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Himalaya: geological aspects
Satish Serial Pub. House, Jan 1, 2006 - Science - 355 pages
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Tectonomagmatic Evolutionary Model of the KuluRampur
Tectonic and Geochemical Signifcance of Black Shale
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subset: commoncrawl


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With the arrival of phone cameras and social media sites, it seems everyone is a photographer nowadays. Investors who enjoy photography and want to add a new hard asset to their portfolios, however, might want to consider purchasing historic, collectible photos or contemporary photos taken with standalone cameras.
Like other fine art markets, it's misleading to speak of a single photography market, because there are multiple submarkets.
Denise Bethel, head of the photographs department at Sotheby's in New York, notes that classic photos — the equivalents of blue-chip stocks — are a major category. Several of these photos, often dating from the early 20th century, each have sold for more than $1 million at auction.
There's also a thriving market in contemporary photography, says Bethel, and the top photos in that category can command seven figures.
The variety of categories gives collectors considerable choice.
"We do have collectors who collect across the board," says Bethel. "So, for instance, collectors who start with Daguerreotypes and go all the way to contemporary photography.
"And, we also have collectors who specialize so there are collectors who only collect, let's say, American modernist photography from the first half of the 20thCentury or European 19th-Century photography or contemporary photography," she explains. "So, we've got people who collect every decade of photography and then we have people who are more specialized."
In addition to numerous periods and types, photo prices cover the spectrum. Consider Sotheby's early October auction in New York. Sales totaled over $5 million, but a large number of the lots sold for less than $10,000.
Apart from the auction houses, online galleries such as PurePhoto.com also offer collectible photos at a wide range of prices.
Careful Consideration
There's a standard piece of advice given to collectors of fine paintings and other expensive collectibles: Unless they have very deep pockets, they can either buy art that they love and not worry about building a collection or they can focus on building a collection that will have more appeal to potential buyers.
Photo collectors can accomplish both goals, says Bethel. "You can certainly craft a very good collection by buying what you like," she says. "You can do both simultaneously. I don't think you have to do one or the other. I'd recommend that you do both simultaneously."
As with any collectible, buyers need to know their market or be able to hire experts with that knowledge. Fortunately, there are ample educational resources available, including websites, books, auction catalogs, and museum and gallery displays, for example.
Bethel advises prospective collectors to spend at least a year looking before purchasing anything. The learning process can include going to museum exhibitions, photography galleries and fine art galleries that sell photography and previewing multiple auctions.
There's also a vast wealth of photography books available today, she says. "I know that when I started back in 1980, you could buy the essential photography books you needed by buying 10 or 20 books," she says. "Now, walk into any bookstore and the photography section is huge."
The expert also suggests that potential buyer get on the mailing lists for catalogues put out by the different auction houses.
"Look and learn before making that first purchase. And, then, once you do start to purchase things, I recommend keeping up, keeping up with the auction market, keeping up with what's going on in museums, keeping up with the gallery scene," Bethel explains. "And, of course, there's always the option of hiring an art advisor who knows the territory to help you."


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Thursday, June 19, 2008
Libby Zion case in the rear view mirror..
This episode changed medical education in a huge way, as residents(drs in training) are now forbidden to work more than 80 hrs/wk and more than 36 hrs in a row. Obstensibly, to prevent fatigue and reduce errors in medical care leading to this sort of "outcome" (and now the hrs are soon to be reduced to 57 hrs/week!)
My personal record as a resident BP (before penicillin) of continual service was, without stop or sleep, Friday 6AM until 3PM the following Monday..(neurosurgery rotation)
Despite the good intentions, the objective data, show that this reduction of hours has INCREASED poor outcomes, mistakes, etc. Probably due to the increased number of "turnovers" which is what we call signing the patient over to a new doctor before diagnosis, definitive treatment, etc is established by the initial treating physician.
The reason for our previous long hours of work during residency, was continuity of care, so that a young physician would see a case thru the initial stabilization and treatment of a patient and see the progression and effect of said treatment.
Doesn't seem to have worked as intended. So would your rather have a tired doctor directing your care who knows exactly what has gone on in the initial stages of your treatment or a fresh doctor who takes over but doesn't know what or how ill you were 36 hours ago??
55 comments:
I would rather have the tired doctor who knows what's going on. I would hate to have to explain something to a new doctor when I was all hopped up on morphine or something. It's bad enough having to go over symptoms with the nurse and doctor the first two times while sitting there in excruciating pain.ReplyDelete
For the record, I only go to the ER when I am in excruciating pain. If it's not an emergency I see my regular doc.
i am of two minds on this. was the 'old system' ridiculous? yes. is the new solution better or worse? worse, and mostly for the reasons you mention.ReplyDelete
a friend recently out of ortho residency in NY told me that the residents would arrange it quietly amongst themselves to do it the old way so they could have 1.5 to 2 days out of the hospital per month. otherwise it's every day for 5-7 years.
- Anonymous5:56 PM, June 19, 2008
Handoffs suck, especially with the post call residents going home "early"(still after being up for potentially 30 hours)and the night guy getting the handoff from someone just covering. The old system sucked to, especially if you were the patient I was seeing at 4:59 pm on my postcall day. Pulmonary Edema? take 2 lasix and call me in the morning.ReplyDelete
So would your rather have a tired doctor directing your care who knows exactly what has gone on in the initial stages of your treatment or a fresh doctor who takes over but doesn't know what or how ill you were 36 hours ago??ReplyDelete
Damn, farty, is there a third option?
So with this 57 hour thing, what now, pray that the weary are excellent documenters and the fresh are great readers?ReplyDelete
Going into third year of med school, gimme 80+ hours and a golden weekend every month to do my laundry. I'd rather have a clue and lose some sleep than try to piece together the puzzle of the cluster f**k that went on last night while the other dip-sh!ts were covering.ReplyDelete
- Anonymous7:27 PM, June 19, 2008
I'm sorry oldfart, but I think that you are comparing apples to oranges.ReplyDelete
PandaBearMD had posted on this very issue numerous times.
In essence, the rate of churn has greatly increased since your neurosurgery days. The acuity of admissions today far exceeds those of your day.
At my institution, admissions that qualified for the MICU a little more than couple of years ago now are routinely admitted to a general floor. Patients who were routinely admitted are now discharged from the ED set up with outpatient appointments.
The inpatient population is much, much sicker than years ago and is going home a whole lot sooner.
Your hours in residency past cannot be compared to those these days.
This, BTW, would also explain the statistics you quote.
dear scutslave,ReplyDelete
be prepared for a flaming arrow from oldfart. he has seen it all in his decades long career, first as a resident, then as an academic director, then in private practice, and again now in academics. he is, iow, the man, albeit an old and grumpy one.
i do not disagree about acuity and patient overload... see voluminous prior posts on EMTALA.
- Anonymous7:47 PM, June 19, 2008
911 Doc,ReplyDelete
That's his prerogative.
I can speak for my institution as I've seen the statistics on ED visits. They've shot up very impressively in the last several years.
Therefore the workload has increased (I will barely mention the concurrent and never ending increase in non-productive paperwork tasks), while the number of residents hasn't budged by much.
