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The Tweet That Took On a Life of Its Own: A Convo with my 5yo
This tweet literally took on a life of its own.
To date, it's amassed the most likes (86K times & growing), retweets (9.9K times & growing) and comments I've ever received. There are both positive and negative responses. I guess it's a hot topic. I thought about deleting it, but nah…….
What I thought was an adorable, light-hearted conversation between me and my youngest child, turned out to spark a national conversation on female versus male doctors. The truth is, in 2018, as a black and female physician, I'm still a unicorn; a unicorn in the sense that many people may feel that I'm still a mystical and magical creature, one who doesn't really exist in this world of discrimination, the #metoo movement, and, particularly for me in the South, with the "good ol' boy" mentality that still exists. Being a role model for my children, who are both girls, is necessary. I also co-own my practice, which means my daughters have the opportunity to see me in a leadership role and I hope are proud when they come to the clinic to see mommy in action.
My husband is incredible and always has been supportive of what makes me happy and fulfilled in business, life and love. He (and I, for that matter) doesn't necessarily identify with the label "feminist," but he understands the importance of women knowing that they are valued and can accomplish any and everything they want. He wants our daughters to know they are beautiful, brilliant and capable–equal to or better than any man on this planet and universe. And, I'm proud of that.
So, when my 5yo asks if "men can be doctors, too," it's because of what she sees around her. Her mommy is a female doctor, many of her "Aunties" and loved ones (including her god-mother) are female doctors or professionals, and her Pediatrician is a female doctor. This is normal for her. I don't want her to have an invisible ceiling. F– that.
And, in this day and age, I'm proud of that.
October: Breast Cancer Awareness & New Year New You 2019 Announcement
Hey there!
So, why is the time flying?!!! I feel like we were just planning New Year New You 2018. *deep breath*, time really does fly when you are having fun.
How have you all been? Hopefully, October, and the great year of 2018, have been treating you well. I am excited to share that New Year New You 2019 tickets are now on sale!
All of the conference info is available on Eventbrite (www.nyny2019.eventbrite.com), where you can buy your ticket, and the Facebook event page (Facebook Page), where you can follow along for special announcements!
Our keynote speaker:
Single Mom.
Fearless Goddess Entrepreneur.
My girl, Kalilah Wright, CEO of MESS in a Bottle, hailing from Brooklyn, by way of Baltimore, will be blessing us with her wisdom and knowledge for the New Year. She'll talk about how she made it over! Join us; you don't wanna miss her!
We're also happy to collab with Spa Utopia – Luxury Travel Spa (A Division of Utopia Living) & N'aya Powell for a VIP experience like no other during our conference.
The VIP ticket will provide:
-Spa Utopia Pamper Suite Experience-
Includes: mini Utopian Body Aromatherapy gift bag (mist, tea, chocolate) and choice of one of the following spa services:
20 min – aromatherapy table massage or
20 min – aromatherapy reflexology (foot massage)
Ms. Powell will also share with us from her topic, "Utopia Living – 10 Daily Habits -To an Intentional You"
They will have products in tow for sale, including Utopian Body/Living products, bath salts & more
Buy one, or get a couple for your girlfriends as gifts.
Only 50 spots available!
Stay tuned for upcoming announcements of our special guest panel and swag bag participants coming soon!
Want a discount code on both early bird regular and VIP tickets? Join my email list at superwomanebook.com or my Facebook group at facebook.com/superwomansurvivalgroup for access!
Breast Cancer
Breast cancer, unfortunately, has affected each one of us in some type of way. According to the Centers for Disease Control and Prevention (CDC), cancer is the second leading cause of death in the US, with breast cancer being second highest types of cancer in the US. Breast cancer affects both females and males, and it is important that we stay in tune with our bodies so we can recognize some typical signs.
Signs include:
- New lump in the breast or underarm (armpit).
- Thickening or swelling of part of the breast.
- Irritation or dimpling of breast skin.
- Redness or flaky skin in the nipple area or the breast.
- Pulling in of the nipple or pain in the nipple area.
- Nipple discharge other than breast milk, including blood.
- Any change in the size or the shape of the breast.
- Pain in any area of the breast.
All breast cancer information was retrieved from the CDC which can be found here.
Take care and be blessed,
DocSwiner 🙂
Work-Life Balance: Thinking About Quitting Medicine, vol. 2
This is right on time.
In the news, media and professional organizations, work-life balance and burnout is all the rage. I'm proud to introduce the 2nd volume of our work to you, released by my publishing company (Swiner Publishing Co.) which became a #1 Amazon best-seller this month: Thinking About Quitting Medicine, vol. 2!
It highlights the struggles that medical and dental providers go through in figuring out what they really want to be when they "grow up." Don't be turned away, though, because it's not just for the medical field. It speaks to a broader issue of burnout that all of us can experience in life and work. Here's an excerpt from our book, including our Intro and my Chapter about my personal life.
Get your full copy, on ebook here: www.bit.ly/taqmvol2 or printed version here: printed book
It feels so good to be back here!
