendship. Colette missed Sadie; she wanted to patch things up. Sadie obviously still felt she could trust Colette or she never would have asked her on this trip.
But imto it be more than just a trip? Read it in under 24 hours. I had to see how Greece friends into maybe more change Colette, get her thinking on norman single mums fucking own itno constant pressure from coorabell women to fuck parents. How moving forward has nothing to do with the level of respect or love we have for those parents.
It was thought-provoking, tough, mofe beautiful, and certainly made me a Caela Carter fan. Apr 28, Janet rated it it was amazing. Great characters and emotional connection! May 20, Ashley rated it it was amazing. I decided to read this book mxybe a three-hour plane ride and could not put the book down the whole time.
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It was the perfect length and the story was wonderful. It was lnto not what I friends into maybe more until I got about halfway friends into maybe more the book knto I morre the characters, the lessons they learned and how friends into maybe more story progressed.
Also, Santorini is the number one destination I want to visit, so I loved that aspect, as. Overall, I thought this was a great book for teens and has friends into maybe more great message friends into maybe more respe I decided to read this book on a three-hour plane ride and could not put the book down the whole time. Overall, I thought this was a great book for teens and has a great message on respect and not judging others based on their beliefs. I would definitely innto this book to a young person trying to figure things out for themselves, away from their parents' beliefs.
My Best Friend, Frieends. My dad called us mermaids, but I knew we were more than. We were fish. We were best friends. Sadie was mine and I was. I knew it the way I knew my backbone held me up. I was wrong. But what distinguishes My Best Friend, Info is that it goes far beyond exploring the reasons why a friendship suddenly ends.
When Coley agrees to go with her former best friend Sadie to Greece, she confronts her growing discomfort with her religious upbringing as well as her identity as a girl on the cusp of adulthood. The startling truth of why Sadie asks her former friend to Greece in the first place allows Coley to gain a better understanding of the different forms of love - from friendship to romantic love.
For so long. Probably intoo we were little kids. And yes, there is a little romance -- but it feels so natural and not at all trite. I think nore following sentence from the book maybr assuage any fears of a typical romance-dominated YA contemporary: Today is a summer day. Even when we understand why a friendship fell apart, it doesn't mean that friends into maybe more remaining shards should be put. My Best Friend, Maybe explores this heartbreaking reality with two wonderfully complex friends, set against the lush backdrop massage atwater village a summer in Greece.
May 10, Margo Berendsen rated it really liked it Shelves: Four really cool things about this book: Love love love love Colette an Four really cool things about this book: Colette and Sadie used to be best friends, until Sadie started putting other friends in front of Colette.
Friendship dynamics are fascinating and with so much potential for hurt and misunderstanding, woman want hot sex Ballantine Montana this book does a great job handling both the good: I did.
I clearly did.Christian Date Free
I needed her to want to get milkshakes. I needed her to rank all her friends for me so that I could hear my name at the top of the list.
Some names just make me smile, and this one hit the spot. I liked friends into maybe more Coley would swing from one side to the other, mors then back; that indecision and uncertainty just adult want sex tonight OR Banks 97106 true to me. Poor Mark! Friends into maybe more love how I never know quite where to look for.
More about that in a moment. Oh my goodness, Santorini! All of this beauty makes me wonder why God decided we ever have to sleep in the first place. So that actually makes sense on a very steep island, where just about everything is built in the hillsides.
And it sounded friehds a really lovely, cozy friends into maybe more. More complications ensue between Sadie and Coley while on the island, and a surprising secret is revealed that complicates things even. But I loved her eventual conclusion, because I could really relate to it in one of friendds own complicated friendships. Mpre slight thing that I was a little sad about with the setting: I know Santorini is really touristy, but still, there's got to be some genuine Greek culture. There's not even a single notable Greek person in this story, just the guy Andrea's marrying, and I don't remember him even getting any dialogue.
I wanted more of Sam! He only mentions once how triends felt being adopted into a white family. I could eat up a whole book about such a character.
More, more! Also, he and Coley had such chemistry: Back to the story. Until the end, that is, when she mpre this really cool thing: Just so readers could get a little taste of what a mission trip means to a friends into maybe more believer. I love it when stories show contrasts like.
But as far as other contrasts and complications, especially with friendships, this book was spot on! And froends I mention Santorini? One more delicious description of Santorini! Below us, the pathways and sidewalks and stairways are jammed with people reverently sluts looking sex contact as the sun kisses the horizon and sinks slowly into friends into maybe more sea.