Bottom line: We are working a whole lot harder than recent residents, never mind the old-timers.
uh, yeah. we don't know what hard work is sparky... i guess and you guys are having it a lot harder than before the residency work hour limitations. i'm sure it's completely different than when most of us finished residency all those years ago (one of us 4 years ago). also, my father can beat up yours.ReplyDelete
to drop the sarcasm for a bit i know you are a recent visitor here and welcome your comments but for as long as we've been writing here we are kinda banging the same gong you are right now.
the only perspective you have on this is what you are experiencing right now and stories about 'what it used to be like'.
oldfart is still in full time practice as am i as is s'cat and erdoc85. and we did residency without any sleep after getting up before we went to bed and walked backwards through the snow for six miles to get to the hospital and godammit, we liked it!
- Anonymous10:07 PM, June 19, 2008
Better question:ReplyDelete
When you have your medical emergency at 6 PM, would you rather have a doctor who:
*trained in the old system and knows how to work through the faigue to take care of you?
*watch a doctor who can take care of you leave because he is too tired to keep working after his 8 hour shift. After all. the night crew will be here in an hour or so...
I've worked in both systems. Give me an overworked doctor instead of a well rested one. The well-rested one hasn't seen enough patients to take care of me or my family...
- Anonymous10:57 PM, June 19, 2008
You all make it sound like there's no third option. Laughable that your brilliance isn't capable of thinking beyond the polarizations.ReplyDelete
You know what though, even though they reduced the hours, my friend recently finished up his residency at the U of A. He still did the huge volume of hours. I asked him about the federally mandated reduction, and he said they(the hospital) actually ignored it. If anyone complained he said they'd basically get booted from residency.ReplyDelete
I can't say as to which I'd rather have. I suppose I want the smartest most informed guy. I hate the thought of how tired residents get though. It just maked me ache to think about it because I've gone without that much sleep with a new baby, and I don't even remember what I did or how I survived. Of course that could have been the bloodloss clouding my memory...
Oohhhhh...anon, I'd tread carefully. It's like you're poking a bear with a sharp stick. Watch out, the resident cereal killer E might make a canoe outta your ass.ReplyDelete
Or they might send DRX after you. I'd better hush though, we're not allowed to talk about him publically.
"You all make it sound like there's no third option. Laughable that your brilliance isn't capable of thinking beyond the polarizations."ReplyDelete
i am so happy you commented because you seem to have an answer. awesome! let's have it. we stand in an anticipatory sphincter-tightened state.
How are doctors instructed to give sign-outs in school?ReplyDelete
In my ER, a sign-out is "room 1 has chest pain and is admitted", then, inevitably, he crashes or codes or whatever and doctor #2 is like "oh, what is room 1's story?"
If doctors routinely leave out 99.999% of pertinent details when talking to the next guy on call, no f'n shi-zat it's going to be dangerous having lots of sign-outs.
hey there nurse k,ReplyDelete
long time no visit! of course i've been bad too.
here's the way sign out went at my residency. there wasn't one. we did run the board with the oncoming shift but we did not turn over patients until we were senior residents and only then if the oncoming would accept.
this created it's own problems, mainly jockeying for charts towards the end of the shift... no workups, only 'chip shots'.
the chip shots often turned into zebras. our 8 hour shifts turned into 12s.
that being said, and having worked in places that do turnover, it's much safer only to turnover patients pending a definitive study like a CT for appy. negative, home, positive to the OR .
anything more complicated and things are missed.
of course i've been bad too.ReplyDelete
Here, let me spank you--WHAP! I figured you hated my blog or something. Haven't seen you comment for like 6 months, dude. You're scared of the lowercase-letter retaliation, aren't you?
Now, if you promise to do detailed sign-outs with the knowledge that even "admitted" patients who are just awaiting an inpatient bed are going to sit down in the department for hours and hours, I promise to spank you again. Doctor sign-outs should be as nauseatingly comprehensive as nurse report, if not more.
One positive thing about sign-outs is that if a crappy doctor was on first and was too layzee to do a central line or too much of a dick to intubate a patient in distress or whatever, we get a second chance with the new doctor coming on.
and after the spanking?ReplyDelete
- Anonymous6:20 AM, June 20, 2008
This is an old subject but I remember the Attendings in 1986 saying the same things about the Residents then. Dadburn it some of them were married, and got paid 20K a year, and had a fancy lab to do those Blood Counts. Oy Vey!ReplyDelete
- Anonymous6:42 AM, June 20, 2008
my advice to all potential docs: learn from my experience.ReplyDelete
36 on, 12 off, 36 on, 12 off,36 on, 12 off... repeat for 6 years. Uhhh, fuck this, I'm going into path. 8 "on", 16 off, easy call, free weekends...TOUGH CHOICE!
Plus, the most annoying patient I've had just smelled like rotting hamburger. Held my nose and problem gone.
- Anonymous7:58 AM, June 20, 2008
Nurse K, at my most recent residency one of the female residents would put frowny or smiley faces next to her patients to indicate if they were sick or stable. Most of the other checkouts consisted of Name, Room or Bed #, Diagnosis and Code Status. Some of the more OCD residents insisted on more detail, but that was enough for me.ReplyDelete
I left this comment over at ruraldoctoring a while back but perhaps it bears repeating.ReplyDelete
Seriously!? you are a physician for crying out loud, you do not have a nine to five job unless your in Dermatology or an Allergist, I can say that because I am an Allergist. My colleagues whom I did Pulmonary/CCM training with worked much harder and longer hours in private practice than they did during residency or fellowship. I have to wonder how this will effect the 'work ethic' of people coming out of training and going into practice.
"I'm sorry Ms. Peel but the doctor is no longer in the hospital to take care of your crushing substernal chestpain, he will be back at 9am tomorrow morning."
I'm not saying we need to maintain the whole 'rite of passage' thing but 56 hours? Personally I would rather be cared for by a tired doctor who has the ability and character to balance his/her life for the 3-5 years it takes to go through a residency working 80 or more hours a week than the well-rested, can't stay for rounds because my times up, sissy pants that may be coming down the pike.
- Anonymous11:20 AM, June 20, 2008
According to Wikipedia Libby Zion died in 1985 from Serotonin Syndrome resulting from a combination of demerol and a MAO inhibitor. Never understood why MAO had to be inhibited, he's been dead since 1976.ReplyDelete
It amazes me that residents are so protected today during residency. How do they expect to function after they get into the real world? Many specialties pull more than 80 (or 57) hours/week after graduation...just ask my brother the orthopedist or my brother the anesthesiologist.ReplyDelete
And worse, many of the residents I see rotating through the ED now seem to think that this work-week limitation precludes them from spending time outside the hospital reading up on what they see while -in- the hospital, so that their entire medical education must be compressed into that 80 hours/week.
I'd far rather be taken care of someone who is tired but who has the gumption to spend the extra time learning, thank you.
Dear Scut, thanks for your mis-begotten comments. Not sure where you do your training. At my program, we had a 30% admission rate. At my new program our admission rate is currently 26%, so, no I'm not comparing apples to oranges.ReplyDelete
Are there conditions we see now that we treat differently? Yes. Does that mean there are actually less sick? No.
For instance, kidney stones. Now we admitted all of them 30 yrs ago. That w/u took, oh, 5 mins of time. Now we know the vast majority can safely go home. That's not a less sick pt, that's advancement in medical knowledge. At my current program, non-intubated MI's go to the floor. Is that a less sick pt than 30 yrs ago. No, it's because of advances in treatment and care.
I could go on and on.