Your response to Volume 1 was out of this world. From showing up to support our visionary physician authors across platforms to showing up at the book launches in Atlanta and Durham, you have let us know that we are tuning in to your frequency. You are Thinking About Quitting Medicine and you are ready to do more than bellyache about it. You yearn to feel alive and passionate and in love with each new day again. You long to feel that sense of pride after each task completed as it feels connected to your higher purpose.
You want that feeling of fulfillment that is spreading through the internet world, but you can't seem to figure out how to manifest that in this life, this hospital, this clinic, this call room, this phone call, this procedure. Maybe you're bogged down from the new EMR with each hospital administration change. Maybe you're over the 18-year-old-sounding snarky insurance guy that you get to talk to before you work your way up the chain of command. It shouldn't bother you as much as it does. It's a little thing added on to so many other little things and it feels like death by a thousand cuts.
In numbing the stress of the day grind out you may have shut out your emotions and somewhere along the journey forgotten how to turn them back on.
This is the place where the culture and media will throw around phrases like imposter syndrome, emotional exhaustion, burnout, stress-induced executive dysfunction and roll out charts and checklists.
This is not that book. Our physicians dug deep and found the courage to tell their stories and serve as their contribution to the world. Sure, they may pepper the above phrases into their lives here and there, these phenomena are real and there is no denying the physician suicide crisis.
In this book we bring you a reminder that there are other ways to interpret your current situation with an eye on the possibilities. Each physician-author's deeply moving vignette takes you through what they felt that led them to think about quitting medicine. In each journey, you'll discover that despite fears similar to yours, setbacks, trials, and tribulations, they chose to continue to believe. They chose to continue to imagine and to walk in their purpose.
We welcome you to volume two. We invite you to join our authors on the Thinking About Quitting Medicine page where you can continue to build a deeper relationship with each of them. Come share your story with our docs so they can help you see what's possible for you.
Thank you once again for your continued support.
Nicole and Mani
Voted 1 of 10 Best Doctors in NC in 2017, DocSwiner is a family physician, two-time best-selling author, blogger, speaker, wife and mother in Durham. She is also affectionately known as the Superwoman Complex expert and has written two best-selling books on the topic. She loves taking care of the family as a whole—from the cradle to the grave. Her interests include minority health, women's health, self-care and entrepreneurship. She attended Duke University and went to medical school at the Medical University of South Carolina in Charleston, SC. She's lived in the Triangle (Durham, NC) since finishing residency at UNC-Chapel Hill and continues teaching as an Adjunct Associate Professor with the Family Medicine department. When she's not treating patients at Durham Family Medicine, she's speaking locally and nationally, blogging, teaching others to self-publish and spending time with her family. Her passion is making medicine "plain" to her patients, so that all people, from all walks of life, can understand how to take better care of themselves and their families. She often blogs, guest blogs and speaks locally and nationally on these and other topics. She is also available as an influencer and brand ambassador, as she's previously represented SheBuysCars, Hyundai, prAna clothing, DurhamKnows HIV awareness and Scarlet Myth Cosmetics. Contact her at email@example.com for further information.
S: 40-year-old (still) full-time doc, publisher, speaker & consultant, continuing to seek joy and balance in work, family and love.
O: Happy, yet not settling for contentment. Still working on "baby" weight five years later, but unashamedly enjoying good food and wine. All faculties secure and intact.
A: Superwoman (#nosuperwoman) in full effect
P: Has given up on the myth of work-life balance, and now will work on more work-life integration. Here's how:
DocSwiner's Story
I turned 40 this year, thank God. Leading up to this milestone birthday, I wondered what kind of emotional and mental changes I'd experience. Nothing much changed, except for my tolerance and patience, a bit. I now know what I want out of life and work, and I'll fight my hardest to achieve.
Today, as I write, on 7/23/18 at 4pm, two (a mother and daughter pair) of my most challenging patients "let me have it." They've noticed that I'm no longer in clinic on Mondays and Fridays, and on days that I am here, I've included some telemedicine slots with my clinic appointments. The elderly mother is none-too-pleased, as she mentions that I should have "thought about that before I went to medical school, if you wanted to work less and take more time off." Two or three years ago, this would have upset me at the thought that she felt I should let my career and patients control me and my happiness in this way. Today, I laughed to myself and to her middle –aged daughter, who looked at me apologetically and was horrified that her mother would talk to me in such a way. I patted the daughter's knee and reassured her that I was ok with it, and just said I was "unbothered." The truth is, I understand and understood where the mother is coming from—she's used to the old fashioned doctor (and, the old fashioned me) that was at her every beckoning call, would freely work her into the schedule whenever she needed and drop all things to make her happy, even while she was being belligerent to me and the staff at times. The new practicing physician in me now knows that I'm worth more than that.