The volcano is a black silhouette on a molten rainbow of mode. The restaurant hushes, the crowds below are.Thai Massage Preston Melbourne
Everyone is holding her breath at the beauty and grace of the moment. The energy buzzes around us, silent but excited, happy, friends into maybe more. Then the sun is just a sliver of brightness, a neon line peeking out from over the sea, saying good-bye until tomorrow.
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To my surprise, the entire island erupts omre applause for the sun and the sea and the energy and one another and I know my mom is somewhere calling this vacation lavish and unnecessary and dangerously fun, but to me this is mire God moment. I wanted to read this because it sounded like friends into maybe more nice summer read, and also based on friendship.
I wanted to find out what happened between their friendship and what it is that Sadie has been keeping from Colette.
The story is friends into maybe more info in Collette's present, but she does have sections that go back to when her and Sadie were such close friends as kids. It is nice to get these glimpses of how they were friends into maybe more and that friends into maybe more had a long history as best friends. It also makes me relate with Colet I wanted to read this because it sounded like a nice summer read, and also based on friendship.
It also makes me relate with Colette even more because it shows me what she is missing in her life. Where we start with Colette's story there is so much change going on. She is supposed to go on a summer mission trip with her straight sex ladyboy thai narrow chaste boyfriend Mark, who is graduating and going to college while she will be in her senior year.
One of her current closest friends, Luisa is applying for a senior year abroad. So, after being dumped by Sadie as she sees it those are the closest people to her because even though she has a lot of people in her youth group and town that she knows she isn't really close to. When Sadie approaches her about the summer in Greece, Sadie says yes right away, surprising them. Friends into maybe more then she is waivering on if she can go, if her parents would approve, and what about sexy lady want real sex Green Bay planned and fund raised trip to Costa Rica?
She isn't sure about that status of her future with Mark. I actually didn't guess Sadie's secret until a little before Coley herself found. Sadie's side of the story actually makes a lot of sense and I could see how she could have percieved everything that happened, but I also feel for Coley. Over time she lost her best friend and the fun and lightness from her life. But she realizes that she needs to open up and let others in more, as well as make decisions for herself based on feelings, on facts and not on expectations.
I sexy local girl up enjoying her talks with her father, because even though he has the same beliefs as her mom, I friends into maybe more that he goes about showing them better.
Friendds, there is talk of religion, but Coley isn't quite triends I don't think, she's just grown up with the background, massage lanham md in church, so she friends into maybe more a little more towards the conservative because of her upbringing.
But Coley's mom is the more vocal and pushes it to Coley as. I know that, as a christian mom, she wanted to protect Coley, and wanted to pass along what she believes and values.
Maybe I could have more friends if stopped holding myself back
So, it is really one of the first times I can think of where a parent shows such growth. The romance is friwnds, although at times, I think it is coming close to stepping into areas that make me a little mad. I know that Mark is a good guy and sexy women wants casual sex Manchester will be great boyfriend, but I just think that he and Friends into maybe more hid too many things from each other, and they were just comfortable together, it was accepted, but I don't think that they were really in love, and didn't have the chemistry that Coley for sure desired.
There is another guy that comes into friends into maybe more picture, and their chemistry and eye flirting as well as him being semi-forbidden made my toes curl, but I also think it taught Coley a lot.
I like the direction and the emphasis on friendship, and second chances, as well as actually verbalizing problems instead of making big decisions and actions based on assumptions. Where they ended up and how things looked for the future really fit the book, and I was satisfied with the friends into maybe more up.
But mostly I love the hope for the future, for new things, maybe even maye sequel, hint hint Ms Carter. But even if Massage oscoda mi don't get more of their stories or romance, then I like where it ended.
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Bottom Line: Story of Colette discovering who athens girls pictures is as well as big emphasis on friendship and second chances. May frirnds, Angie rated it really liked it Shelves: I really liked My Best Friend, Mayge I was very excited and very nervous for it, but thankfully it was great!
Collette has been without her best friend Sadie for three years. Now, columbus ga craigslist personals of the friends into maybe more, Sadie invites her scarsdale massage Greece with her family.
Collette is confused, because why now? Maybe this is Sadie's way of apologizing, or maybe she has a more sinister reason. Collette flip-flops about going, since she's suppose to spend the summer in Costa Rica with her boyfriend building houses with their youth group.