Let's see, what else? Oh yeah, passive restraints,helmets, etc. Didn't exist 30 yrs ago. You pansy ass Phucks don't know shit about trauma care, Spinal fx's, epidurals, smashed spleens and livers..
Go right on believing you got it hard, son, cause you won't the sigmoid from shit when you finish in 3 yrs..Too bad for your patients..
And as for those "statistics" I DIDN'T quote. They aren't mine. They are vetted by the best educators in the world. They are valid and the reasons tested. I would have never believed what they showed. I would have bet money the opposite wwould have been true, but it ain't.
You and you contemporary's are PUSSY'S
I'm really too tired from work today to be more succinct today.
- Anonymous7:31 PM, June 20, 2008
I just googled "medical resident hours" and I saw an article from the New England Journal of Medicine that in 2004, there was a lower rate of serious medical errors from interns in the traditional call system vs. those with the shorter call.ReplyDelete
I'm not sure how that jives with what you're saying. Common sense would say that if you are better rested, you will make better decisions. Handoffs are an issue, but if other industries can figure it out, I'm sure medicine can figure it out.
Young Seeker, that's exactly why I posted the question!! It does not make intuitive sense but that's what the statistics say after a decade or so of reduced hours..ReplyDelete
Your education and patient's welfare are being compromised by the "progressive" (read Liberal's) restriction on duty hours..
"Other" industries do not deal with unseen variables with which we work..
A pipeline is a pipeline 24x7. A 747 is the same plane 24x7..
The human organism changes second by second and so do the illnesses that attack it..
- Anonymous7:45 PM, June 20, 2008
Damn rented fingers of mine just screwed up what I was trying to say.ReplyDelete
What I intended to say is....
I just googled "medical resident hours" and I saw an article from the New England Journal of Medicine that in 2004, there was a lower rate of serious medical errors from interns NEW call system vs. more errors from the old call system.
I'm not sure how that jives with what you're saying. Common sense would say that if you are better rested, you will make better decisions. Handoffs are an issue, but if other industries can figure it out, I'm sure medicine can figure it out.
- Anonymous9:37 PM, June 20, 2008
Your thinking is typical of the plantation mentality of academic physicians and much of the reason residency sucks.
I don't have the energy to argue with you.
Oldfart, I often get the feeling that you're too old for this comment battle bullshit. Not too old as in "just can't do it anymore," as that's clearly not the case, too old as in "Dammit, I'm too old for this bullshit!" Something like John McClain would say after killing 12 krauts in an elevator. Let 911 and the kids fight it out; in the meantime, try fly fishing or shoot some animals or go dunk on someone shorter than you. Love your posts though, makes me smile to know that some people are still kickin' it Old School.ReplyDelete
Etotheipi: now that I think about it, you remind me of some kind of a Sith lord, like the Emperor. All the other docs here seem to be jedi fighting the good fight against all odds, while you always sneak in a comment or two with a wry smile tempting the righteous to the dark side. The dark side of course being pathology.....its powers.....limitless.
I'm listening.
- Anonymous6:06 AM, June 21, 2008
I have always said that robot doctors kill. Working hours tirelessly can only cause problems for the healer and the patientReplyDelete
- Anonymous9:42 AM, June 21, 2008
At my intstitution the residents are based at the nearby tertiary care facility. They take no ownership for the patients.ReplyDelete
There is a day float person who doesn't know jack about the patient. They initially hired two newbie NPs to do the off going team's scut work, but there was little sign out, only a scut list passed down including who to d/c etc. The NPs were clueless. They soon departed. Now we have 2 older seasoned NPs who attend rounds daily, know what is going on and they pretty much tell the PGY1 floats what to do. Seems to work better and improve continuity of care.
Our facility has short rotations - one week on ICU/CCU then a week on medicine. So if it is the 6th day of your rotation on ICU and the pt is sick as he!! the MO tends to be, who cares, it is not worth thinking about his issues, do the basics because you'll be gone the next day, let the next guy deal with it.
I'd much rather have a resident trained in the old school than the current method (as long as he had a competent fellow and or staff MD overseeing care).
I don't have a solution, but reducing hours to 56 will only make it worse in my opinion.
YOu know what scares me the most? Etohtheipi is starting to make sense! Could a general surgeron slide over into pathology or would they need another long school thing?ReplyDelete
Also I would perfer working with old Doctors out of residence who can do the surgery while they are sleeping.
One of my Doctors has argued that "What are these new Doctors going to do when the sh!t hits the fan?" Out Doctors almost never call in their second and they can be up for 24 hours working.
Scut, I am BACK in Academics after spending 10 yrs in in private practice EM(an oxymoron) in 1 of the busiest ED's in the nation with ZERO residents or students, waay over 120K/yr. And got tired of seeing less than satisfactory training from more than a few young colleagues(911 exempted)ReplyDelete
I somehow doubt that provides with me a, what was that, "plantation mentality".
I somehow doubt your are an EM resident or you would know that WE are the ONLY teaching physicians who are there 24/7/365, you Pansy Assed Faggot! Supervising, teaching, and seeing patients and in general handling everything no one can, wants to, or has the balls to take care of and hopefully teaching a few good young doctors along the way.
You would not be one of those..Please stay off my blog
until you HTFU!!
Ruby, I already do all the above, just not often enuff. And U may be right about being too old. I'd just as soon strangle the little PAFMF, wouldn't take near the strength of typing a response...Kind of like last week, got tired of a certain gen surg and told him he was acting like a chicken shit, fucking highschool bully, do you want to walk outside?Didn't take me up on that either..Toodles..
I am suprised no one has mentioned the nursing staff at the teaching hospitals. Years ago when I worked as a nurse on Medical Stepdown, none of the Interns really made a lot of decisions alone. Most diagnosises has a recipe of what to do. So much of the stuff was ingrained in them. And if they wrote an order like give Magnesium to this patient on dialysis, we would discuss why we could not do that. IF they disagreed, they had to speak to their resident. So it was not like a whole bunch of new guys were set loose on the public. The nurses were watching their every step.ReplyDelete
I would say as much learning comes from good nurses as teaching docs. The problem with today(sorry I don't know how old you are) is nurses are getting taught to do paperwork and to actually believe they might be sued for malpractice for a poor pt outcome (that was the drs fault, not theirs)ReplyDelete
In fact I have never heard of nurse being sued, by themselves, in my entire career. I'm sure it has happened, but there's 30+ yrs of experience here having never seen it.There's a reason nursing malpractice only costs, like $25/yr
Good Nurses Rock!!!Especially ED Nurses!!(Plus they're the best looking, usually have great tits, and are fun, I married one!)