I'm not going to explain to every one of my patients (I will to some if asked in the right fashion) why I'm making the decision to cut back to three days a week in clinic and work from the home the other two; but I will explain to you. As I finish this chapter, sitting next to my co-founder, Mani, on a Friday morning, in DC at Busboys and Poets (a restaurant and bar I've always wanted to come to), I feel blessed. I'm trying to create a lifestyle and career in which I can work remotely. My kids are now in Kindergarten and second grade, and I'd love to be home more for them and go on some field trips. I'm loving the career consulting and publishing work I've been doing for the past three years, and I want to be more free to travel to speak and meet clients. The next step may be to become licensed in other states, so I'm able to do telemedicine visits even when I'm on the road. I think the options are endless.
So, my friends, don't feel stuck. The road of out your rut or funk may be filled with obstacles, but it's not impossible to traverse. If you need help—emotional, mental, financial, strategic—then don't be afraid to reach out to mentors and experts. Create the work-life balance and integration that you desire.
Thinking About Quitting Medicine, vol. 2
Swiner Publishing Co., 2018
Self-care in Medicine: Physicians Pursuing Other Careers
The doctor is out? Why physicians are leaving their practices to pursue other careers"After 20 years, I quit medicine and none of my colleagues were surprised. In fact, they all said they wish they could do the same," said one doctor.by Nicole Spector /
The Association of American Medical Colleges projects a shortage of 42,600 to 121,300 physicians by 2030.Getty Images
The news that New York University will offer free tuition to all its medical school students, in the hope of encouraging more doctors to choose lower-paying specialties, offered hope to those wishing to pursue a career in the field.
However, becoming a doctor remains one of the most challenging career paths you can embark upon. It requires extensive (and expensive) schooling followed by intensive residencies before you're fully on your feet. The idea, generally, is that all the hard work will pay off not only financially, but also in terms of job satisfaction and work-life balance; then there's the immeasurable personal benefits of helping people, and possibly even saving lives. In terms of both nobility and prestige, few occupations rank as high.
So why is there waning interest in being a physician? A recent report from the Association of American Medical Colleges projected a shortage of 42,600 to 121,300 physicians by 2030, up from its 2017 projected shortage of 40,800 to 104,900 doctors.
There appear to be two main factors driving this anticipated doctor drought: First, young people are becoming less interested in pursuing medical careers with the rise of STEM jobs, a shift that Craig Fowler, regional VP of The Medicus Firm, a national physician search and consulting agency based in Dallas, has noticed.
"There are definitely fewer people going to [med school] and more going into careers like engineering," Fowler told NBC News.
Fowler also speaks to the desire among millennials to be in hip, urban locations — a luxury you likely won't get when you're fresh out of medical school and in need of a residency.
"This is why places in middle America hire firms like ours," Fowler said. "They're having a harder time attracting people."
But perhaps the more interesting story lies not with those deciding to eschew medical degrees; it's with the people who went through all that training, who became doctors — and then decided to opt for another path.
This drastic career change can be a result of new med school grads being unable to find a residency within a reasonable period of time.
"Graduating med school doesn't mean you'll get into a residency," said Fowler. "There aren't enough residency slots for medical grads. So you have that population of people who have an MD but didn't practice for that reason. There is this bottleneck effect."
The mounting bureaucracy
This "bottleneck effect" doesn't usually sour grads on staying the course, Fowler finds, but he does see plenty of doctors in the later stages of their careers hang up their stethoscopes earlier than expected. Some cite electronic health records (EHRs) as part of the reason — especially old school doctors who don't pride themselves on their computer skills. New research by Stanford Medicine, conducted by The Harris Poll, found that 59 percent think EHRs "need a complete overhaul;" while 40 percent see "more challenges with EHRs than benefits."
And then there are those doctors who left medicine because the cons of the job started to far outweigh the pros.
"After 20 years, I quit medicine and none of my colleagues were surprised. In fact, they all said they wish they could do the same," Dr. Amy Baxter told NBC News.
"I began to feel like an easily replaceable cog in the health care machine. With the [enforcement] of EHRs, I had to spend more time as a scribe. One night a child I was treating had a seizure and I couldn't get the medicine to enable them to breathe because their chart wasn't in the system yet. This kid was fixing to die and I, the doctor, couldn't get the medicine. It was demoralizing."
Baxter left pediatric emergency medicine to head a company that develops physiological products for personal pain management.
Dr. Ha-Neul Seo, director of global recruitment at EF Education First in London, was a general practitioner in the U.K. for several years before heading to the U.S. to study health care management and policy. She wound up leaving medicine to focus on education because she felt, to some extent, she'd defaulted into a career that turned out to be more tedious than expected.
"As a patient you want your doctor to love and be passionate about their work — and I realized that wasn't me," Seo said. "Some parts were incredible, but the moments when I felt I was making a true difference were too few and far between. And then there was the issue of work-life balance. I had my first child and was barely seeing him. The schedule was relentless."
Dr. Nicole Swiner, a physician and author, has stuck with being a doctor because she loves it so much, but she deeply empathizes with those who decide to leave.
"It has gotten worse for all of us, unfortunately — whether you work in the hospital or in the outpatient setting," she told NBC News. "We are burdened more by nonmedical business or insurance professionals without any medical training. It's disheartening. I have transitioned to more part-time clinical work [so as to focus more on] speaking, writing and consulting."