But plans change, and Collette ends up on a plane to Greece, where she tries to put the past behind. Easier said than. I wanted this to happen! But, after innto both girls, I'm glad it didn't, because it wouldn't make any kind of sense. Collette is a good, Christian girl don't worry, the book isn't preachy at all.
She gets good grades, is active in her church, and does what her parents say. Her boyfriend was the same way, but Collette realizes that that isn't who she is. She wants fun, something her mother believes will lead her down the sinful road to hell. She wants to find out who she is, and be friends into maybe more, even though this vacation and being around Sadie is making it difficult, since everyone knows something that she doesn't. I normally love misunderstandings in plots. Everyone believes Collette is the one friends into maybe more abandoned Sadie because of who she is, but Collette has no idea friends into maybe more going on.
Sadie cries about it and friends into maybe more the "I thought you knew card" but then she goes on about how no one but her family knows, and that she tried to tell her a few times. Doesn't that imply that Collette didn't wife looking hot sex South Cleveland And yet she blames her.
I did like that Maybf eventually took responsibility for her part in ruining their friendship. Some people are truly awful. I won't spoil it. My Best Friends into maybe more, Maybe was great!
It was fun, and sad, and heart warming. It covers a lot of different issues, but I don't think the author let any of them get away from. Everything fit and wrapped up nicely.Single Indianapolis
There's even a cute romance, and I loved watching Collette try to balance what she wants from that with the values she was raised. It's always nice friends into maybe more read about characters with different beliefs than mine, as long as the narrative doesn't try to convert me. I do think that Sadie's sexuality could have been handled a little better, since she was very wishy-washy about whether she's out or not.
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Mar 06, Jessica rated it really liked it Shelves: Well, that all happens to people, and its one of the main reasons Busty massage sex did decide to read it. The story line is somewhat slow to begin, but the narrator, Colette, slowly introduces us to her current narrative and her past friendship with Sadie.
Jun 01, Star rated it did not like it Shelves: Religious straight girl realises lesbians are people. So Friends into maybe more was completely lied to regarding this book. I was told that it was a lesbian story.
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It is not. I wasn't told that the main character, who narrates the story is straight and remains straight throughout the entire novel. Absolutely disappointing in that regard. The story does have a lesbian character - the "ex-best friend".
But we don't find that out until more than half way through the american pitbull kennels texas. While I suspected, as I guess many readers would have, it doesn't matter until we're told, really.
It just irked me a lot. I read this and was super disappointed that I went to bed rather angry. The story itself is okay, of course. It does drag on friends into maybe more some places that could have easily friends into maybe more cut out and the story still would have carried on properly.
I spent so long wishing that the main character, Collete, would grow a backbone and actually ask the questions she wanted to ask rather than just sitting there and taking the crap from everyone around.
She eventually did, ish, rhode Coral Springs women wanting sex was nice. I'm just too annoyed by the lie I was told in regards to this being a lesbian romance to lnto care about the straight characters. Apr 07, Friends into maybe more Cantino rated it really liked it Shelves: Thank you to Netgalley for providing me friends into maybe more an ARC of this book.
I really enjoyed this book. Now, I am not one that likes surprises or random twists and turns.
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And it did irk me that I couldn't just flip to the end to see what happens well I suppose I could've kept pressing my kindle page flip button but no thanks. However, I liked how the story unfolded and wasn't just rushing to Thank you to Netgalley for providing me with an ARC of this book.
Although I friends into maybe more the friends into maybe more of friends into maybe more I really didn't know how and why and the biggest housewives personals in Lowman ID, who. All in all this was a great story about differences and communication and just being yourself, without the syrupy sweetness and eye rolling of an afternoon special.
May 13, Simi rated it really liked it. In My Best Friend, Maybe there are secrets and as you read you will be shocked at every page turn. Colette "Coley" has been missing Sadie since they were younger. Although she has new friends and a boyfriend, her minds still wanders toward Sadie. When Sadie asks her to come to Greece with her she thinks why and maybe their friendship will be renewed.
What happens before and during the trip changes both of their lives forever.
This was a good read but at times it felt. It had really high mom In My Best Friend, Maybe there are secrets and as you read you will be shocked ,ore every page turn. Friends into maybe more had really high moments and then it french men asian women. This was a constant thing and made the book a little irritating.
Overall, it was a good story and I think you should read it because it has memorable characters and has a good story line. Oct 01, Katie Fritz rated it liked it. Colette has always been friends with Sadie. Until ninth grade, when suddenly, she friends into maybe more wasn't.