- Anonymous6:03 AM, June 22, 2008
Not to slam on the Nurses, I married one, and I always win those doctor popularity contests they have (Advise to residents, buy a big box of Krispy Kreme Donuts for the Nurses/Unit Secretaries/etal of the floors you work on) might cost $100 or so, so what its Tax deductible. I did it once as an Intern and became known as the doctor who bought donuts for all the Nurses.)but take what they teach you with a grain of salt.ReplyDelete
- Anonymous6:10 AM, June 22, 2008
Heres my real point..If continuity of care is so f-in important WHY DON'T the NURSES STICK AROUND 24 HRS!?!? Hmm? Hmm? I know they'll work double shifts occasionally but only for significantly more Cash. And if you're gonna try to get one to teach you something, better not do it around shift change. The only thing I ever asked Nurses for was their phone numbers. Latest Vitals, Physical Exam? They'd tell you to look at the chart stupid, they're busy.ReplyDelete
- Anonymous7:55 AM, June 22, 2008
Sorry oldfart I have to laughReplyDelete
re:"WE are the ONLY teaching physicians who are there 24/7/365"
Really who are you kidding? You work an 8-12 hour shift then go home. I trained in the "old days" too and simply the patients in hospital were not sick as they are now (by the way when is the last time you managed an admitted patient?). The days of a patient with a DVT sitting inhouse for 5-7 days on a heparin gtt waiting to become therapeutic on coumadin are long over. But hey, don't believe me, I've just managed inpatients for over 20 years, I am sure you know better than I. You also gave NO DATA to support your statements about errors with work hours. Your opinion is fine, but opinions are like assholes, everybody has one. From the data I have read, the results area at best conflicting. Personally, I think work hours are not a bad idea as long as the residents are reading off the clock. I am saying that as someone who has taken real 36 hour call for the better part of two decades, not an ER doc who did it for has internship year off-service, and since then has worked 8-12 hour shifts. Your hypocrisy is hilarious.
- Anonymous8:40 AM, June 22, 2008
The 'oldfarts' of the world (and I'm one of them) are missing the argument. The whole continuum of care nonsense that was inflicted on us way back when, was BS then, and is even more BS now.ReplyDelete
The issue isn't 'do you want to re-explain your problem to doctors on every shift' because of rational work limits (we don't let airline pilots fly for 30 hours at a stretch, do we?), it's do you want a resident (by definition, a physician with less than full training) who has been working for 29+ hours (meaning without sleep for 30+ hours?) attempting to manage a NEWLY PRESENTING, critically ill patient? A patient who frankly wouldn't have been alive 25 or 30 years ago, at all?
Handoffs are a problem. The answer isn't in fewer handoffs, it's better systems to do them...protected time for the hand-over to occur, increased, staggered staffing, more supervision (which is more staffing), perhaps longer residencies (especially for skills-based specialties like surg - more staffing, again), better documentation (not more TJC or nursing manger bullshit), better documentation systems like a decent EMR, less boarding of patients in the ED, less CYA medicine, faster diagnostic studies, and all the other problems we suffer?
Frankly, while I may be an old fart (I'm 52, if thats an indication) I am appalled at the "I did it, so you have to, too" attitudes of some of my colleagues. Our mentors, way back when, used techniques and drugs that frankly killed people - why is one example of "doing it the old way" better, and another, with equal results, not?
BTW, I work at a rather large academic medical center/Trauma Center in a very major city, in the ED...
This is an interesting discussion to hear from both sides. I don't have much to add to the discussion. But I do have a question for the previous poster.ReplyDelete
You state several times that more staffing is part of the solution. I dont' see hospital admins doing more staffing of anything. Hasn't their trend been to staff less and less trying to plug the holes with protocols, paperwork, and computer programs? How will they be convinced to employ more actual humans who cut into their bottom line?
"The problem with today(sorry I don't know how old you are) is nurses are getting taught to do paperwork and to actually believe they might be sued for malpractice for a poor pt outcome (that was the drs fault, not theirs)"ReplyDelete
At my hospital I know of 4 nurses on my unit who have been named in lawsuits. Many of the OB's have been sued. Many have been settled out of court even when they did nothing wrong. We even started a group called Mal-anon to chat about what to do when we get sued.
Theoretically, if the nurse does not access the chain of command when a Doctor does something that is not appropriate. She can be liable. I have a girlfriend right now who is in that situation. It is unfair to expect nurses to police the Doctors behavior. But that is the climate I work in. I also work in L&D in a State that has more Lawyers than need be.
named in a suit is far from being liable. i have been named in many suits though i have never been found liable. in most suits i've been named i was named because my name was somewhere on the three hundred page chart. i would be very surprised if this were not the case with nurses. so, if there are any nurses out there who have had to pay any money in a malpractice suit, speak up. i think oldfart is right, nurse liability is nearly non existent apart from criminal behavior.ReplyDelete
Dear Anon..My dick is bigger than yours!!ReplyDelete
Perhaps you practice somewhere where pts actually go upstairs..I don't. I routinely manage 10-15 admitted pts for 24 hrs plus while seeing another 30-40 pts at the same time. And we don't admit DVTs either. I routinely manage DKA until they don't need to go to the unit. Post stent MI's, and more.
You, however, have managed admitted pts after I have stabilized them and managed them for you so you don't have to do shit, dickwad. You won't touch them until they are no longer critically ill. I do it, you pompous POS!
And where did you train? Hobokkin? I guess so since your pts are "more" sick now. How fuckin funny. You came into the real world!!
And I would love to lie in a bed a few hours while "on call" but no, I'm seeing new pts the entire time I'm working. You only get to see the ones I think are ill enuff to put in the hospital and after I've got them packaged for you.
Yep, I only work 8 hrs at a time, but I and my compadres are THERE 24/7/365, seeing everyone who presents. Go back home and wait for a phone call Shithead!
Amy, you are right on..No answer for you..
Pinky what do you pay for malpractice insurance?? Me, 25K+/yr. I don't even keep track of it anymore..
You are correct in that nurses should not have to police drs actions, that's why you have NO LIABILITY unless I order IV strychnine(sp) and you give it..
And our OB buddy's are the only ones to see shift duty as the way cover their responsibilities 24/7.
My apologies and appreciation to all of them..
RR, you are right. I am too old for the reparte' I think I'll just shoot them all from now on..
It's really the only humane thing to do.ReplyDelete
Seriously, internet/forum/comment section skirmishes are fairly frustrating with very low payoff. I'm all over the "gun control"/gun enthusiast forums (don't want to start anything here), and it seems like that shit never ends. There's never an endgame; your enemies either disappear or just keep commenting with small permutations on a theme, ad nauseum. It's like the damn labor of Sisyphus, and frankly I don't see how you guys have the patience (especially 911). Guess you're right, pull the trigger before they can click "Publish Your Comment!"
Oldfart: Not sure how much I pay for insurance. I do know the OB fresh out of school pays 80 grand. YEs the OB's are the big pockets. But it is very stressful to be deposed and I am hoping to avoid that if possible. One of the ways we do this is by knowing the law better than most of the patients. At this point I am happier having a Lawyer as a patient than a lay person because then they know when they have a case.ReplyDelete
I will check on the nurse being sued and found liable. I believe I have been to seminars that have indicated this. But I will check and get back to you.
I have not much original to add here except to reconfirm that training when I did, many years ago, produced, in the main, surgeons who had had a broad and deep experience while in training, and who, by virtue of sticking with the system then in place, declared themselves the type willing to place high quality and continuous care of patients above pretty much everything else. My friends in academic surgery have been saying for the past decade that the times are a-changin', and for the worse: surgical residents have a shift-worker mentality, are finishing training with less experience and commitment. I'm sure there are exceptions and if I were to need surgery, I'd hope my surgeon would be one. But I'd rather have me.ReplyDelete
- Anonymous9:01 AM, June 24, 2008
There were no work restrictions when I was a med student, 80 hr work week when I was a resident.ReplyDelete
More hours = smarter, better trained doctor. Now that I'm done with training I wish I'd done it the old way. While I was in the middle of it though I was glad it was the new way.