"Become a full-time consultant, author, speaker, entrepreneur, baker, cheerleader — whatever. Just be happy. Life's too short," Swiner said.
Wellness Wednesday: Work Life for the 40 & Over Club
Hey, good people!!! So, if you didn't know I recently joined the 40 & over club this past April. Since joining I have now gained a new characteristic of not caring much about anything but the things I love. I have also re-created my work schedule where I will be in the clinic for only three days, with doing more tele-work from home. It inspired me to post some ideas and questions on Instragram in my Instastories and received some great feedback.
…and what perfect timing it was when I came across an article titled "People Over 40 Should Only Work 3 Days A Week, Expert Claim"….
Click here to read the article.
But while reading the article, it made me think…
Life is expensive! So working 3 days a week is taking a financial back step, or a financial cha-cha, depending on how you look at life. Me? I say let's dance baby…let's dance.
But okay, I understand. Working 3 days may not be financially feasible. So that leads me to remember some tips that helped me.
Planning takes time, organization, and dedication. Set some time aside to prioritize your goals, and write them down.
Work less and live more! Life is more than work. You have to enjoy your free time; wait…you have to have free time to enjoy! If you feel that you are working too much, then cut back some on some work. Also, just learn how to say no.
So these next two tips are personal boundaries we have to set for ourselves. And although it will be tough, and take some time to master…I know we can do it!
In addition to the article, I wanted to add a quote from two debt burden and financial experts Drs. Nii-Danko and Renee Darko.
"The debt burden for many physicians and other professionals can be a major factor in determining if cutting back hours is financially possible. For us, significantly decreasing our debt burden allowed us to not only cut back on the number hours that we worked, but actually allowed us to live on Nii's salary so that Renée could primarily stay at home once our baby was born. Without so much debt, your income can really go a long way."
If the article and above quote aren't enough encouragement to cut back, then I don't know what it! Also, find encouragement and inspiration from your tribe; your community. A good friend of mine tweeted this recently:
–right on time as I was writing this blog. Cutting back is required at times to practice healthy self-care.
Now, I don't want you all to think that I don't understand how hard it is to step back from our income. It's easier said than done. However, I have confidence that we (the 40 & Older Boss Group) can cut back some days to enjoy our life! Let's take control of our time & finances so we can live our BEST LIVES!
As Lil' Duval says…….
Healthline Newsletter Feature: Craving Ice
My comments were featured in a recent article in Healthline Newsletter!
If you are "addicted" to eating ice, take a look here or read below to find out one reason why you might be.
Why Do You Crave Ice?
What causes you to crave ice?
You can crave ice for a number of reasons. Here are the common reasons people crave ice:
If you're experiencing an insatiable craving to eat ice, you may have a condition called pica. "In medical terms, pica is a disorder defined by a desire to eat substances that lack any nutritional value," explains Dr. Sarina Pasricha, MD, MSCR.
People with pica often crave nonfood items, like dirt, paint chips, clay, hair, ice, or paper. If ice is the substance you crave, then you may have a type of pica called pagophagia.
While there's no single cause of pica or pagophagia, they can occur if you have iron deficiency anemia. Malnutrition or a mental health disorder may also be the culprit.
Pica is often seen in children and may have a psychological basis, such as obsessive-compulsive disorder or a pediatric developmental disorder. It's also commonly related to an underlying nutrient deficiency, typically iron. This then results in anemia.
Iron deficiency anemia
You don't have to receive a diagnosis of pica to crave ice. Some people with anemia may crave ice as a result of an iron deficiency. One study proposed that this is because ice gives people with anemia a mental boost. Anemia is a medical condition in which your blood doesn't carry enough oxygen to the rest of your body. This results in less energy.
Other symptoms of anemia include:
- shortness of breath
- dizziness
- weakness
If you're pregnant, your doctor may discover that you have anemia. "Pregnant women are often anemic due to the demands on the blood supply and circulation, poor nutritional intake, or from abnormal bleeding," explains Dr. C. Nicole Swiner, MD. Even if you don't have a history of anemia, you can become iron deficient during pregnancy.
In addition to anemia, Pasricha says there are other reasons you may crave ice during pregnancy:
- Pregnancy can cause nausea and vomiting, which can lead to dehydration. In this case, eating ice allows you to stay hydrated without worsening the nausea symptoms.
- Since ice has no odor or taste, many women crave ice during pregnancy.
- Pregnancy increases a woman's metabolic rate and causes vasodilation (swelling of the blood vessels). Both of these can lead women to feel increasingly hot and therefore crave cold items such as ice.
Should you see a doctor about your ice cravings?
Pasricha recommends seeing your doctor if your desire to eat or chew ice continues to increase for at least one month. Your doctor will likely perform basic lab work to test for iron deficiency anemia, which needs to be evaluated and treated.
It's also a good idea to have your teeth evaluated. Chewing ice over time can ruin enamel. Ask your doctor to look at your teeth. They can tell you if a visit to the dentist is necessary.