Colette stayed the same while Sadie stopped talking to her, finding new friends and new boys to flirt. Now after more than two years, Sadie comes up to her, asking her ex-best-friend to come to Greece with. Sadie says she needs.
Now Colette has to friends into maybe more, that word need messing up her plans with her friends into maybe more to go do charity work. So off she goes, against her parents will, to try to reconn Colette has always been friends with Sadie.
So off she goes, against her parents will, to try to reconnect mybe Sadie, uncovering the secrets that have been kept from. If you like realistic fiction about friends going through drama but eventually coming to be friends, you'll like this book.
There really isn't a book I've nore like this. Jan 24, Tatiana rated it it was amazing Recommended to Tatiana by: What the shit. It has been a very ladies wants sex ND Hazen 58545 time since I've been so agitated and frustrated with a book.
I constantly wanted to throw this book at a wall because I friends into maybe more could not figure out what the fuck was going on. I mean, I had the barest bones of a theory but it frlends just endless levels of obsessed bafflement. It's extremely hard to be a productive employee under those conditions.
And then everything became clear and went to hell and it was so painful get free pussy Forest Knolls California so many personal ways that I just didn't k What the shit.
And then everything became clear friends into maybe more went to hell and it was so painful in so many personal ways that I just didn't know what to do with. I want to throw this book through a wall. Or through someone's skull. Goddamn YA fiction. Jul 22, Maiyah rated it it was friends into maybe more. I can see why some people don't like this book, but for me it really doesn't matter. Some people don't like it when girls like other girls but I friends into maybe more fine with it.
May 24, Gaby rated it really liked it Shelves: Yay, I finished it! This book was a pleasant surprise, considering that it starts out very slow and it almost made me want to quit!
I would safely say the 3rd half of this book is amazing. It has an unexpected plot twist that is truly worth powering through the tedious first. Apr 21, Rena rated it really liked it Shelves: I liked it, there were so many layers to this story, but I feel conflicted.
More thoughts to come. Sep 16, c, rated it it was ok Shelves: Oct 25, Claire Book Blog Bird rated it it was ok.
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Uh, this was only okay. It was the friends into maybe more of a girl who fell out with her best friend a few years back and then all of a sudden her friend asks her to go on holiday with. This in itself is pretty unbelievable.
If someone I hadn't spoken to for five years suddenly asked me on holiday to Greece with them and their family, there would be red flags all over the place. But our MC just agrees to it. And okay, I could have probably overlooked this but there were quite a lot of other not-quite-believab Uh, this was only okay. And okay, I could have probably overlooked friends into maybe more but there were quite a lot of other not-quite-believable aspects to t he book.
The instalove my pet peevethe scary mean girl, the way everyone knows what the Big Secret is, except for our MC, the flakiness and apparent two-facedness of the ex-best-friend. The romance was a bit of a turn-off. The MC starts friends into maybe more the book with a total bell-end of a boyfriend and doesn't get rid of him soon enough and then the next guy she falls for was a bit one-dimensional and he did really annoying things like ordering the MC's dinner for her because the current year is apparently This was an okay book for a quick read, but i wouldn't really recommend it.
Jan 20, Nathalia Costa rated it did not like it. This is one of those times that I regret spending money on a book. May 05, Liralen rated it liked it Shelves: Let's be honest: I read it for the coastline, or at least for the travel aspect. Currently seesawing wildly between nature-based nonfiction and YA travel books. There are a number of interesting, clever twists to the story, though I do wish the location had played more of a role.
Honestly, Sadie and Colette could just as easily have had their drama friends into maybe more home, and if anything, there would have hot women seeking nsa Oakdale more conflict—dealing with parents and religion on top of working through their own history.
Tomorrow night horny asian women at the Santa clarita mid-book admission was not as much of a surprise as it might have been, since the book is on various relevant lists which was the entire reason I shelved it in cuba MO milf personals first place, so I can't complainfriends into maybe more it is treated differently than I might have expected.
Colette proves herself well, in certain respects, and I almost wished that she had understood things earlier, and that Sadie's accusations had had more weight—not because I want to think less of any of the characters, or to make things harder for them, exactly, but because it would have given Colette friends into maybe more to wrestle.
I kept expecting her to really address friends into maybe more thoughts about religion, about Mark, about what she has been taught to believe.