Obviously there's no going back. I think 12on/12off + 48hr weekend 2x/month is best system under current rules for typical med/surg rotations.
- Anonymous5:33 PM, June 28, 2008
I see your point about handing off a patient to the next shift, but where does that end, exactly? If a patient comes in after the doc's been there 36 hours, does he have to stay another 36? I am asking honestly, because I don't know how you'd handle it, but at SOME point, you do have to hand off patients to the next person, right?ReplyDelete
dear anonymous,ReplyDelete
good question. the way this is typically handled where i have worked is to get a disposition for the patient. in other words, get everything you can get done, done. do not leave procedures, like lumbar punctures or pelvic exams, for the follow-on doc. contact everyone that might be involved in the definitive care, and then wrap the patient up in a bow for your colleague. then they can simply make a call when the rest of the labs and CT scans etc... are done.
if you have to check out patients who are mid workup then i typically just tell the new doc to take the patient and get full credit for their workup.
- Anonymous2:57 PM, January 12, 2009
I am just now learing about all this duty hour stuff. I'm not a resident but curious....ReplyDelete
Would you rather have the duty hours regulated by other physicians or by the government?
What do you anticipate would happen if the government started regulating resident duty hours?
(this is in reference to the IOM Report from December 2008)
Thank you for this post, it was most insightful to read all your comments!
curious outsider
sorry so long in responding.
short answer. people would die.
reason, medical emergencies happen 24/7 and just because they are inconvenient is no reason to impose regs from above. the only reason VA hospitals run at all is because of residents and medical students who have no work hour restrictions. after hourse, at most VA hospitals you can not get a 'stat' anything unless you, the medical student or resident, do it yourself. this is true from drawing blood, to getting an EKG, to getting a special study or emergency surgery done.
also, as is true generally, a centralized entity can not possibly make rules that apply to chaotic situations.
what's the answer? i don't know because the residency and training programs are based on a hugely outdated model in which it was possible to know most of what was available to know in medicine by the time you got to your internship.
academic institutions survive on the backs of medical students (who pay for the privelege) and residents who make less tha minimum wage based on hours worked.
academic physicians are thereby liberated to do academic things and that's okay, but my solution would be to make medicine attractive as a career because if the pipeline of the ponzi scheme trickels down then regulations and rules will not matter at all, there won't be anyone there.
- Anonymous8:01 PM, June 29, 2009
ha, you people think patient are being taken care of only in the US? Everywhere else in the Western world they have HUMANE way to train residents and nobodu suffers.ReplyDelete
The reason everybody is brainwashed about the necessity of this horror ( yes, 80 hour per week and 30 consecutive hours straight without sleep IS horror) in order to better train the physician is not better training, because you can't train half dead bodies to make life and death decisions, but pure old money - residents are cheap slaves - highly trained physicians duing the job for a wage which is the same as a babysitter's one - per hour.
- Anonymous6:31 PM, October 03, 2012
Sorry, I have no medical background and am unable to give an opinion. Nevertheless, what strikes me, is the passage: "The reason for our previous long hours ... was continuity of care SO THAT a young physician would see a case... and see..." That is all very well, but, then, the first concern of care would be to teach.ReplyDelete


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Belkin OmniView ENTERPRISE Series Dual-Port USB KVM Cables provide maximum connectivity between your USB servers and OmniView ENTERPRISE KVM Switches. Our coaxial video cabling preserves video strength and clarity at higher resolutions, and the dual-port design delivers built-in cable management for your convenience.
For after-sales support and information relating to products from Belkin, please contact Belkin on:
Belkin International, Inc. offers an extensive range of innovations designed to give computer and consumer electronics users seamless integration in their homes, cars, and on the go. Belkin, a privately held company founded in California in 1983, is the recognised global leader in connectivity solutions. Since our inception in 1983, Belkin has experienced an amazing 25 consecutive years of dramatic growth.
Our diverse and far-reaching product mix includes award-winning innovations for easy-to-use networking solutions, accessories for iPod players, and innovations from our laptop@home line.
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Click here to view products from Belkin


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* Coupon available at Walgreens.com/Coupons. Card and online manufacturer coupon required for pricing.
†Restrictions apply. Free shipping details | Ship to Store details | Walgreens return policy
‡ We disclaim all liability for these telemedicine services, which are provided solely by DermatologistOnCall in accordance with DermatologistOnCall policies and terms. DermatologistOnCall and its healthcare providers are not agents, employees or affiliates of Walgreens. For non-emergency conditions.


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Blue Cord Bracelet with Silver
Dhs. 120
This blue string bracelet comes with a beautiful Roano signature bead. Hand braided using a thin and strong blue thread to ensure a long lasting and unique design.
- 8mm S925 silver Roano signature
- Adjustable size
- Unisex design
- Carefully crafted by hand in Roano Dubai ateliers
- Please note that all our pieces are crafted by hand and one-of-a-kind, and may therefore vary slightly in size, shape, and color.
We recommend that customers remove jewelry before going to bed or participating in any physical activity.
Exposure to certain harsh chemicals or environments will result in compromising the integrity of your jewelry. This includes, but is not limited to the following: perspiration, perfumes, cleaning agents, chlorine, salt water, and silver polish.
Exposure to certain harsh chemicals or environments will result in compromising the integrity of your jewelry. This includes, but is not limited to the following: perspiration, perfumes, cleaning agents, chlorine, salt water, and silver polish.
Sterling Silver Jewelry
All sterling silver will tarnish over time, but it will happen much faster when it comes into contact with agents such as perfume, salty air, sulphur, skin creams, hairspray, chlorine and acidic skin ph. The amount of tarnishing (oxidation) that occurs is dependent on the skin and care habits of the wearer. Tarnishing is therefore not a manufacturing fault. To prevent tarnishing/oxidization and to revive luster, all products should be cleaned using a soft polishing cloth.
Gold Plated Jewelry
Gold plated jewelry will not tarnish but over time chemicals, perfume, oil, moisture, wear and soil may cause it to corrode. We recommend cleaning with a soft cloth or washing in warm soapy water; rinse and dry thoroughly. Please avoid contact with any chemicals as it may remove the gold plated layer. When storing, please protect your gold plated jewelry from scratches, chemicals, extreme temperatures and sunlight.
Wax Cord Jewelry
The wax cord on this product naturally becomes worn through time due to general wear, and external elements such as water, creams and sweat. Over a period of time we advise that the cord is replaced. Please contact our customer service department with any enquiries
Leather Jewelry
Leather is a natural material, general wear and cleaning may cause shrinkage and color variations. Roano Collection cannot be held responsible for any damage due to negligence. To preserve the quality of Roano leather products, please do not wash with any household cleaning fluids. If wet, please allow leather to dry naturally. Do not place near a source of heating or open fire.


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Find what you are looking for?
The perfect blend of style and performance. From the yoga mat to the great outdoors, outfit with fun, flattering workout shirts for women.
Look for women's tops in the hues, cuts and prints you love. Keep it light with women's tank tops and sleeveless shirts and discover the breakthrough performance of compression shirts for women.
What you wear underneath counts-browse sports bras designed to fit, support and shape. For maximum versatility, choose a graphic T-shirt that transitions from the gym to a lunch outing with friends. Keep focused on wellness with yoga tops and cover up in sweatshirts, hoodies and zip-ups and button down shirts.