How can you stop your ice cravings?
Once you visit your doctor, the next step is to come up with a plan to stop, or at least decrease, your ice cravings.
If anemia is the cause of your cravings, your doctor may start you on iron supplements and replacement therapy. After your iron stores are replaced, the ice craving usually resolves.
If anemia isn't the underlying cause, your doctor may look at psychological reasons for the craving. "Some people may have craved ice due to psychological stressors, in which case, cognitive behavioral therapy has been shown to be helpful," says Pasricha.
The bottom line
Compulsive ice chewing for a period of longer than one month is a sign of a more significant medical or psychological issue that needs to be checked out.
If you're craving and chewing on ice for reasons other than thirst, make an appointment to see your healthcare provider.


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Drugs Channel
Topics & Medications
Related Channels
Metronidazole Cream Information
Adults who have been diagnosed with a skin condition known as rosacea may benefit from using metronidazole cream (MetroCream®). This prescription medicine is specifically approved to treat the bumps and pimples caused by rosacea. It may also help treat redness and dryness, although it is not approved for this purpose. It comes as a cream that is applied on the skin twice daily.
While this medicated skin cream may help improve rosacea, it is not suitable for everyone. Information on metronidazole cream should be discussed with your healthcare provider before starting treatment to minimize risks and to help ensure your safety. For example, you may not be able to use this medicine if you have certain allergies, if you are taking certain medications, or if you are pregnant or breastfeeding.
(Click Metronidazole Cream to learn more about this drug, including information on how this medicated skin cream works, dosing instructions, and safety precautions that may apply to you.)
Written by/reviewed by: Arthur Schoenstadt, MD
Last reviewed by: Arthur Schoenstadt, MD

subset: commoncrawl


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Here it is—2013––the new year we've been waiting for over the past couple of months. It's the perfect time to put your goals in order with a sizzlin' new cover letter at the top of your list.
Employers are setting their goals as well. They're in the market for qualified job-hunters, people who are ready and willing to fill responsible and good-paying positions in their companies. You can be one of those individuals. Introduce yourself with a well-written cover letter that catches their eye and compels them to select you for an interview.
More Job Interviews in the New Year!
What does it take to create a cover letter that shines with friendly language and practical information? Four simple ingredients:
1. A warm greeting.
Dear Ms. Smith:
Happy New Year! I was excited to see your ad for a qualified person to fill the position of general manager of the ABC Corporation. It seems you were writing directly to me, as I have had managerial experience over the past five years . . .
2. A clear point.
In fact, all of the duties I've performed as assistant manager of XYZ Company have prepared me for the next level. I am ready and eager to assume the full responsibilities of general manager. I'm known for my leadership as well as my ability to handle a crisis with a level head . . .
3. A tangible goal.
My objective for the next twelve months is to encourage my peers and subordinates and to increase the bottom line of the company I work for. Customer service and satisfying employee relations are my primary goals . . .
4. A future plan.
May we meet in person to discuss this job? I'd welcome the opportunity to hear your objectives for the man or woman you hire and to provide you with examples of why I believe I'm the person to fill the position and to help promote the company's vision and mission. Please call me at 555-555-5555 at your convenience.
Glad Tidings To You!
Finish writing your cover letter and then take a long and honest look at it. Does it include the four ingredients listed above? Does it sound friendly yet professional? Does it reflect you at your best? If your answer to any of these questions is 'no' then go back and rework that section until it feels just right. Cut, chop, slice, and dice any words or phrases that don't match your personality. Keep in mind the most important thing you can do on paper and in person is to be yourself.
Raise Your Glass to A Fruitful New Year!
Add a splash of kindness, a sprinkling of facts, and a dollop of personality. Mix with an attitude of gratitude. Then raise your glass to the New Year—the year that will lead you to new employment and new opportunities––the result of a great cover letter that presents your unique self.
Happy New Year and happy job hunting!
© Written By Jimmy Sweeney
President of CareerJimmy and Author of the new,
Jimmy Sweeney is the president of CareerJimmy and author of the brand new, "Amazing Cover Letter Creator." Jimmy is also the author of several career related books and writes a monthly article titled, "Job Search Secrets."
Visit our friends at Amazing Cover Letters for your "instant" cover letter today. "In just 3½ minutes you will have an amazing cover letter guaranteed to cut through YOUR competition like a hot knife through butter!"
Posted in Career Advice for Job Seekers | Tagged Tagged cover letter tips, cover letters
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The Commencement Ceremony is open to families and the general public, and honors each graduate individually for his/her achievements.
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EDITOR'S NOTE: Since the airing of this story, the Board of Education's website says that the search committee is delaying the search process and did not post the position for applicants on Friday, March 10. Full statement is at the bottom of this post.
Payment of a major grant to the Board of Education has been suspended over concerns a board member who quit to apply for the superintendent position could have an unfair advantage.
The $50,500 grant was intended to pay for a search firm to find a new school leader.
Now the Harold K.L. Castle Foundation says it won't be paying that unless the integrity of the process is assured.