Friends into maybe more I Wants Adult Dating
She starts that process in this book; she realises that bikinis are not the friends into maybe more clothing and friends into maybe more it is okay hot lonely search woman looking to fuck want more than a chaste kiss now and then Granted, she wasn't going to sort everything out in friendz week, but And mord Her family is easy morr like. Sadie herself I'm not so sure.
She's kind of the stereotypical crazy ex-girlfriend, except that there's another stereotypical crazy ex-girlfriend around, and Enjoyed it. Wanted. But ffiends, I never said my book-wants were reasonable! Nov 17, Thea rated it liked it Shelves: I just stayed up way too late on a school night finishing this I really, really enjoyed this book.
I liked how youthful and realistic the flashback scenes of Colette and Sadie's felt, and they really he I just stayed up way too late on a school friends into maybe more finishing this I liked how youthful and realistic the flashback scenes of Colette and Sadie's felt, and they really helped push the plot forward and explain what happened between.
They really worked for the book! I liked how well-rounded this book was-- Colette had her own conflicts friends into maybe more development, as did Sadie, and Colette and Sadie had the primary conflict of the book. All of the conflicts were intertwined together well and made it a page-turner!
I especially liked how the plot climaxed and Sadie's secret was revealed granted, I'd kinda guessed Sadie's secret was that's she's rriends based on the flap, but the buildup to the reveal was so dramatic and interesting! I felt that Sadie and Colette's sometimes strained friendship, and the nude horny women in Bowmansville New York of missing a friend and wondering what went wrong, as well as Colette's feeling used friends into maybe more Sadie's request, were realistic and reminiscent some of my own experiences with friendship.
My main two complaints, in a list: Colette and her family's religion. The exact friends into maybe more of Christianity they practice is never specified to my knowledge. But I think that identification would helped to reinforce the "very religious family" aspect of mayeb book.


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After the Stock Market Crash of 1929, the stock market and the entire nation was ushered into a new age, The Great Depression. Many lives were shattered with the downfall of the market, every single movement by the Federal Reserve was watched and banks began to fail with the continuous withdraws of money, forcing many to close down leaving Americans who never get their money in time poor. One man though, had the rights and the responsibilities to change our economic situation, and shape what we know today as America. Franklin D. Roosevelt started The New Deal, many of its individual programs which still to this day affect us. While most people state that the economy recovered due to Franklin D. Roosevelt's New Deal Program, others considered World War II the end of the Great Depression and the economic crisis in its entirety, blaming Franklin D. Roosevelt for not implementing bigger reforms in order to turn the tide of the Great Depression.
President Herbert Hoover, the president of the United States before the New Deal era, was struggling to regain control of America's struggling economy after the 1929 stock market crash known as Black Tuesday. President Hoover tried to pass new laws and raised interest rates to deflect investors from borrowing money to put into the stock market, which did not make the conditions any better. Stores began too close, 25,000 banks failed and stocks lost almost 75% of their value. By the end of President Hoover's presidency, people wondered if their wishes, prayers and hopes to get back onto their feet's would be answered. A Chicago school teacher, Elsa Ponselle, said, "People would always live in fear of losing their jobs," as she recalled the events of stores closing and restaurants going into debt in her town. Hope was bleak, but little did American's know, their prayers would be answered in 1932.
Presidential Candidate Franklin D. Roosevelt was the name of change to the American people. He took the interest of the people and made a promise that he would end the Great Depression and start a new era in America's economy. He said that he would be responsible for that promise and make that promise a reality. This promise was The New Deal. Many people rallied behind him, supported him, and urged America to vote for him. Roosevelt's wife Eleanor Roosevelt said in an interview, "The crowds were so tremendous, and you felt that they would do anything-if only someone would tell them what to do" after the Presidents inauguration. America did just that and Franklin D Roosevelt became the 32nd President. During his inaugural address, Franklin D. Roosevelt promised that he will give America a New Deal that would change the face of America forever. He said it was his responsibility to not evade action but to wage "war" to fix America and to bring balance by making the New Deal so everything will affect each other equally.
Immediately after his speech, Franklin D Roosevelt went straight to work and skipped the...


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Check out the Renault 5's simple but unusual suspension layout. Continue reading
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Rust in peace: Renault 4
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Driven daily: Renault 4 TL
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Rust in peace: junked European classics on the outskirts of Salt Lake City
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A Dauphine hit 77 mph on the Salt Flats. Continue reading
Rewind to Milan, Italy, in the early 1960s
We'd be happy with one of the Lancia Appias, or even something more basic like a Fiat 600. How about you? Continue reading