Find the workout clothes you're looking for from brands you love-Nike®, Under Armour®, Reebok® and many more.
Expert Advice
When it comes to workout shirts for women, always opt for lightweight and breathable material. Feel your freshest with a moisture-wicking liner in your shirt that works to lift perspiration off your skin for an all-day fresh feeling. An antimicrobial finish also prevents the growth of odor-causing bacteria.
Comfort is key during your most strenuous workouts. Women's shirts with flatlock seams prevent chafing and irritation, and four-way stretch fabrication lets you blend, flex and sprint with total freedom of movement. Keep visible with running shirts for women, designed with vibrant reflective fabrication, ensuring motorists can spot you during evening runs. Hit the court in stylish volleyball shirts that work as hard as you do.
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Shop sports bras designed for your sport or activity. You can choose from high, low or medium impact activity level to find a sports bra that delivers the precise level of comfort and support. Get the silhouette you want with crossback, racerback and scoop back designs, and bras that come with and without padding.
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Download Greenpeace wallpapers and learn more about our mission. Great photographs from all over the world tell the story of a beautiful planet in danger.
- click on your preferred size to download - image will open in new window.
1440 x 900 wallpaper
1024 x 768 wallpaper
For Windows: First, double click on the wallpaper of your choice. Next, right click on the enlarged image and select "set as wallpaper." (TIP: Once you've downloaded the wallpaper you can make the image fill your entire monitor screen; go to startmenu/settings/control panel and select background tab, then select stretch under the page display settings.)
For Macintosh: Download the wallpaper, then drag the picture to your desktop. Go to control panels/appearance/desktop and select the picture you just downloaded.
These screensavers and wallpapers are for enhancing your computer, they are not intended to be used to prevent your screen suffering from burn out. Every effort has been made to ensure these screensavers function correctly, however Greenpeace cannot be held responsible for the installation and download of these screensavers onto your computer. Greenpeace will not be providing any technical support for these screensavers.


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Sean Hayes, �Before We Turn To Dust� (Sean Hayes Music)
If the Black Keys are the current blues practioners who sound like they would roll you for your change in the alley behind the bar, Sean Hayes is the one who�d pick you up, dust you off and buy you a drink afterward.
Hayes� brand of blues, more a folk-blues hybrid, may be smoother than some of his down-and-dirtier counterparts, but it�s no less effective � on �Before We Turn To Dust,� modern beats carry along a world-weary rumble that conveys just the right balance of hope and desperation. It�s mesmerizing.
Hayes sets the mood just right on the title track, drawing a direct line between our never-ending quest for love and the limitations of our own mortality. �Got to give it up to get iiiiiiitttt,� he croaks, and when he extols the importance of �every moment, every breath,� he sounds wise and wizened at the same time � he�s like a bluesy Yoda.
On other tracks, like the piano-driven �Bam Bam,� Hayes manages a sexy dangerousness, and he turns to a smoky falsetto on �Drop Down,� a nostalgic slow-burner that draws parallels between his parents� joys and challenges � �They got it on and I�m sure glad they did,� he sings � and his own current life as a new father.
Hayes goes dark and sultry on �In Your Pocket,� stuttering �slip back, Cadillac, you break it every time� over booming guitar and bass; and �Lucky Man� is classic gutter blues, with Hayes sighing �I�m a lucky man� like he wishes he meant it.
On �Before We Turn To Dust� Hayes grumbles, coerces and cajoles the blues into the modern era, and it�s a slow-rolling pleasure to listen to it as it happens.
Peter Chianca blogs for Gatehouse Media�s Blogness on the Edge of Town and is author of �Glory Days: Springsteen�s Greatest Albums.� Email him at email@example.com.
Album review: Sean Hayes, Before We Turn To Dust'
Sean Hayes, �Before We Turn To Dust� (Sean Hayes Music)


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Murphy tells seniors McMahon a threat to Social Security
U.S. Senate hopeful Chris Murphy and a tag team of fellow Democratic heavyweights visited a Norwich nursing home Wednesday to pounce on his Republican opponent, Linda McMahon, for a remark she once made suggesting a future phase-out of Social Security.
To his left stood U.S. Sen. Richard Blumenthal, and to his right was state Sen. Edith Prague of Columbia, the eldest member of the state's General Assembly at age 86.
"Don't you dare ever vote for anybody who's going to destroy Medicare or Social Security," Prague told the mostly senior audience of about 35 men and women at Regency Heights Health Care in Norwich. "You're gonna vote for people who care about us, like these two gentlemen."
The trio pummeled McMahon for a remark she made in April during a candidates' forum in Waterford hosted by the 2nd District Tea Party Patriots.
At that event, in answer to a question about the future of Social Security, McMahon said as part of her response: "I believe in sunset provisions when we pass this kind of legislation, so that you take a look at it 10, 15 years down the road to make sure that it's still going to fund itself."
Since a video of her remarks surfaced last week, McMahon has clarified her position, saying she has no plan or desire to end Social Security and instead is open to bipartisan reform efforts that wouldn't affect current recipients' benefits.
But the Democrats said they are taking McMahon on her earlier word. Blumenthal said he found McMahon's "sunset" comments so perplexing he had to write her statement out by hand, which he read to the group.
"I would never vote for someone who wants to sunset Social Security," said Blumenthal, who defeated McMahon in the 2010 Senate race. "Sunset means phase-out, end, eliminate. Social Security should be strengthened and enhanced and we should take pride in it."
Blumenthal and Murphy vowed to work together in Washington to defend Social Security and Medicare from any Republican effort to cut or privatize the programs.
"I want people to know the differences between me and my opponent on this issue," Murphy said. "I'm going to stand strong to protect Social Security. I'm not going to entertain any proposals to end it."
That message and warning appeared to resonate with their audience.
"I don't know what I'd do without Social Security," said Gloria Trombley, 70, of Norwich.
Later on Wednesday, McMahon accused the Democrats of lying about her true position on Social Security during a dinner and campaign rally at the Mystic Marriott Hotel & Spa in Groton.
"Congressman Murphy has some rumors going around," McMahon told the crowd of more than 300 supporters. "I will not support any budget that will reduce (Social Security) funding and will reduce your benefits that you are getting because you've worked for it, you've earned it, you're counting on it, and you're going to continue to get it under any budget that I support, and that's my promise."
She continued, "My goal is to make sure that Social Security and Medicare is going to be there for generations to come. And we're going to have to do some reforms to do that, but we are not going to touch any of the benefits for those of you who are receiving it today."
McMahon went on to claim that Murphy is the real threat to Medicare, citing his vote for $716 billion in Medicare spending reductions as part of the 2010 Affordable Care Act. However, those cost savings are largely to be achieved by reducing payments to insurers and hospitals, which Democrats contend would not cut benefits.
She pivoted from defense to offense, pointing to a research finding by her campaign that Murphy, the current 5th Congressional District representative, has missed 74 percent of his committee meetings since being sworn in in January 2007.
"I don't know about you, but if I hadn't shown up 75 percent of the time and somebody was paying me $170,000 - by the way, we're paying him $170,000 - and he didn't show up for work, in the private sector, at least in my company, he'd have been fired," said McMahon, a former WWE executive.
A Murphy campaign spokesman Wednesday night accused McMahon of trying to distract voters from her "moment of honesty just a few months ago that she would 'sunset' Social Security."