On Wednesday, we looked into some lawmakers' concerns over ethics guidelines, and the timing of Darrel Galera stepping down from the Board of Education to apply for the superintendent job.
He had been involved for months in various phases of the process to replace Kathryn Matayoshi when her contract expires this June.
The non-profit foundation had committed tens of thousands of dollars toward what it expected to be a "fair, open, and transparent" nationwide superintendent search. Now it has its own questions, and is holding off on paying up.
Terrence George, president and CEO of the Harold K. L. Castle Foundation said in a statement:
"At the request of the Hawaii State Board of Education, the Harold K.L. Castle Foundation approved a $50,500 grant to support a nationwide superintendent search that was fair, open, and transparent. Funds were to be used to cover the cost of a highly experienced search firm, hired by and reporting only to the Board of Education.
"Recent developments led the Foundation to have deep concerns that one candidate may have an unfair advantage over other applicants. Therefore, we have informed the Board of Education that we have suspended our grant payment. We remain hopeful that a solution can be found that restores the full integrity of the search process. Our students and our schools deserve nothing less."
Galera declined to be interviewed on camera but sent an extensive letter, stating "any perception that the process is 'rigged' based on past events is wrong and erroneous."
Galera said the board's process "ensures transparency, fairness and inclusiveness." His full two-page statement is also copied below.
Lawmakers also wanted to know what Gov. David Ige knew about Galera's intentions and when, having just appointed Galera to the board in October.
On Wednesday, the governor told us he did not appoint Galera with the intention of him taking Matayoshi's job, and spoke more with us Thursday.
Always Investigating asked Ige, did you know he was interested in superintendent before the resignation?
"No. I was not aware that he was interested in applying for the position," Ige replied.
Now that he has expressed his interest, what do you think of his candidacy?
"Well I've always said that this is a prime opportunity, with all the work that we've done for creating a new blueprint for education, for us to find the best leader that can lead the transformation in education," Ige said. "I hope that many people will apply, and I do trust that the board will do its responsibility to select the best candidate for the job."
Galera quit before the Senate could weigh in on his nomination to the BOE.
He's not the only one. Hundreds of other board and commission nominations haven't been sent down for official Senate confirmation.
"This is very concerning and it casts a shadow of doubt over the entire advise-and-consent process for the administration," said Sen. Jill Tokuda of the Ways and Means Committee. "It is why, from the Senate's point of view, we have been saying over and over again, you have to do better. Give us those names so we can provide the public an opportunity to participate in the process."
Always Investigating asked Tokuda, will you be naming a BOE replacement for Galera by the March 31 advise-and-consent deadline?
"Certainly that's the objective," Tokuda said. "The resignation did take us by surprise. It wasn't anticipated, and certainly we will begin the process of identifying someone to fill that seat."
In a statement, the Castle Foundation said, "Recent developments led the Foundation to have deep concerns that one candidate may have an unfair advantage over other applicants. Therefore, we have informed the Board of Education that we have suspended our grant payment. We remain hopeful that a solution can be found that restores the full integrity of the search process. Our students and our schools deserve nothing less."
On March 10, the Board of Education updated their website with the following statement: "The Search Committee is delaying the search process while evaluating the current situation and working to resolve issues surrounding Harold K.L. Castle Foundation's financial support of the Superintendent search process. As part of this, the position will not be posted today as originally anticipated under the search timeline. We appreciate the support of the foundation and are hopeful that the issues can be resolved and the foundation can continue its support of a fair and transparent search for the Superintendent. (March 10, 2017)"
March 9, 2017Open Letter Relating to Superintendent Search and Selection Process
The purpose of this letter is to respond to questions and concerns relating to my decision announced on March 6, 2017 to resign from the Board of Education to apply for state superintendent position.
Any claim suggesting that the process is anything less than fully transparent, fair, open, and inclusive is erroneous.
My decision to apply for superintendent was my decision alone. It was not discussed with the Governor nor any member of the Board of Education, until I had already made the decision. Learning of my decision was a surprise to the Governor and to Chairperson of the Board of Education. And I believe that both Chair Mizumoto and the Governor would have preferred that I instead continued to serve as a board member. To be clear, there was no plan involving anyone else.
Any perception that the process is "rigged" based on past events is also wrong and erroneous.
(1) The passage of the federal ESSA law took everyone by surprise as did the Governor's decision to form an education task force. Although I served as the task force chair, I was not the first choice nor the first person asked to serve as task force chairperson by the Governor.
(2) Although I was appointed to the Board of Education in October 2016, the new vacancy on the Board of Education in October 2016 was a complete surprise. The Governor did not ask for any board member to resign. And the rationale for my appointment was in large part to support alignment of the work of the BOE, DOE, and ESSA task force.
(3) Although I became a member of the board in October 2016, the discussion and decision to initiate a search for a new superintendent occurred before I joined the Board, before I was assigned to committees, and before I was a voting member of any board committee. Subsequently, I was part of a small committee to propose an overall process to be used with the key recommendations being that any such process be fair, transparent, inclusive, and involve a national search. This was preliminary and general planning that in no way provided any advantage.