The Murphy campaign contends that McMahon miscalculated the candidate's attendance record.
Former Congressman Rob Simmons of Stonington also spoke at McMahon's rally, his second major public appearance with McMahon since losing to her in a three-way 2010 Republican Senate primary.
"It is my hope that when Linda McMahon goes to Washington, D.C., next year, she will apply her business good sense to getting a budget through the Senate, which the Democrats have not had for 3½ years, and that's a disgrace," he said.
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Sens. Richard Blumenthal and Chris Murphy on Wednesday joined a group of fellow Democratic senators in pressing Pentagon chiefs about the use military force on protesters in dozens of American cities.
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Police and protesters meet during Black Lives Matter event in Norwich


text: Friday, December 28, 2012 APTA Continues Advocacy on Cap and Cuts Solution; Encourages Members to Monitor Latest Updates Congress recessed last week without reaching a deal on sequestration or taking action to extend the Medicare therapy cap exceptions process and avoid cuts to the sustainable growth rate (SGR) formula. The Senate resumed legislative business this week. Yesterday, House Speaker John Boehner issued notice that the House will return on Sunday, in hopes that legislators can reach a deal on the fiscal cliff before December 31. However, at this time it is uncertain whether a fiscal cliff deal will be voted on by the deadline. Thus far, congressional negotiators have indicated that an SGR "fix" and a provision to extend the cap exceptions process would be carried in the larger fiscal cliff package. APTA is continuing its lobbying efforts to extend the cap exceptions process and prevent SGR payment cuts. Over the next few days, you can weigh in with Congress via APTA's Legislative Action Center and look for information and updates on APTA's Latest Legislative Action webpage as the December 31 deadline approaches. You also can check APTA's Medicare Therapy Cap and Medicare Physician Fee Schedule webpages for up-to-date information. To help members comply with several new policies that will go into effect next week, APTA has posted "What You Need To Know on January 1, 2013" at www.apta.org/LegislativeAction/.


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Hi guys, for those of you interested, I've put together an early look at some of the top prospects of the 2014 NFL Draft. Ideally to just get an idea of who to look for in this upcoming College season. Let me know what you think
2014 NFL Mock Draft
*The order was determined by the Vegas Superbowl odds as of last week


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Series Name
A Pair of Otakus
No more chapters today :(. Please come back later ^^!
With manga, please read english scan online from right to left. With Manhwa(Korean)
or Comic please read english scan online from left to right.
You can chose reading type 'One page'/'All pages' on top.
KissManga.com. Copyrights and trademarks for the manga, and other promotional materials are held by their respective owners and their use is allowed under the fair use clause of the Copyright Law.
Privacy Policy


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GardenMaxx Pinacate Corten Steel Outdoor Fireplace / Firepit.
The ideal addition to any garden and perfect to help you keep warm once the sun goes down. With it's unique design the Pinacate Corten Steel Outdoor Fireplace isn't just a practical addition to your garden it also makes a stunning feature with it's oxidised finish.
- Width: 900mm
- Depth: 470mm
- Height: 1520mm
- Weight: 98kg
- Sandblasted and Rusty Finish
- Removable Ash tray and Fire Grate
- Manufactured from 2mm Steel
- Comes with wheels to make it easy to move
- No assembly required
Surface will oxidise / rust with rain and atmospheric moisture before the metal surface seals itself.
Overall Height (A)1520mmOverall Width (B)900mmOverall Depth (C)470mm
More ColoursNoBrandBuschbeck
Liner Pack & Stove Kits
Direct Stoves Offer Free Stove Fitting Kits*
- Stove Pipe
- Register Plate
800mm x 400mm
- Stove Glove
for protection
What's included in the offer:
- 1. Black stove pipe.
- 2. A registration plate is used to seal the chimney opening off from the room preventing dust, soot, dirt and debris falling down the chimney. It also helps to prevent a draft coming down the chimney. We supply a standard 800mm x 400mm galvanised steel register plate with all our stoves. You will simply need to cut the plate to size to fit into your chimney opening.
- 3. We also provide you with a single stove glove that you can use for stoking the fire and adding wood without the risk of personal injury.
*Only available for wood, multifuel and gas stoves. Excludes electric stoves, flueless and balanced flue gas stoves and outdoor & garden products.
Optional Extras.
Carbon Monoxide Detector:
Due to an update to Building Regulations it is now law to have a Carbon Monoxide alarm present in any room with a solid fuel appliance:- The Building Regulations 2000 Approved Document J (2010 Edition) '2.34 Where a new or replacement fixed solid fuel appliance is installed in the dwelling, a carbon monoxide alarm should be provided in the room where the appliance is located.'
Flue Liner Packs:
The flue liner pack consists of; a nose cone, to easily manoeuvre the flue liner into place, a flue adaptor, which connects the stove pipe to the flexible flue liner, Dura Flue flexible flue liner (this is 6" in diameter and 316 Grade) cut to the required length and a 6" pot hanger rain cap, this supports the flue liner from the top of the chimney and also acts as a bird guard and rain cap.
Stove Pipe with Door:
A stove pipe with door or access point, allows the chimney to be swept through the pipe itself.
Stove Glass Insurance:
If you select to take out our stove glass insurance this covers your stove glass for the time period you select. If your glass breaks within that time period we will send you a replacement piece of glass regardless of the reason the glass broke. All we will ask is that you send a picture of the broken glass.
The insurance only covers you for one replacement piece of glass. It doesn't cover you if you break the replacement piece of glass.
All stove glass is covered during delivery and any glass broken in transit to you will be replaced free of charge, without affecting your stove glass insurance.
Please make the relevant selection above when placing your order if you require any of these parts and also select whether or not you require a Carbon Monoxide alarm sending out with your order. Please note that if these parts aren't selected with your order we can't send them for free after your order has been delivered.
- Stove Pipe
Delivery Info
Free Delivery
Our "Free Delivery" is a one man service. The goods will arrive on a lorry that is about the size of a fire engine. (Please let us know in advance if you have restricted access.).
The lorry has a tail lift that allows the driver to get the stove/oven off the vehicle, the stove/oven will be packed on a pallet and the driver will have a pallet truck.
He'll be able wheel this as close as possible to your property, if you have a garage he'll be able to wheel it into there for you.
The pallet truck can only be wheeled over a finished surface so it's not possible to wheel it over a gravelled drive nor is it possible to wheel up or down steps.
The pallets are normally about a 1m wide so this is the minimum width gate they can fit through.
Please note that the driver is not insured to unpack or carry the stove/oven into your house.
If the goods are showing 24hr or 48hr delivery then this is the quickest time we're able to deliver these items. You'll be asked to select your a delivery date when purchasing the goods.
Please note that it is an all day delivery.
We know a new stove is a big investment. That's why we offer our Pay on Finance option. Spend just £250 or more online and you can spread the cost over up to 36 months - with 0% interest available on a 6 month plan.
It's as easy as:
- 1Add your
chosen stove to your
- 2Proceed to checkout
and select 'Apply for
Finance' as
your payment method
- 3Place your order and
you will be sent to the
finance application site
What You Need to Know
We want our Pay on Finance option to be as easy to understand and straightforward as possible. We've created the chart below to tell you how much you'll pay back per month.