(4) I was not a member of the Search Committee. Only the three members of the Board of Education Search Committee were involved in the current search process. This is in compliance with the state Sunshine Law. The remaining board members, including myself, were not involved in any decisions relating to the criteria, application and selection process prior to the time I announced my decision. Board members were recently interviewed individually to provide input into desired characteristics for the superintendent position, but I did not participate in such an interview. To be clear, there was no advantage as a result of my service as a board member.
These are challenging times where we see national leaders jump to conclusions, make hasty decisions, or quick judgments without first having the important information. So, there are important lessons here on effective communication and for making decisions and forming judgments based on facts and accurate information. This is what an education system should model.
It is important to emphasize that we have a Board of Education comprised of board members with the highest levels of professionalism, integrity, and commitment for what is best for all students. They deserve nothing less than our full confidence, unwavering trust, and deep appreciation for their voluntary service. The search process has been designed and implemented by the Board's Search Committee with fidelity and integrity. It is a process that ensures transparency, fairness, and inclusiveness. It is essential that we have the strongest pool of qualified applicants, locally and nationally, so that board members and the process set forward can result in the best leader for our public schools.
The vision set forth in the Hawaii Blueprint for Public Education by students, teachers, principals, parents, and community members across the state is a bold and inspiring one. To achieve this vision, it will be essential that we as a statewide community, come together and provide visionary and courageous leadership to provide our students with what they deserve – the best public education system in the nation.
Darrel Galera
Former member, Hawaii State Board of Education


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Wednesday, June 12, 2013
The Ear Hears
I can't say I like it, but the U.S. government has been spying on its own citizens for years. FBI Director J. Edgar Hoover is said to have accumulated massive files on the famous and not so famous over the years.
The same thing is still happening, but it's done electronically now. Cell phone calls, land lines, e-mails... it's all subject to somne looking in or listening in.
I just hope the right people are doing it for the right reasons, and they're targeting the right people. Something tells me that, with the government's stellar track record, things aren't going the way they were intended. Abuse? Likely. I really don't like it when laws are broken in the name of national security.
At times like this, I am reminded of what Benjamin Franklin said: "Those who can give up essential liberty to obtain a little safety deserve neither liberty nor safety."


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Melissa S.
Melissa has a BA in English with Honors from Swarthmore College, Phi Beta Kappa, and an MA in English Literature from Columbia University, where she received the MA Essay Prize and the Bennett Prize in Comparative Literature. She has been working for Essay Edge for over 10 years, covering all genres of application and scholarship essays, following a career in arts administration. She also edits audio transcriptions, helps to prepare submissions to academic journals, and writes and edits feedback for Philadelphia Young Playwrights. She finds great joy and satisfaction in crafting precise and evocative language, and in helping people tell their stories with honesty and style. Melissa lives on the East Coast with her husband, two teenagers, two albino rats, and a bearded dragon, and enjoys acting in community theater and participating in Scottish and English Country Dancing.Get Started!


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NHS Pension Scheme Has Overpaid Members Nearly £100m Since 2012
31 October 2017
It was revealed last week that the National Health Service Pension Scheme has made nearly £100m in overpayments since 2012 at a time that the NHS is under increasing financial strain. Philip Dunne, health minister revealed that over 123,000 retired workers from the NHS had been overpaid a total of £92 million between 2012 and 2016-2017. The total value of annual overpayments by the NHS Pension Scheme climbed from £17 million in 2012-2013 to £19 million in 2016-2017, according to the NHS Business Services Authority which administers the NHS Scheme from its department in Fleetwood, Lancashire.
The figures were revealed following a parliamentary question on the matter. In his written response, the health minister said that the vast majority of payments were not down to clerical error but due to changes in people's circumstances that the scheme was not made aware of, rather than clerical errors.
"In a majority of cases an overpayment arises from changes in scheme member circumstances after the initial pension has been awarded," he said in his response. "These are generally beyond the control of the scheme administrator, with a subsequent revision to pension benefits often resulting in an overpayment."
However, whilst Mr Dunne was forthcoming about how much NHS money had been overpaid, he did not go into detail about how much of the overpaid cash had been recovered or written-off, saying that "in principle" public sector organisations should always pursue recovery of overpayments, but in practice "there will be both practical and legal limits to how cases should be handled. So each case should be dealt with on its merits".
He added that the NHS Business Service Authority is attempting to address a number of overpayments that are being made every year.
"The (NHS Business Services) authority is improving its quality assurance processes and investing in additional staff training," he said. "Progress in their quality assurance process improvements is overseen by the NHS Pension Board, a statutory board set up under the Public Service Pensions Act 2013 and responsible for overseeing scheme governance and administration, by the department through service level agreement reviews with the Authority and by the Pensions Regulator through its annual survey of pension scheme governance."