Finance Example: £379 purchase price
Finance Options Representative
APR (Fixed)
5% Deposit Payments Total
6 MONTHS 0% £18.95 6 months: £59.33
No final payment
£356 12 MONTHS 19.9% £18.95 12 months: £32.68
No final payment
£392.16 24 MONTHS 15.9% £18.95 24 months: £17.46
No final payment
£437.99 36 MONTHS 15.9% £18.95 36 months: £12.45
No final payment
What You Need to Know
Our Pay on Finance option is provided by V12 Retail Finance.
To apply, you just need to be able to meet the following criteria.
You need to be:
At least 18 years of age
A UK resident for 3 or more years
Able to make regular Direct Debit payments
Working at least 16 hours a week or residing with a partner who is
Have a debit/credit card in your name registered to your address
We can't guarantee your application will be approved. Your credit score and existing financial commitments will also be considered.
How to apply
To apply, all you will need to do is fill out an online application form, select your finance option, and add an electronic signature. Once successful, you will be asked to verify your identity by authorising a 50p transaction fee. Please note, our finance is only available online.
How long will it take?
The form should only take a few minutes to complete. You should get an instant answer on whether your finance application has been successful. In some cases, our finance provider may take longer if they need to check certain details before making a decision.
For more information, including a representative example and full terms & conditions, visit our full finance options page before making your purchase.
- 1Add your


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About 250,000 Coloradans have gone missing from the labor force since the recession, casting a shadow on recent reports of falling unemployment.
Colorado's unemployment rate stood at 6.2 percent in December, down from a peak of 9.1 percent in the fall of 2010 and 7.5 percent in December 2012.
That drop, however, has been accompanied by a disturbing decline in the share of the state's population ages 16 and older who are working or actively looking for work. That share has fallen from 73.3 percent in 2006 to 67.2 percent, according to the U.S. Bureau of Labor Statistics.
"We have seen quite a drop in the labor-force participation rate, and a lot of people are concerned about this," said Alexandra Hall, the state's chief labor economist.
Hall notes that Colorado's participation rate is the lowest since September 1976. And it is down significantly from the 71.9 percent rate averaged from 1980 to 2006.
A population that is skewing older and retiring or taking disability explains about half the drop in the participation rate. The other half relates to a lack of job opportunities or a mismatch of openings with workers' skills and location, estimates the Congressional Budget Office in a white paper on the country's labor market released this month.
Colorado attracted a disproportionate share of baby boomers, those born between 1946 and 1964, during the 1970s, and this decade many of them will wind their way into retirement, said Cindy DeGroen, projections demographer at the Colorado Department of Local Affairs.
"We are moving a larger share of our population into that category," she said.
Baby boomers aren't going gently into the good night and are staying engaged in the workforce at a higher rate than previous decades, but age will eventually force the decision.
The more worrisome trend is those who are detaching from the world of work well short of retirement. If adults in the state had stayed engaged in the labor force at the same rate as before the recession, then the state's labor force of 2.74 million should be higher by about 250,000 workers, according to a Denver Post analysis.
Of course, more adults are reaching retirement age, even if the recession moved up the timing of that decision. Nevertheless, there are still about 125,000 people missing from the workforce. Counting them puts the unemployment rate back above 10 percent.
Anyone who simply quits looking for any reason — including frustration at a lack of opportunities — is no longer counted as part of the labor force. They cease to be officially unemployed, even though they would describe themselves as such.
The CBO estimates that about two of every three of those who depart the labor force for non-age-related reasons — say, to go to college — will return once employment prospects improve. But it also sounds a sour note in that a third are out for good — a loss of talent and spending power that will sap the nation's economic vitality.
Not far from joining that group are countless job hunters who are hanging on by their fingernails, suffering through horrifically long stretches of unemployment.
Lafayette resident Pam Sexton, who has been searching for a full-time permanent job since getting laid off in 2008, is among those who wrestle constantly with finding the strength to stay engaged.
More than 37 percent of the unemployed in Colorado have been out of work more than 26 weeks, or half a year, which is when state unemployment benefits expire.
That is nearly triple the 12.7 percent long-term unemployment rate averaged in the state from 1980 to 2006, according to the Economic Policy Institute.
"They keep talking about months, but there are years involved here," Sexton said of the long-term unemployment rate. "All I want is a stable job."
Sexton continues to stay in the ring despite repeated rejection, knowing that at 47 she is too young to retire. Hoping to improve her odds of finding permanent work, she moved from Overland Park, Kan., to Minnesota and then, after a return to Overland Park, to Colorado.
She has a master's in English and a technical background as a website designer. She volunteers at the Lafayette Public Library, tutoring others in computer skills.
She has worked in corporate intelligence, honed her skills as a researcher and writer, and even took additional courses in Web design for the health-care profession. Yet nothing.
"It is hard to think too much about it," she said. "I would never have imagined that after five years I would still be sending out résumés."
The longer people remain out of work, the less likely they are to find a job, creating a vicious downward spiral that eventually spits them out of the labor force, a spent shell.
"An exceptionally large number of people have been unemployed for long periods, and the stigma attached to their long-term unemployment, along with a possible erosion of their job skills, has made it difficult for them to find new work," the CBO warned.
Aldo Svaldi: 303-954-1410, firstname.lastname@example.com or twitter.com/aldosvaldi
What is labor-force participation?
The rate measures the share of adults over 16, excluding those in prison or the military, who are employed or actively looking for work. Participation rates in both the U.S. and Colorado were fairly stable from 1980 to 2006, but after the most recent recession, they fell to levels last seen in the 1970s. About half the decline is linked to the rising number of adults reaching retirement age. But a lack of employment opportunities is thought to be responsible for the other half. As more unemployed people stop looking for work, it can lower the unemployment rate, but for the wrong reason. It tends to result in lower living standards, more people receiving government support rather than paying taxes, and reduced demand for homes.


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This property has been removed by the agent. It may be sold or temporarily removed from the market
3 bedroom detached bungalow for saleCross Roads, Keighley, BD22
Property Description
Key features
- Individual Detached Bungalow
- Three Bedrooms
- Generous Rear Garden
- Popular Village Location
- EPC Rating Is D
- Viewing Essential To Fully Appreciate
Full description
Tenure: Freehold
Viewing is essential to fully appreciate this individual three bedroom detached bungalow, situated in the popular village location of Cross Roads with excellent access to the local primary school and village amenities. The deceptively spacious accommodation comprises of a utility room/store measuring approximately 20ft in length and giving access to the rear garden. There is an inner hallway giving access to three bedrooms. The house bathroom has a three piece suite comprising of a bath with shower over, WC, wash hand basin and double glazed window to the side. The kitchen has a range of base and wall mounted units, integrated oven, hob, and extractor fan, stainless steel sink and mixer tap. The spacious lounge completes the accommodation having a feature fireplace, and double glazed windows to the front and side. Externally there is a generous size enclosed rear garden. EPC rating is D.
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Disclaimer - Property reference 11995234. The information displayed about this property comprises a property advertisement. Rightmove.co.uk makes no warranty as to the accuracy or completeness of the advertisement or any linked or associated information, and Rightmove has no control over the content. This property advertisement does not constitute property particulars. The information is provided and maintained by Day & Co Estate Agents Limited, Keighley. Please contact the selling agent or developer directly to obtain any information which may be available under the terms of The Energy Performance of Buildings (Certificates and Inspections) (England and Wales) Regulations 2007 or the Home Report if in relation to a residential property in Scotland.
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One Piece
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