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Pueblo Nuevo - México
Facts about Pueblo Nuevo
Location of Pueblo Nuevo
Pueblo Nuevo is located in the municipality of Acambay in the Mexican state of México with the GPS coordinates:
Longitude (dec): -99.915278
Latitude (dec): 19.933889
Height over sea level of Pueblo Nuevo
The locations medium height over sea level is 2550 meters.
Population in Pueblo Nuevo
The over all population of Pueblo Nuevo is 4372 persons, 2143 of them are male and 2229 of them are female.
Age distribution
The population of this place consists of 1982 minors and 2390 adults, with 373 of them being 60 years and older.
Indigenous population of Pueblo Nuevo
4245 inhabitants of the location Pueblo Nuevo in Mexico live in indigenous households. 2243 of the citizens 5 years and older, speak an indigenous language. The count of people who only speak an indigenous language without having knowledge of the Spanish language is 69 people, while 2103 as well speak Spanish.
Social structure
A legal claim on health care and social insurance benefits have 755 citizens of Pueblo Nuevo.
Economic situation
In Pueblo Nuevo exist about 800 households.
Of these households 802 are common houses or apartments, 266 are without floor and about 126 consist of one room only.
124 of the normal households have sanitary installations, 196 are connected to the public water supply, 742 have access to electricity.
The economic situation allows 16 households to own a computer, 6 own a washing machine and 559 households are equipped with one ore more televisions.
School and education in Pueblo Nuevo
Besides the 550 analphabets aged 15 or older, about 33 minors between 6 and 14 are not visiting a school.
527 inhabitants of the population of 15 years and older did not visit a school and 896 persons did not finish the school. 653 visited only the 6 years lasting primary school, 615 visited and finished the college or similar scholar institutions.
A total of 423 aged 15 to 24 years visited a school, the medium time school is visited through the whole population is 7 years.
Map of Pueblo Nuevo
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Mahonia aquifolium – the leading natural treatment for Psoriasis
The latest article from Medical News Today shows that the number one herbal treatment for helping alleviate the symptoms of Psoriasis is Mahonia Aquifolium otherwise known as Oregon Grape Root.
According to the National Center for Complementary and Integrative Health (NCCIH), Mahonia aquifolium has one of the strongest evidence bases of all herbal remedies for treating psoriasis.
M-Folia products all contain Mahonia Aquifolium and are free from parabens and harmful chemicals.
To read more about the findings reported in Medical News Today, click here


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Here we have a luxury detached villa for sale in Ciudad Quesada Costa Blanca South. The villa has been extended and renovation to a very high standard. The main living accommodation is set out over two floors with the addition of a separate guest apartment located on the lover level.
As you enter the property you are greeted with an elegant entrance hall with vaulted ceilings and attractive staircase - this gives access to: a spacious lounge, 3 double bedrooms, 1 family bathroom, a state of the art kitchen with cabinet under-lighting, 1 X W.C, plus a formal dining room which boasts views down onto the swimming pool.
The first floor houses 2 large bedrooms, each with en-suite bathrooms and the master boasting a separate dressing area! From each bedroom you can also gain access to a large sun terrace which boasts some magnificent views out over the Vega Baja.
Outside, you have off-road parking, an abundance of private seating areas, a BBQ and dining area, plus a wonderful swimming pool and built-in shower. From the garden you can gain access to the guest apartment which comes complete with lounge, kitchenette, bathroom and good-size bedroom - ideal for visiting relatives! The property certainly boasts a 'wow factor' and must be viewed to be fully appreciated.
Ciudad Quesada is located in Rojales, and is one of the more prestigious and sought after urbanisations on the Southern Costa Blanca. Ciudad Quesada is much more than your average urbanisation and boasts all amenities you could imagine: such as, doctors, chemists, solicitors, supermarkets, bars, restaurants, gym, mini golf, water park, nursery school, Norwegian speaking school, language school, hotel, spa resort, and not forgetting the famous'La Marquesa' golf course. Ciudad Quesada is located 7 minutes from the fantastic blue flag beaches of Guardamar, 30 minutes from Alicante airport, and 40 minutes from San Javier airport.
Avda. Daya Nueva, 6 03160 - Almoradí (Alicante)


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Renewable energy heating systems
N.J. Bryan Heating & Plumbing Ltd provide expert advice on which system is suitable for your home and then install the system for you. Contact us if you are in Bishopstoke, Eastleigh or a surrounding area.
Here's what you can get
• Reduced energy bills
• Eco-friendly systems with a reduced carbon footprint
• Incentive from the Government
• Expert advice on what's suitable for you
• Professional installation and maintenance
Need heating or plumbing repairs?
If you are in need of heating or plumbing services such as boiler servicing, bathroom installations, or any other plumbing work, our team of experts at N.J. Bryan Heating & Plumbing Ltd are ready to help. From basic repair and servicing to full scale first time installations, we are able to carry out all the plumbing and heating work that you will need. You could also benefit from our kitchen and bathroom design and installation services.
We are based in Bishopstoke and cover Eastleigh, Fair Oak, Chandler's Ford, Winchester, Southampton, Romsey and Wickham, so contact us if you need our help.


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